Entity Details

Basic

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

Former Entity Name:
Apple Valley Assisted Living Charles City

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
42

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0083

Initial License Date:
06/21/2000

Current License Date:
06/21/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/21/2026

Months Since Last Survey:
5

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
801 Blunt Pkwy #39

City:
Charles City

State:
Iowa

Zip:
50616-2207

Phone:
(641) 257-3003

Fax:
(641) 257-3038

URL:

Administrator/License #:
Nicole Konan /

Administrator Email:
nkonen@applevalleyplacecharlescity.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: