Entity Details

Country Haven Guest Homes, Ltd ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
15

Status:
Closed

Close Date:
04/18/2014

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0146

Initial License Date:
06/13/2002

Current License Date:
06/12/2013

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/12/2014

Months Since Last Survey:
173

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2490 Prairieview Avenue

City:
Winterset

State:
Iowa

Zip:
50273-8115

Phone:
(515) 462-3701

Fax:
(515) 462-3701

URL:

Administrator/License #:
Kathryn Roberts /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found