Entity Details

Basic

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

Medicaid #:
0801845

CCN #:
165561

Occupancy Type:
Beds

Max Occupancy:
61

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
150075

Initial License Date:

Current License Date:
01/14/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/14/2027

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:
1200 Brookridge Circle

City:
Atlantic

State:
Iowa

Zip:
50022-2351

Phone:
(712) 243-1850

Fax:
(712) 243-3418

URL:

Administrator/License #:
Peter Gray / 100131

Administrator Email:
pgray@wesleylife.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: