Entity Details

Basic

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

Medicaid #:
0803916

CCN #:
165286

Occupancy Type:
Beds

Max Occupancy:
76

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
860226

Initial License Date:

Current License Date:
08/19/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/18/2024

Months Since Last Survey:
7

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
909 Sixth Street

City:
Traer

State:
Iowa

Zip:
50675-1399

Phone:
(319) 478-2730

Fax:
(319) 478-2728

URL:

Administrator/License #:
Daniel Larmore / 1259

Administrator Email:
administrator.sunrisehill@mediacombb.net

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: