Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
64

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0483

Initial License Date:
05/15/2024

Current License Date:
05/15/2024

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/15/2026

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:
2855 SW Vintage Parkway

City:
Ankeny

State:
Iowa

Zip:
50023

Phone:
(515) 415-4401

Fax:
(000) 000-0000

URL:

Administrator/License #:
Dylan Dyer /

Administrator Email:
ddyer@copperwoodsl.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: