Entity Details

Basic

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

Former Entity Name:
West Bend Health And Rehabilitation

Medicaid #:
0805275

CCN #:
165444

Occupancy Type:
Beds

Max Occupancy:
45

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
740851

Initial License Date:

Current License Date:
07/18/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/17/2024

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:
203 Fourth Street NW

City:
West Bend

State:
Iowa

Zip:
50597-0016

Phone:
(515) 887-4071

Fax:
(515) 887-3973

URL:

Administrator/License #:
Jessica List / 076254

Administrator Email:
westbendhealthandrehab@gmail.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: