Entity Details

Basic

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

Former Entity Name:
Accura Healthcare Of Baxter, Llc

Medicaid #:
0805101

CCN #:
165398

Occupancy Type:
Beds

Max Occupancy:
42

Status:
Closed

Close Date:
10/11/2019

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
500681

Initial License Date:
11/01/1999

Current License Date:
11/01/2018

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
11/01/2019

Months Since Last Survey:
75

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
407 South East Avenue

City:
Baxter

State:
Iowa

Zip:
50028-0000

Phone:
(641) 227-3602

Fax:
(641) 227-3343

URL:

Administrator/License #:
Lexi Straight /

Administrator Email:
Lexi.Straight@accura.healthcare

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: