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 #:
S0110

Initial License Date:
02/26/2001

Current License Date:
02/26/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/26/2027

Months Since Last Survey:
6

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
502 Pinehaven Dr

City:
Monticello

State:
Iowa

Zip:
52310-2062

Phone:
(319) 465-2013

Fax:

URL:

Administrator/License #:
Tyler Hoerner /

Administrator Email:
thoerner@monticellocampus.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: