Entity Details

Basic

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

Medicaid #:
0808352

CCN #:
165161

Occupancy Type:
Beds

Max Occupancy:
125

Status:
Closed

Close Date:
07/21/2022

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
970341

Initial License Date:

Current License Date:
02/02/2022

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
02/02/2023

Months Since Last Survey:
33

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1800 Indian Hills Drive

City:
Sioux City

State:
Iowa

Zip:
51104-1518

Phone:
(712) 239-4582

Fax:
(712) 239-1093

URL:

Administrator/License #:
Megan Kleinsasser / 106678

Administrator Email:
Megan.Kleinsasser@accura.healthcare

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: