Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
16

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0446

Initial License Date:
04/16/2021

Current License Date:
04/16/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
04/16/2027

Months Since Last Survey:
26

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2479 River Road

City:
Decorah

State:
Iowa

Zip:
52101

Phone:
(563) 382-2292

Fax:
(563) 382-6330

URL:

Administrator/License #:
Mary Miller /

Administrator Email:
mmiller@wellingtonplacedecorah.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: