Entity Details

Basic

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

Former Entity Name:
SunnyBrook of Fairfield

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
126

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0170

Initial License Date:
02/19/2003

Current License Date:
02/19/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/19/2027

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3000 West Madison Avenue, Suite 500

City:
Fairfield

State:
Iowa

Zip:
52556-4205

Phone:
(641) 469-5778

Fax:
(641) 469-4529

URL:

Administrator/License #:
Joselyn Heilmann /

Administrator Email:
nwheeler@addingtonplaceoffairfield.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: