Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
17

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0487

Initial License Date:
07/11/2024

Current License Date:
07/11/2024

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/11/2026

Months Since Last Survey:
13

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
503 Wical Way

City:
Grundy Center

State:
Iowa

Zip:
50638

Phone:
(319) 824-3212

Fax:
(319) 824-4221

URL:

Administrator/License #:
Scott Kramer /

Administrator Email:
scott.kramer@westernhome.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: