Entity Details

Basic

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

Former Entity Name:
Pearl Valley Rehabilitation And Healthcare Center Of Washington

Medicaid #:
0809574

CCN #:
165453

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
920146

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:
4

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
10/23/2024

Loss of NA Training Expires:
10/22/2026

Contact

Address:
601 East Polk Street

City:
Washington

State:
Iowa

Zip:
52353-1298

Phone:
(319) 653-6526

Fax:
(319) 653-2216

URL:
https://www.washington-ltc.com/

Administrator/License #:
Kristin Carr / 123983

Administrator Email:
Kcarr@washington-ltc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: