Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Former Entity Name:
Mill Pond Memory Care

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
36

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0027

Initial License Date:
01/31/1999

Current License Date:
01/31/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
01/31/2027

Months Since Last Survey:
25

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1201 SE Mill Pond Ct

City:
Ankeny

State:
Iowa

Zip:
50021-6534

Phone:
(515) 964-2273

Fax:
(515) 965-3100

URL:

Administrator/License #:
Allison Hoyt /

Administrator Email:
ahoyt@preshomes.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: