Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
42

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0459

Initial License Date:
02/03/2022

Current License Date:
02/04/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/04/2028

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
5555 Pioneer Parkway

City:
Johnston

State:
Iowa

Zip:
50131

Phone:
(515) 534-0300

Fax:

URL:

Administrator/License #:
Michele Forbes /

Administrator Email:
mforbes@meadowviewjohnston.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: