Entity Details

Basic

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

Medicaid #:
0808667

CCN #:
165385

Occupancy Type:
Beds

Max Occupancy:
109

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
640686

Initial License Date:
04/01/1991

Current License Date:
04/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
04/01/2025

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
05/10/2022

Loss of NA Training Expires:
05/09/2024

Contact

Address:
910 East Olive Street

City:
Marshalltown

State:
Iowa

Zip:
50158-4195

Phone:
(641) 752-4581

Fax:
(641) 752-6104

URL:

Administrator/License #:
Grace Maitland / 115971

Administrator Email:
gmaitland@gvhrehab.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: