Entity Details

Cobblestone Court Assisted Living ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
60

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0361

Initial License Date:
11/02/2016

Current License Date:
11/03/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
11/03/2026

Months Since Last Survey:
6

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3187 140th Street

City:
Sumner

State:
Iowa

Zip:
50674

Phone:
(563) 578-9001

Fax:
(563) 578-9002

URL:

Administrator/License #:
Andrew Boeckman /

Administrator Email:
andrew.boeckman@gmail.com

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found