Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
140

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0503

Initial License Date:
12/01/2024

Current License Date:
12/01/2024

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
12/01/2026

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
6151 Martha L Miller Drive

City:
Pleasant Hill

State:
Iowa

Zip:
50327

Phone:
(515) 498-3609

Fax:

URL:

Administrator/License #:
Jessica Rand /

Administrator Email:
jessica.rand@edencrestliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: