Is it a cold, the flu or COVID? How to Combat Seasonal Illnesses

seasonal illness

While many people may think seasonal illnesses are worse around the holidays, flu season actually peaks in February. Since we are not quite in the clear yet, here is some important information from Manning Regional Healthcare Center (MRHC) to educate you about and prepare you for seasonal illnesses as well as some tips to help prevent illness.

According to MRHC Infection Preventionist, Jill Arp, influenza numbers are continuing at a steady pace. Common symptoms of the flu usually come on suddenly and include some or all of the following:

  • Fever or feeling feverish/chills are common and typically last three to four days
  • Aches are common and often severe
  • Chest discomfort and cough are common and can be severe
  • Sneezing, sore throat, and runny or stuffy nose can sometimes occur
  • Muscle or body aches are common and can be severe
  • Headaches are common
  • Fatigue and weakness are common
  • Some people experience vomiting and diarrhea, but it is more common in children than adults

“To help protect yourself, it isn’t too late to get your flu shot,” says Arp, RN, BSN. “Doses are available at MRHC until the end of March, we just ask that you call ahead so we can be prepared.”

Complications from the flu are possible and can range in severity. According to the CDC, moderate complications can include sinus and ear infections, while serious complications such as pneumonia can result from either the flu virus infection alone or from co-infection of flu virus and bacteria. Other possible serious complications can include inflammation of the heart, brain, or muscle tissues and multi-organ failure, including respiratory and kidney failure. Flu virus infection of the respiratory tract can trigger an extreme inflammatory response in the body and can lead to sepsis.

The flu also can make chronic medical problems worse. For example, people with asthma may experience asthma attacks while they have the flu, and people with chronic heart disease may experience a worsening of this condition.

People at Higher Risk from Flu

Anyone can get sick with the flu, but some people are at higher risk of developing serious flu-related complications if they get sick. Those 65 years and older, people with certain chronic medical conditions (asthma, diabetes, or heart disease), pregnant women, and children younger than five years old are at the highest risk, according to the CDC.

Warning Signs for Flu Complications in Children

When we’re sick, it can be difficult to know when a visit to the doctor is necessary, especially if it’s a child. Be aware of these warning signs and if your child displays any of the following, seek medical attention as soon as possible:

  • Fast breathing or trouble breathing
  • Bluish lips or face
  • Ribs pulling in with each breath
  • Chest pain
  • Severe muscle pain (child refuses to walk)
  • Dehydration (no urine for eight hours, dry mouth, no tears when crying)
  • Not alert or interacting when awake
  • Seizures
  • Fever above 104 degrees that is not controlled by fever-reducing medicine or any fever in children younger than 12 weeks
  • Fever or cough that improves but returns or worsens
  • Worsening of chronic medical conditions
Warning Signs for Flu Complications in Adults
  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in the chest or abdomen
  • Persistent dizziness, confusion, and inability to arouse
  • Seizures
  • Not urinating
  • Severe muscle pain
  • Severe weakness or unsteadiness
  • Fever or cough that improves but returns or worsens
  • Worsening of chronic medical conditions

“It’s important to remember that if you or your child has a chronic health condition, are experiencing a persistent high fever, shortness of breath, chest pain, or the inability to keep any food or fluids down, it is more important to see your doctor sooner rather than letting it run its course,” advised Arp.

Common Cold Vs Flu or COVID-19

Especially at the beginning of an illness, it can hard to tell whether it’s just a common cold, the flu, or COVID. Here are some key differences to look for.

Common Cold Symptoms
  • Symptom onset is gradual
  • Fevers and headache are rare
  • Slight aches are possible
  • Chills are uncommon
  • Sometimes people experience fatigue and weakness
  • Sneezing is common
  • Mild to moderate chest discomfort and hacking cough
  • Stuffy nose and sore throat are common
COVID symptoms
  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

If you or a loved one test positive for COVID-19, it is important to watch for these emergency warning signs and seek medical attention if these symptoms are present:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone
People at Higher Risk from COVID-19

While anyone is at risk of getting COVID, older adults, people with certain underlying medical conditions (including infants and children), and people who are pregnant are at higher risk.

Like the flu, COVID-19 can also lead to a variety of health complications including:

  • Pneumonia
  • Respiratory failure or acute respiratory distress syndrome (fluid in the lungs)
  • Sepsis
  • Cardiac injury (for example, heart attacks and stroke)
  • Multiple-organ failure (respiratory failure, kidney failure, shock)
  • Worsening of chronic medical conditions (involving the lungs, heart, or nervous system or diabetes)
  • Inflammation of the heart, brain, or muscle tissues
  • Secondary infections (bacterial or fungal infections that can occur in people with flu or COVID-19)

“To help protect yourself and others from sickness this winter, wash your hands often, get your immunizations, get enough sleep/rest, eat healthy, drink plenty of fluids, and stay away from those who are not feeling well,” shares Arp.

If you are not feeling well, MRHC offers convenient clinic hours and same-day appointments for minor illnesses. Call (712) 655-8100 to schedule an appointment.

 

 

 

Vitito Thrives as Nurse Practitioner at MRHC

Sara Vitito

Sara VititoManning Regional Healthcare Center’s Family Practice Clinic provider, Sara Vitito, ARNP, knew she wanted to work in healthcare for as long as she can remember. When a position became available at MRHC, Vitito jumped at the opportunity to practice in the community she lives in.

“My mom is a nurse practitioner and inspired me to be the provider I am today,” Vitito shared. “Practicing close to home gives me the ability to care for those in the community and establish relationships. And MRHC provides a sense of community. Patients are not just a number here; they are our friends, family, and neighbors.”

After receiving her BSN from the University of Nebraska Medical Center (UNMC) in 2017, Vitito worked as a nurse with CHI-Lakeside, caring for patients in an inpatient setting and ER. She went back to school for her DNP in 2018 at UNMC. During graduate school, Vitito worked at Methodist Health Systems as an ER nurse. When she finished her Doctorate in Family Practice in May 2021, she then took a position at CHI- Bergan as an ER provider. Vitito joined the MRHC team in March of 2022, providing coverage in the ER and offering same-day appointments in the Family Practice Clinic.

“I love seeing different patients every day with a variety of conditions,” said Vitito. “The ER coverage fulfills my love for the ER and the same-day appointments help improve access to care for patients in the community.”

This new clinic appointment structure (launched in early 2022) provides same-day appointments for both established and new patients who need to be seen for a minor injury or illness.

“This model allows patients to be seen in a clinic instead of being hit with an ER or urgent care cost,” Vitito explained. “I have heard from patients, ‘Wow, I was so happy I could be seen so quickly here in Manning’ and ‘I really appreciate the flexibility in availability to have my children be seen before and after the workday.’ And it has been extremely useful, especially during the cold/flu season.”

Vitito is one of four providers in the Family Practice Clinic who sees patients on a regular basis. The clinic also includes Dr. McLaws, DO, Dr. Luong M.D., and Courtney Rupiper, PA-C.

“Sara has been such a great addition to our clinic team,” said MRHC Clinic Director, Shelby Dickson, RN. “She is always positive and upbeat, and she delivers great care. Plus, her ability to provide same-day access for our patients has really helped improve the care we provide to the community.”

Not only does Vitito enjoy the variety of work she does on a daily basis, but she is also grateful for a supportive team and positive work environment at MRHC.

“We have a fantastic facility to practice in, and I love my coworkers and the team we have here! The providers I work with are all willing to help whenever needed, and the work environment is positive and friendly,” said Vitito. “MRHC has anniversary lunches to celebrate milestones, gifts for nurse practitioner week, provider meals at Christmas, and gifts hospital-wide during the holidays. MRHC also has a Christmas party for all staff to build relationships outside of work. And I have a great work life balance with a flexible schedule.”

For anyone interested in pursuing a career as a nurse practitioner or something similar, Vitito shared this encouraging advice.

“Being a nurse practitioner has endless opportunities. You can work in a big city, rural community, or even teach,” said Vitito. “Take as many clinic or shadowing opportunities as possible to learn what you enjoy, and never be afraid to ask questions because it allows for growth in knowledge. And do not let the amount of schooling deter you! It goes faster than you think.”

If you are in need of a same-day appointment due to a minor injury or illness, call (712) 655-8100. To join the MRHC team, visit www.mrhcia.com/careers or call (712) 655-2072 for more information on current job openings.

Rupiper Finds Calling as PA at MRHC’s Family Practice Clinic

Courtney Rupiper

Courtney RupiperAfter debating a career in business or physical therapy, Courtney Rupiper found her calling as a physician assistant and now works in the Family Practice Clinic at Manning Regional Healthcare Center.

“I started working at a local nursing home when I was younger and fell into healthcare,” said Courtney Rupiper, PA-C. “I felt comfortable with healthcare and helping people. When I went to college, I thought I was going to be a physical therapist, but I quickly learned that wasn’t for me. After doing some job shadowing of PAs, I felt like it was something I could do, and here I am.”

Rupiper joined the MRHC Family Practice Clinic as a Certified Physician Assistant in November of 2017. She completed her undergraduate degree at the University of Northern Iowa and received her PA degree from St. Ambrose University.

“I really enjoy getting to know all the families here at MRHC. And as I grow in my career as a PA, I hope to complete more continuing education so I can be even more help for my patients,” Rupiper said.

In addition to the meaningful work Rupiper does daily, she also values the laid-back feel of working in the clinic, the convenience of working close to home, and the work-life balance MRHC offers.

“MRHC provides a great atmosphere to work in, and I like that you know everyone,” said Rupiper. “It feels like home even when I’m at work.”

Rupiper is one of four providers in the Family Practice Clinic who sees patients on a regular basis. The clinic also includes Dr. McLaws, Dr. Luong, and Sara Vitito who accepts same-day appointments.

“Courtney is a great asset to the MRHC provider team,” said MRHC Clinic Director, Shelby Dickson. “She works hard and always puts a patient’s best interest at the forefront of the care she gives.”

To schedule an appointment with Rupiper, call (712) 655-8100. To join the MRHC team, visit www.mrhcia.com/careers or call (712) 655-2072 for more information on current job openings.

 

Dream Lights Tree Tradition Continues

The West Central Iowa Healthcare Foundation’s holiday tradition of lighting Main Street in Manning with Dream Lights Trees continues. The Dream Lights campaign has taken many forms over the years, but the theme has always been to remember or honor family members and friends during the holidays by making a donation to the WCIHF.

The campaign will have a “new look” this year. Foundation members, Debbie Ranniger and Donna Hacker worked with Puck Enterprises, Inc. and Plastico, T&C to create new trees and new ornaments for display on Main Street.  The trees have been custom designed out of sheet metal and will be strung with lights.  They will be decked with ornaments or stars created by Plastico.  The ornaments and stars are available for sponsorship.  The fresh look is especially fitting as the group celebrates the 25th anniversary of Dream Lights this year.

Donors will be able to sponsor a gold ornament for $75 and a red ornament for $125.  There will be 42 ornaments available.  There will be three stars available as well; sponsoring a star is $250.  This year all donors will be recognized in the newspaper.  The lighting of the trees will coincide with the Weihnachtsfest Festival held on November 25th and they will remain lit until shortly after the New Year.

Sponsorship forms may be picked up at First National Bank and State Farm Insurance, on Main Street. They are also available at the Admissions Desk at Manning Regional Healthcare Center, or by emailing amy.benton@mrhcia.com.  Completed forms can be dropped off or emailed to Amy Benton at MRHC.

The lighted trees have become a charming attraction on Main Street during the holidays.  Let’s “Deck the Trees” to support the West Central Iowa Healthcare Foundation in their mission to provide health and wellness opportunities for residents of Manning and members of the surrounding communities.

MRHC Encourages Participation in Community Blood Drive as Blood Supplies Reach Critical Lows

Blood drive

MRHC encourages locals to donate blood during the upcoming Community Blood Drive on Wednesday, November 23rd at the Sacred Heart Catholic Church in Manning from 10:00 am – 2:00 pm.

Blood supplies are at a critical low for all blood types and LifeServe, a local blood center, currently only has a one-day supply of O+. When a hospital patient needs a blood transfusion, they rely on blood donors to make sure that lifesaving blood is on the shelf. There is no substitute for human blood, and it can’t be created in a lab. This is why MRHC partners with LifeServe to regularly host blood drives.

“A donation could help save your neighbor, a friend, a family member or a stranger in your community,” shared MRHC Education Coordinator, Julie Hodne, RN.

To schedule an appointment to donate blood, visit https://donor.lifeservebloodcenter.org/donor/schedules/drive_schedule/176763.

BJ Schreck Celebrates 26 Years in Iowa Air National Guard and Two Years at MRHC

BJ Schreck

BJ SchreckFor life-long Carroll County resident, B.J. Schreck, November 2022 marks 26 years in the Iowa Air National Guard. Schreck held several roles related to F-16 fighter aircraft maintenance early in his career, received his commission to become an officer in 2010, cross-trained in 2015, and has worked in the Communications/IT field over the past eight years. He has been deployed overseas three times, once each to Kuwait, Qatar, and Iraq.

While Schreck currently manages a range of responsibilities as the Communications (IT) Flight Commander for the 132nd Wing in Des Moines, he also serves as the Information Technology (IT) Director at Manning Regional Healthcare Center.

“My military experience has provided me with an understanding of the impact teamwork can have in achieving common goals and how each person in an organization can directly impact performance,” Schreck shard. “At MRHC, it’s easy to see how the work we do in our department and the work all our employees do, both medical and non-medical, matters. Much like every role in the military, playing a critical role in National Defense, every position in our hospital plays a part in providing a compassionate, holistic health care experience the community can trust.”

While Schreck has an important role at MRHC as the IT Director, he also has occasional military obligations to fulfill. When he recently had to commit three weeks to his Guard unit in September, MRHC was in the midst of a major project, but he received nothing but support from his team throughout his absence.

“My supervisor, co-workers, and the Senior Leadership Team make it incredibly easy to focus on military obligations while I’m away and provide the resources to get caught back up when I return. They support me and always have,” said Schreck. “And at MRHC, you get to work in an environment where you’re trusted to make important decisions. And you’re supported when the day doesn’t go your way.”

In addition to supporting his military commitments, Schreck also values the flexibility of his job, the convenience of working close to home, and the work-life balance MRHC offers, as he has even more important job titles as a father and a husband.

“MRHC puts family first and allows me to dedicate the time I need to our schedule at home. I’m lucky to work for an employer where I don’t have to miss picking up one of my daughters, miss a game, or not be able to be somewhere,” Schreck said. “I can also leave work at the end of the day and not feel as though I need to take it with me. People here care about the people, not just the position.”

Schreck received a degree in Management Information Systems (MIS) from the University of Northern Iowa and interned in the IT department with American Home Shield after college. After working for Wells Fargo Home Mortgage IT in Des Moines, Schreck returned home to work in a variety of IT positions for American Home Shield for 15 years. He came to work for MRHC as the IT Director in November 2020.

“BJ is a tremendous asset to MRHC and has fit seamlessly into our organization,” said MRHC CFO, Amy McLaughlin, CPA, CHFP. “He is always making patient and staff needs his top priority and is such a reliable and knowledgeable resource for us all.  We are very fortunate to have him leading our IT team.”

To join the MRHC team, visit www.mrhcia.com/careers or call (712) 655-2072 for more information on current job openings.

Danner to Offer Senior Health Insurance Information Services at MRHC

Nancy Danner

Where can I go to find answers about Medicare prescription drug plans? What is a Medicare Advantage plan? My medications have gotten so expensive I just can’t afford to take them all, is there any help?

Answers to these and other Medicare questions can be found by meeting with Nancy Danner, Manning Regional Healthcare Center’s new Senior Health Insurance Information (SHIIP) counselor. Danner is at MRHC to meet with individuals every Wednesday by appointment. Nancy Danner

“We’re so excited to welcome Nancy in her new role as a SHIIP counselor,” said Amy McLaughlin, CPA, Chief Financial Officer at MRHC. “She will be a great resource for individuals turning 65, those who are considering changing Medicare benefits, or for anyone simply wanting to learn more about their current benefits.”

SHIIP is a free, confidential service of the State of Iowa. Danner completed extensive training and shadowing before being certified. In her role at MRHC, Danner will provide information to aid in Medicare decision-making and answer questions related to Medicare itself, benefits, Medicare supplement insurance, Advantage plans, Medicare Part D plans, Medicare insurance claims, and how to guard against becoming a victim of Medicare fraud. She will not provide recommendations for plans or agents but will be able to answer questions and provide impartial information to help residents make informed decisions and assist people who have a limited income.

“The best time to start getting information is before you actually need it, so I recommend at least 6-12 months before someone turns 65 years old,” Danner recommended.

Danner worked as a registered nurse for 27 years in the Carroll County area, a Certified Physician Assistant for 16 years in Manning, and then a Certified Medical Coder at MRHC the last four years prior to retiring in August and transitioning to this volunteer position.

“I wanted to volunteer for something that was really needed,” Danner shared. “SHIIP helped my husband and I when we had to make Medicare-related decisions and we found the volunteer counselors were very helpful.”

Danner and her husband Rich live on a farm southeast of Templeton and have two grown sons, Chris and Matt.

Anyone interested in making an appointment with Danner can email shiip.counselor@mrhcia.com or call MRHC at 712-655-8100. If a client is only wishing to talk on the phone, they may leave their phone number and Danner will return their call.

Macumber Makes Career Strides at MRHC

Elaine Macumber

When Elaine Macumber and her husband, Jeremia, moved back to Manning, there weren’t any dental assistant jobs available in the Manning community. Having previously worked as a dental assistant, she was interested in continuing her career in the medical field without having to travel out of town, so she took a job at MRHC as a medical records/admissions staff for about a year until moving into materials management. One day, MRHC Chief Nursing Officer, Michelle Andersen, called Macumber and ultimately changed the trajectory of her career. Elaine Macumber

“I told Elaine, ‘I think you would make a great nurse and we’ll even pay for you to go to school’, and she did! She is not the only one. We try to mentor and help our employees with leadership development both externally and internally,” shared Andersen, RN, BSN.

Macumber went on to utilize the tuition program at MRHC to complete her LPN and RN education at Western Iowa Tech Community College.

“MRHC has provided me with a lot of career advancement,” Macumber said. “With the tuition assistance, the decision to go to school was easier on me. We didn’t have to worry about the financial obligation that school has with it, and I could focus on learning. Nursing school is a tough schedule anyways and with flexible hours at MRHC I was able to work full-time while in school and it really helped me get through. There are also a lot of great nurses at MRHC who helped me learn quickly.”

Macumber started her nursing career at MRHC working in ER/acute care before moving to the specialty clinic as a staff nurse. She took on additional training in the specialty clinic to be able to mix and administer chemotherapy and perform cardiac stress tests.

“The experience working in acute care and ER was great. I got to see a lot of good teamwork and you get to see a lot and learn from the house supervisors who guide you,” Macumber shared.

Now serving as the Specialty Clinic Manager, Macumber manages staffing and takes care of all specialty clinic provider needs. She will also continue as a clinical nurse in the specialty clinic performing infusions, assisting patients in consultations with the specialty doctors, and educating patients prior to surgical procedures.

“I really enjoy the specialty clinic,” Macumber said. “We have ten different clinics that we assist with, so every day is something different. I enjoy talking with the providers and learning as much as I can from them. I plan to work in the specialty clinic for a long time and we hope to expand our services when the need in the community presents.”

Not only does Macumber enjoy her role in the specialty clinic because of the variety of her work and the ability to continually learn something new, the people also make a big impact.

“I love the team environment here at MRHC, every employee has the patient’s interests at heart,” shared Macumber. “We work together to make our patients’ experience as pleasant as possible and still have fun while we do it.”

Specialty Clinic Services

The MRHC specialty clinic has several specialty doctors that see patients in Manning on a regular basis. Services include cardiology; dermatology; ear, nose, and throat (ENT); infusions; mental health; OB-GYN; orthopedics; pain clinic, podiatry; surgery; urology; and wound care. Visit www.mrhcia.com/events to learn more about the specialty area, the specialist or doctor(s) who provide the clinic, and what day they are available. For more information or to set up a consultation with any of the doctors, please call (712) 655-8100.

If you would like to join the MRHC team, visit www.mrhcia.com/careers or call (712) 655-2072 for more information on current job openings.

What is Considered Alcohol Abuse?

Brad Madsen

By Bradley Madsen, Recovery Clinical Coordinator  

Summer is here and that means more people are out socializing and enjoying a beverage or two. However, have you ever wondered what constitutes drinking too much? Alcohol abuse is defined as “the habitual misuse of alcohol”, meaning that a person consumes excessive amounts of alcohol.

Here is a pop quiz. For each question you answer “yes,” give yourself a point.

1. Have you ever set out to have ‘a quick drink or two’ but ended up having more drinks than you intended? Or did you stay at the bar drinking past the time you said you’d be home for dinner?
2. Have you ever thought “I really want/need to cut down on my drinking”, but struggled to do so?
3. Have you ever spent more time drinking alcohol or recovering from drinking than you would like?
4. Do you ever crave or have a strong desire to have a drink?
5. Have you missed major role obligations (work, school, or home) more than once because you were impaired or busy drinking?
6. Do you continue to use alcohol despite persistent or recurrent social (or interpersonal) problems caused or made worse by drinking alcohol?
7. Have you continued to drink despite knowing you have persistent, or recurrent mental or physical health problems caused or made worse by alcohol use?
8. Have you given up or reduced social, occupational, or recreational activities because of alcohol use?
9. Have you used alcohol when it was dangerous to do so? (Drinking and driving or drinking despite liver problems).
10. Have you noticed that you have developed a tolerance to alcohol? (It takes more alcohol to feel buzzed than it did in the past. Or you notice you can drink more now without feeling as impaired as you might have in the past).
11. Do you ever feel ill when you don’t drink for a couple of days?

These questions represent the diagnostic criteria for alcohol use disorders as defined by the DSM-5 (Diagnostic & Statistical Manual of Mental Disorders, Fifth Edition)

Scoring:
2-3 “yes” answers – You may have a mild alcohol use disorder.
4-5 “yes” answers – You likely have a moderate alcohol use disorder.
6+ “yes” answers – You likely have a severe alcohol use disorder.

If you (or someone you know) meet the criteria for an alcohol use disorder, you aren’t alone. According to the NIH, one in eight Americans meet the criteria for alcohol use disorder. Does this mean you are an ‘alcoholic’? Not necessarily, but it does mean that you are putting yourself at risk to develop alcoholism.

If you or someone you care about has problems with alcohol (or other substances), help is available locally. The sooner a person can get help, the better the long-term chance for recovery. Alcoholism is a disease, not a moral failing, a choice, or weakness. If you feel that you need help or guidance, reach out to your physician, or contact the Recovery Center at (712) 655-2300.

The Recovery Center at MRHC is a 16-bed, co-ed chemical dependency facility located in Manning. Services include detoxification, residential treatment, outpatient treatment and consultations or evaluations. Recovery Center staff have adapted treatments to meet the most pressing or newly emergent addiction issues, from alcoholism to the influx of meth to the abuse of prescription painkillers. For nearly four decades, staff have consistently helped clients take their first step toward healthy, drug and alcohol-free lifestyles.

For more information about the Recovery Center in Manning, visit www.manningrecoverycenter.com.

Prime for Life Courses Offered at Manning Recovery Center

Prime for life classes at MRHC

The Recovery Center at Manning Regional Healthcare Center is now offering Prime for Life classes (OWI course for the Iowa DOT) on the third weekend of every month on Friday and Saturday for seven hours.

“We are always looking to expand the services we offer in our local community and surrounding areas,” said Recovery Center Director, Taya Vonnahme, MSN, RN, ARNP, tCADC. “We are seeing a high need for this class and want to ensure our community needs are being met.”

The Prime for Life course can be taken to meet DOT requirements for OWIs in Iowa or by anyone who wants to learn more about drinking and driving for any reason. The classes will cover the following topics:

  • Understanding how alcohol and drug-related problems develop
  • How to prevent problems
  • Why addicts need support

“Our instructors are not only certified in Prime for Life but are also licensed addiction counselors who teach in a manner that is conducive for anyone striving for sobriety,” Vonnahme shared.

2022 Prime for Life course dates include:
July 15-16
August 19-20
September 16-17
October 14-15
November 18-19
December 16-17

Call (712) 655-2300 to sign up for a Prime for Life class.

The Recovery Center at MRHC is a 16-bed, co-ed chemical dependency facility located in Manning. Services include detoxification, residential and outpatient treatment, and education. For more information about the Recovery Center, visit www.manningrecoverycenter.com.