Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Former Entity Name:
Primrose Path At The Kensington

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
25

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0092

Initial License Date:
08/15/2000

Current License Date:
08/15/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
08/15/2026

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2210 Ave H

City:
Fort Madison

State:
Iowa

Zip:
52627-4000

Phone:
(319) 372-4233

Fax:
(319) 372-7940

URL:

Administrator/License #:
Sarah Martin / Director

Administrator Email:
smartin@kensington-evergreen.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: