Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Kentucky Ridge Neighborhood AL

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
120

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0153

Initial License Date:
09/06/2002

Current License Date:
09/06/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/06/2026

Months Since Last Survey:
13

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2060 South Kentucky Avenue

City:
Mason City

State:
Iowa

Zip:
50401-7129

Phone:
(641) 423-5707

Fax:
(641) 423-5710

URL:

Administrator/License #:
Erica Davis /

Administrator Email:
erica@goodshepmc.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: