Entity Details

Basic

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

Former Entity Name:
Accura Healthcare Of Spirit Lake

Medicaid #:
0809475

CCN #:
165528

Occupancy Type:
Beds

Max Occupancy:
85

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
300353

Initial License Date:
11/05/1982

Current License Date:
11/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
11/01/2025

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
08/22/2024

Loss of NA Training Expires:
08/21/2026

Contact

Address:
1912 Zenith Avenue

City:
Spirit Lake

State:
Iowa

Zip:
51360-1000

Phone:
(712) 336-3300

Fax:
(515) 686-6049

URL:

Administrator/License #:
Daren Butcher / 02306

Administrator Email:
Daren.Butcher@accura.healthcare

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: