Entity Details

Mason City Group Home ( RCF )

Basic

Entity Type:
Residential Care Facilities (RCF)

Medicaid #:
0893339

CCN #:

Occupancy Type:
Beds

Max Occupancy:
15

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
170064

Initial License Date:
07/20/1984

Current License Date:
07/21/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/21/2027

Months Since Last Survey:
22

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
695 South Illinois

City:
Mason City

State:
Iowa

Zip:
50401-0000

Phone:
(641) 423-4513

Fax:
(641) 423-6875

URL:

Administrator/License #:
Jennifer Poulter /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found