Entity Details

Basic

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

Medicaid #:
0800151

CCN #:
165372

Occupancy Type:
Beds

Max Occupancy:
50

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
830051

Initial License Date:
06/01/1959

Current License Date:
06/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
06/01/2025

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:
2104 12th Street

City:
Harlan

State:
Iowa

Zip:
51537-2025

Phone:
(712) 755-5174

Fax:
(712) 755-5654

URL:

Administrator/License #:
Katie Hope / 084504

Administrator Email:
KHope@abhomes.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: