Entity Details

Basic

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

Former Entity Name:
Copper Creek Senior Living Memory Care

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
38

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0265

Initial License Date:
11/26/2007

Current License Date:
11/26/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
11/26/2027

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
609 Hwy 150 N

City:
West Union

State:
Iowa

Zip:
52175-1057

Phone:
(563) 422-9200

Fax:
(563) 422-9300

URL:

Administrator/License #:
Lindsey Johnston /

Administrator Email:
ljohnston@cornerstonemgmt.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: