Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Medicaid #:
0895433

CCN #:

Occupancy Type:
Beds

Max Occupancy:
8

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
850671

Initial License Date:

Current License Date:
05/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
05/01/2025

Months Since Last Survey:
27

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3911 Calhoun Avenue

City:
Ames

State:
Iowa

Zip:
50010-5952

Phone:
(515) 956-2600

Fax:
(515) 956-2601

URL:

Administrator/License #:
Bryn VanTassel /

Administrator Email:
bnvantassel@optimaelifeservices.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: