Entity Details

Basic

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

Medicaid #:
0804682

CCN #:
165353

Occupancy Type:
Beds

Max Occupancy:
50

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
320167

Initial License Date:

Current License Date:
01/29/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/28/2025

Months Since Last Survey:
3

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
12/27/2022

Loss of NA Training Expires:
12/26/2024

Contact

Address:
108 Second Avenue

City:
Armstrong

State:
Iowa

Zip:
50514-0228

Phone:
(712) 864-3567

Fax:
(712) 864-1000

URL:

Administrator/License #:
Dawn Runksmeier / 099168

Administrator Email:
drunksmeier@abcmcorp.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: