Entity Details

Basic

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

Former Entity Name:
THE SUMMIT OF BETTENDORF

Medicaid #:

CCN #:
165793

Occupancy Type:
Beds

Max Occupancy:
40

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
855284

Initial License Date:
08/02/2021

Current License Date:
08/02/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/02/2026

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
03/28/2024

Loss of NA Training Expires:
03/27/2026

Contact

Address:
4699 53rd Avenue

City:
Bettendorf

State:
Iowa

Zip:
52722

Phone:
(563) 635-7100

Fax:

URL:

Administrator/License #:
Chelsey Killean / 097396

Administrator Email:
CKillean@wellspireliving.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: