Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
72

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0376

Initial License Date:
06/11/2018

Current License Date:
06/11/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/11/2026

Months Since Last Survey:
13

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
502 South Maple Street

City:
Carroll

State:
Iowa

Zip:
51401

Phone:
(712) 794-5050

Fax:

URL:

Administrator/License #:
Jaycie Schwenk /

Administrator Email:
JSchwenk@stanthonyhospital.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: