Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
32

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0304

Initial License Date:
12/04/2009

Current License Date:
12/04/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
12/04/2027

Months Since Last Survey:
7

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
505 East Gilman St

City:
Sheffield

State:
Iowa

Zip:
50475

Phone:
(641) 892-8080

Fax:
(641) 892-8081

URL:

Administrator/License #:
Stephanie Proper / 0085248

Administrator Email:
SProper@immanuel.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: