Entity Details

Basic

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

Medicaid #:
0807339

CCN #:
165383

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
010620

Initial License Date:

Current License Date:
07/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
06/30/2024

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
615 SE Kent

City:
Greenfield

State:
Iowa

Zip:
50849-9453

Phone:
(641) 743-6131

Fax:
(641) 743-2501

URL:

Administrator/License #:
Jacque Welchans / 073433

Administrator Email:
greenfield@tutera.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: