Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
20

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0281

Initial License Date:
08/26/2008

Current License Date:
08/25/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
08/25/2026

Months Since Last Survey:
24

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
551 Park Avenue

City:
Sac City

State:
Iowa

Zip:
50583

Phone:
(712) 662-6260

Fax:
(712) 662-3393

URL:

Provisional Administrator:
Breanna Mandernach

Provisional Administrator Email:
bmandernach@parkviewrehabiowa.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: