Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Spring Creek Independent And Assisted Living

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
24

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0302

Initial License Date:
11/23/2009

Current License Date:
11/23/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
11/23/2027

Months Since Last Survey:
27

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
110 2nd Avenue

City:
Armstrong

State:
Iowa

Zip:
50514

Phone:
(712) 868-5567

Fax:
(712) 868-5566

URL:

Administrator/License #:
Taylor Davis /

Administrator Email:
tdavis@carevalleyvue.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: