Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Former Entity Name:
Deerfield Retirement Community

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
26

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
770064

Initial License Date:
12/07/2011

Current License Date:
08/02/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/02/2027

Months Since Last Survey:
25

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
13731 Hickman Road

City:
Urbandale

State:
Iowa

Zip:
50323-2196

Phone:
(515) 331-6932

Fax:
(515) 331-6955

URL:

Administrator/License #:
Kim Mason /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: