Entity Details

Basic

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

Former Entity Name:
Pearl Valley Rehabilitation And Nursing At Perry, Llc

Medicaid #:
0809525

CCN #:
165426

Occupancy Type:
Beds

Max Occupancy:
35

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
250714

Initial License Date:

Current License Date:
05/14/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
05/14/2026

Months Since Last Survey:
5

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
03/27/2024

Loss of NA Training Expires:
03/26/2026

Contact

Address:
2625 Iowa Street

City:
Perry

State:
Iowa

Zip:
50220-2413

Phone:
(515) 465-5349

Fax:
(515) 465-4206

URL:

Administrator/License #:
Amanda Creen / 076484

Administrator Email:
acreen@perryltc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: