Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Azria Health - Rose Vista Assisted Living

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
15

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0156

Initial License Date:
09/27/2002

Current License Date:
09/27/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/27/2026

Months Since Last Survey:
20

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1108 Park Street

City:
Woodbine

State:
Iowa

Zip:
51579-0006

Phone:
(712) 647-2010

Fax:
(402) 442-1315

URL:

Administrator/License #:
Kara Behrendt / Administrator

Administrator Email:
kbehrendt@azriahealth.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: