Location
*Location shown is approximate. See facility address above for exact location.
Facility Details
- Certified Beds
- 30
- Average Daily Residents
- 28
- Ownership
- For profit - Limited Liability company
- Last Health Inspection
- January 9, 2026
- Medicare/Medicaid Certified Since
- October 2013
- Staffing Hours (per resident/day)
- 4.44
- RN Hours (per resident/day)
- 0.66
- CMS Certification Number (CCN)
- 135139
View on Medicare.gov Care Compare ↗
Data last updated: April 2026. Source: CMS Provider Information dataset.