Entity Details

Basic

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

Medicaid #:
0805010

CCN #:
165562

Occupancy Type:
Beds

Max Occupancy:
60

Status:
Closed

Close Date:
05/03/2024

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
680490

Initial License Date:

Current License Date:
07/24/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/23/2024

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
120 North 13th Street

City:
Albia

State:
Iowa

Zip:
52531-2823

Phone:
(641) 932-2125

Fax:
(641) 932-2715

URL:

Administrator/License #:
Payten Knowles / 002992

Administrator Email:
pknowles@monroecarecenter.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: