Entity Details

Prairie Creek Assisted Living ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
32

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0173

Initial License Date:
05/30/2003

Current License Date:
05/30/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/30/2027

Months Since Last Survey:
4

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
301 4th Street NW

City:
West Bend

State:
Iowa

Zip:
50597-5113

Phone:
(515) 887-4071

Fax:
(515) 887-3973

URL:

Administrator/License #:
Jessica List /

Administrator Email:
jlist@ensingservices.net

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found