Entity Details

Basic

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

Medicaid #:
0807057

CCN #:
165486

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
740213

Initial License Date:

Current License Date:
07/15/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/14/2024

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:
2701 East Mitchell Street, Box 430

City:
Ruthven

State:
Iowa

Zip:
51358-0000

Phone:
(712) 837-5411

Fax:
(712) 837-5420

URL:

Administrator/License #:
Ryan Sikora / 121033

Administrator Email:
rsikora@ruthvenccc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: