Entity Details

Basic

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

Former Entity Name:
Accura Healthcare Of Shenandoah

Medicaid #:
0806505

CCN #:
165529

Occupancy Type:
Beds

Max Occupancy:
45

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
730860

Initial License Date:
12/05/1979

Current License Date:
08/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/31/2024

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
12/06/2023

Loss of NA Training Expires:
12/05/2025

Contact

Address:
1203 South Elm Street

City:
Shenandoah

State:
Iowa

Zip:
51601-2221

Phone:
(712) 246-4627

Fax:
(515) 515-2299

URL:

Administrator/License #:
Ashley Hummel / 120970

Administrator Email:
Ashley.Hummel@accura.healthcare

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: