Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
82

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0143

Initial License Date:
06/13/2002

Current License Date:
06/13/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/13/2026

Months Since Last Survey:
15

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1121 N. Fremont Street

City:
Iowa Falls

State:
Iowa

Zip:
50126-1389

Phone:
(641) 648-8080

Fax:
(641) 648-8076

URL:

Administrator/License #:
Alyssa Olberding / Administrator

Administrator Email:
avieth@slcif.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: