Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Rose Of Waterloo

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
128

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0266

Initial License Date:
01/02/2010

Current License Date:
01/02/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
01/02/2028

Months Since Last Survey:
18

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
421 Oak Avenue

City:
Waterloo

State:
Iowa

Zip:
50703-3401

Phone:
(319) 232-6061

Fax:
(319) 232-6571

URL:
http://www.evergreenredc.com/roseofwaterloo.php

Administrator/License #:
Gladys Rainey / Administrator

Administrator Email:
roseofwatadmin@rosecommunities-alf.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: