Serenity Spring Senior Living at Scandia Village
Nursing Home, Assisted Living, Hospice Care, Independent Living, Memory Care, Palliative Care & Skilled Nursing · Sister Bay, WI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Serenity Spring Senior Living at Scandia Village

Nursing Home, Assisted Living, Hospice Care, Independent Living, Memory Care, Palliative Care & Skilled Nursing · Sister Bay, WI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Serenity Spring Senior Living at Scandia Village accepts Medicare, Medicaid, and private pay.

Overview of Serenity Spring Senior Living at Scandia Village

Serenity Spring Senior Living at Scandia Village is a 50-bed skilled nursing facility at 10560 Applewood Road in Sister Bay, Door County, Wisconsin. Part of the Scandia Village Continuing Care Retirement Community campus, the facility is administered by Katherine Casey and operated by Sister Bay SNF Opco LLC as a for-profit limited liability company. It accepts Medicare, Medicaid, and private pay, with 70 percent of the current residents funded privately.

CMS rates Serenity Spring Senior Living at Scandia Village 2 stars overall, reflecting a health inspection score 27.8 percent below Wisconsin average despite staffing running 10.5 percent above average. Staffing’s headline figure, 4 hours 55 minutes of total adjusted nursing per resident per day, ranks 41st of 172 Wisconsin SNFs and exceeds the state average by 16 percent. Physical therapist hours at 8 minutes per day are double the Wisconsin average. However, the Q4 2025 payroll data reveals a major operational concern: 58.1 percent of all staff hours are delivered by contractors, including 18 contract CNAs alongside just 13 employed CNAs, 6 contract LPNs against 3 employed, and 3 contract RNs against 4 employed. This level of contractor dependency, the highest in this review batch, raises meaningful questions about care continuity and institutional knowledge. Weekend RN coverage at 21 minutes per day is 48 percent below the 40-minute Wisconsin average. The inspection record since 2022 shows 42 total citations, ranked 129th of 174 Wisconsin SNFs, at 6.0 per inspection against a state average of 4.19. Eleven of 42 citations arose from complaint investigations. The leading deficiency categories are Quality of Life and Care (10 deficiencies, 24 percent) and Resident Rights (8 deficiencies, 19 percent), with Abuse, Neglect, and Exploitation accounting for 4 deficiencies. 1 serious citation is on record. No critical citations have been issued, and no penalties have been imposed in the past three years. Quality measure outcomes present a striking split. For long-stay residents, hospitalizations at 0.58 per 1,000 resident days are 64 percent below Wisconsin average, an exceptional result, while ED visits at 4.07 per 1,000 days are 86 percent above average, indicating that medical situations avoiding inpatient hospitalization are frequently resolved via emergency department visits instead. Pressure ulcer rates and antipsychotic use are also above average for long-stay residents. Short-stay re-hospitalization at 15.4 percent is 32 percent better than the Wisconsin average, and falls with major injury are zero for short-stay residents. Financially, the facility recorded a net loss of $2.5 million in 2024 on a total payroll of $5.1 million, with occupancy declining by 11 percent from 2022. The financial trajectory warrants close attention by prospective families as an indicator of operational stability.

The community provides rehabilitation services with a doctor on staff and 24-hour staffing across its skilled nursing, assisted living, memory care, and independent living continuum.

In the scenic Door County peninsula, Serenity Spring Senior Living at Scandia Village fits families seeking a continuum-of-care campus setting in rural Wisconsin. The 2-star CMS rating, high contractor dependency, above-average citations, and ongoing financial losses are crucial considerations families should address with facility leadership before proceeding.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 33.4% Below WI avg. ▼ 33.4% Below WI avg.WI average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 28.5% Below WI avg. ▼ 28.5% Below WI avg.WI average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 10.5% Above WI avg. ▲ 10.5% Above WI avg.WI average: 3.6Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 3.6% Below WI avg. ▼ 3.6% Below WI avg.WI average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Wisconsin averages

Rank #43 / 168Nurse hours — State benchmarkedThis home is ranked 43rd out of 168 homes in Wisconsin for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Wisconsin average, with a ranking across 168 Wisconsin facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 43rd out of 168 homes in Wisconsin for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 55m

15% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
44m
−24% State avg: 58m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
38m
Avg State avg: 38m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 11m
−15% State avg: 2h 35m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 4m
−18% State avg: 3h 43m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
6m
+60% State avg: 4m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
21m
−47% State avg: 40m per day · National avg: 28m per day

4 of 6 metrics below state avg

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
199 days
Bed community size
50-bed community Rank #234 / 494Bed count — State benchmarkedThis home is ranked 234th out of 494 homes in Wisconsin for bed count. Shows this facility's certified or reported bed count compared to other Wisconsin facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 44 / 100 Rank #276 / 556Walk Score — State benchmarkedThis home is ranked 276th out of 556 homes in Wisconsin for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Wisconsin facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
92%
Rank #70 / 406Occupancy rate — State benchmarkedThis home is ranked 70th out of 406 homes in Wisconsin for occupancy. Shows this facility's occupancy rate versus the Wisconsin average, with its Statewide rank out of 406. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Wisconsin average: 70%
Occupied beds
46 / 50
Average occupied beds in Wisconsin homes 54 beds

License Details

Facility TypeSkilled Care
CountyDoor
CMS Certification Number525494
Certification TypeTitle 18 SNF Title 19 NF

Ownership & Operating Entity

Serenity Spring Senior Living at Scandia Village is administered by Katherine Casey.

Owner NameSister Bay Snf Opco LLC
Profit StatusFor-profit

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Contact Information

Fax(920) 854-9529

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsLong-Term Care & Post-Acute Rehab

Contact Serenity Spring Senior Living at Scandia Village

CMS Health Inspection History

Inspections Since 2022 · 4 years of data
Total health inspections 7

State average 6


Last Health inspection on May 2025

Total health citations
42 Rank #124 / 169Health citations — State benchmarkedThis home is ranked 124th out of 169 homes in Wisconsin for health citations. Shows this facility's total health deficiency citations benchmarked to the Wisconsin State average, with a ranking across all 169 WI facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 27.3

Citations per inspection
6 Rank #137 / 169Citations per inspection — State benchmarkedThis home is ranked 137th out of 169 homes in Wisconsin for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Wisconsin mean across 169 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.19


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

31 of 42 citations resulted from standard inspections; and 11 of 42 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than State average

State average: 0.9


Serious health citations
1
17% better than State average

State average: 1.2

0 critical citations State average: 0.9

1 serious citation State average: 1.2

40 moderate citations State average: 24.7

1 minor citation State average: 0.6
Citations history (last 4 years)
Abuse/Neglect moderate citation May 07, 2025
Corrected

Abuse/Neglect moderate citation May 07, 2025
Corrected

Nutrition moderate citation May 07, 2025
Corrected

Pharmacy moderate citation May 07, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 62
Employees 31
Contractors 31
Staff to resident ratio 1.55 : 1
38% fewer staff per resident than Wisconsin average
Wisconsin average ratio: 2.48 : 1 Wisconsin average ratio: 2.48 : 1See full Wisconsin ranking
Avg staff/day 22
Average shift 8.8 hours
21% better than Wisconsin average
Wisconsin average: 7.3 hours Wisconsin average shift: 7.3 hoursSee full Wisconsin ranking
Total staff hours (quarter) 17,839

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 7 total: 4 full-time employees and 3 contractors. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 9 total: 3 full-time employees and 6 contractors. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 31 total: 13 full-time employees and 18 contractors. 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

58.1%

10,371 contractor hours this quarter

Certified Nursing Assistant: 18 Licensed Practical Nurse: 6 Registered Nurse: 3 Physical Therapy Assistant: 1 Respiratory Therapy Technician: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant1318319,28292100%9.3
Licensed Practical Nurse3692,67092100%9.4
Registered Nurse4371,5919199%10.3
Clinical Nurse Specialist4041,0816368%8
Other Dietary Services Staff2024997885%6.2
Administrator1014806065%8
Respiratory Therapy Technician0114526166%7.4
Mental Health Service Worker1014415560%8
Physical Therapy Assistant0114326065%7.2
Nurse Practitioner1014245358%8
Dietitian1013534448%8
Occupational Therapy Aide101971314%7.4
Occupational Therapy Assistant0113389%4.1
Medical Director011633%1.8
31 Certified Nursing Assistant
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
7 Registered Nurse
% of Days 99%
4 Clinical Nurse Specialist
% of Days 68%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.0
15% worse than Wisconsin average

Wisconsin average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 23.8
8% worse than Wisconsin average

Wisconsin average: 22.1

Long-stay resident measures
Below average Wisconsin avg: 3.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 20.6%
17% worse than Wisconsin average

Wisconsin average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 20.0%
12% better than Wisconsin average

Wisconsin average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 30.9%
19% worse than Wisconsin average

Wisconsin average: 26.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.5%
41% worse than Wisconsin average

Wisconsin average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.0%
65% worse than Wisconsin average

Wisconsin average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
71% better than Wisconsin average

Wisconsin average: 3.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.0%
23% worse than Wisconsin average

Wisconsin average: 4.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Wisconsin average

Wisconsin average: 5.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.9%
43% worse than Wisconsin average

Wisconsin average: 16.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
In line with Wisconsin average

Wisconsin average: 95.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.9%
In line with Wisconsin average

Wisconsin average: 95.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.58
64% better than Wisconsin average

Wisconsin average: 1.61

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 4.07
86% worse than Wisconsin average

Wisconsin average: 2.19

Short-stay resident measures
Average Wisconsin avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.1%
8% better than Wisconsin average

Wisconsin average: 87.3%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.4%
9% worse than Wisconsin average

Wisconsin average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 66.7%
19% worse than Wisconsin average

Wisconsin average: 82.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 15.4%
32% better than Wisconsin average

Wisconsin average: 22.7%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 15.5%
In line with Wisconsin average

Wisconsin average: 15.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Wisconsin average

Wisconsin average: 0.8%

Breakdown by payment type

Medicare

38% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

50% of new residents, often for short stays.

Typical stay 3 years

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 40
Medicare
3
7.5% of residents
Medicaid
9
22.5% of residents
Private pay or other
28
70% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 01/2022. This is an older period than most facilities report, so compare with that in mind.

For-profit
Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.9M
For-profit Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.9M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
$3.5M 52.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.7M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 3 years.

Admissions
56 total

Coverage residents most often arrive under.

Medicare 38%
Private pay 50%
Medicaid 13%
Discharges
87 total

Coverage residents most often leave under.

Medicare 25%
Private pay 56%
Medicaid 20%

Places of interest near Serenity Spring Senior Living at Scandia Village

Address 0.0 miles from city center Info Estimated distance in miles from Sister Bay's city center to Serenity Spring Senior Living at Scandia Village's address, calculated via Google Maps.

Calculate Travel Distance to Serenity Spring Senior Living at Scandia Village

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Address

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-

Frequently Asked Questions about Serenity Spring Senior Living at Scandia Village

Who is the owner of Serenity Spring Senior Living at Scandia Village?

Serenity Spring Senior Living at Scandia Village is legally operated by Sister Bay Snf Opco LLC, and administered by Katherine Casey.

Is Serenity Spring Senior Living at Scandia Village in a walkable area?

Serenity Spring Senior Living at Scandia Village has a walk score of 44. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Serenity Spring Senior Living at Scandia Village?

Serenity Spring Senior Living at Scandia Village's occupancy is 92%.

Are pets allowed at Serenity Spring Senior Living at Scandia Village?

No, Serenity Spring Senior Living at Scandia Village has a no-pet policy.

Does Serenity Spring Senior Living at Scandia Village operate as a for-profit or non-profit?

Serenity Spring Senior Living at Scandia Village is registered as a for-profit in WI.

Who is the administrator of Serenity Spring Senior Living at Scandia Village?

Katherine Casey is the administrator of Serenity Spring Senior Living at Scandia Village.

How many beds does Serenity Spring Senior Living at Scandia Village have?

Serenity Spring Senior Living at Scandia Village has 50 beds.

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