Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Eagle Ridge Independent And Assisted Living

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
36

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0354

Initial License Date:
09/01/2015

Current License Date:
09/01/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/01/2027

Months Since Last Survey:
9

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1329 Acre Street

City:
Guttenberg

State:
Iowa

Zip:
52052

Phone:
(563) 252-2288

Fax:
(563) 252-2287

URL:

Administrator/License #:
Hayley Kann /

Administrator Email:
hkann@guttenbergcarecenter.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: