Entity Details

Basic

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

Former Entity Name:
Regency Park Nursing and Rehabilitation Center Of Carroll

Medicaid #:
0809863

CCN #:
165231

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
140044

Initial License Date:
09/01/1999

Current License Date:
03/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
03/01/2025

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:
500 East Valley Drive

City:
Carroll

State:
Iowa

Zip:
51401-0821

Phone:
(712) 792-9281

Fax:
(712) 792-6750

URL:

Administrator/License #:
James Feauto / 01334

Administrator Email:
jim.feauto@carrollregencynursinghome.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: