Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
14

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0350

Initial License Date:
04/21/2015

Current License Date:
04/21/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
04/21/2027

Months Since Last Survey:
16

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
100 Bolger Drive

City:
Fayette

State:
Iowa

Zip:
52142

Phone:
(563) 425-3336

Fax:
(563) 425-3512

URL:

Administrator/License #:
Angelique Lueder /

Administrator Email:
ALDirector@maplecrestmanor.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: