Entity Details

Basic

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

Medicaid #:
0808790

CCN #:
165167

Occupancy Type:
Beds

Max Occupancy:
54

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
910708

Initial License Date:
10/23/1991

Current License Date:
10/28/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
10/28/2026

Months Since Last Survey:
1

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1203 North E Street

City:
Indianola

State:
Iowa

Zip:
50125-1117

Phone:
(515) 961-7458

Fax:
(515) 961-0898

URL:

Administrator/License #:
Heather Venz-Frank / 002513

Administrator Email:
hfrank@wesleylife.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: