Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
68

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0252

Initial License Date:
03/12/2007

Current License Date:
03/12/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/12/2027

Months Since Last Survey:
26

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2475 River Road

City:
Decorah

State:
Iowa

Zip:
52101-7591

Phone:
(563) 382-2292

Fax:
(563) 382-9694

URL:

Administrator/License #:
Mary Miller / Administrator

Administrator Email:
mmiller@wellingtonplacedecorah.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: