Location
*Location shown is approximate. See facility address above for exact location.
Facility Details
- Certified Beds
- 21
- Average Daily Residents
- 19
- Ownership
- For profit - Limited Liability company
- Last Health Inspection
- February 24, 2025
- Medicare/Medicaid Certified Since
- February 2000
- Staffing Hours (per resident/day)
- 11.15
- RN Hours (per resident/day)
- 3.92
- CMS Certification Number (CCN)
- 555753
View on Medicare.gov Care Compare ↗
Data last updated: April 2026. Source: CMS Provider Information dataset.