Entity Details

Shirlees Retirement Home ( RCF )

Basic

Entity Type:
Residential Care Facilities (RCF)

Medicaid #:
0891481

CCN #:

Occupancy Type:
Beds

Max Occupancy:
14

Status:
Closed

Close Date:
12/06/2023

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
910597

Initial License Date:

Current License Date:
11/11/2022

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
11/11/2023

Months Since Last Survey:
36

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1302 East Second Avenue

City:
Indianola

State:
Iowa

Zip:
50125-2804

Phone:
(515) 961-6673

Fax:
(515) 961-2737

URL:

Administrator/License #:
Shirley Baker / 0597

Administrator Email:

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found