Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
108

Status:
Closed

Close Date:
09/23/2023

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0181

Initial License Date:
09/24/2003

Current License Date:
09/23/2021

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/23/2023

Months Since Last Survey:
61

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1355 Shannon Drive

City:
Iowa City

State:
Iowa

Zip:
52246-4192

Phone:
(319) 466-0200

Fax:
(319) 466-9370

URL:

Administrator/License #:
Victoria Huffman / Administrator

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: