Entity Details

Basic

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

Medicaid #:
0801175

CCN #:
165456

Occupancy Type:
Beds

Max Occupancy:
44

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
480239

Initial License Date:
01/15/1971

Current License Date:
03/13/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
03/13/2027

Months Since Last Survey:
3

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
150 West Washington Street

City:
North English

State:
Iowa

Zip:
52316-0430

Phone:
(319) 664-3256

Fax:
(319) 326-0212

URL:

Administrator/License #:
Jalissa Winn / 002392

Administrator Email:
evncc@netins.net

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: