Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
136

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0236

Initial License Date:
06/08/2006

Current License Date:
06/08/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/08/2026

Months Since Last Survey:
17

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3752 Thunder Ridge Road

City:
Bettendorf

State:
Iowa

Zip:
52722-1210

Phone:
(563) 332-5775

Fax:
(563) 332-5296

URL:

Administrator/License #:
CJ Ward / Executive Director

Administrator Email:
cj.ward@dialseniorliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: