Entity Details

Basic

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

Former Entity Name:
Colonial Manor Of Amana

Medicaid #:
0800656

CCN #:
165318

Occupancy Type:
Beds

Max Occupancy:
50

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
480217

Initial License Date:
06/21/1971

Current License Date:
06/21/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
06/21/2026

Months Since Last Survey:
1

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3207 220th Trail

City:
Amana

State:
Iowa

Zip:
52203-0000

Phone:
(319) 622-3131

Fax:
(319) 622-6458

URL:

Administrator/License #:
Tanya Powell / 078746

Administrator Email:
tanyap@southslope.net

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: