Entity Details

Basic

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

Medicaid #:
0802322

CCN #:
165552

Occupancy Type:
Beds

Max Occupancy:
61

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
060733

Initial License Date:
02/17/1977

Current License Date:
02/18/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
02/18/2026

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
10/21/2025

Loss of NA Training Expires:
10/21/2027

Contact

Address:
1301 Second Avenue

City:
Vinton

State:
Iowa

Zip:
52349-1699

Phone:
(319) 472-4751

Fax:
(319) 472-3070

URL:

Administrator/License #:
Doug Wood / 01830

Administrator Email:
d.wood@lhaa-e.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: