Legal Name

MEADOWBROOK MANOR, LLC

DBA

MEADOWBROOK MANOR, LLC

License Type

Residential Care Facility

License Number

1880

Expiration Date

09/30/2021

Granted Date

10/01/2009

License Status

INACTIVE

Citation Class A (1)

None

Citation Class B (1)

None

Admin

1

Registered Nurse

0

Licensed Practical Nurse

0

Nursing Assistant

2

Recreation

0

Social Services

0

Food Service Supervisor

Physical Therapy

0

Occupational Therapy

0

Speech Therapy

0

Dietary

1

Other Staff

2.00

Languages Spoken by Staff

Programs Available

Recreation

Religious Services Available

All Denominations

Religious Affiliation

Private Room Rate A

100

# of Private Room Rate A

5

Private Room Rate B

0

# of Private Room Rate B

0

Semi-Private Room Rate A

95

# of Semi-Private Room Rate A

10

Private Semi-Room Rate B

0

# of Semi-Private Room Rate B

0

Credential

RCH.0001880

Type

Inspection Report

Document Date

07-19-2023

Document Link

Inspection Report-Meadowbrook Manor - 2018 Ins. Report - RCH - 1880 - Non Permanent - 2016-2021.pdf