Entity Details

Basic

Entity Type:
Residential Care Facilities for Persons with Mental Illness (RCF/PMI)

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
15

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
820397

Initial License Date:
07/17/2017

Current License Date:
07/18/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/17/2024

Months Since Last Survey:
26

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
4656 W. Kimberly Road

City:
Davenport

State:
Iowa

Zip:
52806

Phone:
(563) 345-7106

Fax:
(563) 345-6681

URL:

Administrator/License #:
Shayla Weinbrandt /

Administrator Email:
weinbrandts@verafrenchmhc.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: