Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
70

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0262

Initial License Date:
08/16/2007

Current License Date:
08/16/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
08/16/2027

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:
311 South 10th Avenue E

City:
Lake Mills

State:
Iowa

Zip:
50450-1870

Phone:
(641) 592-4900

Fax:
(641) 592-3052

URL:

Administrator/License #:
Emma Hoffman / Administrator

Administrator Email:
emma.hoffman@millsharborliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: