Entity Details

Basic

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

Medicaid #:
0809533

CCN #:
165206

Occupancy Type:
Beds

Max Occupancy:
64

Status:
Closed

Close Date:
07/14/2022

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
470912

Initial License Date:

Current License Date:
09/01/2021

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
09/01/2022

Months Since Last Survey:
49

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
600 Morningside Street

City:
Ida Grove

State:
Iowa

Zip:
51445-0000

Phone:
(712) 364-3327

Fax:

URL:

Administrator/License #:
Alan Kennedy / 108984

Administrator Email:
alan.kennedy@morningsidecare.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: