Entity Details

Basic

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

Former Entity Name:
Gardens At Ridgecrest Village

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
30

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0139

Initial License Date:
03/09/2002

Current License Date:
03/07/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/06/2028

Months Since Last Survey:
13

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
4126 Northwest Blvd.

City:
Davenport

State:
Iowa

Zip:
52806-4264

Phone:
(563) 391-3430

Fax:
(563) 823-3672

URL:

Administrator/License #:
Lorrie Blumberg / Director

Administrator Email:
lblumberg@ridgecrestvillage.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: