Entity Details

Basic

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

Medicaid #:
0807370

CCN #:
165331

Occupancy Type:
Beds

Max Occupancy:
50

Status:
Closed

Close Date:
09/09/2024

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
580349

Initial License Date:

Current License Date:
01/02/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/01/2025

Months Since Last Survey:
5

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
200 Washington

City:
Morning Sun

State:
Iowa

Zip:
52640-0009

Phone:
(319) 868-7751

Fax:
(319) 868-7742

URL:

Administrator/License #:
Anagrace Engstorm / 116376

Administrator Email:
aengstrom@abcmcorp.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: