Entity Details

Basic

Entity Type:
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)

Former Entity Name:
Mosaic-settlers Lane

Medicaid #:
0882019

CCN #:
16G080

Occupancy Type:
Beds

Max Occupancy:
6

Status:
Closed

Close Date:
03/21/2022

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
240383

Initial License Date:
07/01/2002

Current License Date:
07/01/2021

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/01/2022

Months Since Last Survey:
27

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1402 Settlers Lane

City:
Denison

State:
Iowa

Zip:
51442-1132

Phone:
(712) 644-2234

Fax:
(712) 644-3501

URL:
http://www.mosaicinfo.org/

Administrator/License #:
Alicia Makey /

Administrator Email:
alicia.makey@mosaicinfo.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: