Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Former Entity Name:
Cottonwood Residential Care Facility

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
15

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
290970

Initial License Date:
10/20/2005

Current License Date:
07/01/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/01/2027

Months Since Last Survey:
25

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
910 Cottonwood, Suite 1002

City:
Burlington

State:
Iowa

Zip:
52601

Phone:
(319) 237-1072

Fax:
(319) 237-1075

URL:

Administrator/License #:
Dina Garrison /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: