Entity Details

Basic

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

Medicaid #:

CCN #:
165607

Occupancy Type:
Beds

Max Occupancy:
100

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
639286

Initial License Date:
01/13/2014

Current License Date:
01/13/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/13/2027

Months Since Last Survey:
6

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
08/25/2025

Loss of NA Training Expires:
08/25/2027

Contact

Address:
1742 Main Street

City:
Pella

State:
Iowa

Zip:
50219

Phone:
(641) 628-1244

Fax:
(641) 620-4195

URL:

Administrator/License #:
Caleb Pline / 132500

Administrator Email:
cpline@wesleylife.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: