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 #:
S0493

Initial License Date:
05/01/2025

Current License Date:
05/01/2025

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/01/2027

Months Since Last Survey:
6

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
621 302nd PL

City:
Adel

State:
Iowa

Zip:
50003

Phone:
(515) 513-9182

Fax:

URL:

Administrator/License #:
Maria Pimental /

Administrator Email:
Maria.Pimentel@edencrestliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: