Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
82

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0378

Initial License Date:
06/29/2018

Current License Date:
06/28/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/28/2026

Months Since Last Survey:
7

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1810 Park Vista Drive

City:
Camanche

State:
Iowa

Zip:
52730

Phone:
(563) 447-7447

Fax:

URL:

Administrator/License #:
Susan Kincaid /

Administrator Email:
communitydirectorpvc@parkvistaliving.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: