Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
32

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0500

Initial License Date:
08/10/2025

Current License Date:
08/10/2025

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
08/10/2027

Months Since Last Survey:

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
119 E 2nd St

City:
DeWitt

State:
Iowa

Zip:
52742

Phone:
(563) 670-0020

Fax:
(563) 265-8288

URL:

Administrator/License #:
Gayle Holquist /

Administrator Email:
gayle@legacyofthemeadows.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: