Entity Details

Basic

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

Former Entity Name:
Luther Manor Communities

Medicaid #:
0802280

CCN #:
165513

Occupancy Type:
Beds

Max Occupancy:
103

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
310452

Initial License Date:

Current License Date:
11/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
11/01/2026

Months Since Last Survey:
16

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
07/25/2025

Loss of NA Training Expires:
07/25/2027

Contact

Address:
3131 Hillcrest Road

City:
Dubuque

State:
Iowa

Zip:
52001-3908

Phone:
(563) 451-3126

Fax:
(563) 588-2770

URL:
https://luthermanor.com/

Administrator/License #:
Cassandra Johnson / 02086

Administrator Email:
cjohnson@luthermanor.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: