Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
40

Status:
Closed

Close Date:
03/21/2023

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0163

Initial License Date:
11/06/2002

Current License Date:
11/06/2022

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
11/05/2024

Months Since Last Survey:
55

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
15 Silvercrest Place

City:
Iowa City

State:
Iowa

Zip:
52240-0000

Phone:
(319) 341-0911

Fax:
(319) 341-4324

URL:

Administrator/License #:
Jacobi Feckers /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: