Entity Details

Basic

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

Former Entity Name:
Westview Of Indianola Care Center

Medicaid #:
0804799

CCN #:
165369

Occupancy Type:
Beds

Max Occupancy:
71

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
910176

Initial License Date:
04/01/1985

Current License Date:
08/15/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/15/2025

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1900 West Third Place

City:
Indianola

State:
Iowa

Zip:
50125-2104

Phone:
(515) 961-3189

Fax:
(515) 962-1288

URL:

Administrator/License #:
Kaylyn Fisher / 109665

Administrator Email:
kfisher@westviewindianolacare.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: