Entity Details

Eastern Star Masonic Home ( RCF )

Basic

Entity Type:
Residential Care Facilities (RCF)

Medicaid #:
0890210

CCN #:

Occupancy Type:
Beds

Max Occupancy:
125

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
080268

Initial License Date:

Current License Date:
10/26/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
10/26/2026

Months Since Last Survey:
7

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
715 West Mamie Eisenhower

City:
Boone

State:
Iowa

Zip:
50036-4000

Phone:
(515) 432-5274

Fax:
(515) 432-5276

URL:

Administrator/License #:
Christina Walsh / 107200

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found