Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Risen Son Christian Village AL

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
36

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0475

Initial License Date:
07/12/2023

Current License Date:
09/19/2025

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/19/2027

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3000 Risen Son Blvd.

City:
Council Bluffs

State:
Iowa

Zip:
51503

Phone:
(712) 366-9655

Fax:
(712) 366-4748

URL:

Administrator/License #:
Dave Creal / 133051

Administrator Email:
dcreal@chapterscouncilbluffs.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: