Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
72

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0238

Initial License Date:
08/04/2006

Current License Date:
08/04/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
08/04/2026

Months Since Last Survey:
13

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
705 South Pine Street

City:
West Union

State:
Iowa

Zip:
52175-1548

Phone:
(563) 422-7145

Fax:
(563) 422-5714

URL:

Administrator/License #:
Kathryn Moser / Manager

Administrator Email:
kmoser@stoneybrookassistedliving.net

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: