Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
54

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0197

Initial License Date:
09/30/2004

Current License Date:
10/01/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
10/01/2026

Months Since Last Survey:
17

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
108 1st Avenue NW

City:
Lemars

State:
Iowa

Zip:
51031-3542

Phone:
(712) 548-5488

Fax:
(712) 546-6299

URL:

Administrator/License #:
Nicole Thompson / Director

Administrator Email:
primelivingnurse@gmail.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: