Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
138

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0066

Initial License Date:
02/01/2000

Current License Date:
03/13/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/12/2028

Months Since Last Survey:
17

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1575 W 53rd

City:
Davenport

State:
Iowa

Zip:
52806-2448

Phone:
(563) 386-9196

Fax:
(563) 445-7397

URL:

Administrator/License #:
Julian Vandervelde / Executive Director

Administrator Email:
julian.vandervelde@garnerfarms.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: