Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Former Entity Name:
Apple Valley Osage LLC

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
78

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0283

Initial License Date:
09/04/2008

Current License Date:
09/04/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/04/2026

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:
300 Lyndale Street

City:
Osage

State:
Iowa

Zip:
50461

Phone:
(641) 357-7083

Fax:
(641) 357-1512

URL:

Administrator/License #:
Chelsea Wogstad / Director

Administrator Email:
cwogstad@applevalleyplaceosage.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: