Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Grand Living at Indian Creek AL

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
264

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0400

Initial License Date:
01/25/2019

Current License Date:
01/25/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
01/25/2028

Months Since Last Survey:
17

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
325 Collins Road SE

City:
Cedar Rapids

State:
Iowa

Zip:
52403

Phone:
(319) 930-3250

Fax:

URL:

Administrator/License #:
Dara Fishnick /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: