Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
48

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0338

Initial License Date:
01/31/2014

Current License Date:
01/31/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
01/31/2028

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1044 9th Street

City:
Jesup

State:
Iowa

Zip:
50648

Phone:
(319) 827-1052

Fax:
(319) 827-1058

URL:

Administrator/License #:
Stephanie Peterson /

Administrator Email:
stephanie.peterson@westernhome.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: