Entity Details

Basic

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

Former Entity Name:
Prairie Hills at Clinton

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
148

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0243

Initial License Date:
09/29/2006

Current License Date:
09/29/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/29/2026

Months Since Last Survey:
23

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1701 13th Avenue North

City:
Clinton

State:
Iowa

Zip:
52732-3300

Phone:
(563) 243-6870

Fax:
(563) 242-0404

URL:

Administrator/License #:
Michael Saad / Director

Administrator Email:
msaad@addingtonplaceofclinton.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: