Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Pine Acres Assisted Living

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
56

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0056

Initial License Date:
08/10/1999

Current License Date:
01/08/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
01/08/2028

Months Since Last Survey:
24

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1499 Office Park Rd

City:
West Des Moines

State:
Iowa

Zip:
50265-6500

Phone:
(515) 223-1224

Fax:
(515) 425-6415

URL:

Administrator/License #:
Patricia Wiltfang / 02272

Administrator Email:
PWiltfang@pineacrescenter.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: