Entity Details

Basic

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

Medicaid #:
0807511

CCN #:
165196

Occupancy Type:
Beds

Max Occupancy:
40

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
940127

Initial License Date:

Current License Date:
02/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
02/01/2026

Months Since Last Survey:
4

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
09/06/2023

Loss of NA Training Expires:
09/05/2025

Contact

Address:
508 Second Street NE

City:
Dayton

State:
Iowa

Zip:
50530-7530

Phone:
(515) 547-2288

Fax:
(515) 547-2287

URL:

Administrator/License #:
Dianne Panzi / 01700

Administrator Email:
dpanzi@daytoniowahc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: