Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
28

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0231

Initial License Date:
03/23/2006

Current License Date:
03/23/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/22/2028

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
912 Davidson Drive

City:
Osage

State:
Iowa

Zip:
50461-1482

Phone:
(641) 832-2580

Fax:
(641) 832-2582

URL:

Administrator/License #:
Nikki Belz / Administrator

Administrator Email:
alnurse@faithlutheranhomeosage.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: