nursing home in Jacksonville, IL

Arcadia Care Jacksonville

1021 North Church Street, Jacksonville, IL 62650 · (217) 245-4174

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★1
  • Quality measures★★★★★2
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Arcadia Care Jacksonville at a glance

Arcadia Care Jacksonville is a 113-bed for-profit nursing home in Jacksonville, Illinois (Morgan County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Illinois average of 2.5.

Residents receive about 2.7 hours of nursing care per day (0.1 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (March 9, 2026) found 13 health citations. The Illinois average is 12.5.

Federal regulators fined it 3 times in the past three years, totaling $84,491.

Nursing staff turnover is 50.9% per year (state average 44.5%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
113
Certified for
Medicare and Medicaid
Chain / affiliated entity
Arcadia Care
Medicare-certified since
April 15, 1997
Resident/family council
Resident
County
Morgan County
CMS Certification Number
145928

Ratings

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.5 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.7 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 52.1 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)2 / 53 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 53.4 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)1 / 52.5 / 53.3 / 5Worse

Staffing

This facility2.67 hrsIllinois average3.45 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)2.67 hrs3.45 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.10 hrs0.72 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.77 hrs2.09 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.50 hrs3.07 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)50.9%44.5%45.8%Worse

Inspections

This facility13Illinois average12U.S. average9
Health citations in the most recent inspection: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)13129Worse
Citations from complaint investigations (latest cycle) (lower is better)353Worse
Weighted health inspection score ⓘ (lower is better)15614380.6Worse

Penalties

This facility3Illinois average2U.S. average1
Fines in the past 3 years: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)321Worse
Total fines in the past 3 years (lower is better)$84,491$111,013$30,972Worse
All federal penalties in the past 3 years (lower is better)531Worse

Size

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Certified beds113128107
Average residents per day609586
Occupancy53.4%75%80.9%

Long-stay residents

This facility1.7%Illinois average3.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.7%3.1%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.1%4.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)14.4%21.7%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)1.3%1.5%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.9%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)15.7%13.4%13.9%Worse
Long-stay residents whose walking worsened (lower is better)11.7%14.3%14.1%Better
Long-stay residents who lose too much weight (lower is better)7.3%6.3%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)99.5%54.2%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)22%18.3%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)25.8%20.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)97.3%91.8%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)94%90.3%93.6%Average

Short-stay residents

This facility3.2%Illinois average2.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3.2%2.2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)57.6%63.1%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)45.1%69.7%82%Worse

Inspection citations

State inspectors cited this home for 45 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm.

DateCitationSeverityStatus
July 8, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected July 9, 2026
July 8, 2026
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected July 9, 2026
March 9, 2026
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
F
Potential harm, widespread
Corrected March 10, 2026
March 9, 2026
Complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected March 10, 2026
March 9, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected March 10, 2026
March 9, 2026
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected March 10, 2026
March 9, 2026
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected March 10, 2026
March 9, 2026
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected March 10, 2026
March 9, 2026
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
E
Potential harm, pattern
Corrected March 10, 2026
March 9, 2026
Standard
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Tag F0576
D
Potential harm, isolated
Corrected March 10, 2026
March 9, 2026
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 10, 2026
March 9, 2026
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected March 10, 2026
March 9, 2026
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected March 10, 2026
November 25, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected December 5, 2024
November 25, 2024
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
F
Potential harm, widespread
Corrected December 5, 2024
November 25, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected December 5, 2024
November 25, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected December 5, 2024
November 25, 2024
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected December 5, 2024
November 25, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected November 26, 2024
November 25, 2024
Standard
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
F
Potential harm, widespread
Corrected December 18, 2024
November 25, 2024
Standard
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected December 19, 2024
November 25, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected November 26, 2024
November 25, 2024
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
E
Potential harm, pattern
Corrected November 26, 2024
November 25, 2024
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected November 26, 2024
November 25, 2024
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
D
Potential harm, isolated
Corrected November 26, 2024
November 25, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected November 26, 2024
November 25, 2024
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected November 26, 2024
November 25, 2024
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected November 26, 2024
November 25, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected December 6, 2024
November 25, 2024
Standard
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected November 26, 2024
November 25, 2024
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected November 26, 2024
August 21, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
G
Actual harm, isolated
Corrected September 8, 2024
August 21, 2024
Complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
F
Potential harm, widespread
Corrected September 8, 2024
August 21, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected September 8, 2024
March 29, 2024
Complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected April 15, 2024
March 27, 2024
Complaint
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected April 15, 2024
January 11, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected January 12, 2024
November 8, 2023
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
F
Potential harm, widespread
Corrected November 8, 2023
November 8, 2023
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
F
Potential harm, widespread
Corrected November 15, 2023
November 8, 2023
Fire safety
Install proper backup exit lighting.
Egress Deficiencies · Tag K0281
F
Potential harm, widespread
Corrected January 8, 2024
November 8, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected November 8, 2023
November 8, 2023
Fire safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies · Tag K0346
F
Potential harm, widespread
Corrected November 8, 2023
November 8, 2023
Fire safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies · Tag K0354
F
Potential harm, widespread
Corrected November 8, 2023
November 8, 2023
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
F
Potential harm, widespread
Corrected November 8, 2023
November 8, 2023
Fire safety
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies · Tag K0711
F
Potential harm, widespread
Corrected November 8, 2023
November 8, 2023
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
E
Potential harm, pattern
Corrected November 21, 2023
November 8, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected November 8, 2023
November 8, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected November 12, 2023
November 8, 2023
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
G
Actual harm, isolated
Corrected November 15, 2023
November 8, 2023
Standard
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
F
Potential harm, widespread
Corrected November 15, 2023
November 8, 2023
Standard
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
F
Potential harm, widespread
Corrected November 15, 2023
November 8, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected November 15, 2023
November 8, 2023
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected November 15, 2023
November 8, 2023
Standard
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
E
Potential harm, pattern
Corrected November 15, 2023
November 8, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected November 15, 2023
November 8, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
E
Potential harm, pattern
Corrected November 15, 2023
November 8, 2023
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
E
Potential harm, pattern
Corrected November 15, 2023
November 8, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected November 15, 2023
November 8, 2023
Standard
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
B
No harm, pattern
Corrected November 15, 2023
November 8, 2023
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
B
No harm, pattern
Corrected November 15, 2023
October 26, 2023
Complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
B
No harm, pattern
Corrected October 27, 2023
October 11, 2022
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected October 27, 2022
October 11, 2022
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected October 27, 2022
October 11, 2022
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected October 27, 2022

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 5 federal penalties in the past three years, including $84,491 in fines.

DatePenaltyAmount / length
November 25, 2024Payment Denial1 days from December 18, 2024
November 25, 2024Fine$38,448
August 21, 2024Fine$31,993
November 8, 2023Payment Denial36 days from December 7, 2023
November 8, 2023Fine$14,050

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
ARCADIA CARE MANAGEMENT LLC
Organization
adp of the snfNOT APPLICABLE04/04/2025
CURIS SERVICES LLC
Organization
adp of the snfNOT APPLICABLE01/01/2022
MCCLURE, MICHELLE
Individual
adp of the snfNOT APPLICABLE01/01/2022
SEITLER, DOVID
Individual
adp of the snfNOT APPLICABLE01/01/2022
SONANI, BHAVIN
Individual
adp of the snfNOT APPLICABLE02/01/2022
SPECTOR, JENNIFER
Individual
adp of the snfNOT APPLICABLE01/01/2022
TRONE, MEAGAN
Individual
adp of the snfNOT APPLICABLE01/01/2022
TUROFSKY, STEVEN
Individual
adp of the snfNOT APPLICABLE01/01/2022
WALL, DARIN
Individual
adp of the snfNOT APPLICABLE01/01/2022
WILHELM, NAFTALI
Individual
adp of the snfNOT APPLICABLE01/01/2022
MCCLURE, MICHELLE
Individual
corporate officerNOT APPLICABLE01/01/2022
SEITLER, DOVID
Individual
corporate officerNOT APPLICABLE01/01/2022
SPECTOR, JENNIFER
Individual
corporate officerNOT APPLICABLE01/01/2022
BERKOWITZ, DAVID
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE04/04/2025
MEYSTEL, YOSEF
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE04/04/2025
TRONE, MEAGAN
Individual
managing control - governing bodyNOT APPLICABLE01/01/2022
WALL, DARIN
Individual
managing control - governing bodyNOT APPLICABLE01/01/2022
ARCADIA CARE MANAGEMENT LLC
Organization
operational/managerial controlNOT APPLICABLE01/01/2022
MCCLURE, MICHELLE
Individual
operational/managerial controlNOT APPLICABLE01/01/2022
SEITLER, DOVID
Individual
operational/managerial controlNOT APPLICABLE01/01/2022
SONANI, BHAVIN
Individual
operational/managerial controlNOT APPLICABLE02/01/2022
SPECTOR, JENNIFER
Individual
operational/managerial controlNOT APPLICABLE01/01/2022
TRONE, MEAGAN
Individual
operational/managerial controlNOT APPLICABLE01/01/2022
TUROFSKY, STEVEN
Individual
operational/managerial controlNOT APPLICABLE01/01/2022
WALL, DARIN
Individual
operational/managerial controlNOT APPLICABLE01/01/2022
WILHELM, NAFTALI
Individual
operational/managerial controlNOT APPLICABLE01/01/2022

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Frequently asked questions

What is Arcadia Care Jacksonville's rating?

Arcadia Care Jacksonville has 1 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.

How many inspection citations did Arcadia Care Jacksonville receive?

Its most recent standard health inspection found 13 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.

Does Arcadia Care Jacksonville accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Arcadia Care Jacksonville?

It is for profit - corporation and part of Arcadia Care. The ownership section on this page lists the owners and managers reported to CMS.

Where is Arcadia Care Jacksonville and how do I contact it?

Arcadia Care Jacksonville is at 1021 North Church Street, Jacksonville, IL 62650. Phone: (217) 245-4174.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.