Location
*Location shown is approximate. See facility address above for exact location.
Facility Details
- Certified Beds
- 19
- Average Daily Residents
- 20
- Ownership
- For profit - Individual
- Last Health Inspection
- December 3, 2025
- Medicare/Medicaid Certified Since
- July 1975
- Staffing Hours (per resident/day)
- 2.83
- RN Hours (per resident/day)
- 0.00
- CMS Certification Number (CCN)
- 05A192
View on Medicare.gov Care Compare ↗
Data last updated: April 2026. Source: CMS Provider Information dataset.