Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Lincolnway Villa Al

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
28

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0171

Initial License Date:
04/14/2003

Current License Date:
04/14/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
04/14/2027

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:
320 East Lincolnway

City:
Wheatland

State:
Iowa

Zip:
52777-9731

Phone:
(563) 374-1295

Fax:
(563) 374-1107

URL:

Administrator/License #:
Nichelle Sterner / Administrator

Administrator Email:
lvilla@fbcom.net

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: