Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
70

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0319

Initial License Date:
05/27/2011

Current License Date:
05/27/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/27/2027

Months Since Last Survey:
15

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1642 South G Avenue

City:
Nevada

State:
Iowa

Zip:
50201

Phone:
(515) 382-2980

Fax:
(515) 382-1413

URL:

Administrator/License #:
Lesley James /

Administrator Email:
lesley.james@windsor-manor.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: