Entity Details

Basic

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

Former Entity Name:
Addington Place of Fort Madison

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
70

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0280

Initial License Date:
08/08/2008

Current License Date:
08/08/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
08/08/2026

Months Since Last Survey:
23

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
5025 River Valley Road

City:
Fort Madison

State:
Iowa

Zip:
52627

Phone:
(319) 372-8611

Fax:
(319) 372-8131

URL:

Administrator/License #:
Joseph Jones /

Administrator Email:
jjones@rivervalleyplaceottumwa.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: