Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Former Entity Name:
BIRDEE COTTAGE AL AND MC

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
33

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0455

Initial License Date:
11/16/2021

Current License Date:
11/17/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
11/17/2027

Months Since Last Survey:
14

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2221 Fairway Lane

City:
Waterloo

State:
Iowa

Zip:
50701

Phone:
(319) 300-5177

Fax:
(319) 300-0000

URL:

Administrator/License #:
Kim Meyer /

Administrator Email:
director@birdeecottage.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: