Entity Details

Basic

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

Former Entity Name:
Granger Nursing And Rehabilitation Center

Medicaid #:
0809814

CCN #:
165208

Occupancy Type:
Beds

Max Occupancy:
67

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
250039

Initial License Date:

Current License Date:
03/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
03/01/2026

Months Since Last Survey:
13

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2001 Kennedy Street

City:
Granger

State:
Iowa

Zip:
50109-9746

Phone:
(712) 212-2030

Fax:
(515) 999-2442

URL:
https://www.grangernursinghomeandrehab.com/

Administrator/License #:
Jason Dunlap / 095507

Administrator Email:
jdunlap@grangernursinghomeandrehab.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: