Entity Details

Basic

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

Medicaid #:
0803478

CCN #:
165181

Occupancy Type:
Beds

Max Occupancy:
44

Status:
Closed

Close Date:
02/23/2023

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
600731

Initial License Date:
01/17/1977

Current License Date:
03/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
02/29/2024

Months Since Last Survey:
40

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
703 South Union Street

City:
Rock Rapids

State:
Iowa

Zip:
51246-1954

Phone:
(712) 472-2585

Fax:
(712) 472-2588

URL:

Administrator/License #:
Chris Rickard / 096158

Administrator Email:
admin.pleasantacres@arboretahc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: