Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
92

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0125

Initial License Date:
10/01/2001

Current License Date:
10/01/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
10/01/2027

Months Since Last Survey:
23

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1400 7th Ave. SE

City:
Sioux Center

State:
Iowa

Zip:
51250-1199

Phone:
(712) 722-8260

Fax:
(712) 722-8269

URL:

Administrator/License #:
Karen Bentsen / 02031

Administrator Email:
Karen.Bentsen@siouxcenterhealth.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: