Entity Details

Basic

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

Medicaid #:
0809020

CCN #:
165397

Occupancy Type:
Beds

Max Occupancy:
38

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
180689

Initial License Date:
08/01/1994

Current License Date:
08/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/31/2024

Months Since Last Survey:
0

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
604 East Fenton

City:
Marcus

State:
Iowa

Zip:
51035-0608

Phone:
(712) 376-2500

Fax:
(712) 376-2512

URL:

Administrator/License #:
Tracey Gabehart / 108624

Administrator Email:
heartland@midlands.net

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: