Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
76

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0215

Initial License Date:
07/15/2005

Current License Date:
07/16/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/16/2027

Months Since Last Survey:
20

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
800 Darby Drive

City:
Monona

State:
Iowa

Zip:
52159-8157

Phone:
(563) 539-4528

Fax:
(563) 539-4895

URL:

Administrator/License #:
Jerica Miller / Director

Administrator Email:
jmiller@gardenviewplace.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: