Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
66

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0043

Initial License Date:
04/30/1999

Current License Date:
04/30/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
04/30/2027

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
5050 Hawthorne Dr

City:
West Des Moines

State:
Iowa

Zip:
50265-5353

Phone:
(515) 327-9400

Fax:
(515) 223-0151

URL:

Administrator/License #:
Tesse Lester /

Administrator Email:
Tesse.Lester@bickfordseniorliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: