Entity Details

Basic

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

Former Entity Name:
Edgewater A Wesley Active Life Community Llc

Medicaid #:

CCN #:
165597

Occupancy Type:
Beds

Max Occupancy:
40

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
251118

Initial License Date:

Current License Date:
09/11/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
09/11/2026

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:
9225 Cascade Avenue

City:
West Des Moines

State:
Iowa

Zip:
50266-8592

Phone:
(641) 414-2368

Fax:

URL:
https://www.wesleylife.org/edgewater

Administrator/License #:
Abby Harlacher / 112120

Administrator Email:
AHarlacher@wesleylife.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: