Entity Details

Basic

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

Former Entity Name:
Promedica Skilled Nursing and Rehabilitation - Waterloo

Medicaid #:
0800005

CCN #:
165034

Occupancy Type:
Beds

Max Occupancy:
88

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
070361

Initial License Date:

Current License Date:
04/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
04/01/2026

Months Since Last Survey:
3

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
201 West Ridgeway Avenue

City:
Waterloo

State:
Iowa

Zip:
50701-4235

Phone:
(319) 234-7777

Fax:
(319) 234-6671

URL:

Provisional Administrator:
Madalyn Siems

Provisional Administrator Email:
msiems@harmonywaterloo.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: