Location
*Location shown is approximate. See facility address above for exact location.
Facility Details
- Certified Beds
- 30
- Average Daily Residents
- 29
- Ownership
- Non profit - Corporation
- Last Health Inspection
- April 10, 2025
- Medicare/Medicaid Certified Since
- September 2008
- Staffing Hours (per resident/day)
- 3.57
- RN Hours (per resident/day)
- 0.65
- CMS Certification Number (CCN)
- 17E630
View on Medicare.gov Care Compare ↗
Data last updated: April 2026. Source: CMS Provider Information dataset.