Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
52

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0159

Initial License Date:
10/23/2002

Current License Date:
10/23/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
10/23/2026

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
350 Dublin Drive

City:
Iowa City

State:
Iowa

Zip:
52246-6013

Phone:
(319) 341-7893

Fax:
(319) 248-1183

URL:

Administrator/License #:
Jody Thomas / Administrator

Administrator Email:
jthomas@melrosemeadows.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: