Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
8

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0476

Initial License Date:
08/01/2023

Current License Date:
08/01/2025

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
08/01/2027

Months Since Last Survey:
23

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
220 Northwestern Avenue

City:
Chariton

State:
Iowa

Zip:
50049

Phone:
(641) 774-2303

Fax:
(641) 774-2515

URL:

Administrator/License #:
Hannah James /

Administrator Email:
hjames@homesteadofchariton.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: