Legal Name

FOUR CORNERS REST HOME, INC

DBA

FOUR CORNERS REST HOME, INC

License Type

Residential Care Facility

License Number

1635RCH

Expiration Date

12/31/2028

Granted Date

01/01/2008

License Status

ACTIVE

Citation Class A (1)

None

Citation Class B (1)

None

Admin

1

Registered Nurse

0

Licensed Practical Nurse

0

Nursing Assistant

0

Recreation

.25

Social Services

0

Food Service Supervisor

0

Physical Therapy

0

Occupational Therapy

0

Speech Therapy

0

Dietary

5.65

Other Staff

1

Languages Spoken by Staff

Italian, Spanish

Programs Available

Home Care, Recreation

Religious Services Available

All Denominations

Religious Affiliation

Private Room Rate A

3025

# of Private Room Rate A

2

Private Room Rate B

# of Private Room Rate B

0

Semi-Private Room Rate A

2357.60

# of Semi-Private Room Rate A

16

Private Semi-Room Rate B

# of Semi-Private Room Rate B

0

Credential

RCH.1635RCH

Type

Inspection Report

Document Date

03-20-2023

Document Link

Inspection Report-Four Corners Rest Home Inc - Inspection Report - EID - 11-30-2022.pdf

Credential

RCH.1635RCH

Type

Plan of Correction

Document Date

03-20-2023

Document Link

Plan of Correction-Four Corners Rest Home Inc - State Violations Letter & POC - EID - 11-30-2022.pdf