Entity Details

Basic

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

Former Entity Name:
Prairie Hills At Independence

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
104

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0229

Initial License Date:
02/15/2006

Current License Date:
02/15/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/15/2028

Months Since Last Survey:
9

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
505 Enterprise Drive SW

City:
Independence

State:
Iowa

Zip:
50644-9603

Phone:
(319) 334-2000

Fax:
(319) 334-3015

URL:

Administrator/License #:
Monique Eldridge /

Administrator Email:
meldridge@prairiehillsatindependence.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: