Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
49

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0113

Initial License Date:
05/04/2001

Current License Date:
05/04/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/04/2027

Months Since Last Survey:
25

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
202 35th St Dr SE

City:
Cedar Rapids

State:
Iowa

Zip:
52403-1353

Phone:
(319) 743-5763

Fax:
(319) 208-3339

URL:

Administrator/License #:
Jesse Sanford /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: