Entity Details

Basic

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

Medicaid #:

CCN #:
165593

Occupancy Type:
Beds

Max Occupancy:
51

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
771117

Initial License Date:

Current License Date:
04/24/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
04/24/2026

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2909 Woodland Avenue

City:
Des Moines

State:
Iowa

Zip:
50312-3822

Phone:
(515) 274-4614

Fax:
(515) 274-6049

URL:
http/www.scottishritepark.org

Administrator/License #:
Daniel Boor / 01665

Administrator Email:
dboor@scottishritepark.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: