Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Deerfield Retirement Community, Inc.

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
40

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0362

Initial License Date:
11/07/2016

Current License Date:
11/07/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
11/07/2026

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:
13731 Hickman Road

City:
Urbandale

State:
Iowa

Zip:
50323

Phone:
(515) 331-6932

Fax:
(515) 331-6955

URL:

Administrator/License #:
Alison Subbert / 084499

Administrator Email:
KMason@immanuel.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: