Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
68

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0342

Initial License Date:
06/18/2014

Current License Date:
06/17/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/17/2026

Months Since Last Survey:
14

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2785 1st Avenue South

City:
Altoona

State:
Iowa

Zip:
50009

Phone:
(515) 967-8700

Fax:
(515) 967-6824

URL:

Administrator/License #:
John Freeman /

Administrator Email:
executivedirector@pvv-altoona.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: