Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
24

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0334

Initial License Date:
03/05/2013

Current License Date:
03/05/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/05/2027

Months Since Last Survey:
19

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
110 Ely Street

City:
Clarksville

State:
Iowa

Zip:
50619

Phone:
(319) 278-4909

Fax:
(319) 278-4903

URL:

Administrator/License #:
Heather Sells /

Administrator Email:
cnhadm@clarksvilleskillednursing.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: