Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
36

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0289

Initial License Date:
11/17/2008

Current License Date:
11/17/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
11/17/2026

Months Since Last Survey:
23

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1701 Campus Drive

City:
Clive

State:
Iowa

Zip:
50325

Phone:
(515) 457-1111

Fax:
(515) 224-5376

URL:

Administrator/License #:
Allison Bass / 2444

Administrator Email:
abass@preshomes.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: