Monument Rehabilitation & Nursing Center

Detailed report on the nursing home located in La Grange, Texas (TX).

Monument Rehabilitation & Nursing Center is an average sized, for-profit, nursing home with 110 beds based at 120 State Loop 92 in La Grange, TX. The facility has 78 residents indicating 71% of its beds are occupied, which is about average within this state. The provider participates in the medicare & medicaid programs and provides resident counseling services. The home is not located in a hospital or continuing care retirement community and is fully sprinklered. A total of 117 Medicare patients were given 4,749 days of non-swing bed care and services in 2006, and the provider was reimbursed $1,203,827 by Medicare. 106 Medicare patients were given outpatient care and services by this provider in 2006. The provider was reimbursed $106,535 by Medicare for these services.

On a state level, the number of registered nurse hours per resident per day is 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 lower than average. Licensed staff hours per resident per day is lower than average.

When compared to other nursing homes in the state, it is more likely for long-stay residents to need help with daily activities to increase, high-risk long-stay residents to have pressure sores, long-stay residents to be physically restrained, long-stay residents to be more depressed or anxious, long-stay residents to have catheter inserted and left, long-stay residents to spend most of their time in bed, long-stay residents to have their ability to move around their room get worse, long-stay residents to lose too much weight, and short-stay residents to have delirium at Monument Rehabilitation & Nursing Center.

When compared to other nursing homes in the state, it is less likely for long-stay residents to have moderate to severe pain, short-stay residents to be given a pneumococcal vaccination, short-stay residents to have moderate to severe pain, and short-stay residents to have pressure sores.

Overall Rating

Not Yet Rated
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Ownership Type

For-Profit - Partnership

Multiple Ownership

Yes

Address

120 State Loop 92
La Grange, TX 78945

Phone Number

(979) 968-3144

Geographic Coordinates

29.935755, -96.817429
* The accuracy of these coordinates is at a street level.

Programs Accepted

Medicare & Medicaid

Counseling Available

Resident

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
110
La Grange Average
104
Fayette County Average
103
Texas Average
106
United States Average
106

Beds Occupied

The percentage of total beds that are occupied by residents.

This Provider This Provider
71.00%
La Grange
79.50%
Fayette County
75.20%
Texas
73.01%
United States
84.18%

Residents

The total number of residents residing at the facility.

This Provider This Provider
78
La Grange Average
82
Fayette County Average
79
Texas Average
79
United States Average
90

Located in a Hospital

Status

Indicates whether the facility is located within a hospital.

This Provider This Provider
No
La Grange
0 (0.00%)
Fayette County
0 (0.00%)
Texas
40 (3.50%)
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
No
La Grange
0 (0.00%)
Fayette County
0 (0.00%)
Texas
51 (4.46%)
United States
1,255 (7.93%)

Recent Surveys

  • 03/08/2007 - Health Survey
  • 03/08/2007 - Fire Safety Survey
  • 12/15/2005 - Health Survey
  • 12/14/2005 - Fire Safety Survey
  • 10/22/2004 - Health Survey
  • 10/21/2004 - Fire Safety Survey

Staff

Charts

RN Hours Per Resident

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

This Provider
0.43
La Grange Average
0.41
Fayette County Average
0.41
Texas Average
0.44
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
1.99
La Grange Average
1.91
Fayette County Average
2.11
Texas Average
2.15
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
0.64
La Grange Average
0.67
Fayette County Average
0.73
Texas Average
0.84
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
1.07
La Grange Average
1.08
Fayette County Average
1.14
Texas Average
1.28
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%
La Grange
95.00%
Fayette County
95.00%
Texas
87.35%
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
25.00%
La Grange
29.00%
Fayette County
19.00%
Texas
15.11%
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
18.00%
La Grange
15.00%
Fayette County
10.00%
Texas
11.88%
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
18.00%
La Grange
9.50%
Fayette County
8.20%
Texas
4.71%
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
46.00%
La Grange
50.50%
Fayette County
41.50%
Texas
45.20%
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
9.00%
La Grange
4.50%
Fayette County
3.20%
Texas
6.11%
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
7.00%
La Grange
3.50%
Fayette County
6.20%
Texas
7.13%
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
67.00%
La Grange
78.00%
Fayette County
81.50%
Texas
74.08%
United States
72.85%

Short-Stay Residents With Delirium

The percentage of short-stay residents with delirium.

This Provider This Provider
5.00%
La Grange
2.50%
Fayette County
1.75%
Texas
2.44%
United States
2.12%

Short-Stay Residents With Pressure Sores

The percentage of short-stay residents with pressure sores.

This Provider This Provider
11.00%
La Grange
13.50%
Fayette County
13.00%
Texas
15.13%
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
78.00%
La Grange
72.00%
Fayette County
85.80%
Texas
82.85%
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
0.00%
La Grange
0.50%
Fayette County
2.40%
Texas
4.07%
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
16.00%
La Grange
15.00%
Fayette County
13.80%
Texas
8.43%
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
11.00%
La Grange
6.50%
Fayette County
6.60%
Texas
4.92%
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%
La Grange
17.50%
Fayette County
13.00%
Texas
10.97%
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
16.00%
La Grange
16.50%
Fayette County
8.40%
Texas
7.30%
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
34.00%
La Grange
36.00%
Fayette County
62.50%
Texas
73.29%
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
7.00%
La Grange
9.50%
Fayette County
11.50%
Texas
16.69%
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
117
La Grange Average
93
Fayette County Average
78
Texas Average
109
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
90
La Grange Average
60
Fayette County Average
67
Texas Average
102
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
4,749
La Grange Average
3,935
Fayette County Average
3,511
Texas Average
4,098
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
106
La Grange Average
87
Fayette County Average
103
Texas Average
311
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
$1,203,827
La Grange Average
$994,549
Fayette County Average
$823,186
Texas Average
$1,086,537
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
$253
La Grange Average
$253
Fayette County Average
$234
Texas Average
$265
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
$106,535
La Grange Average
$105,160
Fayette County Average
$114,126
Texas Average
$320,184
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
$10,289
La Grange Average
$10,752
Fayette County Average
$10,554
Texas Average
$9,970
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
$13,376
La Grange Average
$16,715
Fayette County Average
$12,323
Texas Average
$10,669
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
$1,005
La Grange Average
$1,216
Fayette County Average
$1,106
Texas Average
$1,030
United States Average
$885

Deficiencies

03/08/2007 - Pharmacy Service

03/08/2007 - Pharmacy Service
Type:
Health
Category:
Pharmacy Service
Issue:
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/08/2007
Date Fixed:
03/23/2007

03/08/2007 - Resident Rights

03/08/2007 - Resident Rights
Type:
Health
Category:
Resident Rights
Issue:
Allow residents to easily see the results of the nursing home's most recent survey.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Potential for minimal harm
Date Found:
03/08/2007
Date Fixed:
03/08/2007

03/08/2007 - Electrical

03/08/2007 - Electrical
Type:
Fire Safety
Category:
Electrical
Issue:
properly installed electrical wiring and equipment.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/08/2007
Date Fixed:
03/17/2007

03/08/2007 - Exits and Egress

03/08/2007 - Exits and Egress
Type:
Fire Safety
Category:
Exits and Egress
Issue:
exits that are accessible at all times.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/08/2007
Date Fixed:
03/27/2007

03/08/2007 - Corridor Walls and Doors

03/08/2007 - Corridor Walls and Doors
Type:
Fire Safety
Category:
Corridor Walls and Doors
Issue:
corridor and hallway doors that block smoke.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/08/2007
Date Fixed:
04/10/2007

03/08/2007 - Administration

03/08/2007 - Administration
Type:
Health
Category:
Administration
Issue:
Keep accurate and appropriate medical records.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/08/2007
Date Fixed:
03/08/2007

08/31/2006 - Quality Care

08/31/2006 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Found Via:
Complaint
Scope:
Pattern
Level of Harm:
Actual harm
Date Found:
08/31/2006
Date Fixed:
10/02/2006

08/31/2006 - Environmental

08/31/2006 - Environmental
Type:
Health
Category:
Environmental
Issue:
Have a program to keep infection from spreading.
Found Via:
Complaint
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
08/31/2006
Date Fixed:
10/02/2006

12/15/2005 - Environmental

12/15/2005 - Environmental
Type:
Health
Category:
Environmental
Issue:
Make sure that the nursing home area is free of dangers that cause accidents.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
12/15/2005
Date Fixed:
12/16/2005

12/15/2005 - Pharmacy Service

12/15/2005 - Pharmacy Service
Type:
Health
Category:
Pharmacy Service
Issue:
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
12/15/2005
Date Fixed:
01/11/2006

12/15/2005 - Nutrition and Dietary

12/15/2005 - Nutrition and Dietary
Type:
Health
Category:
Nutrition and Dietary
Issue:
Store, cook, and give out food in a safe and clean way.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
12/15/2005
Date Fixed:
01/03/2006

12/15/2005 - Pharmacy Service

12/15/2005 - 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:
12/15/2005
Date Fixed:
01/13/2006

12/15/2005 - Environmental

12/15/2005 - Environmental
Type:
Health
Category:
Environmental
Issue:
Make sure that staff members wash their hands when needed.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
12/15/2005
Date Fixed:
01/10/2006

12/15/2005 - Mistreatment

12/15/2005 - 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:
12/15/2005
Date Fixed:
01/11/2006

12/14/2005 - Smoke Compartmentation and Control

12/14/2005 - Smoke Compartmentation and Control
Type:
Fire Safety
Category:
Smoke Compartmentation and Control
Issue:
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Potential for minimal harm
Date Found:
12/14/2005
Date Fixed:
12/21/2005

12/14/2005 - Exits and Egress

12/14/2005 - Exits and Egress
Type:
Fire Safety
Category:
Exits and Egress
Issue:
exits that are accessible at all times.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Potential for minimal harm
Date Found:
12/14/2005
Date Fixed:
12/18/2005

12/14/2005 - Emergency Plans and Fire Drills

12/14/2005 - Emergency Plans and Fire Drills
Type:
Fire Safety
Category:
Emergency Plans and Fire Drills
Issue:
record of quarterly fire drills for each shift under varying conditions.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Potential for minimal harm
Date Found:
12/14/2005
Date Fixed:
12/21/2005

12/14/2005 - Automatic Sprinkler Systems

12/14/2005 - Automatic Sprinkler Systems
Type:
Fire Safety
Category:
Automatic Sprinkler Systems
Issue:
automatic sprinkler systems that have been maintained in working order.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Potential for minimal harm
Date Found:
12/14/2005
Date Fixed:
03/10/2006

12/14/2005 - Electrical

12/14/2005 - Electrical
Type:
Fire Safety
Category:
Electrical
Issue:
weekly inspections and monthly testing of generators.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Potential for minimal harm
Date Found:
12/14/2005
Date Fixed:
12/14/2005

12/14/2005 - Corridor Walls and Doors

12/14/2005 - Corridor Walls and Doors
Type:
Fire Safety
Category:
Corridor Walls and Doors
Issue:
corridor and hallway doors that block smoke.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Potential for minimal harm
Date Found:
12/14/2005
Date Fixed:
12/21/2005

10/22/2004 - Nutrition and Dietary

10/22/2004 - Nutrition and Dietary
Type:
Health
Category:
Nutrition and Dietary
Issue:
Store, cook, and give out food in a safe and clean way.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
10/22/2004
Date Fixed:
11/15/2004

10/22/2004 - Nutrition and Dietary

10/22/2004 - Nutrition and Dietary
Type:
Health
Category:
Nutrition and Dietary
Issue:
Provide food in a way that meets a resident's needs.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Potential for minimal harm
Date Found:
10/22/2004
Date Fixed:
11/15/2004

10/22/2004 - Environmental

10/22/2004 - 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:
10/22/2004
Date Fixed:
11/12/2004

10/22/2004 - Mistreatment

10/22/2004 - Mistreatment
Type:
Health
Category:
Mistreatment
Issue:
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Potential for minimal harm
Date Found:
10/22/2004
Date Fixed:
10/23/2004

10/21/2004 - Electrical

10/21/2004 - Electrical
Type:
Fire Safety
Category:
Electrical
Issue:
properly installed electrical wiring and equipment.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Potential for minimal harm
Date Found:
10/21/2004
Date Fixed:
10/22/2004

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Discussions

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Supplemental

Last Modified

Monday, July 21, 2008 2:46 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 Monument Rehabilitation & Nursing Center or Monument Rehabilitation and Nursing Center. 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.

Nearby Nursing Homes

  1. Nursing Home
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  2. Nursing Home
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  3. Nursing Home
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  4. Nursing Home
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    Located 18.05 miles away in Schulenburg at 111 College Street.
  5. Nursing Home
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    Located 18.43 miles away in Schulenburg at 507 West Avenue.
Note: There are a total of 10 homes within 25 miles of this provider.

Newest Reviews

La Grange at a Glance

La Grange has a total population of 4,478, of which 1,131 are children under the age of 18 and 936 are seniors 65 and older. The median age is 38.0.

Total Population:
4,478
Median Age:
38.0
Males:
2,103 (47.0%)
Female:
2,375 (53.0%)
Children (0-17):
1,131 (25.3%)
Adults (18-64):
2,411 (53.8%)
Seniors (65+):
936 (20.9%)
Age Breakdown:
Breakdown of age groups in La Grange
Married:
1,987 (44.4%)
Divorced:
311 (6.9%)
Marriage Breakdown:
Breakdown of marriage in La Grange
Hispanic Ethnicity:
932 (20.81%)
White:
3,326 (74.27%)
African American:
464 (10.36%)
Asian:
31 (0.69%)
Pacific Islander:
1 (0.02%)
Indian:
24 (0.54%)
Other:
546 (12.19%)
Two or More:
86 (1.92%)
Racial Breakdown:
Breakdown of race in La Grange

Health

The average number of disabilities per resident is 0.41, which does not include institutionalized individuals.

Disabilities:
0.41 (Per Capita)
Dialysis Centers:
0
Doctors:
103
Home Agencies:
0
Hospitals:
1
Nursing Homes:
2
Medical Suppliers:
5
Rehab Centers:
0

Wealth

The median family income is $39,718 while the median household income is $31,392. Roughly 13.02% of the population live in poverty.

Family Income:
$39,718
Household Income:
$31,392
In Poverty:
13.02%

Nearby Doctors

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

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