Entity Details

Basic

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

Medicaid #:
0807024

CCN #:
165173

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
660171

Initial License Date:

Current License Date:
02/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/31/2025

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
11/18/2022

Loss of NA Training Expires:
11/17/2024

Contact

Address:
830 South Fifth Street

City:
Osage

State:
Iowa

Zip:
50461-1919

Phone:
(641) 732-5520

Fax:
(641) 732-5192

URL:

Administrator/License #:
Jessica Fisher / 105931

Administrator Email:
admin.osage@arboretahc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: