Entity Details

Basic

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

Medicaid #:
0809178

CCN #:
165280

Occupancy Type:
Beds

Max Occupancy:
86

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
820880

Initial License Date:

Current License Date:
11/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
11/01/2026

Months Since Last Survey:
5

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
06/20/2024

Loss of NA Training Expires:
06/19/2026

Contact

Address:
2730 Crow Creek Road

City:
Bettendorf

State:
Iowa

Zip:
52722-2066

Phone:
(563) 332-7463

Fax:
(563) 332-7464

URL:

Administrator/License #:
Jennifer Dunk / 127813

Administrator Email:
jdunk@bettendorfhc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: