Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
53

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0356

Initial License Date:
05/25/2016

Current License Date:
05/25/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/24/2028

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:
203 11th Street

City:
Manning

State:
Iowa

Zip:
51455

Phone:
(712) 655-4893

Fax:
(712) 655-4949

URL:

Administrator/License #:
Amy Winkelman /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: