Standing Stone Care and Rehabilitation Center

Nursing Home, Hospice Care, Memory Care, Palliative Care & Skilled Nursing · Monterey, TN

CMS overall rating

410 West Crawford Avenue, Monterey, TN 38574-1122 View map

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Standing Stone Care and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Standing Stone Care and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Standing Stone Care and Rehabilitation Center

Standing Stone Care and Rehabilitation Center is a 115-bed SNF operated by LP Monterey LLC in Monterey, Tennessee. Situated on West Crawford Avenue, it sits in a moderately walkable neighborhood where some daily errands are easily reachable. Serving the community for 48 years, the facility maintains a 71 percent occupancy rate, reflecting steady services demand. It takes Medicare, Medicaid, and private pay, giving families numerous ways to cover short-term acute care and those rare cases needing longer-term placement.

The clinical focus centers on short-term rehabilitation, making it a grounded choice for patients convalescing from surgery, injury, or acute hospitalization who need intensive therapy and nursing support before returning home. Clinical services and care navigation programs help residents map their recovery and ensure coordinated treatment. The facility employs 24-hour staffing across its nursing team, with nursing care averaging roughly 2 hours 56 minutes per resident day. This consistent presence supports medical monitoring and attentive assistance with daily living. The average stay length runs about 69 days, indicating the typical trajectory for short-term rehabilitation residents progressing toward discharge. Occupants can access rehabilitation services on-site alongside basic medical oversight. Daily life includes amenities and programming tailored to a rehab environment. Residents benefit from satellite television, concierge services to help navigate appointments and arrangements, an on-site chapel for spiritual needs, and community involvement opportunities. The center organizes elder vacations and provides transportation to community events, helping residents stay socially connected during their stay. Standing Stone Care and Rehabilitation Center is organized into small neighborhoods, creating a more intimate setting within a larger community.

The facility’s rehabilitation focus, consistent staffing, and array of clinical programs make it well-suited to supporting a measured recovery before returning home, noteworthy for families considering the community for short-term post-acute care.

Facility Direct Line (931) 839-2244

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Tennessee state averages

Total nursing care / resident

2h 56m per day

This facility Tennessee avg (3h 38m per day)

vs Tennessee avg

-19%

5 of 6 metrics below state avg

Standout metric Physical Therapist is +52% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) 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.	35m per day	▼ 6% State avg: 37m per day · National avg: 41m per day
LPN / LVN 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.	51m per day	▼ 22% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide 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 3m per day	▼ 5% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	2h 58m per day	▼ 11% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist 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.	8m per day	▲ 52% State avg: 5m per day · National avg: 4m per day
Weekend RN 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.	15m per day	▼ 37% State avg: 24m per day · National avg: 28m per day

Capacity and availability

69 days

115-bed community

A larger shared setting that may offer more common spaces and organized community services.

48 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 52 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

66%

Lower than the Tennessee average: 71.6%

Occupied beds

76 / 115

Average occupied beds in Tennessee homes 82 beds

Facility TypeNursing Home

IssuanceJuly 1, 1992

ExpirationFebruary 6, 2027

License Number00000207

CMS Certification Number445363

Standing Stone Care and Rehabilitation Center is administered by Kathryn Shaffer.

Owner NameLP Monterey LLC

Staffing

Key information about the people who lead and staff this community.

ContactMrs. Joyce Hicks, Administrator (per BBB, record updated Jul 2026)

Rehabilitation Services

Short-Term Rehab

24-Hour Staffing

Pets not allowed

Satellite Television

Concierge Services

Onsite Chapel

Elder Vacations

Transportation To Community Events

Community Involvement

Small Neighborhoods

Activities

Religious Services

Touring HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM

Inspections since 2018

Total health inspections 4

State average 3.5

Last Health inspection on Mar 2025

Total health citations

State average 15.4

Citations per inspection

3.25

State average 4.39

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

11 of 13 citations resulted from standard inspections; and 2 of 13 resulted from complaint investigations.

Breakdown of citation severity (last 8 years)

Critical health citations

100% better than State average

State average: 1.1

Serious health citations

100% better than State average

State average: 0.6

0 critical citations State average: 1.1

0 serious citations State average: 0.6

13 moderate citations State average: 13.7

0 minor citations State average: 0.1

Citations history (last 8 years)

Quality of Care moderate citation Mar 04, 2025

Corrected

Care Planning moderate citation Mar 04, 2025

Corrected

Care Planning moderate citation Mar 04, 2025

Corrected

Abuse/Neglect moderate citation Jan 15, 2025

Corrected

Total staff 121

Employees 117

Contractors 4

Staff to resident ratio 1.55 : 1

11% fewer staff per resident than Tennessee average

Avg staff/day 37

Average shift 8.8 hours

6% better than Tennessee average

Total staff hours (quarter) 30,012

Nursing staff breakdown

8.4 hours

8.8 hours

9.9 hours

Contractor staffing

160 contractor hours this quarter

Occupational Therapy Assistant: 2 Speech Language Pathologist: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	41	0	41	14,421	92	100%	9.9
Licensed Practical Nurse	21	0	21	5,577	92	100%	8.8
Registered Nurse	9	0	9	1,903	89	97%	8.4
Clinical Nurse Specialist	8	0	8	1,684	75	82%	8.1
Other Dietary Services Staff	9	0	9	1,289	92	100%	7.5
Respiratory Therapy Technician	4	0	4	893	68	74%	7.3
Speech Language Pathologist	6	1	7	717	75	82%	6.5
Mental Health Service Worker	1	0	1	586	66	72%	8.9
Physical Therapy Aide	5	0	5	555	70	76%	6.7
Dietitian	1	0	1	516	66	72%	7.8
Nurse Practitioner	2	0	2	481	62	67%	7.8
Administrator	1	0	1	448	56	61%	8
Physical Therapy Assistant	2	0	2	423	61	66%	6.9
RN Director of Nursing	3	0	3	345	35	38%	8.4
Qualified Social Worker	4	0	4	75	26	28%	2.9
Occupational Therapy Assistant	0	2	2	65	16	17%	4.1
Medical Director	0	1	1	36	23	25%	1.6

41 Certified Nursing Assistant

% of Days 100%

21 Licensed Practical Nurse

% of Days 100%

9 Registered Nurse

% of Days 97%

8 Clinical Nurse Specialist

% of Days 82%

9 Other Dietary Services Staff

% of Days 100%

4 Respiratory Therapy Technician

% of Days 74%

7 Speech Language Pathologist

% of Days 82%

1 Mental Health Service Worker

% of Days 72%

5 Physical Therapy Aide

% of Days 76%

1 Dietitian

% of Days 72%

2 Nurse Practitioner

% of Days 67%

1 Administrator

% of Days 61%

2 Physical Therapy Assistant

% of Days 66%

3 RN Director of Nursing

% of Days 38%

4 Qualified Social Worker

% of Days 28%

2 Occupational Therapy Assistant

% of Days 17%

1 Medical Director

% of Days 25%

View All Staffing Data

No penalties in the past 3 years

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

High-risk clinical events score 5.2

50% better than Tennessee average

Tennessee average: 10.5

Functional decline score 11.1

43% better than Tennessee average

Tennessee average: 19.5

Long-stay resident measures

Average Tennessee avg: 3.7

Need for Help with Daily Activities Increased 7.2%

55% better than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened 7.0%

68% better than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence 19.0%

8% better than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury 8.2%

123% worse than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers 1.8%

68% better than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection 1.1%

48% better than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight 2.0%

69% better than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms 22.7%

106% worse than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use 30.5%

85% worse than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine 91.8%

In line with Tennessee average

Tennessee average: 89.9%

Influenza Vaccine 84.0%

11% worse than Tennessee average

Tennessee average: 94.5%

Hospitalizations per 1,000 days 3.47

120% worse than Tennessee average

Tennessee average: 1.58

ED visits per 1,000 days 3.15

101% worse than Tennessee average

Tennessee average: 1.57

Short-stay resident measures

Below average Tennessee avg: 3.4

Pneumococcal Vaccine 84.0%

5% better than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase 3.2%

89% worse than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine 78.7%

In line with Tennessee average

Tennessee average: 79.8%

Re-hospitalized after SNF stay 22.3%

In line with Tennessee average

Tennessee average: 22.2%

Emergency department visits 23.4%

109% worse than Tennessee average

Tennessee average: 11.2%

Falls with major injury 0.0%

100% better than Tennessee average

Tennessee average: 0.8%

Ability to care for self at discharge 54.6%

In line with Tennessee average

Tennessee average: 53.7%

Successful return to home or community 46.0%

9% worse than Tennessee average

Tennessee average: 50.6%

Breakdown by payment type

Medicare

31% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

54% of new residents, often for short stays.

Typical stay 27 days

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Total residents 78

Medicare

19.2% of residents

Medicaid

64.1% of residents

Private pay or other

16.7% of residents

Programs & Services

Residents Group

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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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

Financial Trends

Historical financial and operational data for Standing Stone Care and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 70.8% ↑ 6.4pp vs 2022

Net Patient Income -$463.3K ↑ ~$407.6K vs 2022

Payroll Costs $3.9M ↑ ~$754.9K vs 2022

Operating Margin -5.1% ↑ 6.3pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	80.3%	79.3%	80.7%	82.2%	79.1%	74.6%	69.5%	65.2%	63.6%	58.6%	62.4%	64.5%	70.8%
Beds	115	115	115	115	115	115	115	115	115	115	115	115	115
Net Income	$370,287	$498,698	$1,154,394	$1,090,595	$403,012	$375,741	-$95,491	$17,740	-$160,138	$210,951	-$358,922	-$601,247	$39,615
Gross Revenue	$8,701,310	$10,674,036	$13,095,583	$13,681,767	$11,887,994	$10,489,760	$9,678,844	$8,736,779	$8,619,537	$8,258,212	$8,452,495	$9,024,225	$10,527,011
Operating Expenses	$7,615,048	$8,545,074	$7,845,958	$8,388,517	$8,387,754	$7,698,248	$7,588,668	$7,077,618	$7,007,350	$7,431,847	$7,893,180	$8,494,843	$9,504,639
Net Patient Income	$351,963	$498,447	$1,153,561	$1,089,533	$402,216	$373,030	-$96,337	-$365,904	-$160,562	-$337,078	-$875,505	-$870,929	-$463,338
Net Patient Revenue	$7,967,011	$9,043,521	$8,999,519	$9,478,050	$8,789,970	$8,071,278	$7,492,331	$6,711,714	$6,846,788	$7,094,769	$7,017,675	$7,623,914	$9,041,301
Payroll Costs	$3,958,037	$4,540,859	$4,747,434	$3,786,193	$3,816,576	$3,497,246	$3,295,132	$3,103,761	$2,615,796	$2,629,709	$2,921,023	$3,180,174	$3,935,104
Operating Margin %	4.4%	5.5%	12.8%	11.5%	4.6%	4.6%	-1.3%	-5.5%	-2.4%	-4.8%	-12.5%	-11.4%	-5.1%
Medicare %	19.2%	22.4%	21.0%	23.8%	15.6%	14.3%	14.7%	13.4%	14.6%	22.3%	12.1%	12.1%	10.3%
Medicaid %	75.8%	70.7%	68.5%	63.8%	70.7%	72.5%	72.1%	75.1%	71.5%	61.4%	67.1%	64.4%	67.7%
Private %	5.1%	6.9%	10.5%	12.4%	13.7%	13.2%	13.2%	11.5%	13.9%	16.3%	20.8%	23.4%	22.0%
Net Patient Revenue/Day	$236	$271	$266	$275	$265	$257	$257	$245	$256	$288	$268	$282	$304
Cost/Day	$226	$256	$232	$243	$253	$245	$260	$259	$262	$301	$302	$314	$320
Avg Length of Stay	205.4 days	163.6 days	168.5 days	148.8 days	143.8 days	121.7 days	114.4 days	106.8 days	81.9 days	64.2 days	70.4 days	60.7 days	68.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$9.0M

Net patient income

-$463.3K

For-profit Corporation

Net patient revenue

$9.0M

Net patient income

-$463.3K

Other income

$503.0K

Payroll costs

$3.9M 43.5% of net patient revenue

Other operating costs

$5.6M

Total costs

$9.5M

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 (54% of admissions), and a typical private pay stay runs around 27 days.

Coverage residents most often arrive under.

Medicare 31%

Private pay 54%

Medicaid 15%

Coverage residents most often leave under.

Medicare 21%

Private pay 52%

Medicaid 27%

0.0 miles from city center Estimated distance in miles from Monterey's city center to Standing Stone Care and Rehabilitation Center's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


NHC Place Cool Springs	NH AL HOS MC SNF	Franklin (Cool Springs)	108 Facility 108 TN AVG 88 Rank #123 / 425	67.6% Facility 67.6% TN AVG 71.5 Rank #170 / 272	-5%	4.86 Facility 4.86 TN AVG 3.63 Rank #12 / 177	+30%	+34%	$0 Facility $0 TN AVG $90.9k Rank #1 / 182	8 Facility 8 TN AVG 15.4 Rank #41 / 181	2.7 Facility 2.7 TN AVG 4.4 Rank #36 / 181	2	73	-	34 Facility 34 TN AVG 34 Rank #279 / 551	Anthony Moore	$15.2MFiscal year ending 12/2023 Facility $15.2MFiscal year ending 12/2023 TN AVG $11.5M Rank #49 / 181	$9.4MFiscal year ending 12/2023 Facility $9.4MFiscal year ending 12/2023 TN AVG $4.6M Rank #18 / 181	61.9%Fiscal year ending 12/2023 Facility 61.9%Fiscal year ending 12/2023 TN AVG 41% Rank #15 / 181	445475
NHC HealthCare Johnson City	NH HC HOS SNF	Johnson City	10 Facility 10 TN AVG 88 Rank #425 / 425	100.0% Facility 100.0% TN AVG 71.5 Rank #1 / 272	+40%	3.27 Facility 3.27 TN AVG 3.63 Rank #106 / 177	-8%	-10%	$0 Facility $0 TN AVG $90.9k Rank #1 / 182	3 Facility 3 TN AVG 15.4 Rank #10 / 181	1.5 Facility 1.5 TN AVG 4.4 Rank #5 / 181	-	10	-	2 Facility 2 TN AVG 34 Rank #505 / 551	Howard Nason Jr.	$19.1MFiscal year ending 12/2023 Facility $19.1MFiscal year ending 12/2023 TN AVG $11.5M Rank #21 / 181	$10.6MFiscal year ending 12/2023 Facility $10.6MFiscal year ending 12/2023 TN AVG $4.6M Rank #21 / 181	55.7%Fiscal year ending 12/2023 Facility 55.7%Fiscal year ending 12/2023 TN AVG 41% Rank #72 / 181	445024
Harbert Hills Academy Nursing Home	NH SNF	Savannah	24 Facility 24 TN AVG 88 Rank #415 / 425	66.7% Facility 66.7% TN AVG 71.5 Rank #172 / 272	-7%	5.39 Facility 5.39 TN AVG 3.63 Rank #7 / 177	-55%	+49%	$0 Facility $0 TN AVG $90.9k Rank #1 / 182	17 Facility 17 TN AVG 15.4 Rank #110 / 181	5.7 Facility 5.7 TN AVG 4.4 Rank #142 / 181	-	16	-	60 Facility 60 TN AVG 34 Rank #67 / 551	Alton Cantarutti	-	-	-	445527
Abundant Christian Living Community Assisted Living Center	NH AL IL MC SNF	Johnson City	24 Facility 24 TN AVG 88 Rank #415 / 425	75.0% Facility 75.0% TN AVG 71.5 Rank #139 / 272	+5%	2.35 Facility 2.35 TN AVG 3.63 Rank #177 / 177	-23%	-35%	$0 Facility $0 TN AVG $90.9k Rank #1 / 182	6 Facility 6 TN AVG 15.4 Rank #25 / 181	2.0 Facility 2.0 TN AVG 4.4 Rank #12 / 181	-	18	-	2 Facility 2 TN AVG 34 Rank #505 / 551	Tyler Colbaugh	$10.8MFiscal year ending 12/2023 Facility $10.8MFiscal year ending 12/2023 TN AVG $11.5M Rank #65 / 181	$5.2MFiscal year ending 12/2023 Facility $5.2MFiscal year ending 12/2023 TN AVG $4.6M Rank #65 / 181	48.3%Fiscal year ending 12/2023 Facility 48.3%Fiscal year ending 12/2023 TN AVG 41% Rank #99 / 181	445483
Standing Stone Care and Rehabilitation Center	NH HOS MC PC SNF	Monterey (Middle Tennessee)	115 Facility 115 TN AVG 88 Rank #108 / 425	66.4% Facility 66.4% TN AVG 71.5 Rank #174 / 272	-7%	2.94 Facility 2.94 TN AVG 3.63 Rank #157 / 177	-16%	-19%	$0 Facility $0 TN AVG $90.9k Rank #1 / 182	13 Facility 13 TN AVG 15.4 Rank #79 / 181	3.3 Facility 3.3 TN AVG 4.4 Rank #57 / 181	-	76	A+	52 Facility 52 TN AVG 34 Rank #114 / 551	-	$9.0MFiscal year ending 12/2023 Facility $9.0MFiscal year ending 12/2023 TN AVG $11.5M Rank #116 / 181	$3.9MFiscal year ending 12/2023 Facility $3.9MFiscal year ending 12/2023 TN AVG $4.6M Rank #134 / 181	43.5%Fiscal year ending 12/2023 Facility 43.5%Fiscal year ending 12/2023 TN AVG 41% Rank #144 / 181	445363

Nursing Home Explorer

What neighborhood is Standing Stone Care and Rehabilitation Center in?

Standing Stone Care and Rehabilitation Center is in the Middle Tennessee neighborhood of Monterey.

Who is the owner of Standing Stone Care and Rehabilitation Center?

Standing Stone Care and Rehabilitation Center is legally operated by LP Monterey LLC, and administered by Kathryn Shaffer.

Is Standing Stone Care and Rehabilitation Center in a walkable area?

Standing Stone Care and Rehabilitation Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Standing Stone Care and Rehabilitation Center?

According to TN state health department records, Standing Stone Care and Rehabilitation Center's license number is 00000207.

When does Standing Stone Care and Rehabilitation Center's license expire?

According to TN state health department records, Standing Stone Care and Rehabilitation Center's license expires on February 6, 2027.

What is the occupancy rate at Standing Stone Care and Rehabilitation Center?

Standing Stone Care and Rehabilitation Center's occupancy is 66%.

How long has Standing Stone Care and Rehabilitation Center been in business?

Standing Stone Care and Rehabilitation Center has been operating for approximately 48 years, based on available licensing and registration records.

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Standing Stone Care and Rehabilitation Center

Overview of Standing Stone Care and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Standing Stone Care and Rehabilitation Center

Health Inspection History

Inspections since 2018

Breakdown of citation severity (last 8 years)

Citations history (last 8 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

41 Certified Nursing Assistant

21 Licensed Practical Nurse

9 Registered Nurse

8 Clinical Nurse Specialist

9 Other Dietary Services Staff

4 Respiratory Therapy Technician

7 Speech Language Pathologist

1 Mental Health Service Worker

5 Physical Therapy Aide

1 Dietitian

2 Nurse Practitioner

1 Administrator

2 Physical Therapy Assistant

3 RN Director of Nursing

4 Qualified Social Worker

2 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Standing Stone Care and Rehabilitation Center

Calculate Travel Distance to Standing Stone Care and Rehabilitation Center

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