Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
120

Status:
Closed

Close Date:
02/15/2017

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0240

Initial License Date:
07/27/2006

Current License Date:
08/05/2016

Renewal Cycle:
720

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/26/2018

Months Since Last Survey:
123

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1200 Fourth Street

City:
Des Moines

State:
Iowa

Zip:
50314-3102

Phone:
(515) 288-9985

Fax:
(515) 288-4631

URL:

Administrator/License #:
Kymberly Stevenson / Administrator

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: