nursing home in Wooster, OH

Smithville Western Care Center

4110 East Smithville Western Road, Wooster, OH 44691 · (330) 345-9050

★★★★★2
Below average
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

Smithville Western Care Center at a glance

Smithville Western Care Center is a 127-bed for-profit nursing home in Wooster, Ohio (Wayne County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Ohio average of 3.2.

Residents receive about 3.6 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.7 hours.

Its most recent standard health inspection (July 2, 2024) found 11 health citations. The Ohio average is 10.3.

Federal regulators fined it 1 time in the past three years, totaling $42,777.

Nursing staff turnover is 34.6% per year (state average 48.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
127
Certified for
Medicare and Medicaid
Chain / affiliated entity
Sprenger Health Care Systems
Medicare-certified since
April 9, 1975
Resident/family council
Resident
County
Wayne County
CMS Certification Number
365317

Ratings

MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 53.2 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 52.4 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)4 / 54.4 / 53.6 / 5Average
Long-stay quality rating (higher is better)5 / 54.8 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)2 / 53.3 / 53.3 / 5Worse

Staffing

This facility3.63 hrsOhio average3.69 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.63 hrs3.69 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.59 hrs0.64 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.80 hrs2.09 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.26 hrs3.28 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)34.6%48.7%45.8%Better
Registered nurse turnover (yearly) (lower is better)38.5%43.9%42.9%Better
Administrators who left in the past year (lower is better)011Better

Inspections

This facility11Ohio average10U.S. average9
Health citations in the most recent inspection: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)11109Worse
Citations from complaint investigations (latest cycle) (lower is better)043Better
Weighted health inspection score ⓘ (lower is better)106.880.780.6Worse

Penalties

This facility1Ohio average1U.S. average1
Fines in the past 3 years: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$42,777$26,381$30,972Worse
All federal penalties in the past 3 years (lower is better)111Average

Size

MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Certified beds12788107
Average residents per day927486
Occupancy72%84.3%80.9%

Long-stay residents

This facility2%Ohio average3.2%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2%3.2%3.2%Better
Long-stay residents with pressure ulcers (lower is better)2.6%3.4%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)1.6%8.8%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.7%0.4%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.2%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)4.4%5.3%13.9%Better
Long-stay residents whose walking worsened (lower is better)4.5%6.1%14.1%Better
Long-stay residents who lose too much weight (lower is better)4.7%6.2%5.2%Better
Long-stay residents with depressive symptoms (lower is better)17.1%30.1%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)19.3%25.5%19.5%Average
Long-stay residents with new or worse incontinence (lower is better)22.4%21.4%19%Worse
Long-stay residents given a flu vaccine (higher is better)98.7%94.5%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%92.7%93.6%Better

Short-stay residents

This facility1%Ohio average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1%1.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)95.7%75.6%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)97.4%78.5%82%Better

Inspection citations

State inspectors cited this home for 38 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
April 28, 2025
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 May 9, 2025
April 28, 2025
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
D
Potential harm, isolated
Corrected May 9, 2025
January 15, 2025
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 29, 2025
January 15, 2025
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected October 16, 2024
January 15, 2025
Complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected January 29, 2025
October 31, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
J
Immediate jeopardy, isolated
Corrected November 5, 2024
October 31, 2024
Complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · Tag F0712
E
Potential harm, pattern
Corrected November 5, 2024
October 31, 2024
Complaint
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 5, 2024
July 2, 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
F
Potential harm, widespread
Corrected August 13, 2024
July 2, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected August 13, 2024
July 2, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected August 13, 2024
July 2, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected August 13, 2024
July 2, 2024
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected August 13, 2024
July 2, 2024
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
E
Potential harm, pattern
Corrected August 13, 2024
July 2, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected August 13, 2024
July 2, 2024
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 August 13, 2024
July 2, 2024
Fire safety
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies · Tag E0018
C
No harm, widespread
Corrected August 13, 2024
July 2, 2024
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
C
No harm, widespread
Corrected August 13, 2024
July 2, 2024
Fire safety
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies · Tag E0020
C
No harm, widespread
Corrected August 13, 2024
July 2, 2024
Fire safety
Establish policies and procedures for medical documentation.
Emergency Preparedness Deficiencies · Tag E0023
C
No harm, widespread
Corrected August 13, 2024
July 2, 2024
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 August 13, 2024
July 2, 2024
Standard
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Tag F0814
F
Potential harm, widespread
Corrected August 13, 2024
July 2, 2024
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 August 13, 2024
July 2, 2024
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 August 13, 2024
July 2, 2024
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 August 13, 2024
July 2, 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
D
Potential harm, isolated
Corrected August 13, 2024
July 2, 2024
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected August 13, 2024
July 2, 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 August 13, 2024
July 2, 2024
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 August 13, 2024
July 2, 2024
Standard
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · Tag F0569
D
Potential harm, isolated
Corrected August 13, 2024
July 2, 2024
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 August 13, 2024
April 11, 2024
Complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected April 15, 2024
February 8, 2024
Complaint · Infection control
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected February 9, 2024
March 24, 2022
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected October 13, 2022
March 24, 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
F
Potential harm, widespread
Corrected April 29, 2022
March 24, 2022
Fire safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies · Tag K0225
E
Potential harm, pattern
Corrected April 29, 2022
March 24, 2022
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected April 29, 2022
March 24, 2022
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
E
Potential harm, pattern
Corrected April 29, 2022
March 24, 2022
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 April 29, 2022
March 24, 2022
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 April 29, 2022
March 24, 2022
Standard
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Tag F0810
D
Potential harm, isolated
Corrected April 29, 2022
March 24, 2022
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
D
Potential harm, isolated
Corrected April 29, 2022
March 24, 2022
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
D
Potential harm, isolated
Corrected April 29, 2022
March 24, 2022
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected April 29, 2022
March 24, 2022
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected April 29, 2022
March 24, 2022
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
D
Potential harm, isolated
Corrected April 29, 2022
April 18, 2019
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 May 10, 2019
April 18, 2019
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected May 10, 2019
April 18, 2019
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
E
Potential harm, pattern
Corrected May 10, 2019
April 18, 2019
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
E
Potential harm, pattern
Corrected May 10, 2019
April 18, 2019
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected May 10, 2019
April 18, 2019
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
C
No harm, widespread
Corrected May 10, 2019
April 18, 2019
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 May 10, 2019
April 18, 2019
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 May 10, 2019
April 18, 2019
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected May 10, 2019
April 18, 2019
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected May 10, 2019
April 18, 2019
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
D
Potential harm, isolated
Corrected May 10, 2019
April 18, 2019
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected May 10, 2019
April 18, 2019
Standard
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 May 10, 2019
April 18, 2019
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 May 10, 2019
April 18, 2019
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected May 10, 2019

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 1 federal penalty in the past three years, including $42,777 in fines.

DatePenaltyAmount / length
October 31, 2024Fine$42,777

Owners and managers

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

NameRoleShareSince
WAYNE MANOR, INC.
Organization
5% or greater direct ownership interest100%10/01/2001
BLUESKY HEALTHCARE INC
Organization
5% or greater indirect ownership interest—10/01/2001
HUTSENPILLER, WENDIE
Individual
5% or greater indirect ownership interest—07/01/2008
MALANOWSKI, KENNETH
Individual
5% or greater indirect ownership interest—07/01/2008
SPRENGER ENTERPRISES, INC
Organization
5% or greater indirect ownership interest—10/01/2001
SPRENGER, NICOLE
Individual
5% or greater indirect ownership interest—07/01/2008
SPRENGER, TRACEY
Individual
5% or greater indirect ownership interest—07/01/2008
BSH INVESTMENTS LLC
Organization
adp of the snfNOT APPLICABLE11/04/2003
CHILDS, ROBERT
Individual
adp of the snfNOT APPLICABLE01/06/2025
CITRIN COOPERMAN AND COMPANY, LLP
Organization
adp of the snfNOT APPLICABLE02/01/2025
CMS & CO. MANAGEMENT SERVICES, INC.
Organization
adp of the snfNOT APPLICABLE07/31/2025
DELTA HEALTH CARE CONSULTANTS, INC.
Organization
adp of the snfNOT APPLICABLE01/01/2008
FOX, EMILY
Individual
adp of the snfNOT APPLICABLE12/31/2024
HUNTINGTON
Organization
adp of the snfNOT APPLICABLE10/01/2001
HUTSENPILLER, WENDIE
Individual
adp of the snfNOT APPLICABLE07/01/2008
KUHN, SHANNON
Individual
adp of the snfNOT APPLICABLE12/31/2024
MALANOWKI, BRANDON
Individual
adp of the snfNOT APPLICABLE12/31/2024
MALANOWSKI, KENNETH
Individual
adp of the snfNOT APPLICABLE07/01/2008
MALLETT, CHRISTOPHER
Individual
adp of the snfNOT APPLICABLE07/01/2008
SPRENGER, MARK
Individual
adp of the snfNOT APPLICABLE07/01/2008
SPRENGER, NICOLE
Individual
adp of the snfNOT APPLICABLE07/01/2008
SPRENGER, TIMOTHY
Individual
adp of the snfNOT APPLICABLE07/01/2008
SPRENGER, TRACEY
Individual
adp of the snfNOT APPLICABLE07/01/2008
SPRENGER WAYNE LTD. CO.
Organization
adp of the snfNOT APPLICABLE10/01/2001
TYLER, CHRISTY
Individual
adp of the snfNOT APPLICABLE02/14/2022
WELLSPRING STAFFING, INC.
Organization
adp of the snfNOT APPLICABLE10/15/2021
WILKINS, SCOTT
Individual
adp of the snfNOT APPLICABLE01/15/2025
FOX, EMILY
Individual
corporate officerNOT APPLICABLE12/31/2024
KUHN, SHANNON
Individual
corporate officerNOT APPLICABLE12/31/2024
MALANOWKI, BRANDON
Individual
corporate officerNOT APPLICABLE12/31/2024
CHILDS, ROBERT
Individual
operational/managerial controlNOT APPLICABLE01/06/2025
CMS & CO. MANAGEMENT SERVICES, INC.
Organization
operational/managerial controlNOT APPLICABLE01/22/2001
FOX, EMILY
Individual
operational/managerial controlNOT APPLICABLE12/31/2024
KUHN, SHANNON
Individual
operational/managerial controlNOT APPLICABLE12/31/2024
MALANOWKI, BRANDON
Individual
operational/managerial controlNOT APPLICABLE12/31/2024
TYLER, CHRISTY
Individual
operational/managerial controlNOT APPLICABLE02/14/2022
WILKINS, SCOTT
Individual
operational/managerial controlNOT APPLICABLE01/15/2025

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Frequently asked questions

What is Smithville Western Care Center's rating?

Smithville Western Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Ohio nursing homes is 3.2 stars.

How many inspection citations did Smithville Western Care Center receive?

Its most recent standard health inspection found 11 citations, compared with a Ohio average of 10.3. Every citation is listed on this page with its severity.

Does Smithville Western Care 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 Smithville Western Care Center?

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

Where is Smithville Western Care Center and how do I contact it?

Smithville Western Care Center is at 4110 East Smithville Western Road, Wooster, OH 44691. Phone: (330) 345-9050.

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.