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METHODIST MANOR RETIREMENT COMMUNITY
NPI 1184709115
Nursing Facility/Intermediate Care Facility in Storm Lake, IA

Active since October 26, 2006CLIA 16D0713693 · Waiver
3/5
Overall Rating
1206 W 4TH ST, STORM LAKE, IA 50588(712) 732-1120(712) 732-3406 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Methodist Manor Retirement Community NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

METHODIST MANOR RETIREMENT COMMUNITY (NPI 1184709115) is a healthcare organization registered as a nursing facility/intermediate care facility in Storm Lake, Iowa and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Nicholas Landgraf, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1184709115
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameMETHODIST MANOR RETIREMENT COMMUNITY
Location Address1206 W 4TH STStorm Lake, IA 50588-3002
Mailing Address1206 W 4th StStorm Lake, IA 50588-3002 · (712) 732-1120 · Fax (712) 732-3406
Phone(712) 732-1120
Fax(712) 732-3406
Organization SubpartNo
Authorized OfficialNicholas LandgrafDirector Of Finance · (712) 732-1120
Enumeration DateOctober 26, 2006
Last NPPES UpdateApril 19, 2012
✔ NPI 1184709115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in IA · 110001
Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

1206 W 4TH ST, Storm Lake, IA 50588
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Other Identifiers 2

Medicaid0802686IA
Medicare OSCAR/certification165359IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0713693

Methodist Manor · Storm Lake, IA
Active · expires Aug 31, 2026
CLIA Number16D0713693
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Tina Shannon
Laboratory Phone(712) 732-1120
Laboratory LocationMethodist Manor1206 W Fourth Street, Storm Lake, IA 50588
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Methodist Manor Retirement Com (CMS certification number 165359), from CMS Care Compare.

Methodist Manor Retirement Com

Nursing home · Storm Lake, IA
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number165359
Certified Beds93 beds89 residents per day on average
Medicare & Medicaid Participant SinceSeptember 1, 1997
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
48
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.91 · LPN 0.37 · RN 0.97
4.26 hrs per resident per day
Weekend Nurse Staffing
3.98 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
2
Fines
11 totaling $49,323.50
Medicare Payment Denials
1
Total Penalties
12
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Methodist Manor Retirement Community's NPI number?

The NPI number for Methodist Manor Retirement Community is 1184709115. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Methodist Manor Retirement Community located?

Methodist Manor Retirement Community is located at 1206 W 4th St, Storm Lake, IA 50588. The listed phone number is (712) 732-1120.

What is Methodist Manor Retirement Community's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Methodist Manor Retirement Community hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0713693) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Methodist Manor Retirement Community a Medicare-certified nursing home?

Yes. Methodist Manor Retirement Com is a Medicare-certified nursing home with 93 certified beds.

What quality rating does Methodist Manor Retirement Community have?

CMS rates Methodist Manor Retirement Com 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Methodist Manor Retirement Community accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Methodist Manor Retirement Community as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Methodist Manor Retirement Community was last updated on April 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.