Entity Details

Basic

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

Former Entity Name:
Senior Star At Elmore Place Memory Care

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
50

Status:
Active

Close Date:

Accredited:
Commission on Accreditation of Rehabilitation Facilities

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0292

Initial License Date:
04/17/2009

Current License Date:
12/01/2025

Renewal Cycle:
1095

Entity Type Renewal Cycle(months):
24

Expiration Date:
11/30/2028

Months Since Last Survey:
85

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
4504 Elmore Avenue

City:
Davenport

State:
Iowa

Zip:
52807

Phone:
(563) 359-0100

Fax:
(563) 359-3331

URL:

Administrator/License #:
Amanda Buchholz /

Administrator Email:
abuchholz@seniorstar.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: