nursing home in Muskegon, MI
Lake Woods Nursing & Rehabilitation Center
1684 Vulcan Street, Muskegon, MI 49442 · (231) 777-2511
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lake Woods Nursing & Rehabilitation Center at a glance
Lake Woods Nursing & Rehabilitation Center is a 90-bed for-profit nursing home in Muskegon, Michigan (Muskegon County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Michigan average of 3.1.
Residents receive about 3.9 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 4 hours.
Its most recent standard health inspection (June 24, 2026) found 5 health citations. The Michigan average is 9.9.
Federal regulators fined it 1 time in the past three years, totaling $51,948.
Nursing staff turnover is 57.7% per year (state average 44.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Peplinski Group
- Medicare-certified since
- October 1, 2002
- Resident/family council
- Resident
- County
- Muskegon County
- CMS Certification Number
- 235116
Ratings
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.9 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.87 hrs | 3.99 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.70 hrs | 0.78 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.76 hrs | 2.33 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.50 hrs | 3.50 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 57.7% | 44.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 36.4% | 39.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 81 | 89.4 | 80.6 | Average |
Penalties
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $51,948 | $29,376 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 104 | 107 | |
| Average residents per day | 84 | 86 | 86 | |
| Occupancy | 93.2% | 83.4% | 80.9% |
Long-stay residents
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.3% | 3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.5% | 5.1% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 26.9% | 14.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 1.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12.3% | 10.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 18.3% | 12% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.9% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 2.3% | 4.3% | 12.8% | Better |
| 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) | 21.6% | 19.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 23.5% | 20% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.6% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.4% | 95.3% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 79% | 79.5% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 69.4% | 83.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 41 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 24, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected July 31, 2026 |
| June 24, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected July 31, 2026 |
| June 24, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected July 31, 2026 |
| June 24, 2026 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 July 31, 2026 |
| June 24, 2026 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected July 31, 2026 |
| June 24, 2026 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected July 31, 2026 |
| June 24, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected July 31, 2026 |
| April 15, 2026 Complaint | 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 May 22, 2026 |
| February 10, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 6, 2026 |
| May 1, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 26, 2025 |
| May 1, 2025 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 May 26, 2025 |
| May 1, 2025 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 May 26, 2025 |
| May 1, 2025 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 | D Potential harm, isolated | Corrected May 26, 2025 |
| May 1, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected June 4, 2025 |
| May 1, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected May 26, 2025 |
| May 1, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected May 26, 2025 |
| May 1, 2025 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 May 26, 2025 |
| May 1, 2025 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 May 26, 2025 |
| May 1, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 4, 2025 |
| May 1, 2025 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 May 26, 2025 |
| October 23, 2024 Complaint | 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 | D Potential harm, isolated | Corrected November 26, 2024 |
| October 23, 2024 Complaint | 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 | D Potential harm, isolated | Corrected November 26, 2024 |
| October 23, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 26, 2024 |
| October 23, 2024 Complaint | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Tag F0626 | D Potential harm, isolated | Corrected November 26, 2024 |
| August 19, 2024 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 September 20, 2024 |
| August 19, 2024 Complaint | 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 September 20, 2024 |
| June 12, 2024 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 | G Actual harm, isolated | Corrected July 4, 2024 |
| May 20, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected June 18, 2024 |
| May 20, 2024 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | F Potential harm, widespread | Corrected June 18, 2024 |
| May 20, 2024 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | F Potential harm, widespread | Corrected June 18, 2024 |
| May 20, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected June 18, 2024 |
| May 20, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected June 18, 2024 |
| May 20, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected June 18, 2024 |
| May 20, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected June 18, 2024 |
| May 20, 2024 Complaint | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | D Potential harm, isolated | Corrected June 18, 2024 |
| May 20, 2024 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected June 18, 2024 |
| May 20, 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 June 18, 2024 |
| May 20, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 18, 2024 |
| May 20, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 18, 2024 |
| May 20, 2024 Complaint | 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 June 18, 2024 |
| May 20, 2024 Complaint | 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 June 18, 2024 |
| May 20, 2024 Complaint | 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 June 18, 2024 |
| May 20, 2024 Complaint | 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 June 18, 2024 |
| May 20, 2024 Complaint | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected June 18, 2024 |
| May 20, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 18, 2024 |
| May 20, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 24, 2024 |
| February 22, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected March 29, 2024 |
| February 22, 2024 Complaint | 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 | E Potential harm, pattern | Corrected March 29, 2024 |
| February 22, 2024 Complaint | 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 March 29, 2024 |
| February 22, 2024 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | E Potential harm, pattern | Corrected March 29, 2024 |
| February 22, 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 | D Potential harm, isolated | Corrected March 29, 2024 |
| September 12, 2023 Complaint | 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 | J Immediate jeopardy, isolated | Corrected June 26, 2023 |
| September 12, 2023 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 October 13, 2023 |
| September 12, 2023 Complaint | 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 | D Potential harm, isolated | Corrected October 13, 2023 |
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 3 federal penalties in the past three years, including $51,948 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 1, 2025 | Payment Denial | 8 days from May 27, 2025 |
| May 1, 2025 | Fine | $51,948 |
| May 20, 2024 | Payment Denial | 35 days from June 19, 2024 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| VANDAMME, KAREN Individual | 5% or greater direct ownership interest | 20% | 04/01/2010 |
| ACKERMAN, RICKY Individual | adp of the snf | NOT APPLICABLE | 11/27/2024 |
| PEPLINSKI, TODD Individual | adp of the snf | NOT APPLICABLE | 12/24/2024 |
| SCHADE, JEFFERY Individual | adp of the snf | NOT APPLICABLE | 12/16/2024 |
| SOLAREWICZ, KRYSTYNA Individual | adp of the snf | NOT APPLICABLE | 01/13/2025 |
| THE PEPLINSKI GROUP INC Organization | adp of the snf | NOT APPLICABLE | 11/01/2024 |
| THOMPSON, BRIAN Individual | adp of the snf | NOT APPLICABLE | 12/24/2024 |
| VANDAMME, KAREN Individual | adp of the snf | NOT APPLICABLE | 12/24/2024 |
| WILDEY, ALICIA Individual | adp of the snf | NOT APPLICABLE | 12/12/2022 |
| WINKELS, KATHY Individual | adp of the snf | NOT APPLICABLE | 07/06/2016 |
| ACKERMAN, RICKY Individual | corporate director | NOT APPLICABLE | 04/01/2010 |
| PEPLINSKI, TODD Individual | corporate director | NOT APPLICABLE | 04/01/2010 |
| SCHADE, JEFFERY Individual | corporate director | NOT APPLICABLE | 04/01/2010 |
| THOMPSON, BRIAN Individual | corporate director | NOT APPLICABLE | 04/01/2010 |
| VANDAMME, KAREN Individual | corporate director | NOT APPLICABLE | 04/01/2010 |
| ACKERMAN, RICKY Individual | corporate officer | NOT APPLICABLE | 04/01/2010 |
| PEPLINSKI, TODD Individual | corporate officer | NOT APPLICABLE | 04/01/2010 |
| SCHADE, JEFFERY Individual | corporate officer | NOT APPLICABLE | 04/01/2010 |
| THOMPSON, BRIAN Individual | corporate officer | NOT APPLICABLE | 04/01/2010 |
| VANDAMME, KAREN Individual | corporate officer | NOT APPLICABLE | 04/01/2010 |
| SOLAREWICZ, KRYSTYNA Individual | operational/managerial control | NOT APPLICABLE | 01/13/2025 |
| WILDEY, ALICIA Individual | operational/managerial control | NOT APPLICABLE | 12/12/2022 |
| WINKELS, KATHY Individual | operational/managerial control | NOT APPLICABLE | 07/05/2016 |
Other nursing homes near Lake Woods Nursing & Rehabilitation Center
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★★★★★2Below averageHarbor Terrace Senior Living
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★★★★★5Much above averageOptalis Health & Rehabilitation of Muskegon
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★★★★★2Below averageRoosevelt Park Nursing and Rehabilitation Communit
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- Abuse citation
★★★★★2Below averageHillcrest Nursing and Rehabilitation Community
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- CMS high performer
★★★★★5Much above averageHeartwood Lodge Trinity Health
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Frequently asked questions
What is Lake Woods Nursing & Rehabilitation Center's rating?
Lake Woods Nursing & Rehabilitation Center has 2 out of 5 stars on the CMS overall star rating. The average for Michigan nursing homes is 3.1 stars.
How many inspection citations did Lake Woods Nursing & Rehabilitation Center receive?
Its most recent standard health inspection found 5 citations, compared with a Michigan average of 9.9. Every citation is listed on this page with its severity.
Does Lake Woods Nursing & Rehabilitation Center 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 Lake Woods Nursing & Rehabilitation Center?
It is for profit - limited liability company and part of The Peplinski Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Lake Woods Nursing & Rehabilitation Center and how do I contact it?
Lake Woods Nursing & Rehabilitation Center is at 1684 Vulcan Street, Muskegon, MI 49442. Phone: (231) 777-2511.
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.