Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
94

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0196

Initial License Date:
07/27/2004

Current License Date:
07/27/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/27/2026

Months Since Last Survey:
13

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
100 Village View Circle

City:
Williamsburg

State:
Iowa

Zip:
52361-9684

Phone:
(319) 668-3800

Fax:
(319) 668-3801

URL:

Administrator/License #:
Victoria Hadley / Administrator

Administrator Email:
VHadley@preshomes.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: