Entity Details

Basic

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

Medicaid #:
0805317

CCN #:
165390

Occupancy Type:
Beds

Max Occupancy:
39

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
640152

Initial License Date:

Current License Date:
08/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/31/2024

Months Since Last Survey:
9

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
702 Third Street NW

City:
State Center

State:
Iowa

Zip:
50247-1012

Phone:
(641) 483-2812

Fax:
(641) 483-2522

URL:

Administrator/License #:
Chase Oehlertz / 090761

Administrator Email:
coehlertz@careinitiatives.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: