Location
*Location shown is approximate. See facility address above for exact location.
Facility Details
- Certified Beds
- 40
- Average Daily Residents
- 23
- Ownership
- For profit - Limited Liability company
- Last Health Inspection
- December 18, 2025
- Medicare/Medicaid Certified Since
- April 1998
- Staffing Hours (per resident/day)
- 3.59
- RN Hours (per resident/day)
- 1.15
- CMS Certification Number (CCN)
- 165391
View on Medicare.gov Care Compare ↗
Data last updated: April 2026. Source: CMS Provider Information dataset.