Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
198

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0348

Initial License Date:
03/31/2015

Current License Date:
03/31/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/31/2027

Months Since Last Survey:
9

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2700 Matthew John Drive

City:
Dubuque

State:
Iowa

Zip:
52002

Phone:
(563) 690-1900

Fax:
(563) 690-0600

URL:

Administrator/License #:
Sam Kenniker /

Administrator Email:
skenniker@trustwellliving.net

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: