Entity Details

Basic

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

Former Entity Name:
Addington Place of Ottumwa

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
100

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0259

Initial License Date:
07/19/2007

Current License Date:
07/19/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/19/2027

Months Since Last Survey:
25

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
173 East Rochester Street

City:
Ottumwa

State:
Iowa

Zip:
52501-1125

Phone:
(641) 684-1871

Fax:
(641) 684-5827

URL:

Administrator/License #:
Robert Joseph Jones /

Administrator Email:
jjones@rivervalleyplaceottumwa.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: