Entity Details

Basic

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

Medicaid #:
0804682

CCN #:
165353

Occupancy Type:
Beds

Max Occupancy:
40

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
320167

Initial License Date:

Current License Date:
08/15/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/15/2025

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
108 Second Avenue

City:
Armstrong

State:
Iowa

Zip:
50514-0228

Phone:
(712) 864-3567

Fax:
(712) 864-1000

URL:

Provisional Administrator:
Taylor Davis

Provisional Administrator Email:
tdavis@carevalleyvue.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: