Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Leahy Grove Independent And Assisted Living

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
32

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0305

Initial License Date:
12/07/2009

Current License Date:
12/07/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
12/07/2027

Months Since Last Survey:
4

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
800 Second Street SE

City:
Hampton

State:
Iowa

Zip:
50441-2626

Phone:
(641) 456-2701

Fax:
(641) 456-5180

URL:

Administrator/License #:
Kathy Meyer-Albee /

Administrator Email:

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: