Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
36

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0189

Initial License Date:
05/07/2004

Current License Date:
05/06/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/06/2026

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
114 Forest Street

City:
Fairbank

State:
Iowa

Zip:
50629-7713

Phone:
(319) 635-2585

Fax:
(319) 635-2177

URL:

Administrator/License #:
Betty Hildebrand /

Administrator Email:
parkviewassistedliving@gmail.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: