Location
*Location shown is approximate. See facility address above for exact location.
Facility Details
- Certified Beds
- 14
- Average Daily Residents
- 12
- Ownership
- For profit - Limited Liability company
- Last Health Inspection
- August 22, 2025
- Medicare/Medicaid Certified Since
- February 2013
- Staffing Hours (per resident/day)
- 8.47
- RN Hours (per resident/day)
- 2.66
- CMS Certification Number (CCN)
- 555879
View on Medicare.gov Care Compare ↗
Data last updated: April 2026. Source: CMS Provider Information dataset.