Entity Details

Basic

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

Medicaid #:
0808154

CCN #:
165310

Occupancy Type:
Beds

Max Occupancy:
201

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
570110

Initial License Date:

Current License Date:
08/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/01/2025

Months Since Last Survey:
9

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
200 Clive Drive SW

City:
Cedar Rapids

State:
Iowa

Zip:
52404-1324

Phone:
(319) 396-7171

Fax:
(319) 396-7789

URL:

Administrator/License #:
Michelle Kerschner / 002771

Administrator Email:
mkerschner@careinitiatives.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: