Entity Details

Basic

Entity Type:
Free Standing NF/SNF (Free Standing NF/SNF)

Medicaid #:
0808295

CCN #:
165270

Occupancy Type:
Beds

Max Occupancy:
53

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
400069

Initial License Date:

Current License Date:
08/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/31/2024

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
10/06/2022

Loss of NA Training Expires:
10/05/2024

Contact

Address:
1200 Highway 175 East

City:
Stratford

State:
Iowa

Zip:
50249-0260

Phone:
(515) 838-2795

Fax:
(515) 838-2797

URL:

Administrator/License #:
Amy Castro / 088861

Administrator Email:
acastro@careinitiatives.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: