Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
44

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0207

Initial License Date:
02/08/2005

Current License Date:
02/08/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/08/2027

Months Since Last Survey:
1

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
812 Cedar Street

City:
Story City

State:
Iowa

Zip:
50248-1472

Phone:
(515) 733-9092

Fax:
(515) 733-2243

URL:

Administrator/License #:
Kristi Eley / Nurse Manager

Administrator Email:
kristi@bethanylife.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: