Legal Name

FERNWOOD MANOR, INC

DBA

FERNWOOD MANOR, INC.

License Type

Residential Care Facility

License Number

1649RCH

Expiration Date

03/31/2027

Granted Date

04/01/2009

License Status

CLOSED

Citation Class A (1)

None

Citation Class B (1)

None

Admin

1

Registered Nurse

0.

Licensed Practical Nurse

0.

Nursing Assistant

4.00

Recreation

0.5

Social Services

0.

Food Service Supervisor

2.00

Physical Therapy

0.

Occupational Therapy

0.

Speech Therapy

0.

Dietary

0.

Other Staff

0.5

Languages Spoken by Staff

Programs Available

Recreation, Respite Care

Religious Services Available

Religious Affiliation

Private Room Rate A

95.00

# of Private Room Rate A

1

Private Room Rate B

# of Private Room Rate B

Semi-Private Room Rate A

95

# of Semi-Private Room Rate A

1

Private Semi-Room Rate B

0

# of Semi-Private Room Rate B

Credential

RCH.1649RCH

Type

Inspection Report

Document Date

11-21-2022

Document Link

Inspection Report-Fernwood Manor Inc - Inspection Report - EID - 10-27-2022.pdf

Credential

RCH.1649RCH

Type

Plan of Correction

Document Date

11-21-2022

Document Link

Plan of Correction-Fernwood Manor Inc - State Violations Letter & POC - EID - 10-27-2022.pdf