Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
65

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0023

Initial License Date:
10/29/1998

Current License Date:
12/01/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
12/01/2026

Months Since Last Survey:
13

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3500 Lower W Branch Rd

City:
Iowa City

State:
Iowa

Zip:
52245-4106

Phone:
(319) 351-3200

Fax:
(319) 351-6861

URL:

Administrator/License #:
Ashley Ballard / Director

Administrator Email:
ashley.ballard@bickfordseniorliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: