Entity Details

Basic

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

Former Entity Name:
Promedica Skilled Nursing and Rehabilitation - Cedar Rapids

Medicaid #:
0800719

CCN #:
165017

Occupancy Type:
Beds

Max Occupancy:
96

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
570374

Initial License Date:

Current License Date:
04/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
04/01/2026

Months Since Last Survey:
3

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
05/31/2023

Loss of NA Training Expires:
05/30/2025

Contact

Address:
1940 First Avenue NE

City:
Cedar Rapids

State:
Iowa

Zip:
52402-0000

Phone:
(319) 364-5151

Fax:
(319) 364-0040

URL:

Administrator/License #:
Justine Knapp / 119222

Administrator Email:
justine.knapp@harmonycedarrapids.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: