Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
32

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0065

Initial License Date:
12/17/1999

Current License Date:
03/15/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/14/2028

Months Since Last Survey:
3

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1140 K Avenue NW

City:
Cedar Rapids

State:
Iowa

Zip:
52405-2430

Phone:
(319) 365-9171

Fax:
(319) 363-3198

URL:

Administrator/License #:
Amber Jedlicka /

Administrator Email:
ajedlicka@methwick.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: