Entity Details

Basic

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

Medicaid #:
0802504

CCN #:
165478

Occupancy Type:
Beds

Max Occupancy:
62

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
440495

Initial License Date:
10/01/2002

Current License Date:
10/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
09/30/2024

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
12

Special Focus Facility:
Yes

Special Focus Facility Survey Cycle(months):
6

Loss of NA Training Effective:
09/07/2023

Loss of NA Training Expires:
09/06/2025

Contact

Address:
701 East Mapleleaf Drive

City:
Mount Pleasant

State:
Iowa

Zip:
52641-1402

Phone:
(319) 385-1400

Fax:
(319) 385-2385

URL:

Administrator/License #:
Lisa Hanson / 084894

Administrator Email:
LHanson@mgmhealthcare.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: