Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
101

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0127

Initial License Date:
10/19/2001

Current License Date:
10/19/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
10/19/2027

Months Since Last Survey:
22

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3730 Pennsylvania Ave

City:
Dubuque

State:
Iowa

Zip:
52002-3701

Phone:
(563) 542-1927

Fax:
(563) 583-2982

URL:

Administrator/License #:
Christian Jordan / Administrator

Administrator Email:
ewall@sunsetparkplace.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: