Entity Details

Basic

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

Former Entity Name:
Promedica Skilled Nursing and Rehabilitation - West Des Moines

Medicaid #:
0800007

CCN #:
165601

Occupancy Type:
Beds

Max Occupancy:
113

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
771035

Initial License Date:

Current License Date:
04/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
04/01/2026

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
5010 Grand Ridge Drive

City:
West Des Moines

State:
Iowa

Zip:
50265

Phone:
(515) 222-5991

Fax:
(515) 440-2843

URL:

Administrator/License #:
Karah Appleget / 090473

Administrator Email:
kappleget@harmonywestdesmoines.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: