Wisconsin Department Division of Quality Assurance Directory 08/31/2021 of Health Services UdtdPage 1 Public Directory By Facility Name For Facility Type AFH Iowa

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

CORNERSTONE FOUNDATION DIVISION STREET (001089 LUCKY STAR 3 CORP Type: AFH HCBS COMPLIANT (608) 935-1649 Class: 111 DIVISION ST DEVELOPMENTALLY DISABLED COBB WI 53526 RICK STARR Gender - Capacity: M/F - 4 (608) 623-2503 RICK STARR PO BOX 150 Low/High rate: 3,750/3,750 PHYSICALLY DISABLED County: IOWA DODGEVILLE WI 53533 Initial License: 03/30/2005 PUBLIC FUNDING CORNERSTONE FOUNDATION HWY 39 (199037) LUCKY STAR 3 CORP Type: AFH HCBS COMPLIANT (608) 935-1649 Class: 6297 HWY 39 DEVELOPMENTALLY DISABLED MINERAL POINT WI 53565 RICK STARR Gender - Capacity: M - 4 (608) 967-2131 RICK STARR PO BOX 150 Low/High rate: 2,850/3,400 PUBLIC FUNDING County: IOWA DODGEVILLE WI 53533-0150 Initial License: 02/02/1998 TRAUMATIC BRAIN INJURY CORNERSTONE FOUNDATION LORRAINE COURT (19905 LUCKY STAR 3 CORP Type: AFH HCBS COMPLIANT (608) 935-1649 Class: 102 LORRAINE COURT DEVELOPMENTALLY DISABLED RIDGEWAY WI 53582 RICK STARR Gender - Capacity: M/F - 4 (608) 924-2177 RICK STARR PO BOX 150 Low/High rate: 3,650/3,650 EMOTIONALLY DISTURBED/MENTAL County: IOWA DODGEVILLE WI 53533-1423 Initial License: 04/30/1998 PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY CORNERSTONE FOUNDATION MCCARTHY ROAD (000867 LUCKY STAR 3 CORP Type: AFH HCBS COMPLIANT (608) 935-1649 Class: 5115 MCCARTHY ROAD EMOTIONALLY DISTURBED/MENTAL HIGHLAND WI 53543 RICK STARR Gender - Capacity: M - 4 (608) 929-7876 RICK STARR PO BOX 150 Low/High rate: 3,000/3,500 PUBLIC FUNDING County: IOWA DODGEVILLE WI 53533 Initial License: 06/21/1999 TRAUMATIC BRAIN INJURY CORNERSTONE FOUNDATION VICTORIA COURT (199012 LUCKY STAR 3 CORP Type: AFH HCBS COMPLIANT (608) 935-1649 Class: 207 VICTORIA COURT DEVELOPMENTALLY DISABLED BARNEVELD WI 53507 RICK STARR Gender - Capacity: M/F - 4 (608) 924-2062 RICK STARR PO BOX 150 Low/High rate: 3,200/3,200 PUBLIC FUNDING County: IOWA DODGEVILLE WI 53533-0150 Initial License: 04/25/1997 TRAUMATIC BRAIN INJURY DALOGASA GARDENS (0013939) TLC SENIOR HOME CARE Type: AFH HCBS COMPLIANT (608) 753-2273 Class: 306 DALOGASA DR ADVANCED AGED ARENA WI 53503 TRISHA CROOK Gender - Capacity: M/F - 4 (608) 753-2273 TRISHA CROOK 306 DALOGASA DR Low/High rate: 3,200/4,200 EMOTIONALLY DISTURBED/MENTAL County: IOWA ARENA WI 53503 Initial License: 03/06/2012 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING

HILLTOP (0010696) UPLAND POINT CORPORATION Type: AFH HCBS COMPLIANT (608) 341-8301 Class: 1345 State rd 23 DEVELOPMENTALLY DISABLED Mineral Point WI 53565 Bernard BOBER Gender - Capacity: M/F - 4 (608) 987-0003 Bernard BOBER PO Box 110 Low/High rate: 2,848/4,200 TRAUMATIC BRAIN INJURY County: IOWA MINERAL POINT WI 53565 Initial License: 10/21/2004 PINE LAWN (0016323) UPLAND POINT CORPORATION Type: AFH ADVANCED AGED (608) 341-8301 Class: 535 SPRING ST DEVELOPMENTALLY DISABLED HIGHLAND WI 53543 Bernard BOBER Gender - Capacity: - 4 (608) 341-8301 Bernard BOBER PO Box 110 Low/High rate: IRREVERSIBLE DEMENTIA/ALZHEIM County: IOWA MINERAL POINT WI 53565 Initial License: 01/01/2017 PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY

*The Adult Family Home (AFH) directory is updated monthly.