Entity Details

Basic

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

Former Entity Name:
John'S Harbor Memory Loss Center

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
19

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0117

Initial License Date:
06/21/2001

Current License Date:
06/21/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/21/2027

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:
3520 Grand Ave.

City:
Des Moines

State:
Iowa

Zip:
50312-4359

Phone:
(515) 271-6504

Fax:
(515) 271-6604

URL:

Administrator/License #:
Melany Dann-Aadland / Administrator

Administrator Email:
mdannaadland@wesleylife.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: