Entity Details

Basic

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

Medicaid #:
0807529

CCN #:
165248

Occupancy Type:
Beds

Max Occupancy:
60

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
840120

Initial License Date:

Current License Date:
02/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/31/2025

Months Since Last Survey:
6

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
07/07/2022

Loss of NA Training Expires:
07/06/2024

Contact

Address:
309 Railroad Street

City:
Hull

State:
Iowa

Zip:
51239-7413

Phone:
(712) 439-2758

Fax:
(712) 439-2764

URL:

Administrator/License #:
Chris Rickard / 096158

Administrator Email:
admin.pleasantacres@arboretahc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: