Entity Details

Basic

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

Medicaid #:
0807925

CCN #:
165288

Occupancy Type:
Beds

Max Occupancy:
90

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
150588

Initial License Date:
08/01/1989

Current License Date:
08/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/01/2025

Months Since Last Survey:
1

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1300 East 19th Street

City:
Atlantic

State:
Iowa

Zip:
50022-0270

Phone:
(712) 243-3952

Fax:

URL:

Administrator/License #:
Leah Muhlbauer / 118913

Administrator Email:
lmuhlbauer@careinitiatives.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: