Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Brio Of Johnston Assisted Living

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
68

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0395

Initial License Date:
10/18/2018

Current License Date:
10/18/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
10/18/2026

Months Since Last Survey:
27

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
6901 Peckham Street

City:
Johnston

State:
Iowa

Zip:
50131

Phone:
(515) 350-7781

Fax:
(515) 350-7782

URL:

Administrator/License #:
Teresa Krueger / 002550

Administrator Email:
tkrueger@wesleylife.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: