organization name date 71900/1500 n 71900/1030 n 71902 ......71900/1500 n 71900/1030 n 71902/1030 n...
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Organization Name Date 71900/1500 N 71900/1030 N 71902/1030 N 71900/1130 N 71900/1010 N 71900/1410 N 71900/1320 N 71900/1330 N 71900/1340 N 71900/1342 N 71900/1343 N 71900/1344 N 71000/32 N
Total Payme
Non Medicare Cash nt for Non Medicare Eligible TBI, BMI, Misc Per Bed Hold Case Mix Receipts NH Transportati
Medicare Direct Direct Indirect Non-Comp Dementia Transition Quality Diem Per Diem Percent Bed (CRA) Per Rate + on In Direct Eligible Component Component Component Component Capital Add On Adjustment Adustment Adjustment Adjustment Adjustment Count Diem CRA Price
295030230 A Holly Patterson Extended Care Facility 7/1/2012 240.15 116.25 114.7 64.86 29.8 25.68 3.56 0 0 0 0 0 589 13.87 254.02 0.20 272530110 Aaron Manor Rehabilitation and Nursing Center 7/1/2012 215.43 91.5 90.23 46.23 12.93 38.32 2.25 24.2 0 0 0 0 140 9.07 224.5 0.14 042030210 Absolut Center for Nursing and Rehabilitation at Allega 7/1/2012 155.55 79.91 78.81 43.55 7.15 8.25 1.41 15.28 0 0 0 0 37 7.3 162.85 0.12 142230310 Absolut Center for Nursing and Rehabilitation at Auror 7/1/2012 182.9 91.52 90.3 51.62 5.84 9.98 3.31 20.63 0 0 0 0 320 7.75 190.65 0.16 060130310 Absolut Center for Nursing and Rehabilitation at Dunki 7/1/2012 157.63 87.22 86.02 45.33 5.95 7.57 3.12 8.44 0 0 0 0 40 7.42 165.05 0.13 146130210 Absolut Center for Nursing and Rehabilitation at Eden 7/1/2012 163.33 96.04 94.71 45.55 5.94 9.45 4.69 1.66 0 0 0 0 40 7.82 171.15 0.14 030230310 Absolut Center for Nursing and Rehabilitation at Endic 7/1/2012 156.47 86.39 85.19 45.93 6.63 12.42 2.79 2.31 0 0 0 0 160 8.95 165.42 0.13 315830210 Absolut Center for Nursing and Rehabilitation at Gaspo 7/1/2012 171.63 94.96 93.65 44.89 5.64 8.67 3.55 13.92 0 0 0 0 83 8.78 180.41 0.14 022630210 Absolut Center for Nursing and Rehabilitation at Hough 7/1/2012 163.91 73.51 72.49 42.43 6.34 9.8 3.2 28.63 0 0 0 0 100 7.1 171.01 0.11 143530310 Absolut Center for Nursing and Rehabilitation at Orcha 7/1/2012 154.7 90.13 88.88 45.78 6.96 10.18 1.65 0 0 0 0 0 202 8.47 163.17 0.14 043330310 Absolut Center for Nursing and Rehabilitation at Salam 7/1/2012 162.19 83.46 82.3 44.5 3.27 7.93 4.12 18.91 0 0 0 0 120 7.3 169.49 0.13 502630110 Absolut Center for Nursing and Rehabilitation at Three 7/1/2012 161.7 84.63 83.45 44.23 8.55 7.82 3.38 13.09 0 0 0 0 120 8.88 170.58 0.13 067530210 Absolut Center for Nursing and Rehabilitation at Westfi 7/1/2012 172.75 79.28 78.18 44.38 6.24 23.23 3.64 15.98 0 0 0 0 120 8.09 180.84 0.12 522030310 Achieve Rehab and Nursing Facility 7/1/2012 275.55 148.83 146.77 49.5 14.81 28.52 2.51 31.38 0 0 0 0 140 8.45 284 0.22 565530210 Adirondack Tri-County Nursing and Rehabilitation 7/1/2012 156.44 71.11 70.12 43.59 12.7 16.16 2.87 10.01 0 0 0 0 82 9.86 166.3 0.11 515432310 Affinity Skilled Living and Rehabilitation Center 7/1/2012 281.88 140.57 138.62 54.25 14.58 42.93 1.17 28.38 0 0 0 0 280 12.79 294.67 0.21 015330210 Albany County Nursing Home 7/1/2012 190.67 97.37 96.03 53.65 12.66 4.49 3.72 18.78 0 0 0 0 250 9.22 199.89 0.15 162400030 Alice Hyde Medical Center 7/1/2012 202.4 83.56 82.44 50.82 10.31 21.1 3.74 32.87 0 0 0 0 75 9.12 211.52 0.13 212930310 Alpine Rehabilitation and Nursing Center 7/1/2012 181.19 98.92 97.55 44.1 8.43 10.35 3.51 15.88 0 0 0 0 80 7.34 188.53 0.15 700235610 Amsterdam Nursing Home Corp (amsterdam House) 7/1/2012 302.94 137.4 135.57 60.22 20.14 41.8 3.16 40.22 0 0 0 0 409 18.74 321.68 0.23 592630010 Andrus On Hudson 7/1/2012 193.27 109.27 107.75 51.95 14.99 9.96 1.35 5.75 0 0 0 0 197 10.8 204.07 0.16 515331110 Apex Rehabilitation & Care Center 7/1/2012 264.95 149.54 147.47 53.89 16.48 29.22 2.17 13.65 0 0 0 0 195 14.54 279.49 0.22 070100030 Arnot Ogden Medical Center Residential Health Care Facility 7/1/2012 213.66 109.39 107.93 53.36 15.84 23.59 7.12 4.36 0 0 0 0 40 12.34 226 0.16 700138910 Atlantis Rehabilitation and Residential Health Care Fa 7/1/2012 257.91 134.54 132.74 59.87 10.68 20.49 2.26 30.07 0 0 0 0 400 11.23 269.14 0.23 050130910 Auburn Nursing Home 7/1/2012 160.21 85.78 84.59 42.52 5.29 6.51 3.03 17.08 0 0 0 0 92 7.4 167.61 0.13 380100030 Aurelia Osborn Fox Memorial Hospital 7/1/2012 171.96 77.76 76.72 50.1 11.96 16.47 2.98 12.69 0 0 0 0 131 10.73 182.69 0.12 143030110 Autumn View Health Care Facility LLC 7/1/2012 187.71 117.31 115.69 45 9.53 14.57 1.3 0 0 0 0 0 230 10.44 198.15 0.18 515731310 Avalon Gardens Rehabilitation and Health Care Center 7/1/2012 254.91 140.84 138.96 60.48 4.75 6.83 3.71 38.3 0 0 0 0 353 13.1 268.01 0.24 252030110 Avon Nursing Home LLC 7/1/2012 164.95 96.78 95.44 45.49 7.22 8.08 1.47 5.91 0 0 0 0 40 9.79 174.74 0.15 700031910 Bainbridge Nursing And Rehabilitation Center 7/1/2012 217.04 139.98 138.05 51.11 8.87 10.02 1.89 5.17 0 0 0 0 200 17.5 234.54 0.21 270135710 Baird Nursing Home 7/1/2012 153.1 68.22 67.28 45.2 6.35 9.54 3.16 20.63 0 0 0 0 28 11.64 164.74 0.10 462030010 Baptist Health Nursing And Rehabilitation Center Inc 7/1/2012 161.62 84.39 83.22 47.47 10.69 15.95 3.12 0 0 0 0 0 262 10.51 172.13 0.13 102330110 Barnwell Nursing and Rehabilitation Center 7/1/2012 190.09 117.56 115.93 47.84 13.73 7.83 3.13 0 0 0 0 0 236 8.93 199.02 0.18 180130610 Batavia Nursing Home LLC 7/1/2012 132.76 74.05 73.03 45.1 9.46 0 2.64 3.26 -1.75 0 0 0 62 0 132.76 0.11 700038910 Bay Park Center for Nursing and Rehabilitation LLC 7/1/2012 266.37 136.37 134.55 60.26 8.62 20.51 2.88 37.73 0 0 0 0 482 16.27 282.64 0.23 590431710 Bayberry Nursing Home 7/1/2012 190.57 104.94 103.48 50.56 10.18 13.24 0.54 11.11 0 0 0 0 60 15.36 205.93 0.16 296130210 Bayview Nursing and Rehabilitation Center 7/1/2012 243.02 122.76 121.06 52.56 5.52 15 2.14 45.04 0 0 0 0 185 8.83 251.85 0.18 290230310 Beach Terrace Care Center 7/1/2012 235.88 114.45 112.87 53.08 6.88 8.91 9.45 43.11 0 0 0 0 182 12.38 248.26 0.17 540130910 Beechtree Care Center 7/1/2012 147.35 67.71 66.77 42.66 11.27 18.52 3.1 4.09 0 0 0 0 120 9.7 157.05 0.10 145130610 Beechwood Homes 7/1/2012 179.25 74.76 73.72 45.15 9.36 24.24 2.77 22.97 0 0 0 0 272 12.62 191.87 0.11 295030110 Belair Care Center Inc 7/1/2012 279.54 133.83 131.98 52.37 5.29 39.32 1.39 47.34 0 0 0 0 102 15.05 294.59 0.20 515132110 Bellhaven Center For Rehabilitation and Nursing Care 7/1/2012 224.52 156.8 154.63 54.13 3.74 20.77 2.87 -13.79 0 0 0 0 240 14.23 238.75 0.24 700139610 Bensonhurst Center for Rehabilitation and Healthcare 7/1/2012 218.18 133.05 131.21 55.09 12.31 9.3 1.12 7.31 0 0 0 0 200 0 218.18 0.20 510130110 Berkshire Nursing & Rehabilitation Center 7/1/2012 214.75 106.7 105.22 53.77 6.11 13.46 2.76 31.95 0 0 0 0 177 13.37 228.12 0.16 700030810 Beth Abraham Health Services 7/1/2012 306.79 141.49 139.6 61.97 18.9 20.61 3.51 60.31 0 0 0 0 448 21.38 328.17 0.24 320130810 Bethany Gardens Skilled Living Center 7/1/2012 187.1 103.15 101.73 45.25 11.39 10.97 1.48 14.86 0 0 0 0 100 6.91 194.01 0.15 072230110 Bethany Nursing Home & Health Related Facility Inc 7/1/2012 151.73 75.64 74.59 41.21 6.25 17.27 2.14 9.22 0 0 0 0 120 8.74 160.47 0.11 590530310 Bethel Nursing Home Company Inc 7/1/2012 248.8 118.15 116.52 53.07 9.61 13.3 0.38 54.29 0 0 0 0 78 12.74 261.54 0.18 592130110 Bethel Nursing and Rehabilitation Center 7/1/2012 240.48 106.12 104.65 51.91 9 27.78 2.17 43.5 0 0 0 0 200 16.15 256.63 0.16 015130010 Bethlehem Commons Care Center 7/1/2012 174.46 88.62 87.39 49.55 8.64 18.05 1.83 7.77 0 0 0 0 120 11.23 185.69 0.13 320130710 Betsy Ross Rehabilitation Center Inc 7/1/2012 144.01 79.43 78.33 43.72 9.87 6.56 4.43 0 0 0 0 0 120 8.3 152.31 0.12 700335210 Bezalel Rehabilitation and Nursing Center 7/1/2012 219.17 123.05 121.35 50.7 10.76 10.44 5.09 19.13 0 0 0 0 120 13.8 232.97 0.18 700335610 Bishop Charles Waldo Maclean Episcopal Nursing Home 7/1/2012 224.31 117.35 115.72 54.56 9.9 7.29 3.06 32.15 0 0 0 0 163 13.7 238.01 0.18 700137910 Bishop Henry B Hucles Episcopal Nursing Home 7/1/2012 236.35 129.07 127.29 52.93 9.75 37.45 3.2 3.95 0 0 0 0 240 17.38 253.73 0.19 270135410 Blossom Health Care Center 7/1/2012 148.17 83.62 82.46 45.88 8.01 7.27 3.3 0.09 0 0 0 0 80 9.91 158.08 0.13 270136010 Blossom North Nursing and Rehabilitation Center 7/1/2012 153.41 69.9 68.93 45.42 9.45 6.58 5.27 16.79 0 0 0 0 120 9.82 163.23 0.10 270136110 Blossom South Nursing and Rehabilitation Center 7/1/2012 151.23 89.16 87.93 46.65 7.71 4.64 5.09 -2.02 0 0 0 0 161 9.89 161.12 0.13 582830110 Blossom View Nursing Home 7/1/2012 171.94 95.83 94.51 45.85 8.15 12.63 3.36 6.12 0 0 0 0 130 11.38 183.32 0.14 700139410 Boro Park Center for Rehabilitation and Healthcare 7/1/2012 317.6 173.67 171.35 60.8 38.07 23.51 1.01 20.54 0 0 0 0 354 0 317.6 0.30 700330910 Bridge View Nursing Home 7/1/2012 179.97 109.6 108.08 52.05 4.41 8.97 2.82 2.12 0 0 0 0 200 10.18 190.15 0.16 030130810 Bridgewater Center for Rehabilitation & Nursing LLC 7/1/2012 183.21 107.11 105.68 54.43 7.37 10.95 3.35 0 0 0 0 0 331 7.9 191.11 0.18 310130010 Briody Health Care Facility 7/1/2012 160.61 76.85 75.78 43.7 6.95 16.14 1.22 15.75 0 0 0 0 82 11.16 171.77 0.12
Organization Name Date 71900/1500 N 71900/1030 N 71902/1030 N 71900/1130 N 71900/1010 N 71900/1410 N 71900/1320 N 71900/1330 N 71900/1340 N 71900/1342 N 71900/1343 N 71900/1344 N 71000/32 N
Total Payme
Non Medicare Cash nt for Non Medicare Eligible TBI, BMI, Misc Per Bed Hold Case Mix Receipts NH Transportati
Medicare Direct Direct Indirect Non-Comp Dementia Transition Quality Diem Per Diem Percent Bed (CRA) Per Rate + on In Direct Eligible Component Component Component Component Capital Add On Adjustment Adustment Adjustment Adjustment Adjustment Count Diem CRA Price
512030130 Broadlawn Manor Nursing and Rehabilitation Center 7/1/2012 251.35 131.12 129.37 62.04 22.43 21.71 1.19 12.86 0 0 0 0 320 17.33 268.68 0.22 700038110 Bronx Center For Rehabilitation and Health 7/1/2012 280.3 153.27 151.14 53.51 8.67 27.45 2.01 35.39 0 0 0 0 200 15.07 295.37 0.23 700038010 Bronx Park Rehabilitation & Nursing Center 7/1/2012 185.45 116.72 115.1 51.64 6.73 6.89 3.47 0 0 0 0 0 240 9.23 194.68 0.18 700036410 Bronx-Lebanon Special Care Center 7/1/2012 253.34 113.83 112.25 53.49 27.58 11.67 3.59 43.18 0 0 0 0 240 22.73 276.07 0.17 512330410 Brookhaven Health Care Facility LLC 7/1/2012 291.59 170.24 167.89 54.04 13.86 11.25 0.65 41.55 0 0 0 0 160 14.57 306.16 0.26 700339910 Brookhaven Rehabilitation & Health Care Center 7/1/2012 237.78 128.68 126.89 53.14 13.12 17.85 8.67 16.32 0 0 0 0 298 14.38 252.16 0.19 700138810 Brooklyn Center for Rehabilitation and Residential Hea 7/1/2012 238.52 149.31 147.24 52.99 5.82 8.85 1.63 19.92 0 0 0 0 215 10.63 249.15 0.22 700130810 Brooklyn United Methodist Church Home 7/1/2012 245.43 111.11 109.57 52.93 11.9 7.72 5.55 56.22 0 0 0 0 120 10.68 256.11 0.17 700138210 Brooklyn-Queens Nursing Home 7/1/2012 185.13 123.24 121.54 51.88 7.06 5.98 3.31 -6.34 0 0 0 0 140 13.51 198.64 0.18 145630010 Brothers Of Mercy Nursing & Rehabilitation Center 7/1/2012 159.51 75.17 74.13 43.27 9.89 9.39 2.88 18.91 0 0 0 0 240 10.06 169.57 0.11 700138310 Buena Vida Continuing Care & Rehab Ctr 7/1/2012 253.18 105.58 104.12 52.53 19.4 40.13 3.11 32.43 0 0 0 0 240 17.38 270.56 0.16 700136410 Bushwick Center for Rehabilitation and Health Care 7/1/2012 265.21 149.17 147.1 53.38 8 10.13 2.32 42.21 0 0 0 0 225 22.18 287.39 0.22 700235010 Cabrini Center For Nursing And Rehabilitation 7/1/2012 238.36 136.81 134.92 54.49 9.32 16.91 1.22 19.61 0 0 0 0 240 12.84 251.2 0.21 700130710 Cabs Nursing Home Company Inc 7/1/2012 187.87 100.5 99.11 52.03 10.54 9.35 1.85 13.6 0 0 0 0 157 12.55 200.42 0.15 355730210 Campbell Hall Rehabilitation Center Inc 7/1/2012 188.32 116.32 114.71 49.63 6.07 17.25 2.42 -3.37 0 0 0 0 134 11.35 199.67 0.17 142130510 Canterbury Woods 7/1/2012 229.79 88.68 87.45 45.48 6.74 24.68 0 64.21 0 0 0 0 48 12.76 242.55 0.13 285030010 Capstone Center for Rehabilitation and Nursing 7/1/2012 182.14 94.47 93.16 49.07 14.9 26.09 2.35 -4.74 0 0 0 0 120 10.92 193.06 0.14 515330610 Carillon Nursing and Rehabilitation Center 7/1/2012 244.83 154.63 152.57 58.86 9.4 10.68 1.05 10.21 0 0 0 0 315 14.28 259.11 0.26 700431010 Carmel Richmond Healthcare and Rehabilitation Center 7/1/2012 285.53 145.35 143.41 60.08 15.26 32.1 2.72 30.02 0 0 0 0 300 17.62 303.15 0.25 700136610 Caton Park Nursing Home 7/1/2012 212.25 135.67 133.79 53.32 8.54 8.82 2.66 4.99 -1.75 0 0 0 119 9.29 221.54 0.20 526300030 Catskill Regional Medical Center 7/1/2012 223.55 106.48 105.06 56.9 15.62 29.48 2.48 12.59 0 0 0 0 64 12.55 236.1 0.16 056630110 Cayuga County Nursing Home 7/1/2012 158.39 81.22 80.1 47.36 7.02 5.6 2.95 14.24 0 0 0 0 80 16.54 174.93 0.12 540131110 Cayuga Ridge Extended Care 7/1/2012 154.49 72.32 71.31 44.59 10.49 0 4.9 23.94 -1.75 0 0 0 187 7.7 162.19 0.11 515132010 Cedar Lodge Nursing Home 7/1/2012 224.07 117.94 116.3 52 9.77 17.73 1.85 24.78 0 0 0 0 100 0 224.07 0.18 590530810 Cedar Manor Nursing & Rehabilitation Center 7/1/2012 207.91 126.37 124.62 52.72 7.11 10.82 1.65 9.24 0 0 0 0 153 9.98 217.89 0.19 700135410 Center For Nursing & Rehabilitation Inc 7/1/2012 248.7 136.19 134.37 60.37 14.87 25.92 1.7 9.65 0 0 0 0 320 12.62 261.32 0.23 295230810 Central Island Healthcare 7/1/2012 252.52 128.07 126.29 52.81 11.28 15.83 1.57 42.96 0 0 0 0 202 21 273.52 0.19 090100130 Champlain Valley Physicians Hospital Medical Center Snf 7/1/2012 240.5 94.11 92.85 53.55 20.76 29.37 2.06 40.65 0 0 0 0 70 17.02 257.52 0.14 700335110 Chapin Home For The Aging 7/1/2012 207.39 110.81 109.27 51.65 7.59 10.56 2.36 24.42 0 0 0 0 220 6.7 214.09 0.17 322730410 Charles T Sitrin Health Care Center Inc 7/1/2012 248.51 83.9 82.73 44.1 18.37 62.03 3.33 36.78 0 0 0 0 156 14.5 263.01 0.13 082330010 Chase Memorial Nursing Home Co Inc 7/1/2012 146.63 75.49 74.44 44.82 5.85 3.87 4.47 12.13 0 0 0 0 80 14.42 161.05 0.11 060130010 Chautauqua County Home 7/1/2012 181.59 82.44 81.3 48.53 11.34 24.75 3.03 11.5 0 0 0 0 216 9.36 190.95 0.12 070130110 Chemung County Health Center-nursing Facility 7/1/2012 185.33 80.85 79.73 45.57 11.64 6.4 2.98 37.89 0 0 0 0 200 9.46 194.79 0.12 082400030 Chenango Memorial Hospital Inc Snf 7/1/2012 197.04 74.07 73.08 46.69 9.24 13.51 5.74 47.79 0 0 0 0 78 10.32 207.36 0.11 380130310 Chestnut Park Rehabilitation and Nursing Center 7/1/2012 159.29 87.25 86.04 46.33 5.67 6.47 3.63 9.94 0 0 0 0 80 10.56 169.85 0.13 262930310 Chittenango Center for Rehabilitation and Health Care 7/1/2012 176.27 110.88 109.34 43.58 9.43 9.19 3.19 0 0 0 0 0 80 10.85 187.12 0.17 270133910 Church Home Of The Protestant Episcopal Church 7/1/2012 176.37 88.94 87.7 47.08 11.67 15.89 1.95 10.84 0 0 0 0 182 9.67 186.04 0.13 700338010 Cliffside Rehabilitation and Residential Health Care Center 7/1/2012 210.98 130.19 128.39 52.13 7.51 17.55 2.06 1.54 0 0 0 0 218 10.54 221.52 0.20 342100030 Clifton Springs Hospital And Clinic Extended Care 7/1/2012 188.17 82.5 81.4 49.29 25.67 20.63 4.07 6.01 0 0 0 0 108 16.3 204.47 0.12 095230010 Clinton County Nursing Home 7/1/2012 158.69 91.71 90.44 49.98 4.96 7.92 4.12 0 0 0 0 0 80 9.46 168.15 0.14 700432110 Clove Lakes Health Care and Rehabilitation Center 7/1/2012 242.58 138.29 136.44 59.96 13.3 12.24 2.87 15.92 0 0 0 0 576 8.11 250.69 0.24 700132310 Cobble Hill Health Center Inc 7/1/2012 263.32 131.79 130.03 59.95 13.9 10.79 1.58 45.31 0 0 0 0 364 15.55 278.87 0.22 295230710 Cold Spring Hills Center for Nursing and Rehabilitation 7/1/2012 274.07 147.6 145.63 62.4 13.65 22.55 1.98 25.89 0 0 0 0 606 15.24 289.31 0.25 700233630 Coler Memorial Hospital Snf 7/1/2012 287.43 129.31 127.58 69.86 35.99 12.86 6.44 32.97 0 0 0 0 815 14.23 301.66 0.22 700233730 Coler-Goldwater Specialty Hospital & Nursing Facility 7/1/2012 291.83 126.73 125.04 69.71 50.64 16.53 5.87 22.35 0 0 0 0 574 14.47 306.3 0.22 320130510 Colonial Park Rehabilitation and Nursing Center 7/1/2012 175.86 83.08 81.93 42.99 8.28 7.36 3.18 30.97 0 0 0 0 80 15.05 190.91 0.12 262500030 Community Memorial Hospital Inc Nh Unit 7/1/2012 201.62 90.86 89.65 52.69 15.56 14.15 9.88 18.48 0 0 0 0 40 8.57 210.19 0.14 700134810 Concord Nursing Home Inc 7/1/2012 241.74 107.79 106.3 51.56 12.51 41.16 2.13 26.59 0 0 0 0 140 7.22 248.96 0.16 700037510 Concourse Rehabilitation and Nursing Center 7/1/2012 268.46 125.98 124.24 53.73 8.09 12.54 2.89 65.23 0 0 0 0 240 16.44 284.9 0.19 252530110 Conesus Lake Nursing Home LLC 7/1/2012 187.12 98.34 96.98 45.79 6.34 7.46 1.52 27.67 0 0 0 0 48 14.52 201.64 0.15 110130710 Cortland Park Rehabilitation and Nursing Center 7/1/2012 153.76 81.45 80.32 43.67 7.96 7.17 3.9 9.61 0 0 0 0 120 9.36 163.12 0.12 110130630 Cortland Regional Nursing and Rehabilitation Center 7/1/2012 212.9 84.02 82.9 51.84 22.23 22.54 4.62 27.65 0 0 0 0 82 9.53 222.43 0.13 590130410 Cortlandt Healthcare LLC 7/1/2012 211.55 112.3 110.74 52.51 9.57 17.12 2.63 17.42 0 0 0 0 120 10.9 222.45 0.17 125430110 Countryside Care Center 7/1/2012 166.39 74.07 73.04 45.37 15.17 6.51 4.13 21.14 0 0 0 0 160 13.2 179.59 0.11 276230110 Crest Manor Living and Rehabilitation Center 7/1/2012 177.68 89.96 88.72 46.41 2.85 10.13 3.62 24.71 0 0 0 0 80 8.54 186.22 0.13 262330010 Crouse Community Center Inc 7/1/2012 162.45 79.56 78.46 45.15 10.71 13.29 2.81 10.93 0 0 0 0 120 11.04 173.49 0.12 110130910 Crown Center for Nursing and Rehabilitation 7/1/2012 179.86 93.1 91.81 44.53 9.34 10.81 9.13 12.95 0 0 0 0 200 11.83 191.69 0.14 700136710 Crown Nursing and Rehabilitation Center 7/1/2012 223.2 124.16 122.44 53.18 8.73 13.19 2.94 21 0 0 0 0 189 0 223.2 0.19 022600030 Cuba Memorial Hospital Inc Snf 7/1/2012 178.57 64.77 63.91 45.36 11.77 29.4 4.6 22.67 0 0 0 0 61 14.71 193.28 0.10 515030210 Daleview Care Center 7/1/2012 210.25 131.49 129.66 52.38 14.08 9.76 2.54 0 0 0 0 0 142 7.87 218.12 0.20 700034210 Daughters Of Jacob Nursing Home Company Inc 7/1/2012 234.23 135.49 133.68 61.89 14.96 2.38 2.6 16.91 0 0 0 0 413 13.63 247.86 0.23 010131210 Daughters Of Sarah Nursing Center - NF 7/1/2012 179.81 81.46 80.33 46.46 10.53 29.27 3.44 8.65 0 0 0 0 211 13.8 193.61 0.12
Organization Name Date 71900/1500 N 71900/1030 N 71902/1030 N 71900/1130 N 71900/1010 N 71900/1410 N 71900/1320 N 71900/1330 N 71900/1340 N 71900/1342 N 71900/1343 N 71900/1344 N 71000/32 N
Total Payme
Non Medicare Cash nt for Non Medicare Eligible TBI, BMI, Misc Per Bed Hold Case Mix Receipts NH Transportati
Medicare Direct Direct Indirect Non-Comp Dementia Transition Quality Diem Per Diem Percent Bed (CRA) Per Rate + on In Direct Eligible Component Component Component Component Capital Add On Adjustment Adustment Adjustment Adjustment Adjustment Count Diem CRA Price
310300030 Degraff Memorial Hospital-skilled Nursing Facility 7/1/2012 213.49 100.11 98.78 54.83 15.92 37.3 3.16 2.17 0 0 0 0 80 10.25 223.74 0.15 140132810 Delaware Nursing & Rehabilitation Center 7/1/2012 134.37 74.19 73.16 44.8 7.22 8.3 4.72 -4.86 0 0 0 0 200 11.16 145.53 0.11 700234710 Dewitt Rehabilitation and Nursing Center Inc 7/1/2012 291.1 136.72 134.9 60.94 12.89 20.38 1.51 58.66 0 0 0 0 499 8.95 300.05 0.23 416130410 Diamond Hill Nursing and Rehabilitation Center 7/1/2012 192.63 102.33 100.92 48.13 13.63 12.37 6.88 9.29 0 0 0 0 120 15.24 207.87 0.15 700139310 Ditmas Park Care Center 7/1/2012 275.83 162.16 159.92 53.73 13.03 21.51 1.67 23.73 0 0 0 0 200 0 275.83 0.24 700138010 Dr Susan Smith Mckinney Nursing and Rehabilitation Center 7/1/2012 272.41 124.1 122.44 64.23 26.86 19.16 2.46 35.6 0 0 0 0 320 13.25 285.66 0.21 700339510 Dr William O Benenson Rehabilitation Pavilion 7/1/2012 259.14 127.71 126.01 60.58 19.72 35.77 2.23 13.13 0 0 0 0 302 21.91 281.05 0.22 700335910 Dry Harbor Nursing Home 7/1/2012 259.69 165.46 163.26 63.02 7.84 11.56 1.17 10.64 0 0 0 0 360 18.77 278.46 0.28 590432110 Dumont Center for Rehabilitation and Nursing Care 7/1/2012 231.01 142.23 140.26 52.78 8.98 10.34 3.31 13.37 0 0 0 0 196 17.86 248.87 0.21 132230210 Dutchess Center for Rehabilitation and Healthcare 7/1/2012 218.99 133.31 131.46 50.37 8.03 24.6 4.43 0 -1.75 0 0 0 122 14.47 233.46 0.20 700036010 East Haven Nursing And Rehabilitation Center 7/1/2012 212.8 139.57 137.64 51.3 8.16 12.11 1.66 0 0 0 0 0 200 9.32 222.12 0.21 515030310 East Neck Nursing and Rehabilitation Center 7/1/2012 264.1 149.01 147.02 59.23 14.77 20.75 1.6 18.74 0 0 0 0 300 9.94 274.04 0.25 602730310 East Side Nursing Home 7/1/2012 156.47 74.8 73.76 42.79 7.26 8.73 3.61 19.28 0 0 0 0 80 12.74 169.21 0.11 700038310 Eastchester Rehabilitation and Health Care Center 7/1/2012 251.53 148.77 146.71 54.19 7.28 12.65 1.67 26.97 0 0 0 0 200 8.59 260.12 0.22 323930010 Eastern Star Home & Infirmary 7/1/2012 160.02 68.68 67.73 42.92 12.46 10.38 3.07 22.51 0 0 0 0 84 13.25 173.27 0.10 010200110 Eddy Cohoes Rehabilitation Center 7/1/2012 146.55 81.48 80.35 48.61 18.71 0 3.47 -5.72 0 0 0 0 180 9.22 155.77 0.12 410231110 Eddy Heritage House Nursing Center 7/1/2012 167.56 85.65 84.47 48.36 9.63 14.14 2.54 7.24 0 0 0 0 122 34.63 202.19 0.13 015130110 Eddy Village Green at Beverwyck 7/1/2012 150.46 61.63 60.77 48.61 11.03 18.76 0 10.43 0 0 0 0 24 10.73 161.19 0.09 275430410 Edna Tina Wilson Living Center 7/1/2012 177.62 81.4 80.27 46.32 8.97 21.21 3.72 16 0 0 0 0 120 0 177.62 0.12 700430310 Eger Health Care and Rehabilitation Center 7/1/2012 265.37 148.07 146.09 62.49 15.23 18.1 1.42 20.06 0 0 0 0 378 12.6 277.97 0.25 593130110 Elant at Brandywine Inc 7/1/2012 223.11 106.88 105.4 49.83 10.95 13.9 2.13 39.42 0 0 0 0 131 14.93 238.04 0.16 135530110 Elant at Fishkill Inc 7/1/2012 173.48 99.8 98.42 46.45 8.4 10.15 1.63 7.05 0 0 0 0 160 12.48 185.96 0.15 352330210 Elant at Goshen Inc 7/1/2012 217.2 116.59 114.97 50.32 15.8 16.92 0.81 16.76 0 0 0 0 120 10.01 227.21 0.17 350230410 Elant at Newburgh Inc 7/1/2012 198.45 107.11 105.63 49.56 5.47 7.53 2.26 26.52 0 0 0 0 190 14.4 212.85 0.16 132430210 Elant at Wappinger Falls 7/1/2012 188.93 95.2 93.89 47.19 7.3 5.33 4.86 29.05 0 0 0 0 62 10.66 199.59 0.14 072230410 Elcor Nursing and Rehabilitation Center 7/1/2012 164.18 82.1 81 47.59 10.61 11.22 3.76 8.9 0 0 0 0 305 9.62 173.8 0.14 333130010 Elderwood Health Care Birchwood 7/1/2012 200.97 88.76 87.53 47.02 9.16 24.04 2.74 29.25 0 0 0 0 160 0 200.97 0.13 312130110 Elderwood Health Care Crestwood 7/1/2012 192.68 101.6 100.2 46.15 9.94 26.72 0.36 7.91 0 0 0 0 160 11.9 204.58 0.15 143030210 Elderwood Health Care Lakewood 7/1/2012 196.78 103.31 101.88 46.99 8.39 18 2 18.09 0 0 0 0 166 11.28 208.06 0.15 140630210 Elderwood Health Care Linwood 7/1/2012 171.28 101 99.6 46.84 7.58 10.55 1.88 3.43 0 0 0 0 94 10.13 181.41 0.15 145530110 Elderwood Health Care Maplewood 7/1/2012 188.85 99.99 98.61 46.19 8.49 29.37 1.53 3.28 0 0 0 0 170 10.3 199.15 0.15 142130410 Elderwood Health Care Oakwood 7/1/2012 183.7 111.46 109.92 47.86 10.58 11.8 2 0 0 0 0 0 200 10.66 194.36 0.17 146430110 Elderwood Health Care Riverwood 7/1/2012 169.7 99.04 97.66 46 7.55 13.72 1.52 1.87 0 0 0 0 90 10.61 180.31 0.15 532030110 Elderwood Health Care Tioga 7/1/2012 166.38 90.91 89.65 46.73 9.47 10.88 4.25 4.14 0 0 0 0 211 9.24 175.62 0.14 145130510 Elderwood Health Care Wedgewood 7/1/2012 186.61 95.82 94.5 46.16 9.38 18.6 0.4 16.25 0 0 0 0 92 9.96 196.57 0.14 030130710 Elizabeth Church Manor Nursing Home 7/1/2012 163.21 91.06 89.79 47.14 10.59 13.74 0.68 0 0 0 0 0 121 10.25 173.46 0.14 460100130 Ellis Residential & Rehabilitation Center 7/1/2012 229.32 118.99 117.4 73.38 23.13 30.4 2.6 -19.18 0 0 0 0 82 9.58 238.9 0.18 342930310 Elm Manor Nursing Home 7/1/2012 173.19 99.46 98.08 46.79 10.16 7.92 2.93 5.93 0 0 0 0 46 12.94 186.13 0.15 700339610 Elmhurst Care Center Inc 7/1/2012 255.73 122.3 120.61 51.25 7.8 47.32 2.31 24.75 0 0 0 0 240 8.93 264.66 0.18 142030030 Erie County Home 7/1/2012 188.15 100.8 99.45 57.23 3.75 9.72 0.97 15.68 0 0 0 0 586 21.74 209.89 0.17 415230310 Evergreen Commons 7/1/2012 219.46 113.17 111.61 48.98 15.11 30.67 2.88 8.65 0 0 0 0 242 22.7 242.16 0.17 090130110 Evergreen Valley Nursing Home 7/1/2012 131.58 68 67.06 41.34 5.3 7.58 3.41 7.7 -1.75 0 0 0 89 11.47 143.05 0.10 295230910 Excel at Woodbury for Rehabilitation and Nursing LLC 7/1/2012 244.41 127.88 126.11 54.23 8.54 9.9 0.75 43.11 0 0 0 0 123 0 244.41 0.19 272530010 Fairport Baptist Homes 7/1/2012 208.18 83.47 82.31 47.02 12.13 54.18 1.81 9.57 0 0 0 0 196 0 208.18 0.13 700337510 Fairview Nursing Care Center Inc 7/1/2012 222.41 143.03 141.05 53.77 7.62 15.45 2.54 0 0 0 0 0 200 13.87 236.28 0.21 700331510 Far Rockaway Nursing Home 7/1/2012 182.34 87.71 86.49 52.16 5.1 6.27 4.07 27.03 0 0 0 0 100 19.39 201.73 0.13 143530210 Father Baker Manor 7/1/2012 184.08 101.89 100.48 47.32 9.83 20.53 5.3 -0.79 0 0 0 0 160 10.25 194.33 0.15 132730010 Ferncliff Nursing Home Co Inc 7/1/2012 206.9 116.9 115.34 55.92 9.37 18.04 2.02 4.65 0 0 0 0 328 9.82 216.72 0.20 142730210 Fiddlers Green Manor Nursing Home 7/1/2012 136.89 78.17 77.09 42.7 6 4.26 5.3 0.46 0 0 0 0 82 11.4 148.29 0.12 590130210 Field Home-holy Comforter 7/1/2012 240.47 126.88 125.13 53.53 6.56 14.64 1.59 37.27 0 0 0 0 200 7.56 248.03 0.19 700038510 Fieldston Lodge Care Center 7/1/2012 225.4 128.29 126.51 53.66 7.91 11.81 2.37 21.36 0 0 0 0 200 14.11 239.51 0.19 050100030 Finger Lakes Center for Living 7/1/2012 200.41 83.6 82.48 51.31 8.58 22.42 2.02 32.48 0 0 0 0 80 13.75 214.16 0.13 700336610 Flushing Manor Care Center 7/1/2012 210.3 111.13 109.59 52.44 6.62 11.95 2.3 25.86 0 0 0 0 278 10.92 221.22 0.17 700340710 Flushing Manor Nursing & Rehabilitation 7/1/2012 218.34 114.81 113.22 53.84 7.44 7.46 1.75 33.04 0 0 0 0 227 11.95 230.29 0.17 320231310 Focus Rehabilitation and Nursing Center at Utica 7/1/2012 140.32 84.95 83.77 45.28 10.36 1.98 2.75 -3.25 -1.75 0 0 0 120 11.74 152.06 0.13 212430010 Folts Home 7/1/2012 141.58 65.81 64.9 41.69 12.35 11.9 3.4 8.18 -1.75 0 0 0 163 9.58 151.16 0.10 700339410 Forest Hills Care Center 7/1/2012 221.58 143.18 141.19 53.4 7.79 16.05 1.16 0 0 0 0 0 100 9.46 231.04 0.21 700338710 Forest View Center for Rehabilitation & Nursing 7/1/2012 230.09 125.26 123.53 52.15 6.14 17.06 1.53 27.95 0 0 0 0 160 15.26 245.35 0.19 572430210 Fort Hudson Nursing Center Inc 7/1/2012 159.46 77.53 76.46 45.22 6.66 12.84 5.22 11.99 0 0 0 0 196 23.38 182.84 0.12 700235910 Fort Tryon Center for Rehabilitation and Nursing 7/1/2012 261.64 156.48 154.32 52.48 7.8 14.84 1.66 28.38 0 0 0 0 205 10.56 272.2 0.23 500100110 Founders Pavilion 7/1/2012 174.96 81.82 80.68 45.02 5.64 8.66 4.56 29.26 0 0 0 0 120 12.72 187.68 0.12 700138510 Four Seasons Nursing and Rehabilitation Center 7/1/2012 237.84 147.79 145.75 53.98 14.79 16.12 2.03 3.13 0 0 0 0 270 9.36 247.2 0.22
Organization Name Date 71900/1500 N71900/1030 N71902/1030 N71900/1130 N71900/1010 N71900/1410 N71900/1320 N71900/1330 N71900/1340 N71900/1342 N71900/1343 N71900/1344 N71000/32 N
Total Payme
Non Medicare Cash nt for Non Medicare Eligible TBI, BMI, Misc Per Bed Hold Case Mix Receipts NH Transportati
Medicare Direct Direct Indirect Non-Comp Dementia Transition Quality Diem Per Diem Percent Bed (CRA) Per Rate + on In Direct Eligible Component Component Component Component Capital Add On Adjustment Adustment Adjustment Adjustment Adjustment Count Diem CRA Price
143530410 Fox Run at Orchard Park 7/1/2012 145.25 78.83 77.74 47.18 12.9 16.81 0 -10.47 0 0 0 0 50 31.06 176.31 0.12 700340210 Franklin Center for Rehabilitation and Nursing 7/1/2012 275.93 168.71 166.46 59.96 6.29 20.55 1.39 19.03 0 0 0 0 320 9.15 285.08 0.29 166430010 Franklin County Nursing Home 7/1/2012 156.26 76.45 75.39 42.83 13.14 5.19 3.73 14.92 0 0 0 0 80 14.11 170.37 0.11 435030510 Friedwald Center for Rehabilitation & Nursing LLC 7/1/2012 227.66 115.42 113.82 48.59 10.76 18.31 1.16 33.42 0 0 0 0 180 9.22 236.88 0.17 175430110 Fulton Center for Rehabilitation and Healthcare 7/1/2012 181.34 98.39 97.02 48.55 9.42 6.77 2.82 17.14 -1.75 0 0 0 176 12.67 194.01 0.15 295031710 Fulton Commons Care Center Inc 7/1/2012 232.31 113.27 111.7 51.25 4.19 49.56 1.56 12.48 0 0 0 0 280 0 232.31 0.17 295031610 Garden Care Center 7/1/2012 218.62 135.48 133.61 52.22 6.92 23.14 0.86 0 0 0 0 0 150 12.98 231.6 0.20 145530010 Garden Gate Health Care Facility 7/1/2012 186.9 113.47 111.9 45.17 11.02 14.76 2.48 0 0 0 0 0 184 19.01 205.91 0.17 180130410 Genesee County Nursing Home 7/1/2012 169.09 76.28 75.23 46.94 11.76 13.88 4.08 16.15 0 0 0 0 160 10.01 179.1 0.11 352330310 Glen Arden Inc 7/1/2012 226.65 116.94 115.32 50.88 10.03 26.74 0 22.06 0 0 0 0 40 9.43 236.08 0.18 290130510 Glen Cove Center for Nursing and Rehabilitation 7/1/2012 217.93 112.4 110.84 53.8 7.97 16.64 1.81 25.31 0 0 0 0 154 9.14 227.07 0.17 590431810 Glen Island Center for Nursing and Rehabilitation 7/1/2012 222.34 104.28 102.83 48.63 8.6 10.49 2.42 47.92 0 0 0 0 182 14.66 237 0.16 465130010 Glendale Home-schdy Cnty Dept Social Services 7/1/2012 179.53 98.52 97.16 53.33 10.04 8.59 3.44 5.61 0 0 0 0 200 12.74 192.27 0.15 290130010 Glengariff Health Care Center 7/1/2012 258.53 134.57 132.7 53.47 10.15 24.26 1.84 34.24 0 0 0 0 262 8.78 267.31 0.20 700037610 Gold Crest Care Center 7/1/2012 201.02 124.41 122.69 52.74 7.98 12.27 1.63 1.99 0 0 0 0 175 13.27 214.29 0.19 700432210 Golden Gate Rehabilitation and Health Care Center 7/1/2012 269.51 136.17 134.29 53.6 8.26 16.44 3.33 51.71 0 0 0 0 238 11.16 280.67 0.20 550130910 Golden Hill Health Care Center 7/1/2012 190.13 91.65 90.38 51.54 8.95 8.19 2.5 27.3 0 0 0 0 280 12.62 202.75 0.14 515431010 Good Samaritan Nursing Home 7/1/2012 232.92 128.75 126.96 54.7 21.13 11.96 1.52 14.86 0 0 0 0 100 10.34 243.26 0.19 036330110 Good Shepherd Village at Endwell 7/1/2012 167.53 66.96 66.03 46.77 7.43 22.84 1.04 22.49 0 0 0 0 32 10.44 177.97 0.10 030130510 Good Shepherd-fairview Home Inc 7/1/2012 179.44 84.15 82.98 45.63 8.64 11.94 1.36 27.72 0 0 0 0 56 0 179.44 0.13 042730210 Gowanda Rehabilitation and Nursing Center 7/1/2012 235.1 154.7 152.56 48.02 11.27 18.2 2.91 0 0 0 0 0 160 11.66 246.76 0.23 291330110 Grace Plaza Nursing and Rehabilitation Center 7/1/2012 254.43 139.51 137.58 54.3 6.8 16.32 1.26 36.24 0 0 0 0 214 6.06 260.49 0.21 700036110 Grand Manor Nursing & Rehabilitation Center 7/1/2012 188.58 105.69 104.22 49.69 6.45 16.06 2.93 7.76 0 0 0 0 240 17.69 206.27 0.16 290230410 Grandell Rehabilitation and Nursing Center 7/1/2012 204.31 129.32 127.53 52.17 6.52 11.94 2.82 1.54 0 0 0 0 278 10.06 214.37 0.19 700234110 Greater Harlem Nursing Home Company Inc 7/1/2012 228.82 126.58 124.83 53.86 12.12 12.04 2.23 21.99 0 0 0 0 200 12.94 241.76 0.19 146730110 Greenfield Health and Rehabilitation Center 7/1/2012 166.36 81.37 80.24 45.96 10.57 26.68 1.78 0 0 0 0 0 160 13.37 179.73 0.12 540130510 Groton Community Health Care Center Residential Care Facility 7/1/2012 149.35 75.83 74.78 42.74 6.46 12.96 5.35 6.01 0 0 0 0 80 11.23 160.58 0.11 015530310 Guilderland Center Rehabilitation and Extended Care Facility 7/1/2012 139.39 78.24 77.15 47.49 5.37 6.19 3.85 0 -1.75 0 0 0 127 7.73 147.12 0.12 515330710 Gurwin Jewish Nursing and Rehabilitation Center 7/1/2012 281.06 137.6 135.76 61.09 27.69 28.57 1.57 24.54 0 0 0 0 460 0 281.06 0.23 275430010 Hamilton Manor Nursing Home 7/1/2012 167.82 80.45 79.34 46.95 4.47 5.13 2.31 28.51 0 0 0 0 40 21.91 189.73 0.12 700103410 Hamilton Park Nursing and Rehabilitation Center 7/1/2012 308.58 134.72 132.86 53.73 26.19 35.54 1.22 57.18 0 0 0 0 150 10.08 318.66 0.20 140132910 Harbour Health Multicare Center for Living 7/1/2012 143.8 79.67 78.56 44.52 6.83 8.46 2.9 1.42 0 0 0 0 95 15.1 158.9 0.12 322630110 Harding Nursing Home 7/1/2012 130.69 66.69 65.77 41.54 8.1 8.83 3.33 2.2 0 0 0 0 92 9.6 140.29 0.10 140630110 Harris Hill Nursing Facility LLC 7/1/2012 197.34 115.85 114.25 44.49 10.52 13.65 1.35 11.48 0 0 0 0 192 8.26 205.6 0.17 700337810 Haven Manor Health Care Center LLC 7/1/2012 194.67 114.81 113.22 54.6 10.14 9.94 4.08 1.1 0 0 0 0 240 11.04 205.71 0.17 140132310 Hawthorn Health Multicare Center for Living 7/1/2012 149.96 79.75 78.65 45.51 6.86 4.49 5.64 7.71 0 0 0 0 122 11.83 161.79 0.12 700136910 Haym Solomon Home For The Aged 7/1/2012 307.09 149.12 147.05 54.41 9.73 48.47 1.51 43.85 0 0 0 0 240 8.47 315.56 0.22 700030210 Hebrew Home For The Aged At Riverdale 7/1/2012 307.05 133.34 131.56 62 23.32 44.74 0.53 43.12 0 0 0 0 582 19.46 326.51 0.23 595730210 Hebrew Hospital Home of Westchester Inc 7/1/2012 230.93 115.09 113.5 51.95 11 27.1 1.48 24.31 0 0 0 0 160 19.06 249.99 0.17 590431410 Helen and Michael Schaffer Extended Care Center 7/1/2012 282.95 137.22 135.39 61.89 16.45 25.62 2.87 40.65 -1.75 0 0 0 150 15.91 298.86 0.21 290630410 Hempstead Park Nursing Home 7/1/2012 217.88 114.6 113.01 53.6 6.8 10.75 3.12 29.01 0 0 0 0 251 24.56 242.44 0.17 152730010 Heritage Commons Residential Health Care 7/1/2012 177.08 80.48 79.36 45 13.75 35.53 1.68 0.64 0 0 0 0 82 19.3 196.38 0.12 065830110 Heritage Green Nursing Home 7/1/2012 161.66 84.4 83.23 45.65 13.09 12.37 2.93 3.22 0 0 0 0 151 14.52 176.18 0.13 320231410 Heritage Health Care Center 7/1/2012 159.22 81.53 80.4 44.36 13.92 6.88 5.51 7.02 0 0 0 0 220 10.39 169.61 0.12 060231010 Heritage Park Health Care Center 7/1/2012 156.75 75.72 74.67 45.15 10.1 11.14 3.53 11.11 0 0 0 0 149 9.48 166.23 0.11 066230110 Heritage Village Rehab and Skilled Nursing Inc 7/1/2012 155.93 82.37 81.23 44.95 17.68 7.77 3.16 0 0 0 0 0 120 9.12 165.05 0.12 295130610 Highfield Gardens Care Center of Great Neck 7/1/2012 251.9 134.51 132.65 52.77 8.34 19.52 2.89 33.87 0 0 0 0 200 9.31 261.21 0.20 700336310 Highland Care Center 7/1/2012 220.99 115.83 114.28 59.23 7.34 7.16 3.81 27.62 0 0 0 0 320 9.91 230.9 0.20 440230010 Highland Nursing Home Inc 7/1/2012 134.08 66.49 65.57 40.28 5.9 17.87 3.19 0.35 0 0 0 0 140 13.66 147.74 0.10 022830310 Highland Park Rehabilitation and Nursing Center 7/1/2012 142.08 80.48 79.37 43.31 6.9 8.21 3.18 0 0 0 0 0 80 12.77 154.85 0.12 350130510 Highland Rehabilitation and Nursing Center 7/1/2012 194.46 115.17 113.57 49.23 13.09 6.53 0.99 9.45 0 0 0 0 98 6.94 201.4 0.17 140100130 Highpointe on Michigan Health Care Facility 7/1/2012 221.81 97.97 96.66 54.06 15 44.97 7.72 2.09 0 0 0 0 270 9.48 231.29 0.15 515331010 Hilaire Rehab & Nursing 7/1/2012 240.47 110.06 108.54 54.08 14.86 18.49 0.91 42.07 0 0 0 0 76 0 240.47 0.17 276130210 Hill Haven Nursing Home 7/1/2012 191.89 95.9 94.62 53.58 9.28 7.4 3 22.73 0 0 0 0 355 11.76 203.65 0.16 700335010 Hillside Manor Rehabilitation and Extended Care Center 7/1/2012 242.65 141.49 139.6 60.39 8.24 19.17 1.71 11.65 0 0 0 0 400 14.45 257.1 0.24 700338110 Hollis Park Manor Nursing 7/1/2012 201.65 121.91 120.23 53.09 7.77 8.15 2.32 8.41 0 0 0 0 80 11.76 213.41 0.18 700340910 Holliswood Center for Rehabilitation and Healthcare 7/1/2012 241.77 166.49 164.27 60.47 6.02 6.42 2.5 -0.13 0 0 0 0 314 14.18 255.95 0.28 700139510 Hopkins Center for Rehabilitation and Healthcare 7/1/2012 252.13 151.54 149.44 53.79 13.78 25.46 0.87 6.69 0 0 0 0 288 12.58 264.71 0.23 152130010 Horace Nye Home 7/1/2012 164.49 73 71.99 52.92 13.26 6.61 0.69 18.01 0 0 0 0 100 0 164.49 0.11 700338910 Horizon Care Center 7/1/2012 174.79 91.88 90.61 52.38 5.12 11.83 3.51 10.07 0 0 0 0 280 14.81 189.6 0.14 500230210 Hornell Gardens LLC 7/1/2012 163.95 81.5 80.37 41.49 7.36 12.31 4.34 16.95 0 0 0 0 114 9.26 173.21 0.12 010131410 Hudson Park Rehabilitation and Nursing Center 7/1/2012 172.58 90.99 89.73 47.45 7.96 9.49 4.78 11.91 0 0 0 0 200 9.91 182.49 0.14
Organization Name Date 71900/1500 N71900/1030 N71902/1030 N71900/1130 N71900/1010 N71900/1410 N71900/1320 N71900/1330 N71900/1340 N71900/1342 N71900/1343 N71900/1344 N71000/32 N
Total Payme
Non Medicare Cash nt for Non Medicare Eligible TBI, BMI, Misc Per Bed Hold Case Mix Receipts NH Transportati
Medicare Direct Direct Indirect Non-Comp Dementia Transition Quality Diem Per Diem Percent Bed (CRA) Per Rate + on In Direct Eligible Component Component Component Component Capital Add On Adjustment Adustment Adjustment Adjustment Adjustment Count Diem CRA Price
700038810 Hudson Pointe at Riverdale Center for Nrsg and Reha 7/1/2012 265.51 126.41 124.66 52.36 13.65 20.15 1.77 51.17 0 0 0 0 167 7.7 273.21 0.19 555630210 Hudson Valley Rehabilitation and Extended Care Center 7/1/2012 167.98 96.61 95.28 50.65 6.41 11.04 2.36 0.91 0 0 0 0 203 10.22 178.2 0.14 515330910 Huntington Hills Center for Health and Rehabilitation 7/1/2012 263.74 143.22 141.31 59.19 11.46 33.09 1.94 14.84 0 0 0 0 320 12.43 276.17 0.24 492130210 Huntington Living Center 7/1/2012 154.4 70.49 69.52 45.56 6.9 18.1 3.66 9.69 0 0 0 0 160 8.5 162.9 0.11 030230210 Ideal Senior Living Center 7/1/2012 171.52 81.74 80.61 44.84 4.88 16.05 2.86 21.15 0 0 0 0 150 17.14 188.66 0.12 572530410 Indian River Rehabilitation and Nursing Center 7/1/2012 198.8 119.3 117.65 46.63 12.25 19.21 3.16 0 -1.75 0 0 0 122 9.72 208.52 0.18 502230130 Ira Davenport Memorial Hospital Snf hrfa 7/1/2012 156 73.23 72.25 47.55 7.81 17.71 9.98 -0.28 0 0 0 0 120 11.09 167.09 0.11 335330010 Iroquois Nursing Home Inc 7/1/2012 175.24 84.35 83.19 43.88 9.95 7.98 1.01 28.07 0 0 0 0 160 8.5 183.74 0.13 700235210 Isabella Geriatric Center Inc 7/1/2012 269.3 139.43 137.57 62.13 25.6 29.49 2.02 10.63 0 0 0 0 705 8.57 277.87 0.24 515131810 Island Nursing and Rehab Center 7/1/2012 291.75 120.41 118.74 52.84 21.51 45.54 1.66 49.79 0 0 0 0 120 10.18 301.93 0.18 700334610 Jamaica Hospital Nursing Home Co Inc 7/1/2012 330 126.16 124.48 60.64 24.56 74.8 2.69 41.15 0 0 0 0 224 17.09 347.09 0.19 410230910 James A Eddy Memorial Geriatric Center 7/1/2012 167.51 78.11 77.03 46.26 7.39 11.77 1.4 22.58 0 0 0 0 80 18.22 185.73 0.12 030330610 James G Johnston Memorial Nursing Home 7/1/2012 168.91 99.02 97.65 46.34 10.38 8.12 1.35 3.7 0 0 0 0 122 17.09 186 0.15 330132210 James Square Health And Rehabilitation Centre 7/1/2012 190.37 93.98 92.73 52.53 6.56 10.33 2.56 24.41 0 0 0 0 455 13.97 204.34 0.16 700031310 Jeanne Jugan Residence 7/1/2012 292.42 96.37 95.04 51.39 21.47 37.21 2.5 83.48 0 0 0 0 30 10.37 302.79 0.14 515131710 Jeffersons Ferry 7/1/2012 248.21 93.81 92.51 52.19 10.97 62.49 0.87 27.88 0 0 0 0 60 10.34 258.55 0.14 142700010 Jennie B Richmond Chaffee Nursing Home Company Inc 7/1/2012 162.04 90 88.8 53.67 5.5 12.53 2.81 -2.47 0 0 0 0 80 14.49 176.53 0.14 275030410 Jewish Home & Infirmary Of Rochester Ny Inc 7/1/2012 214.3 112.54 111.03 53.51 15.57 22.26 2.45 7.97 0 0 0 0 362 16.2 230.5 0.19 700031710 Jewish Home Lifecare Henry and Jeanette Weinberg Campus Bro 7/1/2012 280.91 145.75 143.8 61.36 23.4 21.58 2.21 26.61 0 0 0 0 816 9.34 290.25 0.25 700234010 Jewish Home Lifecare Manhattan 7/1/2012 315.52 148.2 146.22 61.22 29.58 12.89 1.44 62.19 0 0 0 0 514 12.34 327.86 0.25 590930210 Jewish Home Lifecare Sarah Neuman Center 7/1/2012 302.56 136.17 134.35 61.11 15.24 23.16 1.5 65.38 0 0 0 0 301 18.12 320.68 0.23 330130910 Jewish Home Of Central New York 7/1/2012 226.35 94.17 92.87 47.38 10.1 37.49 1.24 35.97 0 0 0 0 132 19.8 246.15 0.14 515130410 John J Foley Skilled Nursing Facility 7/1/2012 278.22 149.79 147.71 61.98 26.95 24.54 2.72 12.24 0 0 0 0 264 18.12 296.34 0.22 100100030 Kaaterskill Care Skilled Nursing and Rehab 7/1/2012 177.07 85.51 84.36 53.77 6.82 19.88 2.33 8.76 0 0 0 0 120 12.7 189.77 0.13 700234410 Kateri Residence 7/1/2012 267.72 139.06 137.2 61.12 11.24 15.81 1.86 38.63 0 0 0 0 520 16.61 284.33 0.24 322530310 Katherine Luther Residential Health Care and Rehab C 7/1/2012 165.18 78.6 77.51 44.1 15.95 18.67 3.03 4.83 0 0 0 0 280 8.98 174.16 0.12 540130810 Kendal at Ithaca Inc 7/1/2012 100.91 45.46 44.84 47.4 8.05 0 0 0 0 0 0 0 35 14.66 115.57 0.07 593230010 Kendal on Hudson 7/1/2012 132.5 78.38 77.29 52.63 11.29 0 0 -8.05 -1.75 0 0 0 42 0 132.5 0.12 700037210 Kings Harbor Multicare Center 7/1/2012 239.61 123.95 122.3 60.21 10.12 13.73 4.28 27.32 0 0 0 0 720 8.63 248.24 0.21 700037410 Kingsbridge Heights Rehabilitation and Care 7/1/2012 261.09 128.78 127.07 58.28 6.65 7.67 4.69 55.02 0 0 0 0 400 12.62 273.71 0.22 460130510 Kingsway Arms Nursing Center Inc 7/1/2012 198.17 92.89 91.61 47.24 9.31 15.45 2.78 30.5 0 0 0 0 160 12.74 210.91 0.14 442300010 Kinney Nursing Home 7/1/2012 170.14 69.46 68.53 45.64 26.35 9.92 5.1 13.67 0 0 0 0 40 18.22 188.36 0.10 270134510 Kirkhaven 7/1/2012 181.4 89.37 88.13 46.37 9.24 17.17 1.85 17.4 0 0 0 0 147 15.48 196.88 0.13 700037010 Laconia Nursing Home Inc 7/1/2012 225.39 149.4 147.33 52.44 7.14 13.6 2.01 0.8 0 0 0 0 240 14.47 239.86 0.22 275230110 Lakeside - Beikirch Care Center Inc 7/1/2012 195.97 103.53 102.09 48.78 10.83 22.8 1.88 8.15 0 0 0 0 120 13.03 209 0.16 515131410 Lakeview Rehabilitation and Care Center 7/1/2012 198.87 116.22 114.61 51.92 8.78 13 1.11 7.84 0 0 0 0 120 8.62 207.49 0.17 275430110 Latta Road Nursing Home 7/1/2012 175.13 79.15 78.06 46.13 5.26 8.97 3.26 32.36 0 0 0 0 40 11.28 186.41 0.12 275430310 Latta Road Nursing Home A 7/1/2012 171.48 82.57 81.43 46.8 5.29 7.94 2.68 26.2 0 0 0 0 40 11.16 182.64 0.12 700338510 Lawrence Nursing Care Center Inc 7/1/2012 232.59 123.2 121.5 53.59 5.74 15.4 3.51 31.15 0 0 0 0 200 12.89 245.48 0.18 182330010 Leroy Village Green Residential Health Care Facility Inc 7/1/2012 142.9 78.38 77.3 43.05 6.46 9.09 2.25 3.67 0 0 0 0 140 10.06 152.96 0.12 242400030 Lewis County General Hospital-nursing Home Unit 7/1/2012 186.17 91.92 90.69 55.36 7.02 22.66 4.33 4.88 0 0 0 0 160 9.67 195.84 0.14 700139710 Linden Gardens Rehabilitation and Nursing Center 7/1/2012 225.62 107.69 106.2 48.9 8.36 38.08 5.4 17.19 0 0 0 0 240 10.7 236.32 0.16 700340810 Little Neck Nursing Home 7/1/2012 226.29 134.72 132.86 53.73 11.67 9.44 0.78 15.95 0 0 0 0 120 14.11 240.4 0.20 340230310 Living Center At Geneva North 7/1/2012 152.1 76.12 75.06 48.01 9.05 16.23 2.93 -0.24 0 0 0 0 82 8.86 160.96 0.11 340230210 Living Center At Geneva South 7/1/2012 177.91 91.58 90.36 54.17 12.94 11.69 3.41 4.12 0 0 0 0 103 10.63 188.54 0.14 252230010 Livingston County Center for Nursing and Rehabilitatio 7/1/2012 219.66 89.77 88.52 48.98 7.83 39.62 4.04 29.42 0 0 0 0 266 0 219.66 0.13 106330110 Livingston Hills Nursing & Rehabilitation Center LLC 7/1/2012 191.71 114.86 113.27 48.34 10.39 14.69 2.73 0.7 0 0 0 0 120 0 191.71 0.17 700337710 Long Island Care Center Inc 7/1/2012 233.02 123.71 122 52.91 9.32 10.76 2.66 33.66 0 0 0 0 200 12.74 245.76 0.19 515131010 Long Island State Veterans Home 7/1/2012 263.74 115.67 114.12 60.39 24.2 19.94 2.17 41.37 0 0 0 0 350 9.91 273.65 0.20 330132710 Loretto Health and Rehabilitation Center 7/1/2012 201.9 113.11 111.6 54.87 11.38 20.46 2.08 0 0 0 0 0 556 12.62 214.52 0.19 700131310 Lutheran Augustana Center for Extended Care &Rehab 7/1/2012 257.61 126.7 124.95 54.93 10.28 38.07 1.46 26.17 0 0 0 0 240 9.41 267.02 0.19 130230610 Lutheran Center at Poughkeepsie Inc 7/1/2012 190.04 92.07 90.8 51.58 10.3 22.75 1.77 11.57 0 0 0 0 160 9.34 199.38 0.14 060230810 Lutheran Retirement Home 7/1/2012 186.66 94.74 93.43 46.58 10.01 31.9 3.43 0 0 0 0 0 174 14.52 201.18 0.14 291130310 Lynbrook Restorative Therapy and Nursing 7/1/2012 240.73 104.72 103.27 52.65 7.32 20.53 0.59 54.92 0 0 0 0 100 15.55 256.28 0.16 342930030 MM Ewing Continuing Care Center 7/1/2012 187.78 99.9 98.57 53.11 7 14.27 3.23 10.27 0 0 0 0 188 12.55 200.33 0.15 700038710 Manhattanville Health Care Center 7/1/2012 258.54 132.53 130.69 52.61 6.86 21.46 2.05 43.03 0 0 0 0 200 16.1 274.64 0.20 442030110 Maplewood Health Care and Rehabilitation Center 7/1/2012 170.63 78.39 77.31 42.1 6.98 19.11 3.74 20.31 0 0 0 0 96 14.83 185.46 0.12 272930010 Maplewood Nursing Home Inc 7/1/2012 232.77 87.78 86.57 45.39 10.92 26.34 3.82 58.52 0 0 0 0 72 10.13 242.9 0.13 700135310 Marcus Garvey Nursing Home Company Inc 7/1/2012 183.61 115.14 113.55 51.88 6.48 0 3.01 8.85 -1.75 0 0 0 295 13.54 197.15 0.17 700330510 Margaret Tietz Center For Nursing Care Inc 7/1/2012 286.68 135.61 133.73 55.24 17.78 28.16 1.65 48.24 0 0 0 0 200 12.79 299.47 0.20 515432110 Maria Regina Residence Inc 7/1/2012 222.19 98.8 97.43 52.25 11.24 9.6 2.19 48.11 0 0 0 0 188 12.89 235.08 0.15 290130410 Marquis Care Center 7/1/2012 253.08 118.92 117.28 54.12 7.23 23.09 2.5 47.22 0 0 0 0 102 6.89 259.97 0.18
Organization Name Date 71900/1500 N 71900/1030 N 71902/1030 N 71900/1130 N 71900/1010 N 71900/1410 N 71900/1320 N 71900/1330 N 71900/1340 N 71900/1342 N 71900/1343 N 71900/1344 N 71000/32 N
Total Payme
Non Medicare Cash nt for Non Medicare Eligible TBI, BMI, Misc Per Bed Hold Case Mix Receipts NH Transportati
Medicare Direct Direct Indirect Non-Comp Dementia Transition Quality Diem Per Diem Percent Bed (CRA) Per Rate + on In Direct Eligible Component Component Component Component Capital Add On Adjustment Adustment Adjustment Adjustment Adjustment Count Diem CRA Price
700230510 Mary Manning Walsh Nursing Home Co Inc 7/1/2012 275.19 130.29 128.55 60.28 21.65 21.81 1.44 39.72 0 0 0 0 362 16.25 291.44 0.22 320230810 Masonic Care Community of New York 7/1/2012 242.99 81.05 79.97 51.05 25.61 45.3 2.65 37.33 0 0 0 0 320 0 242.99 0.14 290630210 Mayfair Care Center 7/1/2012 193.23 110.32 108.79 51.89 3.46 9.98 2.62 14.96 0 0 0 0 200 14.11 207.34 0.17 500200130 Mcauley Manor at Mercycare 7/1/2012 193.01 78.09 77.05 48.34 18.59 26.11 3.38 18.5 0 0 0 0 122 10.66 203.67 0.12 140400010 Mcauley Residence 7/1/2012 201.39 104.25 102.8 48.13 7.79 35.59 2.66 2.97 0 0 0 0 160 16.13 217.52 0.16 700339810 Meadow Park Rehabilitation and Health Care Center 7/1/2012 199.29 128.33 126.56 53.44 5.57 13.52 2.15 -3.72 0 0 0 0 143 16.78 216.07 0.19 290430110 Meadowbrook Care Center Inc 7/1/2012 229.23 118.88 117.24 52.78 5.51 42.34 1.68 8.04 0 0 0 0 282 10.06 239.29 0.18 090130310 Meadowbrook Healthcare 7/1/2012 157.05 80.76 79.64 44.03 7.19 15.47 1.71 7.89 0 0 0 0 207 11.88 168.93 0.12 515131910 Medford Multicare Center for Living 7/1/2012 326.83 150.72 148.71 59.4 7.04 56.41 1.57 51.69 0 0 0 0 320 10.99 337.82 0.26 362200030 Medina Memorial Hospital Snf 7/1/2012 192.02 78.09 77.05 47.26 19.09 10.64 3.94 33 0 0 0 0 30 10.2 202.22 0.12 700137210 Menorah Home And Hospital For 7/1/2012 304.11 139.17 137.31 60.04 24.74 63.49 1.92 14.75 0 0 0 0 320 14.78 318.89 0.24 050130810 Mercy Health & Rehab Center Nh Inc 7/1/2012 145.56 78.4 77.31 45.97 7.25 12.42 3.5 -1.98 0 0 0 0 237 15.6 161.16 0.12 140100830 Mercy Hospital Skilled Nursing Facility 7/1/2012 275.99 101.15 99.8 54.06 18.51 52.79 4.41 45.07 0 0 0 0 84 9.84 285.83 0.15 162030030 Mercy Living Center 7/1/2012 201.46 79.51 78.45 49.86 18.98 27.17 2.86 23.08 0 0 0 0 60 14.09 215.55 0.12 220100110 Mercy of Northern New York 7/1/2012 141.37 75.95 74.9 44.1 12.6 5.34 3.38 0 0 0 0 0 248 9.55 150.92 0.11 700031110 Methodist Home For Nursing and Rehabilitation 7/1/2012 218.71 119.86 118.2 53.54 8.79 9.68 2.24 24.6 0 0 0 0 121 13.87 232.58 0.18 590731610 Michael Malotz Skilled Nursing Pavilion 7/1/2012 271.49 129.35 127.56 52.91 17.52 44.41 2.61 24.69 0 0 0 0 120 8.28 279.77 0.19 370130110 Michaud Residential Health Services Inc 7/1/2012 165.11 81.83 80.7 43.83 8.4 5.24 1.53 24.28 0 0 0 0 89 10.1 175.21 0.12 350130410 Middletown Park Rehabilitation and Health Ca 7/1/2012 175.65 108.68 107.17 49.44 8.24 23.28 3.17 -17.16 0 0 0 0 230 8.04 183.69 0.16 700334010 Midway Nursing Home 7/1/2012 187.21 116.38 114.77 51.97 3.76 12.3 2.7 0.1 0 0 0 0 200 17.11 204.32 0.17 515731610 Mills Pond Nursing and Rehabilitation Center 7/1/2012 213.67 143.32 141.34 53.11 6.59 9.61 2.12 -1.08 0 0 0 0 252 12.94 226.61 0.21 210130110 Mohawk Valley Health Care Center 7/1/2012 158.57 90.08 88.84 44.1 14.86 5.44 4.09 0 0 0 0 0 120 18.24 176.81 0.14 515432410 Momentum at South Bay for Rehabilitation and Nursin 7/1/2012 217.55 143.74 141.75 54 7 10.23 0.67 1.91 0 0 0 0 160 9.86 227.41 0.22 270100630 Monroe Community Hospital 7/1/2012 266.01 115.77 114.22 56.2 34.38 32.19 4.79 22.68 0 0 0 0 566 11.23 277.24 0.20 356130210 Montgomery Nursing and Rehabilitation Center 7/1/2012 188.83 123.79 122.07 49.74 6.93 8.06 0.87 -0.56 0 0 0 0 100 12.1 200.93 0.19 700034510 Morningside House Nursing Home Company Inc 7/1/2012 277.7 139.14 137.28 61.01 17.57 17.29 2.65 40.04 0 0 0 0 370 10.46 288.16 0.24 370231510 Morningstar Residential Care Center 7/1/2012 146.55 72.96 71.95 43.21 6.67 6.91 3.42 13.38 0 0 0 0 120 11.45 158 0.11 700032810 Morris Park Nursing Home 7/1/2012 214.88 136.03 134.15 53.87 6.29 14.3 1.04 3.35 0 0 0 0 191 0 214.88 0.20 700032910 Mosholu Parkway Nursing And Rehabilitation Center 7/1/2012 200.55 114.66 113.07 51.32 7.45 19.55 2.28 7.04 -1.75 0 0 0 122 14.72 215.27 0.17 122630030 Mountainside Residential Care Center 7/1/2012 189.95 87.39 86.22 51.9 9.46 13.59 2.23 25.38 0 0 0 0 82 5.81 195.76 0.13 082530110 NYS Veterans Home 7/1/2012 221.1 98.69 97.32 50.68 20.81 0 3.22 47.7 0 0 0 0 242 16.49 237.59 0.15 595130010 NYS Veterans Home at Montrose 7/1/2012 266.31 104.9 103.45 52.63 20.06 0 2.56 87.91 -1.75 0 0 0 252 0 266.31 0.16 290630510 Nassau Extended Care Facility 7/1/2012 253.41 124.3 122.58 51.71 8.49 42.8 2.04 24.07 0 0 0 0 280 12 265.41 0.19 170100030 Nathan Littauer Hospital Nursing Home 7/1/2012 199.14 88.46 87.28 53.09 8.39 13.04 11.41 24.75 0 0 0 0 84 11.28 210.42 0.13 515731510 Nesconset Center for Nursing and Rehabilitation 7/1/2012 239.94 118.01 116.37 54.18 13.68 13.35 2.13 38.59 0 0 0 0 240 10.8 250.74 0.18 700138610 New Carlton Rehab and Nursing Center LLC 7/1/2012 212.38 131.17 129.36 52.35 5.16 5.48 1.72 16.5 0 0 0 0 148 11.74 224.12 0.20 700235810 New East Side Nursing Home 7/1/2012 225.7 105.31 103.85 52.47 7.87 18.61 2.37 39.07 0 0 0 0 58 0 225.7 0.16 700339110 New Glen Oaks Nursing Home 7/1/2012 262.54 139.21 137.28 51.99 5.96 18.03 0.38 46.97 0 0 0 0 60 15.36 277.9 0.21 700234310 New Gouverneur Hospital Snf 7/1/2012 288.02 139.61 137.68 57.8 29.64 17.48 0.71 42.78 0 0 0 0 210 10.46 298.48 0.21 700337310 New Surfside Nursing Home 7/1/2012 190.31 103.21 101.78 52.81 5.34 13.96 2.99 12 0 0 0 0 183 21.65 211.96 0.15 700431610 New Vanderbilt Rehabilitation and Care Center Inc 7/1/2012 248.32 143.31 141.4 59.48 7.95 12.43 3.19 21.96 0 0 0 0 320 10.8 259.12 0.24 700340510 New York Center for Rehabilitation 7/1/2012 312.01 131.33 129.51 52.63 8.59 64.33 1.47 53.66 0 0 0 0 280 13.85 325.86 0.20 700130910 New York Congregational Nursing Center Inc 7/1/2012 242.94 124.13 122.41 53.93 8.96 30.41 2.46 23.05 0 0 0 0 200 15.02 257.96 0.19 700338310 New York State Veterans Home In New York City 7/1/2012 222.2 109.77 108.25 53.73 14.42 0 1.61 44.42 -1.75 0 0 0 250 28.3 250.5 0.16 582030210 Newark Manor Nursing Home 7/1/2012 174.36 89.8 88.56 46.18 8.99 13.24 2.67 13.48 0 0 0 0 60 13.18 187.54 0.13 315430210 Newfane Rehabilitation And Health Care Center Corp 7/1/2012 140.66 75.91 74.86 46.6 5.84 6.77 5.54 0 0 0 0 0 175 15.48 156.14 0.11 140131610 Niagara Lutheran Home And Rehabilitation Center Inc 7/1/2012 136.79 76.27 75.22 44.68 5.92 3.86 2.56 3.5 0 0 0 0 173 17.33 154.12 0.11 310231110 Niagara Rehabilitation and Nursing Center 7/1/2012 156.06 90.46 89.21 46.07 7.42 11.78 3.99 -3.66 0 0 0 0 160 15.41 171.47 0.14 316030110 North Gate Health Care Facility 7/1/2012 186.21 121.37 119.69 45.46 8.75 9.31 1.32 0 0 0 0 0 200 0 186.21 0.18 295130510 North Shore University Hospital Stern Family Ctr for E 7/1/2012 245.61 114.02 112.44 56.62 22.6 22.67 2.3 27.4 0 0 0 0 256 10.3 255.91 0.17 596830210 North Westchester Restorative Therapy and Nursing 7/1/2012 226.02 102.83 101.41 51.74 15.56 18.42 1.05 36.42 0 0 0 0 120 8.23 234.25 0.15 550131010 Northeast Center for Special Care 7/1/2012 277.25 127.59 125.82 49.37 26.64 28.77 6.55 38.33 0 0 0 0 280 8.54 285.79 0.19 132730210 Northern Dutchess Residential Health Care Facility Inc 7/1/2012 188.5 82.07 80.93 45.66 15.67 23.06 3.08 18.96 0 0 0 0 100 0 188.5 0.12 700235510 Northern Manhattan Rehabilitation and Nursing Center 7/1/2012 276.41 143.1 141.19 59.31 6.13 37.63 5.17 25.07 0 0 0 0 320 9.48 285.89 0.24 435030410 Northern Manor Geriatric Center Inc 7/1/2012 253.73 142.18 140.21 52 5.95 23.04 1 29.56 0 0 0 0 231 19.87 273.6 0.21 435330110 Northern Metropolitan Residential Health Care Facility Inc 7/1/2012 223.19 135.79 133.91 50.95 9.92 22.43 2.12 1.98 0 0 0 0 120 11.95 235.14 0.20 432130210 Northern Riverview Health Care Center Inc 7/1/2012 239.61 130.89 129.08 49.83 11.32 26.39 2.64 18.54 0 0 0 0 180 17.93 257.54 0.20 700131610 Norwegian Christian Home And Health Center 7/1/2012 258.1 106.73 105.25 52.64 17.64 47.92 1.65 31.52 0 0 0 0 137 12.17 270.27 0.16 082430410 Norwich Rehabilitation & Nursing Center 7/1/2012 169.41 102.11 100.7 47.35 11.12 9.36 2.7 -3.23 0 0 0 0 82 16.61 186.02 0.15 335330110 Nottingham Residential Health Care Facility 7/1/2012 198.86 80.24 79.13 48.33 13.18 38.49 0 18.62 0 0 0 0 40 22.44 221.3 0.12 435030210 Nyack Manor Nursing Home 7/1/2012 177.04 90.37 89.12 50.8 5.67 13.23 3.56 13.41 0 0 0 0 160 18.26 195.3 0.14 540131010 Oak Hill Manor Nursing Home 7/1/2012 151.28 65.72 64.81 42.6 6.61 8.52 2.9 24.93 0 0 0 0 60 12.82 164.1 0.10
Organization Name Date 71900/1500 N71900/1030 N71902/1030 N71900/1130 N71900/1010 N71900/1410 N71900/1320 N71900/1330 N71900/1340 N71900/1342 N71900/1343 N71900/1344 N71000/32 N
Total Payme
Non Medicare Cash nt for Non Medicare Eligible TBI, BMI, Misc Per Bed Hold Case Mix Receipts NH Transportati
Medicare Direct Direct Indirect Non-Comp Dementia Transition Quality Diem Per Diem Percent Bed (CRA) Per Rate + on In Direct Eligible Component Component Component Component Capital Add On Adjustment Adustment Adjustment Adjustment Adjustment Count Diem CRA Price
515131510 Oak Hollow Nursing Center 7/1/2012 204.23 115.15 113.56 52.71 7.33 11.84 4.48 12.72 0 0 0 0 164 8.66 212.89 0.17 700340110 Ocean Promenade Nursing Center Inc 7/1/2012 300.1 158.03 155.84 53.32 7.33 23.32 3.03 55.07 0 0 0 0 120 11.06 311.16 0.24 295031410 Oceanside Care Center Inc 7/1/2012 230.92 131.82 129.99 52.79 6.05 11.91 2.11 26.24 0 0 0 0 100 8.76 239.68 0.20 700335410 Oceanview Nursing & Rehabilitation Center LLC 7/1/2012 226.6 133.32 131.47 52.62 6.09 17.99 2.82 13.76 0 0 0 0 102 16.03 242.63 0.20 310130510 Odd Fellow & Rebekah Rehabilitation & Health Care Center Inc 7/1/2012 190.49 99.51 98.13 46.35 10.85 29.15 2.46 2.17 0 0 0 0 126 10.7 201.19 0.15 260100110 Oneida Healthcare 7/1/2012 187.98 83.2 82.04 48.22 17.57 27.1 2.15 9.74 0 0 0 0 160 10.1 198.08 0.12 342930210 Ontario County Health Facility 7/1/2012 173.75 84.01 82.84 50.05 9.06 8.99 3.74 17.9 0 0 0 0 98 11.9 185.65 0.13 362230310 Orchard Manor Rehabilitation and Nursing Center 7/1/2012 163.14 108.76 107.25 45.5 8.78 7.44 1.83 -9.17 0 0 0 0 160 12.14 175.28 0.16 291000010 Orzac Center for Extended Care & Rehabilitation 7/1/2012 221.18 121.66 119.98 56.3 15.92 15.69 0.49 11.12 0 0 0 0 120 13.73 234.91 0.18 385930010 Otsego Manor 7/1/2012 195.08 87.23 86.02 49.85 17.02 23.56 5.33 12.09 0 0 0 0 174 11.54 206.62 0.13 015330010 Our Lady Of Hope Residence-little Sisters Of The Poor 7/1/2012 152.98 76.42 75.37 42.33 12.78 16.3 6.09 -0.94 0 0 0 0 36 11.88 164.86 0.11 015530110 Our Lady Of Mercy Life Center 7/1/2012 202.79 101.01 99.61 48.78 8.88 19.13 2.47 22.52 0 0 0 0 160 19.92 222.71 0.15 515431910 Our Lady of Consolation Nursing and Rehabilitation Care Center 7/1/2012 266.69 132.94 131.16 62.31 11.63 13.5 2.03 44.28 0 0 0 0 450 9.55 276.24 0.23 312130310 Our Lady of Peace Nursing Care Residence 7/1/2012 183.35 80.84 79.72 46.66 10.26 26.83 2.07 16.69 0 0 0 0 250 0 183.35 0.12 700137310 Oxford Nursing Home 7/1/2012 199.76 120.7 119.03 51.78 5.47 2.91 2.21 16.69 0 0 0 0 235 21.58 221.34 0.18 700330610 Ozanam Hall Of Queens Nursing Home Inc 7/1/2012 260.42 128.9 127.18 63.23 16.24 34.6 1.41 16.04 0 0 0 0 321 8.57 268.99 0.22 285130110 Palatine Nursing Home 7/1/2012 146.92 74.27 73.24 45.28 11.21 9.67 6.88 -0.39 0 0 0 0 70 9.05 155.97 0.11 700034710 Palisade Nursing Home Company Inc 7/1/2012 263.05 132.65 130.81 54.69 23.66 18.06 0.73 33.26 0 0 0 0 288 11.81 274.86 0.20 700139110 Palm Gardens Care Center LLC 7/1/2012 279.46 144.98 142.98 52.27 12.24 15.92 1.39 52.66 0 0 0 0 238 16.1 295.56 0.22 290230610 Park Avenue Extended Care Facility 7/1/2012 253.77 129.22 127.43 52.2 8.43 35.36 1.89 26.67 0 0 0 0 240 7.44 261.21 0.19 700336410 Park Nursing Home 7/1/2012 178.61 111.16 109.62 55.56 6.68 8.12 3.78 -6.69 0 0 0 0 196 9.67 188.28 0.17 275430230 Park Ridge Nursing Home 7/1/2012 214.73 98.68 97.36 56.52 21.68 34.33 3.52 0 0 0 0 0 120 14.9 229.63 0.15 700337410 Park Terrace Care Center 7/1/2012 263.69 131 129.19 53.5 9.07 14.19 27.62 28.31 0 0 0 0 200 8.3 271.99 0.20 700330710 Parker Jewish Institute for Health Care and Rehabilitation 7/1/2012 330.27 143.4 141.49 61.86 33.2 17.72 1.8 72.29 0 0 0 0 527 16.49 346.76 0.24 295230110 Parkview Care and Rehabilitation Center Inc 7/1/2012 195.06 111.44 109.9 51.8 5.41 10.2 2.53 13.68 0 0 0 0 169 20.4 215.46 0.17 465230210 Pathways Nursing and Rehabilitation Center 7/1/2012 264.25 134.48 132.62 49.32 28.92 24.28 20.77 6.48 0 0 0 0 112 13.44 277.69 0.20 515500030 Peconic Bay Skilled Nursing Facility 7/1/2012 307.47 108.46 107.01 61.84 29.17 55.72 1.32 50.96 0 0 0 0 60 13.51 320.98 0.16 512730110 Peconic Landing at Southold 7/1/2012 297.46 85.54 84.35 54.08 12.16 44.39 0.89 100.4 0 0 0 0 44 10.87 308.33 0.13 700033810 Pelham Parkway Nursing and Rehabilitation Facility 7/1/2012 202.63 120.46 118.79 52.4 5.44 15.84 3.32 5.17 0 0 0 0 200 15.31 217.94 0.18 276130310 Penfield Place LLC 7/1/2012 177.17 104.1 102.66 47.39 7.02 10.12 1.05 7.49 0 0 0 0 48 17.81 194.98 0.16 700330810 Peninsula Center For Extended Care and Rehabilitation 7/1/2012 229.91 124.6 122.94 60.24 17.94 8.18 2.6 16.35 0 0 0 0 200 20.14 250.05 0.19 612030010 Penn Yan Manor Nursing Home Inc 7/1/2012 145.53 62.97 62.1 43.82 4.42 9.09 3.84 21.39 0 0 0 0 46 10.56 156.09 0.09 515432510 Petite Fleur Nursing Home 7/1/2012 227.71 138.92 136.99 55.26 7.57 34.43 1.86 -10.33 0 0 0 0 180 0 227.71 0.21 102130010 Pine Haven Home 7/1/2012 174.33 90.41 89.16 52.17 9.79 4.59 1.55 15.82 0 0 0 0 120 9 183.33 0.14 435330310 Pine Valley Center for Rehabilitation and Nursing 7/1/2012 229.3 128.86 127.07 54.13 6.46 13.52 3.29 23.04 0 0 0 0 200 11.47 240.77 0.19 575030010 Pleasant Valley 7/1/2012 157.89 79.24 78.14 46.81 8.27 12.88 4.53 6.16 0 0 0 0 122 11.5 169.39 0.12 370231310 Pontiac Nursing Home 7/1/2012 137.38 72.53 71.53 41.66 5.71 5.7 2.49 9.29 0 0 0 0 80 10.46 147.84 0.11 590630310 Port Chester Nursing and Rehabilitation Centre 7/1/2012 215.66 117.59 115.97 48.94 6.36 12.25 1.96 28.56 0 0 0 0 160 0 215.66 0.18 322730310 Presbyterian Home For Central New York Inc 7/1/2012 153.62 78.99 77.89 43.65 8.7 13.87 2.44 5.97 0 0 0 0 242 8.04 161.66 0.12 700338610 Promenade Rehabilitation and Health Care Center 7/1/2012 198.37 126.06 124.31 51.62 1.21 13.07 3.88 2.53 0 0 0 0 240 0 198.37 0.19 700030610 Providence Rest 7/1/2012 342.64 146.16 144.14 53.04 9.53 63.92 0.82 69.17 0 0 0 0 200 9.53 352.17 0.22 395130110 Putnam Nursing and Rehabilitation Center 7/1/2012 167.25 105.21 103.75 45.34 4.88 5.03 2.25 4.54 0 0 0 0 160 10.7 177.95 0.16 395030210 Putnam Ridge 7/1/2012 244.08 116.27 114.66 49.2 11.55 44.18 1.96 20.92 0 0 0 0 160 9.41 253.49 0.17 135630310 Quaker Hill Manor 7/1/2012 177.25 85.16 83.99 46.53 9.46 10.31 3.41 22.38 0 0 0 0 120 9.77 187.02 0.13 700330310 Queen Of Peace Residence 7/1/2012 209.63 84.24 83.07 49.87 15.29 3.28 2.54 54.41 0 0 0 0 53 11.9 221.53 0.13 700339010 Queens Boulevard Extended Care Facility Inc 7/1/2012 277.06 134.62 132.76 50.76 10.36 34.88 0.55 45.89 0 0 0 0 280 9.96 287.02 0.20 700340410 Queens Center for Rehabilitation&Residential Hlth Car 7/1/2012 270.02 156.13 153.97 54.68 8.56 19.49 1.89 29.27 0 0 0 0 179 12.7 282.72 0.23 700336110 Queens Nassau Rehabilitation and Nursing Center 7/1/2012 268.87 122.98 121.28 53.25 5.2 8.9 32.26 46.28 0 0 0 0 200 14.38 283.25 0.18 432930110 Ramapo Manor Center for Rehabilitation & Nursing 7/1/2012 251.81 139.62 137.68 54.88 8.24 15.77 3.22 30.08 0 0 0 0 203 10.1 261.91 0.21 700031410 Rebekah Rehab and Extended Care Center 7/1/2012 296.84 134.29 132.43 54.46 16.69 63.53 1.53 26.34 0 0 0 0 213 14.02 310.86 0.20 700339710 Regal Heights Rehabilitation and Health Care Center 7/1/2012 269.96 134.5 132.64 52.31 9.62 42.4 0.61 30.52 0 0 0 0 280 9.14 279.1 0.20 700035610 Regeis Care Center 7/1/2012 319.88 185.58 183.01 54.02 9.86 38.79 2.17 29.46 0 0 0 0 238 11.95 331.83 0.28 590731510 Regency Extended Care Center 7/1/2012 219.85 145.54 143.6 59.39 7.82 9.63 3.12 -5.65 0 0 0 0 315 16.39 236.24 0.25 700339210 Rego Park Nursing Home 7/1/2012 210.26 125.9 124.16 52.26 7.06 13.49 2.44 9.11 0 0 0 0 200 13.82 224.08 0.19 135630210 Renaissance Rehabilitation and Nursing Care Center 7/1/2012 158.16 96.81 95.47 46.91 6.87 9.32 2.41 -4.16 0 0 0 0 120 14.86 173.02 0.15 700333010 Resort Nursing Home 7/1/2012 227.39 130.4 128.6 52.19 6.63 10.61 2.31 25.25 0 0 0 0 280 12.89 240.28 0.20 700432410 Richmond Center for Rehabilitation and Specialty Healthcare 7/1/2012 281.82 166.58 164.35 60.46 22.43 7.47 3.35 23.28 -1.75 0 0 0 300 12.14 293.96 0.28 140133610 Ridge View Manor LLC 7/1/2012 140.59 82.22 81.08 46.52 8.48 0 4.22 -0.85 0 0 0 0 120 15.24 155.83 0.12 700137810 River Manor Care Center 7/1/2012 248.01 145.41 143.47 60.06 6.84 17.97 2.22 15.51 0 0 0 0 380 16.27 264.28 0.25 280130410 River Ridge Living Center LLC 7/1/2012 179.2 95.18 93.86 46.71 8.92 7.09 2.03 19.27 0 0 0 0 120 15.55 194.75 0.14 130230710 River Valley Care Center Inc 7/1/2012 207.48 101.59 100.18 48.74 3.06 39.99 3.8 10.3 0 0 0 0 160 16.61 224.09 0.15 700035710 Riverdale Nursing Home 7/1/2012 180.3 109.94 108.42 53.52 8.94 15.13 3.59 -10.82 0 0 0 0 146 8.78 189.08 0.16
Organization Name Date 71900/1500 N 71900/1030 N 71902/1030 N 71900/1130 N 71900/1010 N 71900/1410 N 71900/1320 N 71900/1330 N 71900/1340 N 71900/1342 N 71900/1343 N 71900/1344 N 71000/32 N
Total Payme
Non Medicare Cash nt for Non Medicare Eligible TBI, BMI, Misc Per Bed Hold Case Mix Receipts NH Transportati
Medicare Direct Direct Indirect Non-Comp Dementia Transition Quality Diem Per Diem Percent Bed (CRA) Per Rate + on In Direct Eligible Component Component Component Component Capital Add On Adjustment Adustment Adjustment Adjustment Adjustment Count Diem CRA Price
515530110 Riverhead Care Center LLC 7/1/2012 227.87 140.84 138.89 52.63 5.52 12.66 3.76 12.46 0 0 0 0 181 12.34 240.21 0.21 440130210 Riverledge Health Care and Rehabilitation Center 7/1/2012 188.57 73.88 72.86 42.29 11.06 39.87 5.19 16.28 0 0 0 0 180 0 188.57 0.11 412430010 Riverside Center for Rehabilitation and Nursing 7/1/2012 189.49 96.02 94.69 48.82 11.76 29.87 4.77 0 -1.75 0 0 0 80 0 189.49 0.14 122500010 Robinson Terrace 7/1/2012 159.05 75.09 74.05 43.15 8.34 24.82 3.45 4.2 0 0 0 0 122 11.69 170.74 0.11 700336210 Rockaway Care Center 7/1/2012 213.09 117.26 115.63 53.73 2.36 15.07 4.36 20.31 0 0 0 0 228 9.1 222.19 0.18 290930410 Rockville Skilled Nursing & Rehabilitation Center LLC 7/1/2012 247.26 141.44 139.48 54.98 6.91 24.76 0.55 18.62 0 0 0 0 66 11.5 258.76 0.21 320131010 Rome Center for Rehabilitation and Health Care 7/1/2012 168.56 114.6 113.02 45.41 8.3 12.28 3.38 -15.41 0 0 0 0 160 11.83 180.39 0.17 320100230 Rome Memorial Hospital Inc - RHCF 7/1/2012 218.78 94.31 93.05 49.76 15.78 24.17 3.85 30.91 0 0 0 0 82 11.93 230.71 0.14 145130410 Rosa Coplon Jewish Home 7/1/2012 194.89 99.73 98.35 45.71 10.69 19.21 2.82 16.73 0 0 0 0 180 7.66 202.55 0.15 526230010 Roscoe Community Nursing Home Co Inc 7/1/2012 196.81 92.59 91.31 45.59 12.31 22.59 5.5 18.23 0 0 0 0 85 9.53 206.34 0.14 330132310 Rosewood Heights Health Center 7/1/2012 159.09 73.95 72.92 47.67 9.28 5.26 3.44 19.49 0 0 0 0 242 7.68 166.77 0.11 415230410 Rosewood Rehabilitation and Nursing Center 7/1/2012 188.78 105.36 103.9 47.67 12.33 16.05 7.37 0 0 0 0 0 80 37.3 226.08 0.16 515432010 Ross Health Care Center 7/1/2012 242.05 133.61 131.76 54.02 6.29 12.38 2.68 33.07 0 0 0 0 135 11.33 253.38 0.20 700103310 Rutland Nursing Home Co Inc 7/1/2012 361.23 146.62 144.67 61.7 25.19 27.19 2.04 71.01 0 27.48 0 0 538 11.45 372.68 0.25 700137110 Saints Joachim & Anne Nursing and Rehabilitation Ce 7/1/2012 275.2 129.43 127.64 52.54 10.64 42.09 1.83 38.67 0 0 0 0 200 13.87 289.07 0.19 596030410 Salem Hills Rehabilitation and Nursing Center 7/1/2012 223.48 114.73 113.15 52.04 10.02 17.09 1.27 28.33 0 0 0 0 126 8.38 231.86 0.17 220100010 Samaritan Keep Nursing Home Inc 7/1/2012 157.02 75.04 74.01 45.03 10.38 10.86 3.98 11.73 0 0 0 0 272 1.06 158.08 0.11 512730210 San Simeon by the Sound Center for Nrsg and Reha 7/1/2012 211.32 100.52 99.13 52.04 10.99 15.77 1.19 30.81 0 0 0 0 120 14.3 225.62 0.15 295130410 Sands Point Center For Health And Rehabilitation 7/1/2012 252.85 132.14 130.31 53.81 5.91 35.34 1.99 23.66 0 0 0 0 180 11.98 264.83 0.20 590731710 Sans Souci Rehabilitation and Nursing Center 7/1/2012 223.25 133.83 131.98 52.63 8.7 12.94 1.23 13.92 0 0 0 0 120 10.01 233.26 0.20 450100030 Saratoga Care Nursing Home 7/1/2012 222.5 98.8 97.48 55.88 19.52 30.25 3.2 14.85 0 0 0 0 36 0 222.5 0.15 452030110 Saratoga County Maplewood Manor 7/1/2012 174.28 103.37 101.94 53.14 4.55 6.1 3.84 3.28 0 0 0 0 277 14.33 188.61 0.16 700031510 Schervier Nursing Care Center 7/1/2012 272.61 141.71 139.82 60.72 15.47 38.91 1.3 14.5 0 0 0 0 366 20.45 293.06 0.24 352930110 Schervier Pavilion 7/1/2012 197.64 100.73 99.34 49.38 16.3 21.67 9.56 0 0 0 0 0 120 13.3 210.94 0.15 590231410 Schnurmacher Center for Rehabilitation and Nursing 7/1/2012 240.21 121.37 119.69 54.32 8.88 18.3 2.03 35.31 0 0 0 0 225 10.85 251.06 0.18 310230710 Schoellkopf Health Center 7/1/2012 197.99 103.92 102.54 54.18 6.24 13.17 3.72 16.76 0 0 0 0 120 10.58 208.57 0.16 140430010 Schofield Residence 7/1/2012 151.09 77.44 76.36 44.03 8.55 6.49 2.64 11.94 0 0 0 0 120 11.86 162.95 0.12 700131810 Schulman and Schachne Institute for Nursing and Rehabilitat 7/1/2012 270.95 124.16 122.5 60.99 44.23 36.81 2.98 1.78 0 0 0 0 448 16.44 287.39 0.21 482300030 Schuyler Hospital Inc And Long Term Care Unit 7/1/2012 168.14 72.79 71.81 44.47 6.43 5.2 3.17 36.08 0 0 0 0 120 10.01 178.15 0.11 700430410 Sea View Hospital Rehabilitation Center And Home 7/1/2012 279.24 136.49 134.67 64.73 14.48 19.13 3.57 40.84 0 0 0 0 304 12.72 291.96 0.23 700139010 Sea-Crest Health Care Center 7/1/2012 247.92 136.1 134.28 60.11 9.42 15.9 1.83 24.56 0 0 0 0 320 8.4 256.32 0.23 147430110 Seneca Health Care Center 7/1/2012 181.83 114.62 113.03 44.86 8.75 10.07 1.1 2.43 0 0 0 0 160 15.82 197.65 0.17 370231210 Seneca Hill Manor Inc 7/1/2012 185.8 85.28 84.09 45.03 12.92 29.52 3.61 9.44 0 0 0 0 120 14.33 200.13 0.13 492130310 Seneca Nursing and Rehabilitation Center 7/1/2012 169.04 92.44 91.16 44.21 9.64 9.12 2.03 11.6 0 0 0 0 120 13.01 182.05 0.14 700130310 Sephardic Skilled Nursing and Rehabilitation Center 7/1/2012 274.58 138.05 136.14 55.43 24.99 16.2 1.02 38.89 0 0 0 0 271 10.78 285.36 0.21 455230010 Seton Health at Schuyler Ridge Residential Healthcare 7/1/2012 168.64 85.84 84.65 48.35 8.88 10.72 2.07 12.78 0 0 0 0 120 0 168.64 0.13 700136210 Sheepshead Nursing and Rehabilitation Center 7/1/2012 229.4 150.24 148.16 52.67 8.1 14.71 0.9 2.78 0 0 0 0 200 25.18 254.58 0.23 140330310 Sheridan Manor LLC 7/1/2012 139.2 76.42 75.36 46.52 7.72 0 3.09 5.45 0 0 0 0 100 10.58 149.78 0.11 700134210 Shore View Nursing Home 7/1/2012 252.16 130.43 128.69 58.6 6.96 12.64 1.85 41.68 0 0 0 0 320 20.47 272.63 0.22 700137610 Shorefront Jewish Geriatric Center 7/1/2012 295.54 158.02 155.91 61.05 38.13 27.48 2.42 8.44 0 0 0 0 360 13.42 308.96 0.27 700432310 Silver Lake Specialized Rehabilitation and Care Cente 7/1/2012 212.2 118.5 116.86 53.73 6.24 11.93 2.41 19.39 0 0 0 0 278 0 212.2 0.18 700337210 Silvercrest 7/1/2012 322.42 170.71 168.43 60.19 17.82 27.89 1.71 44.1 0 0 0 0 320 11.66 334.08 0.29 592130210 Sky View Rehabilitation and Health Care Center LLC 7/1/2012 235.8 118.65 117.01 52.45 9.82 20.64 2.77 31.47 0 0 0 0 192 8.78 244.58 0.18 515731410 Smithtown Center for Rehabilitation & Nursing Care 7/1/2012 274.95 139.24 137.31 54.61 13.84 34.58 2.41 30.27 0 0 0 0 162 15.79 290.74 0.21 612000030 Soldiers And Sailors Memorial Hospital Extended Care Unit 7/1/2012 157.99 69.15 68.22 46.94 7.47 21.06 7.04 6.33 0 0 0 0 151 13.34 171.33 0.10 596630010 Somers Manor Nursing Home Inc 7/1/2012 248.22 121.66 120.04 58.97 14.02 34.54 2.29 16.74 0 0 0 0 300 19.82 268.04 0.21 290430010 South Shore Healthcare 7/1/2012 227.54 113.87 112.29 53.07 17.38 14.08 2.06 27.08 0 0 0 0 100 0 227.54 0.17 700038410 Split Rock Rehabilitation and Health Care Center 7/1/2012 278.75 139.41 137.48 51.98 7.64 21.49 3.7 54.53 0 0 0 0 240 14.64 293.39 0.21 591030110 Sprain Brook Manor Rehab LLC 7/1/2012 236.59 150.87 148.78 52.2 7.73 24.74 1.05 0 0 0 0 0 121 20.35 256.94 0.23 700138410 Spring Creek Rehabilitation & Nursing Care Center 7/1/2012 295.81 128.4 126.62 53.05 9.21 70.19 1.8 33.16 0 0 0 0 188 14.59 310.4 0.19 275730010 St Anns Community (Aged) 7/1/2012 237.4 108.52 107.07 53.7 14.62 18.14 1.88 40.54 0 0 0 0 388 19.94 257.34 0.18 275730110 St Anns Community (NH) 7/1/2012 162.28 85.28 84.1 49.11 13.22 12.13 2.54 0 0 0 0 0 203 12.22 174.5 0.13 700037110 St Barnabas Rehabilitation & Continuing Care Center 7/1/2012 266.79 125.55 123.82 53.05 21.18 55.8 2.8 8.41 0 0 0 0 199 16.01 282.8 0.19 592530010 St Cabrini Nursing Home 7/1/2012 308.53 136.88 135.05 61.42 11.09 64.96 2.13 32.05 0 0 0 0 306 10.3 318.83 0.23 330132110 St Camillus Residential Health Care Facility 7/1/2012 183.1 86.63 85.43 46.85 16.69 12.98 2.93 17.02 0 0 0 0 284 15.34 198.44 0.13 140132430 St Catherine Laboure Health Care Center 7/1/2012 221.53 100.5 99.16 52.66 23.41 21.07 4.37 19.52 0 0 0 0 80 21.22 242.75 0.15 515731210 St Catherine of Siena Nursing Home 7/1/2012 227.61 131.69 129.87 57.63 29.04 17.14 1.27 -9.16 0 0 0 0 240 13.3 240.91 0.20 142130010 St Francis Home Of Williamsville 7/1/2012 168.38 100.2 98.82 47.47 8.58 6.92 4.62 0.59 0 0 0 0 142 0 168.38 0.15 515731710 St James Rehabilitation & Healthcare Center 7/1/2012 250.26 144.32 142.32 52.57 7.11 15.42 2.28 28.56 0 0 0 0 230 11.21 261.47 0.22 515731110 St Johnland Nursing Center Inc 7/1/2012 263.16 131.4 129.58 55.41 17.7 23.1 5.87 29.68 0 0 0 0 250 14.78 277.94 0.20 270135310 St Johns Health Care Corporation 7/1/2012 219.6 88.73 87.54 53.15 15.92 37.57 2.66 21.57 0 0 0 0 475 7.06 226.66 0.15 282830010 St Johnsville Rehabilitation and Nursing Center 7/1/2012 158.64 90.9 89.64 45.17 5.4 13.28 1.99 1.9 0 0 0 0 120 22.08 180.72 0.14
Organization Name Date 71900/1500 N71900/1030 N71902/1030 N71900/1130 N71900/1010 N71900/1410 N71900/1320 N71900/1330 N71900/1340 N71900/1342 N71900/1343 N71900/1344 N71000/32 N
Total Payme
Non Medicare Cash nt for Non Medicare Eligible TBI, BMI, Misc Per Bed Hold Case Mix Receipts NH Transportati
Medicare Direct Direct Indirect Non-Comp Dementia Transition Quality Diem Per Diem Percent Bed (CRA) Per Rate + on In Direct Eligible Component Component Component Component Capital Add On Adjustment Adustment Adjustment Adjustment Adjustment Count Diem CRA Price
320231010 St Joseph Nursing Home Co Of Utica 7/1/2012 151.99 71.07 70.09 42.43 8.55 7.79 2.17 19.98 0 0 0 0 120 16.13 168.12 0.11 440130010 St Josephs Home 7/1/2012 171.99 74.3 73.28 42.1 9.55 39.38 5.62 1.04 0 0 0 0 84 13.46 185.45 0.11 590731410 St Josephs Hosp Nursing Home Of Yonkers N Y Inc 7/1/2012 239.46 134.29 132.49 59.24 12.99 12.08 1.71 19.15 0 0 0 0 200 6.86 246.32 0.20 070100130 St Josephs Hospital - Skilled Nursing Facility 7/1/2012 196.46 90.87 89.66 49.18 16.79 8.36 3.43 27.83 0 0 0 0 71 14.21 210.67 0.14 353500130 St Josephs Place 7/1/2012 230.2 114.4 112.88 57.48 18.26 24.04 4.65 11.37 0 0 0 0 46 8.28 238.48 0.17 370230910 St Luke Residential Health Care Facility Inc 7/1/2012 157.52 79.37 78.27 43.71 13.03 17.29 2.15 1.97 0 0 0 0 200 0 157.52 0.12 322730510 St Lukes Home 7/1/2012 167.45 96.72 95.38 44.82 13.82 15.02 2.38 -5.31 0 0 0 0 242 16.61 184.06 0.15 700030710 St Patricks Home 7/1/2012 220.78 108.87 107.36 54.93 10.92 18.12 2.65 25.29 0 0 0 0 264 13.61 234.39 0.16 010130510 St Peters Nursing and Rehabilitation Center 7/1/2012 212.65 112.65 111.09 48.72 10.36 13.82 3.13 23.97 0 0 0 0 160 9.94 222.59 0.17 440230310 St Regis Nursing Home Inc 7/1/2012 151.09 74.85 73.81 41.54 5.92 25.31 3.47 0 0 0 0 0 162 8.42 159.51 0.11 700036610 St Vincent Depaul Residence 7/1/2012 236.3 111.59 110.04 52.89 12.16 12.48 1.94 45.24 0 0 0 0 200 7.08 243.38 0.17 700431410 Staten Island Care Center 7/1/2012 231.94 133.6 131.81 60.13 7.77 14.68 3.34 12.42 0 0 0 0 300 18.79 250.73 0.23 502230010 Steuben County Infirmary 7/1/2012 234.03 97.44 96.09 47.99 13.81 37.43 2.26 35.1 0 0 0 0 105 10.9 244.93 0.15 512330510 Suffolk Center for Rehabilitation and Nursing 7/1/2012 241.35 145.12 143.11 54.02 9.45 18.26 3.22 11.28 0 0 0 0 120 8.86 250.21 0.22 522030110 Sullivan County Adult Care Center 7/1/2012 191.56 104.38 102.94 51.67 1.47 6.3 3.24 24.5 0 0 0 0 160 10.32 201.88 0.16 435300030 Summit Park Nursing Care Center 7/1/2012 266.83 121.34 119.72 64.08 28.78 15.36 1.86 35.41 0 0 0 0 341 0 266.83 0.21 295130710 Sunharbor Manor 7/1/2012 239.09 128.32 126.54 52.51 12.93 15.71 0.9 28.72 0 0 0 0 266 15.05 254.14 0.19 332130110 Sunnyside Care Center 7/1/2012 153.06 86.2 85 42.31 7.05 7.23 0.68 9.59 0 0 0 0 80 10.87 163.93 0.13 515431210 Sunrise Manor Center for Nursing and Rehabilitation 7/1/2012 247.06 136.32 134.43 53.69 9.48 17.15 2.01 28.41 0 0 0 0 84 7.66 254.72 0.20 322130110 Sunset Nursing and Rehabilitation Center Inc 7/1/2012 143.38 77.28 76.21 40.86 7.25 14.03 3.96 0 0 0 0 0 120 16.03 159.41 0.12 030330710 Susquehanna Nursing & Rehabilitation Center LLC 7/1/2012 183.87 107.36 105.87 46.5 8.79 20.42 1.13 -0.33 0 0 0 0 160 12.89 196.76 0.16 332730110 Syracuse Home Association 7/1/2012 209.22 87.56 86.34 45.88 16.03 36.04 2.55 21.16 0 0 0 0 120 10.34 219.56 0.13 066330230 TLC Health Network-Lake Shore Hospital Nursing Facil 7/1/2012 181.6 103.55 102.17 52.27 6.63 17.32 1.83 0 0 0 0 0 120 10.54 192.14 0.16 591130210 Tarrytown Hall Care Center 7/1/2012 253.18 133.93 132.08 50.92 12.28 14.16 2.11 39.78 0 0 0 0 120 10.27 263.45 0.20 556730110 Ten Broeck Commons 7/1/2012 195.59 114.92 113.33 48.94 7.98 20.97 1.21 1.57 0 0 0 0 258 15.22 210.81 0.17 700234510 Terence Cardinal Cooke Health Care Ctr 7/1/2012 278.62 140.78 138.9 60.18 31.62 9.64 3.08 21.15 0 12.17 0 0 679 12.86 291.48 0.24 010131310 Teresian House Nursing Home Co Inc 7/1/2012 179.78 79.48 78.42 53.83 10.86 27.94 3.26 4.41 0 0 0 0 300 8.9 188.68 0.14 700037810 Terrace Health Care Center 7/1/2012 203.56 103.82 102.39 52.78 9.3 16.53 3.25 10.56 0 7.32 0 0 240 13.51 217.07 0.16 140100530 Terrace View Long Term Care Facility 7/1/2012 245.54 105.95 104.54 57.27 27.11 25.07 2.8 27.34 0 0 0 0 136 8.18 253.72 0.16 295130810 The Amsterdam at Harborside 7/1/2012 228.96 115.2 113.61 53.73 7.43 31.02 0.2 21.38 0 0 0 0 56 9.53 238.49 0.17 460130610 The Avenue Nursing and Rehabilitation Centre 7/1/2012 169.84 88.74 87.51 46.21 12.54 9.53 3.68 9.14 0 0 0 0 240 11.83 181.67 0.13 132730110 The Baptist Home at Brookmeade 7/1/2012 172.14 83.61 82.45 47.2 13.13 8.77 2.05 17.38 0 0 0 0 120 9.96 182.1 0.13 275030710 The Brightonian Inc 7/1/2012 231.86 114.94 113.35 46.26 7.63 24.23 2.89 35.91 0 0 0 0 54 9.58 241.44 0.17 412030010 The Center for Nursing and Rehabilitation at Hoosick Falls 7/1/2012 170.43 80.49 79.38 44.78 8.18 18.61 3.24 15.13 0 0 0 0 82 11.38 181.81 0.12 223830310 The Country Manor Nursing and Rehabilitation Centre 7/1/2012 140.83 70.04 69.07 42.51 8.98 7.66 4.93 6.71 0 0 0 0 90 10.8 151.63 0.11 333430310 The Crossings Nursing and Rehabilitation Centre 7/1/2012 178.23 86.43 85.23 45.85 14.52 12.14 1.93 17.36 0 0 0 0 82 19.01 197.24 0.13 465430210 The Dutch Manor Nursing and Rehabilitation Centre 7/1/2012 186.49 88.74 87.51 46.21 15.36 9.53 11.71 14.94 0 0 0 0 86 10.66 197.15 0.13 275030110 The Friendly Home 7/1/2012 213.37 94.61 93.3 48.1 12.19 39.07 5.87 13.53 0 0 0 0 200 11.5 224.87 0.14 290930510 The Grand Pavilion for Rehab & Nursing at Rockville Centre 7/1/2012 249.81 132.52 130.68 53.06 7.42 12.67 1.86 42.28 0 0 0 0 158 15.74 265.55 0.20 512630310 The Hamptons Center for Rehabilitation and Nursing 7/1/2012 294.17 124.22 122.5 54.61 14.5 44.58 2 54.26 0 0 0 0 280 0 294.17 0.19 700139210 The Heritage Rehabilitation and Health Care Center 7/1/2012 258.98 151.95 149.85 52.23 8.9 13.07 2.3 30.53 0 0 0 0 79 6.26 265.24 0.23 276330010 The Highlands Living Center 7/1/2012 177.95 75.2 74.16 47.28 16.14 16.46 2.72 20.15 0 0 0 0 122 10.54 188.49 0.11 275030610 The Highlands at Brighton 7/1/2012 191 93.08 91.8 46.72 11.05 36.6 3.55 0 0 0 0 0 145 12.84 203.84 0.14 275030810 The Hurlbut 7/1/2012 180.28 96.75 95.41 46.17 7.06 12.44 3.73 14.13 0 0 0 0 160 10.13 190.41 0.15 290230210 The Komanoff Center for Geriatric and Rehabilitative Medicine 7/1/2012 267.75 129.24 127.51 58.94 20.04 18.27 2.42 38.84 0 0 0 0 200 7.82 275.57 0.19 552230210 The Mountain View Nursing and Rehabilitation Centre 7/1/2012 199.99 94.44 93.13 49.43 10.22 15.33 4.63 25.94 0 0 0 0 79 8.35 208.34 0.14 572530310 The Orchard Nursing and Rehabilitation Centre 7/1/2012 158.94 84.48 83.31 44.85 10.79 9.7 3.23 5.89 0 0 0 0 88 0 158.94 0.13 046930010 The Pines Healthcare & Rehabilitation Centers Machias Ca 7/1/2012 204.57 95.66 94.34 48.74 14.56 35.21 3.31 7.09 0 0 0 0 115 11.78 216.35 0.14 040130310 The Pines Healthcare & Rehabilitation Centers Olean Camp 7/1/2012 174.72 98.09 96.73 48.58 10.95 13.36 3.74 0 0 0 0 0 120 0 174.72 0.15 192130310 The Pines at Catskill Center for Nursing & Rehabilitati 7/1/2012 198.39 121.96 120.27 48.91 5.03 15.99 2.18 4.32 0 0 0 0 136 12.11 210.5 0.18 560130710 The Pines at Glens Falls Center for Nursing & Rehabili 7/1/2012 176.59 100.25 98.86 46.4 8.32 14.46 2.18 4.98 0 0 0 0 120 13.1 189.69 0.15 130230810 The Pines at Poughkeepsie Center for Nursing & Reh 7/1/2012 190.06 112.26 110.7 49.67 7.24 19.84 1.05 0 0 0 0 0 200 13.94 204 0.17 320231510 The Pines at Utica Center for Nursing & Rehabilitation 7/1/2012 200.28 104.56 103.11 45.66 8.75 20.74 2.04 18.53 0 0 0 0 117 14.59 214.87 0.16 270135910 The Shore Winds LLC 7/1/2012 172.36 95.02 93.7 45.78 8.17 5.41 3.18 14.8 0 0 0 0 229 8.57 180.93 0.14 410231210 The Springs Nursing and Rehabilitation Centre 7/1/2012 197.35 102.6 101.18 46.83 14.53 10.33 3.02 20.04 0 0 0 0 80 12.94 210.29 0.15 560130610 The Stanton Nursing and Rehabilitation Centre 7/1/2012 149.1 82.22 81.08 45.58 9.76 7.9 3.96 -0.32 0 0 0 0 120 11.9 161 0.12 352330110 The Valley View Center for Nursing Care and Rehab 7/1/2012 233.34 130.51 128.77 65.08 9.65 15.24 1.95 10.91 0 0 0 0 360 8.18 241.52 0.22 362030010 The Villages of Orleans Health & Rehabilitation Center 7/1/2012 182.81 84.12 82.95 47.39 7.75 26.63 2.07 14.85 0 0 0 0 120 8.69 191.5 0.13 590330910 The Wartburg Home 7/1/2012 253.77 121.83 120.14 54.61 11.41 27.96 1.92 36.04 0 0 0 0 240 8.83 262.6 0.18 700038610 Throgs Neck Extended Care Facility 7/1/2012 262.01 134.6 132.73 52.67 10.11 28.87 1.67 34.09 0 0 0 0 205 8.54 270.55 0.20 435030110 Tolstoy Foundation Nursing Home Co Inc 7/1/2012 179.04 79.7 78.6 48.26 9.3 6.75 2.37 32.66 0 0 0 0 96 9.17 188.21 0.12 295031810 Townhouse Center for Rehabilitation & Nursing 7/1/2012 257.46 128.7 126.91 52.28 8.4 38.93 1.39 27.76 0 0 0 0 280 10.27 267.73 0.19
Organization Name Date 71900/1500 N 71900/1030 N 71902/1030 N 71900/1130 N 71900/1010 N 71900/1410 N 71900/1320 N 71900/1330 N 71900/1340 N 71900/1342 N 71900/1343 N 71900/1344 N 71000/32 N
Total Payme
Non Medicare Cash nt for Non Medicare Eligible TBI, BMI, Misc Per Bed Hold Case Mix Receipts NH Transportati
Medicare Direct Direct Indirect Non-Comp Dementia Transition Quality Diem Per Diem Percent Bed (CRA) Per Rate + on In Direct Eligible Component Component Component Component Capital Add On Adjustment Adustment Adjustment Adjustment Adjustment Count Diem CRA Price
156030110 Uihlein Living Center 7/1/2012 157.94 79.06 77.96 45.47 9.84 6.3 3.33 13.94 0 0 0 0 157 7.92 165.86 0.12 700339310 Union Plaza Care Center 7/1/2012 250.84 132.45 130.62 53.12 8.62 55.41 0.62 0.62 0 0 0 0 280 8.93 259.77 0.20 590430910 United Hebrew Geriatric Center 7/1/2012 250.79 112.41 110.86 55.16 8.99 55.57 1.56 17.1 0 0 0 0 296 8.16 258.95 0.17 270135830 Unity Living Center 7/1/2012 213.31 89.31 88.12 53.15 13.63 33.52 5.12 18.58 0 0 0 0 120 8.64 221.95 0.13 700033710 University Nursing Home 7/1/2012 231.29 148.73 146.67 53.1 7.82 10.44 1.67 9.53 0 0 0 0 46 11.81 243.1 0.22 212430110 Valley Health Services Inc 7/1/2012 163.85 72.71 71.7 41.7 10.12 19.4 3.08 16.84 0 0 0 0 160 7.46 171.31 0.11 082430310 Valley View Manor Nursing Home 7/1/2012 178.03 91.39 90.12 41.99 7.3 8.49 1.58 27.28 0 0 0 0 82 17.47 195.5 0.14 330131210 Van Duyn Home And Hospital 7/1/2012 214.53 99.57 98.24 54.28 13.91 9.39 2.65 34.73 0 0 0 0 513 13.51 228.04 0.17 410230710 Van Rensselaer Manor 7/1/2012 207.38 99.97 98.64 55.54 14.91 22.58 3.58 10.8 0 0 0 0 362 11.52 218.9 0.17 700432010 Verrazano Nursing Home 7/1/2012 201.81 118.78 117.14 52.85 5.18 10.93 1.96 12.11 0 0 0 0 120 16.27 218.08 0.18 033630110 Vestal Park Rehabilitation and Nursing Center 7/1/2012 146.55 86.74 85.54 44.94 8.02 6.77 0.83 -0.75 0 0 0 0 180 8.9 155.45 0.13 590530510 Victoria Home 7/1/2012 257.08 117.56 115.93 50.47 9.97 19.04 1.06 58.98 0 0 0 0 49 16.08 273.16 0.18 700233510 Villagecare Rehabilitation and Nursing Center 7/1/2012 203.62 114.16 112.58 53.66 21.44 34.49 0.33 -20.46 0 0 0 0 105 11.71 215.33 0.17 330132610 Vivian Teal Howard Residential Health Care Facility 7/1/2012 189.39 102.69 101.27 46.33 7.1 16.55 5.75 10.97 0 0 0 0 160 12.79 202.18 0.15 140133710 Waterfront Center for Rehabilitation and Healthcare 7/1/2012 186.71 112.55 110.99 46.41 10.09 18.32 2.61 -3.27 0 0 0 0 160 11.23 197.94 0.17 514930310 Waters Edge at Port Jefferson for Rehabilitation and Nursing 7/1/2012 248.3 149.95 147.87 54.88 10.68 11.1 0.64 21.05 0 0 0 0 120 10.34 258.64 0.22 596030310 Waterview Hills Rehabilitation and Nursing Center 7/1/2012 208.01 119 117.36 52.65 9.78 23.5 1.93 1.15 0 0 0 0 130 9.19 217.2 0.18 700336710 Waterview Nursing Care Center 7/1/2012 204.02 115.33 113.73 53.63 11.38 10.55 2.51 10.62 0 0 0 0 180 10.85 214.87 0.17 700035010 Wayne Center For Nursing And Rehabilitation 7/1/2012 207.74 102.85 101.43 51.25 11.11 12.39 3.5 26.64 0 0 0 0 243 11.64 219.38 0.15 582330210 Wayne County Nursing Home 7/1/2012 232.45 101.79 100.38 49.04 9.53 34.77 4.27 33.05 0 0 0 0 192 11.47 243.92 0.15 582000030 Wayne Health Care 7/1/2012 228.36 96.27 94.99 51.69 20.99 22.45 3.99 32.97 0 0 0 0 180 9.89 238.25 0.14 272230110 Wedgewood Nursing Home 7/1/2012 157.64 90.9 89.64 44.79 6.41 10.95 2.04 2.55 0 0 0 0 29 10.87 168.51 0.14 170230010 Wells Nursing Home Inc 7/1/2012 151.92 82.71 81.57 45.83 8.47 11.95 2.58 0.38 0 0 0 0 100 20.09 172.01 0.12 022830510 Wellsville Manor Care Center 7/1/2012 168.95 103.92 102.48 43.76 7.72 11.26 2.29 0 0 0 0 0 120 12.46 181.41 0.16 270135210 Wesley Gardens Corporation 7/1/2012 179.55 84.25 83.08 45.81 13.86 17.77 4.29 13.57 0 0 0 0 200 0 179.55 0.13 450130110 Wesley Health Care Center Inc 7/1/2012 198.96 99.41 98.08 54.13 8.94 15.41 2.1 18.97 0 0 0 0 356 16.56 215.52 0.17 700340310 West Lawrence Care Center LLC 7/1/2012 209.62 121.52 119.83 54.04 7.63 10.81 2.87 12.75 0 0 0 0 215 11.62 221.24 0.18 590130610 West Ledge Rehabilitation and Nursing Center 7/1/2012 261.57 151.95 149.84 53.94 12.9 9.4 1.27 32.11 0 0 0 0 100 12.94 274.51 0.23 590331110 Westchester Center for Rehabilitation and Nursing 7/1/2012 208.58 127.79 126.02 52.51 6.26 19.05 1.99 0.98 0 0 0 0 240 13.9 222.48 0.19 180130510 Western New York State Veterans Home 7/1/2012 203.93 85.52 84.34 48.99 24.11 0 4.33 40.98 0 0 0 0 126 8.9 212.83 0.13 275330110 Westgate Nursing Home Inc 7/1/2012 166.65 81.24 80.12 44.09 7.46 5.83 2.99 25.04 0 0 0 0 124 9.72 176.37 0.12 515830110 Westhampton Care Center 7/1/2012 235.24 123.9 122.18 53.12 10.6 22.38 1.92 23.32 0 0 0 0 180 9.98 245.22 0.19 560130210 Westmount Health Facility 7/1/2012 158.74 76.89 75.82 44.66 7.5 8.07 1.72 19.9 0 0 0 0 80 9.29 168.03 0.12 295230610 White Oaks Rehabilitation and Nursing Center 7/1/2012 201.2 116.84 115.22 53.65 5.94 6.22 1.53 17.02 0 0 0 0 200 8.57 209.77 0.18 590231510 White Plains Center For Nursing Care LLC 7/1/2012 243.86 118.84 117.19 51.63 8.66 25.63 2.97 36.13 0 0 0 0 88 10.46 254.32 0.18 105930110 Whittier Rehabilitation & Skilled Nursing Center 7/1/2012 199.03 93.52 92.22 48.08 33.16 10.28 3.68 10.31 0 0 0 0 125 10.7 209.73 0.14 280100130 Wilkinson Residential Health Care Facility 7/1/2012 170.35 87.05 85.89 52.11 12.22 6.74 3.41 8.82 0 0 0 0 160 10.2 180.55 0.13 700037910 Williamsbridge Manor Nursing Home 7/1/2012 230.08 149.91 147.83 53.03 7.97 15.7 1.9 1.57 0 0 0 0 77 12.43 242.51 0.22 142130610 Williamsville Suburban LLC 7/1/2012 132.53 76.42 75.36 46.52 8.72 0 4.25 -3.38 0 0 0 0 220 9.6 142.13 0.11 036430110 Willow Point Nursing Home 7/1/2012 170.87 92.84 91.6 54.68 5.64 5.78 4.08 7.85 0 0 0 0 333 10.66 181.53 0.16 700335710 Windsor Park Nursing Home 7/1/2012 230.88 123.92 122.2 52.89 7.08 7.61 1.81 37.57 0 0 0 0 70 11.35 242.23 0.19 130130110 Wingate at Beacon 7/1/2012 204.9 91.39 90.12 48.97 12.5 39.73 1.67 10.64 0 0 0 0 160 9.31 214.21 0.14 132030110 Wingate of Dutchess 7/1/2012 199.97 99.04 97.67 50.15 20.82 34.76 1.51 -6.31 0 0 0 0 160 15.86 215.83 0.15 555630110 Wingate of Ulster 7/1/2012 207.74 98.82 97.45 49.35 24.33 32.56 2.68 0 0 0 0 0 120 8.4 216.14 0.15 700333610 Woodcrest Rehabilitation & Residential Health Care Ctr LLC 7/1/2012 211.17 123.81 122.09 52.64 8.68 17.47 3.83 4.74 0 0 0 0 200 11.95 223.12 0.19 515131610 Woodhaven Nursing Home 7/1/2012 215.1 135.24 133.36 53.73 6.67 10.58 1.72 7.16 0 0 0 0 143 11.5 226.6 0.20 552230310 Woodland Pond at New Paltz 7/1/2012 204.82 108.74 107.24 49.55 10.7 40.29 0.87 -3.58 -1.75 0 0 0 40 14.52 219.34 0.16 295031510 Woodmere Rehabilitation And Health Care Center 7/1/2012 240.56 141.11 139.23 59.86 15.05 11.38 1.69 11.47 0 0 0 0 336 13.99 254.55 0.24 275030310 Woodside Manor Nursing Home Inc 7/1/2012 190.06 128.09 126.31 47.17 10.52 14.47 0 -10.19 0 0 0 0 44 12.29 202.35 0.19 700030910 Workmens Circle Multicare Center 7/1/2012 329.08 134.2 132.41 58.92 9.81 54.67 2.29 69.19 0 0 0 0 524 0 329.08 0.23 602700030 Wyoming County Community Hospital Snf 7/1/2012 171.29 82.88 81.78 52.22 9.15 8.55 3.29 15.2 0 0 0 0 160 20.71 192 0.12
28652/17 N 28652/20 N 28652/31 N 28652/32 N 28652/33 N 28652/34 N 28652/35 N 28652/36 N 28652/37 N 28652/38 N 28652/41 N 28652/44 N 28652/45 N 28652/46 N 28652/48 N 28652/49 N 28652/105 N 28652/106 N 28652/242 N 28660/3 N 141
Organization Name Date
Non Comparable
Rate Medical
Directors Utilization
Review Lab Services
$ per Day
Electro Cardialoogy
$ Per Day
Electro Encephalogy
$ Per Day Radiology Inhalation Therapy Podiatry Dental Psychiatric Hearing
Medcial Staff Services
Other Ancilary
Other Ancilary
Other Ancilary
Other Ancilary
Admin Non Comp
Allocation
Utilities Non Comp
Allocation RX Admin Allocation
Total Non Comp Cost
295030230 A Holly Patterson Extended Care Facility 7/1/2012 29.8 0.93 1.57 0.42 0.01 0 0.01 1.27 0 0.79 1.48 0 4.58 0 0 0 6.46 0.01 11.45 0.82 5853000 272530110 Aaron Manor Rehabilitation and Nursing Center 7/1/2012 12.93 0.62 1.33 0 0 0 0 0 0 0.46 0.25 0 3.69 0 0 0 0 0 6 0.58 618949 042030210 Absolut Center for Nursing and Rehabilitation at Allega 7/1/2012 7.15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142230310 Absolut Center for Nursing and Rehabilitation at Auror 7/1/2012 5.84 0.81 0 0 0 0 0 0 0 0.4 0 0 0.41 0 0 0 0 0 4.03 0.18 618480 060130310 Absolut Center for Nursing and Rehabilitation at Dunki 7/1/2012 5.95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 146130210 Absolut Center for Nursing and Rehabilitation at Eden 7/1/2012 5.94 1.18 0 0 0 0 0 0 0 0.64 0 0 0.03 0 0 0 0 0 3.92 0.17 80572 030230310 Absolut Center for Nursing and Rehabilitation at Endic 7/1/2012 6.63 0.49 0 0 0 0 0 0 0 0.59 0 0.01 0.98 0 0 0 0 0 4.39 0.16 354664 315830210 Absolut Center for Nursing and Rehabilitation at Gaspo 7/1/2012 5.64 0.64 0 0 0 0 0 0 0 0.6 0 0 0.01 0 0 0 0 0 4.09 0.3 156103 022630210 Absolut Center for Nursing and Rehabilitation at Hough 7/1/2012 6.34 0.58 0 0 0 0 0 0 0 0.56 0 0 0.07 0 0 0 0 0 5.02 0.1 217636 143530310 Absolut Center for Nursing and Rehabilitation at Orcha 7/1/2012 6.96 0.68 0 0 0 0 0 0 0 0.42 0 0 1.27 0 0 0 0 0 4.42 0.17 488795 043330310 Absolut Center for Nursing and Rehabilitation at Salam 7/1/2012 3.27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 502630110 Absolut Center for Nursing and Rehabilitation at Three 7/1/2012 8.55 1.46 0 0 0 0 0 0 0 0.58 0 0 0.01 0 0 0 0 0 6.21 0.29 350182 067530210 Absolut Center for Nursing and Rehabilitation at Westfi 7/1/2012 6.24 1.33 0 0 0 0 0 0 0 0.58 0 0.01 0 0 0 0 0 0 4.17 0.14 257089 522030310 Achieve Rehab and Nursing Facility 7/1/2012 14.81 3.12 2.38 0 0 0 0 0 -0.02 0.91 -0.22 0.45 0 0 0 0 0 0 7.82 0.38 742598 565530210 Adirondack Tri-County Nursing and Rehabilitation 7/1/2012 12.7 0.69 1.96 0.32 0 0 0.12 0 0 0.31 0.56 0.08 0 0 0 0 0 0 7.57 1.09 369034 515432310 Affinity Skilled Living and Rehabilitation Center 7/1/2012 14.58 0.95 0 0.9 0 0 1.1 0 0 0.5 0 0 0 0 0 0 0 0 10.92 0.2 1405345 015330210 Albany County Nursing Home 7/1/2012 12.66 2.02 0 0.18 0 0 0.12 0.78 0 0.9 0 0.31 0.57 0 0 0 0 0 6.9 0.6 1247902 162400030 Alice Hyde Medical Center 7/1/2012 10.31 0.14 3.14 0 0 0 0 0 0 0 0 0 0 0 6.92 0 0 0.16 -0.3 0.25 276715 212930310 Alpine Rehabilitation and Nursing Center 7/1/2012 8.43 0.65 0 0.38 0 0 0.17 0 0 0.23 0.76 0 0 0 0 0 0 0 5.99 0.25 232245 700235610 Amsterdam Nursing Home Corp (amsterdam House) 7/1/2012 20.14 1.95 0 0.64 0.03 0 0.75 0 0.02 0.54 0.65 0 7.83 0 0 0 0 0 7.31 0.43 2963938 592630010 Andrus On Hudson 7/1/2012 14.99 0.97 0 0.28 0 0 0.23 0 0 0.57 0 0 0 0 0 0 0 0 11.97 0.97 997338 515331110 Apex Rehabilitation & Care Center 7/1/2012 16.48 1.45 7.22 0 -0.29 0 0.29 0 0 0.56 0 0 0 0 0 0 0 0 6.89 0.36 1117022 070100030 Arnot Ogden Medical Center Residential Health Care Facility 7/1/2012 15.84 0 0 1.26 0.01 0.03 0.49 1.24 0 0 0 0 1.09 0.05 0.84 0.1 0.06 0.28 8.84 0.51 229943 700138910 Atlantis Rehabilitation and Residential Health Care Fa 7/1/2012 10.68 3.01 1.36 0 0 0 0 0.45 0 0.41 0 0 0 0 0 0 0 0 5.2 0.26 1459979 050130910 Auburn Nursing Home 7/1/2012 5.29 0.71 0 0 0 0 0 0 0 0.55 0 -0.03 0 0 0 0 0 0 3.66 0.4 171151 380100030 Aurelia Osborn Fox Memorial Hospital 7/1/2012 11.96 0 1.89 0.85 0.01 0 0.01 0 0 0 0 0 0 0 0.39 0.01 0 0.12 8.66 0 558585 143030110 Autumn View Health Care Facility LLC 7/1/2012 9.53 1.19 0 0.67 0.04 0 0.32 0.34 0 0.35 0.08 0 0 0 0 0 0 0 4.59 1.95 633099 515731310 Avalon Gardens Rehabilitation and Health Care Center 7/1/2012 4.75 1.03 0 0.4 0 0 0 0.12 0 0.56 0.01 0.21 0 0 0 0 0 0 2.08 0.35 503491 252030110 Avon Nursing Home LLC 7/1/2012 7.22 0.14 0 0 0 0 0 0 0 0.05 0.21 0.02 0 0 0 0 0 0 5.6 1.2 96542 700031910 Bainbridge Nursing And Rehabilitation Center 7/1/2012 8.87 0.54 0 0.26 0 0 0 0.05 0 0.31 0.02 0 0 0 0 0 0 0 7.53 0.16 588765 270135710 Baird Nursing Home 7/1/2012 6.35 0.55 0 0 0 0 0 0 0 0.11 0.42 0 0 0 0 0 0 0 5.24 0.03 62666 462030010 Baptist Health Nursing And Rehabilitation Center Inc 7/1/2012 10.69 0.31 1.02 0.17 0 0 0.12 0 0 0.44 0.08 0 3.08 0 0 0 0 0 5.27 0.19 988532 102330110 Barnwell Nursing and Rehabilitation Center 7/1/2012 13.73 0.29 3.41 0 0 0 0 0 0 0.43 0 0 0.47 0 0 0 0 0 8.9 0.24 1104481 180130610 Batavia Nursing Home LLC 7/1/2012 9.46 1.3 0 0.47 0 0 0.49 0 0 0.38 0 0 0 0 0 0 0 0 5.62 1.2 202730 700038910 Bay Park Center for Nursing and Rehabilitation LLC 7/1/2012 8.62 1.34 0 0.44 0 0 0.22 0 0 0.43 0 0 0 0 0 0 0 0 6.12 0.06 1425210 590431710 Bayberry Nursing Home 7/1/2012 10.18 2.01 0 0 0 0 0 0 0 0.7 0 0 0 0 0 0 0 0 6.94 0.53 200678 296130210 Bayview Nursing and Rehabilitation Center 7/1/2012 5.52 0.49 0 0 0 0 0 0 0 0.6 0 0 0.04 0 0 0 0 0 4.29 0.09 340467 290230310 Beach Terrace Care Center 7/1/2012 6.88 0.45 0 0 0 0 0 0 0 0.53 1.12 0 0 0 0 0 0 0 4.68 0.1 441598 540130910 Beechtree Care Center 7/1/2012 11.27 0.95 1.33 0 0 0 0.04 0 0 0.78 0.01 0 1.87 0 0 0 0 0 5.77 0.53 473571 145130610 Beechwood Homes 7/1/2012 9.36 0.59 0 0.42 0 0 0.3 0.14 0 0.49 0 -0.18 0 0 0 0 0 0 7.4 0.2 899040 295030110 Belair Care Center Inc 7/1/2012 5.29 0.51 0 0 0 0 0 0 0 0.81 0 0 -0.1 0 0 0 0 0 3.31 0.75 186421 515132110 Bellhaven Center For Rehabilitation and Nursing Care 7/1/2012 3.74 0.48 0 0 -0.06 0 0.06 0 0 0.45 0 0 2.13 0 0 0 0 0 0 0.69 311501 700139610 Bensonhurst Center for Rehabilitation and Healthcare 7/1/2012 12.31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 510130110 Berkshire Nursing & Rehabilitation Center 7/1/2012 6.11 0.53 0 0 0 0 0 0 0 0.57 0 0 0 0 0 0 0 0 4.92 0.08 377504 700030810 Beth Abraham Health Services 7/1/2012 18.9 2.55 0 3.14 0.09 0 0.53 0 0 0.85 0 0.12 0 0 0 0 0 0 11.1 0.52 3014250 320130810 Bethany Gardens Skilled Living Center 7/1/2012 11.39 2.39 0 0.49 0 0 0.21 0 0 0.73 0 0 0 0 0 0 0 0 7.28 0.28 401670 072230110 Bethany Nursing Home & Health Related Facility Inc 7/1/2012 6.25 1.5 0 0 0 0 0 0 0 0.72 0 0 0 0 0 0 0 0 3.76 0.27 263953 590530310 Bethel Nursing Home Company Inc 7/1/2012 9.61 2.5 0 0 0 0 0 0 0 1.04 0 0 0 0 0 0 0 0 5.78 0.28 248992 592130110 Bethel Nursing and Rehabilitation Center 7/1/2012 9 0.85 0 0 0 0 0 0 0 0.63 0 0 0 0 0 0 0 0 6.46 1.07 621689 015130010 Bethlehem Commons Care Center 7/1/2012 8.64 0.67 0 0.28 0 0 0.26 0 0 0.17 0.17 0 0 0 0 0 0 0 6.09 1 373173 320130710 Betsy Ross Rehabilitation Center Inc 7/1/2012 9.87 0.76 0 0 0 0 0.19 0 0 0.46 0 0 0 0 0 0 0 0 5.01 3.45 389208 700335210 Bezalel Rehabilitation and Nursing Center 7/1/2012 10.76 0.73 0 0 0 0 0 0 0 0.66 0 0 0 0 0 0 0 0 9.18 0.18 442328 700335610 Bishop Charles Waldo Maclean Episcopal Nursing Home 7/1/2012 9.9 0.87 1.8 0.57 0.02 0 1.79 0.07 0 0.62 0 0 0 0 0 0 0 0 3.81 0.35 558711 700137910 Bishop Henry B Hucles Episcopal Nursing Home 7/1/2012 9.75 1.14 0 0.18 0 0 0.46 0.08 0 0 0 0 0 0 0 0 0 0 7.7 0.19 822240 270135410 Blossom Health Care Center 7/1/2012 8.01 0.42 0 0.14 0 0 0.16 0 0 0.36 0.24 0.07 0 0 0 0 0 0 4.07 2.54 226981 270136010 Blossom North Nursing and Rehabilitation Center 7/1/2012 9.45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 270136110 Blossom South Nursing and Rehabilitation Center 7/1/2012 7.71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 582830110 Blossom View Nursing Home 7/1/2012 8.15 0.68 0 0 0 0 0 0 0 0.5 0.29 0 0 0 0 0 0 0 5.51 1.17 370871 700139410 Boro Park Center for Rehabilitation and Healthcare 7/1/2012 38.07 5.32 5.02 1.28 0.07 0 1.05 1.84 0.16 0.51 0 0.16 12.07 0.29 0.1 0 0 0 9.6 0.52 6260082 700330910 Bridge View Nursing Home 7/1/2012 4.41 0.88 2.62 0 0 0 0 0 0 0.39 0 0 0 0 0 0 0 0 0 0.52 296483 030130810 Bridgewater Center for Rehabilitation & Nursing LLC 7/1/2012 7.37 1.06 0 0 0 0 0 0.2 0 0.45 0 0 0 0 0 0 0 0 5.44 0.22 836590 310130010 Briody Health Care Facility 7/1/2012 6.95 1.87 0 0 0 0 0 0 0 0.29 0 0 0 -0.01 0 0 0 0 4.46 0.33 197363 512030130 Broadlawn Manor Nursing and Rehabilitation Center 7/1/2012 22.43 0 3.45 3.86 0.16 0 0.64 0 0 0.62 0 0 3.01 0 0 0 0.03 0 7.75 2.9 2567180 700038110 Bronx Center For Rehabilitation and Health 7/1/2012 8.67 1.73 0 0 0 0 0 0 0 0.38 0 0 0 0 0 0 0 0 6.44 0.11 625077 700038010 Bronx Park Rehabilitation & Nursing Center 7/1/2012 6.73 0.3 0 0 0 0 0 0 0 0.62 0 0 0 0 0 0 0 0 5.74 0.06 530842 700036410 Bronx-Lebanon Special Care Center 7/1/2012 27.58 3.74 0 2.39 0 0 0.97 1.84 0 1.53 0 0.45 3.18 3.73 0 0 0 0 7.33 2.43 1193650 512330410 Brookhaven Health Care Facility LLC 7/1/2012 13.86 1.67 0 1.35 0.22 0 0.9 0.07 0 0.54 0 0 0 0 0 0 0 0 6.14 2.97 806813 700339910 Brookhaven Rehabilitation & Health Care Center 7/1/2012 13.12 0.46 0 0 0 0 0 6.15 0 0.54 0 0 0 0 0 0 0 0 5.9 0.08 1383105 700138810 Brooklyn Center for Rehabilitation and Residential Hea 7/1/2012 5.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700130810 Brooklyn United Methodist Church Home 7/1/2012 11.9 1.24 0 0.2 0 0 0.05 0 0 0.48 0 0 0 0 0 0 0 0 8.7 1.23 494383 700138210 Brooklyn-Queens Nursing Home 7/1/2012 7.06 0.29 0 0.15 0 0 0.1 0 0 0.53 0 0 0 0 0 0 0 0 5.8 0.19 340038 145630010 Brothers Of Mercy Nursing & Rehabilitation Center 7/1/2012 9.89 0.57 0 1.1 0 0 1.02 0 0 0.47 0 -0.28 0.61 0.84 0 0 0 0 4.95 0.61 838987 700138310 Buena Vida Continuing Care & Rehab Ctr 7/1/2012 19.4 3.91 0 0.18 0 0 0.22 0 0 0.51 0 0.27 6.43 0 0 0 0 0 6.52 1.37 1663813 700136410 Bushwick Center for Rehabilitation and Health Care 7/1/2012 8 0 0 0 0 0 0 0 0 0.62 0 0.05 0 0 0 0 0 0 6.92 0.41 281470 700235010 Cabrini Center For Nursing And Rehabilitation 7/1/2012 9.32 4.06 0 0 0 0 0 0 0 0.45 0 0 0 0 0 0 0 0 4.54 0.27 803696 700130710 Cabs Nursing Home Company Inc 7/1/2012 10.54 1.58 0 0 0 0 0 0 0 0.5 0 0 0 0 0 0 0 0 7.78 0.68 583986 355730210 Campbell Hall Rehabilitation Center Inc 7/1/2012 6.07 0.66 0 0.4 0 0 0.3 0 0 0.49 0 0.02 0 0 0 0 0 0 3.93 0.27 274741 142130510 Canterbury Woods 7/1/2012 6.74 0 0 0.27 0 0 0.19 0 0 0.32 0 0 1.52 0 0 0 0 0 3.19 1.25 116430 285030010 Capstone Center for Rehabilitation and Nursing 7/1/2012 14.9 1.81 2.51 0.26 0 0 0.21 0 0 0.45 0.99 0 0 0 0 0 0 0 8.05 0.61 624512 515330610 Carillon Nursing and Rehabilitation Center 7/1/2012 9.4 0.3 0.76 0 0 0 0 0 0 0.37 0 0 0.06 0 0 0 0 0 7.58 0.33 1034113 700431010 Carmel Richmond Healthcare and Rehabilitation Center 7/1/2012 15.26 0.37 1.93 -0.28 0 0 0.06 0.17 0 0.2 0 0 0.15 0 0 0 0 0 11.43 1.23 1631248 223800130 Carthage Area Hospital 7/1/2012 #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 146926 700136610 Caton Park Nursing Home 7/1/2012 8.54 1.13 0 0 0 0 0 0 0 0.45 0 0 0 0 0 0 0 0 6.73 0.24 363192 526300030 Catskill Regional Medical Center 7/1/2012 15.62 0 2.21 0.39 0.02 0 0.55 0.75 0 0 0 0 0 0 0 0.08 0.09 0 11.52 0.01 355283 056630110 Cayuga County Nursing Home 7/1/2012 7.02 0.54 0 0 0 0 0 0 0 0.22 0 0 0.4 0 0 0 0 0 5.85 0 201093 540131110 Cayuga Ridge Extended Care 7/1/2012 10.49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 515132010 Cedar Lodge Nursing Home 7/1/2012 9.77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 590530810 Cedar Manor Nursing & Rehabilitation Center 7/1/2012 7.11 0.48 0 0 0 0 0 0 0 0.7 0 0 0 0 0 0 0 0 5.4 0.52 382318 700135410 Center For Nursing & Rehabilitation Inc 7/1/2012 14.87 4 0 0 0 0 0 0 0 0.36 0 0 0 0 0 0 0 0 9.93 0.58 1685611
28652/17 N 28652/20 N 28652/31 N 28652/32 N 28652/33 N 28652/34 N 28652/35 N 28652/36 N 28652/37 N 28652/38 N 28652/41 N 28652/44 N 28652/45 N 28652/46 N 28652/48 N 28652/49 N 28652/105 N 28652/106 N 28652/242 N 28660/3 N 141
Non Electro Electro Admin Non Utilities Non Comparable Medical Utilization Lab Services Cardialoogy Encephalogy Inhalation Medcial Staff Other Other Other Other Comp Comp RX Admin Total Non
Organization Name Date Rate Directors Review $ per Day $ Per Day $ Per Day Radiology Therapy Podiatry Dental Psychiatric Hearing Services Ancilary Ancilary Ancilary Ancilary Allocation Allocation Allocation Comp Cost
295230810 Central Island Healthcare 7/1/2012 11.28 2 1.96 0 0 0 0 0 0 0.3 0 0 0 0 0 0 0 0 6.68 0.33 748554 090100130 Champlain Valley Physicians Hospital Medical Center Snf 7/1/2012 20.76 0 5.38 2.75 0.11 0 0.83 3.17 0 0 0 0 2.33 0 0 0.24 0.44 0 3.11 1.58 545090 700335110 Chapin Home For The Aging 7/1/2012 7.59 1.83 0 0.15 0 0 0.17 0 0 0.54 0 0 0 0 0 0 0 0 4.81 0.09 592348 322730410 Charles T Sitrin Health Care Center Inc 7/1/2012 18.37 0.71 0 0 0 0 0 0 0 -0.16 0.21 0.94 7.28 0 1.9 0 0 0 7.48 0.02 1043938 082330010 Chase Memorial Nursing Home Co Inc 7/1/2012 5.85 0.51 0 0 0 0 0 0 0 0.74 0.21 0 0 0 0 0 0 0 4.38 0 169690 060130010 Chautauqua County Home 7/1/2012 11.34 0.12 0 0.22 0 0 0.13 0.01 0 0.41 0 0.11 1.83 0 0 0 0 0 7.75 0.77 878569 070130110 Chemung County Health Center-nursing Facility 7/1/2012 11.64 0 0 0.94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4.79 5.9 830621 082400030 Chenango Memorial Hospital Inc Snf 7/1/2012 9.24 0 0 0.21 0 0 0.09 0 0 0 0 0 0 0 0 0 0 0.23 8.61 0.09 254932 380130310 Chestnut Park Rehabilitation and Nursing Center 7/1/2012 5.67 0.94 0 0 0 0 0 0 0 0.64 0 0 0 0 0 0 0 0 3.53 0.56 156087 262930310 Chittenango Center for Rehabilitation and Health Care 7/1/2012 9.43 1.49 0.74 0 0 0 0 0 0 0.1 0 0 0 0 0 0 0 0 6.67 0.43 257173 270133910 Church Home Of The Protestant Episcopal Church 7/1/2012 11.67 0.27 0 0 0 0 0 0 0 0.47 0 0 4.78 0 0 0 0 0 5.54 0.62 714114 700338010 Cliffside Rehabilitation and Residential Health Care Center 7/1/2012 7.51 0.33 0 0 0 0 0 0 0 0.49 0 0.02 0 0 0.2 0 0 0 6.4 0.07 475595 342100030 Clifton Springs Hospital And Clinic Extended Care 7/1/2012 25.67 0 0 2.02 0.07 0.01 0.33 7.08 0 0 0 0 0 0 0.24 0.31 0 0 12.08 3.51 933780 095230010 Clinton County Nursing Home 7/1/2012 4.96 0.79 0 0 0 0 0 0 0 0.4 0 0 0 0 0 0 0 0 2.9 0.87 143517 700432110 Clove Lakes Health Care and Rehabilitation Center 7/1/2012 13.3 1.83 0 1.01 0 0 1.24 0 0 0.51 0 0 0 0 0 0 0 0 8.56 0.14 2702974 700132310 Cobble Hill Health Center Inc 7/1/2012 13.9 1.52 3.39 0.38 0 0 0.76 0 0 0.89 0 0 0 0.27 0 0 0 0 5.69 1.01 2373872 295230710 Cold Spring Hills Center for Nursing and Rehabilitation 7/1/2012 13.65 2.65 0 0.7 0 0 0.59 0.84 0 0.57 0 1.06 0 0 0 0 0 0 5.73 1.51 3142020 700233630 Coler Memorial Hospital Snf 7/1/2012 35.99 0 1.49 2.17 0.25 0.05 1.76 1.95 0 1.24 2.06 0 12.16 0 0.79 0.29 6.17 0.22 4.35 1.04 10322639 700233730 Coler-Goldwater Specialty Hospital & Nursing Facility 7/1/2012 50.64 0 0.52 1.37 0.06 0.06 1.27 4.04 0 3.16 1.95 0 14.95 0 1.09 0.47 7.46 0.19 12.5 1.54 10487776 320130510 Colonial Park Rehabilitation and Nursing Center 7/1/2012 8.28 1.14 0 0 0 0 0 0 0 0.67 0 0 0 0.01 0 0 0 0 4.49 1.97 217545 262500030 Community Memorial Hospital Inc Nh Unit 7/1/2012 15.56 0.4 0 2.29 0 0 0.55 0 0 0 0 0 0 0 0 0.08 6.01 0 6 0.21 220347 700134810 Concord Nursing Home Inc 7/1/2012 12.51 1.32 0 0.06 0 0 0.24 0 0 0.58 0 0 2.4 0 0 0 0 0 6.03 1.89 553811 700037510 Concourse Rehabilitation and Nursing Center 7/1/2012 8.09 0.57 0 0 0 0 0 0 0 -1.05 0 0.01 1.93 0 0 0 0 0 6.24 0.38 634226 252530110 Conesus Lake Nursing Home LLC 7/1/2012 6.34 0.12 0 0 0 0 0 0 0 0.21 0.2 0.04 0 0 0 0 0 0 4.54 1.23 100518 110130710 Cortland Park Rehabilitation and Nursing Center 7/1/2012 7.96 1.52 0 0 0 0 0 0 0 0.59 0 0 0.15 0 0 0 0 0 4.63 1.07 337957 110130630 Cortland Regional Nursing and Rehabilitation Center 7/1/2012 22.23 0.21 1.73 1.41 0.13 0 0.51 1.86 0 0.46 0 0 0 0 0 0 0 0.49 13.37 2.04 626532 590130410 Cortlandt Healthcare LLC 7/1/2012 9.57 1.78 3.15 0 0 0 0 0 0 0.78 0 0 0.03 0 0 0 0 0 2.5 1.33 403004 276230110 Crest Manor Living and Rehabilitation Center 7/1/2012 2.85 0.32 0 0.48 0 0 0 0 0 0.04 0.17 -2.49 0 0 0 0 0 0 4.07 0.26 76986 262330010 Crouse Community Center Inc 7/1/2012 10.71 0 0 0 0 0 0 0.4 0 0.56 0 0.03 2.37 0 0 0 0 0 7.08 0.26 462824 110130910 Crown Center for Nursing and Rehabilitation 7/1/2012 9.34 0.5 0.64 0.6 0 0 0.11 0.28 0 0.55 0.21 0.12 0 1.35 0 0 0 0 4.59 0.39 613865 700136710 Crown Nursing and Rehabilitation Center 7/1/2012 8.73 2.05 0 0.7 0 0 0.48 0 0 0.75 0 0 0 0 0 0 0 0 4.38 0.37 567740 022600030 Cuba Memorial Hospital Inc Snf 7/1/2012 11.77 0.69 0 1.05 0 0 0.37 0.5 0 0.03 0 0 0 0 0 0 0 0 7.65 1.48 245276 515030210 Daleview Care Center 7/1/2012 14.08 0.46 4.86 0 0 0 0 0 0 0.55 0 0 0 0 0 0 0 0 6.48 1.73 665838 700034210 Daughters Of Jacob Nursing Home Company Inc 7/1/2012 14.96 0.38 1.99 0.17 0 0 0.21 0 0 0.75 0 0 0 0 0 0 0 0 11.03 0.44 2223914 010131210 Daughters Of Sarah Nursing Center - NF 7/1/2012 10.53 0.29 0.73 0.38 0 0 0.26 0 0 0.31 0 0 0.29 0 0 0 0 0 8.05 0.22 801642 310300030 Degraff Memorial Hospital-skilled Nursing Facility 7/1/2012 15.92 0 1.66 1.44 0.02 0 0.29 0 0 1.2 0 0 0.27 0 0 0 0 0 9.6 1.74 453100 140132810 Delaware Nursing & Rehabilitation Center 7/1/2012 7.22 0.45 0 0 0 0 0 0.01 0 0.44 0 0 0.03 0.07 0 0 0 0 4.54 1.69 482634 700234710 Dewitt Rehabilitation and Nursing Center Inc 7/1/2012 12.89 4.14 0 0.89 0 0 0.8 0 0 0.52 0 0.01 0 0 0 0 0 0 5.4 1.13 2195619 416130410 Diamond Hill Nursing and Rehabilitation Center 7/1/2012 13.63 0.76 1.62 0.49 0 0 0.14 0.43 0 0.65 0.36 1.81 1.65 0 0 0 0 0 5.31 0.42 537485 700139310 Ditmas Park Care Center 7/1/2012 13.03 0.74 0 0 0 0 0 3.59 0 0.46 0 0 0 0 0 0 0 0 7.3 0.93 877553 700138010 Dr Susan Smith Mckinney Nursing and Rehabilitation Center 7/1/2012 26.86 0 3.13 3.87 0 0 0 0 0 0.06 0.01 -0.47 8.91 0.65 0.06 0 0 0 10.54 0.09 2905242 700339510 Dr William O Benenson Rehabilitation Pavilion 7/1/2012 19.72 0.35 0 0 0 0 0 10.54 0 0.51 0 0.01 0.05 0 0 0 0 0 7.94 0.33 1954570 700335910 Dry Harbor Nursing Home 7/1/2012 7.84 1.01 0 0 0 0 0 0 0 0.33 0 0.03 0.75 0 0 0 0 0 5.19 0.54 989039 590432110 Dumont Center for Rehabilitation and Nursing Care 7/1/2012 8.98 1.05 0 0.29 0.46 0 0.52 0.01 0 0.57 0 0.07 0 0 0 0 0 0 5.25 0.76 533811 132230210 Dutchess Center for Rehabilitation and Healthcare 7/1/2012 8.03 2.74 0 0 0 0 0 0 0 0.22 0 0 -0.11 0 0 0 0 0 4.67 0.52 347177 700036010 East Haven Nursing And Rehabilitation Center 7/1/2012 8.16 0.64 0 0.43 0 0 0 0.05 0 0.2 0.02 0 0 0 0 0 0 0 6.62 0.2 574780 515030310 East Neck Nursing and Rehabilitation Center 7/1/2012 14.77 0.38 6.33 0 0 0 0 0 0 0.42 0 0 0 0 0 0 0 0 5.78 1.86 1548298 602730310 East Side Nursing Home 7/1/2012 7.26 0.36 0 0 0 0 0 0 0 0.34 0.07 0 0 0 0 0 0 0 5.68 0.82 190714 700038310 Eastchester Rehabilitation and Health Care Center 7/1/2012 7.28 0.88 0 0 0 0 0 0.68 0 0.6 0.01 0 0 0 0 0 0 0 4.18 0.94 465991 323930010 Eastern Star Home & Infirmary 7/1/2012 12.46 2.39 0 0 0 0 0 0 0 1.02 0.24 0 0 0 0 0 0 0 7.62 1.19 376658 010200110 Eddy Cohoes Rehabilitation Center 7/1/2012 18.71 4.1 0 2.57 0 0 0.48 0 0 1.24 0 0 0 0 0 0 0 0 8.98 1.33 350273 410231110 Eddy Heritage House Nursing Center 7/1/2012 9.63 1 0 0.56 0 0 0.27 0 0 0.62 0 0 0.68 0 0 0 0 0 5.73 0.78 415129 015130110 Eddy Village Green at Beverwyck 7/1/2012 11.03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 275430410 Edna Tina Wilson Living Center 7/1/2012 8.97 0.95 0 0.42 0 0 0 0 0 0.27 0 0 2.05 0 0 0 0 0 5.03 0.25 390985 700430310 Eger Health Care and Rehabilitation Center 7/1/2012 15.23 1.6 4.08 0.64 0.03 0 0.45 0.37 0 0.48 0 0 0 0 0 0 0 0 7.17 0.41 2087594 593130110 Elant at Brandywine Inc 7/1/2012 10.95 1.27 0 0.32 0 0 0 0 0 0.68 0 0.84 0 0 0 0 0 0 6.78 1.07 472152 135530110 Elant at Fishkill Inc 7/1/2012 8.4 0.54 0 0.36 0 0 0.45 0 0 0.52 0 0 0 0 0 0 0 0 6.17 0.36 478758 352330210 Elant at Goshen Inc 7/1/2012 15.8 2.99 0 0 0 0 0 0 0 0.66 0 0 0 0 0 0 0 0 11.4 0.76 674051 350230410 Elant at Newburgh Inc 7/1/2012 5.47 0.78 0 0 0 0 0 0 0 0.5 0 0 0 0 0 0 0 0 3.39 0.79 367802 132430210 Elant at Wappinger Falls 7/1/2012 7.3 0.65 0 0 0 0 0 0 0 0.72 0 0 0 0 0 0 0 0 5.09 0.84 152923 072230410 Elcor Nursing and Rehabilitation Center 7/1/2012 10.61 0.5 0 0 0 0 0 0.41 0 0.12 0.26 0 4.4 0 0 0 0 0 4.11 0.81 1156161 333130010 Elderwood Health Care Birchwood 7/1/2012 9.16 1.11 0 1.35 0 0 0.62 0.1 0 -0.01 0 0 0 0 0 0 0 0 4.15 1.83 518991 312130110 Elderwood Health Care Crestwood 7/1/2012 9.94 1.06 0 0.41 0 0 0.3 0.3 0 0.12 0.03 0 0 0 0 0 0 0 6.27 1.46 561720 143030210 Elderwood Health Care Lakewood 7/1/2012 8.39 0.8 0 0.84 0 0 0.35 0.06 0 0.23 0.08 0 0 0 0 0 0 0 4.39 1.64 492464 140630210 Elderwood Health Care Linwood 7/1/2012 7.58 0.37 0 0.36 0 0 0.48 0.13 0 0.08 0.13 0 0 0 0 0 0 0 4.67 1.35 253671 145530110 Elderwood Health Care Maplewood 7/1/2012 8.49 0.85 0 0.55 0 0 0.57 0.45 0 0.09 0.07 0 0 0 0 0 0 0 4.51 1.41 480893 142130410 Elderwood Health Care Oakwood 7/1/2012 10.58 2.27 0 0.78 0 0 0.64 0.14 0 0.28 0.08 0 0 0 0 0 0 0 4.9 1.49 745738 146430110 Elderwood Health Care Riverwood 7/1/2012 7.55 0.68 0 0.34 0 0 0.18 0.06 0 0.14 0.14 0 0 0 0 0 0 0 5.3 0.72 240557 532030110 Elderwood Health Care Tioga 7/1/2012 9.47 1.36 0 1.04 0 0 0.61 0.22 0 0.29 0.05 0.07 0.46 0 0 0 0 0 4.34 1.03 669416 145130510 Elderwood Health Care Wedgewood 7/1/2012 9.38 0.41 0 0.48 0 0 0.69 0.33 0 -0.08 0.45 0 0 0 0 0 0 0 5.76 1.35 299620 030130710 Elizabeth Church Manor Nursing Home 7/1/2012 10.59 0.39 2.72 0.4 0 0 0.29 0 0 0.76 0 0 0 0 0 0 0 0 5.05 0.98 445082 460100130 Ellis Residential & Rehabilitation Center 7/1/2012 23.13 0 0 0.7 0.04 0.01 0.89 0.01 0 0.06 0 0 5.21 0 0.09 0.77 0 0.17 11.4 3.74 669052 342930310 Elm Manor Nursing Home 7/1/2012 10.16 2.86 0 0 0 0 0 0 0 0.48 0.24 0 0 0 0 0 0 0 4.77 1.81 158345 700339610 Elmhurst Care Center Inc 7/1/2012 7.8 0.56 0 0 0 0 0 0 0 0.67 0 0 0 0 0 0 0 0 6.09 0.48 662691 415230310 Evergreen Commons 7/1/2012 15.11 4.86 0 0.57 0 0 0.38 0 0 0.48 0 0.01 0 0.04 0 0 0 0 8.29 0.49 1310148 090130110 Evergreen Valley Nursing Home 7/1/2012 5.3 0.83 0 0 0 0 0 0 0 0.79 0.01 0.1 0 0 0 0 0 0 3.17 0.41 164904 295230910 Excel at Woodbury for Rehabilitation and Nursing LLC 7/1/2012 8.54 0.85 0 0 0 0 0 0 0 0.77 0 0 0 0 0 0 0 0 5.24 1.69 369611 272530010 Fairport Baptist Homes 7/1/2012 12.13 1.42 0 0 0 0 0 0 0.07 0.43 0.19 0 4.39 0 0 0 0 0 5.54 0.09 837785 700337510 Fairview Nursing Care Center Inc 7/1/2012 7.62 0.39 0 0.47 0 0 0.33 0 0 0.43 0 0 0 0 0 0 0 0 5.91 0.09 541936 700331510 Far Rockaway Nursing Home 7/1/2012 5.1 0.42 0 0 0 0 0 0 0 0.67 0.17 0 0 0 0 0 0 0 3.74 0.1 176295 143530210 Father Baker Manor 7/1/2012 9.83 1.14 0 0 0 0 0 0 0 0.39 0 0 0 0 0 0 0 0 6.07 2.24 523627 132730010 Ferncliff Nursing Home Co Inc 7/1/2012 9.37 0 0 0.18 0 0 0.17 0 0 0.26 0 0 0.54 0 0 0 0 0 7.85 0.38 1099716 142730210 Fiddlers Green Manor Nursing Home 7/1/2012 6 0.55 0 0.64 0 0 0.13 0 0 0.39 0 0 0 0 0 0 0 0 3.91 0.38 161643 590130210 Field Home-holy Comforter 7/1/2012 6.56 1.06 0 0 0 0 0 0 0 0.59 0 0 0 0 0 0 0 0 3.91 1.01 454890 700038510 Fieldston Lodge Care Center 7/1/2012 7.91 0.88 0 0.56 0 0 0.31 0 0 0.57 0 0.2 0 0 0 0 0 0 5.22 0.18 520818 050100030 Finger Lakes Center for Living 7/1/2012 8.58 0 0 0.14 0 0 0.09 0 0 0 0 0 0 0 0 0 0 0 8.35 0 243701 700336610 Flushing Manor Care Center 7/1/2012 6.62 0.16 0.28 0 0 0 0 0 0 0.56 0 0 0 0 0 0 0 0 5.54 0.06 604921 700340710 Flushing Manor Nursing & Rehabilitation 7/1/2012 7.44 0.19 2.32 0 0 0 0 0 0 0.52 0 0 0 0 0 0 0 0 4.32 0.09 583247 320231310 Focus Rehabilitation and Nursing Center at Utica 7/1/2012 10.36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28652/17 N 28652/20 N 28652/31 N 28652/32 N 28652/33 N 28652/34 N 28652/35 N 28652/36 N 28652/37 N 28652/38 N 28652/41 N 28652/44 N 28652/45 N 28652/46 N 28652/48 N 28652/49 N 28652/105 N 28652/106 N 28652/242 N 28660/3 N 141
Organization Name Date
Non Comparable
Rate Medical
Directors Utilization
Review Lab Services
$ per Day
Electro Cardialoogy
$ Per Day
Electro Encephalogy
$ Per Day Radiology Inhalation Therapy Podiatry Dental Psychiatric Hearing
Medcial Staff Services
Other Ancilary
Other Ancilary
Other Ancilary
Other Ancilary
Admin Non Comp
Allocation
Utilities Non Comp
Allocation RX Admin Allocation
Total Non Comp Cost
212430010 Folts Home 7/1/2012 12.35 1.68 2.14 0 0 0 0.77 0.35 0 0.47 0.12 0 0 0 0 0 0 0 6.65 0.18 698076 700339410 Forest Hills Care Center 7/1/2012 7.79 0.54 0 0 0 0 0 0 0 0.52 0 0.01 0 0 0 0 0 0 6.44 0.28 260922 700338710 Forest View Center for Rehabilitation & Nursing 7/1/2012 6.14 0.32 0 0 0 0 0 0 0 0 0 0 0 -0.05 0 0 0 0 6.07 -0.2 346640 572430210 Fort Hudson Nursing Center Inc 7/1/2012 6.66 0.65 0.14 0 0 0 0 0 0 0.57 0 0 0 0 0 0 0 0 4.07 1.22 465669 700235910 Fort Tryon Center for Rehabilitation and Nursing 7/1/2012 7.8 0.88 0 0 0 0 0 0 0 0.37 0 0 0 0 0 0 0 0 6.24 0.31 556699 500100110 Founders Pavilion 7/1/2012 5.64 0.56 0 0 0 0 0 0 0 0.8 0 0 0 0 0 0 0 0 3.89 0.39 240243 700138510 Four Seasons Nursing and Rehabilitation Center 7/1/2012 14.79 0.79 2.78 0 0 0 0 4.55 0.05 0.06 0 0 0 0 1.16 0 0 0 5 0.4 1431848 143530410 Fox Run at Orchard Park 7/1/2012 12.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700340210 Franklin Center for Rehabilitation and Nursing 7/1/2012 6.29 0.34 0 0 0 0 0 0 0.01 0.44 0 0.02 0.01 0 0 0 0 0 5.25 0.23 696801 166430010 Franklin County Nursing Home 7/1/2012 13.14 0.63 0 0 0 0 0 0 0 0.11 0 0 2.55 0 0 0 0 0 9.11 0.75 374652 435030510 Friedwald Center for Rehabilitation & Nursing LLC 7/1/2012 10.76 1.53 0 0.77 0 0 0.83 0 0 0.72 0 0.01 0 0 0 0 0 0 5.92 0.98 593895 175430110 Fulton Center for Rehabilitation and Healthcare 7/1/2012 9.42 0 0 0 0 0 0 0.36 0 0.27 0 0 3.52 0 0 0 0 0 5.15 0.11 566771 295031710 Fulton Commons Care Center Inc 7/1/2012 4.19 0.77 2.81 0 0 0 0 0 0 0.37 0 0 0 0 0 0 0 0 0 0.24 411018 295031610 Garden Care Center 7/1/2012 6.92 0.53 0 0 0 0 0 0 0 0.5 0 0 0 0 0 0 0 0 5.66 0.23 350146 145530010 Garden Gate Health Care Facility 7/1/2012 11.02 1.51 0 0.73 0.05 0 0.22 0.46 0 0.28 0.1 0 0 0 0 0 0 0 5.43 2.24 731618 180130410 Genesee County Nursing Home 7/1/2012 11.76 0.65 0 0.63 0 0 0.28 0 0 0.24 0.09 0 1.99 0 0 0 0 0 5.57 2.3 657437 352330310 Glen Arden Inc 7/1/2012 10.03 3 0 0 0 0 0 0 0 0.66 0 -0.97 0 0 0 0 0 0 5.85 1.5 141540 290130510 Glen Cove Center for Nursing and Rehabilitation 7/1/2012 7.97 1.49 0 0 0 0 0 0 0 0.41 0 0.06 0.01 0 0 0 0 0 5.49 0.51 403228 590431810 Glen Island Center for Nursing and Rehabilitation 7/1/2012 8.6 2.11 0 0 0 0 0 0 0 0.58 0 0 0 0 0 0 0 0 5.61 0.3 542262 465130010 Glendale Home-schdy Cnty Dept Social Services 7/1/2012 10.04 1.88 0 -0.04 0 0 0.17 0 0 0.14 0.18 0.09 0 0 0 0 0 0 6.01 1.6 963651 290130010 Glengariff Health Care Center 7/1/2012 10.15 0.61 0.29 0 0 0 0 0 0 0.53 0 0.01 0 0 0 0 0 0 7.29 1.43 873975 700037610 Gold Crest Care Center 7/1/2012 7.98 0.73 0 0.24 0 0 0.23 0 0 0.61 0 0 0 0 0 0 0 0 5.9 0.26 475092 700432210 Golden Gate Rehabilitation and Health Care Center 7/1/2012 8.26 0.97 0 0 0 0 0 0 0 0.55 0 0 0 0 0 0 0 0 6.54 0.19 683418 550130910 Golden Hill Health Care Center 7/1/2012 8.95 0.24 0 0 0 0 0 0 0 0.61 0 0 0.64 0 0 0 0 0 6.2 1.26 898591 515431010 Good Samaritan Nursing Home 7/1/2012 21.13 1.96 0 0 0 0 0 0 0 0.41 0 0.89 0 0 0 0 0 0 5.68 12.19 694453 036330110 Good Shepherd Village at Endwell 7/1/2012 7.43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 030130510 Good Shepherd-fairview Home Inc 7/1/2012 8.64 0.3 0 0.45 0 0 0.48 0 0 0.72 0 -0.65 0.3 0 0 0 0 0 6.26 0.77 249858 042730210 Gowanda Rehabilitation and Nursing Center 7/1/2012 11.27 1.53 3.2 0 0 0 0 0 0 1.14 0 0 0 0 0 0 0 0 5.18 0.21 615139 291330110 Grace Plaza Nursing and Rehabilitation Center 7/1/2012 6.8 1.53 0 0 0 0 0 0 0 0.56 0 0 0.15 0 0 0 0 0 4.45 0.11 494925 700036110 Grand Manor Nursing & Rehabilitation Center 7/1/2012 6.45 0.48 0 0 0 0 0 0 0 0.64 0 0 0 0 0 0 0 0 4.91 0.41 536708 290230410 Grandell Rehabilitation and Nursing Center 7/1/2012 6.52 0.53 0 0 0 0 0 0 0 0.47 0 0 0.09 0 0 0 0 0 5.3 0.13 643944 700234110 Greater Harlem Nursing Home Company Inc 7/1/2012 12.12 2.12 0 1.58 0 0 0.24 0 0 0.42 0 0.03 0 0 0 0 0 0 7.55 0.17 857468 146730110 Greenfield Health and Rehabilitation Center 7/1/2012 10.57 1.23 0 1.18 0 0 0.33 0 0 0.3 0 0.01 0 0 0 0 0 0 6.84 0.69 578808 540130510 Groton Community Health Care Center Residential Care Facility 7/1/2012 6.46 1.37 0 0.4 0 0 0.16 0 0 0.32 0 0 0 0 0 0 0 0 3.19 1.02 176341 015530310 Guilderland Center Rehabilitation and Extended Care Facility 7/1/2012 5.37 0.54 0 0 0 0 0.01 0.15 0 0.62 0 0.01 0 0 0 0 0 0 3.75 0.29 240638 515330710 Gurwin Jewish Nursing and Rehabilitation Center 7/1/2012 27.69 1.71 2.23 0.95 0.02 0 0.84 0 0 0.43 0.1 0.28 11.93 0.24 0.12 0 0 0 6.95 1.88 4357889 275430010 Hamilton Manor Nursing Home 7/1/2012 4.47 0.39 0 0 0 0 0 0 0 0.02 0.27 0 0.74 0 0 0 0 0 2.48 0.57 61860 700103410 Hamilton Park Nursing and Rehabilitation Center 7/1/2012 26.19 0 0 0 0 0 0 0 0 0 0 0 0 0 26.19 0 0 0 0 0 533033 140132910 Harbour Health Multicare Center for Living 7/1/2012 6.83 1.1 0 0 0 0 0 0 0 0.38 0 0 0 0 -0.06 0 0 0 4.76 0.64 221104 322630110 Harding Nursing Home 7/1/2012 8.1 0.93 0 0.11 0 0 0.08 0 0 0.62 0 0 0.07 0 0 0 0 0 5.94 0.35 267935 140630110 Harris Hill Nursing Facility LLC 7/1/2012 10.52 2.01 0 0.47 0.02 0 0.18 0.4 0 0.34 0.08 0 0 0 0 0 0 0 4.98 2.03 717316 700337810 Haven Manor Health Care Center LLC 7/1/2012 10.14 0.61 0 0 0 0 0 0 0 0.6 1.57 0 0 0 0 0 0 0 6.65 0.71 866989 140132310 Hawthorn Health Multicare Center for Living 7/1/2012 6.86 0.86 0 0 0 0 0 0 0 0.38 0 0 0 -0.41 0.4 0 0 0 4.8 0.83 286801 700136910 Haym Solomon Home For The Aged 7/1/2012 9.73 0.44 0 0 0 0 0 0.28 0 0.37 0 0 0 0 0 0 0 0 8.31 0.33 798863 700030210 Hebrew Home For The Aged At Riverdale 7/1/2012 23.32 2.26 0 1.03 0 0 0.14 0.46 0 0.46 0.02 0.36 8.67 0.75 0 0 0 0 8.97 0.21 4874233 595730210 Hebrew Hospital Home of Westchester Inc 7/1/2012 11 0.89 0 0.52 0 0 0.55 0 0 0.52 0 0.02 0 0 0 0 0 0 7.65 0.85 695620 432230030 Helen Hayes Hospital RHCF 7/1/2012 #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 624532 590431410 Helen and Michael Schaffer Extended Care Center 7/1/2012 16.45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 290630410 Hempstead Park Nursing Home 7/1/2012 6.8 0.32 0 0.46 0 0 0.22 0 0 0.42 0 0 0 0 0 0 0 0 5.07 0.3 575831 152730010 Heritage Commons Residential Health Care 7/1/2012 13.75 0.56 0 0.71 0 0 0.31 0 0 0.28 0.13 0 0 0 0 0 0 0 11.49 0.28 411473 065830110 Heritage Green Nursing Home 7/1/2012 13.09 0.15 2.19 0 0 0 0 0 0 0.42 0.16 0 3.68 0 0 0 0 0 5.57 0.92 686346 320231410 Heritage Health Care Center 7/1/2012 13.92 2.81 0 0 0 0 0.22 0 0 0.51 0 0 0 0 0 0 0 0 9.83 0.54 1006181 060231010 Heritage Park Health Care Center 7/1/2012 10.1 0.15 1.28 0 0 0 1.25 0 0 0.45 0.16 0 2.61 0 0 0 0 0 3.43 0.78 529922 066230110 Heritage Village Rehab and Skilled Nursing Inc 7/1/2012 17.68 0.14 1.59 0.48 0 0 0.26 0 0 0.43 0.47 0 2.69 0 0 0 0 0 5.82 5.79 726544 295130610 Highfield Gardens Care Center of Great Neck 7/1/2012 8.34 1.76 0 0 0 0 0 0 0 0.65 0 0 0.06 0 0 0 0 0 5.37 0.5 558203 700336310 Highland Care Center 7/1/2012 7.34 1.05 0 0 0 0 0 0 0 0.38 0 0.47 0 0 0 0 0 0 5.12 0.33 826316 440230010 Highland Nursing Home Inc 7/1/2012 5.9 1.09 0 0 0 0 0 0 0 0.49 0 0 0 0 0 0 0 0 4.12 0.2 271533 022830310 Highland Park Rehabilitation and Nursing Center 7/1/2012 6.9 0.61 0 0 0 0 0 0 0 0.41 0 0 0.53 0 0 0 0 0 3.7 1.65 192597 350130510 Highland Rehabilitation and Nursing Center 7/1/2012 13.09 1.06 1.34 0.58 0 0 0.34 0 0 0.71 0 0 0 0 0 0 0 0 8.5 0.57 454191 140100130 Highpointe on Michigan Health Care Facility 7/1/2012 15 0 11.3 1.11 0 0 0 0.35 0 0.44 0 0 0.26 0 0 0.02 0 0 0.47 1.05 1177118 515331010 Hilaire Rehab & Nursing 7/1/2012 14.86 2.44 5.33 0 0 0 0 0 0 0.59 0 0 0 0 0 0 0 0 5.74 0.76 391319 276130210 Hill Haven Nursing Home 7/1/2012 9.28 1.9 0 0 0 0 0 0.57 0 0.22 0.31 0.14 2.49 0 0 0 0 0 3.35 0.29 1139313 700335010 Hillside Manor Rehabilitation and Extended Care Center 7/1/2012 8.24 0.94 0 0 0 0 0 0 0 0.55 0 0 0 0 0 0 0 0 6.22 0.53 1153613 700338110 Hollis Park Manor Nursing 7/1/2012 7.77 0.32 0 0 0 0 0 0 0 0.44 0 0 0 0 0 0 0 0 6.7 0.3 216704 700340910 Holliswood Center for Rehabilitation and Healthcare 7/1/2012 6.02 0.53 0 0 0 0 0.01 0 0 0.3 0 0 0 0 0 0 0 0 5.03 0.15 620538 700139510 Hopkins Center for Rehabilitation and Healthcare 7/1/2012 13.78 1.34 3.77 0 0 0 0.44 0 0 0.53 0 0.35 0 0 0 0 0 0 6.85 0.49 1420536 152130010 Horace Nye Home 7/1/2012 13.26 4.15 0 0 0 0 0 0 0.18 0.91 0 0.05 0 0 0 0 0 0 6.65 1.32 476458 700338910 Horizon Care Center 7/1/2012 5.12 0.25 0 0 0 0 0 0 0 -0.27 0.11 0 0 0 0 0 0 0 4.92 0.11 507424 500230210 Hornell Gardens LLC 7/1/2012 7.36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 010131410 Hudson Park Rehabilitation and Nursing Center 7/1/2012 7.96 0.06 0 0 0 0 0 0 0 0.4 0.2 0 0.98 0 0 0 0 0 5.36 0.96 558776 700038810 Hudson Pointe at Riverdale Center for Nrsg and Reha 7/1/2012 13.65 1.9 0 0 0 0 0 0 0 0.54 0 -0.07 0 0 0 0 0 0 10.29 0.98 751051 555630210 Hudson Valley Rehabilitation and Extended Care Center 7/1/2012 6.41 0.67 1.01 0 0 0 0 0 0 0.58 0 -0.17 0 0 0 0 0 0 4.06 0.25 460441 515330910 Huntington Hills Center for Health and Rehabilitation 7/1/2012 11.46 0.56 0 1.6 0 0 0.88 0 0 0.65 0 0 0 0 0 0 0 0 7.08 0.68 1296427 492130210 Huntington Living Center 7/1/2012 6.9 0.9 0.43 0.17 0.01 0 0.04 0.05 0 0.6 0 0 0 0 0 0 0 0 4.35 0.33 396106 030230210 Ideal Senior Living Center 7/1/2012 4.88 0.49 0.81 0.66 0 0 0.13 0.33 0 0.51 0 0 0 0 0 0 0 0 1.72 0.23 254775 572530410 Indian River Rehabilitation and Nursing Center 7/1/2012 12.25 1.79 1.44 0 0 0 0 0 0 1.1 0 0 1.05 0 0 0 0 0 6.75 0.11 508445 502230130 Ira Davenport Memorial Hospital Snf hrfa 7/1/2012 7.81 0 0 2.73 0 0 0.32 0.01 0 0.67 0 0 0 0.01 0.02 0 0 0 2.25 1.81 313424 335330010 Iroquois Nursing Home Inc 7/1/2012 9.95 0.53 0 0.25 0 0 0.26 0 0 0.42 0 0 1.55 0.49 0 0 0 0 6.28 0.18 572867 700235210 Isabella Geriatric Center Inc 7/1/2012 25.6 1.57 3.44 0.57 0 0 3.14 0 1.04 1.02 0.63 0 4.27 0.53 0 0 0 0 7.82 1.57 6268014 515131810 Island Nursing and Rehab Center 7/1/2012 21.51 2.35 0 2.09 0 0 1.5 1.23 0 0.76 0 0.33 3.76 0.56 0 0 0 0 7.84 1.09 900417 700334610 Jamaica Hospital Nursing Home Co Inc 7/1/2012 24.56 1.67 2.95 1.34 0.01 0.01 1.23 1.03 0 0.3 0 -0.03 3.39 0 0 0 0 0 7.46 5.18 1785351 410230910 James A Eddy Memorial Geriatric Center 7/1/2012 7.39 1 0 0.08 0 0 0.07 0 0 0.52 0 0 0 0 0 0 0 0 5.17 0.55 214249 030330610 James G Johnston Memorial Nursing Home 7/1/2012 10.38 0.63 1.43 0.4 0 0 0.24 0 0 0.62 0.02 0 0 0 0 0 0 0 6.2 0.84 443932 330132210 James Square Health And Rehabilitation Centre 7/1/2012 6.56 0.42 0 0 0 0 0 0.74 0 0.54 0 0 1.05 0 0 0 0 0 2.49 1.31 1018881 700031310 Jeanne Jugan Residence 7/1/2012 21.47 0.05 0 0.14 0 0 0.23 0 0 0.12 0 0 0 0 0 0 0 0 19.41 1.51 231094 515131710 Jeffersons Ferry 7/1/2012 10.97 2.76 0 0.62 0 0 0.7 0 0 1.13 0 0 0 0 0 0 0 0 5.42 0.34 232927 142700010 Jennie B Richmond Chaffee Nursing Home Company Inc 7/1/2012 5.5 0 0.07 0.57 0.01 0 0.11 0 0 0.23 0 0 0 0.01 0 0 0 0 4.28 0.2 155282 275030410 Jewish Home & Infirmary Of Rochester Ny Inc 7/1/2012 15.57 8.52 0 0 0 0 0 0 0.01 0.41 1.06 0.07 0 0.62 0.09 0 0 0 4.06 0.75 1964235 700031710 Jewish Home Lifecare Henry and Jeanette Weinberg Campus Bronx 7/1/2012 23.4 1.65 0 0.71 0.11 0 0.39 0 0.12 0.42 1.01 0.09 10.98 0 0 0 0 0 7.28 0.64 6827644
28652/17 N 28652/20 N 28652/31 N 28652/32 N 28652/33 N 28652/34 N 28652/35 N 28652/36 N 28652/37 N 28652/38 N 28652/41 N 28652/44 N 28652/45 N 28652/46 N 28652/48 N 28652/49 N 28652/105 N 28652/106 N 28652/242 N 28660/3 N 141
Non Electro Electro Admin Non Utilities Non Comparable Medical Utilization Lab Services Cardialoogy Encephalogy Inhalation Medcial Staff Other Other Other Other Comp Comp RX Admin Total Non
Organization Name Date Rate Directors Review $ per Day $ Per Day $ Per Day Radiology Therapy Podiatry Dental Psychiatric Hearing Services Ancilary Ancilary Ancilary Ancilary Allocation Allocation Allocation Comp Cost
700234010 Jewish Home Lifecare Manhattan 7/1/2012 29.58 2.26 0 3.04 0.05 0 0.62 0 0.05 0.48 1.29 0.31 10.99 0 0 0 0 0 9.6 0.89 5505409 590930210 Jewish Home Lifecare Sarah Neuman Center 7/1/2012 15.24 3.6 0 0.4 0.08 0 0.4 0 0.08 0.56 0.04 0.21 2.33 0 0 0 0 0 6.65 0.88 1651882 330130910 Jewish Home Of Central New York 7/1/2012 10.1 0 0 0 0 0 0 0 0 0.58 0.29 0.49 -3.17 0.77 0 0 0 0 10.65 0.48 459790 100100030 Kaaterskill Care Skilled Nursing and Rehab 7/1/2012 6.82 0 0.48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5.73 0.6 285025 700234410 Kateri Residence 7/1/2012 11.24 2.94 1.2 0 0 0 0 0 0 0.4 0 0 0.01 0 0 0 0 0 5.9 0.79 2094580 322530310 Katherine Luther Residential Health Care and Rehab C 7/1/2012 15.95 0.55 1.09 0 0 0 0 0 0 0.97 0.31 0.04 1.42 0 0 0 0 0 11.57 0 628583 540130810 Kendal at Ithaca Inc 7/1/2012 8.05 1.18 0 0 0 0 0 0 0 0 0 0 0.53 0 0 0 0 0 6.34 0 98138 593230010 Kendal on Hudson 7/1/2012 11.29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700138710 Keser Nursing and Rehabilitation Center Inc 7/1/2012 #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 819965 590630010 King Street Home Inc 7/1/2012 #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 390645 700037210 Kings Harbor Multicare Center 7/1/2012 10.12 1.03 2.15 0 0 0 0 0 0 0.11 0.08 0.04 0.99 0 0.44 0 0 0 5.13 0.16 2575536 700037410 Kingsbridge Heights Rehabilitation and Care 7/1/2012 6.65 0.31 0 0 0 0 0 0 0 0.4 0 0 0 0 0 0 0 0 5.49 0.46 875052 460130510 Kingsway Arms Nursing Center Inc 7/1/2012 9.31 0.86 0 0 0 0 0 0 0 0.55 0 0 2.49 0 0 0 0 0 5.4 0.02 527921 442300010 Kinney Nursing Home 7/1/2012 26.35 0 4.39 4.75 0 0 0.37 0 0 1.57 0 0.04 0 6.96 0 0 0 0 8.01 0.26 362873 270134510 Kirkhaven 7/1/2012 9.24 0.04 0 0 0 0 0 0 0.15 0.33 0.29 0 2.21 0.07 0 0 0 0 5.65 0.5 465492 700037010 Laconia Nursing Home Inc 7/1/2012 7.14 0.26 0 0 0 0 0 0 0 0.73 0 0 0 0 0 0 0 0 5.11 1.04 590880 275230110 Lakeside - Beikirch Care Center Inc 7/1/2012 10.83 0.08 0 0 0 0 0.22 0 0 0.39 0.25 0.02 0 0 0 0 0 0 8.25 1.62 452321 515131410 Lakeview Rehabilitation and Care Center 7/1/2012 8.78 0.36 0 1.69 0 0 0.34 0 0 0.48 0 0 0 0 0 0 0 0 5.42 0.5 346280 275430110 Latta Road Nursing Home 7/1/2012 5.26 0.41 0 0 0 0 0 0 0 0.22 0.25 0 0.78 0 0 0 0 0 2.87 0.72 73761 275430310 Latta Road Nursing Home A 7/1/2012 5.29 0.41 0 0 0 0 0 0 0 0.21 0.27 0 0.72 0 0 0 0 0 3.32 0.37 73674 700338510 Lawrence Nursing Care Center Inc 7/1/2012 5.74 0.35 0 0 0 0 0 0 0 0.16 0 0 0.01 0 0 0 0 0 5.13 0.09 396323 182330010 Leroy Village Green Residential Health Care Facility Inc 7/1/2012 6.46 0.9 0 0 0 0 0 0 0 0.25 0 0 0.22 0 0 0 0 0 4.16 0.94 303705 242400030 Lewis County General Hospital-nursing Home Unit 7/1/2012 7.02 0 1.15 0.96 0 0 0.13 0.01 0 0 0 0 0 0 0 0 0 0 4.48 0.27 385954 700139710 Linden Gardens Rehabilitation and Nursing Center 7/1/2012 8.36 0.65 0 0 0 0 0 0 0 0.38 0 0 0 0 0 0 0 0 7.12 0.21 768901 700340810 Little Neck Nursing Home 7/1/2012 11.67 1.47 2.78 0 0 0 0 0 0 0.85 0 0 0 0 0 0 0 0 5.36 1.21 494249 340230310 Living Center At Geneva North 7/1/2012 9.05 2 0.44 0.17 0.04 0.03 0.08 0.06 0 0.84 0 0 0 0.08 0 0 0 0 4.95 0.36 255922 340230210 Living Center At Geneva South 7/1/2012 12.94 1.69 0.45 1.11 0.27 0.07 1.28 0.1 0 0.85 0 0 0 0 0.08 0 0 0 5.87 1.16 437889 252230010 Livingston County Center for Nursing and Rehabilitatio 7/1/2012 7.83 0.63 0 0 0 0 0 0 0 0.39 0 0.03 0 0 0 0 0 0 6.32 0.46 750090 106330110 Livingston Hills Nursing & Rehabilitation Center LLC 7/1/2012 10.39 0.89 0 0.55 0 0 0.08 0 0 0.53 0 0 0 0 0 0 0 0 8.07 0.28 409623 700337710 Long Island Care Center Inc 7/1/2012 9.32 0.38 0 0 0 0 0 0 0 0.44 0 0.01 2.03 0 0 0 0 0 6.08 0.38 581427 515131010 Long Island State Veterans Home 7/1/2012 24.2 4.5 0 0 0 0 0 0.19 0 0.82 0 0.03 8.89 0 0 0 0 0 5.76 4.01 3075753 330132710 Loretto Health and Rehabilitation Center 7/1/2012 11.38 0.29 0.09 0.55 0 0 0.12 -0.34 0 0.76 0.08 0 4.36 0 0 0 0 0 5.32 0.13 2292547 700131310 Lutheran Augustana Center for Extended Care &Rehab 7/1/2012 10.28 1.53 0 1.93 0 0 0 0 0 0.51 0 0.01 0 0 0 0 0 0 5.67 0.64 869568 130230610 Lutheran Center at Poughkeepsie Inc 7/1/2012 10.3 2.95 0 0.79 0 0 0.5 0 0 0.52 0 0.45 0 0 0 0 0 0 4.08 1.01 582217 060230810 Lutheran Retirement Home 7/1/2012 10.01 0.78 0 0.7 0 0 1.22 0.14 0 0.04 0.22 0 0 0 0 0 0 0 5.86 1.06 827628 291130310 Lynbrook Restorative Therapy and Nursing 7/1/2012 7.32 1 0 0 0 0 0 0 0 0.38 0 0 0 0 0 0 0 0 5.42 0.51 243693 342930030 MM Ewing Continuing Care Center 7/1/2012 7 0 1.64 0.71 0.02 0 0.23 0 0 0 0 0 2.73 -0.01 0 0 0 0.14 0.89 0.65 462156 700038710 Manhattanville Health Care Center 7/1/2012 6.86 0.7 0 0 0 0 0 0 0 0.51 0 0 0 0 0 0 0 0 5.45 0.2 472075 442030110 Maplewood Health Care and Rehabilitation Center 7/1/2012 6.98 0.53 0 0 0 0 0 0 0 0.38 0 0 0 0 0 0 0 0 5.95 0.12 398458 272930010 Maplewood Nursing Home Inc 7/1/2012 10.92 0.47 0 0 0 0 0 0 0 0.47 0.31 0 3.25 0 0 0 0 0 5.33 1.1 285923 700135310 Marcus Garvey Nursing Home Company Inc 7/1/2012 6.48 0.74 0 0 0 0 0 0 0 0.59 0 0 0 0 0 0 0 0 4.95 0.2 627852 700330510 Margaret Tietz Center For Nursing Care Inc 7/1/2012 17.78 2.46 0 0.36 0 0 0.5 0 0.03 0.21 0.78 0.22 2.68 0 0 0 0 0 8.11 2.43 1252236 515432110 Maria Regina Residence Inc 7/1/2012 11.24 2.51 0 0 0 0 0 0 0 0.45 0 0 0 0 0 0 0 0 7.33 0.94 761126 290130410 Marquis Care Center 7/1/2012 7.23 1.95 0 0 0 0 0 0 0 0.44 0 0 0 0 0 0 0 0 4.26 0.57 242418 700230510 Mary Manning Walsh Nursing Home Co Inc 7/1/2012 21.65 1.8 0.65 0.69 0 0 0.4 0 0 0.48 0 -0.04 0.86 0 0 0 0 0 15.59 1.23 2798741 320230810 Masonic Care Community of New York 7/1/2012 25.61 3.46 0 0 0 0 0.47 0 0.19 0.81 0 0.02 4.77 0 0 0 0 0 15.43 0.46 2911240 290630210 Mayfair Care Center 7/1/2012 3.46 0.78 2.02 0 0 0 0 0 0 0.4 0 0 0 0 0 0 0 0 0 0.26 228804 500200130 Mcauley Manor at Mercycare 7/1/2012 18.59 0 0.72 2.48 0.01 0 0.07 0.02 0 0 0 0 1.37 0 0 0 0 0 11.01 2.91 764560 140400010 Mcauley Residence 7/1/2012 7.79 1.08 0 0 0 0 0 0 0 0.29 0 0.01 0 0 0 0 0 0 3.31 3.11 437784 700339810 Meadow Park Rehabilitation and Health Care Center 7/1/2012 5.57 1.47 0 0 0 0 0 0 0 0.09 0 0 0 0 0 0 0 0 3.62 0.38 279120 290430110 Meadowbrook Care Center Inc 7/1/2012 5.51 0.75 0 0 0 0 0 0 0.02 0.28 0 0 0 0 0 0 0 0 4.23 0.23 517430 090130310 Meadowbrook Healthcare 7/1/2012 7.19 2.64 0 0 0 0 0 0 0 0.41 0.1 0 0.04 0 0 0 0 0 3.3 0.7 532406 515131910 Medford Multicare Center for Living 7/1/2012 7.04 0.37 0 0 0 0 0 0 0 0.47 0 0 0 0 0 0 0 0 5.99 0.2 744772 362200030 Medina Memorial Hospital Snf 7/1/2012 19.09 0 0 0.71 0 0 0.34 0.03 0 0 0 0 0.47 0 0 0 5.23 0 11.96 0.35 203824 700137210 Menorah Home And Hospital For 7/1/2012 24.74 2.84 0 0.88 0.64 0 0 0 0 0.43 0 0 6.85 0 0 0 0 0 12.21 0.9 2816479 050130810 Mercy Health & Rehab Center Nh Inc 7/1/2012 7.25 0.38 0 0.51 0 0 0.5 0 0 0.31 0 0 1.36 0 0 0 0 0 4.05 0.14 707710 140100830 Mercy Hospital Skilled Nursing Facility 7/1/2012 18.51 0 0 2.22 0.03 0 0.48 2.57 0 0 0 0 3.65 0 0 0.1 0.01 0.1 7.6 0.59 497073 162030030 Mercy Living Center 7/1/2012 18.98 0 2.32 0.12 0 0 0.05 0 0 0 0 0 3.89 0 0 0 0 0.19 12.05 0.36 407703 700031110 Methodist Home For Nursing and Rehabilitation 7/1/2012 8.79 1.34 0 0 0 0 0 0 0 0.66 0 0 0 0 0 0 0 0 6.6 0.19 365326 590731610 Michael Malotz Skilled Nursing Pavilion 7/1/2012 17.52 4.85 0 0.33 0.02 0 0.66 3.31 0 0.93 0 0.36 0 0.07 0 0 0 0 5.81 1.17 672891 370130110 Michaud Residential Health Services Inc 7/1/2012 8.4 1.01 0.38 0.22 0 0 0.08 0 0 0.74 0 0 0.18 0 0 0 0 0 5.32 0.46 252917 350130410 Middletown Park Rehabilitation and Health Ca 7/1/2012 8.24 0.77 0 0.45 0 0 0.3 0 0 0.6 0 0 0.07 0 0 0 0 0 5.76 0.29 677065 700334010 Midway Nursing Home 7/1/2012 3.76 0.88 2.23 0 0 0 0 0 0 0.4 0 0 0 0 0 0 0 0 0 0.25 247212 515731610 Mills Pond Nursing and Rehabilitation Center 7/1/2012 6.59 0 0 0 0 0 0 0 0 0.62 0 0 0.04 0 0 0 0 0 5.09 0.85 576031 210130110 Mohawk Valley Health Care Center 7/1/2012 14.86 0.72 4.3 1.07 0.16 0 0.47 0.92 0 0.36 0 0 2.05 0 0 0 0 0 4.8 0.02 618457 515432410 Momentum at South Bay for Rehabilitation and Nursin 7/1/2012 7 0.22 0 0 0 0 0 0 0 0.27 0 0 0 0 0 0 0 0 5.63 0.89 382399 270100630 Monroe Community Hospital 7/1/2012 34.38 4.92 1.83 1.53 0.18 0 0.65 4.08 0 0 0 0.05 0 0 0 0 0 0.45 15.13 1.25 6872704 356130210 Montgomery Nursing and Rehabilitation Center 7/1/2012 6.93 0.98 0 0 0 0 0 0 0 0.74 0 0 0.01 0 0 0 0 0 4.65 0.55 229049 700034510 Morningside House Nursing Home Company Inc 7/1/2012 17.57 1.81 0 0.47 0.44 0 0.17 0 0 1.03 0 0 1.7 0 0 0 0 0 10.36 1.58 2380112 370231510 Morningstar Residential Care Center 7/1/2012 6.67 0.79 0 0 0 0 0 0 0 0.63 0 0 0.45 0 0 0 0 0 4.04 0.76 263874 700032810 Morris Park Nursing Home 7/1/2012 6.29 0.36 0 0.42 0 0 0.05 0 0 0.39 0 0 0 0 0 0 0 0 4.88 0.19 408426 700032910 Mosholu Parkway Nursing And Rehabilitation Center 7/1/2012 7.45 0.74 0 0.48 0 0 0 0.03 0 0.19 0 0 0 0 0 0 0 0 5.74 0.27 305927 122630030 Mountainside Residential Care Center 7/1/2012 9.46 0.67 0.25 0.1 0.04 0 0.05 0 0 0.87 0 0 0 0 0 0 0 0 7.27 0.21 272391 082530110 NYS Veterans Home 7/1/2012 20.81 2.59 0 0 0 0 0 1.3 0 0.39 0 0.07 10.88 0 0 0 0 0 5.27 0.3 1823924 595130010 NYS Veterans Home at Montrose 7/1/2012 20.06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 290630510 Nassau Extended Care Facility 7/1/2012 8.49 0.92 0 0.82 0 0 0.65 0 0 0.65 0 0 0 0 0 0 0 0 5.19 0.25 828759 170100030 Nathan Littauer Hospital Nursing Home 7/1/2012 8.39 0.64 0.94 0.38 0.01 0 0.13 1.16 0 0 0 0 3 0 0 0.01 0 0.12 1.25 0.76 255323 515731510 Nesconset Center for Nursing and Rehabilitation 7/1/2012 13.68 1.41 2.95 0 0 0 0 0.02 0 0.61 0 0 0 0 0 0 0 0 6.61 2.08 1134766 700138610 New Carlton Rehab and Nursing Center LLC 7/1/2012 5.16 0.51 0 0 0 0 0 0 0 0.93 0 0 0 0 0 0 0 0 3.57 0.15 256093 700235810 New East Side Nursing Home 7/1/2012 7.87 0.41 0 0 0 0 0 0 0 0.54 0 0 0 0 0 0 0 0 6.8 0.12 160520 700339110 New Glen Oaks Nursing Home 7/1/2012 5.96 0.4 0 0 0 0 0 0 0 0.61 0 0 0 0 0 0 0 0 4.81 0.15 127875 700234310 New Gouverneur Hospital Snf 7/1/2012 29.64 5.66 0 0.01 0.16 0 0.8 0.71 0 0 0 0 0 0 0 0 0 0 11.9 10.39 2206167 700337310 New Surfside Nursing Home 7/1/2012 5.34 0.47 0 0 0 0 0 0 0 0.08 0.18 0 0 0 0 0 0 0 4.43 0.18 348616 700431610 New Vanderbilt Rehabilitation and Care Center Inc 7/1/2012 7.95 0.38 0 0 0 0 0 0 0 0.32 0 0 0.02 0 0 0 0 0 7.03 0.21 832960 700340510 New York Center for Rehabilitation 7/1/2012 8.59 2.06 0 0 0 0 0 0 0 0.58 0 0 0.03 0 0 0 0 0 5.55 0.37 852988 700130910 New York Congregational Nursing Center Inc 7/1/2012 8.96 1.64 0 0.22 0 0 0.33 0 0 0.61 0 0 0 0 0 0 0 0 5.89 0.27 644681 700338310 New York State Veterans Home In New York City 7/1/2012 14.42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 582030210 Newark Manor Nursing Home 7/1/2012 8.99 2.19 0 0 0 0 0 0 0 0.49 0.12 0 0 0 0 0 0 0 4.96 1.23 189113 315430210 Newfane Rehabilitation And Health Care Center Corp 7/1/2012 5.84 1.16 0 0 0 0 0 0 0 0.16 0 0 0 0 0 0 0 0 4.39 0.13 335473
28652/17 N 28652/20 N 28652/31 N 28652/32 N 28652/33 N 28652/34 N 28652/35 N 28652/36 N 28652/37 N 28652/38 N 28652/41 N 28652/44 N 28652/45 N 28652/46 N 28652/48 N 28652/49 N 28652/105 N 28652/106 N 28652/242 N 28660/3 N 141
Non Electro Electro Admin Non Utilities Non Comparable Medical Utilization Lab Services Cardialoogy Encephalogy Inhalation Medcial Staff Other Other Other Other Comp Comp RX Admin Total Non
Organization Name Date Rate Directors Review $ per Day $ Per Day $ Per Day Radiology Therapy Podiatry Dental Psychiatric Hearing Services Ancilary Ancilary Ancilary Ancilary Allocation Allocation Allocation Comp Cost
140131610 Niagara Lutheran Home And Rehabilitation Center Inc 7/1/2012 5.92 0.44 0 0.21 0 0 0.15 0 0 0.35 0 0 0 0 0 0 0 0 4.5 0.27 359845 310231110 Niagara Rehabilitation and Nursing Center 7/1/2012 7.42 1.55 0 0 0 0 0 0 0 0.56 0 0 0 0 0 0 0 0 4.99 0.32 393522 316030110 North Gate Health Care Facility 7/1/2012 8.75 1.13 0 0.4 0.04 0 0.18 0.22 0 0.39 0.13 0 0.23 0 0 0 0 0 4.26 1.79 633393 295130510 North Shore University Hospital Stern Family Ctr for E 7/1/2012 22.6 2.96 3.75 1.48 0.04 0 0.85 1.45 0 0.68 0 -6.92 7.86 0 0 0 0 0 9.21 1.25 1534411 596830210 North Westchester Restorative Therapy and Nursing 7/1/2012 15.56 1.94 0 0 0 0 0 0 0 0.67 0 0 0 0 0 0 0 0 8.75 4.2 626403 550131010 Northeast Center for Special Care 7/1/2012 26.64 1.86 0 0 0 0 0 7.97 0.21 0.49 1.72 0 6.34 0 0 0 0 0 6.92 1.14 1527228 132730210 Northern Dutchess Residential Health Care Facility Inc 7/1/2012 15.67 0.73 0 0.4 0.2 0 0 0.65 0 0.66 0 0.28 0 0 0 0 0 0 9.73 3.01 555847 700235510 Northern Manhattan Rehabilitation and Nursing Center 7/1/2012 6.13 0.52 0 0 0 0 0 0 0 0.51 0 0 0.12 0 0 0 0 0 4.86 0.11 702098 435030410 Northern Manor Geriatric Center Inc 7/1/2012 5.95 0.59 0 0 0 0 0 0 0 0.56 0 0.01 0 0 0 0 0 0 4.8 0 412269 435330110 Northern Metropolitan Residential Health Care Facility Inc 7/1/2012 9.92 0 0 0.9 0 0 0.9 0 0 0.68 0 0 0 0 0 0 0 0 6 1.44 390927 432130210 Northern Riverview Health Care Center Inc 7/1/2012 11.32 0 0 0.76 0 0 0.44 0 0 0.54 0 0.01 0 0 0 0 0 0 8.18 1.38 685647 052630310 Northwoods Rehab and Extended Care Fac at Moravia 7/1/2012 #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 84952 700131610 Norwegian Christian Home And Health Center 7/1/2012 17.64 1.41 0 0.59 0 0 0.5 0 0 0.6 0 0.01 0 0 0 0 0 0 14.24 0.29 841133 082430410 Norwich Rehabilitation & Nursing Center 7/1/2012 11.12 0.64 0.48 0.8 0 0 0.17 0 0 0.82 0 0 0 0 0 0 0 0 7.18 1.03 314054 335330110 Nottingham Residential Health Care Facility 7/1/2012 13.18 0.18 0 0.78 0 0 0.26 0.52 0 0 0 0 2.99 0 0 0 0 0 8.26 0.19 189538 435030210 Nyack Manor Nursing Home 7/1/2012 5.67 0.5 0 0 0 0 0 0 0 0.53 0 0 0 0 0 0 0 0 4.62 0.01 297986 540131010 Oak Hill Manor Nursing Home 7/1/2012 6.61 1.63 0 0 0 0 0 0 0 0.97 0.03 0 0 0 0 0 0 0 3.91 0.07 139053 515131510 Oak Hollow Nursing Center 7/1/2012 7.33 1.08 0 0.31 0 0 0.27 0 0 0.32 0 0.18 0 0 0 0 0 0 4.93 0.23 397357 700340110 Ocean Promenade Nursing Center Inc 7/1/2012 7.33 0.79 0 0 0 0 0 0 0 0.85 0 0 0 0 0 0 0 0 5.48 0.21 311769 295031410 Oceanside Care Center Inc 7/1/2012 6.05 0.47 0 0.36 0 0 0.39 0 0 0.57 0 0 0 0 0 0 0 0 4.11 0.14 215731 700335410 Oceanview Nursing & Rehabilitation Center LLC 7/1/2012 6.09 0.78 0 0.19 0.01 0 0.26 0 0 0.59 0 0 0 0 0 0 0 0 4.05 0.21 216134 310130510 Odd Fellow & Rebekah Rehabilitation & Health Care Center Inc 7/1/2012 10.85 1.58 0.51 0.26 0 0 0.16 0.05 0 0.65 0 0 0.59 0 0 0 0 0 6.76 0.28 457108 260100110 Oneida Healthcare 7/1/2012 17.57 0 0 1.16 0.02 0.01 0.19 4.26 0 0.53 0.49 0 5.27 0.04 0 0 0 0 4.57 1.03 923364 342930210 Ontario County Health Facility 7/1/2012 9.06 0.8 0 0 0 0 0 0 0 0.45 0 0 0.34 0 0 0 0 0 6.73 0.74 314392 362230310 Orchard Manor Rehabilitation and Nursing Center 7/1/2012 8.78 0.32 0 0 0 0 0 0 0 0.62 0 0 0 0 0 0 0 0 7.01 0.83 461738 291000010 Orzac Center for Extended Care & Rehabilitation 7/1/2012 15.92 4.19 0 0 1.48 0 1.25 1.07 0 0.45 0 0.04 0 0 0 0 0 0 6.93 0.51 676376 385930010 Otsego Manor 7/1/2012 17.02 0 1.91 0.26 0 0 0.08 0 0 0.6 0 0 4.35 0 0 0 0 0 9.74 0.09 1067312 015330010 Our Lady Of Hope Residence-little Sisters Of The Poor 7/1/2012 12.78 0.2 0 0.3 0 0 0 0 0 0.2 0.5 0.46 0 0 0 0 0 0 11.04 0.09 167335 015530110 Our Lady Of Mercy Life Center 7/1/2012 8.88 0.51 0 0 0 0 0 0 0 0.44 0 0 1.84 0 0 0 0 0 5.63 0.46 504523 515431910 Our Lady of Consolation Nursing and Rehabilitation Care Center 7/1/2012 11.63 2.28 0.85 0 0 0 0 1.53 0 0.42 0 0 0 0 0 0 0 0 5.76 0.79 1866471 312130310 Our Lady of Peace Nursing Care Residence 7/1/2012 10.26 1.31 0 1.04 0 0 0 0.47 0 0.29 0.32 0.02 0 0 0 0 0 0 6.41 0.4 924324 700137310 Oxford Nursing Home 7/1/2012 5.47 0.5 0 0 0 0 0 0 0 0.36 0 0 0 0 0 0 0 0 3.62 0.98 425267 700330610 Ozanam Hall Of Queens Nursing Home Inc 7/1/2012 16.24 3.35 0 0.75 0 0 0.56 0 0 0.33 0 0 0 1.03 0 0 0 0 9.12 1.09 2464126 285130110 Palatine Nursing Home 7/1/2012 11.21 0.38 0 0.61 0 0 0 0 0 0.77 0 0 0 0 0 0 0 0 4.5 4.94 262563 700034710 Palisade Nursing Home Company Inc 7/1/2012 23.66 1.47 0 2.95 0 0 1.08 0.45 0 0.56 0.01 1.64 5.46 0.67 0 0 0 0 8.81 0.55 2437251 700139110 Palm Gardens Care Center LLC 7/1/2012 12.24 -0.2 0 0 0 0 0 5.39 0 0.26 0 0 0 0 0 0 0 0 6.37 0.43 955016 290230610 Park Avenue Extended Care Facility 7/1/2012 8.43 1.3 0 0.65 0 0 0.34 0.1 0 0.54 0 0 0 0 0 0 0 0 5.66 -0.15 723010 700038210 Park Gardens Rehabilitation & Nursing Center LLC 7/1/2012 #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 592819 700336410 Park Nursing Home 7/1/2012 6.68 0.36 0 0 0 0 0 0 0 0.48 0 0 0 0 0 0 0 0 5.73 0.1 443476 275430230 Park Ridge Nursing Home 7/1/2012 21.68 1.57 0 9.01 0 0 0 0 0 0.23 0 0 5.97 0 0 0 0 0 4.15 0.76 918498 700337410 Park Terrace Care Center 7/1/2012 9.07 0.38 0 0.1 0 0 0.2 1.42 0 0.38 0.32 0.03 1.32 0 0 0 0 0 4.76 0.16 589452 700330710 Parker Jewish Institute for Health Care and Rehabilitation 7/1/2012 33.2 0.73 0 2.7 0 0 0.7 0.06 0.42 1.11 0.08 0.04 13.25 0.31 0.17 0 0 0 10.88 2.61 6273781 295230110 Parkview Care and Rehabilitation Center Inc 7/1/2012 5.41 0.57 0 0 0 0 0 0 0 0.49 0 0 0 0 0 0 0 0 3.93 0.41 320638 465230210 Pathways Nursing and Rehabilitation Center 7/1/2012 28.92 1.45 6.78 0.16 0 0 0.59 0 0 1.07 2.01 0.02 7.81 0 0 0 0 0 7.96 1.07 380016 515500030 Peconic Bay Skilled Nursing Facility 7/1/2012 29.17 0 6.54 5.51 0.05 0 3.53 0.01 0 0 0 0 0 0 0 0 0 0 12.37 1.04 574954 512730110 Peconic Landing at Southold 7/1/2012 12.16 1.59 0 0 0 0 0 0 0 1.01 0 0 0 0 0 0 0 0 8.62 0.93 186108 700033810 Pelham Parkway Nursing and Rehabilitation Facility 7/1/2012 5.44 0.35 0 0 0 0 0 0.01 0 0.51 0 0 0 0 0 0 0 0 4.34 0.22 383448 276130310 Penfield Place LLC 7/1/2012 7.02 1.7 0 0 0 0 0 0 0.01 0.44 0.44 0 0 0 0 0 0 0 3.16 1.26 115971 700330810 Peninsula Center For Extended Care and Rehabilitation 7/1/2012 17.94 4.08 0 1.8 0.02 0 1.67 0 0 0 0 0.95 0 0.01 0 0 0 0 8.88 0.54 1178539 612030010 Penn Yan Manor Nursing Home Inc 7/1/2012 4.42 0.39 0 0.49 0 0 0.01 0 0 0.3 0 0 0 0 0 0 0 0 2.64 0.58 72686 515432510 Petite Fleur Nursing Home 7/1/2012 7.57 0.43 0 0 0 0 0 0 0 0.35 0 0 0 0 0 0 0 0 5.46 1.34 471692 102130010 Pine Haven Home 7/1/2012 9.79 2.47 0 0.12 0 0 0.23 0 0.04 0.69 0.09 0 0 0 0 0 0 0 5.6 0.56 386050 435330310 Pine Valley Center for Rehabilitation and Nursing 7/1/2012 6.46 1.22 0 0 0 0 0 0.01 0 0.99 0 0 0 0 0 0 0 0 4.15 0.09 424134 575030010 Pleasant Valley 7/1/2012 8.27 0.76 0 0 0 0 0 0 0 0.54 0 0.44 0 0 0 0 0 0 6.47 0.06 358562 370231310 Pontiac Nursing Home 7/1/2012 5.71 0.71 0 0 0 0 0 0 0 0.71 0 0 0 0 0 0 0 0 4.1 0.19 161316 590630310 Port Chester Nursing and Rehabilitation Centre 7/1/2012 6.36 0.82 0 0 0 0 0 0.02 0 0.43 0.05 0 0 0 0 0 0 0 4.67 0.36 344617 322730310 Presbyterian Home For Central New York Inc 7/1/2012 8.7 0.85 0 0 0 0 0 0 0 0.65 0 0 0 0 0 0 0 0 6.48 0.73 744833 700338610 Promenade Rehabilitation and Health Care Center 7/1/2012 1.21 0.59 0 0 0 0 0 0 0 0.43 0 0 0.01 0 0 0 0 0 0 0.18 97467 700030610 Providence Rest 7/1/2012 9.53 1.92 0 0 0 0 0 0.14 0 0.44 0 0.05 0 0.03 0 0 0 0 6.38 0.57 679617 395130110 Putnam Nursing and Rehabilitation Center 7/1/2012 4.88 0.46 0 0 0 0 0 0 0 0.5 0 0 0 0 0 0 0 0 3.64 0.28 256543 395030210 Putnam Ridge 7/1/2012 11.55 0.8 0 0.43 0 0 0.26 0 0 0.67 0 0 0 0.2 0 0 0 0 8.76 0.42 653409 135630310 Quaker Hill Manor 7/1/2012 9.46 0.94 0 0.21 0 0 0.1 0 0 0.56 0 0 0 0 0 0 0 0 4.06 3.59 372998 700330310 Queen Of Peace Residence 7/1/2012 15.29 0.27 0 0.16 0 0 0.04 0 0 0.53 0 0.02 0 0 0 0 0 0 13.75 0.53 291158 700339010 Queens Boulevard Extended Care Facility Inc 7/1/2012 10.36 1.26 0 0.86 0 0 1 0 0 0.36 0 0.06 0 0 0 0 0 0 6.3 0.51 1024112 700340410 Queens Center for Rehabilitation&Residential Hlth Car 7/1/2012 8.56 2.4 0 0 0 0 0 0 0 0.47 0 0.03 0 0 0 0 0 0 5.27 0.4 536000 700336110 Queens Nassau Rehabilitation and Nursing Center 7/1/2012 5.2 0.59 0 0 0 0 0 0 0 0.34 0 0.1 0 0 0 0 0 0 4.25 -0.09 332439 432930110 Ramapo Manor Center for Rehabilitation & Nursing 7/1/2012 8.24 0.43 0 1.11 0 0 0.83 0 0 0.42 0 0 0 0 0 0 0 0 4.86 0.59 549355 700031410 Rebekah Rehab and Extended Care Center 7/1/2012 16.69 4.48 0 0 0 0 0 0 0 0.46 0 0 0 0 0 0 0 0 11.01 0.74 1255939 700339710 Regal Heights Rehabilitation and Health Care Center 7/1/2012 9.62 0.63 0 0.8 0 0 0.83 0 0 0.49 0 0 0 0 0 0 0 0 6.62 0.25 896039 700035610 Regeis Care Center 7/1/2012 9.86 0.38 0 0 0 0 0 0 0 0.31 0 0.03 2.72 0 0 0 0 0 6.26 0.16 794468 590731510 Regency Extended Care Center 7/1/2012 7.82 0.72 0 0 0 0 0.16 0 0 0.5 0 0.57 0 0 0 0 0 0 5.62 0.25 877113 700339210 Rego Park Nursing Home 7/1/2012 7.06 0.57 0 0.22 0 0 0.27 0 0 0.18 0 0 0 0 0 0 0 0 5.51 0.31 494771 135630210 Renaissance Rehabilitation and Nursing Care Center 7/1/2012 6.87 0.37 0 0.38 0 0 0 0 0 0.63 0 0 0 0 0 0 0 0 5.32 0.18 270704 700333010 Resort Nursing Home 7/1/2012 6.63 0.67 0 0 0 0 0 0 0 0.4 0 0 0 0 0 0 0 0 4.81 0.76 603481 700432410 Richmond Center for Rehabilitation and Specialty Healthcare 7/1/2012 22.43 0 0 2.8 0 0 1.13 0.01 0 0.64 0 0.02 10.76 0 0 0 0 0 6.24 0.84 947828 140133610 Ridge View Manor LLC 7/1/2012 8.48 0.52 0 1.98 0 0 0.64 0 0 0.37 0 0.11 0 0 0 0 0 0 3.52 1.33 350476 700137810 River Manor Care Center 7/1/2012 6.84 0.09 0 0 0 0 0 0.99 0 0.55 0 0 0 0 0 0 0 0 5.09 0.12 854118 280130410 River Ridge Living Center LLC 7/1/2012 8.92 1.26 0.36 0 0 0 0 0 0 0.58 0 0 0 0 0 0 0 0 6.52 0.21 354993 130230710 River Valley Care Center Inc 7/1/2012 3.06 0.74 1.7 0 0 0 0 0 0 0.46 0 0 0 0 0 0 0 0 0 0.16 160898 700035710 Riverdale Nursing Home 7/1/2012 8.94 0.34 0 0 0 0 0 0 0 0.57 0 0 0 0 0 0 0 0 7.84 0.19 428574 515530110 Riverhead Care Center LLC 7/1/2012 5.52 0.44 0 0 0 0 0 0 0 0.5 0 0 0 0 0 0 0 0 3.83 0.75 327961 440130210 Riverledge Health Care and Rehabilitation Center 7/1/2012 11.06 0.64 0 0 0 0 0 0 0 0.46 0.06 0 0 0 0 0 0 0 9.7 0.21 383140 412430010 Riverside Center for Rehabilitation and Nursing 7/1/2012 11.76 1.04 2.36 0.16 0 0 0.08 0 0 0.76 0.75 0 0 0 0 0 0 0 5.55 1.06 331535 532430210 Riverview Manor Health Care Center 7/1/2012 #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 124523 700235310 Rivington House-The Nicholas A Rango Health Care Facility 7/1/2012 #N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122500010 Robinson Terrace 7/1/2012 8.34 -0.12 0.19 0 0 0 0 0 0 0.5 0 0 0 0 0 0 0 0 7.73 0.04 354937 700336210 Rockaway Care Center 7/1/2012 2.36 0.41 0 0 0 0 0 0 0 0.47 0 0 0 0 0 0 0 0 1.38 0.09 161478 290930410 Rockville Skilled Nursing & Rehabilitation Center LLC 7/1/2012 6.91 0.4 0 0 0 0 0 0 0 0.46 0 0 0.15 0 0 0 0 0 5.56 0.34 156508 320131010 Rome Center for Rehabilitation and Health Care 7/1/2012 8.3 1.16 1.31 0.28 0 0 0 0 0 0.34 0 0.01 0 0 0 0 0 0 4.71 0.49 459357
28652/17 N 28652/20 N 28652/31 N 28652/32 N 28652/33 N 28652/34 N 28652/35 N 28652/36 N 28652/37 N 28652/38 N 28652/41 N 28652/44 N 28652/45 N 28652/46 N 28652/48 N 28652/49 N 28652/105 N 28652/106 N 28652/242 N 28660/3 N 141
Non Electro Electro Admin Non Utilities Non Comparable Medical Utilization Lab Services Cardialoogy Encephalogy Inhalation Medcial Staff Other Other Other Other Comp Comp RX Admin Total Non
Organization Name Date Rate Directors Review $ per Day $ Per Day $ Per Day Radiology Therapy Podiatry Dental Psychiatric Hearing Services Ancilary Ancilary Ancilary Ancilary Allocation Allocation Allocation Comp Cost
320100230 Rome Memorial Hospital Inc - RHCF 7/1/2012 15.78 0 2.53 1.22 0.04 0 0.92 0.03 0 0 0 0 0.44 0 0 0.04 0 0 9.08 1.48 424986 145130410 Rosa Coplon Jewish Home 7/1/2012 10.69 1.52 0 0.62 0 0 0.31 0 0 0.54 0 0 0 0 0 0 0 0 6.95 0.75 670362 526230010 Roscoe Community Nursing Home Co Inc 7/1/2012 12.31 2.1 0 0 0 0 0 0 0 0.91 0 0 0 0 0 0 0 0 9.04 0.25 379522 330132310 Rosewood Heights Health Center 7/1/2012 9.28 0.45 0 0 0 0 0 0 0 0.51 0 0 2.2 0 0 0 0 0 5.7 0.42 796678 415230410 Rosewood Rehabilitation and Nursing Center 7/1/2012 12.33 0.71 0.91 0.16 0 0 0.23 0.59 0 0.6 0.47 0.75 0 0 0 0 0 0 7.18 0.73 352801 515432010 Ross Health Care Center 7/1/2012 6.29 0.53 0 0 0 0 0 0.04 0 0.65 0 0 0 0 0 0 0 0 4.76 0.31 278922 700103310 Rutland Nursing Home Co Inc 7/1/2012 25.19 1.09 0.08 0.01 0.01 0 0.81 4.27 0 0.82 0 0 4.88 0.01 0 0 0 0 10.96 1.93 3901637 9999999 STATEWIDE 7/1/2012 #N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700137110 Saints Joachim & Anne Nursing and Rehabilitation Ce 7/1/2012 10.64 1.29 0 0.29 0 0 0.46 0 0 0.59 0 0.03 0 0 0 0 0 0 7.8 0.18 727515 596030410 Salem Hills Rehabilitation and Nursing Center 7/1/2012 10.02 0.29 3.15 0 0 0 0 0.71 0 0.68 0 0 0 0 0 0 0 0 4.25 0.95 443557 220100010 Samaritan Keep Nursing Home Inc 7/1/2012 10.38 1.94 0 0.4 0.01 0 0.5 0 0 0.28 0 0 0 0 0 0 0 0 7.11 0.15 1018737 226930010 Samaritan Senior Village Inc 7/1/2012 #N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 512730210 San Simeon by the Sound Center for Nrsg and Reha 7/1/2012 10.99 0.59 3 0 0 -0.07 0 0 0 0.56 0 0 0 0 0 0 0 0 6.53 0.38 469092 295130410 Sands Point Center For Health And Rehabilitation 7/1/2012 5.91 0.48 0 0 0 0 0 0.64 0 0.51 0.08 0 0.04 0 0 0 0 0 3.41 0.76 371776 590731710 Sans Souci Rehabilitation and Nursing Center 7/1/2012 8.7 0.97 0 0 0 0 0 0 0 0 0 -0.01 0 0 0 0 0 0 5.11 2.63 348771 450100030 Saratoga Care Nursing Home 7/1/2012 19.52 0 0.89 2.2 0.06 0.03 0.52 5.68 0 0 0 0 0 0 0 0.09 0.08 0.4 6.5 3.01 470593 452030110 Saratoga County Maplewood Manor 7/1/2012 4.55 0.77 0 0 0 0 0 0 0 0.48 0 0 0 0 0 0 0 0 3.19 0.1 451893 700031510 Schervier Nursing Care Center 7/1/2012 15.47 2.14 2.19 0 0 0 0 0.31 0 0.4 0 0.17 0.43 0 0 0 0 0 9.14 0.69 1996573 352930110 Schervier Pavilion 7/1/2012 16.3 3.03 0 0.86 0 0 1.75 0.98 0 0.38 0 0 0 0 0 0 0 0 8.86 0.44 690025 590231410 Schnurmacher Center for Rehabilitation and Nursing 7/1/2012 8.88 0.45 0 0.47 0 0 0.58 0 0 0.6 0 0 1.02 0 0 0 0 0 5.27 0.49 692843 310230710 Schoellkopf Health Center 7/1/2012 6.24 0 0 0 0 0 0 0 0 1.03 0 0 0 0 0 0 0 0 4.55 0.66 268515 140430010 Schofield Residence 7/1/2012 8.55 1.6 0 0 0 0 0 0 0 0.63 0 0.06 0 0 0 0 0 0 5.63 0.62 370423 700131810 Schulman and Schachne Institute for Nursing and Rehabilitat 7/1/2012 44.23 2.22 1.22 1.73 0 0 1.62 3.25 0 0.14 0 0 7.4 0 0 0 0 0 18.07 8.59 4697179 482300030 Schuyler Hospital Inc And Long Term Care Unit 7/1/2012 6.43 0 0 1.68 0 0 0.43 2.14 0 0 0 0 0 0 0 0 0 0 1.79 0.38 272559 700430410 Sea View Hospital Rehabilitation Center And Home 7/1/2012 14.48 1.09 0 0.97 0.44 0 0.79 0 0 1.39 0 0 0 0 0 0 0 0 9.37 0.44 1518630 700139010 Sea-Crest Health Care Center 7/1/2012 9.42 1.47 0 0 0 0 0 0.4 0 0.38 0 0.01 0.09 0 0 0 0 0 6.22 0.85 1027024 147430110 Seneca Health Care Center 7/1/2012 8.75 0.53 0 0.41 0.03 0 0.1 0.38 0 0.41 0.07 0 0 0 0 0 0 0 4.65 2.16 501311 370231210 Seneca Hill Manor Inc 7/1/2012 12.92 0 0 1.47 0 0 0.05 0 0 0.62 0.05 0 1.96 0 0 0 0 0 8.56 0.21 544249 492130310 Seneca Nursing and Rehabilitation Center 7/1/2012 9.64 2.36 0 0 0 0 0 0 0 0.17 0.05 0.01 1.92 0 0 0 0 0 4.05 1.09 401945 700130310 Sephardic Skilled Nursing and Rehabilitation Center 7/1/2012 24.99 2.1 0 0.68 0.51 0 2.84 0 0 0.36 0 0 10.65 0 0 0 0 0 7.64 0.21 2416692 455230010 Seton Health at Schuyler Ridge Residential Healthcare 7/1/2012 8.88 0.22 2.14 -0.08 0 0 0.2 0 0 0.32 0.6 0 0 0 0 0 0 0 4.89 0.6 381275 700136210 Sheepshead Nursing and Rehabilitation Center 7/1/2012 8.1 0.56 0 0 0 0 0 0 0 0.53 0 0.02 0 0 0 0 0 0 6.78 0.22 577898 140330310 Sheridan Manor LLC 7/1/2012 7.72 0.5 0 1.04 0 0 0.49 0 0 0.54 0 0.25 0 0 0 0 0 0 3.44 1.44 275203 700134210 Shore View Nursing Home 7/1/2012 6.96 1.17 0 0 0 0 0 0.55 0 0.41 0.01 0 0 0 0 0 0 0 4.64 0.19 737732 700137610 Shorefront Jewish Geriatric Center 7/1/2012 38.13 7.38 4.73 1.11 0.01 0 0.77 0.46 0.1 0.52 0 0.08 12.75 0.27 0.09 0 0 0 9.47 0.26 4915020 700432310 Silver Lake Specialized Rehabilitation and Care Cente 7/1/2012 6.24 0.09 0 0 0 0 0 0 0 0.29 0 0.01 0.02 0 0 0 0 0 5.71 0.12 487946 700337210 Silvercrest 7/1/2012 17.82 1.76 0 0 0 0 0 0 0 0.99 0 0.15 4.38 2.52 0 0 0 0 6.52 1.5 1688298 592130210 Sky View Rehabilitation and Health Care Center LLC 7/1/2012 9.82 0.5 0 0 0 0 0 0.75 0 0.56 0 0 0 0 0 0 0 0 7.07 0.94 666729 515731410 Smithtown Center for Rehabilitation & Nursing Care 7/1/2012 13.84 3.41 2.97 0 0 0 0 0 0 0.67 0 0 0 0 0 0 0 0 6.4 0.39 790203 612000030 Soldiers And Sailors Memorial Hospital Extended Care Unit 7/1/2012 7.47 0 0.37 1 0 0 0.29 0 0 0 0 0 1.82 0 0 0.03 0 0.05 3.64 0.27 345828 596630010 Somers Manor Nursing Home Inc 7/1/2012 14.02 1.6 4.23 0 0 0 0 0 0 0.62 0 0 0 0 0 0 0 0 6.26 1.32 1395310 290430010 South Shore Healthcare 7/1/2012 17.38 2.33 0 0 0 0 0 8.99 0 0.77 0 0 0.35 0 0 0 0 0 3.67 1.28 546927 700038410 Split Rock Rehabilitation and Health Care Center 7/1/2012 7.64 0.54 0 0 0 0 0 0 0 0.57 0 0 0 0 0 0 0 0 6 0.53 579656 591030110 Sprain Brook Manor Rehab LLC 7/1/2012 7.73 0.79 0 0 0 0 0 0 0 0.61 0 0.02 0 0 0 0 0 0 6.07 0.24 307272 700138410 Spring Creek Rehabilitation & Nursing Care Center 7/1/2012 9.21 2.65 0 0 0 0 0 0 0.09 0.55 0 0 0.75 0 0 0 0 0 4.92 0.25 520475 275730010 St Anns Community (Aged) 7/1/2012 14.62 0 0 0 0 0 0 0 0 0.4 0 0 8.28 0 0 0 0 0 5.2 0.74 1984866 275730110 St Anns Community (NH) 7/1/2012 13.22 0 0 0 0 0 0 0 0 0.57 0 0.22 6.18 0 0 0 0 0 5.17 1.09 930570 700037110 St Barnabas Rehabilitation & Continuing Care Center 7/1/2012 21.18 3.11 0 1.3 0.03 0.01 3.36 1.15 0 1.83 0 -0.01 0 0 0 0 0 0 10.58 -0.17 1106363 592530010 St Cabrini Nursing Home 7/1/2012 11.09 3.54 0 0 0.01 0 0 0 0 0.48 0 0 0 0 0 0 0 0 6.82 0.24 1187187 330132110 St Camillus Residential Health Care Facility 7/1/2012 16.69 1.26 4.31 1.3 0 0 0.31 0.76 0 0.59 0.02 0.39 2.96 0 0 0 0 0 4.41 0.38 1597807 140132430 St Catherine Laboure Health Care Center 7/1/2012 23.41 0 0 4.66 0.06 0.01 0.92 5.41 0 0 0 0 0 0 0 0.36 0 0.14 8.99 2.73 615170 515731210 St Catherine of Siena Nursing Home 7/1/2012 29.04 0.96 2.81 0 0 0 0 6.9 0 0 0 0.01 0 0 0 0 0 0 8.15 10.21 2330526 142130010 St Francis Home Of Williamsville 7/1/2012 8.58 0.86 0 0 0 0 0 0 0 0.34 0 0.02 0 0 0 0 0 0 5.62 1.75 400364 515731710 St James Rehabilitation & Healthcare Center 7/1/2012 7.11 0.63 0 0.51 0 0 0 0 0 0.62 0 0 0 0 0 0 0 0 4.87 0.48 578243 515731110 St Johnland Nursing Center Inc 7/1/2012 17.7 4.21 1.87 0 0 0 0 0 0 0.57 0 0 2.62 0 0 0 0 0 7.05 1.38 1475371 270135310 St Johns Health Care Corporation 7/1/2012 15.92 1.8 0 0 0 0 0 0 0 0.55 0 0 7.01 0 0 0 0 0 5.89 0.68 2716666 272530210 St Johns Penfield Homes Corporation 7/1/2012 #N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282830010 St Johnsville Rehabilitation and Nursing Center 7/1/2012 5.4 0.47 0 0 0 0 0 0 0 0.12 0 0 0 0 0 0 0 0 4.08 0.73 230522 320231010 St Joseph Nursing Home Co Of Utica 7/1/2012 8.55 0 0 0.29 0 0 0.31 0 0 0.09 0 0 0.44 0 0 0 0 0 7.27 0.14 369336 440130010 St Josephs Home 7/1/2012 9.55 0.61 1.75 0 0 0 0 0 0 0.61 0 0 0 0 0 0 0 0 6.46 0.13 283466 590731410 St Josephs Hosp Nursing Home Of Yonkers N Y Inc 7/1/2012 12.99 0 0.54 2.04 0.09 0 1.05 0 0 0 0 0 3 0.06 0.16 0 0 0 5.55 0.28 905121 070100130 St Josephs Hospital - Skilled Nursing Facility 7/1/2012 16.79 0.18 0 2.52 0 0.01 0.77 3.07 0 0 0 0 0 0.19 0 0.54 0.03 0 8.67 0.57 419855 353500130 St Josephs Place 7/1/2012 18.26 0 2.9 2.54 0.12 0.04 1.01 1.46 0 0 0 0 1.75 0 0 0 0 0.44 7.96 0.02 292278 370230910 St Luke Residential Health Care Facility Inc 7/1/2012 13.03 1.62 1.19 0.32 0 0 0.25 0 0 0.62 0 0 2.14 0 0 0 0 0 5.87 1.01 873091 322730510 St Lukes Home 7/1/2012 13.82 0.66 3.56 0 0 0 0 0 0 0.1 0 0 2.9 0 0 0 0 0 6.29 0.31 1185648 700030710 St Patricks Home 7/1/2012 10.92 1.53 0 0 0.28 0 0.33 0 0 0.3 0 0.03 0 0 0 0 0 0 7.8 0.64 1045188 010130510 St Peters Nursing and Rehabilitation Center 7/1/2012 10.36 0 0 0 0 0 0 0 0 0.45 0 0 1.25 0 0 0 0 0 8.03 0.62 567596 440230310 St Regis Nursing Home Inc 7/1/2012 5.92 0.43 0 0.56 0 0 0 0 0 0.73 0 0 0 0 0 0 0 0 3.74 0.45 336408 700036610 St Vincent Depaul Residence 7/1/2012 12.16 0 1.76 0 0 0 0 0 0 0.38 0 0 0.94 0 0 0 0 0 8.39 0.68 843216 700431410 Staten Island Care Center 7/1/2012 7.77 1.28 0 0 0 0 0 0 0 0.49 0 0 0 0 0 0 0 0 5.81 0.19 798856 502230010 Steuben County Infirmary 7/1/2012 13.81 4.34 0 1.19 0 0 0.19 0 0 0.49 0 0 0 0 0 0 0 0 6.68 0.91 505038 512330510 Suffolk Center for Rehabilitation and Nursing 7/1/2012 9.45 2.16 0 0 0 0 0 0 0 0.3 0 0 0.05 0 0 0 0 0 6.82 0.12 406236 522030110 Sullivan County Adult Care Center 7/1/2012 1.47 0.43 0 0.09 0 0 0.23 0 0 0.41 0 0 0 0 0 0 0 0 0 0.31 82692 435300030 Summit Park Nursing Care Center 7/1/2012 28.78 0 2.86 1.69 0.07 0 0.52 0 0 0.54 0 0.17 4.04 0 15.9 0 0 1.11 0 1.9 3354255 295130710 Sunharbor Manor 7/1/2012 12.93 1.21 2.49 0 0 0 0 0 0 0.47 0 0 0 0 0 0 0 0 6.22 2.53 1129575 332130110 Sunnyside Care Center 7/1/2012 7.05 0.64 0 0 0 0 0.08 0 0 0.73 0 0 0 0 0 0 0 0 5.39 0.21 199877 515431210 Sunrise Manor Center for Nursing and Rehabilitation 7/1/2012 9.48 1.49 0 1.04 0 0 0.38 0 0 0.76 0 0 0 0 0 0 0 0 4.78 1.03 278215 322130110 Sunset Nursing and Rehabilitation Center Inc 7/1/2012 7.25 1.42 0 0 0 0 0 0 0 0.14 0 0 0 0 0 0 0 0 4.09 1.61 290285 030330710 Susquehanna Nursing & Rehabilitation Center LLC 7/1/2012 8.79 1.09 0.32 0.85 0 0 0.39 0 0 0.87 0 0 0 0 0 0 0 0 3.52 1.75 486696 590432010 Sutton Park Center for Nursing and Rehabilitation 7/1/2012 #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 369508 332730110 Syracuse Home Association 7/1/2012 16.03 0.53 1.64 0 0 0 0 0 0 0.56 0 0 3.99 0.01 0 0 0 0 8.53 0.78 667165 066330230 TLC Health Network-Lake Shore Hospital Nursing Facil 7/1/2012 6.63 0 0.74 0.68 0 0 0.28 0 0 0.18 0 0 0 0 0 0 0.02 0 4.23 0.51 261402 591130210 Tarrytown Hall Care Center 7/1/2012 12.28 0.67 0 0 0 0 0 0 0 1.15 0 0 0 0 0 0 0 0 10.22 0.25 321410 556730110 Ten Broeck Commons 7/1/2012 7.98 1.08 0 0.43 0 0 0.19 0 0 0.46 0 0 0 0.64 0 0 0 0 4.68 0.49 742236 700234510 Terence Cardinal Cooke Health Care Ctr 7/1/2012 31.62 6.16 6.81 0.04 0 0 0.23 0.18 0 1.6 0 0 3.45 2.32 0 0 0 0 9.8 1.02 5351812 010131310 Teresian House Nursing Home Co Inc 7/1/2012 10.86 0.32 0.57 0 0 0 0 0 0 0.47 0 0 1.37 0 0 0 0 0 7.46 0.66 1190347 700037810 Terrace Health Care Center 7/1/2012 9.3 2.24 0 0 0 0 0 0 0.14 0 0.58 0 0 0 0 0 0 0 5.37 0.98 804621 140100530 Terrace View Long Term Care Facility 7/1/2012 27.11 0 2.16 3.93 0.12 0 1.83 2.3 0 0 0 0 0.23 0 0 0.41 0.16 0 14.87 0.74 1186942 295130810 The Amsterdam at Harborside 7/1/2012 7.43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28652/17 N 28652/20 N 28652/31 N 28652/32 N 28652/33 N 28652/34 N 28652/35 N 28652/36 N 28652/37 N 28652/38 N 28652/41 N 28652/44 N 28652/45 N 28652/46 N 28652/48 N 28652/49 N 28652/105 N 28652/106 N 28652/242 N 28660/3 N 141
Organization Name Date
Non Comparable
Rate Medical
Directors Utilization
Review Lab Services
$ per Day
Electro Cardialoogy
$ Per Day
Electro Encephalogy
$ Per Day Radiology Inhalation Therapy Podiatry Dental Psychiatric Hearing
Medcial Staff Services
Other Ancilary
Other Ancilary
Other Ancilary
Other Ancilary
Admin Non Comp
Allocation
Utilities Non Comp
Allocation RX Admin Allocation
Total Non Comp Cost
460130610 The Avenue Nursing and Rehabilitation Centre 7/1/2012 12.54 1.13 0.43 0 0 0 0 0 0 0.47 0 0.02 3.79 0 0 0 0 0 6.03 0.68 668503 132730110 The Baptist Home at Brookmeade 7/1/2012 13.13 0.14 0 0.22 0.01 0 0.07 0 0.19 0.59 0.56 0 3.58 0 0 0 0 0 7.5 0.27 569771 275030710 The Brightonian Inc 7/1/2012 7.63 1.64 0 0 0 0 0 0 0 0.95 0 0 0 0 0 0 0 0 3.9 1.13 147438 412030010 The Center for Nursing and Rehabilitation at Hoosick Falls 7/1/2012 8.18 0.33 0 0.2 0 0 0.13 0 0.01 0.37 0 0 0 0 0 0 0 0 6.67 0.47 242018 223830310 The Country Manor Nursing and Rehabilitation Centre 7/1/2012 8.98 0.5 1 0 0 0 0 0 0 0.55 0 0 0.8 0 0 0 0 0 5.36 0.77 279397 333430310 The Crossings Nursing and Rehabilitation Centre 7/1/2012 14.52 0.82 4.14 0 0 0 0 0 0 1.1 0 0 0.65 0 0 0 0 0 6.91 0.9 391250 275030110 The Friendly Home 7/1/2012 12.19 1.51 0 0 0 0 0 0 0 0.37 0.33 0 4.12 0.09 0 0 0 0 5.26 0.5 852151 290930510 The Grand Pavilion for Rehab & Nursing at Rockville Centre 7/1/2012 7.42 0.93 1.19 0 0 0 0 0 0 0.55 0 0 0 0 0 0 0 0 3.8 0.94 410369 512630310 The Hamptons Center for Rehabilitation and Nursing 7/1/2012 14.5 1.71 0 1.12 0 0 0.91 0 0 0.81 0 0 0 0 0 0 0 0 9.89 0.06 1360391 700139210 The Heritage Rehabilitation and Health Care Center 7/1/2012 8.9 0.5 0 0 0 0 0 0 0 0.6 0 0 0 0 0 0 0 0 7.46 0.34 245368 276330010 The Highlands Living Center 7/1/2012 16.14 0.12 0 0 0 0 0 0 0 0.51 0.44 0.13 10 0 0 0 0 0 4.43 0.51 689077 275030610 The Highlands at Brighton 7/1/2012 11.05 2.03 0 0 0 0 0 0 0 0.39 0.34 0.04 2.29 0 0 0 0 0 5.56 0.4 430845 275030810 The Hurlbut 7/1/2012 7.06 1.46 0 0 0 0 0 0 0 0.34 0.26 0 0 0.01 0 0 0 0 3.62 1.37 388245 290230210 The Komanoff Center for Geriatric and Rehabilitative Medicine 7/1/2012 20.04 2.35 1.12 5.74 0.02 0.01 0.76 0.03 0 0.41 0 2.08 0 0.01 0 0 0 0 6.73 0.79 1348952 552230210 The Mountain View Nursing and Rehabilitation Centre 7/1/2012 10.22 1.1 1.21 0 0 0 0 0 0.01 1.14 0 0 0.65 0 0 0 0 0 5.61 0.5 268278 572530310 The Orchard Nursing and Rehabilitation Centre 7/1/2012 10.79 1.16 0.96 0 0 0 0 0 0 1.04 0 -0.07 1.15 0 0 0 0 0 6.04 0.51 311855 046930010 The Pines Healthcare & Rehabilitation Centers Machias Ca 7/1/2012 14.56 0.9 0 0.19 0 0 0.19 0.33 0.09 0.54 0 0 0 0 0 0 0 0 11.35 0.96 602383 040130310 The Pines Healthcare & Rehabilitation Centers Olean Camp 7/1/2012 10.95 1.21 0 0.2 0 0 0.12 0.53 0.09 0.52 0 0 0 0 0 0 0 0 7.52 0.76 478142 192130310 The Pines at Catskill Center for Nursing & Rehabilitati 7/1/2012 5.03 0.53 0 0 0 0 0 0 0 0.61 0 0 0 0 0 0 0 0 3.17 0.72 227896 560130710 The Pines at Glens Falls Center for Nursing & Rehabili 7/1/2012 8.32 0.59 0 0 0 0 0 0 0 -0.02 0.01 0.23 0 0 0 0 0 0 6.72 0.79 338902 130230810 The Pines at Poughkeepsie Center for Nursing & Reh 7/1/2012 7.24 0.75 0 0 0 0 0 0 0 0.55 0 0.25 0 0 0 0 0 0 4.94 0.75 500520 320231510 The Pines at Utica Center for Nursing & Rehabilitation 7/1/2012 8.75 0.43 0 0 0 0 0 0 0 0.59 0.15 0 0.55 0 0 0 0 0 6.26 0.77 342139 270135910 The Shore Winds LLC 7/1/2012 8.17 1.82 0 0 0 0 0 0 0 0.35 0.12 0.04 0 0.02 0 0 0 0 3.56 2.26 617379 410231210 The Springs Nursing and Rehabilitation Centre 7/1/2012 14.53 1.97 2.84 0 0 0 0 0 0 1.11 0 0 3.31 0 0 0 0 0 4.75 0.55 391400 560130610 The Stanton Nursing and Rehabilitation Centre 7/1/2012 9.76 0.51 1.78 0 0 0 0 0 0 0.84 0 0 0.78 0 0 0 0 0 5.49 0.35 400435 352330110 The Valley View Center for Nursing Care and Rehab 7/1/2012 9.65 2.62 0 0 0 0 0 0 0 0.45 0 0 0 0 0 0 0 0 6.07 0.5 1648653 362030010 The Villages of Orleans Health & Rehabilitation Center 7/1/2012 7.75 0.51 0 0 0 0 0 0 0 0.7 0 0 0.07 0 0 0 0 0 5.97 0.51 330572 590330910 The Wartburg Home 7/1/2012 11.41 1.19 1.12 0.44 0 0 0 0.25 0 0.61 0 0 0 0 0 0 0 0 7.07 0.74 956111 700038610 Throgs Neck Extended Care Facility 7/1/2012 10.11 1.25 1.31 0 0 0 0 0 0 0.69 0 0.15 0 0 0 0 0 0 6.49 0.22 714218 435030110 Tolstoy Foundation Nursing Home Co Inc 7/1/2012 9.3 0.95 0 0.53 0 0 0 0 0 0.51 0 0 0 0 0 0 0 0 7.05 0.26 304898 295031810 Townhouse Center for Rehabilitation & Nursing 7/1/2012 8.4 0.36 0 1.15 0.56 0 0 0 0 0.62 0 0 0 0 0 0 0 0 5.53 0.18 769441 156030110 Uihlein Living Center 7/1/2012 9.84 3.07 0 0 0 0 0 0 0 0 0 0.05 0 0 0 0 0 0 6.72 0 507432 700339310 Union Plaza Care Center 7/1/2012 8.62 0.66 0 0.32 0 0 0.24 0 0 0.5 0 0.02 0.01 0.01 0 0 0 0 6.7 0.14 844858 590430910 United Hebrew Geriatric Center 7/1/2012 8.99 1.38 0 0.04 0 0 0.25 0 0 0.21 0 0.02 0 0 0 0 0 0 6.78 0.3 852071 270135830 Unity Living Center 7/1/2012 13.63 0.65 0.5 1.08 0 0 0 0 0 0.94 0 0 2.8 0 0 0 0 0.11 6.48 1.08 542159 700033710 University Nursing Home 7/1/2012 7.82 2.41 0 0 0 0 0 0 0 0.34 0 0 0 0 0 0 0 0 4.93 0.15 129949 212430110 Valley Health Services Inc 7/1/2012 10.12 0.41 0.69 0.81 0 0 0.62 0.41 0 0.3 0 0 0.57 0 0.03 0 0 0 5.26 1.01 533107 082430310 Valley View Manor Nursing Home 7/1/2012 7.3 0.59 0 0.51 0 0 0.28 0 0 0.78 0.32 0.06 0 0 0 0 0 0 4.53 0.23 203128 330131210 Van Duyn Home And Hospital 7/1/2012 13.91 0.98 0.01 0.15 0 0 0.11 0.01 0.05 0.35 0 0 1.96 2.39 0 0 0 0 7.17 0.74 2514176 410230710 Van Rensselaer Manor 7/1/2012 14.91 0.69 0.71 0.13 0 0 0.12 0.24 0.12 0.32 0.02 0 3.77 0 0 0 0 0 8.07 0.73 1930070 700432010 Verrazano Nursing Home 7/1/2012 5.18 0.42 0 0 0 0 0 0 0 0.58 0 0 0 0 0 0 0 0 4.03 0.15 220026 033630110 Vestal Park Rehabilitation and Nursing Center 7/1/2012 8.02 0.75 0 0 0 0 0 0 0 0.63 0 0 0 0 0 0 0 0 5.73 0.9 476806 590530510 Victoria Home 7/1/2012 9.97 1.04 0 0 0 0 0 0 0 1.21 0 0 0 0 0 0 0 0 6.82 0.9 171590 700233510 Villagecare Rehabilitation and Nursing Center 7/1/2012 21.44 3.98 0 0.56 0 0 0.48 0 0 0.6 0.51 -0.08 6.18 0 0 0 0 0 8.08 1.14 1505030 330132610 Vivian Teal Howard Residential Health Care Facility 7/1/2012 7.1 2.15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4.95 0 379053 140133710 Waterfront Center for Rehabilitation and Healthcare 7/1/2012 10.09 0.21 0 0.64 0 0 0.43 0 0 0.72 0 0 0 0 0 0 0 0 6.7 1.39 574391 514930310 Waters Edge at Port Jefferson for Rehabilitation and Nursing 7/1/2012 10.68 1.22 0.55 0.92 0 0 0.61 0 0 0.58 0 0 0 0 0 0 0 0 5.8 1 451026 596030310 Waterview Hills Rehabilitation and Nursing Center 7/1/2012 9.78 0.3 2.35 0 0 0 0 0.71 0 0.69 0 0 0 0 0 0 0 0 4.36 1.38 425142 700336710 Waterview Nursing Care Center 7/1/2012 11.38 0.52 0 0 0 0 0 0 0 0.6 0 0.01 3.5 0 0 0 0 0 6.72 0.03 697596 700035010 Wayne Center For Nursing And Rehabilitation 7/1/2012 11.11 0.85 0 0.39 0 0 0 2.03 0 0.23 0.01 0 0 0 0 0 0 0 7.48 0.12 823145 582330210 Wayne County Nursing Home 7/1/2012 9.53 0.47 0 0.93 0 0 0.31 0 0.07 0.43 0.06 0.19 0 0 0 0 0 0 6.45 0.62 645153 582000030 Wayne Health Care 7/1/2012 20.99 0 1.07 1.77 0.01 0 0.14 0.67 0 0 0 0 0.01 0 2.14 0 0 0 13.88 1.28 1134228 272230110 Wedgewood Nursing Home 7/1/2012 6.41 1.62 0 0 0 0 0 0 0.01 0.15 0.18 0 0 0 0 0 0 0 3.12 1.33 66020 170230010 Wells Nursing Home Inc 7/1/2012 8.47 0.5 0 0.09 0 0 0.23 0 0.03 0.58 0.19 0 0 0 0 0 0 0 6.78 0.07 305397 022830510 Wellsville Manor Care Center 7/1/2012 7.72 0.46 0 0.54 0 0 0.22 0 0 0.41 0 0.16 0 0 0 0 0 0 5.45 0.48 304338 270135210 Wesley Gardens Corporation 7/1/2012 13.86 0.95 0 0.53 0 0 0.31 0 0 0.43 0 0.56 5.47 0 0 0 0 0 5.3 0.3 952405 450130110 Wesley Health Care Center Inc 7/1/2012 8.94 0.86 0.56 0.26 0 0 0 0 0 0.39 0.15 0 0 0 0 0 0 0 6 0.71 1130636 700340310 West Lawrence Care Center LLC 7/1/2012 7.63 0.68 0 0 0 0 0 0 0 0.64 0.21 0 0 0 0 0 0 0 5.96 0.13 586510 590130610 West Ledge Rehabilitation and Nursing Center 7/1/2012 12.9 1.81 2.68 0 0 0 0 0 0 1.25 0 0.02 0 0 0 0 0 0 6.91 0.23 453063 590331110 Westchester Center for Rehabilitation and Nursing 7/1/2012 6.26 0.32 0 0 0 0 0 0 0 0.3 0 0 0 0 0 0 0 0 5.45 0.18 493872 595730310 Westchester Meadows 7/1/2012 #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 56891 180130510 Western New York State Veterans Home 7/1/2012 24.11 5.98 0 0 0 0 0 1.68 0 0.4 0 0 8.11 0 0 0 0 0 7.5 0.44 1046993 275330110 Westgate Nursing Home Inc 7/1/2012 7.46 0.41 0 0 0 0 0 0 0 0.14 0.19 0 0 0 0 0 0 0 5.88 0.84 303812 515830110 Westhampton Care Center 7/1/2012 10.6 0.9 0 0 0 0 0 0 0 0.57 0 0 0 0 0 0 0 0 8.65 0.48 676069 560130210 Westmount Health Facility 7/1/2012 7.5 1.38 0 0 0 0 0 0 0 0 0 -0.22 0 0 0 0 0 0 5.87 0.47 217198 295230610 White Oaks Rehabilitation and Nursing Center 7/1/2012 5.94 0.33 0 0 0 0 0 0 0 0.5 0 0 0 0 0 0 0 0 4.52 0.6 431515 590231510 White Plains Center For Nursing Care LLC 7/1/2012 8.66 2.99 0 0 0 0 0 0 0 0.63 0 0 0 0 0 0 0 0 4.53 0.51 260562 105930110 Whittier Rehabilitation & Skilled Nursing Center 7/1/2012 33.16 2.9 2.5 0 0 0 0 16.34 0 0.76 0 0 0 0 0 0 0 0 10.21 0.46 1181169 280100130 Wilkinson Residential Health Care Facility 7/1/2012 12.22 0 1.5 0.48 0 0 0.18 0.42 0 0 0 0 0 0 0 0 0.09 0.32 8.91 0.32 709126 700037910 Williamsbridge Manor Nursing Home 7/1/2012 7.97 1.81 0 0 0 0 0 0 0 0.35 0 0 0 0 0 0 0 0 5.53 0.29 220674 142130610 Williamsville Suburban LLC 7/1/2012 8.72 0.37 0 0.99 0 0 0.38 0 0 0.22 0 0.34 0 0 0 0 0 0 4.87 1.55 630210 036430110 Willow Point Nursing Home 7/1/2012 5.64 0.67 0.16 0.28 0.01 0 0.16 0 0 0.47 0 0 0 0.01 0.02 0 0 0 3.72 0.12 752717 700335710 Windsor Park Nursing Home 7/1/2012 7.08 0.95 0 0.58 0 0 0.05 0 0 0.91 0 0 0 0 0 0 0 0 4.16 0.44 169282 130130110 Wingate at Beacon 7/1/2012 12.5 0.57 0 0 0 0 0 3.95 0 0.66 0 1.67 0 0 0 0 0 0 4.59 1.06 674961 132030110 Wingate of Dutchess 7/1/2012 20.82 0.61 0 0 0 0 0 11.26 0 0.63 0 1.06 0 0 0 0 0 0 6.54 0.73 1052750 555630110 Wingate of Ulster 7/1/2012 24.33 0.85 0 0 0 0 0 14.64 0 0.83 0 1.1 0 0 0 0 0 0 5.84 1.08 851205 700333610 Woodcrest Rehabilitation & Residential Health Care Ctr LLC 7/1/2012 8.68 0.38 0 0 0 0 0 0 0 0.61 0 0 0 0 0 0 0 0 5.89 1.8 619764 515131610 Woodhaven Nursing Home 7/1/2012 6.67 0.51 0 0 0 0 0 0 0 0.6 0 0 0 0 0 0 0 0 5.36 0.21 313318 552230310 Woodland Pond at New Paltz 7/1/2012 10.7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295031510 Woodmere Rehabilitation And Health Care Center 7/1/2012 15.05 0.87 0 0 0 0 0 8.75 0 0.45 0 0.02 0 0 0 0 0 0 4.8 0.14 1582208 275030310 Woodside Manor Nursing Home Inc 7/1/2012 10.52 2.94 0 0 0 0 0 0.02 0.01 0.04 0.71 0 0 0 0 0 0 0 5.51 1.3 153393 700030910 Workmens Circle Multicare Center 7/1/2012 9.81 0.61 0 0 0 0 0 0 0 0.34 0 0 0 0 0 0 0 0 8.82 0.04 1611105 602700030 Wyoming County Community Hospital Snf 7/1/2012 9.15 0.5 0 2.4 0.11 0 0.52 0 0 0 0 0 0 0.01 0 0.09 0.05 0.46 4.89 0.09 482050