Entity Details

Basic

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

Former Entity Name:
Qhc Winterset North, LLC

Medicaid #:
0805903

CCN #:
165497

Occupancy Type:
Beds

Max Occupancy:
75

Status:
Closed

Close Date:
02/24/2023

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
610902

Initial License Date:

Current License Date:
05/01/2022

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
05/01/2023

Months Since Last Survey:
16

Entity Type Survey Cycle(months):
12

Special Focus Facility:
Yes

Special Focus Facility Survey Cycle(months):
6

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
411 East Lane Street

City:
Winterset

State:
Iowa

Zip:
50273-1217

Phone:
(515) 462-1571

Fax:
(515) 462-1572

URL:

Administrator/License #:
Tammy Bushong / 03005

Administrator Email:
tbushong@madisonwr.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: