Entity Details

Prairie View Inn ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
26

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0039

Initial License Date:
04/01/1999

Current License Date:
04/01/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/31/2028

Months Since Last Survey:
18

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
610 N. Eastern Street

City:
Sanborn

State:
Iowa

Zip:
51248-1089

Phone:
(712) 930-3228

Fax:
(712) 729-5152

URL:

Administrator/License #:
Wendy Nelson /

Administrator Email:
WNelson@tcaexpress.net

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found