Entity Details

Basic

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

Former Entity Name:
Accura Healthcare Of Sioux City, Llc

Medicaid #:
0805150

CCN #:
165435

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
970179

Initial License Date:

Current License Date:
12/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
12/01/2026

Months Since Last Survey:
1

Entity Type Survey Cycle(months):
12

Special Focus Facility:
Yes

Special Focus Facility Survey Cycle(months):
6

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3800 Indian Hills Drive

City:
Sioux City

State:
Iowa

Zip:
51104-1620

Phone:
(712) 239-5025

Fax:
(515) 686-6049

URL:

Administrator/License #:
Joseph Kezar / 133945

Administrator Email:
Joe.Kezar@accura.healthcare

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: