Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
42

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0169

Initial License Date:
02/13/2003

Current License Date:
02/13/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/13/2027

Months Since Last Survey:
7

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2603 17th Street

City:
Emmetsburg

State:
Iowa

Zip:
50536-2032

Phone:
(712) 852-4266

Fax:
(712) 852-4662

URL:

Administrator/License #:
Kelsey Crosser /

Administrator Email:
kcrosser@emmetsburgcarecenter.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: