Entity Details

Basic

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

Former Entity Name:
Westwing Place

Medicaid #:
0801001

CCN #:
165619

Occupancy Type:
Beds

Max Occupancy:
70

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
235114

Initial License Date:

Current License Date:
07/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/01/2026

Months Since Last Survey:
7

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1301 Maynard Way

City:
De Witt

State:
Iowa

Zip:
52742-0000

Phone:
(563) 221-7113

Fax:
(563) 221-7125

URL:

Administrator/License #:
Kelsey Mays / 129717

Administrator Email:
kmays@wellspireliving.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: