Entity Details

Basic

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

Former Entity Name:
Wesley Acres

Medicaid #:
0804187

CCN #:
165487

Occupancy Type:
Beds

Max Occupancy:
80

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
770287

Initial License Date:
07/07/1947

Current License Date:
01/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
12/31/2024

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3520 Grand Avenue

City:
Des Moines

State:
Iowa

Zip:
50312-4397

Phone:
(515) 271-6500

Fax:
(515) 271-6522

URL:

Administrator/License #:
Jack Brokaw / 108524

Administrator Email:
jbrokaw@wesleylife.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: