Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Kahl Home Assisted Living and Memory Care

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
23

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0462

Initial License Date:
03/28/2022

Current License Date:
03/29/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/28/2028

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:
6701 Jersey Ridge Road

City:
Davenport

State:
Iowa

Zip:
52807

Phone:
(563) 343-8420

Fax:
(563) 324-1723

URL:

Administrator/License #:
Kimberly Hufsey /

Administrator Email:
khufsey@kahlhome.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: