Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Prairie Hills Senior Living

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
86

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0277

Initial License Date:
06/20/2008

Current License Date:
06/20/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/20/2026

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2903 F Avenue NW

City:
Cedar Rapids

State:
Iowa

Zip:
52405

Phone:
(319) 390-7700

Fax:
(319) 390-3347

URL:

Administrator/License #:
Cheri Schultz / Director

Administrator Email:
chschultz@prairiehillsatcedarrapids.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: