Entity Details

Basic

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

Medicaid #:
0808246

CCN #:
165293

Occupancy Type:
Beds

Max Occupancy:
90

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
200593

Initial License Date:

Current License Date:
08/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/31/2024

Months Since Last Survey:
17

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
11/22/2022

Loss of NA Training Expires:
11/21/2024

Contact

Address:
444 North West Drive

City:
Osceola

State:
Iowa

Zip:
50213-0444

Phone:
(641) 342-6061

Fax:
(641) 342-4096

URL:
http://www.careinitiatives.org

Administrator/License #:
Tammy Bushong / 003005

Administrator Email:
tbushong@careinitiatives.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: