State assisted-living licensing record · Iowa DIAL · record as pulled September 22, 2026· Not the federal nursing home survey
Keystone Place at Forevergreen ALP/D
1275 West Forevergreen Road, North Liberty, IA 52317 · Johnson County · 40 licensed beds
DIAL record ID 3009 · licence S0360 · certified through November 1, 2026 · first licensed October 2016
The licence
Licensed by DIAL · Dementia-specific assisted living program
Certification details, as listed by DIAL
- Certified as
- Dementia-specific assisted living program
- Certificate
- S0360
- Certified since
- October 31, 2016
- Current certificate
- From November 1, 2024, expires November 1, 2026
- Occupancy
- 40 units
- Accredited
- No
Position within Iowa
12 citations — more than 82% of the 437 licensed assisted living facilities in Iowa. Compared only within Iowa: a citation from DIAL means what it means in Iowa, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety inspection, severity, the survey report, and enforcement. The fire safety inspection of an Iowa assisted living program is the State Fire Marshal's and is not published; what DIAL itself cites about the building — its structural requirements, the dwelling-unit rules for dementia-specific programs and the fire and safety standards of the Code — is here. DIAL assigns no severity to a citation, and the survey report itself is published only as a scanned image, which is not read. Fines, conditional certifications and other enforcement actions are recorded separately and not republished. Elder group homes and adult day services are other certification types and are not included.
Get an email about Keystone Place at Forevergreen ALP/D
One email when it happens, from the DIAL record as it is pulled each month. No account; stop it any time with one click.
How that compares
Compared with the median licensed assisted living facility in Iowa. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 12 |
| Median facility in Iowa | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| October 27, 2022 | other visit | 0 |
| October 27, 2022 | incident investigation | 2 |
| July 2, 2024 | recertification survey; incident investigation | 4 |
| May 6, 2025 | incident investigation, revisit | 0 |
| April 16, 2026 | recertification survey; incident investigation | 6 |
What the citations cover
- Resident care 7
- Records and administration 4
- Staffing and training 1
| Category | Citations |
|---|---|
| Resident care | 7 |
| Records and administration | 4 |
| Staffing and training | 1 |
Every visit on file since September 2021
As published by DIAL, newest first, including visits that cited nothing. The wording is DIAL’s own.
April 16, 2026 — recertification survey; incident investigation, 6 citations
| Tag | What DIAL checks |
|---|---|
| 481-67.2-3 | The program shall follow the policies and procedures established by the program |
| 481-67.3-2 | Tenant Rights |
| 481-69.22-2 | Evaluation within 30 days of occupancy |
| 481-69.22-3 | Evaluation of tenant |
| 481-69.26-1 | Service plan |
| 481-69.26-3 | When a tenant needs personal care or health-related care, the service plan shall be updated within 30 days… |
May 6, 2025 — incident investigation, revisit, nothing cited
July 2, 2024 — recertification survey; incident investigation, 4 citations
| Tag | What DIAL checks |
|---|---|
| 481-67.2-3 | The program shall follow the policies and procedures established by the program |
| 481-67.9-4 | Nurse delegation shall, at a minimum, include within 30 days of beginning employment, all program staff… |
| 481-69.26-2 | Prior to the tenant's signing the occupancy agreement and taking occupancy of a dwelling unit, a… |
| 481-69.26-4 | The service plan shall be individualized and shall indicate, at a minimum |
October 27, 2022 — incident investigation, 2 citations
| Tag | What DIAL checks |
|---|---|
| 481-67.2-1 | Program policies and procedures |
| 481-67.2-3 | The program shall follow the policies and procedures established by the program |
October 27, 2022 — other visit, nothing cited
DIAL also holds 20 older citations for this facility from before September 2021, outside the 5-year window these pages use. They are on the state’s own record.
Reflects the DIAL record as pulled September 22, 2026. A recent visit may not appear yet. This is the Iowa state licensing record; it is not the federal nursing home survey and the two are never combined.