Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
56

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0470

Initial License Date:
03/01/2023

Current License Date:
03/01/2025

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/01/2027

Months Since Last Survey:
3

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
5330 Belle Avenue

City:
Davenport

State:
Iowa

Zip:
52807

Phone:
(563) 296-5020

Fax:

URL:

Administrator/License #:
Sarah Coy /

Administrator Email:
Sarah.Coy@cassialife.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: