Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
28

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0119

Initial License Date:
07/12/2001

Current License Date:
07/12/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/12/2027

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1355 Division Street

City:
Garner

State:
Iowa

Zip:
50438-1968

Phone:
(641) 923-2677

Fax:
(641) 923-0074

URL:

Administrator/License #:
Kaitlyn Kloser / 127486

Administrator Email:
kkloser@concordcarecenter.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: