Entity Details

Basic

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

Former Entity Name:
Trinity Center At Luther Park

Medicaid #:
0802306

CCN #:
165612

Occupancy Type:
Beds

Max Occupancy:
120

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
770825

Initial License Date:

Current License Date:
10/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
09/30/2024

Months Since Last Survey:
7

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
01/05/2023

Loss of NA Training Expires:
01/04/2025

Contact

Address:
1555 Hull Avenue

City:
Des Moines

State:
Iowa

Zip:
50316-1398

Phone:
(515) 262-5639

Fax:
(515) 645-2100

URL:

Administrator/License #:
John Rieke / 105049

Administrator Email:
jrieke@lutherparkcommunity.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: