Entity Details

Basic

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

Medicaid #:
0806133

CCN #:
165591

Occupancy Type:
Beds

Max Occupancy:
55

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
250199

Initial License Date:

Current License Date:
05/28/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
05/28/2026

Months Since Last Survey:
5

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1204 Linden Street

City:
Dallas Center

State:
Iowa

Zip:
50063-1052

Phone:
(515) 992-3735

Fax:
(515) 992-3098

URL:

Administrator/License #:
Crystal Scroggin / 093171

Administrator Email:
cscroggin@spurgeonmanor.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: