Entity Details

Basic

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

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:
04/25/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
04/25/2025

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3131 Hillcrest Road

City:
Dubuque

State:
Iowa

Zip:
52001-3908

Phone:
(563) 690-5228

Fax:
(563) 588-2770

URL:
https://luthermanor.com/

Administrator/License #:
Kim Harkey / 113670

Administrator Email:
Kim.Harkey@luthermanor.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: