Entity Details

Basic

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

Former Entity Name:
BIRKWOOD VILLAGE OF TAMA-TOLEDO MEMORY CARE

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
32

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0457

Initial License Date:
01/06/2022

Current License Date:
01/07/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
01/07/2028

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
308 2nd Avenue

City:
Toledo

State:
Iowa

Zip:
52342

Phone:
(641) 481-7047

Fax:
(641) 481-7780

URL:

Administrator/License #:
Kaleigh Sieck /

Administrator Email:
ksieck@birkwoodvillage.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: