Entity Details

Basic

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

Former Entity Name:
Crest Haven Care Centre

Medicaid #:
0800425

CCN #:
165275

Occupancy Type:
Beds

Max Occupancy:
31

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
880066

Initial License Date:

Current License Date:
02/01/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
02/01/2027

Months Since Last Survey:
1

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1000 East Howard

City:
Creston

State:
Iowa

Zip:
50801-0367

Phone:
(641) 782-5012

Fax:
(641) 782-5309

URL:

Administrator/License #:
Tracy Thoren / 136567

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: