Entity Details

Copper Creek ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
48

Status:
Closed

Close Date:
11/01/2025

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0424

Initial License Date:
12/13/2019

Current License Date:
12/13/2023

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
12/12/2025

Months Since Last Survey:
16

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
609 Hwy 150 North

City:
West Union

State:
Iowa

Zip:
52175

Phone:
(563) 422-9200

Fax:
(563) 422-9300

URL:

Administrator/License #:
Lindsey Johnston /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found