Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
36

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0374

Initial License Date:
05/24/2018

Current License Date:
05/23/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/22/2028

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
17504 Mahogany Avenue

City:
Carroll

State:
Iowa

Zip:
51401

Phone:
(712) 775-2313

Fax:
(712) 775-2328

URL:

Administrator/License #:
Nancy Snyder / 02279

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: