Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
30

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0148

Initial License Date:
07/03/2002

Current License Date:
07/03/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/03/2026

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1917 South 18th Street

City:
Centerville

State:
Iowa

Zip:
52544-3136

Phone:
(641) 521-9376

Fax:
(641) 437-4090

URL:

Administrator/License #:
Sarah Casper / Certified AL Manager

Administrator Email:
mg@goldenagecarecenter.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: