Entity Details

Basic

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

Medicaid #:
0801415

CCN #:
165190

Occupancy Type:
Beds

Max Occupancy:
72

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
550144

Initial License Date:
02/28/1966

Current License Date:
02/26/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
02/26/2026

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
412 West Kennedy Street

City:
Algona

State:
Iowa

Zip:
50511-3199

Phone:
(515) 295-2414

Fax:
(515) 295-5593

URL:

Administrator/License #:
Joe Bartolo / 098572

Administrator Email:
jbartolo@good-sam.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: