Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
16

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0497

Initial License Date:
08/04/2025

Current License Date:
08/04/2025

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
08/04/2027

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:
600 Park Street

City:
Grinnell

State:
Iowa

Zip:
50112

Phone:
(641) 236-6151

Fax:
(641) 236-6154

URL:

Administrator/License #:
Casie VandeStouwe /

Administrator Email:
cvandestouwe@mayflowerhomes.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: