Entity Details

Basic

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

Former Entity Name:
Edencrest At Riverwoods Assisted Living

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
80

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0339

Initial License Date:
05/19/2014

Current License Date:
05/18/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/18/2026

Months Since Last Survey:
17

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2210 East Park Avenue

City:
Des Moines

State:
Iowa

Zip:
50320

Phone:
(515) 288-4040

Fax:
(515) 528-2005

URL:

Administrator/License #:
Anna Austin /

Administrator Email:
Anna.Austin@edencrestliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: