Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
56

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0103

Initial License Date:
01/17/2001

Current License Date:
01/17/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
01/17/2027

Months Since Last Survey:
24

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3012 F Drive

City:
Amana

State:
Iowa

Zip:
52203-8224

Phone:
(319) 622-6500

Fax:
(319) 622-6046

URL:

Administrator/License #:
Kelsie Ballard / Administrator

Administrator Email:
kelsieb@southslope.net

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: