Entity Details

Basic

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

Medicaid #:
0804567

CCN #:
165411

Occupancy Type:
Beds

Max Occupancy:
65

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
400756

Initial License Date:

Current License Date:
08/15/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/15/2025

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
11/06/2023

Loss of NA Training Expires:
11/05/2025

Contact

Address:
2416 South Des Moines Street

City:
Webster City

State:
Iowa

Zip:
50595-3049

Phone:
(515) 832-3881

Fax:
(515) 832-3715

URL:

Administrator/License #:
Megan Hassebrock / 100489

Administrator Email:
mhassebrock@southfieldwellnesscommunity.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: