Location
*Location shown is approximate. See facility address above for exact location.
Facility Details
- Certified Beds
- 30
- Average Daily Residents
- 23
- Ownership
- Non profit - Other
- Last Health Inspection
- March 5, 2025
- Medicare/Medicaid Certified Since
- October 2004
- Staffing Hours (per resident/day)
- Not reported
- RN Hours (per resident/day)
- Not reported
- CMS Certification Number (CCN)
- 17E625
View on Medicare.gov Care Compare ↗
Data last updated: April 2026. Source: CMS Provider Information dataset.