Entity Details

Basic

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

Medicaid #:
0801514

CCN #:
165249

Occupancy Type:
Beds

Max Occupancy:
45

Status:
Closed

Close Date:
06/24/2022

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
110005

Initial License Date:

Current License Date:
12/15/2021

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
12/15/2022

Months Since Last Survey:
35

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
415 West Highway 7, Box 395

City:
Newell

State:
Iowa

Zip:
50568-0395

Phone:
(712) 272-3327

Fax:
(712) 272-3746

URL:
https://www.good-sam.com/locations/newell

Administrator/License #:
Mike Early / 077950

Administrator Email:
mearly@good-sam.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: