Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
50

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0325

Initial License Date:
01/11/2012

Current License Date:
01/11/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
01/11/2028

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1212 South Stuart Street

City:
Sigourney

State:
Iowa

Zip:
52591

Phone:
(641) 622-2142

Fax:
(641) 622-9910

URL:

Provisional Administrator:
Mandy Fineran

Provisional Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: