Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
24

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0124

Initial License Date:
09/18/2001

Current License Date:
09/18/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/18/2027

Months Since Last Survey:
21

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
217 Business 30 SW

City:
Mount Vernon

State:
Iowa

Zip:
52314-1597

Phone:
(319) 895-8249

Fax:
(319) 895-6703

URL:

Administrator/License #:
Angie Schmidt / 135099

Administrator Email:
angie.schmidt@hallmarkcarecenter.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: