Entity Details

Basic

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

Medicaid #:
0803999

CCN #:
165586

Occupancy Type:
Beds

Max Occupancy:
42

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
950348

Initial License Date:
08/28/1964

Current License Date:
08/26/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/25/2024

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
109 Mission Drive

City:
Buffalo Center

State:
Iowa

Zip:
50424-1206

Phone:
(641) 562-2494

Fax:
(641) 562-2812

URL:

Administrator/License #:
Ashley Smith / 002459

Administrator Email:
Ashley@timelymission.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: