Entity Details

Basic

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

Former Entity Name:
Amelia Place

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
62

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0344

Initial License Date:
12/23/2014

Current License Date:
12/23/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
12/23/2026

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:
57 West Ferndale Drive

City:
Council Bluffs

State:
Iowa

Zip:
51503

Phone:
(712) 325-4400

Fax:
(712) 323-1436

URL:

Administrator/License #:
Tiffany Kellen /

Administrator Email:
Amelia@tutera.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: