Location
*Location shown is approximate. See facility address above for exact location.
Facility Details
- Certified Beds
- 18
- Average Daily Residents
- 15
- Ownership
- Non profit - Corporation
- Last Health Inspection
- November 13, 2025
- Medicare/Medicaid Certified Since
- March 2012
- Staffing Hours (per resident/day)
- 9.33
- RN Hours (per resident/day)
- 1.08
- CMS Certification Number (CCN)
- 025035
View on Medicare.gov Care Compare ↗
Data last updated: April 2026. Source: CMS Provider Information dataset.