Entity Details

Basic

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

Medicaid #:
0807271

CCN #:
165452

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
580372

Initial License Date:
09/01/2001

Current License Date:
08/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/01/2026

Months Since Last Survey:
3

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
601 Highway 61 South

City:
Wapello

State:
Iowa

Zip:
52653-1364

Phone:
(319) 523-2001

Fax:
(319) 523-2909

URL:

Administrator/License #:
Kristen Hammond / 002938

Administrator Email:
khammond@careinitiatives.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: