Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
54

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0037

Initial License Date:
05/10/1999

Current License Date:
05/09/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/09/2026

Months Since Last Survey:
18

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1007 7th Street, NE

City:
Orange City

State:
Iowa

Zip:
51041-1190

Phone:
(712) 737-8947

Fax:
(712) 737-8934

URL:

Administrator/License #:
Alexa Bonnema /

Administrator Email:
alexa.bonnema@ochealthsystem.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: