Entity Details

Basic

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

Medicaid #:
0804005

CCN #:
165431

Occupancy Type:
Beds

Max Occupancy:
26

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
550241

Initial License Date:
03/30/1973

Current License Date:
03/29/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
03/29/2026

Months Since Last Survey:
0

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
312 First Avenue NW

City:
Titonka

State:
Iowa

Zip:
50480

Phone:
(515) 928-2600

Fax:
(515) 928-2610

URL:

Administrator/License #:
Jeanna Kinney / 1144

Administrator Email:
tccdon@netins.net

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: