Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Keelson Harbour Senior Living Alp

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
134

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0406

Initial License Date:
04/19/2019

Current License Date:
04/19/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
04/19/2027

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2810 Aurora Avenue

City:
Spirit Lake

State:
Iowa

Zip:
51360

Phone:
(712) 336-4501

Fax:
(712) 336-4509

URL:

Administrator/License #:
Kelsey Mergen /

Administrator Email:
kmergen@keelsonharbour.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: