Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
74

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0199

Initial License Date:
11/05/2004

Current License Date:
11/05/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
11/05/2026

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
608 South 15th Street

City:
Indianola

State:
Iowa

Zip:
50125-2981

Phone:
(515) 961-8900

Fax:
(515) 961-8907

URL:

Administrator/License #:
Mari Mishler / Manager

Administrator Email:
mari.mishler@windsor-manor.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: