Entity Details

Basic

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

Former Entity Name:
Embassy Rehab And Care Center

Medicaid #:
0809517

CCN #:
165145

Occupancy Type:
Beds

Max Occupancy:
60

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
970471

Initial License Date:

Current License Date:
09/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
09/01/2026

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:
206 Port Neal Road

City:
Sergeant Bluff

State:
Iowa

Zip:
51054-8098

Phone:
(712) 943-3837

Fax:
(712) 943-9998

URL:

Administrator/License #:
Billijean Moerman / 118003

Administrator Email:
billijean.moerman@embassyrcc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: