Total staff
285
Employees
144
Contractors
141
Primarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
The Grove at the Lake Living & Rehabilitation Center
Nursing Home · Illinois, IL
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Grove at the Lake Living & Rehabilitation Center
Nursing Home · Illinois, IL
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Grove at the Lake Living & Rehabilitation Center accepts Medicare, Medicaid, and private pay.
Overview of The Grove at the Lake Living & Rehabilitation Center
With a focus on the latest advances in clinical care, subacute nursing, and comprehensive therapies, residents in The Grove at the Lake can live their golden years without any worries. The facility offers an array of services to elevate the lives of seniors, including an on-site psychiatrist, full-time nurse practitioner, in-house hemodialysis, and specialized care for those with Alzheimer’s and respiratory issues. Palliative, hospice, and respite care are also available for those who need it.
But it’s not just about the services – The Grove at the Lake has crafted a space that’s comfortable and exquisite, with stylish decor and cozy social spaces where residents can connect and their families. And when it comes to cuisine, they take it seriously. With an in-house chef and certified dietitian, they ensure that every meal is not only delicious but also nutritious. Salon services are also available on-site to help residents feel their best. There’s so much more that The Grove at the Lake has to offer, but it’s something that residents need to experience for themselves.
Quality ratings
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.
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.
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.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 141st out of 167 homes in Illinois. 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.
This home is ranked 141st out of 167 homes in Illinois. 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.
2h 20m per day
Rank #141 / 167Nurse hours — State benchmarkedThis home is ranked 141st out of 167 homes in Illinois. Shows adjusted nurse hours per resident per day benchmarked to the Illinois average, with a ranking across 167 Illinois SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Illinois avg
-25%
Standout metric
LPN / LVN is +32% 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.
| 34m per day | ▼ 23% State avg: 44m 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.
| 50m per day | ▲ 32% State avg: 38m 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.
| 1h 54m per day | ▼ 11% State avg: 2h 8m per day · National avg: 2h 21m 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.
| 3h 9m per day | ■ Avg State avg: 3h 5m per day · National avg: 3h 26m 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.
| 34m per day | ■ Avg State avg: 34m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy rate
61.8%
Rank #149 / 199Occupancy rate — State benchmarkedThis home is ranked 149th out of 199 homes in Illinois. Shows this facility's occupancy rate versus the Illinois average, with its Statewide rank out of 199. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
87 days
Walk Score: 77 / 100 Rank #121 / 648Walk Score — State benchmarkedThis home is ranked 121st out of 648 homes in Illinois. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Illinois SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
AccreditationsGold Seal of Approval® Certification for Post-Acute Care and Accreditation for Nursing Care from The Joint Commission
Rehabilitation Services
Short-Term Rehab
24-Hour Staffing
Specific ProgramsOn-Site Dialysis, Short-Term Rehabilitation, Respiratory Care, Cardiac Care
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.93:1
7% better than Illinois average
Avg staff/day
81
Average shift
7.3 hours
0% compared with Illinois average
Total staff hours (quarter)
54,124
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
30
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
184
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8.6%
4,670 contractor hours this quarter
Certified Nursing Assistant: 119
Qualified Activities Professional: 6
Speech Language Pathologist: 4
Respiratory Therapy Technician: 4
Registered Nurse: 3
Physical Therapy Aide: 3
Physical Therapy Assistant: 1
Qualified Social Worker: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 119 | 184 | 25,795 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 30 | 0 | 30 | 9,056 | 92 | 100% | 7.6 |
| Registered Nurse | 18 | 3 | 21 | 6,510 | 92 | 100% | 7.7 |
| Qualified Activities Professional | 11 | 6 | 17 | 2,370 | 92 | 100% | 8.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,891 | 92 | 100% | 7.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,810 | 92 | 100% | 6.1 |
| RN Director of Nursing | 4 | 0 | 4 | 1,680 | 90 | 98% | 5.6 |
| Dental Services Staff | 3 | 0 | 3 | 1,523 | 91 | 99% | 5.6 |
| Physical Therapy Aide | 0 | 3 | 3 | 587 | 71 | 77% | 6.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 500 | 89 | 97% | 5.6 |
| Dietitian | 1 | 0 | 1 | 492 | 87 | 95% | 5.6 |
| Nurse Practitioner | 1 | 0 | 1 | 486 | 87 | 95% | 5.6 |
| Administrator | 1 | 0 | 1 | 422 | 77 | 84% | 5.5 |
| Speech Language Pathologist | 0 | 4 | 4 | 305 | 58 | 63% | 5 |
| Qualified Social Worker | 0 | 1 | 1 | 284 | 38 | 41% | 7.5 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 279 | 60 | 65% | 3.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 137 | 40 | 43% | 3.4 |
184 Certified Nursing Assistant
% of Days
100%
30 Licensed Practical Nurse
% of Days
100%
21 Registered Nurse
% of Days
100%
17 Qualified Activities Professional
% of Days
100%
4 Other Dietary Services Staff
% of Days
100%
5 Clinical Nurse Specialist
% of Days
100%
4 RN Director of Nursing
% of Days
98%
3 Dental Services Staff
% of Days
99%
3 Physical Therapy Aide
% of Days
77%
1 Mental Health Service Worker
% of Days
97%
1 Dietitian
% of Days
95%
1 Nurse Practitioner
% of Days
95%
1 Administrator
% of Days
84%
4 Speech Language Pathologist
% of Days
63%
1 Qualified Social Worker
% of Days
41%
4 Respiratory Therapy Technician
% of Days
65%
1 Physical Therapy Assistant
% of Days
43%
Penalties and fines
Includes penalties issued in 2023-2024
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 (Data as of Jan 2026)
Total fines amount
$59K Rank #109 / 168Federal fines — State benchmarkedThis home is ranked 109th out of 168 homes in Illinois. Shows this facility's cumulative CMS federal fine dollars versus the Illinois average among facilities with fines, and where it ranks among 168 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
58% lower than Illinois averageIllinois average: $143K
Number of fines
2
33% fewer fines than Illinois averageIllinois average: 3.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
6% fewer payment denials than Illinois averageIllinois average: 1.1
Fines amount comparison
Fines amount comparison
This facility
$59K
Illinois average
$143K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 15, 2024
$30K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 27, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 27, 2023
$29K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 27, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 27, 2023
7 days
Last updated: Jan 2026
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.7
52% better than Illinois averageIllinois average: 9.7
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.7
53% better than Illinois averageIllinois average: 18.6
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
3.1%
Percent of long-stay residents whose need for help with daily activities has increased
3.1%
80% better than Illinois averageIllinois average: 15.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
3.7%
Percent of long-stay residents whose ability to move independently worsened
3.7%
80% better than Illinois averageIllinois average: 18.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.1%
11% better than Illinois averageIllinois average: 21.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
12% better than Illinois averageIllinois average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.4%
Percent of long-stay high risk residents with pressure ulcers
6.4%
22% worse than Illinois averageIllinois average: 5.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.2%
Percent of long-stay residents with a urinary tract infection
0.2%
89% better than Illinois averageIllinois average: 1.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.2%
Percent of long-stay residents who lose too much weight
7.2%
10% worse than Illinois averageIllinois average: 6.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
98.6%
Percent of long-stay residents who have depressive symptoms
98.6%
105% worse than Illinois averageIllinois average: 48.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.4%
Percent of long-stay residents who received an antipsychotic medication
20.4%
In line with Illinois averageIllinois average: 20.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.0%
In line with Illinois averageIllinois average: 89.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.9%
In line with Illinois averageIllinois average: 91.6%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.54
Number of hospitalizations per 1,000 long-stay resident days.
2.54
24% worse than Illinois averageIllinois average: 2.05
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.93
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.93
30% worse than Illinois averageIllinois average: 2.25
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
46.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
46.6%
32% worse than Illinois averageIllinois average: 68.3%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
5% better than Illinois averageIllinois average: 2.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
58.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
58.0%
8% worse than Illinois averageIllinois average: 63.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.0%
20% better than Illinois averageIllinois average: 26.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.0%
7% better than Illinois averageIllinois average: 14.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
65% worse than Illinois averageIllinois average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
53.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.3%
In line with Illinois averageIllinois average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
45.8%
Rate of successful return to home or community from a skilled nursing facility.
45.8%
9% worse than Illinois averageIllinois average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
13% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
71% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
3 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
148
Medicare
3
2% of residents
Medicaid
115
77.7% of residents
Private pay or other
30
20.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for The Grove at the Lake Living & Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
61.8%
↑ 5.4pp vs 2022
Net Income
-$2.6M
↑ ~$634.9K vs 2022
Total Payroll
$10.5M
↑ ~$181.8K vs 2022
Profit Margin
-11.2%
↑ 3.1pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$24.1M
Operating loss
-$2.6M
Privately-owned community
Home revenue
$24.1M Rank #43 / 166Revenue — State benchmarkedThis home is ranked 43rd out of 166 homes in Illinois. Shows this facility's annual revenue compared to the Illinois SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$2.6M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #41 / 166Payroll — State benchmarkedThis home is ranked 41st out of 166 homes in Illinois. Shows total annual staff payroll benchmarked to the Illinois average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$10.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #41 / 166Payroll — State benchmarkedThis home is ranked 41st out of 166 homes in Illinois. Shows total annual staff payroll benchmarked to the Illinois average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$16.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$26.7M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Julie serves as the administrator at The Grove at the Lake, playing a key role in fostering a nurturing and engaging environment. Known for her open-door policy and focus on recreational activities, she helps residents feel a strong sense of community and belonging, which supports their emotional and mental well-being during recovery.
Places of interest near The Grove at the Lake Living & Rehabilitation Center
0.5 miles from city center
Estimated distance in miles from Zion's city center to The Grove at the Lake Living & Rehabilitation Center's address, calculated via Google Maps.
— 0.17 miles to nearest hospital (Fresenius Medical Care at Midwestern Regional Medical Center)
Calculate Travel Distance to The Grove at the Lake Living & Rehabilitation Center
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Financial Assistance for
Nursing Home in Illinois
The Grove at the Lake Living & Rehabilitation Center is located in Zion, Illinois.
Here are the financial assistance programs available to residents in Illinois.
Compare Nursing Home around Illinois
The information below is reported by the Illinois Department of Public Health, Office of Health Care Regulation.
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| The Grove at the Lake Living & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Zion | 244 | 61.8% | -11% | 2.34 | -48% | -25% | $59.4k | 48 | 2.8 | 4 | 151 | - | 77 | Julie Stangel | $24.1M | $10.5M | 43.4% | 145665 |
Frequently Asked Questions about The Grove at the Lake Living & Rehabilitation Center
What neighborhood is The Grove at the Lake Living & Rehabilitation Center in?
The Grove at the Lake Living & Rehabilitation Center is in the Zion neighborhood.
Is The Grove at the Lake Living & Rehabilitation Center in a walkable area?
The Grove at the Lake Living & Rehabilitation Center has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Are there photos of The Grove at the Lake Living & Rehabilitation Center?
Yes — there are 4 photos of The Grove at the Lake Living & Rehabilitation Center in the photo gallery on this page.
What is the phone number of The Grove at the Lake Living & Rehabilitation Center?
(847) 746-8435 will put you in contact with the team at The Grove at the Lake Living & Rehabilitation Center.
Is The Grove at the Lake Living & Rehabilitation Center Medicare or Medicaid certified?
Yes — The Grove at the Lake Living & Rehabilitation Center is a CMS-certified provider of Medicare and Medicaid.
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