Entity Details

Basic

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

Former Entity Name:
Fleur Heights Center for Wellness & Rehab

Medicaid #:
0807321

CCN #:
165273

Occupancy Type:
Beds

Max Occupancy:
89

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
770692

Initial License Date:

Current License Date:
07/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/01/2025

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
04/25/2024

Loss of NA Training Expires:
04/24/2026

Contact

Address:
4911 SW 19th Street

City:
Des Moines

State:
Iowa

Zip:
50315-4484

Phone:
(515) 285-2559

Fax:
(515) 285-6487

URL:
https://viahealthservices.com

Administrator/License #:
Brodey Hanson / 073247

Administrator Email:
Brodey.Hanson@accura.healthcare

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: