Entity Details

Basic

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

Former Entity Name:
Holy Spirit

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
52

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0038

Initial License Date:
03/08/1999

Current License Date:
03/08/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/08/2026

Months Since Last Survey:
7

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1701 W 25th St

City:
Sioux City

State:
Iowa

Zip:
51103-1705

Phone:
(712) 252-2726

Fax:
(712) 293-1953

URL:

Administrator/License #:
Becky Duncan /

Administrator Email:
beckyd@hsrh.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: