Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
44

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0012

Initial License Date:
05/08/1998

Current License Date:
05/05/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/05/2026

Months Since Last Survey:
30

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
101 Newcastle Rd

City:
Marshalltown

State:
Iowa

Zip:
50158-5241

Phone:
(641) 753-5700

Fax:
(641) 753-0829

URL:

Administrator/License #:
Bianca Bennett / Director

Administrator Email:
bianca.bennett@bickfordseniorliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: