Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Courtyard Independent And Assisted Living

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
18

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0128

Initial License Date:
10/01/2001

Current License Date:
10/01/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
10/01/2027

Months Since Last Survey:
24

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
401 W. 10th Avenue North

City:
Clear Lake

State:
Iowa

Zip:
50428-4202

Phone:
(641) 357-1648

Fax:
(641) 357-7095

URL:

Administrator/License #:
Krystal Thoe /

Administrator Email:
kthoe@abcmcorp.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: