Entity Details

Basic

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

Former Entity Name:
Homestead Of Centerville

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
102

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0151

Initial License Date:
07/24/2002

Current License Date:
07/23/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/23/2026

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
19999 St. Joseph's Drive

City:
Centerville

State:
Iowa

Zip:
52544-9032

Phone:
(641) 437-1999

Fax:
(641) 437-4258

URL:

Administrator/License #:
Jennifer Buban /

Administrator Email:
jbuban@homesteadofcenterville.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: