Entity Details

Basic

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

Medicaid #:
0807917

CCN #:
165313

Occupancy Type:
Beds

Max Occupancy:
54

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
680150

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:
7

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
200 16th Avenue East

City:
Albia

State:
Iowa

Zip:
52531-2718

Phone:
(641) 932-7105

Fax:
(641) 932-7489

URL:

Administrator/License #:
Brittany Cox / 116397

Administrator Email:
bcox@careinitiatives.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: