Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
26

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0460

Initial License Date:
02/22/2022

Current License Date:
02/23/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/23/2028

Months Since Last Survey:
21

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
600 North Kennedy

City:
Madrid

State:
Iowa

Zip:
50156

Phone:
(515) 795-4097

Fax:
(515) 795-4286

URL:

Administrator/License #:
Rachael Graham /

Administrator Email:
rachael.graham@westernhome.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: