Entity Details

Basic

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

Former Entity Name:
Accura Healthcare Of Pleasantville, Llc

Medicaid #:
0804963

CCN #:
165324

Occupancy Type:
Beds

Max Occupancy:
53

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
630309

Initial License Date:
01/01/1999

Current License Date:
01/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
12/31/2024

Months Since Last Survey:
14

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
08/01/2023

Loss of NA Training Expires:
07/31/2025

Contact

Address:
909 North State Street

City:
Pleasantville

State:
Iowa

Zip:
50225-9789

Phone:
(515) 848-5718

Fax:
(515) 686-6049

URL:

Administrator/License #:
Tiffany Michaud / 099721

Administrator Email:
Tiffany.Michaud@accura.healthcare

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: