Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
70

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0045

Initial License Date:
05/27/1999

Current License Date:
05/27/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/27/2027

Months Since Last Survey:
9

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2501 W. State Street

City:
Mason City

State:
Iowa

Zip:
50401-8916

Phone:
(641) 423-4809

Fax:
(641) 423-0441

URL:

Administrator/License #:
Susan Wiley / November 2013

Administrator Email:
swiley@homesteadofmasoncity.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: