healthcare-associated infections (hai) surcharge, medical assistance (ma…€¦ ·...
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Healthcare-associated Infections (HAI) Surcharge Medical Assistance (MA) Pass-through Payments
(for MA-11 Cost Reports with Acceptance Letters mailed on or before August 4 2017)
The Department of Healthrsquos annual health-care associated infection (HAI) surcharge on a nursing facilityrsquos licensing fee is an allowable cost under the MA Program The MA portion of the HAI surcharge will be reimbursed as a pass-through payment and will be paid on an annual basis A nursing facilityrsquos annual HAI pass-through payment will equal the annual HAI surcharge fee paid by the nursing facility less any penalties assessed as verified by the DOH multiplied by the nursing facilityrsquos MA occupancy rate as reported on the nursing facilityrsquos MA-11 cost report for the year in which the annual HAI surcharge is paid The HAI pass-through payment will be made annually within 120 days after the submission of an acceptable cost report provided that payment will not be made before the later of 210 days from the close of the nursing facility fiscal year or the date on which the DOH received payment of the nursing facilityrsquos HAI surcharge fee
HAI Surcharge MA Pass-through Payments (for the MA-11 cost reports with acceptance letters mailed on or before August 4 2017)
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
ALTOONA CENTER FOR NURSING CARE $149316 112016 12312016 4132017 8309 $124067 8282017 AMBLER EXTENDED CARE CENTER $124430 112016 12312016 4132017 7931 $98685 8282017 ASBURY HEALTH CENTER $172958 112016 12312016 762017 4203 $72694 8282017 ATTLEBORO NURSING AND REHAB CENTER $222730 112016 12312016 5162017 6483 $144396 8282017 AVALON SPRINGS NURSING CENTER $124430 112016 12312016 582017 7770 $96682 8282017 BARCLAY FRIENDS $119453 112016 12312016 6202017 3235 $38643 8282017 BEACON RIDGE A CHOICE COMMUNITY $146827 112016 12312016 6282017 6412 $94145 8282017 BEAVER HEALTHCARE AND REHABILITATION CTR $83368 112016 12312016 522017 7031 $58616 8282017 BELLE HAVEN HEALTHCARE amp REHAB CENTER $73414 112016 12312016 542017 7086 $52021 8282017 BELLE REVE HEALTH CARE CENTER $37329 112016 12312016 6202017 3626 $13535 8282017 BERKS HEIM NURSING amp REHABILITATION $522606 112016 12312016 6152017 7911 $413434 8282017 BETHANY VILLAGE RETIREMENT CENTER $85857 112016 12312016 5312017 2784 $23903 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
BETHLEN HM OF THE HUNGARIAN RFRMD FED $119453 112016 12312016 5162017 5642 $67395 8282017 BIRCHWOOD NURSING AND REHAB CENTER $150560 112016 12312016 582017 7439 $112002 8282017 BONHAM NURSING CENTER $95811 452016 12312016 5312017 8060 $77224 8282017 BRADFORD COUNTY MANOR $248860 112016 12312016 5312017 7620 $189631 8282017 BRADFORD ECUMENICAL HOME INC $124430 112016 12312016 4132017 6279 $78130 8282017 BRADFORD MANOR $143094 112016 12312016 5222017 7109 $101726 8282017 BRIGHTON REHABILITATION amp WELLNESS CTR $732893 112016 12312016 582017 7849 $575248 8282017 BROAD ACRES HEALTH AND REHAB CENTER $149316 112016 12312016 3272017 6619 $98832 8282017 BROOKLINE MANOR AND REHABILITATIVE SRVCS $105766 112016 12312016 522017 5746 $60773 8282017 BROOKMONT HEALTHCARE CENTER LLC $148072 112016 12312016 522017 6596 $97668 8282017 BROOKSIDE HEALTHCARE AND REHAB CENTER $149316 112016 12312016 582017 7756 $115809 8282017 BROOKVIEW HEALTH CARE CENTER $189134 112016 12312016 7142017 3824 $72325 8282017 BROOMALL MANOR $153049 112016 12312016 4132017 8855 $135525 8282017 BROOMALL PRESBYTERIAN VILLAGE $181668 112016 12312016 6202017 6246 $113470 8282017 BROOMALL REHAB AND NURSING CENTER $370801 112016 12312016 7142017 7435 $275691 8282017 BRYN MAWR EXTENDED CARE CENTER $199088 112016 12312016 4132017 8026 $159788 8282017 BUFFALO VALLEY LUTHERAN VILLAGE $126919 112016 12312016 6202017 6989 $88704 8282017 CAMBRIA CARE CENTER $374534 112016 12312016 4182017 8591 $321762 8282017 CANTERBURY PLACE $121941 112016 12312016 662017 5951 $72567 8282017 CARBONDALE NURSING AND REHAB CENTER $143094 112016 12312016 6282017 7711 $110340 8282017 CARE PAVILION NURSING AND REHAB CENTER $492743 112016 12312016 5162017 9220 $454309 8282017 CARING HEIGHTS COMMUNITY CARE amp REHAB $149316 112016 12312016 4132017 7793 $116362 8282017 CARLETON HEALTHCARE amp REHABILITATION CTR $32352 112016 12312016 522017 6537 $21149 8282017 CEDAR HAVEN HEALTHCARE CENTER $403153 112016 12312016 5222017 8686 $350179 8282017 CEDARBROOK NURSING HOMES $833681 112016 12312016 5312017 8978 $748479 8282017 CENTENNIAL HEALTHCARE amp REHAB CENTER $223974 112016 12312016 6282017 8066 $180657 8282017 CENTRE CREST $298632 112016 12312016 3272017 7691 $229678 8282017 CHAMBERS POINTE HEALTH CARE CENTER $74658 112016 12312016 7142017 3111 $23226 8282017 CHANDLER HALL HEALTH SERVICES INC $65948 112016 12312016 762017 5076 $33475 8282017 CHAPEL POINTE AT CARLISLE $73414 112016 12312016 5222017 4097 $30078 8282017 CHERRY TREE NURSING CENTER $149316 112016 12312016 582017 8089 $120782 8282017 CHESTER VALLEY REHAB AND NURSING CENTER $228951 112016 12312016 582017 7996 $183069 8282017 CHESTNUT HILL LODGE HEALTH AND REHAB CTR $225218 112016 12312016 6282017 9002 $202741 8282017 CHURCH OF GOD HOME INC $135629 112016 12312016 582017 4175 $56625 8282017 CLAREMONT NRC OF CUMBERLAND COUNTY $360847 112016 12312016 6152017 7232 $260965 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
CLARION HEALTHCARE AND REHAB CENTER $103277 112016 9302016 3272017 7289 $75279 8282017 CLARVIEW NURSING AND REHAB CENTER $149316 112016 12312016 3272017 7069 $105551 8282017 CLEPPER MANOR $67192 112016 12312016 5312017 7507 $50441 8282017 CLIVEDEN NSG amp REHAB CTR $223974 112016 12312016 5162017 8685 $194521 8282017 COLONIAL MANOR NURSING HOME $335961 112016 12312016 5162017 8193 $275253 8282017 COLONIAL PARK CARE CENTER $246371 112016 12312016 4212017 7530 $185517 8282017 COMMUNITIES AT INDIAN HAVEN $134384 112016 12312016 762017 5719 $76854 8282017 CONCORDIA AT THE CEDARS $73414 112016 12312016 5312017 6412 $47073 8282017 CONESTOGA VIEW $554958 112016 12312016 6152017 8771 $486754 8282017 CONSULATE HEALTH CARE OF CHESWICK $150560 112016 12312016 6152017 8622 $129813 8282017 CONSULATE HEALTH CARE OF NORTH STRABANE $77147 112016 12312016 6202017 7399 $57081 8282017 CORNWALL MANOR $119453 112016 12312016 7142017 2899 $34629 8282017 CORRY MANOR $150560 112016 12312016 5222017 6837 $102938 8282017 COUNTRY MEADOWS NURSING CENTER-BETHLEHEM $87101 112016 12312016 7142017 300 $2613 8282017 COUNTRYSIDE CHRISTIAN COMMUNITY $41062 112016 12312016 6282017 5782 $23742 8282017 COURTYARD GARDENS NURSING AND REHAB CTR $126919 112016 12312016 662017 5682 $72115 8282017 CRAWFORD COUNTY CARE CENTER $195355 112016 12312016 6152017 7556 $147610 8282017 CREEKSIDE HEALTH AND REHABILITATION CTR $100788 112016 12312016 5312017 8770 $88391 8282017 CUMBERLAND CROSSINGS RETIREMENT COMM $72169 112016 12312016 6202017 4281 $30896 8282017 DARWAY HEALTHCARE amp REHABILITATION CTR $83368 112016 12312016 522017 8148 $67928 8282017 DOYLESTOWN CARE AND REHABILITATION CTR $149316 112016 12312016 662017 8974 $133996 8282017 DUNMORE HEALTH CARE CENTER $114476 112016 12312016 4132017 7794 $89223 8282017 EDINBORO MANOR $150560 112016 12312016 5222017 7226 $108795 8282017 EDISON MANOR NURSING AND REHAB CENTER $146827 112016 12312016 4132017 8572 $125860 8282017 ELMWOOD GARDENS OF PRESBY SENIOR CARE $63459 112016 12312016 7142017 6001 $38082 8282017 EMMANUEL CENTER FOR NURSING AND REHAB $111987 112016 12312016 762017 5394 $60406 8282017 EPHRATA MANOR $149316 112016 12312016 762017 5700 $85110 8282017 EPWORTH HEALTHCARE AND REHAB CENTER $126919 112016 12312016 522017 7198 $91356 8282017 EXETER GREENS CARE amp REHABILITATION CTR $154293 112016 12312016 662017 8265 $127523 8282017 FAIR ACRES GERIATRIC CENTER $1129824 112016 12312016 7142017 9402 $1062261 8282017 FAIRVIEW MANOR $150560 112016 12312016 5222017 6898 $103856 8282017 FORBES CENTER FOR REHAB amp HEALTHCARE LLC $232684 112016 12312016 762017 8237 $191662 8282017 FOREST CITY NURSING AND REHAB CENTER $164248 112016 12312016 3272017 7293 $119786 8282017 FOREST PARK HEALTH CENTER $141850 112016 12312016 522017 7208 $102245 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
FORESTVIEW $99544 112016 12312016 5312017 3631 $36144 8282017 FOX SUBACUTE AT CLARA BURKE $74658 112016 12312016 762017 7381 $55105 8282017 FOX SUBACUTE CENTER $74658 112016 12312016 762017 6317 $47161 8282017 FREDERICK LIVING - CEDARWOOD $75902 112016 12312016 762017 1960 $14877 8282017 FREY VILLAGE $169225 112016 12312016 6202017 5833 $98709 8282017 FRIENDSHIP VILLAGE OF SOUTH HILLS $110743 112016 12312016 582017 463 $5127 8282017 GARVEY MANOR $164248 112016 12312016 4182017 6987 $114760 8282017 GLENDALE UPTOWN HOME $298632 112016 12312016 5222017 8585 $256376 8282017 GRACEDALE - NORTHAMPTON COUNTY HOME $902117 112016 12312016 762017 8498 $766619 8282017 GREEN RIDGE CARE CENTER $118208 112016 12312016 4132017 6112 $72249 8282017 GREEN VALLEY SKILLED NSG amp REHAB CENTER $59726 112016 12312016 6282017 7890 $47124 8282017 GREENERY CENTER FOR REHAB amp NURSING $174202 662016 12312016 542017 8601 $149831 8282017 GREENSBURG CARE CENTER $149316 112016 12312016 4182017 7680 $114675 8282017 GUARDIAN HEALTHCARE amp REHAB CENTER $136873 112016 12312016 522017 8129 $111264 8282017 HAIDA HEALTHCARE AND REHAB CENTER $121941 112016 9302016 3272017 7521 $91712 8282017 HANOVER HALL $189134 112016 12312016 5162017 7494 $141737 8282017 HARMAR VILLAGE CARE CENTER $161759 112016 12312016 4212017 7496 $121255 8282017 HARMON HOUSE CARE CENTER $135629 112016 12312016 4212017 7241 $98209 8282017 HARRISON SENIOR LIVING OF CHRISTIANA $172958 112016 12312016 6152017 8982 $155351 8282017 HAVEN CONVALESCENT HOME INC $113231 112016 12312016 6152017 7897 $89419 8282017 HEARTHSIDE REHAB CENTER $195355 112016 12312016 6152017 7904 $154409 8282017 HEMPFIELD MANOR $149316 112016 12312016 5222017 6297 $94024 8282017 HICKORY HOUSE NURSING HOME $136873 112016 12312016 4212017 6209 $84984 8282017 HIGHLAND MANOR REHAB amp NURSING CENTER $149316 112016 12312016 6152017 7454 $111300 8282017 HIGHLAND PARK CARE CENTER $179179 112016 12312016 4212017 8924 $159899 8282017 HIGHLAND VIEW HEALTHCARE amp REHAB CENTER $62215 112016 12312016 522017 7259 $45162 8282017 HIGHLANDS HEALTHCARE amp REHAB CENTER $149316 112016 12312016 522017 9030 $134832 8282017 HILLSDALE PARK REHAB CENTER $92078 112016 12312016 582017 7239 $66655 8282017 HILLVIEW HEALTHCARE AND REHAB CENTER $165492 112016 9302016 3272017 7426 $122894 8282017 HOLY FAMILY HOME $55993 112016 12312016 542017 8862 $49621 8282017 HOLY FAMILY MANOR $258814 112016 12312016 6202017 7221 $186890 8282017 HOLY FAMILY RESIDENCE $67192 112016 12312016 7142017 9095 $61111 8282017 HOMETOWN NURSING AND REHAB CENTER $186645 112016 12312016 3272017 7659 $142951 8282017 HOMEWOOD AT MARTINSBURG PA INC $160515 112016 12312016 5222017 4607 $73949 8282017 HOMEWOOD AT PLUM CREEK $149316 112016 12312016 5222017 3888 $58054 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
HOSPITALITY CARE CENTER OF HERMITAGE INC $41062 112016 12312016 6282017 7950 $32644 8282017 JAMESON CARE CENTER $97055 112016 12312016 6152017 4852 $47091 8282017 JEFFERSON HILLS HEALTHCARE amp REHAB CTR $103277 112016 12312016 522017 6959 $71870 8282017 JEWISH HOME OF EASTERN PENNSYLVANIA $215264 112016 12312016 6282017 7445 $160264 8282017 JOHN J KANE REGIONAL CENTER-GLEN HAZEL $261303 112016 12312016 762017 9400 $245625 8282017 JOHN J KANE REGIONAL CENTER-MCKEESPORT $447948 112016 12312016 762017 8882 $397867 8282017 JOHN J KANE REGIONAL CENTER-ROSS TWNSHP $298632 112016 12312016 762017 9099 $271725 8282017 JOHN J KANE REGIONAL CENTER-SCOTT TWNSHP $390710 112016 12312016 762017 8692 $339605 8282017 JULIA POUND CARE CENTER $163003 112016 12312016 5162017 5813 $94754 8282017 JULIA RIBAUDO EXTENDED CARE CENTER $149316 112016 12312016 4132017 7758 $115839 8282017 KEARSLEY REHAB AND NURSING CENTER $104521 112016 12312016 582017 6445 $67364 8282017 KEPLER CENTER FOR NURSING AND REHAB $49772 112016 12312016 6152017 7860 $39121 8282017 KINGSTON HEALTH CARE CENTER $80880 112016 12312016 4132017 6979 $56446 8282017 KINZUA HEALTHCARE AND REHAB CENTER $131896 112016 9302016 3272017 7530 $99318 8282017 KITTANNING CARE CENTER $149316 112016 12312016 4212017 8806 $131488 8282017 LAFAYETTE MANOR INC $121941 112016 12312016 5222017 6719 $81932 8282017 LAKEVIEW HEALTHCARE amp REHABILITATION CTR $42306 112016 12312016 522017 5825 $24643 8282017 LANCASHIRE HALL $298632 112016 12312016 5162017 8678 $259153 8282017 LANCASTER CARE AND REHABILITATION CENTER $154293 112016 12312016 662017 9235 $142490 8282017 LANSDALE CARE AND REHABILITATION CENTER $156782 112016 12312016 662017 9273 $145384 8282017 LAUREL CARE NURSING AND REHAB CENTER $114476 112016 12312016 7142017 6360 $72807 8282017 LAUREL WOOD CARE CENTER $149316 112016 12312016 4212017 7498 $111957 8282017 LAWSON NURSING HOME INC $62215 112016 12312016 762017 6133 $38156 8282017 LEBANON VALLEY BRETHREN HOME $124430 112016 12312016 5312017 4084 $50817 8282017 LEBANON VALLEY HOME THE $68436 112016 12312016 762017 5285 $36168 8282017 LECOM AT PRESQUE ISLE INC $175446 112016 1312016 3272017 8709 $152796 8282017 LGAR HEALTH AND REHABILITATION CENTER $149316 112016 12312016 5312017 7584 $113241 8282017 LITTLE FLOWER MANOR OF DIOCESE SCRANTON $165492 112016 12312016 6282017 7457 $123407 8282017 LITTLE SISTERS OF THE POOR $59726 112016 12312016 6282017 9375 $55993 8282017 LOCUST GROVE RETIREMENT VILLAGE $129407 112016 12312016 6202017 7418 $95994 8282017 LOYALHANNA CARE CENTER $149316 112016 12312016 5162017 6173 $92173 8282017 LUTHER ACRES MANOR $131896 112016 12312016 762017 4486 $59169 8282017 LUTHER CREST NURSING FACILITY $74658 112016 12312016 6202017 2805 $20942 8282017 LUTHER WOODS NURSING amp REHAB CENTER $174202 212016 12312016 542017 5969 $103981 8282017 LUTHERAN HOME AT HOLLIDAYSBURG THE $110743 112016 12312016 6282017 5062 $56058 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
LUTHERAN HOME AT JOHNSTOWN THE $78391 112016 12312016 6282017 5254 $41187 8282017 LUTHERAN HOME AT KANE THE $111987 112016 12312016 762017 6577 $73654 8282017 LUTHERAN HOME AT TOPTON $241394 112016 12312016 6202017 5900 $142422 8282017 MAHONING VALLEY NURSING AND REHAB CENTER $176691 112016 12312016 5312017 6936 $122553 8282017 MAJESTIC OAKS REHAB amp NURSING CENTER $223974 112016 12312016 582017 8296 $185809 8282017 MANATAWNY MANOR INC $165492 112016 12312016 6202017 6401 $105931 8282017 MANCHESTER COMMONS OF PRESBY SR CARE $97055 112016 12312016 7142017 5839 $56670 8282017 MANORCARE HEALTH SERVICES - MONTGOMERY $211531 112016 12312016 4182017 7965 $168484 8282017 MANORCARE HEALTH SVCS-ALLENTOWN $206554 112016 12312016 4132017 8131 $167949 8282017 MANORCARE HEALTH SVCS-BETHEL PARK $199088 112016 12312016 4132017 7055 $140457 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2021) $282456 112016 12312016 4132017 8611 $243223 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2029) $270013 112016 12312016 4132017 8524 $230159 8282017 MANORCARE HEALTH SVCS-CAMP HILL $153049 112016 12312016 5162017 6440 $98564 8282017 MANORCARE HEALTH SVCS-CARLISLE $186645 112016 12312016 4132017 7961 $148588 8282017 MANORCARE HEALTH SVCS-CHAMBERSBURG $261303 112016 12312016 4132017 7441 $194436 8282017 MANORCARE HEALTH SVCS-DALLASTOWN $251349 112016 12312016 5312017 8074 $202939 8282017 MANORCARE HEALTH SVCS-EASTON $282456 112016 12312016 3272017 7812 $220655 8282017 MANORCARE HEALTH SVCS-ELIZABETHTOWN $90834 112016 12312016 4182017 7388 $67108 8282017 MANORCARE HEALTH SVCS-GREEN TREE $223974 112016 12312016 4132017 6382 $142940 8282017 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY $161759 112016 12312016 4212017 7967 $128873 8282017 MANORCARE HEALTH SVCS-JERSEY SHORE $149316 112016 12312016 5312017 8245 $123111 8282017 MANORCARE HEALTH SVCS-KING OF PRUSSIA $211531 112016 12312016 4182017 7986 $168929 8282017 MANORCARE HEALTH SVCS-KINGSTON $218997 112016 12312016 3272017 8001 $175219 8282017 MANORCARE HEALTH SVCS-LANCASTER $214020 112016 12312016 4132017 7654 $163811 8282017 MANORCARE HEALTH SVCS-LAURELDALE $246371 112016 12312016 4182017 7331 $180615 8282017 MANORCARE HEALTH SVCS-LEBANON $197844 112016 12312016 4182017 7787 $154061 8282017 MANORCARE HEALTH SVCS-MONROEVILLE $163003 112016 12312016 4182017 6050 $98617 8282017 MANORCARE HEALTH SVCS-NORTH HILLS $248860 112016 12312016 4132017 7534 $187491 8282017 MANORCARE HEALTH SVCS-OXFORD VALLEY $186645 112016 12312016 4182017 6418 $119789 8282017 MANORCARE HEALTH SVCS-PETERS TOWNSHIP $174202 112016 12312016 4182017 6903 $120252 8282017 MANORCARE HEALTH SVCS-POTTSTOWN $186645 112016 12312016 3272017 8251 $154001 8282017 MANORCARE HEALTH SVCS-POTTSVILLE $222730 112016 12312016 3272017 8404 $187182 8282017 MANORCARE HEALTH SVCS-SINKING SPRING $266280 112016 12312016 4182017 7868 $209509 8282017 MANORCARE HEALTH SVCS-SUNBURY $156782 112016 12312016 3272017 8126 $127401 8282017 MANORCARE HEALTH SVCS-WEST READING NORTH $218997 112016 12312016 4182017 8784 $192367 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
MANORCARE HEALTH SVCS-WHITEHALL BOROUGH $206554 112016 12312016 4182017 4407 $91028 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT NORTH $189134 112016 12312016 4182017 7999 $151288 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH $144339 112016 12312016 4182017 8431 $121692 8282017 MANORCARE HEALTH SVCS-YEADON $246371 112016 12312016 4182017 9204 $226760 8282017 MAPLE WINDS HEALTHCARE amp REHAB CTR LLC $62215 112016 12312016 5222017 4949 $30790 8282017 MAPLEWOOD NURSING AND REHABILITATION CTR $223974 112016 12312016 5162017 9150 $204936 8282017 MASONIC VILLAGE AT ELIZABETHTOWN $563668 112016 12312016 6282017 6118 $344852 8282017 MASONIC VILLAGE AT LAFAYETTE HILL $74658 112016 12312016 6282017 6180 $46139 8282017 MASONIC VILLAGE AT SEWICKLEY $159270 112016 12312016 6282017 3207 $51078 8282017 MASONIC VILLAGE AT WARMINSTER $53505 112016 12312016 6282017 7016 $37539 8282017 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER $298632 1252016 12312016 542017 8347 $249268 8282017 MEADOW VIEW HEALTHCARE amp REHAB CENTER $78391 112016 12312016 522017 7147 $56026 8282017 MEADOWVIEW REHAB amp NURSING CENTER $303609 212016 12312016 4212017 7984 $242401 8282017 MERCY CENTER NURSING UNIT INC $73414 112016 12312016 6202017 6113 $44878 8282017 MEYERSDALE HEALTHCARE AND REHAB CTR $123186 112016 9302016 3272017 8432 $103870 8282017 MID VALLEY HEALTH CARE CENTER $47283 112016 12312016 4132017 5675 $26833 8282017 MILFORD HEALTHCARE AND REHAB CENTER $99544 112016 12312016 542017 7285 $72518 8282017 MILTON REHABILITATION AND NURSING CENTER $171713 112016 12312016 5162017 7805 $134022 8282017 MISERICORDIA NURSING amp REHAB CENTER $62215 112016 12312016 662017 5329 $33154 8282017 MON VALLEY CARE CENTER $74658 112016 12312016 6282017 4721 $35246 8282017 MONROEVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 7377 $110150 8282017 MORAVIAN MANOR $158026 112016 12312016 662017 2902 $45859 8282017 MORRISONS COVE HOME $154293 112016 12312016 6202017 7338 $113220 8282017 MOUNT CARMEL NURSING AND REHAB CENTER $150560 112016 12312016 3272017 7700 $115931 8282017 MOUNTAIN TOP HEALTHCARE AND REHAB CTR $131896 112016 12312016 522017 7952 $104884 8282017 MOUNTAIN VIEW A NURSING AND REHAB CTR $337205 112016 12312016 5312017 8166 $275362 8282017 MOUNTAINVIEW SPECIALTY CARE CENTER $170469 112016 12312016 4212017 7498 $127818 8282017 MT LEBANON REHAB AND WELLNESS CENTER $150560 112016 12312016 662017 8385 $126245 8282017 MULBERRY HEALTHCARE amp REHAB CTR $93322 112016 12312016 522017 7480 $69805 8282017 MURRYSVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 8196 $122379 8282017 NESHAMINY MANOR HOME $447948 112016 12312016 6202017 7617 $341202 8282017 NORMANDIE RIDGE $79635 112016 12312016 6152017 4491 $35764 8282017 NOTTINGHAM VILLAGE $150560 112016 12312016 762017 5925 $89207 8282017 NUGENT CONVALESCENT HOME $130652 112016 12312016 5312017 7726 $100942 8282017 NURSING amp REHABILITATION AT THE MANSION $87101 112016 12312016 662017 8608 $74977 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
OAKMONT CENTER FOR NURSING AND REHAB $105766 112016 12312016 5312017 7633 $80731 8282017 OAKWOOD HEIGHTS OF PRESBY SENIOR CARE $131896 112016 12312016 7142017 6601 $87065 8282017 OHESSON MANOR $166736 112016 12312016 6202017 6901 $115065 8282017 OIL CITY HEALTHCARE AND REHAB CENTER $118208 112016 9302016 3272017 6891 $81457 8282017 OLD ORCHARD HEALTH CARE CENTER $223974 112016 12312016 3272017 7306 $163635 8282017 OXFORD HEALTH CENTER $170469 112016 12312016 5162017 5941 $101276 8282017 PARK AVENUE REHAB CENTER $215264 112016 12312016 582017 8301 $178691 8282017 PARKHOUSE REHABILITATION AND NURSING CTR $581088 112016 12312016 5162017 8441 $490496 8282017 PAULS RUN $149316 112016 12312016 762017 4559 $68073 8282017 PEMBROOKE HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8819 $197523 8282017 PENNKNOLL VILLAGE $165492 112016 12312016 6202017 7735 $128008 8282017 PHILADELPHIA NURSING HOME $500209 112016 12312016 582017 9757 $488054 8282017 PHILADELPHIA PROTESTANT HOME $156782 112016 12312016 6282017 5180 $81213 8282017 PHOENIXVILLE CARE AND REHABILITATION CTR $171713 112016 12312016 662017 8835 $151708 8282017 PLATINUM RIDGE CTR FOR REHAB amp HEALING $120697 112016 12312016 4132017 7473 $90197 8282017 PLEASANT ACRES NURSING AND REHAB CENTER $466612 112016 12312016 762017 9069 $423170 8282017 PLEASANT RIDGE MANOR WEST $373290 112016 12312016 5222017 8866 $330959 8282017 PLEASANT VALLEY MANOR INC $216508 112016 12312016 582017 7920 $171474 8282017 PLEASANT VIEW RETIREMENT COMMUNITY $165492 112016 12312016 5312017 4557 $75415 8282017 POCOPSON HOME $342182 112016 12312016 7142017 8832 $302215 8282017 PREMIER ARMSTRONG REHAB amp NSG FACILITY $143094 112016 12312016 4212017 8097 $115863 8282017 PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON $83368 112016 12312016 5162017 4612 $38449 8282017 PROSPECT PARK HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8083 $181038 8282017 PROVIDENCE CARE CENTER $223974 112016 12312016 4212017 8264 $185092 8282017 QUINCY RETIREMENT COMMUNITY $166736 112016 12312016 5222017 6233 $103927 8282017 REFORMED PRESBYTERIAN HOME $72169 112016 12312016 6152017 8514 $61445 8282017 REHAB amp NURSING CTR GREATER PITTSBURGH $149316 112016 12312016 4212017 5018 $74927 8282017 RICHFIELD HEALTHCARE AND REHAB CENTER $49772 112016 12312016 522017 6784 $33765 8282017 RICHLAND HEALTHCARE AND REHAB CENTER $120697 112016 9302016 3272017 6314 $76208 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $163003 112016 12312016 522017 7416 $120883 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $138117 312016 12312016 542017 8230 $113670 8282017 RIVER RUN REHAB AND NURSING CENTER $166736 112016 12312016 6152017 7258 $121017 8282017 RIVERS EDGE NURSING AND REHAB CENTER $149316 112016 12312016 7142017 7022 $104850 8282017 RIVERSIDE CARE CENTER $149316 112016 12312016 4212017 8449 $126157 8282017 RIVERSIDE REHABILITATION AND NURSING CTR $200332 112016 12312016 582017 7941 $159084 8282017
Cost
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RIVERWOODS $281212 112016 12312016 762017 5987 $168362 8282017 ROCHESTER MANOR $151805 112016 12312016 6282017 7198 $109269 8282017 ROLLING FIELDS INC $225218 112016 12312016 5222017 7972 $179544 8282017 ROLLING HILLS HEALTHCARE amp REHAB CENTER $70925 112016 12312016 542017 8248 $58499 8282017 ROSEMONT CARE AND REHABILITATION CENTER $94567 112016 12312016 662017 9512 $89952 8282017 ROUSE WARREN COUNTY HOME $218997 112016 12312016 6282017 7031 $153977 8282017 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES $141850 112016 12312016 6202017 1725 $24469 8282017 SAINT JOHN XXIII HOME $111987 112016 12312016 5312017 6828 $76465 8282017 SAINT MARYS AT ASBURY RIDGE $99544 112016 12312016 5222017 4754 $47323 8282017 SAINT MARYS EAST $172958 112016 12312016 5222017 5826 $100765 8282017 SAINT MARYS VILLA NURSING HOME INC $139362 112016 12312016 7142017 6841 $95338 8282017 SAINT PAUL HOMES $238906 112016 12312016 762017 6045 $144419 8282017 SARAH A TODD MEMORIAL HOME $145583 112016 12312016 762017 7454 $108518 8282017 SAXONY HEALTH CENTER $84612 112016 12312016 5222017 6592 $55776 8282017 SCENERY HILL HEALTHCARE amp REHAB CENTER $69681 112016 12312016 542017 7230 $50379 8282017 SCOTTDALE HEALTHCARE amp REHAB CENTER $43550 112016 12312016 522017 3947 $17189 8282017 SCRANTON HEALTH CARE CENTER $54749 112016 12312016 4132017 6170 $33780 8282017 SENA-KEAN MANOR $189134 112016 12312016 5222017 8203 $155147 8282017 SHENANDOAH MANOR NURSING CENTER $154293 112016 12312016 3272017 8239 $127122 8282017 SHENANGO PRESBYTERIAN SENIORCARE $31108 112016 12312016 6202017 2279 $7090 8282017 SHIPPENSBURG HEALTH CARE CENTER $155538 112016 12312016 7142017 7425 $115487 8282017 SHIPPENVILLE HEALTHCARE AND REHAB CENTER $149316 112016 9302016 3272017 7603 $113525 8282017 SHOOK HOME THE $80880 112016 12312016 5222017 6055 $48973 8282017 SIEMONS LAKEVIEW MANOR NSG AND REHAB $149316 112016 12312016 6282017 8277 $123589 8282017 SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB $82124 112016 12312016 662017 7329 $60189 8282017 SIMPSON HOUSE INC $191622 112016 12312016 762017 8430 $161537 8282017 SNYDER MEMORIAL HEALTH CARE CENTER $124430 112016 12312016 5222017 8787 $109337 8282017 SOUTH FAYETTE NURSING CENTER $74658 712015 6302016 6262017 9082 $67804 8282017 SOUTH HILLS REHAB amp WELLNESS CENTER $129407 112016 12312016 662017 7470 $96667 8282017 SOUTHMONT OF PRESBYTERIAN SENIORCARE $192866 112016 12312016 3272017 5654 $109046 8282017 SOUTHWESTERN NURSING CARE CENTER $146827 112016 12312016 3272017 7214 $105921 8282017 SPANG CREST MANOR $130652 112016 12312016 7142017 5341 $69781 8282017 SPIRITRUST LUTHERAN VLG SHREWSBURY $124430 112016 12312016 6282017 5740 $71423 8282017 SPIRITRUST LUTHERAN VLG GETTYSBURG $124430 112016 12312016 6282017 5822 $72443 8282017 SPIRITRUST LUTHERAN VLG SPRENKLE DRIVE $129407 112016 12312016 6282017 5089 $65855 8282017
Cost
Current Name HAI
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SPIRITRUST LUTHERAN VLG UTZ TERRACE $49772 112016 12312016 6282017 5964 $29684 8282017 SPRING CREEK REHAB AND NURSING CENTER $502697 112016 12312016 6282017 8757 $440212 8282017 SPRINGS AT THE WATERMARK THE $135629 112016 12302016 542017 4297 $58280 8282017 SQUIRREL HILL CTR FOR REHAB AND HEALING $221485 112016 12312016 6202017 9007 $199492 8282017 ST BARNABAS NURSING HOME $214020 112016 12312016 6152017 5919 $126678 8282017 STENTON CARE AND REHABILITATION CENTER $116964 112016 12312016 6152017 9350 $109361 8282017 STONERIDGE POPLAR RUN $74658 112016 12312016 582017 4699 $35082 8282017 STONERIDGE TOWNE CENTRE $189134 112016 12312016 582017 6660 $125963 8282017 SUGAR CREEK STATION SKILLED NSG amp REHAB $199088 112016 12312016 662017 7387 $147066 8282017 SUNBURY COMMUNITY HEALTH amp REHAB CENTER $36085 112016 12312016 3272017 6255 $22571 8282017 SUNNYVIEW NURSING AND REHABILITATION CTR $273746 112016 12312016 5222017 7367 $201669 8282017 SUSQUE VIEW HOME INC $181668 112016 12312016 542017 7329 $133144 8282017 SWAIM HEALTH CENTER $98300 112016 12312016 582017 6320 $62126 8282017 SWEDEN VALLEY MANOR $150560 112016 12312016 5312017 8034 $120960 8282017 THE GARDENS AT BUTLER $46039 112016 8142016 3272017 6937 $31937 8282017 THE GARDENS AT CAMPBELLTOWN $65948 112016 8142016 3272017 6374 $42035 8282017 THE GARDENS AT EAST MOUNTAIN $149316 112016 12312016 662017 7271 $108568 8282017 THE GARDENS AT EASTON $225218 112016 8142016 3272017 8925 $201007 8282017 THE GARDENS AT LITITZ $52261 112016 8142016 3272017 6112 $31942 8282017 THE GARDENS AT MILLVILLE $136873 112016 8142016 3272017 8831 $120873 8282017 THE GARDENS AT ORANGEVILLE $149316 112016 8142016 3272017 7844 $117123 8282017 THE GARDENS AT PALMYRA $48528 112016 8142016 3272017 7239 $35129 8282017 THE GARDENS AT POTTSTOWN $51016 112016 8142016 3272017 7991 $40767 8282017 THE GARDENS AT STEVENS $102033 112016 8142016 3272017 7014 $71566 8282017 THE GARDENS AT TUNKHANNOCK $154293 112016 12312016 662017 7964 $122879 8282017 THE GARDENS AT WYOMING VALLEY $149316 112016 12312016 662017 8767 $130905 8282017 THE GARDENS FOR MEMORY CARE AT EASTON $143094 112016 8142016 3272017 8620 $123347 8282017 THE GROVE AT GREENVILLE $191622 112016 8142016 3272017 8918 $170888 8282017 THE GROVE AT HARMONY $143094 112016 8142016 3272017 8298 $118739 8282017 THE GROVE AT IRWIN $149316 112016 8142016 3272017 7907 $118064 8282017 THE GROVE AT LATROBE $133140 112016 12312016 5312017 9079 $120878 8282017 THE GROVE AT NEW CASTLE $77147 112016 8142016 3272017 8747 $67480 8282017 THE GROVE AT NEW WILMINGTON $143094 112016 8142016 3272017 8884 $127125 8282017 THE GROVE AT WASHINGTON $92078 112016 8142016 3272017 8632 $79482 8282017 THE MANOR AT PENN VILLAGE $197844 112016 12312016 6202017 7769 $153705 8282017
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THE MANOR AT PERRY VILLAGE $153049 112016 12312016 6202017 8019 $122730 8282017 THE MANOR AT ST LUKE VILLAGE $129407 112016 12312016 6152017 7202 $93199 8282017 THE MANOR AT SUSQUEHANNA VILLAGE $241394 112016 12312016 6202017 8158 $196929 8282017 THE MEADOWS GETTYSBURG FOR NSG amp REHAB $126919 112016 12312016 6152017 8209 $104188 8282017 THE MEADOWS STROUD FOR NSG amp REHAB LLC $158026 112016 12312016 662017 7885 $124604 8282017 THE MEADOWS WEST SHORE FOR NSG amp REHAB $384489 112016 12312016 662017 9099 $349847 8282017 THE MEADOWS AT BLUE RIDGE $118208 112016 12312016 662017 8651 $102262 8282017 THE MEADOWS AT CAMP HILL FOR NSG amp REHAB $118208 112016 12312016 6152017 8804 $104070 8282017 THE MEADOWS AT SCRANTON FOR NSG amp REHAB $172958 112016 12312016 662017 8493 $146893 8282017 THE MEADOWS AT YORK TERRACE $99544 112016 12312016 6152017 7785 $77495 8282017 THE PATRIOT A CHOICE COMMUNITY $124430 112016 12312016 6282017 7001 $87113 8282017 THE PAVILION AT ST LUKE VILLAGE $149316 112016 12312016 6202017 6919 $103312 8282017 THORNWALD HOME $103277 112016 12312016 762017 5319 $54933 8282017 TIMBER RIDGE HEALTH CENTER $223974 112016 12312016 5312017 7829 $175349 8282017 TITUSVILLE HEALTHCARE amp REHAB CENTER $95811 112016 9302016 3272017 7785 $74589 8282017 TOWNE MANOR EAST $149316 112016 12312016 7142017 9110 $136027 8282017 TOWNE MANOR WEST $148072 112016 12312016 7142017 8353 $123685 8282017 TRANSITIONS HEALTHCARE GETTYSBURG $167980 112016 12312016 6152017 7369 $123784 8282017 TRANSITIONS HEALTHCARE NORTH HUNTINGDON $149316 112016 12312016 6202017 6837 $102087 8282017 TRANSITIONS HEALTHCARE WASHINGTON PA $149316 112016 12312016 6152017 6718 $100310 8282017 TUCKER HOUSE NSG amp REHAB CTR $223974 112016 12312016 5162017 8539 $191251 8282017 TWIN PINES HEALTH CARE CENTER $149316 112016 12312016 4182017 8264 $123395 8282017 UNIONTOWN HEALTHCARE amp REHAB CENTER $149316 112016 9302016 3272017 7336 $109538 8282017 UNITED ZION RETIREMENT COMMUNITY $73414 112016 12312016 6282017 4649 $34130 8282017 VALENCIA WOODS AT ST BARNABAS $58482 112016 12312016 6282017 3933 $23001 8282017 VALLEY VIEW HAVEN INC $201577 112016 12312016 582017 6225 $125482 8282017 VALLEY VIEW NURSING CENTER $215264 112016 12312016 5162017 5850 $125929 8282017 VILLAGE AT LUTHER SQUARE $136873 112016 12312016 762017 9017 $123418 8282017 WALNUT CREEK HEALTHCARE amp REHAB CENTER $143094 112016 9302016 3272017 5841 $83581 8282017 WARREN MANOR $150560 112016 12312016 5222017 5801 $87340 8282017 WASHINGTON COUNTY HEALTH CENTER $358358 112016 12312016 7142017 8319 $298118 8282017 WATSONTOWN REHABILITATION AND NRSG CTR $155538 112016 12312016 5162017 7345 $114243 8282017 WAYNESBURG HEALTHCARE amp REHAB CENTER $138117 112016 9302016 3272017 7726 $106709 8282017 WEATHERWOOD HEALTHCARE AND REHAB CTR $248860 112016 12312016 522017 8269 $205782 8282017 WESBURY UNITED METHODIST COMMUNITY $261303 112016 12312016 4182017 6646 $173662 8282017
Cost
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WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017
Cost
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BETHLEN HM OF THE HUNGARIAN RFRMD FED $119453 112016 12312016 5162017 5642 $67395 8282017 BIRCHWOOD NURSING AND REHAB CENTER $150560 112016 12312016 582017 7439 $112002 8282017 BONHAM NURSING CENTER $95811 452016 12312016 5312017 8060 $77224 8282017 BRADFORD COUNTY MANOR $248860 112016 12312016 5312017 7620 $189631 8282017 BRADFORD ECUMENICAL HOME INC $124430 112016 12312016 4132017 6279 $78130 8282017 BRADFORD MANOR $143094 112016 12312016 5222017 7109 $101726 8282017 BRIGHTON REHABILITATION amp WELLNESS CTR $732893 112016 12312016 582017 7849 $575248 8282017 BROAD ACRES HEALTH AND REHAB CENTER $149316 112016 12312016 3272017 6619 $98832 8282017 BROOKLINE MANOR AND REHABILITATIVE SRVCS $105766 112016 12312016 522017 5746 $60773 8282017 BROOKMONT HEALTHCARE CENTER LLC $148072 112016 12312016 522017 6596 $97668 8282017 BROOKSIDE HEALTHCARE AND REHAB CENTER $149316 112016 12312016 582017 7756 $115809 8282017 BROOKVIEW HEALTH CARE CENTER $189134 112016 12312016 7142017 3824 $72325 8282017 BROOMALL MANOR $153049 112016 12312016 4132017 8855 $135525 8282017 BROOMALL PRESBYTERIAN VILLAGE $181668 112016 12312016 6202017 6246 $113470 8282017 BROOMALL REHAB AND NURSING CENTER $370801 112016 12312016 7142017 7435 $275691 8282017 BRYN MAWR EXTENDED CARE CENTER $199088 112016 12312016 4132017 8026 $159788 8282017 BUFFALO VALLEY LUTHERAN VILLAGE $126919 112016 12312016 6202017 6989 $88704 8282017 CAMBRIA CARE CENTER $374534 112016 12312016 4182017 8591 $321762 8282017 CANTERBURY PLACE $121941 112016 12312016 662017 5951 $72567 8282017 CARBONDALE NURSING AND REHAB CENTER $143094 112016 12312016 6282017 7711 $110340 8282017 CARE PAVILION NURSING AND REHAB CENTER $492743 112016 12312016 5162017 9220 $454309 8282017 CARING HEIGHTS COMMUNITY CARE amp REHAB $149316 112016 12312016 4132017 7793 $116362 8282017 CARLETON HEALTHCARE amp REHABILITATION CTR $32352 112016 12312016 522017 6537 $21149 8282017 CEDAR HAVEN HEALTHCARE CENTER $403153 112016 12312016 5222017 8686 $350179 8282017 CEDARBROOK NURSING HOMES $833681 112016 12312016 5312017 8978 $748479 8282017 CENTENNIAL HEALTHCARE amp REHAB CENTER $223974 112016 12312016 6282017 8066 $180657 8282017 CENTRE CREST $298632 112016 12312016 3272017 7691 $229678 8282017 CHAMBERS POINTE HEALTH CARE CENTER $74658 112016 12312016 7142017 3111 $23226 8282017 CHANDLER HALL HEALTH SERVICES INC $65948 112016 12312016 762017 5076 $33475 8282017 CHAPEL POINTE AT CARLISLE $73414 112016 12312016 5222017 4097 $30078 8282017 CHERRY TREE NURSING CENTER $149316 112016 12312016 582017 8089 $120782 8282017 CHESTER VALLEY REHAB AND NURSING CENTER $228951 112016 12312016 582017 7996 $183069 8282017 CHESTNUT HILL LODGE HEALTH AND REHAB CTR $225218 112016 12312016 6282017 9002 $202741 8282017 CHURCH OF GOD HOME INC $135629 112016 12312016 582017 4175 $56625 8282017 CLAREMONT NRC OF CUMBERLAND COUNTY $360847 112016 12312016 6152017 7232 $260965 8282017
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CLARION HEALTHCARE AND REHAB CENTER $103277 112016 9302016 3272017 7289 $75279 8282017 CLARVIEW NURSING AND REHAB CENTER $149316 112016 12312016 3272017 7069 $105551 8282017 CLEPPER MANOR $67192 112016 12312016 5312017 7507 $50441 8282017 CLIVEDEN NSG amp REHAB CTR $223974 112016 12312016 5162017 8685 $194521 8282017 COLONIAL MANOR NURSING HOME $335961 112016 12312016 5162017 8193 $275253 8282017 COLONIAL PARK CARE CENTER $246371 112016 12312016 4212017 7530 $185517 8282017 COMMUNITIES AT INDIAN HAVEN $134384 112016 12312016 762017 5719 $76854 8282017 CONCORDIA AT THE CEDARS $73414 112016 12312016 5312017 6412 $47073 8282017 CONESTOGA VIEW $554958 112016 12312016 6152017 8771 $486754 8282017 CONSULATE HEALTH CARE OF CHESWICK $150560 112016 12312016 6152017 8622 $129813 8282017 CONSULATE HEALTH CARE OF NORTH STRABANE $77147 112016 12312016 6202017 7399 $57081 8282017 CORNWALL MANOR $119453 112016 12312016 7142017 2899 $34629 8282017 CORRY MANOR $150560 112016 12312016 5222017 6837 $102938 8282017 COUNTRY MEADOWS NURSING CENTER-BETHLEHEM $87101 112016 12312016 7142017 300 $2613 8282017 COUNTRYSIDE CHRISTIAN COMMUNITY $41062 112016 12312016 6282017 5782 $23742 8282017 COURTYARD GARDENS NURSING AND REHAB CTR $126919 112016 12312016 662017 5682 $72115 8282017 CRAWFORD COUNTY CARE CENTER $195355 112016 12312016 6152017 7556 $147610 8282017 CREEKSIDE HEALTH AND REHABILITATION CTR $100788 112016 12312016 5312017 8770 $88391 8282017 CUMBERLAND CROSSINGS RETIREMENT COMM $72169 112016 12312016 6202017 4281 $30896 8282017 DARWAY HEALTHCARE amp REHABILITATION CTR $83368 112016 12312016 522017 8148 $67928 8282017 DOYLESTOWN CARE AND REHABILITATION CTR $149316 112016 12312016 662017 8974 $133996 8282017 DUNMORE HEALTH CARE CENTER $114476 112016 12312016 4132017 7794 $89223 8282017 EDINBORO MANOR $150560 112016 12312016 5222017 7226 $108795 8282017 EDISON MANOR NURSING AND REHAB CENTER $146827 112016 12312016 4132017 8572 $125860 8282017 ELMWOOD GARDENS OF PRESBY SENIOR CARE $63459 112016 12312016 7142017 6001 $38082 8282017 EMMANUEL CENTER FOR NURSING AND REHAB $111987 112016 12312016 762017 5394 $60406 8282017 EPHRATA MANOR $149316 112016 12312016 762017 5700 $85110 8282017 EPWORTH HEALTHCARE AND REHAB CENTER $126919 112016 12312016 522017 7198 $91356 8282017 EXETER GREENS CARE amp REHABILITATION CTR $154293 112016 12312016 662017 8265 $127523 8282017 FAIR ACRES GERIATRIC CENTER $1129824 112016 12312016 7142017 9402 $1062261 8282017 FAIRVIEW MANOR $150560 112016 12312016 5222017 6898 $103856 8282017 FORBES CENTER FOR REHAB amp HEALTHCARE LLC $232684 112016 12312016 762017 8237 $191662 8282017 FOREST CITY NURSING AND REHAB CENTER $164248 112016 12312016 3272017 7293 $119786 8282017 FOREST PARK HEALTH CENTER $141850 112016 12312016 522017 7208 $102245 8282017
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MA Occupancy
HAI Payment RA Date
FORESTVIEW $99544 112016 12312016 5312017 3631 $36144 8282017 FOX SUBACUTE AT CLARA BURKE $74658 112016 12312016 762017 7381 $55105 8282017 FOX SUBACUTE CENTER $74658 112016 12312016 762017 6317 $47161 8282017 FREDERICK LIVING - CEDARWOOD $75902 112016 12312016 762017 1960 $14877 8282017 FREY VILLAGE $169225 112016 12312016 6202017 5833 $98709 8282017 FRIENDSHIP VILLAGE OF SOUTH HILLS $110743 112016 12312016 582017 463 $5127 8282017 GARVEY MANOR $164248 112016 12312016 4182017 6987 $114760 8282017 GLENDALE UPTOWN HOME $298632 112016 12312016 5222017 8585 $256376 8282017 GRACEDALE - NORTHAMPTON COUNTY HOME $902117 112016 12312016 762017 8498 $766619 8282017 GREEN RIDGE CARE CENTER $118208 112016 12312016 4132017 6112 $72249 8282017 GREEN VALLEY SKILLED NSG amp REHAB CENTER $59726 112016 12312016 6282017 7890 $47124 8282017 GREENERY CENTER FOR REHAB amp NURSING $174202 662016 12312016 542017 8601 $149831 8282017 GREENSBURG CARE CENTER $149316 112016 12312016 4182017 7680 $114675 8282017 GUARDIAN HEALTHCARE amp REHAB CENTER $136873 112016 12312016 522017 8129 $111264 8282017 HAIDA HEALTHCARE AND REHAB CENTER $121941 112016 9302016 3272017 7521 $91712 8282017 HANOVER HALL $189134 112016 12312016 5162017 7494 $141737 8282017 HARMAR VILLAGE CARE CENTER $161759 112016 12312016 4212017 7496 $121255 8282017 HARMON HOUSE CARE CENTER $135629 112016 12312016 4212017 7241 $98209 8282017 HARRISON SENIOR LIVING OF CHRISTIANA $172958 112016 12312016 6152017 8982 $155351 8282017 HAVEN CONVALESCENT HOME INC $113231 112016 12312016 6152017 7897 $89419 8282017 HEARTHSIDE REHAB CENTER $195355 112016 12312016 6152017 7904 $154409 8282017 HEMPFIELD MANOR $149316 112016 12312016 5222017 6297 $94024 8282017 HICKORY HOUSE NURSING HOME $136873 112016 12312016 4212017 6209 $84984 8282017 HIGHLAND MANOR REHAB amp NURSING CENTER $149316 112016 12312016 6152017 7454 $111300 8282017 HIGHLAND PARK CARE CENTER $179179 112016 12312016 4212017 8924 $159899 8282017 HIGHLAND VIEW HEALTHCARE amp REHAB CENTER $62215 112016 12312016 522017 7259 $45162 8282017 HIGHLANDS HEALTHCARE amp REHAB CENTER $149316 112016 12312016 522017 9030 $134832 8282017 HILLSDALE PARK REHAB CENTER $92078 112016 12312016 582017 7239 $66655 8282017 HILLVIEW HEALTHCARE AND REHAB CENTER $165492 112016 9302016 3272017 7426 $122894 8282017 HOLY FAMILY HOME $55993 112016 12312016 542017 8862 $49621 8282017 HOLY FAMILY MANOR $258814 112016 12312016 6202017 7221 $186890 8282017 HOLY FAMILY RESIDENCE $67192 112016 12312016 7142017 9095 $61111 8282017 HOMETOWN NURSING AND REHAB CENTER $186645 112016 12312016 3272017 7659 $142951 8282017 HOMEWOOD AT MARTINSBURG PA INC $160515 112016 12312016 5222017 4607 $73949 8282017 HOMEWOOD AT PLUM CREEK $149316 112016 12312016 5222017 3888 $58054 8282017
Cost
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Cost Report
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HOSPITALITY CARE CENTER OF HERMITAGE INC $41062 112016 12312016 6282017 7950 $32644 8282017 JAMESON CARE CENTER $97055 112016 12312016 6152017 4852 $47091 8282017 JEFFERSON HILLS HEALTHCARE amp REHAB CTR $103277 112016 12312016 522017 6959 $71870 8282017 JEWISH HOME OF EASTERN PENNSYLVANIA $215264 112016 12312016 6282017 7445 $160264 8282017 JOHN J KANE REGIONAL CENTER-GLEN HAZEL $261303 112016 12312016 762017 9400 $245625 8282017 JOHN J KANE REGIONAL CENTER-MCKEESPORT $447948 112016 12312016 762017 8882 $397867 8282017 JOHN J KANE REGIONAL CENTER-ROSS TWNSHP $298632 112016 12312016 762017 9099 $271725 8282017 JOHN J KANE REGIONAL CENTER-SCOTT TWNSHP $390710 112016 12312016 762017 8692 $339605 8282017 JULIA POUND CARE CENTER $163003 112016 12312016 5162017 5813 $94754 8282017 JULIA RIBAUDO EXTENDED CARE CENTER $149316 112016 12312016 4132017 7758 $115839 8282017 KEARSLEY REHAB AND NURSING CENTER $104521 112016 12312016 582017 6445 $67364 8282017 KEPLER CENTER FOR NURSING AND REHAB $49772 112016 12312016 6152017 7860 $39121 8282017 KINGSTON HEALTH CARE CENTER $80880 112016 12312016 4132017 6979 $56446 8282017 KINZUA HEALTHCARE AND REHAB CENTER $131896 112016 9302016 3272017 7530 $99318 8282017 KITTANNING CARE CENTER $149316 112016 12312016 4212017 8806 $131488 8282017 LAFAYETTE MANOR INC $121941 112016 12312016 5222017 6719 $81932 8282017 LAKEVIEW HEALTHCARE amp REHABILITATION CTR $42306 112016 12312016 522017 5825 $24643 8282017 LANCASHIRE HALL $298632 112016 12312016 5162017 8678 $259153 8282017 LANCASTER CARE AND REHABILITATION CENTER $154293 112016 12312016 662017 9235 $142490 8282017 LANSDALE CARE AND REHABILITATION CENTER $156782 112016 12312016 662017 9273 $145384 8282017 LAUREL CARE NURSING AND REHAB CENTER $114476 112016 12312016 7142017 6360 $72807 8282017 LAUREL WOOD CARE CENTER $149316 112016 12312016 4212017 7498 $111957 8282017 LAWSON NURSING HOME INC $62215 112016 12312016 762017 6133 $38156 8282017 LEBANON VALLEY BRETHREN HOME $124430 112016 12312016 5312017 4084 $50817 8282017 LEBANON VALLEY HOME THE $68436 112016 12312016 762017 5285 $36168 8282017 LECOM AT PRESQUE ISLE INC $175446 112016 1312016 3272017 8709 $152796 8282017 LGAR HEALTH AND REHABILITATION CENTER $149316 112016 12312016 5312017 7584 $113241 8282017 LITTLE FLOWER MANOR OF DIOCESE SCRANTON $165492 112016 12312016 6282017 7457 $123407 8282017 LITTLE SISTERS OF THE POOR $59726 112016 12312016 6282017 9375 $55993 8282017 LOCUST GROVE RETIREMENT VILLAGE $129407 112016 12312016 6202017 7418 $95994 8282017 LOYALHANNA CARE CENTER $149316 112016 12312016 5162017 6173 $92173 8282017 LUTHER ACRES MANOR $131896 112016 12312016 762017 4486 $59169 8282017 LUTHER CREST NURSING FACILITY $74658 112016 12312016 6202017 2805 $20942 8282017 LUTHER WOODS NURSING amp REHAB CENTER $174202 212016 12312016 542017 5969 $103981 8282017 LUTHERAN HOME AT HOLLIDAYSBURG THE $110743 112016 12312016 6282017 5062 $56058 8282017
Cost
Current Name HAI
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LUTHERAN HOME AT JOHNSTOWN THE $78391 112016 12312016 6282017 5254 $41187 8282017 LUTHERAN HOME AT KANE THE $111987 112016 12312016 762017 6577 $73654 8282017 LUTHERAN HOME AT TOPTON $241394 112016 12312016 6202017 5900 $142422 8282017 MAHONING VALLEY NURSING AND REHAB CENTER $176691 112016 12312016 5312017 6936 $122553 8282017 MAJESTIC OAKS REHAB amp NURSING CENTER $223974 112016 12312016 582017 8296 $185809 8282017 MANATAWNY MANOR INC $165492 112016 12312016 6202017 6401 $105931 8282017 MANCHESTER COMMONS OF PRESBY SR CARE $97055 112016 12312016 7142017 5839 $56670 8282017 MANORCARE HEALTH SERVICES - MONTGOMERY $211531 112016 12312016 4182017 7965 $168484 8282017 MANORCARE HEALTH SVCS-ALLENTOWN $206554 112016 12312016 4132017 8131 $167949 8282017 MANORCARE HEALTH SVCS-BETHEL PARK $199088 112016 12312016 4132017 7055 $140457 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2021) $282456 112016 12312016 4132017 8611 $243223 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2029) $270013 112016 12312016 4132017 8524 $230159 8282017 MANORCARE HEALTH SVCS-CAMP HILL $153049 112016 12312016 5162017 6440 $98564 8282017 MANORCARE HEALTH SVCS-CARLISLE $186645 112016 12312016 4132017 7961 $148588 8282017 MANORCARE HEALTH SVCS-CHAMBERSBURG $261303 112016 12312016 4132017 7441 $194436 8282017 MANORCARE HEALTH SVCS-DALLASTOWN $251349 112016 12312016 5312017 8074 $202939 8282017 MANORCARE HEALTH SVCS-EASTON $282456 112016 12312016 3272017 7812 $220655 8282017 MANORCARE HEALTH SVCS-ELIZABETHTOWN $90834 112016 12312016 4182017 7388 $67108 8282017 MANORCARE HEALTH SVCS-GREEN TREE $223974 112016 12312016 4132017 6382 $142940 8282017 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY $161759 112016 12312016 4212017 7967 $128873 8282017 MANORCARE HEALTH SVCS-JERSEY SHORE $149316 112016 12312016 5312017 8245 $123111 8282017 MANORCARE HEALTH SVCS-KING OF PRUSSIA $211531 112016 12312016 4182017 7986 $168929 8282017 MANORCARE HEALTH SVCS-KINGSTON $218997 112016 12312016 3272017 8001 $175219 8282017 MANORCARE HEALTH SVCS-LANCASTER $214020 112016 12312016 4132017 7654 $163811 8282017 MANORCARE HEALTH SVCS-LAURELDALE $246371 112016 12312016 4182017 7331 $180615 8282017 MANORCARE HEALTH SVCS-LEBANON $197844 112016 12312016 4182017 7787 $154061 8282017 MANORCARE HEALTH SVCS-MONROEVILLE $163003 112016 12312016 4182017 6050 $98617 8282017 MANORCARE HEALTH SVCS-NORTH HILLS $248860 112016 12312016 4132017 7534 $187491 8282017 MANORCARE HEALTH SVCS-OXFORD VALLEY $186645 112016 12312016 4182017 6418 $119789 8282017 MANORCARE HEALTH SVCS-PETERS TOWNSHIP $174202 112016 12312016 4182017 6903 $120252 8282017 MANORCARE HEALTH SVCS-POTTSTOWN $186645 112016 12312016 3272017 8251 $154001 8282017 MANORCARE HEALTH SVCS-POTTSVILLE $222730 112016 12312016 3272017 8404 $187182 8282017 MANORCARE HEALTH SVCS-SINKING SPRING $266280 112016 12312016 4182017 7868 $209509 8282017 MANORCARE HEALTH SVCS-SUNBURY $156782 112016 12312016 3272017 8126 $127401 8282017 MANORCARE HEALTH SVCS-WEST READING NORTH $218997 112016 12312016 4182017 8784 $192367 8282017
Cost
Current Name HAI
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Cost Report
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MA Occupancy
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MANORCARE HEALTH SVCS-WHITEHALL BOROUGH $206554 112016 12312016 4182017 4407 $91028 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT NORTH $189134 112016 12312016 4182017 7999 $151288 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH $144339 112016 12312016 4182017 8431 $121692 8282017 MANORCARE HEALTH SVCS-YEADON $246371 112016 12312016 4182017 9204 $226760 8282017 MAPLE WINDS HEALTHCARE amp REHAB CTR LLC $62215 112016 12312016 5222017 4949 $30790 8282017 MAPLEWOOD NURSING AND REHABILITATION CTR $223974 112016 12312016 5162017 9150 $204936 8282017 MASONIC VILLAGE AT ELIZABETHTOWN $563668 112016 12312016 6282017 6118 $344852 8282017 MASONIC VILLAGE AT LAFAYETTE HILL $74658 112016 12312016 6282017 6180 $46139 8282017 MASONIC VILLAGE AT SEWICKLEY $159270 112016 12312016 6282017 3207 $51078 8282017 MASONIC VILLAGE AT WARMINSTER $53505 112016 12312016 6282017 7016 $37539 8282017 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER $298632 1252016 12312016 542017 8347 $249268 8282017 MEADOW VIEW HEALTHCARE amp REHAB CENTER $78391 112016 12312016 522017 7147 $56026 8282017 MEADOWVIEW REHAB amp NURSING CENTER $303609 212016 12312016 4212017 7984 $242401 8282017 MERCY CENTER NURSING UNIT INC $73414 112016 12312016 6202017 6113 $44878 8282017 MEYERSDALE HEALTHCARE AND REHAB CTR $123186 112016 9302016 3272017 8432 $103870 8282017 MID VALLEY HEALTH CARE CENTER $47283 112016 12312016 4132017 5675 $26833 8282017 MILFORD HEALTHCARE AND REHAB CENTER $99544 112016 12312016 542017 7285 $72518 8282017 MILTON REHABILITATION AND NURSING CENTER $171713 112016 12312016 5162017 7805 $134022 8282017 MISERICORDIA NURSING amp REHAB CENTER $62215 112016 12312016 662017 5329 $33154 8282017 MON VALLEY CARE CENTER $74658 112016 12312016 6282017 4721 $35246 8282017 MONROEVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 7377 $110150 8282017 MORAVIAN MANOR $158026 112016 12312016 662017 2902 $45859 8282017 MORRISONS COVE HOME $154293 112016 12312016 6202017 7338 $113220 8282017 MOUNT CARMEL NURSING AND REHAB CENTER $150560 112016 12312016 3272017 7700 $115931 8282017 MOUNTAIN TOP HEALTHCARE AND REHAB CTR $131896 112016 12312016 522017 7952 $104884 8282017 MOUNTAIN VIEW A NURSING AND REHAB CTR $337205 112016 12312016 5312017 8166 $275362 8282017 MOUNTAINVIEW SPECIALTY CARE CENTER $170469 112016 12312016 4212017 7498 $127818 8282017 MT LEBANON REHAB AND WELLNESS CENTER $150560 112016 12312016 662017 8385 $126245 8282017 MULBERRY HEALTHCARE amp REHAB CTR $93322 112016 12312016 522017 7480 $69805 8282017 MURRYSVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 8196 $122379 8282017 NESHAMINY MANOR HOME $447948 112016 12312016 6202017 7617 $341202 8282017 NORMANDIE RIDGE $79635 112016 12312016 6152017 4491 $35764 8282017 NOTTINGHAM VILLAGE $150560 112016 12312016 762017 5925 $89207 8282017 NUGENT CONVALESCENT HOME $130652 112016 12312016 5312017 7726 $100942 8282017 NURSING amp REHABILITATION AT THE MANSION $87101 112016 12312016 662017 8608 $74977 8282017
Cost
Current Name HAI
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Cost Report
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MA Occupancy
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OAKMONT CENTER FOR NURSING AND REHAB $105766 112016 12312016 5312017 7633 $80731 8282017 OAKWOOD HEIGHTS OF PRESBY SENIOR CARE $131896 112016 12312016 7142017 6601 $87065 8282017 OHESSON MANOR $166736 112016 12312016 6202017 6901 $115065 8282017 OIL CITY HEALTHCARE AND REHAB CENTER $118208 112016 9302016 3272017 6891 $81457 8282017 OLD ORCHARD HEALTH CARE CENTER $223974 112016 12312016 3272017 7306 $163635 8282017 OXFORD HEALTH CENTER $170469 112016 12312016 5162017 5941 $101276 8282017 PARK AVENUE REHAB CENTER $215264 112016 12312016 582017 8301 $178691 8282017 PARKHOUSE REHABILITATION AND NURSING CTR $581088 112016 12312016 5162017 8441 $490496 8282017 PAULS RUN $149316 112016 12312016 762017 4559 $68073 8282017 PEMBROOKE HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8819 $197523 8282017 PENNKNOLL VILLAGE $165492 112016 12312016 6202017 7735 $128008 8282017 PHILADELPHIA NURSING HOME $500209 112016 12312016 582017 9757 $488054 8282017 PHILADELPHIA PROTESTANT HOME $156782 112016 12312016 6282017 5180 $81213 8282017 PHOENIXVILLE CARE AND REHABILITATION CTR $171713 112016 12312016 662017 8835 $151708 8282017 PLATINUM RIDGE CTR FOR REHAB amp HEALING $120697 112016 12312016 4132017 7473 $90197 8282017 PLEASANT ACRES NURSING AND REHAB CENTER $466612 112016 12312016 762017 9069 $423170 8282017 PLEASANT RIDGE MANOR WEST $373290 112016 12312016 5222017 8866 $330959 8282017 PLEASANT VALLEY MANOR INC $216508 112016 12312016 582017 7920 $171474 8282017 PLEASANT VIEW RETIREMENT COMMUNITY $165492 112016 12312016 5312017 4557 $75415 8282017 POCOPSON HOME $342182 112016 12312016 7142017 8832 $302215 8282017 PREMIER ARMSTRONG REHAB amp NSG FACILITY $143094 112016 12312016 4212017 8097 $115863 8282017 PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON $83368 112016 12312016 5162017 4612 $38449 8282017 PROSPECT PARK HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8083 $181038 8282017 PROVIDENCE CARE CENTER $223974 112016 12312016 4212017 8264 $185092 8282017 QUINCY RETIREMENT COMMUNITY $166736 112016 12312016 5222017 6233 $103927 8282017 REFORMED PRESBYTERIAN HOME $72169 112016 12312016 6152017 8514 $61445 8282017 REHAB amp NURSING CTR GREATER PITTSBURGH $149316 112016 12312016 4212017 5018 $74927 8282017 RICHFIELD HEALTHCARE AND REHAB CENTER $49772 112016 12312016 522017 6784 $33765 8282017 RICHLAND HEALTHCARE AND REHAB CENTER $120697 112016 9302016 3272017 6314 $76208 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $163003 112016 12312016 522017 7416 $120883 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $138117 312016 12312016 542017 8230 $113670 8282017 RIVER RUN REHAB AND NURSING CENTER $166736 112016 12312016 6152017 7258 $121017 8282017 RIVERS EDGE NURSING AND REHAB CENTER $149316 112016 12312016 7142017 7022 $104850 8282017 RIVERSIDE CARE CENTER $149316 112016 12312016 4212017 8449 $126157 8282017 RIVERSIDE REHABILITATION AND NURSING CTR $200332 112016 12312016 582017 7941 $159084 8282017
Cost
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RIVERWOODS $281212 112016 12312016 762017 5987 $168362 8282017 ROCHESTER MANOR $151805 112016 12312016 6282017 7198 $109269 8282017 ROLLING FIELDS INC $225218 112016 12312016 5222017 7972 $179544 8282017 ROLLING HILLS HEALTHCARE amp REHAB CENTER $70925 112016 12312016 542017 8248 $58499 8282017 ROSEMONT CARE AND REHABILITATION CENTER $94567 112016 12312016 662017 9512 $89952 8282017 ROUSE WARREN COUNTY HOME $218997 112016 12312016 6282017 7031 $153977 8282017 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES $141850 112016 12312016 6202017 1725 $24469 8282017 SAINT JOHN XXIII HOME $111987 112016 12312016 5312017 6828 $76465 8282017 SAINT MARYS AT ASBURY RIDGE $99544 112016 12312016 5222017 4754 $47323 8282017 SAINT MARYS EAST $172958 112016 12312016 5222017 5826 $100765 8282017 SAINT MARYS VILLA NURSING HOME INC $139362 112016 12312016 7142017 6841 $95338 8282017 SAINT PAUL HOMES $238906 112016 12312016 762017 6045 $144419 8282017 SARAH A TODD MEMORIAL HOME $145583 112016 12312016 762017 7454 $108518 8282017 SAXONY HEALTH CENTER $84612 112016 12312016 5222017 6592 $55776 8282017 SCENERY HILL HEALTHCARE amp REHAB CENTER $69681 112016 12312016 542017 7230 $50379 8282017 SCOTTDALE HEALTHCARE amp REHAB CENTER $43550 112016 12312016 522017 3947 $17189 8282017 SCRANTON HEALTH CARE CENTER $54749 112016 12312016 4132017 6170 $33780 8282017 SENA-KEAN MANOR $189134 112016 12312016 5222017 8203 $155147 8282017 SHENANDOAH MANOR NURSING CENTER $154293 112016 12312016 3272017 8239 $127122 8282017 SHENANGO PRESBYTERIAN SENIORCARE $31108 112016 12312016 6202017 2279 $7090 8282017 SHIPPENSBURG HEALTH CARE CENTER $155538 112016 12312016 7142017 7425 $115487 8282017 SHIPPENVILLE HEALTHCARE AND REHAB CENTER $149316 112016 9302016 3272017 7603 $113525 8282017 SHOOK HOME THE $80880 112016 12312016 5222017 6055 $48973 8282017 SIEMONS LAKEVIEW MANOR NSG AND REHAB $149316 112016 12312016 6282017 8277 $123589 8282017 SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB $82124 112016 12312016 662017 7329 $60189 8282017 SIMPSON HOUSE INC $191622 112016 12312016 762017 8430 $161537 8282017 SNYDER MEMORIAL HEALTH CARE CENTER $124430 112016 12312016 5222017 8787 $109337 8282017 SOUTH FAYETTE NURSING CENTER $74658 712015 6302016 6262017 9082 $67804 8282017 SOUTH HILLS REHAB amp WELLNESS CENTER $129407 112016 12312016 662017 7470 $96667 8282017 SOUTHMONT OF PRESBYTERIAN SENIORCARE $192866 112016 12312016 3272017 5654 $109046 8282017 SOUTHWESTERN NURSING CARE CENTER $146827 112016 12312016 3272017 7214 $105921 8282017 SPANG CREST MANOR $130652 112016 12312016 7142017 5341 $69781 8282017 SPIRITRUST LUTHERAN VLG SHREWSBURY $124430 112016 12312016 6282017 5740 $71423 8282017 SPIRITRUST LUTHERAN VLG GETTYSBURG $124430 112016 12312016 6282017 5822 $72443 8282017 SPIRITRUST LUTHERAN VLG SPRENKLE DRIVE $129407 112016 12312016 6282017 5089 $65855 8282017
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SPIRITRUST LUTHERAN VLG UTZ TERRACE $49772 112016 12312016 6282017 5964 $29684 8282017 SPRING CREEK REHAB AND NURSING CENTER $502697 112016 12312016 6282017 8757 $440212 8282017 SPRINGS AT THE WATERMARK THE $135629 112016 12302016 542017 4297 $58280 8282017 SQUIRREL HILL CTR FOR REHAB AND HEALING $221485 112016 12312016 6202017 9007 $199492 8282017 ST BARNABAS NURSING HOME $214020 112016 12312016 6152017 5919 $126678 8282017 STENTON CARE AND REHABILITATION CENTER $116964 112016 12312016 6152017 9350 $109361 8282017 STONERIDGE POPLAR RUN $74658 112016 12312016 582017 4699 $35082 8282017 STONERIDGE TOWNE CENTRE $189134 112016 12312016 582017 6660 $125963 8282017 SUGAR CREEK STATION SKILLED NSG amp REHAB $199088 112016 12312016 662017 7387 $147066 8282017 SUNBURY COMMUNITY HEALTH amp REHAB CENTER $36085 112016 12312016 3272017 6255 $22571 8282017 SUNNYVIEW NURSING AND REHABILITATION CTR $273746 112016 12312016 5222017 7367 $201669 8282017 SUSQUE VIEW HOME INC $181668 112016 12312016 542017 7329 $133144 8282017 SWAIM HEALTH CENTER $98300 112016 12312016 582017 6320 $62126 8282017 SWEDEN VALLEY MANOR $150560 112016 12312016 5312017 8034 $120960 8282017 THE GARDENS AT BUTLER $46039 112016 8142016 3272017 6937 $31937 8282017 THE GARDENS AT CAMPBELLTOWN $65948 112016 8142016 3272017 6374 $42035 8282017 THE GARDENS AT EAST MOUNTAIN $149316 112016 12312016 662017 7271 $108568 8282017 THE GARDENS AT EASTON $225218 112016 8142016 3272017 8925 $201007 8282017 THE GARDENS AT LITITZ $52261 112016 8142016 3272017 6112 $31942 8282017 THE GARDENS AT MILLVILLE $136873 112016 8142016 3272017 8831 $120873 8282017 THE GARDENS AT ORANGEVILLE $149316 112016 8142016 3272017 7844 $117123 8282017 THE GARDENS AT PALMYRA $48528 112016 8142016 3272017 7239 $35129 8282017 THE GARDENS AT POTTSTOWN $51016 112016 8142016 3272017 7991 $40767 8282017 THE GARDENS AT STEVENS $102033 112016 8142016 3272017 7014 $71566 8282017 THE GARDENS AT TUNKHANNOCK $154293 112016 12312016 662017 7964 $122879 8282017 THE GARDENS AT WYOMING VALLEY $149316 112016 12312016 662017 8767 $130905 8282017 THE GARDENS FOR MEMORY CARE AT EASTON $143094 112016 8142016 3272017 8620 $123347 8282017 THE GROVE AT GREENVILLE $191622 112016 8142016 3272017 8918 $170888 8282017 THE GROVE AT HARMONY $143094 112016 8142016 3272017 8298 $118739 8282017 THE GROVE AT IRWIN $149316 112016 8142016 3272017 7907 $118064 8282017 THE GROVE AT LATROBE $133140 112016 12312016 5312017 9079 $120878 8282017 THE GROVE AT NEW CASTLE $77147 112016 8142016 3272017 8747 $67480 8282017 THE GROVE AT NEW WILMINGTON $143094 112016 8142016 3272017 8884 $127125 8282017 THE GROVE AT WASHINGTON $92078 112016 8142016 3272017 8632 $79482 8282017 THE MANOR AT PENN VILLAGE $197844 112016 12312016 6202017 7769 $153705 8282017
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THE MANOR AT PERRY VILLAGE $153049 112016 12312016 6202017 8019 $122730 8282017 THE MANOR AT ST LUKE VILLAGE $129407 112016 12312016 6152017 7202 $93199 8282017 THE MANOR AT SUSQUEHANNA VILLAGE $241394 112016 12312016 6202017 8158 $196929 8282017 THE MEADOWS GETTYSBURG FOR NSG amp REHAB $126919 112016 12312016 6152017 8209 $104188 8282017 THE MEADOWS STROUD FOR NSG amp REHAB LLC $158026 112016 12312016 662017 7885 $124604 8282017 THE MEADOWS WEST SHORE FOR NSG amp REHAB $384489 112016 12312016 662017 9099 $349847 8282017 THE MEADOWS AT BLUE RIDGE $118208 112016 12312016 662017 8651 $102262 8282017 THE MEADOWS AT CAMP HILL FOR NSG amp REHAB $118208 112016 12312016 6152017 8804 $104070 8282017 THE MEADOWS AT SCRANTON FOR NSG amp REHAB $172958 112016 12312016 662017 8493 $146893 8282017 THE MEADOWS AT YORK TERRACE $99544 112016 12312016 6152017 7785 $77495 8282017 THE PATRIOT A CHOICE COMMUNITY $124430 112016 12312016 6282017 7001 $87113 8282017 THE PAVILION AT ST LUKE VILLAGE $149316 112016 12312016 6202017 6919 $103312 8282017 THORNWALD HOME $103277 112016 12312016 762017 5319 $54933 8282017 TIMBER RIDGE HEALTH CENTER $223974 112016 12312016 5312017 7829 $175349 8282017 TITUSVILLE HEALTHCARE amp REHAB CENTER $95811 112016 9302016 3272017 7785 $74589 8282017 TOWNE MANOR EAST $149316 112016 12312016 7142017 9110 $136027 8282017 TOWNE MANOR WEST $148072 112016 12312016 7142017 8353 $123685 8282017 TRANSITIONS HEALTHCARE GETTYSBURG $167980 112016 12312016 6152017 7369 $123784 8282017 TRANSITIONS HEALTHCARE NORTH HUNTINGDON $149316 112016 12312016 6202017 6837 $102087 8282017 TRANSITIONS HEALTHCARE WASHINGTON PA $149316 112016 12312016 6152017 6718 $100310 8282017 TUCKER HOUSE NSG amp REHAB CTR $223974 112016 12312016 5162017 8539 $191251 8282017 TWIN PINES HEALTH CARE CENTER $149316 112016 12312016 4182017 8264 $123395 8282017 UNIONTOWN HEALTHCARE amp REHAB CENTER $149316 112016 9302016 3272017 7336 $109538 8282017 UNITED ZION RETIREMENT COMMUNITY $73414 112016 12312016 6282017 4649 $34130 8282017 VALENCIA WOODS AT ST BARNABAS $58482 112016 12312016 6282017 3933 $23001 8282017 VALLEY VIEW HAVEN INC $201577 112016 12312016 582017 6225 $125482 8282017 VALLEY VIEW NURSING CENTER $215264 112016 12312016 5162017 5850 $125929 8282017 VILLAGE AT LUTHER SQUARE $136873 112016 12312016 762017 9017 $123418 8282017 WALNUT CREEK HEALTHCARE amp REHAB CENTER $143094 112016 9302016 3272017 5841 $83581 8282017 WARREN MANOR $150560 112016 12312016 5222017 5801 $87340 8282017 WASHINGTON COUNTY HEALTH CENTER $358358 112016 12312016 7142017 8319 $298118 8282017 WATSONTOWN REHABILITATION AND NRSG CTR $155538 112016 12312016 5162017 7345 $114243 8282017 WAYNESBURG HEALTHCARE amp REHAB CENTER $138117 112016 9302016 3272017 7726 $106709 8282017 WEATHERWOOD HEALTHCARE AND REHAB CTR $248860 112016 12312016 522017 8269 $205782 8282017 WESBURY UNITED METHODIST COMMUNITY $261303 112016 12312016 4182017 6646 $173662 8282017
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WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017
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Cost Report
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CLARION HEALTHCARE AND REHAB CENTER $103277 112016 9302016 3272017 7289 $75279 8282017 CLARVIEW NURSING AND REHAB CENTER $149316 112016 12312016 3272017 7069 $105551 8282017 CLEPPER MANOR $67192 112016 12312016 5312017 7507 $50441 8282017 CLIVEDEN NSG amp REHAB CTR $223974 112016 12312016 5162017 8685 $194521 8282017 COLONIAL MANOR NURSING HOME $335961 112016 12312016 5162017 8193 $275253 8282017 COLONIAL PARK CARE CENTER $246371 112016 12312016 4212017 7530 $185517 8282017 COMMUNITIES AT INDIAN HAVEN $134384 112016 12312016 762017 5719 $76854 8282017 CONCORDIA AT THE CEDARS $73414 112016 12312016 5312017 6412 $47073 8282017 CONESTOGA VIEW $554958 112016 12312016 6152017 8771 $486754 8282017 CONSULATE HEALTH CARE OF CHESWICK $150560 112016 12312016 6152017 8622 $129813 8282017 CONSULATE HEALTH CARE OF NORTH STRABANE $77147 112016 12312016 6202017 7399 $57081 8282017 CORNWALL MANOR $119453 112016 12312016 7142017 2899 $34629 8282017 CORRY MANOR $150560 112016 12312016 5222017 6837 $102938 8282017 COUNTRY MEADOWS NURSING CENTER-BETHLEHEM $87101 112016 12312016 7142017 300 $2613 8282017 COUNTRYSIDE CHRISTIAN COMMUNITY $41062 112016 12312016 6282017 5782 $23742 8282017 COURTYARD GARDENS NURSING AND REHAB CTR $126919 112016 12312016 662017 5682 $72115 8282017 CRAWFORD COUNTY CARE CENTER $195355 112016 12312016 6152017 7556 $147610 8282017 CREEKSIDE HEALTH AND REHABILITATION CTR $100788 112016 12312016 5312017 8770 $88391 8282017 CUMBERLAND CROSSINGS RETIREMENT COMM $72169 112016 12312016 6202017 4281 $30896 8282017 DARWAY HEALTHCARE amp REHABILITATION CTR $83368 112016 12312016 522017 8148 $67928 8282017 DOYLESTOWN CARE AND REHABILITATION CTR $149316 112016 12312016 662017 8974 $133996 8282017 DUNMORE HEALTH CARE CENTER $114476 112016 12312016 4132017 7794 $89223 8282017 EDINBORO MANOR $150560 112016 12312016 5222017 7226 $108795 8282017 EDISON MANOR NURSING AND REHAB CENTER $146827 112016 12312016 4132017 8572 $125860 8282017 ELMWOOD GARDENS OF PRESBY SENIOR CARE $63459 112016 12312016 7142017 6001 $38082 8282017 EMMANUEL CENTER FOR NURSING AND REHAB $111987 112016 12312016 762017 5394 $60406 8282017 EPHRATA MANOR $149316 112016 12312016 762017 5700 $85110 8282017 EPWORTH HEALTHCARE AND REHAB CENTER $126919 112016 12312016 522017 7198 $91356 8282017 EXETER GREENS CARE amp REHABILITATION CTR $154293 112016 12312016 662017 8265 $127523 8282017 FAIR ACRES GERIATRIC CENTER $1129824 112016 12312016 7142017 9402 $1062261 8282017 FAIRVIEW MANOR $150560 112016 12312016 5222017 6898 $103856 8282017 FORBES CENTER FOR REHAB amp HEALTHCARE LLC $232684 112016 12312016 762017 8237 $191662 8282017 FOREST CITY NURSING AND REHAB CENTER $164248 112016 12312016 3272017 7293 $119786 8282017 FOREST PARK HEALTH CENTER $141850 112016 12312016 522017 7208 $102245 8282017
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FORESTVIEW $99544 112016 12312016 5312017 3631 $36144 8282017 FOX SUBACUTE AT CLARA BURKE $74658 112016 12312016 762017 7381 $55105 8282017 FOX SUBACUTE CENTER $74658 112016 12312016 762017 6317 $47161 8282017 FREDERICK LIVING - CEDARWOOD $75902 112016 12312016 762017 1960 $14877 8282017 FREY VILLAGE $169225 112016 12312016 6202017 5833 $98709 8282017 FRIENDSHIP VILLAGE OF SOUTH HILLS $110743 112016 12312016 582017 463 $5127 8282017 GARVEY MANOR $164248 112016 12312016 4182017 6987 $114760 8282017 GLENDALE UPTOWN HOME $298632 112016 12312016 5222017 8585 $256376 8282017 GRACEDALE - NORTHAMPTON COUNTY HOME $902117 112016 12312016 762017 8498 $766619 8282017 GREEN RIDGE CARE CENTER $118208 112016 12312016 4132017 6112 $72249 8282017 GREEN VALLEY SKILLED NSG amp REHAB CENTER $59726 112016 12312016 6282017 7890 $47124 8282017 GREENERY CENTER FOR REHAB amp NURSING $174202 662016 12312016 542017 8601 $149831 8282017 GREENSBURG CARE CENTER $149316 112016 12312016 4182017 7680 $114675 8282017 GUARDIAN HEALTHCARE amp REHAB CENTER $136873 112016 12312016 522017 8129 $111264 8282017 HAIDA HEALTHCARE AND REHAB CENTER $121941 112016 9302016 3272017 7521 $91712 8282017 HANOVER HALL $189134 112016 12312016 5162017 7494 $141737 8282017 HARMAR VILLAGE CARE CENTER $161759 112016 12312016 4212017 7496 $121255 8282017 HARMON HOUSE CARE CENTER $135629 112016 12312016 4212017 7241 $98209 8282017 HARRISON SENIOR LIVING OF CHRISTIANA $172958 112016 12312016 6152017 8982 $155351 8282017 HAVEN CONVALESCENT HOME INC $113231 112016 12312016 6152017 7897 $89419 8282017 HEARTHSIDE REHAB CENTER $195355 112016 12312016 6152017 7904 $154409 8282017 HEMPFIELD MANOR $149316 112016 12312016 5222017 6297 $94024 8282017 HICKORY HOUSE NURSING HOME $136873 112016 12312016 4212017 6209 $84984 8282017 HIGHLAND MANOR REHAB amp NURSING CENTER $149316 112016 12312016 6152017 7454 $111300 8282017 HIGHLAND PARK CARE CENTER $179179 112016 12312016 4212017 8924 $159899 8282017 HIGHLAND VIEW HEALTHCARE amp REHAB CENTER $62215 112016 12312016 522017 7259 $45162 8282017 HIGHLANDS HEALTHCARE amp REHAB CENTER $149316 112016 12312016 522017 9030 $134832 8282017 HILLSDALE PARK REHAB CENTER $92078 112016 12312016 582017 7239 $66655 8282017 HILLVIEW HEALTHCARE AND REHAB CENTER $165492 112016 9302016 3272017 7426 $122894 8282017 HOLY FAMILY HOME $55993 112016 12312016 542017 8862 $49621 8282017 HOLY FAMILY MANOR $258814 112016 12312016 6202017 7221 $186890 8282017 HOLY FAMILY RESIDENCE $67192 112016 12312016 7142017 9095 $61111 8282017 HOMETOWN NURSING AND REHAB CENTER $186645 112016 12312016 3272017 7659 $142951 8282017 HOMEWOOD AT MARTINSBURG PA INC $160515 112016 12312016 5222017 4607 $73949 8282017 HOMEWOOD AT PLUM CREEK $149316 112016 12312016 5222017 3888 $58054 8282017
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HOSPITALITY CARE CENTER OF HERMITAGE INC $41062 112016 12312016 6282017 7950 $32644 8282017 JAMESON CARE CENTER $97055 112016 12312016 6152017 4852 $47091 8282017 JEFFERSON HILLS HEALTHCARE amp REHAB CTR $103277 112016 12312016 522017 6959 $71870 8282017 JEWISH HOME OF EASTERN PENNSYLVANIA $215264 112016 12312016 6282017 7445 $160264 8282017 JOHN J KANE REGIONAL CENTER-GLEN HAZEL $261303 112016 12312016 762017 9400 $245625 8282017 JOHN J KANE REGIONAL CENTER-MCKEESPORT $447948 112016 12312016 762017 8882 $397867 8282017 JOHN J KANE REGIONAL CENTER-ROSS TWNSHP $298632 112016 12312016 762017 9099 $271725 8282017 JOHN J KANE REGIONAL CENTER-SCOTT TWNSHP $390710 112016 12312016 762017 8692 $339605 8282017 JULIA POUND CARE CENTER $163003 112016 12312016 5162017 5813 $94754 8282017 JULIA RIBAUDO EXTENDED CARE CENTER $149316 112016 12312016 4132017 7758 $115839 8282017 KEARSLEY REHAB AND NURSING CENTER $104521 112016 12312016 582017 6445 $67364 8282017 KEPLER CENTER FOR NURSING AND REHAB $49772 112016 12312016 6152017 7860 $39121 8282017 KINGSTON HEALTH CARE CENTER $80880 112016 12312016 4132017 6979 $56446 8282017 KINZUA HEALTHCARE AND REHAB CENTER $131896 112016 9302016 3272017 7530 $99318 8282017 KITTANNING CARE CENTER $149316 112016 12312016 4212017 8806 $131488 8282017 LAFAYETTE MANOR INC $121941 112016 12312016 5222017 6719 $81932 8282017 LAKEVIEW HEALTHCARE amp REHABILITATION CTR $42306 112016 12312016 522017 5825 $24643 8282017 LANCASHIRE HALL $298632 112016 12312016 5162017 8678 $259153 8282017 LANCASTER CARE AND REHABILITATION CENTER $154293 112016 12312016 662017 9235 $142490 8282017 LANSDALE CARE AND REHABILITATION CENTER $156782 112016 12312016 662017 9273 $145384 8282017 LAUREL CARE NURSING AND REHAB CENTER $114476 112016 12312016 7142017 6360 $72807 8282017 LAUREL WOOD CARE CENTER $149316 112016 12312016 4212017 7498 $111957 8282017 LAWSON NURSING HOME INC $62215 112016 12312016 762017 6133 $38156 8282017 LEBANON VALLEY BRETHREN HOME $124430 112016 12312016 5312017 4084 $50817 8282017 LEBANON VALLEY HOME THE $68436 112016 12312016 762017 5285 $36168 8282017 LECOM AT PRESQUE ISLE INC $175446 112016 1312016 3272017 8709 $152796 8282017 LGAR HEALTH AND REHABILITATION CENTER $149316 112016 12312016 5312017 7584 $113241 8282017 LITTLE FLOWER MANOR OF DIOCESE SCRANTON $165492 112016 12312016 6282017 7457 $123407 8282017 LITTLE SISTERS OF THE POOR $59726 112016 12312016 6282017 9375 $55993 8282017 LOCUST GROVE RETIREMENT VILLAGE $129407 112016 12312016 6202017 7418 $95994 8282017 LOYALHANNA CARE CENTER $149316 112016 12312016 5162017 6173 $92173 8282017 LUTHER ACRES MANOR $131896 112016 12312016 762017 4486 $59169 8282017 LUTHER CREST NURSING FACILITY $74658 112016 12312016 6202017 2805 $20942 8282017 LUTHER WOODS NURSING amp REHAB CENTER $174202 212016 12312016 542017 5969 $103981 8282017 LUTHERAN HOME AT HOLLIDAYSBURG THE $110743 112016 12312016 6282017 5062 $56058 8282017
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LUTHERAN HOME AT JOHNSTOWN THE $78391 112016 12312016 6282017 5254 $41187 8282017 LUTHERAN HOME AT KANE THE $111987 112016 12312016 762017 6577 $73654 8282017 LUTHERAN HOME AT TOPTON $241394 112016 12312016 6202017 5900 $142422 8282017 MAHONING VALLEY NURSING AND REHAB CENTER $176691 112016 12312016 5312017 6936 $122553 8282017 MAJESTIC OAKS REHAB amp NURSING CENTER $223974 112016 12312016 582017 8296 $185809 8282017 MANATAWNY MANOR INC $165492 112016 12312016 6202017 6401 $105931 8282017 MANCHESTER COMMONS OF PRESBY SR CARE $97055 112016 12312016 7142017 5839 $56670 8282017 MANORCARE HEALTH SERVICES - MONTGOMERY $211531 112016 12312016 4182017 7965 $168484 8282017 MANORCARE HEALTH SVCS-ALLENTOWN $206554 112016 12312016 4132017 8131 $167949 8282017 MANORCARE HEALTH SVCS-BETHEL PARK $199088 112016 12312016 4132017 7055 $140457 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2021) $282456 112016 12312016 4132017 8611 $243223 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2029) $270013 112016 12312016 4132017 8524 $230159 8282017 MANORCARE HEALTH SVCS-CAMP HILL $153049 112016 12312016 5162017 6440 $98564 8282017 MANORCARE HEALTH SVCS-CARLISLE $186645 112016 12312016 4132017 7961 $148588 8282017 MANORCARE HEALTH SVCS-CHAMBERSBURG $261303 112016 12312016 4132017 7441 $194436 8282017 MANORCARE HEALTH SVCS-DALLASTOWN $251349 112016 12312016 5312017 8074 $202939 8282017 MANORCARE HEALTH SVCS-EASTON $282456 112016 12312016 3272017 7812 $220655 8282017 MANORCARE HEALTH SVCS-ELIZABETHTOWN $90834 112016 12312016 4182017 7388 $67108 8282017 MANORCARE HEALTH SVCS-GREEN TREE $223974 112016 12312016 4132017 6382 $142940 8282017 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY $161759 112016 12312016 4212017 7967 $128873 8282017 MANORCARE HEALTH SVCS-JERSEY SHORE $149316 112016 12312016 5312017 8245 $123111 8282017 MANORCARE HEALTH SVCS-KING OF PRUSSIA $211531 112016 12312016 4182017 7986 $168929 8282017 MANORCARE HEALTH SVCS-KINGSTON $218997 112016 12312016 3272017 8001 $175219 8282017 MANORCARE HEALTH SVCS-LANCASTER $214020 112016 12312016 4132017 7654 $163811 8282017 MANORCARE HEALTH SVCS-LAURELDALE $246371 112016 12312016 4182017 7331 $180615 8282017 MANORCARE HEALTH SVCS-LEBANON $197844 112016 12312016 4182017 7787 $154061 8282017 MANORCARE HEALTH SVCS-MONROEVILLE $163003 112016 12312016 4182017 6050 $98617 8282017 MANORCARE HEALTH SVCS-NORTH HILLS $248860 112016 12312016 4132017 7534 $187491 8282017 MANORCARE HEALTH SVCS-OXFORD VALLEY $186645 112016 12312016 4182017 6418 $119789 8282017 MANORCARE HEALTH SVCS-PETERS TOWNSHIP $174202 112016 12312016 4182017 6903 $120252 8282017 MANORCARE HEALTH SVCS-POTTSTOWN $186645 112016 12312016 3272017 8251 $154001 8282017 MANORCARE HEALTH SVCS-POTTSVILLE $222730 112016 12312016 3272017 8404 $187182 8282017 MANORCARE HEALTH SVCS-SINKING SPRING $266280 112016 12312016 4182017 7868 $209509 8282017 MANORCARE HEALTH SVCS-SUNBURY $156782 112016 12312016 3272017 8126 $127401 8282017 MANORCARE HEALTH SVCS-WEST READING NORTH $218997 112016 12312016 4182017 8784 $192367 8282017
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MANORCARE HEALTH SVCS-WHITEHALL BOROUGH $206554 112016 12312016 4182017 4407 $91028 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT NORTH $189134 112016 12312016 4182017 7999 $151288 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH $144339 112016 12312016 4182017 8431 $121692 8282017 MANORCARE HEALTH SVCS-YEADON $246371 112016 12312016 4182017 9204 $226760 8282017 MAPLE WINDS HEALTHCARE amp REHAB CTR LLC $62215 112016 12312016 5222017 4949 $30790 8282017 MAPLEWOOD NURSING AND REHABILITATION CTR $223974 112016 12312016 5162017 9150 $204936 8282017 MASONIC VILLAGE AT ELIZABETHTOWN $563668 112016 12312016 6282017 6118 $344852 8282017 MASONIC VILLAGE AT LAFAYETTE HILL $74658 112016 12312016 6282017 6180 $46139 8282017 MASONIC VILLAGE AT SEWICKLEY $159270 112016 12312016 6282017 3207 $51078 8282017 MASONIC VILLAGE AT WARMINSTER $53505 112016 12312016 6282017 7016 $37539 8282017 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER $298632 1252016 12312016 542017 8347 $249268 8282017 MEADOW VIEW HEALTHCARE amp REHAB CENTER $78391 112016 12312016 522017 7147 $56026 8282017 MEADOWVIEW REHAB amp NURSING CENTER $303609 212016 12312016 4212017 7984 $242401 8282017 MERCY CENTER NURSING UNIT INC $73414 112016 12312016 6202017 6113 $44878 8282017 MEYERSDALE HEALTHCARE AND REHAB CTR $123186 112016 9302016 3272017 8432 $103870 8282017 MID VALLEY HEALTH CARE CENTER $47283 112016 12312016 4132017 5675 $26833 8282017 MILFORD HEALTHCARE AND REHAB CENTER $99544 112016 12312016 542017 7285 $72518 8282017 MILTON REHABILITATION AND NURSING CENTER $171713 112016 12312016 5162017 7805 $134022 8282017 MISERICORDIA NURSING amp REHAB CENTER $62215 112016 12312016 662017 5329 $33154 8282017 MON VALLEY CARE CENTER $74658 112016 12312016 6282017 4721 $35246 8282017 MONROEVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 7377 $110150 8282017 MORAVIAN MANOR $158026 112016 12312016 662017 2902 $45859 8282017 MORRISONS COVE HOME $154293 112016 12312016 6202017 7338 $113220 8282017 MOUNT CARMEL NURSING AND REHAB CENTER $150560 112016 12312016 3272017 7700 $115931 8282017 MOUNTAIN TOP HEALTHCARE AND REHAB CTR $131896 112016 12312016 522017 7952 $104884 8282017 MOUNTAIN VIEW A NURSING AND REHAB CTR $337205 112016 12312016 5312017 8166 $275362 8282017 MOUNTAINVIEW SPECIALTY CARE CENTER $170469 112016 12312016 4212017 7498 $127818 8282017 MT LEBANON REHAB AND WELLNESS CENTER $150560 112016 12312016 662017 8385 $126245 8282017 MULBERRY HEALTHCARE amp REHAB CTR $93322 112016 12312016 522017 7480 $69805 8282017 MURRYSVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 8196 $122379 8282017 NESHAMINY MANOR HOME $447948 112016 12312016 6202017 7617 $341202 8282017 NORMANDIE RIDGE $79635 112016 12312016 6152017 4491 $35764 8282017 NOTTINGHAM VILLAGE $150560 112016 12312016 762017 5925 $89207 8282017 NUGENT CONVALESCENT HOME $130652 112016 12312016 5312017 7726 $100942 8282017 NURSING amp REHABILITATION AT THE MANSION $87101 112016 12312016 662017 8608 $74977 8282017
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MA Occupancy
HAI Payment RA Date
OAKMONT CENTER FOR NURSING AND REHAB $105766 112016 12312016 5312017 7633 $80731 8282017 OAKWOOD HEIGHTS OF PRESBY SENIOR CARE $131896 112016 12312016 7142017 6601 $87065 8282017 OHESSON MANOR $166736 112016 12312016 6202017 6901 $115065 8282017 OIL CITY HEALTHCARE AND REHAB CENTER $118208 112016 9302016 3272017 6891 $81457 8282017 OLD ORCHARD HEALTH CARE CENTER $223974 112016 12312016 3272017 7306 $163635 8282017 OXFORD HEALTH CENTER $170469 112016 12312016 5162017 5941 $101276 8282017 PARK AVENUE REHAB CENTER $215264 112016 12312016 582017 8301 $178691 8282017 PARKHOUSE REHABILITATION AND NURSING CTR $581088 112016 12312016 5162017 8441 $490496 8282017 PAULS RUN $149316 112016 12312016 762017 4559 $68073 8282017 PEMBROOKE HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8819 $197523 8282017 PENNKNOLL VILLAGE $165492 112016 12312016 6202017 7735 $128008 8282017 PHILADELPHIA NURSING HOME $500209 112016 12312016 582017 9757 $488054 8282017 PHILADELPHIA PROTESTANT HOME $156782 112016 12312016 6282017 5180 $81213 8282017 PHOENIXVILLE CARE AND REHABILITATION CTR $171713 112016 12312016 662017 8835 $151708 8282017 PLATINUM RIDGE CTR FOR REHAB amp HEALING $120697 112016 12312016 4132017 7473 $90197 8282017 PLEASANT ACRES NURSING AND REHAB CENTER $466612 112016 12312016 762017 9069 $423170 8282017 PLEASANT RIDGE MANOR WEST $373290 112016 12312016 5222017 8866 $330959 8282017 PLEASANT VALLEY MANOR INC $216508 112016 12312016 582017 7920 $171474 8282017 PLEASANT VIEW RETIREMENT COMMUNITY $165492 112016 12312016 5312017 4557 $75415 8282017 POCOPSON HOME $342182 112016 12312016 7142017 8832 $302215 8282017 PREMIER ARMSTRONG REHAB amp NSG FACILITY $143094 112016 12312016 4212017 8097 $115863 8282017 PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON $83368 112016 12312016 5162017 4612 $38449 8282017 PROSPECT PARK HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8083 $181038 8282017 PROVIDENCE CARE CENTER $223974 112016 12312016 4212017 8264 $185092 8282017 QUINCY RETIREMENT COMMUNITY $166736 112016 12312016 5222017 6233 $103927 8282017 REFORMED PRESBYTERIAN HOME $72169 112016 12312016 6152017 8514 $61445 8282017 REHAB amp NURSING CTR GREATER PITTSBURGH $149316 112016 12312016 4212017 5018 $74927 8282017 RICHFIELD HEALTHCARE AND REHAB CENTER $49772 112016 12312016 522017 6784 $33765 8282017 RICHLAND HEALTHCARE AND REHAB CENTER $120697 112016 9302016 3272017 6314 $76208 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $163003 112016 12312016 522017 7416 $120883 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $138117 312016 12312016 542017 8230 $113670 8282017 RIVER RUN REHAB AND NURSING CENTER $166736 112016 12312016 6152017 7258 $121017 8282017 RIVERS EDGE NURSING AND REHAB CENTER $149316 112016 12312016 7142017 7022 $104850 8282017 RIVERSIDE CARE CENTER $149316 112016 12312016 4212017 8449 $126157 8282017 RIVERSIDE REHABILITATION AND NURSING CTR $200332 112016 12312016 582017 7941 $159084 8282017
Cost
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RIVERWOODS $281212 112016 12312016 762017 5987 $168362 8282017 ROCHESTER MANOR $151805 112016 12312016 6282017 7198 $109269 8282017 ROLLING FIELDS INC $225218 112016 12312016 5222017 7972 $179544 8282017 ROLLING HILLS HEALTHCARE amp REHAB CENTER $70925 112016 12312016 542017 8248 $58499 8282017 ROSEMONT CARE AND REHABILITATION CENTER $94567 112016 12312016 662017 9512 $89952 8282017 ROUSE WARREN COUNTY HOME $218997 112016 12312016 6282017 7031 $153977 8282017 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES $141850 112016 12312016 6202017 1725 $24469 8282017 SAINT JOHN XXIII HOME $111987 112016 12312016 5312017 6828 $76465 8282017 SAINT MARYS AT ASBURY RIDGE $99544 112016 12312016 5222017 4754 $47323 8282017 SAINT MARYS EAST $172958 112016 12312016 5222017 5826 $100765 8282017 SAINT MARYS VILLA NURSING HOME INC $139362 112016 12312016 7142017 6841 $95338 8282017 SAINT PAUL HOMES $238906 112016 12312016 762017 6045 $144419 8282017 SARAH A TODD MEMORIAL HOME $145583 112016 12312016 762017 7454 $108518 8282017 SAXONY HEALTH CENTER $84612 112016 12312016 5222017 6592 $55776 8282017 SCENERY HILL HEALTHCARE amp REHAB CENTER $69681 112016 12312016 542017 7230 $50379 8282017 SCOTTDALE HEALTHCARE amp REHAB CENTER $43550 112016 12312016 522017 3947 $17189 8282017 SCRANTON HEALTH CARE CENTER $54749 112016 12312016 4132017 6170 $33780 8282017 SENA-KEAN MANOR $189134 112016 12312016 5222017 8203 $155147 8282017 SHENANDOAH MANOR NURSING CENTER $154293 112016 12312016 3272017 8239 $127122 8282017 SHENANGO PRESBYTERIAN SENIORCARE $31108 112016 12312016 6202017 2279 $7090 8282017 SHIPPENSBURG HEALTH CARE CENTER $155538 112016 12312016 7142017 7425 $115487 8282017 SHIPPENVILLE HEALTHCARE AND REHAB CENTER $149316 112016 9302016 3272017 7603 $113525 8282017 SHOOK HOME THE $80880 112016 12312016 5222017 6055 $48973 8282017 SIEMONS LAKEVIEW MANOR NSG AND REHAB $149316 112016 12312016 6282017 8277 $123589 8282017 SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB $82124 112016 12312016 662017 7329 $60189 8282017 SIMPSON HOUSE INC $191622 112016 12312016 762017 8430 $161537 8282017 SNYDER MEMORIAL HEALTH CARE CENTER $124430 112016 12312016 5222017 8787 $109337 8282017 SOUTH FAYETTE NURSING CENTER $74658 712015 6302016 6262017 9082 $67804 8282017 SOUTH HILLS REHAB amp WELLNESS CENTER $129407 112016 12312016 662017 7470 $96667 8282017 SOUTHMONT OF PRESBYTERIAN SENIORCARE $192866 112016 12312016 3272017 5654 $109046 8282017 SOUTHWESTERN NURSING CARE CENTER $146827 112016 12312016 3272017 7214 $105921 8282017 SPANG CREST MANOR $130652 112016 12312016 7142017 5341 $69781 8282017 SPIRITRUST LUTHERAN VLG SHREWSBURY $124430 112016 12312016 6282017 5740 $71423 8282017 SPIRITRUST LUTHERAN VLG GETTYSBURG $124430 112016 12312016 6282017 5822 $72443 8282017 SPIRITRUST LUTHERAN VLG SPRENKLE DRIVE $129407 112016 12312016 6282017 5089 $65855 8282017
Cost
Current Name HAI
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Cost Report
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MA Occupancy
HAI Payment RA Date
SPIRITRUST LUTHERAN VLG UTZ TERRACE $49772 112016 12312016 6282017 5964 $29684 8282017 SPRING CREEK REHAB AND NURSING CENTER $502697 112016 12312016 6282017 8757 $440212 8282017 SPRINGS AT THE WATERMARK THE $135629 112016 12302016 542017 4297 $58280 8282017 SQUIRREL HILL CTR FOR REHAB AND HEALING $221485 112016 12312016 6202017 9007 $199492 8282017 ST BARNABAS NURSING HOME $214020 112016 12312016 6152017 5919 $126678 8282017 STENTON CARE AND REHABILITATION CENTER $116964 112016 12312016 6152017 9350 $109361 8282017 STONERIDGE POPLAR RUN $74658 112016 12312016 582017 4699 $35082 8282017 STONERIDGE TOWNE CENTRE $189134 112016 12312016 582017 6660 $125963 8282017 SUGAR CREEK STATION SKILLED NSG amp REHAB $199088 112016 12312016 662017 7387 $147066 8282017 SUNBURY COMMUNITY HEALTH amp REHAB CENTER $36085 112016 12312016 3272017 6255 $22571 8282017 SUNNYVIEW NURSING AND REHABILITATION CTR $273746 112016 12312016 5222017 7367 $201669 8282017 SUSQUE VIEW HOME INC $181668 112016 12312016 542017 7329 $133144 8282017 SWAIM HEALTH CENTER $98300 112016 12312016 582017 6320 $62126 8282017 SWEDEN VALLEY MANOR $150560 112016 12312016 5312017 8034 $120960 8282017 THE GARDENS AT BUTLER $46039 112016 8142016 3272017 6937 $31937 8282017 THE GARDENS AT CAMPBELLTOWN $65948 112016 8142016 3272017 6374 $42035 8282017 THE GARDENS AT EAST MOUNTAIN $149316 112016 12312016 662017 7271 $108568 8282017 THE GARDENS AT EASTON $225218 112016 8142016 3272017 8925 $201007 8282017 THE GARDENS AT LITITZ $52261 112016 8142016 3272017 6112 $31942 8282017 THE GARDENS AT MILLVILLE $136873 112016 8142016 3272017 8831 $120873 8282017 THE GARDENS AT ORANGEVILLE $149316 112016 8142016 3272017 7844 $117123 8282017 THE GARDENS AT PALMYRA $48528 112016 8142016 3272017 7239 $35129 8282017 THE GARDENS AT POTTSTOWN $51016 112016 8142016 3272017 7991 $40767 8282017 THE GARDENS AT STEVENS $102033 112016 8142016 3272017 7014 $71566 8282017 THE GARDENS AT TUNKHANNOCK $154293 112016 12312016 662017 7964 $122879 8282017 THE GARDENS AT WYOMING VALLEY $149316 112016 12312016 662017 8767 $130905 8282017 THE GARDENS FOR MEMORY CARE AT EASTON $143094 112016 8142016 3272017 8620 $123347 8282017 THE GROVE AT GREENVILLE $191622 112016 8142016 3272017 8918 $170888 8282017 THE GROVE AT HARMONY $143094 112016 8142016 3272017 8298 $118739 8282017 THE GROVE AT IRWIN $149316 112016 8142016 3272017 7907 $118064 8282017 THE GROVE AT LATROBE $133140 112016 12312016 5312017 9079 $120878 8282017 THE GROVE AT NEW CASTLE $77147 112016 8142016 3272017 8747 $67480 8282017 THE GROVE AT NEW WILMINGTON $143094 112016 8142016 3272017 8884 $127125 8282017 THE GROVE AT WASHINGTON $92078 112016 8142016 3272017 8632 $79482 8282017 THE MANOR AT PENN VILLAGE $197844 112016 12312016 6202017 7769 $153705 8282017
Cost
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THE MANOR AT PERRY VILLAGE $153049 112016 12312016 6202017 8019 $122730 8282017 THE MANOR AT ST LUKE VILLAGE $129407 112016 12312016 6152017 7202 $93199 8282017 THE MANOR AT SUSQUEHANNA VILLAGE $241394 112016 12312016 6202017 8158 $196929 8282017 THE MEADOWS GETTYSBURG FOR NSG amp REHAB $126919 112016 12312016 6152017 8209 $104188 8282017 THE MEADOWS STROUD FOR NSG amp REHAB LLC $158026 112016 12312016 662017 7885 $124604 8282017 THE MEADOWS WEST SHORE FOR NSG amp REHAB $384489 112016 12312016 662017 9099 $349847 8282017 THE MEADOWS AT BLUE RIDGE $118208 112016 12312016 662017 8651 $102262 8282017 THE MEADOWS AT CAMP HILL FOR NSG amp REHAB $118208 112016 12312016 6152017 8804 $104070 8282017 THE MEADOWS AT SCRANTON FOR NSG amp REHAB $172958 112016 12312016 662017 8493 $146893 8282017 THE MEADOWS AT YORK TERRACE $99544 112016 12312016 6152017 7785 $77495 8282017 THE PATRIOT A CHOICE COMMUNITY $124430 112016 12312016 6282017 7001 $87113 8282017 THE PAVILION AT ST LUKE VILLAGE $149316 112016 12312016 6202017 6919 $103312 8282017 THORNWALD HOME $103277 112016 12312016 762017 5319 $54933 8282017 TIMBER RIDGE HEALTH CENTER $223974 112016 12312016 5312017 7829 $175349 8282017 TITUSVILLE HEALTHCARE amp REHAB CENTER $95811 112016 9302016 3272017 7785 $74589 8282017 TOWNE MANOR EAST $149316 112016 12312016 7142017 9110 $136027 8282017 TOWNE MANOR WEST $148072 112016 12312016 7142017 8353 $123685 8282017 TRANSITIONS HEALTHCARE GETTYSBURG $167980 112016 12312016 6152017 7369 $123784 8282017 TRANSITIONS HEALTHCARE NORTH HUNTINGDON $149316 112016 12312016 6202017 6837 $102087 8282017 TRANSITIONS HEALTHCARE WASHINGTON PA $149316 112016 12312016 6152017 6718 $100310 8282017 TUCKER HOUSE NSG amp REHAB CTR $223974 112016 12312016 5162017 8539 $191251 8282017 TWIN PINES HEALTH CARE CENTER $149316 112016 12312016 4182017 8264 $123395 8282017 UNIONTOWN HEALTHCARE amp REHAB CENTER $149316 112016 9302016 3272017 7336 $109538 8282017 UNITED ZION RETIREMENT COMMUNITY $73414 112016 12312016 6282017 4649 $34130 8282017 VALENCIA WOODS AT ST BARNABAS $58482 112016 12312016 6282017 3933 $23001 8282017 VALLEY VIEW HAVEN INC $201577 112016 12312016 582017 6225 $125482 8282017 VALLEY VIEW NURSING CENTER $215264 112016 12312016 5162017 5850 $125929 8282017 VILLAGE AT LUTHER SQUARE $136873 112016 12312016 762017 9017 $123418 8282017 WALNUT CREEK HEALTHCARE amp REHAB CENTER $143094 112016 9302016 3272017 5841 $83581 8282017 WARREN MANOR $150560 112016 12312016 5222017 5801 $87340 8282017 WASHINGTON COUNTY HEALTH CENTER $358358 112016 12312016 7142017 8319 $298118 8282017 WATSONTOWN REHABILITATION AND NRSG CTR $155538 112016 12312016 5162017 7345 $114243 8282017 WAYNESBURG HEALTHCARE amp REHAB CENTER $138117 112016 9302016 3272017 7726 $106709 8282017 WEATHERWOOD HEALTHCARE AND REHAB CTR $248860 112016 12312016 522017 8269 $205782 8282017 WESBURY UNITED METHODIST COMMUNITY $261303 112016 12312016 4182017 6646 $173662 8282017
Cost
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MA Occupancy
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WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017
Cost
Current Name HAI
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Cost Report
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MA Occupancy
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FORESTVIEW $99544 112016 12312016 5312017 3631 $36144 8282017 FOX SUBACUTE AT CLARA BURKE $74658 112016 12312016 762017 7381 $55105 8282017 FOX SUBACUTE CENTER $74658 112016 12312016 762017 6317 $47161 8282017 FREDERICK LIVING - CEDARWOOD $75902 112016 12312016 762017 1960 $14877 8282017 FREY VILLAGE $169225 112016 12312016 6202017 5833 $98709 8282017 FRIENDSHIP VILLAGE OF SOUTH HILLS $110743 112016 12312016 582017 463 $5127 8282017 GARVEY MANOR $164248 112016 12312016 4182017 6987 $114760 8282017 GLENDALE UPTOWN HOME $298632 112016 12312016 5222017 8585 $256376 8282017 GRACEDALE - NORTHAMPTON COUNTY HOME $902117 112016 12312016 762017 8498 $766619 8282017 GREEN RIDGE CARE CENTER $118208 112016 12312016 4132017 6112 $72249 8282017 GREEN VALLEY SKILLED NSG amp REHAB CENTER $59726 112016 12312016 6282017 7890 $47124 8282017 GREENERY CENTER FOR REHAB amp NURSING $174202 662016 12312016 542017 8601 $149831 8282017 GREENSBURG CARE CENTER $149316 112016 12312016 4182017 7680 $114675 8282017 GUARDIAN HEALTHCARE amp REHAB CENTER $136873 112016 12312016 522017 8129 $111264 8282017 HAIDA HEALTHCARE AND REHAB CENTER $121941 112016 9302016 3272017 7521 $91712 8282017 HANOVER HALL $189134 112016 12312016 5162017 7494 $141737 8282017 HARMAR VILLAGE CARE CENTER $161759 112016 12312016 4212017 7496 $121255 8282017 HARMON HOUSE CARE CENTER $135629 112016 12312016 4212017 7241 $98209 8282017 HARRISON SENIOR LIVING OF CHRISTIANA $172958 112016 12312016 6152017 8982 $155351 8282017 HAVEN CONVALESCENT HOME INC $113231 112016 12312016 6152017 7897 $89419 8282017 HEARTHSIDE REHAB CENTER $195355 112016 12312016 6152017 7904 $154409 8282017 HEMPFIELD MANOR $149316 112016 12312016 5222017 6297 $94024 8282017 HICKORY HOUSE NURSING HOME $136873 112016 12312016 4212017 6209 $84984 8282017 HIGHLAND MANOR REHAB amp NURSING CENTER $149316 112016 12312016 6152017 7454 $111300 8282017 HIGHLAND PARK CARE CENTER $179179 112016 12312016 4212017 8924 $159899 8282017 HIGHLAND VIEW HEALTHCARE amp REHAB CENTER $62215 112016 12312016 522017 7259 $45162 8282017 HIGHLANDS HEALTHCARE amp REHAB CENTER $149316 112016 12312016 522017 9030 $134832 8282017 HILLSDALE PARK REHAB CENTER $92078 112016 12312016 582017 7239 $66655 8282017 HILLVIEW HEALTHCARE AND REHAB CENTER $165492 112016 9302016 3272017 7426 $122894 8282017 HOLY FAMILY HOME $55993 112016 12312016 542017 8862 $49621 8282017 HOLY FAMILY MANOR $258814 112016 12312016 6202017 7221 $186890 8282017 HOLY FAMILY RESIDENCE $67192 112016 12312016 7142017 9095 $61111 8282017 HOMETOWN NURSING AND REHAB CENTER $186645 112016 12312016 3272017 7659 $142951 8282017 HOMEWOOD AT MARTINSBURG PA INC $160515 112016 12312016 5222017 4607 $73949 8282017 HOMEWOOD AT PLUM CREEK $149316 112016 12312016 5222017 3888 $58054 8282017
Cost
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Cost Report
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HOSPITALITY CARE CENTER OF HERMITAGE INC $41062 112016 12312016 6282017 7950 $32644 8282017 JAMESON CARE CENTER $97055 112016 12312016 6152017 4852 $47091 8282017 JEFFERSON HILLS HEALTHCARE amp REHAB CTR $103277 112016 12312016 522017 6959 $71870 8282017 JEWISH HOME OF EASTERN PENNSYLVANIA $215264 112016 12312016 6282017 7445 $160264 8282017 JOHN J KANE REGIONAL CENTER-GLEN HAZEL $261303 112016 12312016 762017 9400 $245625 8282017 JOHN J KANE REGIONAL CENTER-MCKEESPORT $447948 112016 12312016 762017 8882 $397867 8282017 JOHN J KANE REGIONAL CENTER-ROSS TWNSHP $298632 112016 12312016 762017 9099 $271725 8282017 JOHN J KANE REGIONAL CENTER-SCOTT TWNSHP $390710 112016 12312016 762017 8692 $339605 8282017 JULIA POUND CARE CENTER $163003 112016 12312016 5162017 5813 $94754 8282017 JULIA RIBAUDO EXTENDED CARE CENTER $149316 112016 12312016 4132017 7758 $115839 8282017 KEARSLEY REHAB AND NURSING CENTER $104521 112016 12312016 582017 6445 $67364 8282017 KEPLER CENTER FOR NURSING AND REHAB $49772 112016 12312016 6152017 7860 $39121 8282017 KINGSTON HEALTH CARE CENTER $80880 112016 12312016 4132017 6979 $56446 8282017 KINZUA HEALTHCARE AND REHAB CENTER $131896 112016 9302016 3272017 7530 $99318 8282017 KITTANNING CARE CENTER $149316 112016 12312016 4212017 8806 $131488 8282017 LAFAYETTE MANOR INC $121941 112016 12312016 5222017 6719 $81932 8282017 LAKEVIEW HEALTHCARE amp REHABILITATION CTR $42306 112016 12312016 522017 5825 $24643 8282017 LANCASHIRE HALL $298632 112016 12312016 5162017 8678 $259153 8282017 LANCASTER CARE AND REHABILITATION CENTER $154293 112016 12312016 662017 9235 $142490 8282017 LANSDALE CARE AND REHABILITATION CENTER $156782 112016 12312016 662017 9273 $145384 8282017 LAUREL CARE NURSING AND REHAB CENTER $114476 112016 12312016 7142017 6360 $72807 8282017 LAUREL WOOD CARE CENTER $149316 112016 12312016 4212017 7498 $111957 8282017 LAWSON NURSING HOME INC $62215 112016 12312016 762017 6133 $38156 8282017 LEBANON VALLEY BRETHREN HOME $124430 112016 12312016 5312017 4084 $50817 8282017 LEBANON VALLEY HOME THE $68436 112016 12312016 762017 5285 $36168 8282017 LECOM AT PRESQUE ISLE INC $175446 112016 1312016 3272017 8709 $152796 8282017 LGAR HEALTH AND REHABILITATION CENTER $149316 112016 12312016 5312017 7584 $113241 8282017 LITTLE FLOWER MANOR OF DIOCESE SCRANTON $165492 112016 12312016 6282017 7457 $123407 8282017 LITTLE SISTERS OF THE POOR $59726 112016 12312016 6282017 9375 $55993 8282017 LOCUST GROVE RETIREMENT VILLAGE $129407 112016 12312016 6202017 7418 $95994 8282017 LOYALHANNA CARE CENTER $149316 112016 12312016 5162017 6173 $92173 8282017 LUTHER ACRES MANOR $131896 112016 12312016 762017 4486 $59169 8282017 LUTHER CREST NURSING FACILITY $74658 112016 12312016 6202017 2805 $20942 8282017 LUTHER WOODS NURSING amp REHAB CENTER $174202 212016 12312016 542017 5969 $103981 8282017 LUTHERAN HOME AT HOLLIDAYSBURG THE $110743 112016 12312016 6282017 5062 $56058 8282017
Cost
Current Name HAI
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Cost Report
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MA Occupancy
HAI Payment RA Date
LUTHERAN HOME AT JOHNSTOWN THE $78391 112016 12312016 6282017 5254 $41187 8282017 LUTHERAN HOME AT KANE THE $111987 112016 12312016 762017 6577 $73654 8282017 LUTHERAN HOME AT TOPTON $241394 112016 12312016 6202017 5900 $142422 8282017 MAHONING VALLEY NURSING AND REHAB CENTER $176691 112016 12312016 5312017 6936 $122553 8282017 MAJESTIC OAKS REHAB amp NURSING CENTER $223974 112016 12312016 582017 8296 $185809 8282017 MANATAWNY MANOR INC $165492 112016 12312016 6202017 6401 $105931 8282017 MANCHESTER COMMONS OF PRESBY SR CARE $97055 112016 12312016 7142017 5839 $56670 8282017 MANORCARE HEALTH SERVICES - MONTGOMERY $211531 112016 12312016 4182017 7965 $168484 8282017 MANORCARE HEALTH SVCS-ALLENTOWN $206554 112016 12312016 4132017 8131 $167949 8282017 MANORCARE HEALTH SVCS-BETHEL PARK $199088 112016 12312016 4132017 7055 $140457 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2021) $282456 112016 12312016 4132017 8611 $243223 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2029) $270013 112016 12312016 4132017 8524 $230159 8282017 MANORCARE HEALTH SVCS-CAMP HILL $153049 112016 12312016 5162017 6440 $98564 8282017 MANORCARE HEALTH SVCS-CARLISLE $186645 112016 12312016 4132017 7961 $148588 8282017 MANORCARE HEALTH SVCS-CHAMBERSBURG $261303 112016 12312016 4132017 7441 $194436 8282017 MANORCARE HEALTH SVCS-DALLASTOWN $251349 112016 12312016 5312017 8074 $202939 8282017 MANORCARE HEALTH SVCS-EASTON $282456 112016 12312016 3272017 7812 $220655 8282017 MANORCARE HEALTH SVCS-ELIZABETHTOWN $90834 112016 12312016 4182017 7388 $67108 8282017 MANORCARE HEALTH SVCS-GREEN TREE $223974 112016 12312016 4132017 6382 $142940 8282017 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY $161759 112016 12312016 4212017 7967 $128873 8282017 MANORCARE HEALTH SVCS-JERSEY SHORE $149316 112016 12312016 5312017 8245 $123111 8282017 MANORCARE HEALTH SVCS-KING OF PRUSSIA $211531 112016 12312016 4182017 7986 $168929 8282017 MANORCARE HEALTH SVCS-KINGSTON $218997 112016 12312016 3272017 8001 $175219 8282017 MANORCARE HEALTH SVCS-LANCASTER $214020 112016 12312016 4132017 7654 $163811 8282017 MANORCARE HEALTH SVCS-LAURELDALE $246371 112016 12312016 4182017 7331 $180615 8282017 MANORCARE HEALTH SVCS-LEBANON $197844 112016 12312016 4182017 7787 $154061 8282017 MANORCARE HEALTH SVCS-MONROEVILLE $163003 112016 12312016 4182017 6050 $98617 8282017 MANORCARE HEALTH SVCS-NORTH HILLS $248860 112016 12312016 4132017 7534 $187491 8282017 MANORCARE HEALTH SVCS-OXFORD VALLEY $186645 112016 12312016 4182017 6418 $119789 8282017 MANORCARE HEALTH SVCS-PETERS TOWNSHIP $174202 112016 12312016 4182017 6903 $120252 8282017 MANORCARE HEALTH SVCS-POTTSTOWN $186645 112016 12312016 3272017 8251 $154001 8282017 MANORCARE HEALTH SVCS-POTTSVILLE $222730 112016 12312016 3272017 8404 $187182 8282017 MANORCARE HEALTH SVCS-SINKING SPRING $266280 112016 12312016 4182017 7868 $209509 8282017 MANORCARE HEALTH SVCS-SUNBURY $156782 112016 12312016 3272017 8126 $127401 8282017 MANORCARE HEALTH SVCS-WEST READING NORTH $218997 112016 12312016 4182017 8784 $192367 8282017
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MANORCARE HEALTH SVCS-WHITEHALL BOROUGH $206554 112016 12312016 4182017 4407 $91028 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT NORTH $189134 112016 12312016 4182017 7999 $151288 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH $144339 112016 12312016 4182017 8431 $121692 8282017 MANORCARE HEALTH SVCS-YEADON $246371 112016 12312016 4182017 9204 $226760 8282017 MAPLE WINDS HEALTHCARE amp REHAB CTR LLC $62215 112016 12312016 5222017 4949 $30790 8282017 MAPLEWOOD NURSING AND REHABILITATION CTR $223974 112016 12312016 5162017 9150 $204936 8282017 MASONIC VILLAGE AT ELIZABETHTOWN $563668 112016 12312016 6282017 6118 $344852 8282017 MASONIC VILLAGE AT LAFAYETTE HILL $74658 112016 12312016 6282017 6180 $46139 8282017 MASONIC VILLAGE AT SEWICKLEY $159270 112016 12312016 6282017 3207 $51078 8282017 MASONIC VILLAGE AT WARMINSTER $53505 112016 12312016 6282017 7016 $37539 8282017 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER $298632 1252016 12312016 542017 8347 $249268 8282017 MEADOW VIEW HEALTHCARE amp REHAB CENTER $78391 112016 12312016 522017 7147 $56026 8282017 MEADOWVIEW REHAB amp NURSING CENTER $303609 212016 12312016 4212017 7984 $242401 8282017 MERCY CENTER NURSING UNIT INC $73414 112016 12312016 6202017 6113 $44878 8282017 MEYERSDALE HEALTHCARE AND REHAB CTR $123186 112016 9302016 3272017 8432 $103870 8282017 MID VALLEY HEALTH CARE CENTER $47283 112016 12312016 4132017 5675 $26833 8282017 MILFORD HEALTHCARE AND REHAB CENTER $99544 112016 12312016 542017 7285 $72518 8282017 MILTON REHABILITATION AND NURSING CENTER $171713 112016 12312016 5162017 7805 $134022 8282017 MISERICORDIA NURSING amp REHAB CENTER $62215 112016 12312016 662017 5329 $33154 8282017 MON VALLEY CARE CENTER $74658 112016 12312016 6282017 4721 $35246 8282017 MONROEVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 7377 $110150 8282017 MORAVIAN MANOR $158026 112016 12312016 662017 2902 $45859 8282017 MORRISONS COVE HOME $154293 112016 12312016 6202017 7338 $113220 8282017 MOUNT CARMEL NURSING AND REHAB CENTER $150560 112016 12312016 3272017 7700 $115931 8282017 MOUNTAIN TOP HEALTHCARE AND REHAB CTR $131896 112016 12312016 522017 7952 $104884 8282017 MOUNTAIN VIEW A NURSING AND REHAB CTR $337205 112016 12312016 5312017 8166 $275362 8282017 MOUNTAINVIEW SPECIALTY CARE CENTER $170469 112016 12312016 4212017 7498 $127818 8282017 MT LEBANON REHAB AND WELLNESS CENTER $150560 112016 12312016 662017 8385 $126245 8282017 MULBERRY HEALTHCARE amp REHAB CTR $93322 112016 12312016 522017 7480 $69805 8282017 MURRYSVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 8196 $122379 8282017 NESHAMINY MANOR HOME $447948 112016 12312016 6202017 7617 $341202 8282017 NORMANDIE RIDGE $79635 112016 12312016 6152017 4491 $35764 8282017 NOTTINGHAM VILLAGE $150560 112016 12312016 762017 5925 $89207 8282017 NUGENT CONVALESCENT HOME $130652 112016 12312016 5312017 7726 $100942 8282017 NURSING amp REHABILITATION AT THE MANSION $87101 112016 12312016 662017 8608 $74977 8282017
Cost
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OAKMONT CENTER FOR NURSING AND REHAB $105766 112016 12312016 5312017 7633 $80731 8282017 OAKWOOD HEIGHTS OF PRESBY SENIOR CARE $131896 112016 12312016 7142017 6601 $87065 8282017 OHESSON MANOR $166736 112016 12312016 6202017 6901 $115065 8282017 OIL CITY HEALTHCARE AND REHAB CENTER $118208 112016 9302016 3272017 6891 $81457 8282017 OLD ORCHARD HEALTH CARE CENTER $223974 112016 12312016 3272017 7306 $163635 8282017 OXFORD HEALTH CENTER $170469 112016 12312016 5162017 5941 $101276 8282017 PARK AVENUE REHAB CENTER $215264 112016 12312016 582017 8301 $178691 8282017 PARKHOUSE REHABILITATION AND NURSING CTR $581088 112016 12312016 5162017 8441 $490496 8282017 PAULS RUN $149316 112016 12312016 762017 4559 $68073 8282017 PEMBROOKE HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8819 $197523 8282017 PENNKNOLL VILLAGE $165492 112016 12312016 6202017 7735 $128008 8282017 PHILADELPHIA NURSING HOME $500209 112016 12312016 582017 9757 $488054 8282017 PHILADELPHIA PROTESTANT HOME $156782 112016 12312016 6282017 5180 $81213 8282017 PHOENIXVILLE CARE AND REHABILITATION CTR $171713 112016 12312016 662017 8835 $151708 8282017 PLATINUM RIDGE CTR FOR REHAB amp HEALING $120697 112016 12312016 4132017 7473 $90197 8282017 PLEASANT ACRES NURSING AND REHAB CENTER $466612 112016 12312016 762017 9069 $423170 8282017 PLEASANT RIDGE MANOR WEST $373290 112016 12312016 5222017 8866 $330959 8282017 PLEASANT VALLEY MANOR INC $216508 112016 12312016 582017 7920 $171474 8282017 PLEASANT VIEW RETIREMENT COMMUNITY $165492 112016 12312016 5312017 4557 $75415 8282017 POCOPSON HOME $342182 112016 12312016 7142017 8832 $302215 8282017 PREMIER ARMSTRONG REHAB amp NSG FACILITY $143094 112016 12312016 4212017 8097 $115863 8282017 PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON $83368 112016 12312016 5162017 4612 $38449 8282017 PROSPECT PARK HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8083 $181038 8282017 PROVIDENCE CARE CENTER $223974 112016 12312016 4212017 8264 $185092 8282017 QUINCY RETIREMENT COMMUNITY $166736 112016 12312016 5222017 6233 $103927 8282017 REFORMED PRESBYTERIAN HOME $72169 112016 12312016 6152017 8514 $61445 8282017 REHAB amp NURSING CTR GREATER PITTSBURGH $149316 112016 12312016 4212017 5018 $74927 8282017 RICHFIELD HEALTHCARE AND REHAB CENTER $49772 112016 12312016 522017 6784 $33765 8282017 RICHLAND HEALTHCARE AND REHAB CENTER $120697 112016 9302016 3272017 6314 $76208 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $163003 112016 12312016 522017 7416 $120883 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $138117 312016 12312016 542017 8230 $113670 8282017 RIVER RUN REHAB AND NURSING CENTER $166736 112016 12312016 6152017 7258 $121017 8282017 RIVERS EDGE NURSING AND REHAB CENTER $149316 112016 12312016 7142017 7022 $104850 8282017 RIVERSIDE CARE CENTER $149316 112016 12312016 4212017 8449 $126157 8282017 RIVERSIDE REHABILITATION AND NURSING CTR $200332 112016 12312016 582017 7941 $159084 8282017
Cost
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RIVERWOODS $281212 112016 12312016 762017 5987 $168362 8282017 ROCHESTER MANOR $151805 112016 12312016 6282017 7198 $109269 8282017 ROLLING FIELDS INC $225218 112016 12312016 5222017 7972 $179544 8282017 ROLLING HILLS HEALTHCARE amp REHAB CENTER $70925 112016 12312016 542017 8248 $58499 8282017 ROSEMONT CARE AND REHABILITATION CENTER $94567 112016 12312016 662017 9512 $89952 8282017 ROUSE WARREN COUNTY HOME $218997 112016 12312016 6282017 7031 $153977 8282017 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES $141850 112016 12312016 6202017 1725 $24469 8282017 SAINT JOHN XXIII HOME $111987 112016 12312016 5312017 6828 $76465 8282017 SAINT MARYS AT ASBURY RIDGE $99544 112016 12312016 5222017 4754 $47323 8282017 SAINT MARYS EAST $172958 112016 12312016 5222017 5826 $100765 8282017 SAINT MARYS VILLA NURSING HOME INC $139362 112016 12312016 7142017 6841 $95338 8282017 SAINT PAUL HOMES $238906 112016 12312016 762017 6045 $144419 8282017 SARAH A TODD MEMORIAL HOME $145583 112016 12312016 762017 7454 $108518 8282017 SAXONY HEALTH CENTER $84612 112016 12312016 5222017 6592 $55776 8282017 SCENERY HILL HEALTHCARE amp REHAB CENTER $69681 112016 12312016 542017 7230 $50379 8282017 SCOTTDALE HEALTHCARE amp REHAB CENTER $43550 112016 12312016 522017 3947 $17189 8282017 SCRANTON HEALTH CARE CENTER $54749 112016 12312016 4132017 6170 $33780 8282017 SENA-KEAN MANOR $189134 112016 12312016 5222017 8203 $155147 8282017 SHENANDOAH MANOR NURSING CENTER $154293 112016 12312016 3272017 8239 $127122 8282017 SHENANGO PRESBYTERIAN SENIORCARE $31108 112016 12312016 6202017 2279 $7090 8282017 SHIPPENSBURG HEALTH CARE CENTER $155538 112016 12312016 7142017 7425 $115487 8282017 SHIPPENVILLE HEALTHCARE AND REHAB CENTER $149316 112016 9302016 3272017 7603 $113525 8282017 SHOOK HOME THE $80880 112016 12312016 5222017 6055 $48973 8282017 SIEMONS LAKEVIEW MANOR NSG AND REHAB $149316 112016 12312016 6282017 8277 $123589 8282017 SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB $82124 112016 12312016 662017 7329 $60189 8282017 SIMPSON HOUSE INC $191622 112016 12312016 762017 8430 $161537 8282017 SNYDER MEMORIAL HEALTH CARE CENTER $124430 112016 12312016 5222017 8787 $109337 8282017 SOUTH FAYETTE NURSING CENTER $74658 712015 6302016 6262017 9082 $67804 8282017 SOUTH HILLS REHAB amp WELLNESS CENTER $129407 112016 12312016 662017 7470 $96667 8282017 SOUTHMONT OF PRESBYTERIAN SENIORCARE $192866 112016 12312016 3272017 5654 $109046 8282017 SOUTHWESTERN NURSING CARE CENTER $146827 112016 12312016 3272017 7214 $105921 8282017 SPANG CREST MANOR $130652 112016 12312016 7142017 5341 $69781 8282017 SPIRITRUST LUTHERAN VLG SHREWSBURY $124430 112016 12312016 6282017 5740 $71423 8282017 SPIRITRUST LUTHERAN VLG GETTYSBURG $124430 112016 12312016 6282017 5822 $72443 8282017 SPIRITRUST LUTHERAN VLG SPRENKLE DRIVE $129407 112016 12312016 6282017 5089 $65855 8282017
Cost
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SPIRITRUST LUTHERAN VLG UTZ TERRACE $49772 112016 12312016 6282017 5964 $29684 8282017 SPRING CREEK REHAB AND NURSING CENTER $502697 112016 12312016 6282017 8757 $440212 8282017 SPRINGS AT THE WATERMARK THE $135629 112016 12302016 542017 4297 $58280 8282017 SQUIRREL HILL CTR FOR REHAB AND HEALING $221485 112016 12312016 6202017 9007 $199492 8282017 ST BARNABAS NURSING HOME $214020 112016 12312016 6152017 5919 $126678 8282017 STENTON CARE AND REHABILITATION CENTER $116964 112016 12312016 6152017 9350 $109361 8282017 STONERIDGE POPLAR RUN $74658 112016 12312016 582017 4699 $35082 8282017 STONERIDGE TOWNE CENTRE $189134 112016 12312016 582017 6660 $125963 8282017 SUGAR CREEK STATION SKILLED NSG amp REHAB $199088 112016 12312016 662017 7387 $147066 8282017 SUNBURY COMMUNITY HEALTH amp REHAB CENTER $36085 112016 12312016 3272017 6255 $22571 8282017 SUNNYVIEW NURSING AND REHABILITATION CTR $273746 112016 12312016 5222017 7367 $201669 8282017 SUSQUE VIEW HOME INC $181668 112016 12312016 542017 7329 $133144 8282017 SWAIM HEALTH CENTER $98300 112016 12312016 582017 6320 $62126 8282017 SWEDEN VALLEY MANOR $150560 112016 12312016 5312017 8034 $120960 8282017 THE GARDENS AT BUTLER $46039 112016 8142016 3272017 6937 $31937 8282017 THE GARDENS AT CAMPBELLTOWN $65948 112016 8142016 3272017 6374 $42035 8282017 THE GARDENS AT EAST MOUNTAIN $149316 112016 12312016 662017 7271 $108568 8282017 THE GARDENS AT EASTON $225218 112016 8142016 3272017 8925 $201007 8282017 THE GARDENS AT LITITZ $52261 112016 8142016 3272017 6112 $31942 8282017 THE GARDENS AT MILLVILLE $136873 112016 8142016 3272017 8831 $120873 8282017 THE GARDENS AT ORANGEVILLE $149316 112016 8142016 3272017 7844 $117123 8282017 THE GARDENS AT PALMYRA $48528 112016 8142016 3272017 7239 $35129 8282017 THE GARDENS AT POTTSTOWN $51016 112016 8142016 3272017 7991 $40767 8282017 THE GARDENS AT STEVENS $102033 112016 8142016 3272017 7014 $71566 8282017 THE GARDENS AT TUNKHANNOCK $154293 112016 12312016 662017 7964 $122879 8282017 THE GARDENS AT WYOMING VALLEY $149316 112016 12312016 662017 8767 $130905 8282017 THE GARDENS FOR MEMORY CARE AT EASTON $143094 112016 8142016 3272017 8620 $123347 8282017 THE GROVE AT GREENVILLE $191622 112016 8142016 3272017 8918 $170888 8282017 THE GROVE AT HARMONY $143094 112016 8142016 3272017 8298 $118739 8282017 THE GROVE AT IRWIN $149316 112016 8142016 3272017 7907 $118064 8282017 THE GROVE AT LATROBE $133140 112016 12312016 5312017 9079 $120878 8282017 THE GROVE AT NEW CASTLE $77147 112016 8142016 3272017 8747 $67480 8282017 THE GROVE AT NEW WILMINGTON $143094 112016 8142016 3272017 8884 $127125 8282017 THE GROVE AT WASHINGTON $92078 112016 8142016 3272017 8632 $79482 8282017 THE MANOR AT PENN VILLAGE $197844 112016 12312016 6202017 7769 $153705 8282017
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THE MANOR AT PERRY VILLAGE $153049 112016 12312016 6202017 8019 $122730 8282017 THE MANOR AT ST LUKE VILLAGE $129407 112016 12312016 6152017 7202 $93199 8282017 THE MANOR AT SUSQUEHANNA VILLAGE $241394 112016 12312016 6202017 8158 $196929 8282017 THE MEADOWS GETTYSBURG FOR NSG amp REHAB $126919 112016 12312016 6152017 8209 $104188 8282017 THE MEADOWS STROUD FOR NSG amp REHAB LLC $158026 112016 12312016 662017 7885 $124604 8282017 THE MEADOWS WEST SHORE FOR NSG amp REHAB $384489 112016 12312016 662017 9099 $349847 8282017 THE MEADOWS AT BLUE RIDGE $118208 112016 12312016 662017 8651 $102262 8282017 THE MEADOWS AT CAMP HILL FOR NSG amp REHAB $118208 112016 12312016 6152017 8804 $104070 8282017 THE MEADOWS AT SCRANTON FOR NSG amp REHAB $172958 112016 12312016 662017 8493 $146893 8282017 THE MEADOWS AT YORK TERRACE $99544 112016 12312016 6152017 7785 $77495 8282017 THE PATRIOT A CHOICE COMMUNITY $124430 112016 12312016 6282017 7001 $87113 8282017 THE PAVILION AT ST LUKE VILLAGE $149316 112016 12312016 6202017 6919 $103312 8282017 THORNWALD HOME $103277 112016 12312016 762017 5319 $54933 8282017 TIMBER RIDGE HEALTH CENTER $223974 112016 12312016 5312017 7829 $175349 8282017 TITUSVILLE HEALTHCARE amp REHAB CENTER $95811 112016 9302016 3272017 7785 $74589 8282017 TOWNE MANOR EAST $149316 112016 12312016 7142017 9110 $136027 8282017 TOWNE MANOR WEST $148072 112016 12312016 7142017 8353 $123685 8282017 TRANSITIONS HEALTHCARE GETTYSBURG $167980 112016 12312016 6152017 7369 $123784 8282017 TRANSITIONS HEALTHCARE NORTH HUNTINGDON $149316 112016 12312016 6202017 6837 $102087 8282017 TRANSITIONS HEALTHCARE WASHINGTON PA $149316 112016 12312016 6152017 6718 $100310 8282017 TUCKER HOUSE NSG amp REHAB CTR $223974 112016 12312016 5162017 8539 $191251 8282017 TWIN PINES HEALTH CARE CENTER $149316 112016 12312016 4182017 8264 $123395 8282017 UNIONTOWN HEALTHCARE amp REHAB CENTER $149316 112016 9302016 3272017 7336 $109538 8282017 UNITED ZION RETIREMENT COMMUNITY $73414 112016 12312016 6282017 4649 $34130 8282017 VALENCIA WOODS AT ST BARNABAS $58482 112016 12312016 6282017 3933 $23001 8282017 VALLEY VIEW HAVEN INC $201577 112016 12312016 582017 6225 $125482 8282017 VALLEY VIEW NURSING CENTER $215264 112016 12312016 5162017 5850 $125929 8282017 VILLAGE AT LUTHER SQUARE $136873 112016 12312016 762017 9017 $123418 8282017 WALNUT CREEK HEALTHCARE amp REHAB CENTER $143094 112016 9302016 3272017 5841 $83581 8282017 WARREN MANOR $150560 112016 12312016 5222017 5801 $87340 8282017 WASHINGTON COUNTY HEALTH CENTER $358358 112016 12312016 7142017 8319 $298118 8282017 WATSONTOWN REHABILITATION AND NRSG CTR $155538 112016 12312016 5162017 7345 $114243 8282017 WAYNESBURG HEALTHCARE amp REHAB CENTER $138117 112016 9302016 3272017 7726 $106709 8282017 WEATHERWOOD HEALTHCARE AND REHAB CTR $248860 112016 12312016 522017 8269 $205782 8282017 WESBURY UNITED METHODIST COMMUNITY $261303 112016 12312016 4182017 6646 $173662 8282017
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WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017
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MA Occupancy
HAI Payment RA Date
HOSPITALITY CARE CENTER OF HERMITAGE INC $41062 112016 12312016 6282017 7950 $32644 8282017 JAMESON CARE CENTER $97055 112016 12312016 6152017 4852 $47091 8282017 JEFFERSON HILLS HEALTHCARE amp REHAB CTR $103277 112016 12312016 522017 6959 $71870 8282017 JEWISH HOME OF EASTERN PENNSYLVANIA $215264 112016 12312016 6282017 7445 $160264 8282017 JOHN J KANE REGIONAL CENTER-GLEN HAZEL $261303 112016 12312016 762017 9400 $245625 8282017 JOHN J KANE REGIONAL CENTER-MCKEESPORT $447948 112016 12312016 762017 8882 $397867 8282017 JOHN J KANE REGIONAL CENTER-ROSS TWNSHP $298632 112016 12312016 762017 9099 $271725 8282017 JOHN J KANE REGIONAL CENTER-SCOTT TWNSHP $390710 112016 12312016 762017 8692 $339605 8282017 JULIA POUND CARE CENTER $163003 112016 12312016 5162017 5813 $94754 8282017 JULIA RIBAUDO EXTENDED CARE CENTER $149316 112016 12312016 4132017 7758 $115839 8282017 KEARSLEY REHAB AND NURSING CENTER $104521 112016 12312016 582017 6445 $67364 8282017 KEPLER CENTER FOR NURSING AND REHAB $49772 112016 12312016 6152017 7860 $39121 8282017 KINGSTON HEALTH CARE CENTER $80880 112016 12312016 4132017 6979 $56446 8282017 KINZUA HEALTHCARE AND REHAB CENTER $131896 112016 9302016 3272017 7530 $99318 8282017 KITTANNING CARE CENTER $149316 112016 12312016 4212017 8806 $131488 8282017 LAFAYETTE MANOR INC $121941 112016 12312016 5222017 6719 $81932 8282017 LAKEVIEW HEALTHCARE amp REHABILITATION CTR $42306 112016 12312016 522017 5825 $24643 8282017 LANCASHIRE HALL $298632 112016 12312016 5162017 8678 $259153 8282017 LANCASTER CARE AND REHABILITATION CENTER $154293 112016 12312016 662017 9235 $142490 8282017 LANSDALE CARE AND REHABILITATION CENTER $156782 112016 12312016 662017 9273 $145384 8282017 LAUREL CARE NURSING AND REHAB CENTER $114476 112016 12312016 7142017 6360 $72807 8282017 LAUREL WOOD CARE CENTER $149316 112016 12312016 4212017 7498 $111957 8282017 LAWSON NURSING HOME INC $62215 112016 12312016 762017 6133 $38156 8282017 LEBANON VALLEY BRETHREN HOME $124430 112016 12312016 5312017 4084 $50817 8282017 LEBANON VALLEY HOME THE $68436 112016 12312016 762017 5285 $36168 8282017 LECOM AT PRESQUE ISLE INC $175446 112016 1312016 3272017 8709 $152796 8282017 LGAR HEALTH AND REHABILITATION CENTER $149316 112016 12312016 5312017 7584 $113241 8282017 LITTLE FLOWER MANOR OF DIOCESE SCRANTON $165492 112016 12312016 6282017 7457 $123407 8282017 LITTLE SISTERS OF THE POOR $59726 112016 12312016 6282017 9375 $55993 8282017 LOCUST GROVE RETIREMENT VILLAGE $129407 112016 12312016 6202017 7418 $95994 8282017 LOYALHANNA CARE CENTER $149316 112016 12312016 5162017 6173 $92173 8282017 LUTHER ACRES MANOR $131896 112016 12312016 762017 4486 $59169 8282017 LUTHER CREST NURSING FACILITY $74658 112016 12312016 6202017 2805 $20942 8282017 LUTHER WOODS NURSING amp REHAB CENTER $174202 212016 12312016 542017 5969 $103981 8282017 LUTHERAN HOME AT HOLLIDAYSBURG THE $110743 112016 12312016 6282017 5062 $56058 8282017
Cost
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LUTHERAN HOME AT JOHNSTOWN THE $78391 112016 12312016 6282017 5254 $41187 8282017 LUTHERAN HOME AT KANE THE $111987 112016 12312016 762017 6577 $73654 8282017 LUTHERAN HOME AT TOPTON $241394 112016 12312016 6202017 5900 $142422 8282017 MAHONING VALLEY NURSING AND REHAB CENTER $176691 112016 12312016 5312017 6936 $122553 8282017 MAJESTIC OAKS REHAB amp NURSING CENTER $223974 112016 12312016 582017 8296 $185809 8282017 MANATAWNY MANOR INC $165492 112016 12312016 6202017 6401 $105931 8282017 MANCHESTER COMMONS OF PRESBY SR CARE $97055 112016 12312016 7142017 5839 $56670 8282017 MANORCARE HEALTH SERVICES - MONTGOMERY $211531 112016 12312016 4182017 7965 $168484 8282017 MANORCARE HEALTH SVCS-ALLENTOWN $206554 112016 12312016 4132017 8131 $167949 8282017 MANORCARE HEALTH SVCS-BETHEL PARK $199088 112016 12312016 4132017 7055 $140457 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2021) $282456 112016 12312016 4132017 8611 $243223 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2029) $270013 112016 12312016 4132017 8524 $230159 8282017 MANORCARE HEALTH SVCS-CAMP HILL $153049 112016 12312016 5162017 6440 $98564 8282017 MANORCARE HEALTH SVCS-CARLISLE $186645 112016 12312016 4132017 7961 $148588 8282017 MANORCARE HEALTH SVCS-CHAMBERSBURG $261303 112016 12312016 4132017 7441 $194436 8282017 MANORCARE HEALTH SVCS-DALLASTOWN $251349 112016 12312016 5312017 8074 $202939 8282017 MANORCARE HEALTH SVCS-EASTON $282456 112016 12312016 3272017 7812 $220655 8282017 MANORCARE HEALTH SVCS-ELIZABETHTOWN $90834 112016 12312016 4182017 7388 $67108 8282017 MANORCARE HEALTH SVCS-GREEN TREE $223974 112016 12312016 4132017 6382 $142940 8282017 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY $161759 112016 12312016 4212017 7967 $128873 8282017 MANORCARE HEALTH SVCS-JERSEY SHORE $149316 112016 12312016 5312017 8245 $123111 8282017 MANORCARE HEALTH SVCS-KING OF PRUSSIA $211531 112016 12312016 4182017 7986 $168929 8282017 MANORCARE HEALTH SVCS-KINGSTON $218997 112016 12312016 3272017 8001 $175219 8282017 MANORCARE HEALTH SVCS-LANCASTER $214020 112016 12312016 4132017 7654 $163811 8282017 MANORCARE HEALTH SVCS-LAURELDALE $246371 112016 12312016 4182017 7331 $180615 8282017 MANORCARE HEALTH SVCS-LEBANON $197844 112016 12312016 4182017 7787 $154061 8282017 MANORCARE HEALTH SVCS-MONROEVILLE $163003 112016 12312016 4182017 6050 $98617 8282017 MANORCARE HEALTH SVCS-NORTH HILLS $248860 112016 12312016 4132017 7534 $187491 8282017 MANORCARE HEALTH SVCS-OXFORD VALLEY $186645 112016 12312016 4182017 6418 $119789 8282017 MANORCARE HEALTH SVCS-PETERS TOWNSHIP $174202 112016 12312016 4182017 6903 $120252 8282017 MANORCARE HEALTH SVCS-POTTSTOWN $186645 112016 12312016 3272017 8251 $154001 8282017 MANORCARE HEALTH SVCS-POTTSVILLE $222730 112016 12312016 3272017 8404 $187182 8282017 MANORCARE HEALTH SVCS-SINKING SPRING $266280 112016 12312016 4182017 7868 $209509 8282017 MANORCARE HEALTH SVCS-SUNBURY $156782 112016 12312016 3272017 8126 $127401 8282017 MANORCARE HEALTH SVCS-WEST READING NORTH $218997 112016 12312016 4182017 8784 $192367 8282017
Cost
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Cost Report
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MA Occupancy
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MANORCARE HEALTH SVCS-WHITEHALL BOROUGH $206554 112016 12312016 4182017 4407 $91028 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT NORTH $189134 112016 12312016 4182017 7999 $151288 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH $144339 112016 12312016 4182017 8431 $121692 8282017 MANORCARE HEALTH SVCS-YEADON $246371 112016 12312016 4182017 9204 $226760 8282017 MAPLE WINDS HEALTHCARE amp REHAB CTR LLC $62215 112016 12312016 5222017 4949 $30790 8282017 MAPLEWOOD NURSING AND REHABILITATION CTR $223974 112016 12312016 5162017 9150 $204936 8282017 MASONIC VILLAGE AT ELIZABETHTOWN $563668 112016 12312016 6282017 6118 $344852 8282017 MASONIC VILLAGE AT LAFAYETTE HILL $74658 112016 12312016 6282017 6180 $46139 8282017 MASONIC VILLAGE AT SEWICKLEY $159270 112016 12312016 6282017 3207 $51078 8282017 MASONIC VILLAGE AT WARMINSTER $53505 112016 12312016 6282017 7016 $37539 8282017 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER $298632 1252016 12312016 542017 8347 $249268 8282017 MEADOW VIEW HEALTHCARE amp REHAB CENTER $78391 112016 12312016 522017 7147 $56026 8282017 MEADOWVIEW REHAB amp NURSING CENTER $303609 212016 12312016 4212017 7984 $242401 8282017 MERCY CENTER NURSING UNIT INC $73414 112016 12312016 6202017 6113 $44878 8282017 MEYERSDALE HEALTHCARE AND REHAB CTR $123186 112016 9302016 3272017 8432 $103870 8282017 MID VALLEY HEALTH CARE CENTER $47283 112016 12312016 4132017 5675 $26833 8282017 MILFORD HEALTHCARE AND REHAB CENTER $99544 112016 12312016 542017 7285 $72518 8282017 MILTON REHABILITATION AND NURSING CENTER $171713 112016 12312016 5162017 7805 $134022 8282017 MISERICORDIA NURSING amp REHAB CENTER $62215 112016 12312016 662017 5329 $33154 8282017 MON VALLEY CARE CENTER $74658 112016 12312016 6282017 4721 $35246 8282017 MONROEVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 7377 $110150 8282017 MORAVIAN MANOR $158026 112016 12312016 662017 2902 $45859 8282017 MORRISONS COVE HOME $154293 112016 12312016 6202017 7338 $113220 8282017 MOUNT CARMEL NURSING AND REHAB CENTER $150560 112016 12312016 3272017 7700 $115931 8282017 MOUNTAIN TOP HEALTHCARE AND REHAB CTR $131896 112016 12312016 522017 7952 $104884 8282017 MOUNTAIN VIEW A NURSING AND REHAB CTR $337205 112016 12312016 5312017 8166 $275362 8282017 MOUNTAINVIEW SPECIALTY CARE CENTER $170469 112016 12312016 4212017 7498 $127818 8282017 MT LEBANON REHAB AND WELLNESS CENTER $150560 112016 12312016 662017 8385 $126245 8282017 MULBERRY HEALTHCARE amp REHAB CTR $93322 112016 12312016 522017 7480 $69805 8282017 MURRYSVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 8196 $122379 8282017 NESHAMINY MANOR HOME $447948 112016 12312016 6202017 7617 $341202 8282017 NORMANDIE RIDGE $79635 112016 12312016 6152017 4491 $35764 8282017 NOTTINGHAM VILLAGE $150560 112016 12312016 762017 5925 $89207 8282017 NUGENT CONVALESCENT HOME $130652 112016 12312016 5312017 7726 $100942 8282017 NURSING amp REHABILITATION AT THE MANSION $87101 112016 12312016 662017 8608 $74977 8282017
Cost
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OAKMONT CENTER FOR NURSING AND REHAB $105766 112016 12312016 5312017 7633 $80731 8282017 OAKWOOD HEIGHTS OF PRESBY SENIOR CARE $131896 112016 12312016 7142017 6601 $87065 8282017 OHESSON MANOR $166736 112016 12312016 6202017 6901 $115065 8282017 OIL CITY HEALTHCARE AND REHAB CENTER $118208 112016 9302016 3272017 6891 $81457 8282017 OLD ORCHARD HEALTH CARE CENTER $223974 112016 12312016 3272017 7306 $163635 8282017 OXFORD HEALTH CENTER $170469 112016 12312016 5162017 5941 $101276 8282017 PARK AVENUE REHAB CENTER $215264 112016 12312016 582017 8301 $178691 8282017 PARKHOUSE REHABILITATION AND NURSING CTR $581088 112016 12312016 5162017 8441 $490496 8282017 PAULS RUN $149316 112016 12312016 762017 4559 $68073 8282017 PEMBROOKE HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8819 $197523 8282017 PENNKNOLL VILLAGE $165492 112016 12312016 6202017 7735 $128008 8282017 PHILADELPHIA NURSING HOME $500209 112016 12312016 582017 9757 $488054 8282017 PHILADELPHIA PROTESTANT HOME $156782 112016 12312016 6282017 5180 $81213 8282017 PHOENIXVILLE CARE AND REHABILITATION CTR $171713 112016 12312016 662017 8835 $151708 8282017 PLATINUM RIDGE CTR FOR REHAB amp HEALING $120697 112016 12312016 4132017 7473 $90197 8282017 PLEASANT ACRES NURSING AND REHAB CENTER $466612 112016 12312016 762017 9069 $423170 8282017 PLEASANT RIDGE MANOR WEST $373290 112016 12312016 5222017 8866 $330959 8282017 PLEASANT VALLEY MANOR INC $216508 112016 12312016 582017 7920 $171474 8282017 PLEASANT VIEW RETIREMENT COMMUNITY $165492 112016 12312016 5312017 4557 $75415 8282017 POCOPSON HOME $342182 112016 12312016 7142017 8832 $302215 8282017 PREMIER ARMSTRONG REHAB amp NSG FACILITY $143094 112016 12312016 4212017 8097 $115863 8282017 PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON $83368 112016 12312016 5162017 4612 $38449 8282017 PROSPECT PARK HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8083 $181038 8282017 PROVIDENCE CARE CENTER $223974 112016 12312016 4212017 8264 $185092 8282017 QUINCY RETIREMENT COMMUNITY $166736 112016 12312016 5222017 6233 $103927 8282017 REFORMED PRESBYTERIAN HOME $72169 112016 12312016 6152017 8514 $61445 8282017 REHAB amp NURSING CTR GREATER PITTSBURGH $149316 112016 12312016 4212017 5018 $74927 8282017 RICHFIELD HEALTHCARE AND REHAB CENTER $49772 112016 12312016 522017 6784 $33765 8282017 RICHLAND HEALTHCARE AND REHAB CENTER $120697 112016 9302016 3272017 6314 $76208 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $163003 112016 12312016 522017 7416 $120883 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $138117 312016 12312016 542017 8230 $113670 8282017 RIVER RUN REHAB AND NURSING CENTER $166736 112016 12312016 6152017 7258 $121017 8282017 RIVERS EDGE NURSING AND REHAB CENTER $149316 112016 12312016 7142017 7022 $104850 8282017 RIVERSIDE CARE CENTER $149316 112016 12312016 4212017 8449 $126157 8282017 RIVERSIDE REHABILITATION AND NURSING CTR $200332 112016 12312016 582017 7941 $159084 8282017
Cost
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RIVERWOODS $281212 112016 12312016 762017 5987 $168362 8282017 ROCHESTER MANOR $151805 112016 12312016 6282017 7198 $109269 8282017 ROLLING FIELDS INC $225218 112016 12312016 5222017 7972 $179544 8282017 ROLLING HILLS HEALTHCARE amp REHAB CENTER $70925 112016 12312016 542017 8248 $58499 8282017 ROSEMONT CARE AND REHABILITATION CENTER $94567 112016 12312016 662017 9512 $89952 8282017 ROUSE WARREN COUNTY HOME $218997 112016 12312016 6282017 7031 $153977 8282017 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES $141850 112016 12312016 6202017 1725 $24469 8282017 SAINT JOHN XXIII HOME $111987 112016 12312016 5312017 6828 $76465 8282017 SAINT MARYS AT ASBURY RIDGE $99544 112016 12312016 5222017 4754 $47323 8282017 SAINT MARYS EAST $172958 112016 12312016 5222017 5826 $100765 8282017 SAINT MARYS VILLA NURSING HOME INC $139362 112016 12312016 7142017 6841 $95338 8282017 SAINT PAUL HOMES $238906 112016 12312016 762017 6045 $144419 8282017 SARAH A TODD MEMORIAL HOME $145583 112016 12312016 762017 7454 $108518 8282017 SAXONY HEALTH CENTER $84612 112016 12312016 5222017 6592 $55776 8282017 SCENERY HILL HEALTHCARE amp REHAB CENTER $69681 112016 12312016 542017 7230 $50379 8282017 SCOTTDALE HEALTHCARE amp REHAB CENTER $43550 112016 12312016 522017 3947 $17189 8282017 SCRANTON HEALTH CARE CENTER $54749 112016 12312016 4132017 6170 $33780 8282017 SENA-KEAN MANOR $189134 112016 12312016 5222017 8203 $155147 8282017 SHENANDOAH MANOR NURSING CENTER $154293 112016 12312016 3272017 8239 $127122 8282017 SHENANGO PRESBYTERIAN SENIORCARE $31108 112016 12312016 6202017 2279 $7090 8282017 SHIPPENSBURG HEALTH CARE CENTER $155538 112016 12312016 7142017 7425 $115487 8282017 SHIPPENVILLE HEALTHCARE AND REHAB CENTER $149316 112016 9302016 3272017 7603 $113525 8282017 SHOOK HOME THE $80880 112016 12312016 5222017 6055 $48973 8282017 SIEMONS LAKEVIEW MANOR NSG AND REHAB $149316 112016 12312016 6282017 8277 $123589 8282017 SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB $82124 112016 12312016 662017 7329 $60189 8282017 SIMPSON HOUSE INC $191622 112016 12312016 762017 8430 $161537 8282017 SNYDER MEMORIAL HEALTH CARE CENTER $124430 112016 12312016 5222017 8787 $109337 8282017 SOUTH FAYETTE NURSING CENTER $74658 712015 6302016 6262017 9082 $67804 8282017 SOUTH HILLS REHAB amp WELLNESS CENTER $129407 112016 12312016 662017 7470 $96667 8282017 SOUTHMONT OF PRESBYTERIAN SENIORCARE $192866 112016 12312016 3272017 5654 $109046 8282017 SOUTHWESTERN NURSING CARE CENTER $146827 112016 12312016 3272017 7214 $105921 8282017 SPANG CREST MANOR $130652 112016 12312016 7142017 5341 $69781 8282017 SPIRITRUST LUTHERAN VLG SHREWSBURY $124430 112016 12312016 6282017 5740 $71423 8282017 SPIRITRUST LUTHERAN VLG GETTYSBURG $124430 112016 12312016 6282017 5822 $72443 8282017 SPIRITRUST LUTHERAN VLG SPRENKLE DRIVE $129407 112016 12312016 6282017 5089 $65855 8282017
Cost
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SPIRITRUST LUTHERAN VLG UTZ TERRACE $49772 112016 12312016 6282017 5964 $29684 8282017 SPRING CREEK REHAB AND NURSING CENTER $502697 112016 12312016 6282017 8757 $440212 8282017 SPRINGS AT THE WATERMARK THE $135629 112016 12302016 542017 4297 $58280 8282017 SQUIRREL HILL CTR FOR REHAB AND HEALING $221485 112016 12312016 6202017 9007 $199492 8282017 ST BARNABAS NURSING HOME $214020 112016 12312016 6152017 5919 $126678 8282017 STENTON CARE AND REHABILITATION CENTER $116964 112016 12312016 6152017 9350 $109361 8282017 STONERIDGE POPLAR RUN $74658 112016 12312016 582017 4699 $35082 8282017 STONERIDGE TOWNE CENTRE $189134 112016 12312016 582017 6660 $125963 8282017 SUGAR CREEK STATION SKILLED NSG amp REHAB $199088 112016 12312016 662017 7387 $147066 8282017 SUNBURY COMMUNITY HEALTH amp REHAB CENTER $36085 112016 12312016 3272017 6255 $22571 8282017 SUNNYVIEW NURSING AND REHABILITATION CTR $273746 112016 12312016 5222017 7367 $201669 8282017 SUSQUE VIEW HOME INC $181668 112016 12312016 542017 7329 $133144 8282017 SWAIM HEALTH CENTER $98300 112016 12312016 582017 6320 $62126 8282017 SWEDEN VALLEY MANOR $150560 112016 12312016 5312017 8034 $120960 8282017 THE GARDENS AT BUTLER $46039 112016 8142016 3272017 6937 $31937 8282017 THE GARDENS AT CAMPBELLTOWN $65948 112016 8142016 3272017 6374 $42035 8282017 THE GARDENS AT EAST MOUNTAIN $149316 112016 12312016 662017 7271 $108568 8282017 THE GARDENS AT EASTON $225218 112016 8142016 3272017 8925 $201007 8282017 THE GARDENS AT LITITZ $52261 112016 8142016 3272017 6112 $31942 8282017 THE GARDENS AT MILLVILLE $136873 112016 8142016 3272017 8831 $120873 8282017 THE GARDENS AT ORANGEVILLE $149316 112016 8142016 3272017 7844 $117123 8282017 THE GARDENS AT PALMYRA $48528 112016 8142016 3272017 7239 $35129 8282017 THE GARDENS AT POTTSTOWN $51016 112016 8142016 3272017 7991 $40767 8282017 THE GARDENS AT STEVENS $102033 112016 8142016 3272017 7014 $71566 8282017 THE GARDENS AT TUNKHANNOCK $154293 112016 12312016 662017 7964 $122879 8282017 THE GARDENS AT WYOMING VALLEY $149316 112016 12312016 662017 8767 $130905 8282017 THE GARDENS FOR MEMORY CARE AT EASTON $143094 112016 8142016 3272017 8620 $123347 8282017 THE GROVE AT GREENVILLE $191622 112016 8142016 3272017 8918 $170888 8282017 THE GROVE AT HARMONY $143094 112016 8142016 3272017 8298 $118739 8282017 THE GROVE AT IRWIN $149316 112016 8142016 3272017 7907 $118064 8282017 THE GROVE AT LATROBE $133140 112016 12312016 5312017 9079 $120878 8282017 THE GROVE AT NEW CASTLE $77147 112016 8142016 3272017 8747 $67480 8282017 THE GROVE AT NEW WILMINGTON $143094 112016 8142016 3272017 8884 $127125 8282017 THE GROVE AT WASHINGTON $92078 112016 8142016 3272017 8632 $79482 8282017 THE MANOR AT PENN VILLAGE $197844 112016 12312016 6202017 7769 $153705 8282017
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THE MANOR AT PERRY VILLAGE $153049 112016 12312016 6202017 8019 $122730 8282017 THE MANOR AT ST LUKE VILLAGE $129407 112016 12312016 6152017 7202 $93199 8282017 THE MANOR AT SUSQUEHANNA VILLAGE $241394 112016 12312016 6202017 8158 $196929 8282017 THE MEADOWS GETTYSBURG FOR NSG amp REHAB $126919 112016 12312016 6152017 8209 $104188 8282017 THE MEADOWS STROUD FOR NSG amp REHAB LLC $158026 112016 12312016 662017 7885 $124604 8282017 THE MEADOWS WEST SHORE FOR NSG amp REHAB $384489 112016 12312016 662017 9099 $349847 8282017 THE MEADOWS AT BLUE RIDGE $118208 112016 12312016 662017 8651 $102262 8282017 THE MEADOWS AT CAMP HILL FOR NSG amp REHAB $118208 112016 12312016 6152017 8804 $104070 8282017 THE MEADOWS AT SCRANTON FOR NSG amp REHAB $172958 112016 12312016 662017 8493 $146893 8282017 THE MEADOWS AT YORK TERRACE $99544 112016 12312016 6152017 7785 $77495 8282017 THE PATRIOT A CHOICE COMMUNITY $124430 112016 12312016 6282017 7001 $87113 8282017 THE PAVILION AT ST LUKE VILLAGE $149316 112016 12312016 6202017 6919 $103312 8282017 THORNWALD HOME $103277 112016 12312016 762017 5319 $54933 8282017 TIMBER RIDGE HEALTH CENTER $223974 112016 12312016 5312017 7829 $175349 8282017 TITUSVILLE HEALTHCARE amp REHAB CENTER $95811 112016 9302016 3272017 7785 $74589 8282017 TOWNE MANOR EAST $149316 112016 12312016 7142017 9110 $136027 8282017 TOWNE MANOR WEST $148072 112016 12312016 7142017 8353 $123685 8282017 TRANSITIONS HEALTHCARE GETTYSBURG $167980 112016 12312016 6152017 7369 $123784 8282017 TRANSITIONS HEALTHCARE NORTH HUNTINGDON $149316 112016 12312016 6202017 6837 $102087 8282017 TRANSITIONS HEALTHCARE WASHINGTON PA $149316 112016 12312016 6152017 6718 $100310 8282017 TUCKER HOUSE NSG amp REHAB CTR $223974 112016 12312016 5162017 8539 $191251 8282017 TWIN PINES HEALTH CARE CENTER $149316 112016 12312016 4182017 8264 $123395 8282017 UNIONTOWN HEALTHCARE amp REHAB CENTER $149316 112016 9302016 3272017 7336 $109538 8282017 UNITED ZION RETIREMENT COMMUNITY $73414 112016 12312016 6282017 4649 $34130 8282017 VALENCIA WOODS AT ST BARNABAS $58482 112016 12312016 6282017 3933 $23001 8282017 VALLEY VIEW HAVEN INC $201577 112016 12312016 582017 6225 $125482 8282017 VALLEY VIEW NURSING CENTER $215264 112016 12312016 5162017 5850 $125929 8282017 VILLAGE AT LUTHER SQUARE $136873 112016 12312016 762017 9017 $123418 8282017 WALNUT CREEK HEALTHCARE amp REHAB CENTER $143094 112016 9302016 3272017 5841 $83581 8282017 WARREN MANOR $150560 112016 12312016 5222017 5801 $87340 8282017 WASHINGTON COUNTY HEALTH CENTER $358358 112016 12312016 7142017 8319 $298118 8282017 WATSONTOWN REHABILITATION AND NRSG CTR $155538 112016 12312016 5162017 7345 $114243 8282017 WAYNESBURG HEALTHCARE amp REHAB CENTER $138117 112016 9302016 3272017 7726 $106709 8282017 WEATHERWOOD HEALTHCARE AND REHAB CTR $248860 112016 12312016 522017 8269 $205782 8282017 WESBURY UNITED METHODIST COMMUNITY $261303 112016 12312016 4182017 6646 $173662 8282017
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WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017
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LUTHERAN HOME AT JOHNSTOWN THE $78391 112016 12312016 6282017 5254 $41187 8282017 LUTHERAN HOME AT KANE THE $111987 112016 12312016 762017 6577 $73654 8282017 LUTHERAN HOME AT TOPTON $241394 112016 12312016 6202017 5900 $142422 8282017 MAHONING VALLEY NURSING AND REHAB CENTER $176691 112016 12312016 5312017 6936 $122553 8282017 MAJESTIC OAKS REHAB amp NURSING CENTER $223974 112016 12312016 582017 8296 $185809 8282017 MANATAWNY MANOR INC $165492 112016 12312016 6202017 6401 $105931 8282017 MANCHESTER COMMONS OF PRESBY SR CARE $97055 112016 12312016 7142017 5839 $56670 8282017 MANORCARE HEALTH SERVICES - MONTGOMERY $211531 112016 12312016 4182017 7965 $168484 8282017 MANORCARE HEALTH SVCS-ALLENTOWN $206554 112016 12312016 4132017 8131 $167949 8282017 MANORCARE HEALTH SVCS-BETHEL PARK $199088 112016 12312016 4132017 7055 $140457 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2021) $282456 112016 12312016 4132017 8611 $243223 8282017 MANORCARE HEALTH SVCS-BETHLEHEM (2029) $270013 112016 12312016 4132017 8524 $230159 8282017 MANORCARE HEALTH SVCS-CAMP HILL $153049 112016 12312016 5162017 6440 $98564 8282017 MANORCARE HEALTH SVCS-CARLISLE $186645 112016 12312016 4132017 7961 $148588 8282017 MANORCARE HEALTH SVCS-CHAMBERSBURG $261303 112016 12312016 4132017 7441 $194436 8282017 MANORCARE HEALTH SVCS-DALLASTOWN $251349 112016 12312016 5312017 8074 $202939 8282017 MANORCARE HEALTH SVCS-EASTON $282456 112016 12312016 3272017 7812 $220655 8282017 MANORCARE HEALTH SVCS-ELIZABETHTOWN $90834 112016 12312016 4182017 7388 $67108 8282017 MANORCARE HEALTH SVCS-GREEN TREE $223974 112016 12312016 4132017 6382 $142940 8282017 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY $161759 112016 12312016 4212017 7967 $128873 8282017 MANORCARE HEALTH SVCS-JERSEY SHORE $149316 112016 12312016 5312017 8245 $123111 8282017 MANORCARE HEALTH SVCS-KING OF PRUSSIA $211531 112016 12312016 4182017 7986 $168929 8282017 MANORCARE HEALTH SVCS-KINGSTON $218997 112016 12312016 3272017 8001 $175219 8282017 MANORCARE HEALTH SVCS-LANCASTER $214020 112016 12312016 4132017 7654 $163811 8282017 MANORCARE HEALTH SVCS-LAURELDALE $246371 112016 12312016 4182017 7331 $180615 8282017 MANORCARE HEALTH SVCS-LEBANON $197844 112016 12312016 4182017 7787 $154061 8282017 MANORCARE HEALTH SVCS-MONROEVILLE $163003 112016 12312016 4182017 6050 $98617 8282017 MANORCARE HEALTH SVCS-NORTH HILLS $248860 112016 12312016 4132017 7534 $187491 8282017 MANORCARE HEALTH SVCS-OXFORD VALLEY $186645 112016 12312016 4182017 6418 $119789 8282017 MANORCARE HEALTH SVCS-PETERS TOWNSHIP $174202 112016 12312016 4182017 6903 $120252 8282017 MANORCARE HEALTH SVCS-POTTSTOWN $186645 112016 12312016 3272017 8251 $154001 8282017 MANORCARE HEALTH SVCS-POTTSVILLE $222730 112016 12312016 3272017 8404 $187182 8282017 MANORCARE HEALTH SVCS-SINKING SPRING $266280 112016 12312016 4182017 7868 $209509 8282017 MANORCARE HEALTH SVCS-SUNBURY $156782 112016 12312016 3272017 8126 $127401 8282017 MANORCARE HEALTH SVCS-WEST READING NORTH $218997 112016 12312016 4182017 8784 $192367 8282017
Cost
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Cost Report
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MANORCARE HEALTH SVCS-WHITEHALL BOROUGH $206554 112016 12312016 4182017 4407 $91028 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT NORTH $189134 112016 12312016 4182017 7999 $151288 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH $144339 112016 12312016 4182017 8431 $121692 8282017 MANORCARE HEALTH SVCS-YEADON $246371 112016 12312016 4182017 9204 $226760 8282017 MAPLE WINDS HEALTHCARE amp REHAB CTR LLC $62215 112016 12312016 5222017 4949 $30790 8282017 MAPLEWOOD NURSING AND REHABILITATION CTR $223974 112016 12312016 5162017 9150 $204936 8282017 MASONIC VILLAGE AT ELIZABETHTOWN $563668 112016 12312016 6282017 6118 $344852 8282017 MASONIC VILLAGE AT LAFAYETTE HILL $74658 112016 12312016 6282017 6180 $46139 8282017 MASONIC VILLAGE AT SEWICKLEY $159270 112016 12312016 6282017 3207 $51078 8282017 MASONIC VILLAGE AT WARMINSTER $53505 112016 12312016 6282017 7016 $37539 8282017 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER $298632 1252016 12312016 542017 8347 $249268 8282017 MEADOW VIEW HEALTHCARE amp REHAB CENTER $78391 112016 12312016 522017 7147 $56026 8282017 MEADOWVIEW REHAB amp NURSING CENTER $303609 212016 12312016 4212017 7984 $242401 8282017 MERCY CENTER NURSING UNIT INC $73414 112016 12312016 6202017 6113 $44878 8282017 MEYERSDALE HEALTHCARE AND REHAB CTR $123186 112016 9302016 3272017 8432 $103870 8282017 MID VALLEY HEALTH CARE CENTER $47283 112016 12312016 4132017 5675 $26833 8282017 MILFORD HEALTHCARE AND REHAB CENTER $99544 112016 12312016 542017 7285 $72518 8282017 MILTON REHABILITATION AND NURSING CENTER $171713 112016 12312016 5162017 7805 $134022 8282017 MISERICORDIA NURSING amp REHAB CENTER $62215 112016 12312016 662017 5329 $33154 8282017 MON VALLEY CARE CENTER $74658 112016 12312016 6282017 4721 $35246 8282017 MONROEVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 7377 $110150 8282017 MORAVIAN MANOR $158026 112016 12312016 662017 2902 $45859 8282017 MORRISONS COVE HOME $154293 112016 12312016 6202017 7338 $113220 8282017 MOUNT CARMEL NURSING AND REHAB CENTER $150560 112016 12312016 3272017 7700 $115931 8282017 MOUNTAIN TOP HEALTHCARE AND REHAB CTR $131896 112016 12312016 522017 7952 $104884 8282017 MOUNTAIN VIEW A NURSING AND REHAB CTR $337205 112016 12312016 5312017 8166 $275362 8282017 MOUNTAINVIEW SPECIALTY CARE CENTER $170469 112016 12312016 4212017 7498 $127818 8282017 MT LEBANON REHAB AND WELLNESS CENTER $150560 112016 12312016 662017 8385 $126245 8282017 MULBERRY HEALTHCARE amp REHAB CTR $93322 112016 12312016 522017 7480 $69805 8282017 MURRYSVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 8196 $122379 8282017 NESHAMINY MANOR HOME $447948 112016 12312016 6202017 7617 $341202 8282017 NORMANDIE RIDGE $79635 112016 12312016 6152017 4491 $35764 8282017 NOTTINGHAM VILLAGE $150560 112016 12312016 762017 5925 $89207 8282017 NUGENT CONVALESCENT HOME $130652 112016 12312016 5312017 7726 $100942 8282017 NURSING amp REHABILITATION AT THE MANSION $87101 112016 12312016 662017 8608 $74977 8282017
Cost
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OAKMONT CENTER FOR NURSING AND REHAB $105766 112016 12312016 5312017 7633 $80731 8282017 OAKWOOD HEIGHTS OF PRESBY SENIOR CARE $131896 112016 12312016 7142017 6601 $87065 8282017 OHESSON MANOR $166736 112016 12312016 6202017 6901 $115065 8282017 OIL CITY HEALTHCARE AND REHAB CENTER $118208 112016 9302016 3272017 6891 $81457 8282017 OLD ORCHARD HEALTH CARE CENTER $223974 112016 12312016 3272017 7306 $163635 8282017 OXFORD HEALTH CENTER $170469 112016 12312016 5162017 5941 $101276 8282017 PARK AVENUE REHAB CENTER $215264 112016 12312016 582017 8301 $178691 8282017 PARKHOUSE REHABILITATION AND NURSING CTR $581088 112016 12312016 5162017 8441 $490496 8282017 PAULS RUN $149316 112016 12312016 762017 4559 $68073 8282017 PEMBROOKE HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8819 $197523 8282017 PENNKNOLL VILLAGE $165492 112016 12312016 6202017 7735 $128008 8282017 PHILADELPHIA NURSING HOME $500209 112016 12312016 582017 9757 $488054 8282017 PHILADELPHIA PROTESTANT HOME $156782 112016 12312016 6282017 5180 $81213 8282017 PHOENIXVILLE CARE AND REHABILITATION CTR $171713 112016 12312016 662017 8835 $151708 8282017 PLATINUM RIDGE CTR FOR REHAB amp HEALING $120697 112016 12312016 4132017 7473 $90197 8282017 PLEASANT ACRES NURSING AND REHAB CENTER $466612 112016 12312016 762017 9069 $423170 8282017 PLEASANT RIDGE MANOR WEST $373290 112016 12312016 5222017 8866 $330959 8282017 PLEASANT VALLEY MANOR INC $216508 112016 12312016 582017 7920 $171474 8282017 PLEASANT VIEW RETIREMENT COMMUNITY $165492 112016 12312016 5312017 4557 $75415 8282017 POCOPSON HOME $342182 112016 12312016 7142017 8832 $302215 8282017 PREMIER ARMSTRONG REHAB amp NSG FACILITY $143094 112016 12312016 4212017 8097 $115863 8282017 PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON $83368 112016 12312016 5162017 4612 $38449 8282017 PROSPECT PARK HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8083 $181038 8282017 PROVIDENCE CARE CENTER $223974 112016 12312016 4212017 8264 $185092 8282017 QUINCY RETIREMENT COMMUNITY $166736 112016 12312016 5222017 6233 $103927 8282017 REFORMED PRESBYTERIAN HOME $72169 112016 12312016 6152017 8514 $61445 8282017 REHAB amp NURSING CTR GREATER PITTSBURGH $149316 112016 12312016 4212017 5018 $74927 8282017 RICHFIELD HEALTHCARE AND REHAB CENTER $49772 112016 12312016 522017 6784 $33765 8282017 RICHLAND HEALTHCARE AND REHAB CENTER $120697 112016 9302016 3272017 6314 $76208 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $163003 112016 12312016 522017 7416 $120883 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $138117 312016 12312016 542017 8230 $113670 8282017 RIVER RUN REHAB AND NURSING CENTER $166736 112016 12312016 6152017 7258 $121017 8282017 RIVERS EDGE NURSING AND REHAB CENTER $149316 112016 12312016 7142017 7022 $104850 8282017 RIVERSIDE CARE CENTER $149316 112016 12312016 4212017 8449 $126157 8282017 RIVERSIDE REHABILITATION AND NURSING CTR $200332 112016 12312016 582017 7941 $159084 8282017
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RIVERWOODS $281212 112016 12312016 762017 5987 $168362 8282017 ROCHESTER MANOR $151805 112016 12312016 6282017 7198 $109269 8282017 ROLLING FIELDS INC $225218 112016 12312016 5222017 7972 $179544 8282017 ROLLING HILLS HEALTHCARE amp REHAB CENTER $70925 112016 12312016 542017 8248 $58499 8282017 ROSEMONT CARE AND REHABILITATION CENTER $94567 112016 12312016 662017 9512 $89952 8282017 ROUSE WARREN COUNTY HOME $218997 112016 12312016 6282017 7031 $153977 8282017 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES $141850 112016 12312016 6202017 1725 $24469 8282017 SAINT JOHN XXIII HOME $111987 112016 12312016 5312017 6828 $76465 8282017 SAINT MARYS AT ASBURY RIDGE $99544 112016 12312016 5222017 4754 $47323 8282017 SAINT MARYS EAST $172958 112016 12312016 5222017 5826 $100765 8282017 SAINT MARYS VILLA NURSING HOME INC $139362 112016 12312016 7142017 6841 $95338 8282017 SAINT PAUL HOMES $238906 112016 12312016 762017 6045 $144419 8282017 SARAH A TODD MEMORIAL HOME $145583 112016 12312016 762017 7454 $108518 8282017 SAXONY HEALTH CENTER $84612 112016 12312016 5222017 6592 $55776 8282017 SCENERY HILL HEALTHCARE amp REHAB CENTER $69681 112016 12312016 542017 7230 $50379 8282017 SCOTTDALE HEALTHCARE amp REHAB CENTER $43550 112016 12312016 522017 3947 $17189 8282017 SCRANTON HEALTH CARE CENTER $54749 112016 12312016 4132017 6170 $33780 8282017 SENA-KEAN MANOR $189134 112016 12312016 5222017 8203 $155147 8282017 SHENANDOAH MANOR NURSING CENTER $154293 112016 12312016 3272017 8239 $127122 8282017 SHENANGO PRESBYTERIAN SENIORCARE $31108 112016 12312016 6202017 2279 $7090 8282017 SHIPPENSBURG HEALTH CARE CENTER $155538 112016 12312016 7142017 7425 $115487 8282017 SHIPPENVILLE HEALTHCARE AND REHAB CENTER $149316 112016 9302016 3272017 7603 $113525 8282017 SHOOK HOME THE $80880 112016 12312016 5222017 6055 $48973 8282017 SIEMONS LAKEVIEW MANOR NSG AND REHAB $149316 112016 12312016 6282017 8277 $123589 8282017 SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB $82124 112016 12312016 662017 7329 $60189 8282017 SIMPSON HOUSE INC $191622 112016 12312016 762017 8430 $161537 8282017 SNYDER MEMORIAL HEALTH CARE CENTER $124430 112016 12312016 5222017 8787 $109337 8282017 SOUTH FAYETTE NURSING CENTER $74658 712015 6302016 6262017 9082 $67804 8282017 SOUTH HILLS REHAB amp WELLNESS CENTER $129407 112016 12312016 662017 7470 $96667 8282017 SOUTHMONT OF PRESBYTERIAN SENIORCARE $192866 112016 12312016 3272017 5654 $109046 8282017 SOUTHWESTERN NURSING CARE CENTER $146827 112016 12312016 3272017 7214 $105921 8282017 SPANG CREST MANOR $130652 112016 12312016 7142017 5341 $69781 8282017 SPIRITRUST LUTHERAN VLG SHREWSBURY $124430 112016 12312016 6282017 5740 $71423 8282017 SPIRITRUST LUTHERAN VLG GETTYSBURG $124430 112016 12312016 6282017 5822 $72443 8282017 SPIRITRUST LUTHERAN VLG SPRENKLE DRIVE $129407 112016 12312016 6282017 5089 $65855 8282017
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SPIRITRUST LUTHERAN VLG UTZ TERRACE $49772 112016 12312016 6282017 5964 $29684 8282017 SPRING CREEK REHAB AND NURSING CENTER $502697 112016 12312016 6282017 8757 $440212 8282017 SPRINGS AT THE WATERMARK THE $135629 112016 12302016 542017 4297 $58280 8282017 SQUIRREL HILL CTR FOR REHAB AND HEALING $221485 112016 12312016 6202017 9007 $199492 8282017 ST BARNABAS NURSING HOME $214020 112016 12312016 6152017 5919 $126678 8282017 STENTON CARE AND REHABILITATION CENTER $116964 112016 12312016 6152017 9350 $109361 8282017 STONERIDGE POPLAR RUN $74658 112016 12312016 582017 4699 $35082 8282017 STONERIDGE TOWNE CENTRE $189134 112016 12312016 582017 6660 $125963 8282017 SUGAR CREEK STATION SKILLED NSG amp REHAB $199088 112016 12312016 662017 7387 $147066 8282017 SUNBURY COMMUNITY HEALTH amp REHAB CENTER $36085 112016 12312016 3272017 6255 $22571 8282017 SUNNYVIEW NURSING AND REHABILITATION CTR $273746 112016 12312016 5222017 7367 $201669 8282017 SUSQUE VIEW HOME INC $181668 112016 12312016 542017 7329 $133144 8282017 SWAIM HEALTH CENTER $98300 112016 12312016 582017 6320 $62126 8282017 SWEDEN VALLEY MANOR $150560 112016 12312016 5312017 8034 $120960 8282017 THE GARDENS AT BUTLER $46039 112016 8142016 3272017 6937 $31937 8282017 THE GARDENS AT CAMPBELLTOWN $65948 112016 8142016 3272017 6374 $42035 8282017 THE GARDENS AT EAST MOUNTAIN $149316 112016 12312016 662017 7271 $108568 8282017 THE GARDENS AT EASTON $225218 112016 8142016 3272017 8925 $201007 8282017 THE GARDENS AT LITITZ $52261 112016 8142016 3272017 6112 $31942 8282017 THE GARDENS AT MILLVILLE $136873 112016 8142016 3272017 8831 $120873 8282017 THE GARDENS AT ORANGEVILLE $149316 112016 8142016 3272017 7844 $117123 8282017 THE GARDENS AT PALMYRA $48528 112016 8142016 3272017 7239 $35129 8282017 THE GARDENS AT POTTSTOWN $51016 112016 8142016 3272017 7991 $40767 8282017 THE GARDENS AT STEVENS $102033 112016 8142016 3272017 7014 $71566 8282017 THE GARDENS AT TUNKHANNOCK $154293 112016 12312016 662017 7964 $122879 8282017 THE GARDENS AT WYOMING VALLEY $149316 112016 12312016 662017 8767 $130905 8282017 THE GARDENS FOR MEMORY CARE AT EASTON $143094 112016 8142016 3272017 8620 $123347 8282017 THE GROVE AT GREENVILLE $191622 112016 8142016 3272017 8918 $170888 8282017 THE GROVE AT HARMONY $143094 112016 8142016 3272017 8298 $118739 8282017 THE GROVE AT IRWIN $149316 112016 8142016 3272017 7907 $118064 8282017 THE GROVE AT LATROBE $133140 112016 12312016 5312017 9079 $120878 8282017 THE GROVE AT NEW CASTLE $77147 112016 8142016 3272017 8747 $67480 8282017 THE GROVE AT NEW WILMINGTON $143094 112016 8142016 3272017 8884 $127125 8282017 THE GROVE AT WASHINGTON $92078 112016 8142016 3272017 8632 $79482 8282017 THE MANOR AT PENN VILLAGE $197844 112016 12312016 6202017 7769 $153705 8282017
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THE MANOR AT PERRY VILLAGE $153049 112016 12312016 6202017 8019 $122730 8282017 THE MANOR AT ST LUKE VILLAGE $129407 112016 12312016 6152017 7202 $93199 8282017 THE MANOR AT SUSQUEHANNA VILLAGE $241394 112016 12312016 6202017 8158 $196929 8282017 THE MEADOWS GETTYSBURG FOR NSG amp REHAB $126919 112016 12312016 6152017 8209 $104188 8282017 THE MEADOWS STROUD FOR NSG amp REHAB LLC $158026 112016 12312016 662017 7885 $124604 8282017 THE MEADOWS WEST SHORE FOR NSG amp REHAB $384489 112016 12312016 662017 9099 $349847 8282017 THE MEADOWS AT BLUE RIDGE $118208 112016 12312016 662017 8651 $102262 8282017 THE MEADOWS AT CAMP HILL FOR NSG amp REHAB $118208 112016 12312016 6152017 8804 $104070 8282017 THE MEADOWS AT SCRANTON FOR NSG amp REHAB $172958 112016 12312016 662017 8493 $146893 8282017 THE MEADOWS AT YORK TERRACE $99544 112016 12312016 6152017 7785 $77495 8282017 THE PATRIOT A CHOICE COMMUNITY $124430 112016 12312016 6282017 7001 $87113 8282017 THE PAVILION AT ST LUKE VILLAGE $149316 112016 12312016 6202017 6919 $103312 8282017 THORNWALD HOME $103277 112016 12312016 762017 5319 $54933 8282017 TIMBER RIDGE HEALTH CENTER $223974 112016 12312016 5312017 7829 $175349 8282017 TITUSVILLE HEALTHCARE amp REHAB CENTER $95811 112016 9302016 3272017 7785 $74589 8282017 TOWNE MANOR EAST $149316 112016 12312016 7142017 9110 $136027 8282017 TOWNE MANOR WEST $148072 112016 12312016 7142017 8353 $123685 8282017 TRANSITIONS HEALTHCARE GETTYSBURG $167980 112016 12312016 6152017 7369 $123784 8282017 TRANSITIONS HEALTHCARE NORTH HUNTINGDON $149316 112016 12312016 6202017 6837 $102087 8282017 TRANSITIONS HEALTHCARE WASHINGTON PA $149316 112016 12312016 6152017 6718 $100310 8282017 TUCKER HOUSE NSG amp REHAB CTR $223974 112016 12312016 5162017 8539 $191251 8282017 TWIN PINES HEALTH CARE CENTER $149316 112016 12312016 4182017 8264 $123395 8282017 UNIONTOWN HEALTHCARE amp REHAB CENTER $149316 112016 9302016 3272017 7336 $109538 8282017 UNITED ZION RETIREMENT COMMUNITY $73414 112016 12312016 6282017 4649 $34130 8282017 VALENCIA WOODS AT ST BARNABAS $58482 112016 12312016 6282017 3933 $23001 8282017 VALLEY VIEW HAVEN INC $201577 112016 12312016 582017 6225 $125482 8282017 VALLEY VIEW NURSING CENTER $215264 112016 12312016 5162017 5850 $125929 8282017 VILLAGE AT LUTHER SQUARE $136873 112016 12312016 762017 9017 $123418 8282017 WALNUT CREEK HEALTHCARE amp REHAB CENTER $143094 112016 9302016 3272017 5841 $83581 8282017 WARREN MANOR $150560 112016 12312016 5222017 5801 $87340 8282017 WASHINGTON COUNTY HEALTH CENTER $358358 112016 12312016 7142017 8319 $298118 8282017 WATSONTOWN REHABILITATION AND NRSG CTR $155538 112016 12312016 5162017 7345 $114243 8282017 WAYNESBURG HEALTHCARE amp REHAB CENTER $138117 112016 9302016 3272017 7726 $106709 8282017 WEATHERWOOD HEALTHCARE AND REHAB CTR $248860 112016 12312016 522017 8269 $205782 8282017 WESBURY UNITED METHODIST COMMUNITY $261303 112016 12312016 4182017 6646 $173662 8282017
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WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017
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MA Occupancy
HAI Payment RA Date
MANORCARE HEALTH SVCS-WHITEHALL BOROUGH $206554 112016 12312016 4182017 4407 $91028 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT NORTH $189134 112016 12312016 4182017 7999 $151288 8282017 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH $144339 112016 12312016 4182017 8431 $121692 8282017 MANORCARE HEALTH SVCS-YEADON $246371 112016 12312016 4182017 9204 $226760 8282017 MAPLE WINDS HEALTHCARE amp REHAB CTR LLC $62215 112016 12312016 5222017 4949 $30790 8282017 MAPLEWOOD NURSING AND REHABILITATION CTR $223974 112016 12312016 5162017 9150 $204936 8282017 MASONIC VILLAGE AT ELIZABETHTOWN $563668 112016 12312016 6282017 6118 $344852 8282017 MASONIC VILLAGE AT LAFAYETTE HILL $74658 112016 12312016 6282017 6180 $46139 8282017 MASONIC VILLAGE AT SEWICKLEY $159270 112016 12312016 6282017 3207 $51078 8282017 MASONIC VILLAGE AT WARMINSTER $53505 112016 12312016 6282017 7016 $37539 8282017 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER $298632 1252016 12312016 542017 8347 $249268 8282017 MEADOW VIEW HEALTHCARE amp REHAB CENTER $78391 112016 12312016 522017 7147 $56026 8282017 MEADOWVIEW REHAB amp NURSING CENTER $303609 212016 12312016 4212017 7984 $242401 8282017 MERCY CENTER NURSING UNIT INC $73414 112016 12312016 6202017 6113 $44878 8282017 MEYERSDALE HEALTHCARE AND REHAB CTR $123186 112016 9302016 3272017 8432 $103870 8282017 MID VALLEY HEALTH CARE CENTER $47283 112016 12312016 4132017 5675 $26833 8282017 MILFORD HEALTHCARE AND REHAB CENTER $99544 112016 12312016 542017 7285 $72518 8282017 MILTON REHABILITATION AND NURSING CENTER $171713 112016 12312016 5162017 7805 $134022 8282017 MISERICORDIA NURSING amp REHAB CENTER $62215 112016 12312016 662017 5329 $33154 8282017 MON VALLEY CARE CENTER $74658 112016 12312016 6282017 4721 $35246 8282017 MONROEVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 7377 $110150 8282017 MORAVIAN MANOR $158026 112016 12312016 662017 2902 $45859 8282017 MORRISONS COVE HOME $154293 112016 12312016 6202017 7338 $113220 8282017 MOUNT CARMEL NURSING AND REHAB CENTER $150560 112016 12312016 3272017 7700 $115931 8282017 MOUNTAIN TOP HEALTHCARE AND REHAB CTR $131896 112016 12312016 522017 7952 $104884 8282017 MOUNTAIN VIEW A NURSING AND REHAB CTR $337205 112016 12312016 5312017 8166 $275362 8282017 MOUNTAINVIEW SPECIALTY CARE CENTER $170469 112016 12312016 4212017 7498 $127818 8282017 MT LEBANON REHAB AND WELLNESS CENTER $150560 112016 12312016 662017 8385 $126245 8282017 MULBERRY HEALTHCARE amp REHAB CTR $93322 112016 12312016 522017 7480 $69805 8282017 MURRYSVILLE REHAB amp WELLNESS CENTER $149316 112016 12312016 662017 8196 $122379 8282017 NESHAMINY MANOR HOME $447948 112016 12312016 6202017 7617 $341202 8282017 NORMANDIE RIDGE $79635 112016 12312016 6152017 4491 $35764 8282017 NOTTINGHAM VILLAGE $150560 112016 12312016 762017 5925 $89207 8282017 NUGENT CONVALESCENT HOME $130652 112016 12312016 5312017 7726 $100942 8282017 NURSING amp REHABILITATION AT THE MANSION $87101 112016 12312016 662017 8608 $74977 8282017
Cost
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MA Occupancy
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OAKMONT CENTER FOR NURSING AND REHAB $105766 112016 12312016 5312017 7633 $80731 8282017 OAKWOOD HEIGHTS OF PRESBY SENIOR CARE $131896 112016 12312016 7142017 6601 $87065 8282017 OHESSON MANOR $166736 112016 12312016 6202017 6901 $115065 8282017 OIL CITY HEALTHCARE AND REHAB CENTER $118208 112016 9302016 3272017 6891 $81457 8282017 OLD ORCHARD HEALTH CARE CENTER $223974 112016 12312016 3272017 7306 $163635 8282017 OXFORD HEALTH CENTER $170469 112016 12312016 5162017 5941 $101276 8282017 PARK AVENUE REHAB CENTER $215264 112016 12312016 582017 8301 $178691 8282017 PARKHOUSE REHABILITATION AND NURSING CTR $581088 112016 12312016 5162017 8441 $490496 8282017 PAULS RUN $149316 112016 12312016 762017 4559 $68073 8282017 PEMBROOKE HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8819 $197523 8282017 PENNKNOLL VILLAGE $165492 112016 12312016 6202017 7735 $128008 8282017 PHILADELPHIA NURSING HOME $500209 112016 12312016 582017 9757 $488054 8282017 PHILADELPHIA PROTESTANT HOME $156782 112016 12312016 6282017 5180 $81213 8282017 PHOENIXVILLE CARE AND REHABILITATION CTR $171713 112016 12312016 662017 8835 $151708 8282017 PLATINUM RIDGE CTR FOR REHAB amp HEALING $120697 112016 12312016 4132017 7473 $90197 8282017 PLEASANT ACRES NURSING AND REHAB CENTER $466612 112016 12312016 762017 9069 $423170 8282017 PLEASANT RIDGE MANOR WEST $373290 112016 12312016 5222017 8866 $330959 8282017 PLEASANT VALLEY MANOR INC $216508 112016 12312016 582017 7920 $171474 8282017 PLEASANT VIEW RETIREMENT COMMUNITY $165492 112016 12312016 5312017 4557 $75415 8282017 POCOPSON HOME $342182 112016 12312016 7142017 8832 $302215 8282017 PREMIER ARMSTRONG REHAB amp NSG FACILITY $143094 112016 12312016 4212017 8097 $115863 8282017 PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON $83368 112016 12312016 5162017 4612 $38449 8282017 PROSPECT PARK HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8083 $181038 8282017 PROVIDENCE CARE CENTER $223974 112016 12312016 4212017 8264 $185092 8282017 QUINCY RETIREMENT COMMUNITY $166736 112016 12312016 5222017 6233 $103927 8282017 REFORMED PRESBYTERIAN HOME $72169 112016 12312016 6152017 8514 $61445 8282017 REHAB amp NURSING CTR GREATER PITTSBURGH $149316 112016 12312016 4212017 5018 $74927 8282017 RICHFIELD HEALTHCARE AND REHAB CENTER $49772 112016 12312016 522017 6784 $33765 8282017 RICHLAND HEALTHCARE AND REHAB CENTER $120697 112016 9302016 3272017 6314 $76208 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $163003 112016 12312016 522017 7416 $120883 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $138117 312016 12312016 542017 8230 $113670 8282017 RIVER RUN REHAB AND NURSING CENTER $166736 112016 12312016 6152017 7258 $121017 8282017 RIVERS EDGE NURSING AND REHAB CENTER $149316 112016 12312016 7142017 7022 $104850 8282017 RIVERSIDE CARE CENTER $149316 112016 12312016 4212017 8449 $126157 8282017 RIVERSIDE REHABILITATION AND NURSING CTR $200332 112016 12312016 582017 7941 $159084 8282017
Cost
Current Name HAI
Surcharge
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Cost Report
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MA Occupancy
HAI Payment RA Date
RIVERWOODS $281212 112016 12312016 762017 5987 $168362 8282017 ROCHESTER MANOR $151805 112016 12312016 6282017 7198 $109269 8282017 ROLLING FIELDS INC $225218 112016 12312016 5222017 7972 $179544 8282017 ROLLING HILLS HEALTHCARE amp REHAB CENTER $70925 112016 12312016 542017 8248 $58499 8282017 ROSEMONT CARE AND REHABILITATION CENTER $94567 112016 12312016 662017 9512 $89952 8282017 ROUSE WARREN COUNTY HOME $218997 112016 12312016 6282017 7031 $153977 8282017 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES $141850 112016 12312016 6202017 1725 $24469 8282017 SAINT JOHN XXIII HOME $111987 112016 12312016 5312017 6828 $76465 8282017 SAINT MARYS AT ASBURY RIDGE $99544 112016 12312016 5222017 4754 $47323 8282017 SAINT MARYS EAST $172958 112016 12312016 5222017 5826 $100765 8282017 SAINT MARYS VILLA NURSING HOME INC $139362 112016 12312016 7142017 6841 $95338 8282017 SAINT PAUL HOMES $238906 112016 12312016 762017 6045 $144419 8282017 SARAH A TODD MEMORIAL HOME $145583 112016 12312016 762017 7454 $108518 8282017 SAXONY HEALTH CENTER $84612 112016 12312016 5222017 6592 $55776 8282017 SCENERY HILL HEALTHCARE amp REHAB CENTER $69681 112016 12312016 542017 7230 $50379 8282017 SCOTTDALE HEALTHCARE amp REHAB CENTER $43550 112016 12312016 522017 3947 $17189 8282017 SCRANTON HEALTH CARE CENTER $54749 112016 12312016 4132017 6170 $33780 8282017 SENA-KEAN MANOR $189134 112016 12312016 5222017 8203 $155147 8282017 SHENANDOAH MANOR NURSING CENTER $154293 112016 12312016 3272017 8239 $127122 8282017 SHENANGO PRESBYTERIAN SENIORCARE $31108 112016 12312016 6202017 2279 $7090 8282017 SHIPPENSBURG HEALTH CARE CENTER $155538 112016 12312016 7142017 7425 $115487 8282017 SHIPPENVILLE HEALTHCARE AND REHAB CENTER $149316 112016 9302016 3272017 7603 $113525 8282017 SHOOK HOME THE $80880 112016 12312016 5222017 6055 $48973 8282017 SIEMONS LAKEVIEW MANOR NSG AND REHAB $149316 112016 12312016 6282017 8277 $123589 8282017 SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB $82124 112016 12312016 662017 7329 $60189 8282017 SIMPSON HOUSE INC $191622 112016 12312016 762017 8430 $161537 8282017 SNYDER MEMORIAL HEALTH CARE CENTER $124430 112016 12312016 5222017 8787 $109337 8282017 SOUTH FAYETTE NURSING CENTER $74658 712015 6302016 6262017 9082 $67804 8282017 SOUTH HILLS REHAB amp WELLNESS CENTER $129407 112016 12312016 662017 7470 $96667 8282017 SOUTHMONT OF PRESBYTERIAN SENIORCARE $192866 112016 12312016 3272017 5654 $109046 8282017 SOUTHWESTERN NURSING CARE CENTER $146827 112016 12312016 3272017 7214 $105921 8282017 SPANG CREST MANOR $130652 112016 12312016 7142017 5341 $69781 8282017 SPIRITRUST LUTHERAN VLG SHREWSBURY $124430 112016 12312016 6282017 5740 $71423 8282017 SPIRITRUST LUTHERAN VLG GETTYSBURG $124430 112016 12312016 6282017 5822 $72443 8282017 SPIRITRUST LUTHERAN VLG SPRENKLE DRIVE $129407 112016 12312016 6282017 5089 $65855 8282017
Cost
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SPIRITRUST LUTHERAN VLG UTZ TERRACE $49772 112016 12312016 6282017 5964 $29684 8282017 SPRING CREEK REHAB AND NURSING CENTER $502697 112016 12312016 6282017 8757 $440212 8282017 SPRINGS AT THE WATERMARK THE $135629 112016 12302016 542017 4297 $58280 8282017 SQUIRREL HILL CTR FOR REHAB AND HEALING $221485 112016 12312016 6202017 9007 $199492 8282017 ST BARNABAS NURSING HOME $214020 112016 12312016 6152017 5919 $126678 8282017 STENTON CARE AND REHABILITATION CENTER $116964 112016 12312016 6152017 9350 $109361 8282017 STONERIDGE POPLAR RUN $74658 112016 12312016 582017 4699 $35082 8282017 STONERIDGE TOWNE CENTRE $189134 112016 12312016 582017 6660 $125963 8282017 SUGAR CREEK STATION SKILLED NSG amp REHAB $199088 112016 12312016 662017 7387 $147066 8282017 SUNBURY COMMUNITY HEALTH amp REHAB CENTER $36085 112016 12312016 3272017 6255 $22571 8282017 SUNNYVIEW NURSING AND REHABILITATION CTR $273746 112016 12312016 5222017 7367 $201669 8282017 SUSQUE VIEW HOME INC $181668 112016 12312016 542017 7329 $133144 8282017 SWAIM HEALTH CENTER $98300 112016 12312016 582017 6320 $62126 8282017 SWEDEN VALLEY MANOR $150560 112016 12312016 5312017 8034 $120960 8282017 THE GARDENS AT BUTLER $46039 112016 8142016 3272017 6937 $31937 8282017 THE GARDENS AT CAMPBELLTOWN $65948 112016 8142016 3272017 6374 $42035 8282017 THE GARDENS AT EAST MOUNTAIN $149316 112016 12312016 662017 7271 $108568 8282017 THE GARDENS AT EASTON $225218 112016 8142016 3272017 8925 $201007 8282017 THE GARDENS AT LITITZ $52261 112016 8142016 3272017 6112 $31942 8282017 THE GARDENS AT MILLVILLE $136873 112016 8142016 3272017 8831 $120873 8282017 THE GARDENS AT ORANGEVILLE $149316 112016 8142016 3272017 7844 $117123 8282017 THE GARDENS AT PALMYRA $48528 112016 8142016 3272017 7239 $35129 8282017 THE GARDENS AT POTTSTOWN $51016 112016 8142016 3272017 7991 $40767 8282017 THE GARDENS AT STEVENS $102033 112016 8142016 3272017 7014 $71566 8282017 THE GARDENS AT TUNKHANNOCK $154293 112016 12312016 662017 7964 $122879 8282017 THE GARDENS AT WYOMING VALLEY $149316 112016 12312016 662017 8767 $130905 8282017 THE GARDENS FOR MEMORY CARE AT EASTON $143094 112016 8142016 3272017 8620 $123347 8282017 THE GROVE AT GREENVILLE $191622 112016 8142016 3272017 8918 $170888 8282017 THE GROVE AT HARMONY $143094 112016 8142016 3272017 8298 $118739 8282017 THE GROVE AT IRWIN $149316 112016 8142016 3272017 7907 $118064 8282017 THE GROVE AT LATROBE $133140 112016 12312016 5312017 9079 $120878 8282017 THE GROVE AT NEW CASTLE $77147 112016 8142016 3272017 8747 $67480 8282017 THE GROVE AT NEW WILMINGTON $143094 112016 8142016 3272017 8884 $127125 8282017 THE GROVE AT WASHINGTON $92078 112016 8142016 3272017 8632 $79482 8282017 THE MANOR AT PENN VILLAGE $197844 112016 12312016 6202017 7769 $153705 8282017
Cost
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THE MANOR AT PERRY VILLAGE $153049 112016 12312016 6202017 8019 $122730 8282017 THE MANOR AT ST LUKE VILLAGE $129407 112016 12312016 6152017 7202 $93199 8282017 THE MANOR AT SUSQUEHANNA VILLAGE $241394 112016 12312016 6202017 8158 $196929 8282017 THE MEADOWS GETTYSBURG FOR NSG amp REHAB $126919 112016 12312016 6152017 8209 $104188 8282017 THE MEADOWS STROUD FOR NSG amp REHAB LLC $158026 112016 12312016 662017 7885 $124604 8282017 THE MEADOWS WEST SHORE FOR NSG amp REHAB $384489 112016 12312016 662017 9099 $349847 8282017 THE MEADOWS AT BLUE RIDGE $118208 112016 12312016 662017 8651 $102262 8282017 THE MEADOWS AT CAMP HILL FOR NSG amp REHAB $118208 112016 12312016 6152017 8804 $104070 8282017 THE MEADOWS AT SCRANTON FOR NSG amp REHAB $172958 112016 12312016 662017 8493 $146893 8282017 THE MEADOWS AT YORK TERRACE $99544 112016 12312016 6152017 7785 $77495 8282017 THE PATRIOT A CHOICE COMMUNITY $124430 112016 12312016 6282017 7001 $87113 8282017 THE PAVILION AT ST LUKE VILLAGE $149316 112016 12312016 6202017 6919 $103312 8282017 THORNWALD HOME $103277 112016 12312016 762017 5319 $54933 8282017 TIMBER RIDGE HEALTH CENTER $223974 112016 12312016 5312017 7829 $175349 8282017 TITUSVILLE HEALTHCARE amp REHAB CENTER $95811 112016 9302016 3272017 7785 $74589 8282017 TOWNE MANOR EAST $149316 112016 12312016 7142017 9110 $136027 8282017 TOWNE MANOR WEST $148072 112016 12312016 7142017 8353 $123685 8282017 TRANSITIONS HEALTHCARE GETTYSBURG $167980 112016 12312016 6152017 7369 $123784 8282017 TRANSITIONS HEALTHCARE NORTH HUNTINGDON $149316 112016 12312016 6202017 6837 $102087 8282017 TRANSITIONS HEALTHCARE WASHINGTON PA $149316 112016 12312016 6152017 6718 $100310 8282017 TUCKER HOUSE NSG amp REHAB CTR $223974 112016 12312016 5162017 8539 $191251 8282017 TWIN PINES HEALTH CARE CENTER $149316 112016 12312016 4182017 8264 $123395 8282017 UNIONTOWN HEALTHCARE amp REHAB CENTER $149316 112016 9302016 3272017 7336 $109538 8282017 UNITED ZION RETIREMENT COMMUNITY $73414 112016 12312016 6282017 4649 $34130 8282017 VALENCIA WOODS AT ST BARNABAS $58482 112016 12312016 6282017 3933 $23001 8282017 VALLEY VIEW HAVEN INC $201577 112016 12312016 582017 6225 $125482 8282017 VALLEY VIEW NURSING CENTER $215264 112016 12312016 5162017 5850 $125929 8282017 VILLAGE AT LUTHER SQUARE $136873 112016 12312016 762017 9017 $123418 8282017 WALNUT CREEK HEALTHCARE amp REHAB CENTER $143094 112016 9302016 3272017 5841 $83581 8282017 WARREN MANOR $150560 112016 12312016 5222017 5801 $87340 8282017 WASHINGTON COUNTY HEALTH CENTER $358358 112016 12312016 7142017 8319 $298118 8282017 WATSONTOWN REHABILITATION AND NRSG CTR $155538 112016 12312016 5162017 7345 $114243 8282017 WAYNESBURG HEALTHCARE amp REHAB CENTER $138117 112016 9302016 3272017 7726 $106709 8282017 WEATHERWOOD HEALTHCARE AND REHAB CTR $248860 112016 12312016 522017 8269 $205782 8282017 WESBURY UNITED METHODIST COMMUNITY $261303 112016 12312016 4182017 6646 $173662 8282017
Cost
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WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017
Cost
Current Name HAI
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Cost Report
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MA Occupancy
HAI Payment RA Date
OAKMONT CENTER FOR NURSING AND REHAB $105766 112016 12312016 5312017 7633 $80731 8282017 OAKWOOD HEIGHTS OF PRESBY SENIOR CARE $131896 112016 12312016 7142017 6601 $87065 8282017 OHESSON MANOR $166736 112016 12312016 6202017 6901 $115065 8282017 OIL CITY HEALTHCARE AND REHAB CENTER $118208 112016 9302016 3272017 6891 $81457 8282017 OLD ORCHARD HEALTH CARE CENTER $223974 112016 12312016 3272017 7306 $163635 8282017 OXFORD HEALTH CENTER $170469 112016 12312016 5162017 5941 $101276 8282017 PARK AVENUE REHAB CENTER $215264 112016 12312016 582017 8301 $178691 8282017 PARKHOUSE REHABILITATION AND NURSING CTR $581088 112016 12312016 5162017 8441 $490496 8282017 PAULS RUN $149316 112016 12312016 762017 4559 $68073 8282017 PEMBROOKE HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8819 $197523 8282017 PENNKNOLL VILLAGE $165492 112016 12312016 6202017 7735 $128008 8282017 PHILADELPHIA NURSING HOME $500209 112016 12312016 582017 9757 $488054 8282017 PHILADELPHIA PROTESTANT HOME $156782 112016 12312016 6282017 5180 $81213 8282017 PHOENIXVILLE CARE AND REHABILITATION CTR $171713 112016 12312016 662017 8835 $151708 8282017 PLATINUM RIDGE CTR FOR REHAB amp HEALING $120697 112016 12312016 4132017 7473 $90197 8282017 PLEASANT ACRES NURSING AND REHAB CENTER $466612 112016 12312016 762017 9069 $423170 8282017 PLEASANT RIDGE MANOR WEST $373290 112016 12312016 5222017 8866 $330959 8282017 PLEASANT VALLEY MANOR INC $216508 112016 12312016 582017 7920 $171474 8282017 PLEASANT VIEW RETIREMENT COMMUNITY $165492 112016 12312016 5312017 4557 $75415 8282017 POCOPSON HOME $342182 112016 12312016 7142017 8832 $302215 8282017 PREMIER ARMSTRONG REHAB amp NSG FACILITY $143094 112016 12312016 4212017 8097 $115863 8282017 PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON $83368 112016 12312016 5162017 4612 $38449 8282017 PROSPECT PARK HEALTH AND REHAB CENTER $223974 112016 12312016 5312017 8083 $181038 8282017 PROVIDENCE CARE CENTER $223974 112016 12312016 4212017 8264 $185092 8282017 QUINCY RETIREMENT COMMUNITY $166736 112016 12312016 5222017 6233 $103927 8282017 REFORMED PRESBYTERIAN HOME $72169 112016 12312016 6152017 8514 $61445 8282017 REHAB amp NURSING CTR GREATER PITTSBURGH $149316 112016 12312016 4212017 5018 $74927 8282017 RICHFIELD HEALTHCARE AND REHAB CENTER $49772 112016 12312016 522017 6784 $33765 8282017 RICHLAND HEALTHCARE AND REHAB CENTER $120697 112016 9302016 3272017 6314 $76208 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $163003 112016 12312016 522017 7416 $120883 8282017 RIDGEVIEW HEALTHCARE amp REHAB CENTER $138117 312016 12312016 542017 8230 $113670 8282017 RIVER RUN REHAB AND NURSING CENTER $166736 112016 12312016 6152017 7258 $121017 8282017 RIVERS EDGE NURSING AND REHAB CENTER $149316 112016 12312016 7142017 7022 $104850 8282017 RIVERSIDE CARE CENTER $149316 112016 12312016 4212017 8449 $126157 8282017 RIVERSIDE REHABILITATION AND NURSING CTR $200332 112016 12312016 582017 7941 $159084 8282017
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MA Occupancy
HAI Payment RA Date
RIVERWOODS $281212 112016 12312016 762017 5987 $168362 8282017 ROCHESTER MANOR $151805 112016 12312016 6282017 7198 $109269 8282017 ROLLING FIELDS INC $225218 112016 12312016 5222017 7972 $179544 8282017 ROLLING HILLS HEALTHCARE amp REHAB CENTER $70925 112016 12312016 542017 8248 $58499 8282017 ROSEMONT CARE AND REHABILITATION CENTER $94567 112016 12312016 662017 9512 $89952 8282017 ROUSE WARREN COUNTY HOME $218997 112016 12312016 6282017 7031 $153977 8282017 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES $141850 112016 12312016 6202017 1725 $24469 8282017 SAINT JOHN XXIII HOME $111987 112016 12312016 5312017 6828 $76465 8282017 SAINT MARYS AT ASBURY RIDGE $99544 112016 12312016 5222017 4754 $47323 8282017 SAINT MARYS EAST $172958 112016 12312016 5222017 5826 $100765 8282017 SAINT MARYS VILLA NURSING HOME INC $139362 112016 12312016 7142017 6841 $95338 8282017 SAINT PAUL HOMES $238906 112016 12312016 762017 6045 $144419 8282017 SARAH A TODD MEMORIAL HOME $145583 112016 12312016 762017 7454 $108518 8282017 SAXONY HEALTH CENTER $84612 112016 12312016 5222017 6592 $55776 8282017 SCENERY HILL HEALTHCARE amp REHAB CENTER $69681 112016 12312016 542017 7230 $50379 8282017 SCOTTDALE HEALTHCARE amp REHAB CENTER $43550 112016 12312016 522017 3947 $17189 8282017 SCRANTON HEALTH CARE CENTER $54749 112016 12312016 4132017 6170 $33780 8282017 SENA-KEAN MANOR $189134 112016 12312016 5222017 8203 $155147 8282017 SHENANDOAH MANOR NURSING CENTER $154293 112016 12312016 3272017 8239 $127122 8282017 SHENANGO PRESBYTERIAN SENIORCARE $31108 112016 12312016 6202017 2279 $7090 8282017 SHIPPENSBURG HEALTH CARE CENTER $155538 112016 12312016 7142017 7425 $115487 8282017 SHIPPENVILLE HEALTHCARE AND REHAB CENTER $149316 112016 9302016 3272017 7603 $113525 8282017 SHOOK HOME THE $80880 112016 12312016 5222017 6055 $48973 8282017 SIEMONS LAKEVIEW MANOR NSG AND REHAB $149316 112016 12312016 6282017 8277 $123589 8282017 SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB $82124 112016 12312016 662017 7329 $60189 8282017 SIMPSON HOUSE INC $191622 112016 12312016 762017 8430 $161537 8282017 SNYDER MEMORIAL HEALTH CARE CENTER $124430 112016 12312016 5222017 8787 $109337 8282017 SOUTH FAYETTE NURSING CENTER $74658 712015 6302016 6262017 9082 $67804 8282017 SOUTH HILLS REHAB amp WELLNESS CENTER $129407 112016 12312016 662017 7470 $96667 8282017 SOUTHMONT OF PRESBYTERIAN SENIORCARE $192866 112016 12312016 3272017 5654 $109046 8282017 SOUTHWESTERN NURSING CARE CENTER $146827 112016 12312016 3272017 7214 $105921 8282017 SPANG CREST MANOR $130652 112016 12312016 7142017 5341 $69781 8282017 SPIRITRUST LUTHERAN VLG SHREWSBURY $124430 112016 12312016 6282017 5740 $71423 8282017 SPIRITRUST LUTHERAN VLG GETTYSBURG $124430 112016 12312016 6282017 5822 $72443 8282017 SPIRITRUST LUTHERAN VLG SPRENKLE DRIVE $129407 112016 12312016 6282017 5089 $65855 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
SPIRITRUST LUTHERAN VLG UTZ TERRACE $49772 112016 12312016 6282017 5964 $29684 8282017 SPRING CREEK REHAB AND NURSING CENTER $502697 112016 12312016 6282017 8757 $440212 8282017 SPRINGS AT THE WATERMARK THE $135629 112016 12302016 542017 4297 $58280 8282017 SQUIRREL HILL CTR FOR REHAB AND HEALING $221485 112016 12312016 6202017 9007 $199492 8282017 ST BARNABAS NURSING HOME $214020 112016 12312016 6152017 5919 $126678 8282017 STENTON CARE AND REHABILITATION CENTER $116964 112016 12312016 6152017 9350 $109361 8282017 STONERIDGE POPLAR RUN $74658 112016 12312016 582017 4699 $35082 8282017 STONERIDGE TOWNE CENTRE $189134 112016 12312016 582017 6660 $125963 8282017 SUGAR CREEK STATION SKILLED NSG amp REHAB $199088 112016 12312016 662017 7387 $147066 8282017 SUNBURY COMMUNITY HEALTH amp REHAB CENTER $36085 112016 12312016 3272017 6255 $22571 8282017 SUNNYVIEW NURSING AND REHABILITATION CTR $273746 112016 12312016 5222017 7367 $201669 8282017 SUSQUE VIEW HOME INC $181668 112016 12312016 542017 7329 $133144 8282017 SWAIM HEALTH CENTER $98300 112016 12312016 582017 6320 $62126 8282017 SWEDEN VALLEY MANOR $150560 112016 12312016 5312017 8034 $120960 8282017 THE GARDENS AT BUTLER $46039 112016 8142016 3272017 6937 $31937 8282017 THE GARDENS AT CAMPBELLTOWN $65948 112016 8142016 3272017 6374 $42035 8282017 THE GARDENS AT EAST MOUNTAIN $149316 112016 12312016 662017 7271 $108568 8282017 THE GARDENS AT EASTON $225218 112016 8142016 3272017 8925 $201007 8282017 THE GARDENS AT LITITZ $52261 112016 8142016 3272017 6112 $31942 8282017 THE GARDENS AT MILLVILLE $136873 112016 8142016 3272017 8831 $120873 8282017 THE GARDENS AT ORANGEVILLE $149316 112016 8142016 3272017 7844 $117123 8282017 THE GARDENS AT PALMYRA $48528 112016 8142016 3272017 7239 $35129 8282017 THE GARDENS AT POTTSTOWN $51016 112016 8142016 3272017 7991 $40767 8282017 THE GARDENS AT STEVENS $102033 112016 8142016 3272017 7014 $71566 8282017 THE GARDENS AT TUNKHANNOCK $154293 112016 12312016 662017 7964 $122879 8282017 THE GARDENS AT WYOMING VALLEY $149316 112016 12312016 662017 8767 $130905 8282017 THE GARDENS FOR MEMORY CARE AT EASTON $143094 112016 8142016 3272017 8620 $123347 8282017 THE GROVE AT GREENVILLE $191622 112016 8142016 3272017 8918 $170888 8282017 THE GROVE AT HARMONY $143094 112016 8142016 3272017 8298 $118739 8282017 THE GROVE AT IRWIN $149316 112016 8142016 3272017 7907 $118064 8282017 THE GROVE AT LATROBE $133140 112016 12312016 5312017 9079 $120878 8282017 THE GROVE AT NEW CASTLE $77147 112016 8142016 3272017 8747 $67480 8282017 THE GROVE AT NEW WILMINGTON $143094 112016 8142016 3272017 8884 $127125 8282017 THE GROVE AT WASHINGTON $92078 112016 8142016 3272017 8632 $79482 8282017 THE MANOR AT PENN VILLAGE $197844 112016 12312016 6202017 7769 $153705 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
THE MANOR AT PERRY VILLAGE $153049 112016 12312016 6202017 8019 $122730 8282017 THE MANOR AT ST LUKE VILLAGE $129407 112016 12312016 6152017 7202 $93199 8282017 THE MANOR AT SUSQUEHANNA VILLAGE $241394 112016 12312016 6202017 8158 $196929 8282017 THE MEADOWS GETTYSBURG FOR NSG amp REHAB $126919 112016 12312016 6152017 8209 $104188 8282017 THE MEADOWS STROUD FOR NSG amp REHAB LLC $158026 112016 12312016 662017 7885 $124604 8282017 THE MEADOWS WEST SHORE FOR NSG amp REHAB $384489 112016 12312016 662017 9099 $349847 8282017 THE MEADOWS AT BLUE RIDGE $118208 112016 12312016 662017 8651 $102262 8282017 THE MEADOWS AT CAMP HILL FOR NSG amp REHAB $118208 112016 12312016 6152017 8804 $104070 8282017 THE MEADOWS AT SCRANTON FOR NSG amp REHAB $172958 112016 12312016 662017 8493 $146893 8282017 THE MEADOWS AT YORK TERRACE $99544 112016 12312016 6152017 7785 $77495 8282017 THE PATRIOT A CHOICE COMMUNITY $124430 112016 12312016 6282017 7001 $87113 8282017 THE PAVILION AT ST LUKE VILLAGE $149316 112016 12312016 6202017 6919 $103312 8282017 THORNWALD HOME $103277 112016 12312016 762017 5319 $54933 8282017 TIMBER RIDGE HEALTH CENTER $223974 112016 12312016 5312017 7829 $175349 8282017 TITUSVILLE HEALTHCARE amp REHAB CENTER $95811 112016 9302016 3272017 7785 $74589 8282017 TOWNE MANOR EAST $149316 112016 12312016 7142017 9110 $136027 8282017 TOWNE MANOR WEST $148072 112016 12312016 7142017 8353 $123685 8282017 TRANSITIONS HEALTHCARE GETTYSBURG $167980 112016 12312016 6152017 7369 $123784 8282017 TRANSITIONS HEALTHCARE NORTH HUNTINGDON $149316 112016 12312016 6202017 6837 $102087 8282017 TRANSITIONS HEALTHCARE WASHINGTON PA $149316 112016 12312016 6152017 6718 $100310 8282017 TUCKER HOUSE NSG amp REHAB CTR $223974 112016 12312016 5162017 8539 $191251 8282017 TWIN PINES HEALTH CARE CENTER $149316 112016 12312016 4182017 8264 $123395 8282017 UNIONTOWN HEALTHCARE amp REHAB CENTER $149316 112016 9302016 3272017 7336 $109538 8282017 UNITED ZION RETIREMENT COMMUNITY $73414 112016 12312016 6282017 4649 $34130 8282017 VALENCIA WOODS AT ST BARNABAS $58482 112016 12312016 6282017 3933 $23001 8282017 VALLEY VIEW HAVEN INC $201577 112016 12312016 582017 6225 $125482 8282017 VALLEY VIEW NURSING CENTER $215264 112016 12312016 5162017 5850 $125929 8282017 VILLAGE AT LUTHER SQUARE $136873 112016 12312016 762017 9017 $123418 8282017 WALNUT CREEK HEALTHCARE amp REHAB CENTER $143094 112016 9302016 3272017 5841 $83581 8282017 WARREN MANOR $150560 112016 12312016 5222017 5801 $87340 8282017 WASHINGTON COUNTY HEALTH CENTER $358358 112016 12312016 7142017 8319 $298118 8282017 WATSONTOWN REHABILITATION AND NRSG CTR $155538 112016 12312016 5162017 7345 $114243 8282017 WAYNESBURG HEALTHCARE amp REHAB CENTER $138117 112016 9302016 3272017 7726 $106709 8282017 WEATHERWOOD HEALTHCARE AND REHAB CTR $248860 112016 12312016 522017 8269 $205782 8282017 WESBURY UNITED METHODIST COMMUNITY $261303 112016 12312016 4182017 6646 $173662 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
RIVERWOODS $281212 112016 12312016 762017 5987 $168362 8282017 ROCHESTER MANOR $151805 112016 12312016 6282017 7198 $109269 8282017 ROLLING FIELDS INC $225218 112016 12312016 5222017 7972 $179544 8282017 ROLLING HILLS HEALTHCARE amp REHAB CENTER $70925 112016 12312016 542017 8248 $58499 8282017 ROSEMONT CARE AND REHABILITATION CENTER $94567 112016 12312016 662017 9512 $89952 8282017 ROUSE WARREN COUNTY HOME $218997 112016 12312016 6282017 7031 $153977 8282017 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES $141850 112016 12312016 6202017 1725 $24469 8282017 SAINT JOHN XXIII HOME $111987 112016 12312016 5312017 6828 $76465 8282017 SAINT MARYS AT ASBURY RIDGE $99544 112016 12312016 5222017 4754 $47323 8282017 SAINT MARYS EAST $172958 112016 12312016 5222017 5826 $100765 8282017 SAINT MARYS VILLA NURSING HOME INC $139362 112016 12312016 7142017 6841 $95338 8282017 SAINT PAUL HOMES $238906 112016 12312016 762017 6045 $144419 8282017 SARAH A TODD MEMORIAL HOME $145583 112016 12312016 762017 7454 $108518 8282017 SAXONY HEALTH CENTER $84612 112016 12312016 5222017 6592 $55776 8282017 SCENERY HILL HEALTHCARE amp REHAB CENTER $69681 112016 12312016 542017 7230 $50379 8282017 SCOTTDALE HEALTHCARE amp REHAB CENTER $43550 112016 12312016 522017 3947 $17189 8282017 SCRANTON HEALTH CARE CENTER $54749 112016 12312016 4132017 6170 $33780 8282017 SENA-KEAN MANOR $189134 112016 12312016 5222017 8203 $155147 8282017 SHENANDOAH MANOR NURSING CENTER $154293 112016 12312016 3272017 8239 $127122 8282017 SHENANGO PRESBYTERIAN SENIORCARE $31108 112016 12312016 6202017 2279 $7090 8282017 SHIPPENSBURG HEALTH CARE CENTER $155538 112016 12312016 7142017 7425 $115487 8282017 SHIPPENVILLE HEALTHCARE AND REHAB CENTER $149316 112016 9302016 3272017 7603 $113525 8282017 SHOOK HOME THE $80880 112016 12312016 5222017 6055 $48973 8282017 SIEMONS LAKEVIEW MANOR NSG AND REHAB $149316 112016 12312016 6282017 8277 $123589 8282017 SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB $82124 112016 12312016 662017 7329 $60189 8282017 SIMPSON HOUSE INC $191622 112016 12312016 762017 8430 $161537 8282017 SNYDER MEMORIAL HEALTH CARE CENTER $124430 112016 12312016 5222017 8787 $109337 8282017 SOUTH FAYETTE NURSING CENTER $74658 712015 6302016 6262017 9082 $67804 8282017 SOUTH HILLS REHAB amp WELLNESS CENTER $129407 112016 12312016 662017 7470 $96667 8282017 SOUTHMONT OF PRESBYTERIAN SENIORCARE $192866 112016 12312016 3272017 5654 $109046 8282017 SOUTHWESTERN NURSING CARE CENTER $146827 112016 12312016 3272017 7214 $105921 8282017 SPANG CREST MANOR $130652 112016 12312016 7142017 5341 $69781 8282017 SPIRITRUST LUTHERAN VLG SHREWSBURY $124430 112016 12312016 6282017 5740 $71423 8282017 SPIRITRUST LUTHERAN VLG GETTYSBURG $124430 112016 12312016 6282017 5822 $72443 8282017 SPIRITRUST LUTHERAN VLG SPRENKLE DRIVE $129407 112016 12312016 6282017 5089 $65855 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
SPIRITRUST LUTHERAN VLG UTZ TERRACE $49772 112016 12312016 6282017 5964 $29684 8282017 SPRING CREEK REHAB AND NURSING CENTER $502697 112016 12312016 6282017 8757 $440212 8282017 SPRINGS AT THE WATERMARK THE $135629 112016 12302016 542017 4297 $58280 8282017 SQUIRREL HILL CTR FOR REHAB AND HEALING $221485 112016 12312016 6202017 9007 $199492 8282017 ST BARNABAS NURSING HOME $214020 112016 12312016 6152017 5919 $126678 8282017 STENTON CARE AND REHABILITATION CENTER $116964 112016 12312016 6152017 9350 $109361 8282017 STONERIDGE POPLAR RUN $74658 112016 12312016 582017 4699 $35082 8282017 STONERIDGE TOWNE CENTRE $189134 112016 12312016 582017 6660 $125963 8282017 SUGAR CREEK STATION SKILLED NSG amp REHAB $199088 112016 12312016 662017 7387 $147066 8282017 SUNBURY COMMUNITY HEALTH amp REHAB CENTER $36085 112016 12312016 3272017 6255 $22571 8282017 SUNNYVIEW NURSING AND REHABILITATION CTR $273746 112016 12312016 5222017 7367 $201669 8282017 SUSQUE VIEW HOME INC $181668 112016 12312016 542017 7329 $133144 8282017 SWAIM HEALTH CENTER $98300 112016 12312016 582017 6320 $62126 8282017 SWEDEN VALLEY MANOR $150560 112016 12312016 5312017 8034 $120960 8282017 THE GARDENS AT BUTLER $46039 112016 8142016 3272017 6937 $31937 8282017 THE GARDENS AT CAMPBELLTOWN $65948 112016 8142016 3272017 6374 $42035 8282017 THE GARDENS AT EAST MOUNTAIN $149316 112016 12312016 662017 7271 $108568 8282017 THE GARDENS AT EASTON $225218 112016 8142016 3272017 8925 $201007 8282017 THE GARDENS AT LITITZ $52261 112016 8142016 3272017 6112 $31942 8282017 THE GARDENS AT MILLVILLE $136873 112016 8142016 3272017 8831 $120873 8282017 THE GARDENS AT ORANGEVILLE $149316 112016 8142016 3272017 7844 $117123 8282017 THE GARDENS AT PALMYRA $48528 112016 8142016 3272017 7239 $35129 8282017 THE GARDENS AT POTTSTOWN $51016 112016 8142016 3272017 7991 $40767 8282017 THE GARDENS AT STEVENS $102033 112016 8142016 3272017 7014 $71566 8282017 THE GARDENS AT TUNKHANNOCK $154293 112016 12312016 662017 7964 $122879 8282017 THE GARDENS AT WYOMING VALLEY $149316 112016 12312016 662017 8767 $130905 8282017 THE GARDENS FOR MEMORY CARE AT EASTON $143094 112016 8142016 3272017 8620 $123347 8282017 THE GROVE AT GREENVILLE $191622 112016 8142016 3272017 8918 $170888 8282017 THE GROVE AT HARMONY $143094 112016 8142016 3272017 8298 $118739 8282017 THE GROVE AT IRWIN $149316 112016 8142016 3272017 7907 $118064 8282017 THE GROVE AT LATROBE $133140 112016 12312016 5312017 9079 $120878 8282017 THE GROVE AT NEW CASTLE $77147 112016 8142016 3272017 8747 $67480 8282017 THE GROVE AT NEW WILMINGTON $143094 112016 8142016 3272017 8884 $127125 8282017 THE GROVE AT WASHINGTON $92078 112016 8142016 3272017 8632 $79482 8282017 THE MANOR AT PENN VILLAGE $197844 112016 12312016 6202017 7769 $153705 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
THE MANOR AT PERRY VILLAGE $153049 112016 12312016 6202017 8019 $122730 8282017 THE MANOR AT ST LUKE VILLAGE $129407 112016 12312016 6152017 7202 $93199 8282017 THE MANOR AT SUSQUEHANNA VILLAGE $241394 112016 12312016 6202017 8158 $196929 8282017 THE MEADOWS GETTYSBURG FOR NSG amp REHAB $126919 112016 12312016 6152017 8209 $104188 8282017 THE MEADOWS STROUD FOR NSG amp REHAB LLC $158026 112016 12312016 662017 7885 $124604 8282017 THE MEADOWS WEST SHORE FOR NSG amp REHAB $384489 112016 12312016 662017 9099 $349847 8282017 THE MEADOWS AT BLUE RIDGE $118208 112016 12312016 662017 8651 $102262 8282017 THE MEADOWS AT CAMP HILL FOR NSG amp REHAB $118208 112016 12312016 6152017 8804 $104070 8282017 THE MEADOWS AT SCRANTON FOR NSG amp REHAB $172958 112016 12312016 662017 8493 $146893 8282017 THE MEADOWS AT YORK TERRACE $99544 112016 12312016 6152017 7785 $77495 8282017 THE PATRIOT A CHOICE COMMUNITY $124430 112016 12312016 6282017 7001 $87113 8282017 THE PAVILION AT ST LUKE VILLAGE $149316 112016 12312016 6202017 6919 $103312 8282017 THORNWALD HOME $103277 112016 12312016 762017 5319 $54933 8282017 TIMBER RIDGE HEALTH CENTER $223974 112016 12312016 5312017 7829 $175349 8282017 TITUSVILLE HEALTHCARE amp REHAB CENTER $95811 112016 9302016 3272017 7785 $74589 8282017 TOWNE MANOR EAST $149316 112016 12312016 7142017 9110 $136027 8282017 TOWNE MANOR WEST $148072 112016 12312016 7142017 8353 $123685 8282017 TRANSITIONS HEALTHCARE GETTYSBURG $167980 112016 12312016 6152017 7369 $123784 8282017 TRANSITIONS HEALTHCARE NORTH HUNTINGDON $149316 112016 12312016 6202017 6837 $102087 8282017 TRANSITIONS HEALTHCARE WASHINGTON PA $149316 112016 12312016 6152017 6718 $100310 8282017 TUCKER HOUSE NSG amp REHAB CTR $223974 112016 12312016 5162017 8539 $191251 8282017 TWIN PINES HEALTH CARE CENTER $149316 112016 12312016 4182017 8264 $123395 8282017 UNIONTOWN HEALTHCARE amp REHAB CENTER $149316 112016 9302016 3272017 7336 $109538 8282017 UNITED ZION RETIREMENT COMMUNITY $73414 112016 12312016 6282017 4649 $34130 8282017 VALENCIA WOODS AT ST BARNABAS $58482 112016 12312016 6282017 3933 $23001 8282017 VALLEY VIEW HAVEN INC $201577 112016 12312016 582017 6225 $125482 8282017 VALLEY VIEW NURSING CENTER $215264 112016 12312016 5162017 5850 $125929 8282017 VILLAGE AT LUTHER SQUARE $136873 112016 12312016 762017 9017 $123418 8282017 WALNUT CREEK HEALTHCARE amp REHAB CENTER $143094 112016 9302016 3272017 5841 $83581 8282017 WARREN MANOR $150560 112016 12312016 5222017 5801 $87340 8282017 WASHINGTON COUNTY HEALTH CENTER $358358 112016 12312016 7142017 8319 $298118 8282017 WATSONTOWN REHABILITATION AND NRSG CTR $155538 112016 12312016 5162017 7345 $114243 8282017 WAYNESBURG HEALTHCARE amp REHAB CENTER $138117 112016 9302016 3272017 7726 $106709 8282017 WEATHERWOOD HEALTHCARE AND REHAB CTR $248860 112016 12312016 522017 8269 $205782 8282017 WESBURY UNITED METHODIST COMMUNITY $261303 112016 12312016 4182017 6646 $173662 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
SPIRITRUST LUTHERAN VLG UTZ TERRACE $49772 112016 12312016 6282017 5964 $29684 8282017 SPRING CREEK REHAB AND NURSING CENTER $502697 112016 12312016 6282017 8757 $440212 8282017 SPRINGS AT THE WATERMARK THE $135629 112016 12302016 542017 4297 $58280 8282017 SQUIRREL HILL CTR FOR REHAB AND HEALING $221485 112016 12312016 6202017 9007 $199492 8282017 ST BARNABAS NURSING HOME $214020 112016 12312016 6152017 5919 $126678 8282017 STENTON CARE AND REHABILITATION CENTER $116964 112016 12312016 6152017 9350 $109361 8282017 STONERIDGE POPLAR RUN $74658 112016 12312016 582017 4699 $35082 8282017 STONERIDGE TOWNE CENTRE $189134 112016 12312016 582017 6660 $125963 8282017 SUGAR CREEK STATION SKILLED NSG amp REHAB $199088 112016 12312016 662017 7387 $147066 8282017 SUNBURY COMMUNITY HEALTH amp REHAB CENTER $36085 112016 12312016 3272017 6255 $22571 8282017 SUNNYVIEW NURSING AND REHABILITATION CTR $273746 112016 12312016 5222017 7367 $201669 8282017 SUSQUE VIEW HOME INC $181668 112016 12312016 542017 7329 $133144 8282017 SWAIM HEALTH CENTER $98300 112016 12312016 582017 6320 $62126 8282017 SWEDEN VALLEY MANOR $150560 112016 12312016 5312017 8034 $120960 8282017 THE GARDENS AT BUTLER $46039 112016 8142016 3272017 6937 $31937 8282017 THE GARDENS AT CAMPBELLTOWN $65948 112016 8142016 3272017 6374 $42035 8282017 THE GARDENS AT EAST MOUNTAIN $149316 112016 12312016 662017 7271 $108568 8282017 THE GARDENS AT EASTON $225218 112016 8142016 3272017 8925 $201007 8282017 THE GARDENS AT LITITZ $52261 112016 8142016 3272017 6112 $31942 8282017 THE GARDENS AT MILLVILLE $136873 112016 8142016 3272017 8831 $120873 8282017 THE GARDENS AT ORANGEVILLE $149316 112016 8142016 3272017 7844 $117123 8282017 THE GARDENS AT PALMYRA $48528 112016 8142016 3272017 7239 $35129 8282017 THE GARDENS AT POTTSTOWN $51016 112016 8142016 3272017 7991 $40767 8282017 THE GARDENS AT STEVENS $102033 112016 8142016 3272017 7014 $71566 8282017 THE GARDENS AT TUNKHANNOCK $154293 112016 12312016 662017 7964 $122879 8282017 THE GARDENS AT WYOMING VALLEY $149316 112016 12312016 662017 8767 $130905 8282017 THE GARDENS FOR MEMORY CARE AT EASTON $143094 112016 8142016 3272017 8620 $123347 8282017 THE GROVE AT GREENVILLE $191622 112016 8142016 3272017 8918 $170888 8282017 THE GROVE AT HARMONY $143094 112016 8142016 3272017 8298 $118739 8282017 THE GROVE AT IRWIN $149316 112016 8142016 3272017 7907 $118064 8282017 THE GROVE AT LATROBE $133140 112016 12312016 5312017 9079 $120878 8282017 THE GROVE AT NEW CASTLE $77147 112016 8142016 3272017 8747 $67480 8282017 THE GROVE AT NEW WILMINGTON $143094 112016 8142016 3272017 8884 $127125 8282017 THE GROVE AT WASHINGTON $92078 112016 8142016 3272017 8632 $79482 8282017 THE MANOR AT PENN VILLAGE $197844 112016 12312016 6202017 7769 $153705 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
THE MANOR AT PERRY VILLAGE $153049 112016 12312016 6202017 8019 $122730 8282017 THE MANOR AT ST LUKE VILLAGE $129407 112016 12312016 6152017 7202 $93199 8282017 THE MANOR AT SUSQUEHANNA VILLAGE $241394 112016 12312016 6202017 8158 $196929 8282017 THE MEADOWS GETTYSBURG FOR NSG amp REHAB $126919 112016 12312016 6152017 8209 $104188 8282017 THE MEADOWS STROUD FOR NSG amp REHAB LLC $158026 112016 12312016 662017 7885 $124604 8282017 THE MEADOWS WEST SHORE FOR NSG amp REHAB $384489 112016 12312016 662017 9099 $349847 8282017 THE MEADOWS AT BLUE RIDGE $118208 112016 12312016 662017 8651 $102262 8282017 THE MEADOWS AT CAMP HILL FOR NSG amp REHAB $118208 112016 12312016 6152017 8804 $104070 8282017 THE MEADOWS AT SCRANTON FOR NSG amp REHAB $172958 112016 12312016 662017 8493 $146893 8282017 THE MEADOWS AT YORK TERRACE $99544 112016 12312016 6152017 7785 $77495 8282017 THE PATRIOT A CHOICE COMMUNITY $124430 112016 12312016 6282017 7001 $87113 8282017 THE PAVILION AT ST LUKE VILLAGE $149316 112016 12312016 6202017 6919 $103312 8282017 THORNWALD HOME $103277 112016 12312016 762017 5319 $54933 8282017 TIMBER RIDGE HEALTH CENTER $223974 112016 12312016 5312017 7829 $175349 8282017 TITUSVILLE HEALTHCARE amp REHAB CENTER $95811 112016 9302016 3272017 7785 $74589 8282017 TOWNE MANOR EAST $149316 112016 12312016 7142017 9110 $136027 8282017 TOWNE MANOR WEST $148072 112016 12312016 7142017 8353 $123685 8282017 TRANSITIONS HEALTHCARE GETTYSBURG $167980 112016 12312016 6152017 7369 $123784 8282017 TRANSITIONS HEALTHCARE NORTH HUNTINGDON $149316 112016 12312016 6202017 6837 $102087 8282017 TRANSITIONS HEALTHCARE WASHINGTON PA $149316 112016 12312016 6152017 6718 $100310 8282017 TUCKER HOUSE NSG amp REHAB CTR $223974 112016 12312016 5162017 8539 $191251 8282017 TWIN PINES HEALTH CARE CENTER $149316 112016 12312016 4182017 8264 $123395 8282017 UNIONTOWN HEALTHCARE amp REHAB CENTER $149316 112016 9302016 3272017 7336 $109538 8282017 UNITED ZION RETIREMENT COMMUNITY $73414 112016 12312016 6282017 4649 $34130 8282017 VALENCIA WOODS AT ST BARNABAS $58482 112016 12312016 6282017 3933 $23001 8282017 VALLEY VIEW HAVEN INC $201577 112016 12312016 582017 6225 $125482 8282017 VALLEY VIEW NURSING CENTER $215264 112016 12312016 5162017 5850 $125929 8282017 VILLAGE AT LUTHER SQUARE $136873 112016 12312016 762017 9017 $123418 8282017 WALNUT CREEK HEALTHCARE amp REHAB CENTER $143094 112016 9302016 3272017 5841 $83581 8282017 WARREN MANOR $150560 112016 12312016 5222017 5801 $87340 8282017 WASHINGTON COUNTY HEALTH CENTER $358358 112016 12312016 7142017 8319 $298118 8282017 WATSONTOWN REHABILITATION AND NRSG CTR $155538 112016 12312016 5162017 7345 $114243 8282017 WAYNESBURG HEALTHCARE amp REHAB CENTER $138117 112016 9302016 3272017 7726 $106709 8282017 WEATHERWOOD HEALTHCARE AND REHAB CTR $248860 112016 12312016 522017 8269 $205782 8282017 WESBURY UNITED METHODIST COMMUNITY $261303 112016 12312016 4182017 6646 $173662 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
THE MANOR AT PERRY VILLAGE $153049 112016 12312016 6202017 8019 $122730 8282017 THE MANOR AT ST LUKE VILLAGE $129407 112016 12312016 6152017 7202 $93199 8282017 THE MANOR AT SUSQUEHANNA VILLAGE $241394 112016 12312016 6202017 8158 $196929 8282017 THE MEADOWS GETTYSBURG FOR NSG amp REHAB $126919 112016 12312016 6152017 8209 $104188 8282017 THE MEADOWS STROUD FOR NSG amp REHAB LLC $158026 112016 12312016 662017 7885 $124604 8282017 THE MEADOWS WEST SHORE FOR NSG amp REHAB $384489 112016 12312016 662017 9099 $349847 8282017 THE MEADOWS AT BLUE RIDGE $118208 112016 12312016 662017 8651 $102262 8282017 THE MEADOWS AT CAMP HILL FOR NSG amp REHAB $118208 112016 12312016 6152017 8804 $104070 8282017 THE MEADOWS AT SCRANTON FOR NSG amp REHAB $172958 112016 12312016 662017 8493 $146893 8282017 THE MEADOWS AT YORK TERRACE $99544 112016 12312016 6152017 7785 $77495 8282017 THE PATRIOT A CHOICE COMMUNITY $124430 112016 12312016 6282017 7001 $87113 8282017 THE PAVILION AT ST LUKE VILLAGE $149316 112016 12312016 6202017 6919 $103312 8282017 THORNWALD HOME $103277 112016 12312016 762017 5319 $54933 8282017 TIMBER RIDGE HEALTH CENTER $223974 112016 12312016 5312017 7829 $175349 8282017 TITUSVILLE HEALTHCARE amp REHAB CENTER $95811 112016 9302016 3272017 7785 $74589 8282017 TOWNE MANOR EAST $149316 112016 12312016 7142017 9110 $136027 8282017 TOWNE MANOR WEST $148072 112016 12312016 7142017 8353 $123685 8282017 TRANSITIONS HEALTHCARE GETTYSBURG $167980 112016 12312016 6152017 7369 $123784 8282017 TRANSITIONS HEALTHCARE NORTH HUNTINGDON $149316 112016 12312016 6202017 6837 $102087 8282017 TRANSITIONS HEALTHCARE WASHINGTON PA $149316 112016 12312016 6152017 6718 $100310 8282017 TUCKER HOUSE NSG amp REHAB CTR $223974 112016 12312016 5162017 8539 $191251 8282017 TWIN PINES HEALTH CARE CENTER $149316 112016 12312016 4182017 8264 $123395 8282017 UNIONTOWN HEALTHCARE amp REHAB CENTER $149316 112016 9302016 3272017 7336 $109538 8282017 UNITED ZION RETIREMENT COMMUNITY $73414 112016 12312016 6282017 4649 $34130 8282017 VALENCIA WOODS AT ST BARNABAS $58482 112016 12312016 6282017 3933 $23001 8282017 VALLEY VIEW HAVEN INC $201577 112016 12312016 582017 6225 $125482 8282017 VALLEY VIEW NURSING CENTER $215264 112016 12312016 5162017 5850 $125929 8282017 VILLAGE AT LUTHER SQUARE $136873 112016 12312016 762017 9017 $123418 8282017 WALNUT CREEK HEALTHCARE amp REHAB CENTER $143094 112016 9302016 3272017 5841 $83581 8282017 WARREN MANOR $150560 112016 12312016 5222017 5801 $87340 8282017 WASHINGTON COUNTY HEALTH CENTER $358358 112016 12312016 7142017 8319 $298118 8282017 WATSONTOWN REHABILITATION AND NRSG CTR $155538 112016 12312016 5162017 7345 $114243 8282017 WAYNESBURG HEALTHCARE amp REHAB CENTER $138117 112016 9302016 3272017 7726 $106709 8282017 WEATHERWOOD HEALTHCARE AND REHAB CTR $248860 112016 12312016 522017 8269 $205782 8282017 WESBURY UNITED METHODIST COMMUNITY $261303 112016 12312016 4182017 6646 $173662 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017
Cost
Current Name HAI
Surcharge
Report Begin Date
Cost Report
End Date Acceptance Letter Date
MA Occupancy
HAI Payment RA Date
WESLEY ENHANCED LIVING MAIN LINE REHAB $74658 112016 12312016 5162017 4178 $31192 8282017 WESLEY ENHANCED LIVING PENNYPACK PARK $149316 112016 12312016 4212017 7314 $109210 8282017 WESLEY ENHANCED LIVING-DOYLESTOWN $74658 112016 12312016 582017 5096 $38046 8282017 WESLEY VILLAGE $227707 112016 12312016 6152017 6366 $144958 8282017 WESTERN RESERVE HEALTHCARE amp REHAB CTR $165492 112016 9302016 3272017 8160 $135041 8282017 WESTGATE REHABILITATION AND NURSING CTR $136873 112016 12312016 6152017 6849 $93744 8282017 WESTMINSTER VILLAGE $138117 112016 12312016 5162017 7937 $109623 8282017 WESTMINSTER WOODS AT HUNTINGDON $79635 112016 12312016 5222017 5017 $39953 8282017 WESTMORELAND MANOR $507674 112016 12312016 762017 8678 $440559 8282017 WESTON REHABILITATION AND NURSING CENTER $54749 112016 12312016 662017 5671 $31048 8282017 WHITESTONE CARE CENTER $111987 112016 12312016 4182017 6868 $76913 8282017 WILLIAM PENN CARE CENTER $192866 112016 12312016 5312017 6248 $120503 8282017 WILLIAM PENN HEALTHCARE amp REHAB CENTER $150560 112016 9302016 3272017 7439 $112002 8282017 WILLIAMSPORT HOME THE $160515 112016 12312016 4132017 5307 $85185 8282017 WILLOW TERRACE $223974 112016 12312016 582017 8209 $183860 8282017 WILLOWBROOKE COURT AT BRITTANY POINTE $114476 112016 12312016 6152017 858 $9822 8282017 WILLOWS OF PRESBYTERIAN SENIORCARE THE $248860 112016 12312016 3272017 5151 $128188 8282017 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES $149316 112016 12312016 5222017 7474 $111599 8282017 WOODHAVEN CARE CENTER $149316 112016 12312016 4182017 8142 $121573 8282017 WYOMISSING HEALTH AND REHABILITATION CTR $128163 412016 12312016 4212017 7075 $90675 8282017 YORK NURSING AND REHABILITATION CENTER $298632 112016 12312016 5162017 8646 $258197 8282017