Entity Details

Basic

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

Former Entity Name:
ASPIRE OF PLEASANT VALLEY

Medicaid #:
0808410

CCN #:
165376

Occupancy Type:
Beds

Max Occupancy:
44

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
820046

Initial License Date:

Current License Date:
05/14/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
05/14/2026

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
17990 Spencer Road

City:
Pleasant Valley

State:
Iowa

Zip:
52767-0503

Phone:
(563) 332-4600

Fax:
(563) 332-1493

URL:

Provisional Administrator:
Vickie Proehl

Provisional Administrator Email:
VProehl@riverviewltc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: