Entity Details

Basic

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

Former Entity Name:
Risen Son Christian Village

Medicaid #:
0808592

CCN #:
165466

Occupancy Type:
Beds

Max Occupancy:
102

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
780641

Initial License Date:

Current License Date:
02/05/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
02/05/2027

Months Since Last Survey:
13

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3000 Risen Son Boulevard

City:
Council Bluffs

State:
Iowa

Zip:
51503-1900

Phone:
(712) 366-9655

Fax:
(712) 366-4748

URL:

Administrator/License #:
Dave Creal / 133051

Administrator Email:
dcreal@chapterscouncilbluffs.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: