Entity Details

Basic

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

Medicaid #:
0807487

CCN #:
165256

Occupancy Type:
Beds

Max Occupancy:
54

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
670321

Initial License Date:

Current License Date:
03/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
03/01/2025

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
222 North 15th Street

City:
Onawa

State:
Iowa

Zip:
51040-1099

Phone:
(712) 423-2510

Fax:
(712) 423-1165

URL:

Provisional Administrator:
Jordan Infante

Provisional Administrator Email:
admin.ewcc@arboretahc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: