Entity Details

Prairie Gate Assisted Living ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
48

Status:
Closed

Close Date:
01/15/2024

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0431

Initial License Date:
03/19/2020

Current License Date:
03/19/2022

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/18/2024

Months Since Last Survey:
67

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
16 Valley View Drive

City:
Council Bluffs

State:
Iowa

Zip:
51503

Phone:
(712) 352-6600

Fax:
(712) 352-6666

URL:

Administrator/License #:
Benjamin Eddy / 107369

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found