Entity Details

Basic

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

Former Entity Name:
Willow Gardens Care Center

Medicaid #:
0808402

CCN #:
165171

Occupancy Type:
Beds

Max Occupancy:
91

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
570604

Initial License Date:

Current License Date:
05/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
05/01/2026

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
455 31st Street

City:
Marion

State:
Iowa

Zip:
52302-3723

Phone:
(319) 377-7363

Fax:
(319) 377-6022

URL:

Administrator/License #:
Alison De Jong / 132697

Administrator Email:
adejong@silveroaknursing.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: