Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
120

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0002

Initial License Date:
06/01/1997

Current License Date:
06/01/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/01/2027

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
5815 Winwood Dr

City:
Johnston

State:
Iowa

Zip:
50131-1666

Phone:
(515) 251-7999

Fax:
(515) 331-8860

URL:
https://www.homeishere.org/

Administrator/License #:
Rachel Kelsey / 002790

Administrator Email:
rachel.kelsey900@commonspirit.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: