Entity Details

Basic

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

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

Medicaid #:
0809723

CCN #:
165523

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
320446

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:

Loss of NA Training Expires:

Contact

Address:
2001 1st Ave North

City:
Estherville

State:
Iowa

Zip:
51365

Phone:
(712) 362-3594

Fax:
(712) 362-8013

URL:

Administrator/License #:
Jenny Ackerman / 002773

Administrator Email:
jackerman@esthervilleltc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: