Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
50

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0177

Initial License Date:
08/20/2003

Current License Date:
08/20/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
08/20/2027

Months Since Last Survey:
7

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
717 W 3rd St

City:
Boone

State:
Iowa

Zip:
50036-8217

Phone:
(515) 433-4406

Fax:
(515) 433-4406

URL:

Administrator/License #:
Cortney Rose / Coordinator

Administrator Email:
crose@iowaoeshome.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: