Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Spring Valley Senior AL

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
77

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0129

Initial License Date:
11/20/2001

Current License Date:
11/20/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
11/20/2027

Months Since Last Survey:
16

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
501 12th Street

City:
Perry

State:
Iowa

Zip:
50220-1913

Phone:
(515) 465-7500

Fax:
(515) 465-7509

URL:

Administrator/License #:
Tanya Swank /

Administrator Email:
tswank@perrylutheranhomes.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: