Entity Details

Basic

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

Medicaid #:
0807495

CCN #:
165235

Occupancy Type:
Beds

Max Occupancy:
36

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
870126

Initial License Date:
08/01/1992

Current License Date:
02/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
02/01/2026

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
111 East Van Buren

City:
Lenox

State:
Iowa

Zip:
50851-0699

Phone:
(641) 333-2226

Fax:
(641) 333-4174

URL:

Provisional Administrator:
Racheal Gebhardt

Provisional Administrator Email:
RGebhardt@lenoxhc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: