Location
*Location shown is approximate. See facility address above for exact location.
Facility Details
- Certified Beds
- 30
- Average Daily Residents
- 27
- Ownership
- For profit - Limited Liability company
- Last Health Inspection
- May 1, 2025
- Medicare/Medicaid Certified Since
- September 1999
- Staffing Hours (per resident/day)
- 4.09
- RN Hours (per resident/day)
- 0.95
- CMS Certification Number (CCN)
- 165414
View on Medicare.gov Care Compare ↗
Data last updated: April 2026. Source: CMS Provider Information dataset.