Entity Details

Basic

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

Medicaid #:
0802249

CCN #:
165368

Occupancy Type:
Beds

Max Occupancy:
53

Status:
Closed

Close Date:
12/19/2019

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
830346

Initial License Date:
03/30/1964

Current License Date:
06/03/2021

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
06/03/2022

Months Since Last Survey:
81

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
736 Highway 37

City:
Earling

State:
Iowa

Zip:
51530-0288

Phone:
(712) 747-3301

Fax:
(712) 747-9002

URL:

Administrator/License #:
David Hoffman / 00607

Administrator Email:

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: