Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Former Entity Name:
Glen Oaks Alzheimer's Special Care Center

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
66

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
775543

Initial License Date:
01/12/2009

Current License Date:
09/02/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
09/02/2025

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
8525 Urbandale Avenue

City:
Urbandale

State:
Iowa

Zip:
50322-4108

Phone:
(515) 331-0970

Fax:
(515) 331-8935

URL:

Administrator/License #:
Lisa Eastman / 02085

Administrator Email:
Administrator@glenoaksmemorycare.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: