Entity Details

Basic

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

Medicaid #:
0804773

CCN #:
165334

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
220982

Initial License Date:
04/01/1983

Current License Date:
08/15/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/15/2025

Months Since Last Survey:
5

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1315 Acre Street

City:
Guttenberg

State:
Iowa

Zip:
52052-9603

Phone:
(563) 252-2281

Fax:
(563) 252-2284

URL:

Provisional Administrator:
Hayley Kann

Provisional Administrator Email:
hkann@guttenbergcarecenter.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: