Entity Details

Basic

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

Former Entity Name:
Mississippi Valley Healthcare And Rehabilitation Center

Medicaid #:
0809624

CCN #:
165151

Occupancy Type:
Beds

Max Occupancy:
83

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
560133

Initial License Date:

Current License Date:
10/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
09/30/2024

Months Since Last Survey:
15

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
500 Messenger Road

City:
Keokuk

State:
Iowa

Zip:
52632-2911

Phone:
(319) 524-5321

Fax:
(319) 524-8642

URL:

Administrator/License #:
Michael Blume / 002404

Administrator Email:
mblume@mvhrc.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: