Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
75

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0179

Initial License Date:
09/16/2003

Current License Date:
09/16/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/16/2027

Months Since Last Survey:
15

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
810 East Van Buren

City:
Lenox

State:
Iowa

Zip:
50851-1622

Phone:
(641) 333-2233

Fax:
(641) 333-2237

URL:

Administrator/License #:
Julie Davis /

Administrator Email:
jdavis@vintageparklenox.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: