Westminster Terrace

Detailed report on the nursing home located in Louisville, Kentucky (KY).

Westminster Terrace is an average sized, non-profit, nursing home with 112 beds based at 2116 Buechel Bank Road in Louisville, KY. The facility has 106 residents indicating 95% of its beds are occupied, which is about average within this state. The provider participates in the medicare & medicaid programs and provides resident & family counseling services. The home is located in a continuing care retirement community and is fully sprinklered. A total of 165 Medicare patients were given 5,329 days of non-swing bed care and services in 2006, and the provider was reimbursed $1,408,721 by Medicare. 78 Medicare patients were given outpatient care and services by this provider in 2006. The provider was reimbursed $84,853 by Medicare for these services.

On a state level, the number of registered nurse hours per resident per day is lower than average. Certified nursing assistant hours per resident per day is average. The number of licensed practical or vocational nurse hours per resident per day is average. Licensed staff hours per resident per day is average.

When compared to other nursing homes in the state, it is more likely for long-stay residents to have moderate to severe pain and low-risk long-stay residents to lose control of their bowels at Westminster Terrace.

When compared to other nursing homes in the state, it is less likely for long-stay residents to be physically restrained, long-stay residents to spend most of their time in bed, long-stay residents to lose too much weight, short-stay residents to be given a pneumococcal vaccination, short-stay residents to have delirium, and short-stay residents to have moderate to severe pain.

Overall Rating

Not Yet Rated
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Ownership Type

Non-Profit - Corporation

Multiple Ownership

Yes

Address

2116 Buechel Bank Road
Louisville, KY 40218

Phone Number

(502) 499-9383

Geographic Coordinates

38.188538, -85.647825
* The accuracy of these coordinates is at a address level.

Programs Accepted

Medicare & Medicaid

Counseling Available

Resident & Family

Sprinkler System

The amount of the facility that is sprinklered. All fire code regulations at different locations must be met.

Fully Sprinklered
Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate

Beds

The total number of beds the facility operates. Each resident is assigned to a single bed.

This Provider This Provider
112
Louisville Average
107
Jefferson County Average
105
Kentucky Average
88
United States Average
106

Beds Occupied

The percentage of total beds that are occupied by residents.

This Provider This Provider
95.00%
Louisville
89.76%
Jefferson County
89.77%
Kentucky
89.78%
United States
84.18%

Residents

The total number of residents residing at the facility.

This Provider This Provider
106
Louisville Average
96
Jefferson County Average
95
Kentucky Average
80
United States Average
90

Located in a Hospital

Status

Indicates whether the facility is located within a hospital.

This Provider This Provider
No
Louisville
2 (4.44%)
Jefferson County
2 (4.26%)
Kentucky
32 (10.96%)
United States
1,271 (8.03%)

Located in a CCRC

Status

Indicates whether the facility is located within a continuing care retirement community.

This Provider This Provider
Yes
Louisville
8 (17.78%)
Jefferson County
8 (17.02%)
Kentucky
15 (5.14%)
United States
1,255 (7.93%)

Recent Surveys

  • 09/21/2006 - Health Survey
  • 09/19/2006 - Fire Safety Survey
  • 08/18/2005 - Health Survey
  • 08/17/2005 - Fire Safety Survey
  • 10/07/2004 - Health Survey
  • 10/06/2004 - Fire Safety Survey

Staff

Charts

RN Hours Per Resident

The average number of registered nurse hours per resident per day.

This Provider
0.59
Louisville Average
0.70
Jefferson County Average
0.69
Kentucky Average
0.71
United States Average
0.64

CNA Hours Per Resident

The average number of certified nursing assistant hours per resident per day.

This Provider This Provider
2.53
Louisville Average
2.62
Jefferson County Average
2.63
Kentucky Average
2.51
United States Average
2.34

LPNLVN Hours Per Resident

The average number of licensed practical or vocational nurse hours per resident per day.

This Provider This Provider
0.87
Louisville Average
1.07
Jefferson County Average
1.08
Kentucky Average
0.86
United States Average
0.79

Licensed Staff Hours Per Resident

The average number of licensed staff hours per resident per day.

This Provider This Provider
1.46
Louisville Average
1.76
Jefferson County Average
1.77
Kentucky Average
1.57
United States Average
1.43

Quality Measures

Charts

Long-Stay Residents Given Influenza Vaccination

The percentage of long-stay residents given influenza vaccination during the flu season.

This Provider This Provider
95.00%
Louisville
83.29%
Jefferson County
83.70%
Kentucky
89.24%
United States
86.01%

Long-Stay Residents Whose Need for Help With Daily Activities Has Increased

The percentage of long-stay residents whose need for help with daily activities has increased.

This Provider This Provider
19.00%
Louisville
21.30%
Jefferson County
21.49%
Kentucky
20.07%
United States
16.08%

High-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of high-risk long-stay residents who have pressure sores.

This Provider This Provider
12.00%
Louisville
12.83%
Jefferson County
12.61%
Kentucky
13.33%
United States
12.83%

Long-Stay Residents Who Were Physically Restrained

The percentage of long-stay residents who were physically restrained.

This Provider This Provider
2.00%
Louisville
4.15%
Jefferson County
4.00%
Kentucky
5.86%
United States
5.63%

Low-Risk Long-Stay Residents Who Lose Control of Their Bowels

The percentage of low-risk long-stay residents who lose control of their bowels or bladder.

This Provider This Provider
73.00%
Louisville
53.72%
Jefferson County
53.03%
Kentucky
47.88%
United States
48.78%

Long-Stay Residents Who Spend Most of Their Time in Bed

The percentage of long-stay residents who spend most of their time in bed or in a chair.

This Provider This Provider
5.00%
Louisville
6.20%
Jefferson County
6.14%
Kentucky
8.38%
United States
4.39%

Long-Stay Residents With a Urinary Tract Infection

The percentage of long-stay residents with a urinary tract infection.

This Provider This Provider
11.00%
Louisville
13.51%
Jefferson County
13.47%
Kentucky
11.84%
United States
8.83%

Short-Stay Residents Given Influenza Vaccination

The percentage of short-stay residents given influenza vaccination during the flu season.

This Provider This Provider
90.00%
Louisville
66.45%
Jefferson County
66.69%
Kentucky
80.84%
United States
72.85%

Short-Stay Residents With Delirium

The percentage of short-stay residents with delirium.

This Provider This Provider
0.00%
Louisville
1.12%
Jefferson County
1.14%
Kentucky
1.05%
United States
2.12%

Short-Stay Residents With Pressure Sores

The percentage of short-stay residents with pressure sores.

This Provider This Provider
18.00%
Louisville
13.54%
Jefferson County
13.54%
Kentucky
15.57%
United States
17.46%

Long-Stay Residents Given Pneumococcal Vaccination

The percentage of long-stay residents who were assessed and given pneumococcal vaccination.

This Provider This Provider
74.00%
Louisville
82.22%
Jefferson County
82.81%
Kentucky
90.59%
United States
79.81%

Long-Stay Residents Who Have Moderate to Severe Pain

The percentage of long-stay residents who have moderate to severe pain.

This Provider This Provider
6.00%
Louisville
4.15%
Jefferson County
4.26%
Kentucky
4.79%
United States
4.53%

Low-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of low-risk long-stay residents who have pressure sores.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Who are More Depressed or Anxious

The percentage of long-stay residents who are more depressed or anxious.

This Provider This Provider
19.00%
Louisville
15.90%
Jefferson County
16.44%
Kentucky
18.68%
United States
14.45%

Long-Stay Residents Who Have Catheter Inserted and Left

The percentage of long-stay residents who have/had a catheter inserted and left in their bladder.

This Provider This Provider
6.00%
Louisville
7.05%
Jefferson County
6.98%
Kentucky
6.94%
United States
5.89%

Long-Stay Residents Whose Ability to Move Around Their Room Got Worse

The percentage of long-stay residents whose ability to move about in and around their room got worse.

This Provider This Provider
15.00%
Louisville
16.03%
Jefferson County
15.70%
Kentucky
13.52%
United States
13.04%

Long-Stay Residents Who Lose Too Much Weight

The percentage of long-stay residents who lose too much weight.

This Provider This Provider
7.00%
Louisville
11.46%
Jefferson County
11.26%
Kentucky
11.30%
United States
9.09%

Short-Stay Residents Given Pneumococcal Vaccination

The percentage of short-stay residents who were assessed and given pneumococcal vaccination.

This Provider This Provider
14.00%
Louisville
73.46%
Jefferson County
73.68%
Kentucky
85.29%
United States
73.02%

Short-Stay Residents Who Had Moderate to Severe Pain

The percentage of short-stay residents who had moderate to severe pain.

This Provider This Provider
14.00%
Louisville
20.66%
Jefferson County
20.67%
Kentucky
18.92%
United States
20.65%

Treatment Figures

Charts

Non-Swing Bed Patients

The number of non-swing bed patients treated by this provider that were covered by Medicare Part A in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
165
Louisville Average
176
Jefferson County Average
170
Kentucky Average
118
United States Average
133

Non-Swing Bed Patient Discharges

The number of non-swing bed patient discharges made by this provider that were covered by Medicare Part A in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
141
Louisville Average
169
Jefferson County Average
163
Kentucky Average
108
United States Average
124

Non-Swing Bed Utilization Days

The number of days of non-swing bed care that are chargeable to Medicare Part A facility utilization by this provider in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
5,329
Louisville Average
5,826
Jefferson County Average
5,637
Kentucky Average
4,224
United States Average
4,470

Outpatients

The number of outpatients treated by this provider that were covered by Medicare Part B in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider This Provider
78
Louisville Average
136
Jefferson County Average
132
Kentucky Average
654
United States Average
301

Financials

Charts

Medicare Non-Swing Bed Payments

The total non-swing bed associated Medicare Part A payments made to this provider in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$1,408,721
Louisville Average
$1,652,511
Jefferson County Average
$1,595,456
Kentucky Average
$1,080,821
United States Average
$1,318,701

Medicare Payments Per Non-Swing Bed Utilization Day

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed utilization day in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$264
Louisville Average
$284
Jefferson County Average
$283
Kentucky Average
$256
United States Average
$295

Medicare Outpatient Payments

The total outpatient associated Medicare Part B payments made to this provider in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider This Provider
$84,853
Louisville Average
$146,088
Jefferson County Average
$141,130
Kentucky Average
$531,716
United States Average
$266,523

Medicare Payments Per Non-Swing Bed Patient

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$8,538
Louisville Average
$9,409
Jefferson County Average
$9,412
Kentucky Average
$9,160
United States Average
$9,943

Medicare Payments Per Non-Swing Bed Patient Discharge

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient discharge in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$9,991
Louisville Average
$9,770
Jefferson County Average
$9,766
Kentucky Average
$9,991
United States Average
$10,652

Medicare Payments Per Outpatient

The average Medicare payments made to this provider per Medicare Part B covered outpatient in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider This Provider
$1,088
Louisville Average
$1,074
Jefferson County Average
$1,066
Kentucky Average
$812
United States Average
$885

Deficiencies

06/22/2007 - Resident Rights

06/22/2007 - Resident Rights
Type:
Health
Category:
Resident Rights
Issue:
Provide enough notice before discharging or transferring a resident.
Found Via:
Complaint
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
06/22/2007
Date Fixed:
08/03/2007

06/22/2007 - Resident Rights

06/22/2007 - Resident Rights
Type:
Health
Category:
Resident Rights
Issue:
Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.
Found Via:
Complaint
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
06/22/2007
Date Fixed:
08/03/2007

09/21/2006 - Administration

09/21/2006 - Administration
Type:
Health
Category:
Administration
Issue:
Follow all laws and professional standards.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Potential for minimal harm
Date Found:
09/21/2006
Date Fixed:
11/05/2006

09/21/2006 - Mistreatment

09/21/2006 - Mistreatment
Type:
Health
Category:
Mistreatment
Issue:
Keep each resident free from physical restraints, unless needed for medical treatment.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
09/21/2006
Date Fixed:
11/05/2006

09/21/2006 - Resident Rights

09/21/2006 - Resident Rights
Type:
Health
Category:
Resident Rights
Issue:
Provide services to meet the needs and preferences of each resident.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
09/21/2006
Date Fixed:
11/05/2006

09/21/2006 - Quality Care

09/21/2006 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Provide activities to meet the needs of each resident.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
09/21/2006
Date Fixed:
11/05/2006

09/21/2006 - Environmental

09/21/2006 - Environmental
Type:
Health
Category:
Environmental
Issue:
Provide needed housekeeping and maintenance.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
09/21/2006
Date Fixed:
11/05/2006

09/21/2006 - Resident Assessment

09/21/2006 - Resident Assessment
Type:
Health
Category:
Resident Assessment
Issue:
Make a complete assessment that covers all questions for areas that are listed in official regulations.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
09/21/2006
Date Fixed:
11/05/2006

09/21/2006 - Resident Assessment

09/21/2006 - Resident Assessment
Type:
Health
Category:
Resident Assessment
Issue:
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
09/21/2006
Date Fixed:
11/05/2006

09/21/2006 - Quality Care

09/21/2006 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give professional services that follow each resident's written care plan.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
09/21/2006
Date Fixed:
11/05/2006

09/21/2006 - Quality Care

09/21/2006 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
09/21/2006
Date Fixed:
11/05/2006

09/21/2006 - Resident Assessment

09/21/2006 - Resident Assessment
Type:
Health
Category:
Resident Assessment
Issue:
Make sure that all needed doctor visits are made personally by a doctor, as required.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
09/21/2006
Date Fixed:
11/05/2006

09/21/2006 - Pharmacy Service

09/21/2006 - Pharmacy Service
Type:
Health
Category:
Pharmacy Service
Issue:
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
09/21/2006
Date Fixed:
11/05/2006

09/19/2006 - Building Service Equipment

09/19/2006 - Building Service Equipment
Type:
Fire Safety
Category:
Building Service Equipment
Issue:
properly constructed linen or trash chutes.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
09/19/2006
Date Fixed:
11/05/2006

08/18/2005 - Quality Care

08/18/2005 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give professional services that follow each resident's written care plan.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
08/18/2005
Date Fixed:
09/30/2005

08/17/2005 - Corridor Walls and Doors

08/17/2005 - Corridor Walls and Doors
Type:
Fire Safety
Category:
Corridor Walls and Doors
Issue:
corridor and hallway doors that block smoke.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
08/17/2005
Date Fixed:
09/30/2005

08/17/2005 - Hazardous Area

08/17/2005 - Hazardous Area
Type:
Fire Safety
Category:
Hazardous Area
Issue:
construction that can resist fire for one hour or an approved fire extinguishing system.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
08/17/2005
Date Fixed:
09/30/2005

10/07/2004 - Pharmacy Service

10/07/2004 - Pharmacy Service
Type:
Health
Category:
Pharmacy Service
Issue:
Properly mark drugs and other similar products.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
10/07/2004
Date Fixed:
11/21/2004

10/07/2004 - Environmental

10/07/2004 - Environmental
Type:
Health
Category:
Environmental
Issue:
Have a program to keep infection from spreading.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
10/07/2004
Date Fixed:
11/21/2004

10/07/2004 - Environmental

10/07/2004 - Environmental
Type:
Health
Category:
Environmental
Issue:
Make sure that staff members wash their hands when needed.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
10/07/2004
Date Fixed:
11/21/2004

10/07/2004 - Environmental

10/07/2004 - Environmental
Type:
Health
Category:
Environmental
Issue:
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
10/07/2004
Date Fixed:
11/21/2004

10/07/2004 - Administration

10/07/2004 - Administration
Type:
Health
Category:
Administration
Issue:
Quickly tell the resident's doctor the results of lab tests.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
10/07/2004
Date Fixed:
11/21/2004

10/07/2004 - Administration

10/07/2004 - Administration
Type:
Health
Category:
Administration
Issue:
Keep complete, dated lab records in the resident's file.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
10/07/2004
Date Fixed:
11/21/2004

10/07/2004 - Quality Care

10/07/2004 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give professional services that follow each resident's written care plan.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
10/07/2004
Date Fixed:
11/21/2004

10/07/2004 - Resident Assessment

10/07/2004 - Resident Assessment
Type:
Health
Category:
Resident Assessment
Issue:
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
10/07/2004
Date Fixed:
11/21/2004

10/07/2004 - Quality Care

10/07/2004 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give each resident care and services to get or keep the highest quality of life possible.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
10/07/2004
Date Fixed:
11/21/2004

10/06/2004 - Smoke Compartmentation and Control

10/06/2004 - Smoke Compartmentation and Control
Type:
Fire Safety
Category:
Smoke Compartmentation and Control
Issue:
smoke barrier doors that can resist smoke for at least 20 minutes.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
10/06/2004
Date Fixed:
11/21/2004

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Discussions

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Supplemental

Last Modified

Monday, July 21, 2008 2:44 PM MST

Indicates the latest change to the core data for this provider. It does not reflect changes from user input, such as reviews and discussions.

Disclosure

CiteHealth is not associated with Westminster Terrace. We do not endorse, sponsor, or take financial incentives from this provider.

Updates & Additional Information

We appreciate any verifiable updates or additional information you may have on this provider.

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Newest Reviews

Louisville at a Glance

Louisville has a total population of 256,231, of which 60,609 are children under the age of 18 and 37,457 are seniors 65 and older. The median age is 35.8.

Total Population:
256,231
Median Age:
35.8
Males:
121,153 (47.3%)
Female:
135,078 (52.7%)
Children (0-17):
60,609 (23.7%)
Adults (18-64):
158,165 (61.7%)
Seniors (65+):
37,457 (14.6%)
Age Breakdown:
Breakdown of age groups in Louisville
Married:
85,396 (33.3%)
Divorced:
29,265 (11.4%)
Marriage Breakdown:
Breakdown of marriage in Louisville
Hispanic Ethnicity:
4,755 (1.86%)
White:
161,261 (62.94%)
African American:
84,586 (33.01%)
Asian:
3,705 (1.45%)
Pacific Islander:
111 (0.04%)
Indian:
578 (0.23%)
Other:
1,709 (0.67%)
Two or More:
4,281 (1.67%)
Racial Breakdown:
Breakdown of race in Louisville

Health

The average number of disabilities per resident is 0.43, which does not include institutionalized individuals.

Disabilities:
0.43 (Per Capita)
Dialysis Centers:
12
Doctors:
3,953
Home Agencies:
7
Hospitals:
4
Nursing Homes:
45
Medical Suppliers:
235
Rehab Centers:
34

Wealth

The median family income is $36,696 while the median household income is $28,843. Roughly 21.00% of the population live in poverty.

Family Income:
$36,696
Household Income:
$28,843
In Poverty:
21.00%

Nearby Doctors

Note: These physicians are not associated with this provider. However, an office is nearby.

Health Management Tools

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