Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
54

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0082

Initial License Date:
06/21/2000

Current License Date:
06/20/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/20/2026

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
302 W Lincoln

City:
Edgewood

State:
Iowa

Zip:
52042-0189

Phone:
(563) 928-6461

Fax:
(563) 928-6462

URL:

Administrator/License #:
Gisele Kruger /

Administrator Email:
gkruger@edgewoodconvalescenthome.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: