nursing home in Ashland, OR
Ashland Post Acute
135 Maple Street, Ashland, OR 97520 · (541) 482-2341
CMS overall star rating
- Health inspections★★★★★1
- 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
Ashland Post Acute at a glance
Ashland Post Acute is a 87-bed for-profit nursing home in Ashland, Oregon (Jackson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Oregon average of 3.1.
Residents receive about 4.5 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 5 hours.
Its most recent standard health inspection (May 9, 2025) found 24 health citations. The Oregon average is 9.2.
Federal regulators fined it 1 time in the past three years, totaling $31,369.
Nursing staff turnover is 40.8% per year (state average 47.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 87
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Pacs Group
- Medicare-certified since
- May 23, 1989
- Resident/family council
- Resident
- County
- Jackson County
- CMS Certification Number
- 385197
Ratings
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.5 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.7 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.48 hrs | 5.03 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.58 hrs | 0.72 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.03 hrs | 3.40 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.25 hrs | 4.51 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 40.8% | 47.4% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 56.3% | 51.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 24 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 11 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 115 | 71.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Oregon 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) | $31,369 | $27,522 | $30,972 | Average |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 87 | 83 | 107 | |
| Average residents per day | 81 | 58 | 86 | |
| Occupancy | 92.9% | 71.9% | 80.9% |
Long-stay residents
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.3% | 2.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.4% | 5.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 18.2% | 13.9% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.4% | 2% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 1.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 18.9% | 14.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.8% | 20.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0.5% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 5.3% | 4.9% | 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) | 21.9% | 12.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 25.7% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 94% | 95.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.5% | 95.2% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.6% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 98.1% | 81.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.2% | 85.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 56 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 8, 2026 Complaint | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected June 29, 2026 |
| June 8, 2026 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 | E Potential harm, pattern | Corrected June 29, 2026 |
| December 8, 2025 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected December 17, 2025 |
| December 8, 2025 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 December 17, 2025 |
| November 14, 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 December 22, 2025 |
| November 14, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected December 22, 2025 |
| November 14, 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 December 22, 2025 |
| November 14, 2025 Complaint | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | D Potential harm, isolated | Corrected December 22, 2025 |
| May 9, 2025 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected June 18, 2025 |
| May 9, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected June 18, 2025 |
| May 9, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 18, 2025 |
| May 9, 2025 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | F Potential harm, widespread | Corrected June 18, 2025 |
| May 9, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected June 18, 2025 |
| May 9, 2025 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 | E Potential harm, pattern | Corrected June 18, 2025 |
| May 9, 2025 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 | E Potential harm, pattern | Corrected June 18, 2025 |
| May 9, 2025 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 June 18, 2025 |
| May 9, 2025 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected June 18, 2025 |
| May 9, 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 | D Potential harm, isolated | Corrected June 18, 2025 |
| May 9, 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 June 18, 2025 |
| May 9, 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 June 18, 2025 |
| May 9, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected June 18, 2025 |
| May 9, 2025 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, 2025 |
| May 9, 2025 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 June 18, 2025 |
| May 9, 2025 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 June 18, 2025 |
| May 9, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected June 18, 2025 |
| May 9, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 18, 2025 |
| May 9, 2025 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 June 18, 2025 |
| May 9, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected June 18, 2025 |
| May 9, 2025 Complaint | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected June 18, 2025 |
| August 30, 2024 Complaint | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected September 26, 2024 |
| August 30, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected September 26, 2024 |
| August 30, 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 September 26, 2024 |
| August 30, 2024 Complaint | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | D Potential harm, isolated | Corrected September 26, 2024 |
| August 30, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 26, 2024 |
| August 30, 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 September 26, 2024 |
| April 19, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected February 2, 2022 |
| January 22, 2024 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected February 9, 2024 |
| January 22, 2024 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected February 15, 2024 |
| January 22, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected February 15, 2024 |
| January 22, 2024 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected February 15, 2024 |
| January 22, 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 | E Potential harm, pattern | Corrected February 15, 2024 |
| January 22, 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 | E Potential harm, pattern | Corrected February 15, 2024 |
| January 22, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected February 15, 2024 |
| January 22, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected February 15, 2024 |
| January 22, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected February 15, 2024 |
| January 22, 2024 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected February 15, 2024 |
| January 22, 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 February 15, 2024 |
| January 22, 2024 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected February 15, 2024 |
| January 22, 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 February 15, 2024 |
| January 22, 2024 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 February 15, 2024 |
| January 22, 2024 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 February 15, 2024 |
| January 22, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected February 15, 2024 |
| January 22, 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 February 15, 2024 |
| October 7, 2022 Fire safety | Install noncombustible or limited-combustible interior walls. Construction Deficiencies · Tag K0163 | F Potential harm, widespread | Corrected November 8, 2022 |
| October 7, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected November 8, 2022 |
| October 7, 2022 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected November 8, 2022 |
| October 7, 2022 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 8, 2022 |
| October 7, 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 November 8, 2022 |
| October 7, 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 | E Potential harm, pattern | Corrected November 8, 2022 |
| October 7, 2022 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected November 8, 2022 |
| October 7, 2022 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected November 8, 2022 |
| October 7, 2022 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 8, 2022 |
| October 7, 2022 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 November 8, 2022 |
| October 7, 2022 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 November 8, 2022 |
| October 7, 2022 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 8, 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 1 federal penalty in the past three years, including $31,369 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 22, 2024 | Fine | $31,369 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| TRUIST BANK Organization | 5% or greater security interest | NOT APPLICABLE | 09/01/2024 |
| ASHLAND 135 REALTY LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2024 |
| HAMILTON, MATTHEW Individual | adp of the snf | NOT APPLICABLE | 05/27/2025 |
| KAHN, KAREN Individual | adp of the snf | NOT APPLICABLE | 05/27/2025 |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 09/01/2024 |
| APT, FREDERICK Individual | operational/managerial control | NOT APPLICABLE | 05/10/2024 |
| HAMILTON, MATTHEW Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| HINDERMAN, VICTORIA Individual | operational/managerial control | NOT APPLICABLE | 01/20/2025 |
| JERGENSEN, JOSHUA Individual | operational/managerial control | NOT APPLICABLE | 05/10/2024 |
| KAHN, KAREN Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| MITCHELL, JOHN Individual | operational/managerial control | NOT APPLICABLE | 05/10/2024 |
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Frequently asked questions
What is Ashland Post Acute's rating?
Ashland Post Acute has 1 out of 5 stars on the CMS overall star rating. The average for Oregon nursing homes is 3.1 stars.
How many inspection citations did Ashland Post Acute receive?
Its most recent standard health inspection found 24 citations, compared with a Oregon average of 9.2. Every citation is listed on this page with its severity.
Does Ashland Post Acute 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 Ashland Post Acute?
It is for profit - limited liability company and part of Pacs Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Ashland Post Acute and how do I contact it?
Ashland Post Acute is at 135 Maple Street, Ashland, OR 97520. Phone: (541) 482-2341.
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.