Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
48

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0108

Initial License Date:
02/05/2001

Current License Date:
02/06/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/06/2028

Months Since Last Survey:
4

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1224 13th St NW

City:
Cedar Rapids

State:
Iowa

Zip:
52405-2404

Phone:
(319) 365-9171

Fax:
(319) 363-5312

URL:

Administrator/License #:
Amber Jedlicka / Administrator

Administrator Email:
ajedlicka@methwick.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: