Entity Details

Basic

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

Former Entity Name:
Colonial Manor Of Elma

Medicaid #:
0800722

CCN #:
165386

Occupancy Type:
Beds

Max Occupancy:
57

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
450794

Initial License Date:

Current License Date:
08/15/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/15/2025

Months Since Last Survey:
4

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
407 Ninth Street

City:
Elma

State:
Iowa

Zip:
50628-0499

Phone:
(641) 393-2134

Fax:
(641) 393-2078

URL:

Administrator/License #:
Calee Andrea / 110993

Administrator Email:
candera@colonialelmamanor.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: