Entity Details

Kennybrook Village ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
68

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0323

Initial License Date:
10/04/2011

Current License Date:
10/04/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
10/04/2027

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
200 SW Brookside Drive

City:
Grimes

State:
Iowa

Zip:
50111

Phone:
(515) 369-3900

Fax:
(515) 369-3905

URL:

Administrator/License #:
Jayce Wilson /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found