Entity Details

Basic

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

Former Entity Name:
I O O F Home And Community Therapy Center

Medicaid #:
0802041

CCN #:
165536

Occupancy Type:
Beds

Max Occupancy:
82

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
170134

Initial License Date:
01/07/1983

Current License Date:
01/22/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/22/2027

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1037 19th Street SW

City:
Mason City

State:
Iowa

Zip:
50401-6499

Phone:
(641) 423-0428

Fax:
(641) 424-1068

URL:

Administrator/License #:
Michael Davis / 002953

Administrator Email:
mdavis@ioofhome.net

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: