Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
170

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0505

Initial License Date:
12/17/2025

Current License Date:
12/17/2025

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
12/17/2027

Months Since Last Survey:

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
707 4th Street

City:
Sioux City

State:
Iowa

Zip:
51101

Phone:
(712) 258-6324

Fax:

URL:

Administrator/License #:
Jackie Pirner /

Administrator Email:
jlpirner@omegaseniorliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: