Entity Details

Basic

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

Former Entity Name:
Premier Estates Of Muscatine

Medicaid #:
0809913

CCN #:
165578

Occupancy Type:
Beds

Max Occupancy:
100

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
701074

Initial License Date:
01/01/2007

Current License Date:
03/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
03/01/2025

Months Since Last Survey:
6

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3440 Mulberry Avenue

City:
Muscatine

State:
Iowa

Zip:
52761

Phone:
(563) 263-2194

Fax:
(563) 288-4281

URL:

Administrator/License #:
Amanda Snyder / 120187

Administrator Email:
admin.pem@arboretahc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: