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 #:
S0506

Initial License Date:
03/04/2026

Current License Date:
03/04/2026

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/03/2028

Months Since Last Survey:

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
707 4th St

City:
Sioux City

State:
Iowa

Zip:
51101

Phone:
(712) 258-6324

Fax:

URL:

Administrator/License #:
Jackie Loggry Pirner /

Administrator Email:
jackie@fortunemd.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: