Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Former Entity Name:
Care Unit A

Medicaid #:
0895482

CCN #:

Occupancy Type:
Beds

Max Occupancy:
15

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
880682

Initial License Date:
01/01/1991

Current License Date:
01/02/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/01/2025

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
500 Opal Street

City:
Afton

State:
Iowa

Zip:
50830-1079

Phone:
(641) 347-5611

Fax:
(641) 347-5038

URL:

Administrator/License #:
Joni Brammer /

Administrator Email:
joni.brammer@innovative-industries.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: