Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
64

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0464

Initial License Date:
06/17/2022

Current License Date:
06/17/2024

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/17/2026

Months Since Last Survey:
14

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
4715 Algonquin Drive

City:
Cedar Falls

State:
Iowa

Zip:
50613

Phone:
(319) 595-2060

Fax:
(515) 555-1222

URL:

Administrator/License #:
Precious Clark /

Administrator Email:
PClark@cedarstoneseniorliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: