Entity Details

Basic

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

Former Entity Name:
Windsor Manor Shenandoah

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
70

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0328

Initial License Date:
05/29/2012

Current License Date:
05/22/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/22/2026

Months Since Last Survey:
15

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
601 Harrison Street

City:
Shenandoah

State:
Iowa

Zip:
51601

Phone:
(712) 246-2194

Fax:
(712) 246-6182

URL:

Administrator/License #:
LeeAnn Anderson /

Administrator Email:
leanderson@homesteadofshenandoah.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: