Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
36

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0329

Initial License Date:
07/05/2012

Current License Date:
07/06/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/06/2026

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
408 2nd Avenue

City:
Clarence

State:
Iowa

Zip:
52216

Phone:
(563) 452-2267

Fax:
(563) 452-3268

URL:

Administrator/License #:
Rebekah Tjaden /

Administrator Email:
rebekah@clarenceseniorliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: