Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Medicaid #:
0894303

CCN #:

Occupancy Type:
Beds

Max Occupancy:
16

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
520457

Initial License Date:

Current License Date:
01/02/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/02/2026

Months Since Last Survey:
21

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
4515 Melrose Avenue

City:
Iowa City

State:
Iowa

Zip:
52246

Phone:
(319) 887-2701

Fax:
(319) 887-9154

URL:

Administrator/License #:
Lydia Olson-Kelley /

Administrator Email:
lydia.olsonkelley@unitypoint.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: