Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Former Entity Name:
Community Care of Pleasant Hill

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
45

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
772231

Initial License Date:
12/01/2012

Current License Date:
05/02/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
05/02/2027

Months Since Last Survey:
25

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
4755 Parkridge Avenue

City:
Pleasant Hill

State:
Iowa

Zip:
50327

Phone:
(515) 777-3631

Fax:
(515) 777-3633

URL:

Administrator/License #:
Deena Bonnett /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: