Location
*Location shown is approximate. See facility address above for exact location.
Facility Details
- Certified Beds
- 6
- Average Daily Residents
- 4
- Ownership
- For profit - Limited Liability company
- Last Health Inspection
- May 6, 2025
- Medicare/Medicaid Certified Since
- April 2021
- Staffing Hours (per resident/day)
- 10.41
- RN Hours (per resident/day)
- 3.61
- CMS Certification Number (CCN)
- 345578
View on Medicare.gov Care Compare ↗
Data last updated: April 2026. Source: CMS Provider Information dataset.