Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Heritage At Fox Run Assisted Living

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
132

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0193

Initial License Date:
07/01/2004

Current License Date:
07/01/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/30/2028

Months Since Last Survey:
15

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3121 MacIneery Drive

City:
Council Bluffs

State:
Iowa

Zip:
51501

Phone:
(712) 256-2741

Fax:
(712) 256-7609

URL:

Administrator/License #:
Jenny Munro /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: