New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
295030230
272530110
042030210
142230310
060130310
146130210
030230310
315830210
022630210
143530310
043330310
502630110
067530210
522030310
590731810
565530210
515432310
015330210
162400030
212930310
700235610
592630010
515331110
700137810
050130910
056630210
380100030
143030110
515731310
252030110
700031910
270135710
462030010
102330110
180130710
700038910
590431710
290230310
700340110
700180510
540131210
145130610
295030110
515132110
700139610
510130110
700030810
320130810
072230110
592130110
590530310
Name
A Holly Patterson Extended Care Facility
Aaron Manor Rehabilitation and Nursing Center
Absolut Center for Nursing and Rehabilitation at Allega
Absolut Center for Nursing and Rehabilitation at Auror
Absolut Center for Nursing and Rehabilitation at Dunki
Absolut Center for Nursing and Rehabilitation at Eden
Absolut Center for Nursing and Rehabilitation at Endic
Absolut Center for Nursing and Rehabilitation at Gaspo
Absolut Center for Nursing and Rehabilitation at Hough
Absolut Center for Nursing and Rehabilitation at Orcha
Absolut Center for Nursing and Rehabilitation at Salam
Absolut Center for Nursing and Rehabilitation at Three
Absolut Center for Nursing and Rehabilitation at Westfi
Achieve Rehab and Nursing Facility
Adira at Riverside Rehabilitation and Nursing
Adirondack Tri-County Nursing and Rehabilitation
Affinity Skilled Living and Rehabilitation Center
Albany County Nursing Home
Alice Hyde Medical Center
Alpine Rehabilitation and Nursing Center
Amsterdam Nursing Home Corp (amsterdam House)
Andrus On Hudson
Apex Rehabilitation & Care Center
Atrium Center for Rehabilitation and Nursing
Auburn Nursing Home
Auburn Senior Services Inc
Aurelia Osborn Fox Memorial Hospital
Autumn View Health Care Facility LLC
Avalon Gardens Rehabilitation and Health Care Center
Avon Nursing Home LLC
Bainbridge Nursing And Rehabilitation Center
Baird Nursing Home
Baptist Health Nursing And Rehabilitation Center Inc
Barnwell Nursing and Rehabilitation Center
Batavia Health Care Center LLC
Bay Park Center for Nursing and Rehabilitation LLC
Bayberry Nursing Home
Beach Terrace Care Center
Beacon Rehabilitation and Nursing Center
Bedford Center for Nursing and Rehabilitation
Beechtree Center for Rehabilitation and Nursing
Beechwood Homes
Belair Care Center Inc
Bellhaven Center For Rehabilitation and Nursing Care
Bensonhurst Center for Rehabilitation and Healthcare
Berkshire Nursing & Rehabilitation Center
Beth Abraham Health Services
Bethany Gardens Skilled Living Center
Bethany Nursing Home & Health Related Facility Inc
Bethel Nursing and Rehabilitation Center
Bethel Nursing Home Company Inc
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
589
140
37
320
40
40
160
83
100
202
120
120
120
140
120
82
280
250
75
80
409
197
195
380
92
317
131
230
353
40
200
28
262
236
62
482
60
182
120
200
120
272
102
240
200
177
448
100
122
181
42
Non-Comp Component Refer to Non Non Medicare
Comp
Eligible
Ancillaries
Direct
Tab
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
29.80
12.93
7.15
5.84
5.95
5.94
6.63
5.64
6.34
6.96
3.27
8.55
6.24
14.81
17.52
12.70
14.58
12.66
10.31
8.43
20.14
14.99
16.48
6.84
5.29
7.25
11.96
9.53
4.75
7.22
8.87
6.35
10.69
13.73
9.46
8.62
10.18
6.88
7.33
12.25
11.27
9.36
5.29
3.74
12.31
6.11
18.90
11.39
6.25
9.00
9.61
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
150.49
101.46
130.97
132.59
128.92
124.83
121.21
128.86
100.92
125.42
122.01
125.08
116.78
147.51
202.28
78.65
180.77
122.87
92.46
129.58
164.34
130.28
174.47
180.80
88.00
109.75
90.32
135.57
177.47
114.55
146.43
86.21
104.65
121.89
117.75
170.69
130.17
139.11
178.38
192.83
88.78
110.61
161.93
172.76
203.08
144.82
175.91
123.71
99.78
142.64
144.75
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
72.64
51.77
48.78
57.81
50.77
51.02
51.44
50.28
47.53
51.28
49.84
49.54
49.70
55.44
59.26
48.82
60.76
60.09
56.91
49.39
67.45
58.18
60.36
67.26
47.62
58.10
56.10
50.40
67.74
50.95
57.25
50.62
53.16
53.58
50.52
67.49
56.62
59.45
59.72
61.45
47.78
50.57
58.66
60.63
61.70
60.22
69.40
50.68
46.16
58.14
59.44
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.01
1.80
4.06
1.72
3.31
1.89
2.29
4.17
2.62
2.32
3.30
3.00
2.77
2.59
1.53
4.10
1.39
4.08
5.33
1.81
0.86
1.41
2.20
1.97
3.68
4.27
6.32
1.93
3.78
1.63
3.02
5.87
2.25
4.19
5.83
2.37
1.77
9.40
4.30
1.57
2.32
2.35
0.75
2.75
1.36
2.50
3.57
2.09
4.30
2.58
0.65
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.60)
3.20
2.07
(20.18)
(2.47)
(0.43)
5.96
8.35
5.32
(21.90)
15.87
8.58
17.05
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.70)
(0.53)
(0.57)
(0.47)
(0.48)
(0.44)
(0.48)
(0.50)
(0.49)
(0.45)
(0.40)
(0.48)
(0.52)
(0.79)
(0.70)
(0.45)
(0.80)
(0.59)
(0.54)
(0.46)
(0.79)
(0.54)
(0.75)
(0.69)
(0.39)
(0.40)
(0.60)
(0.54)
(0.71)
(0.48)
(0.60)
(0.40)
(0.43)
(0.50)
(0.39)
(0.70)
(0.55)
(0.67)
(0.94)
(0.57)
(0.42)
(0.51)
(0.96)
(0.58)
(0.57)
(0.57)
(0.82)
(0.50)
(0.42)
(0.70)
(0.72)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.39)
(4.22)
(0.24)
1.71
(2.84)
(1.36)
(2.23)
(4.85)
9.35
(11.27)
(7.25)
(10.74)
(8.41)
(6.80)
(3.99)
-
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
253.64
167.43
190.39
197.10
188.47
183.24
181.09
188.45
160.12
185.53
173.80
185.69
174.73
221.27
279.89
143.82
256.70
199.11
166.54
188.75
249.16
204.32
252.76
256.18
144.20
157.43
164.10
194.42
253.03
173.87
212.74
143.80
169.89
202.24
171.90
241.22
187.45
220.13
257.14
267.53
149.73
172.38
230.99
217.40
269.47
213.08
282.83
187.37
149.27
216.25
230.78
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
20.60
39.02
8.28
12.44
7.93
9.64
16.41
10.73
11.18
12.94
10.52
12.26
26.90
32.52
40.03
16.51
17.45
3.23
8.35
28.52
30.71
17.30
11.74
19.48
6.74
5.08
18.65
18.70
20.61
10.85
10.42
11.63
16.52
10.63
7.82
18.62
11.25
10.87
21.39
27.69
5.56
23.77
56.19
22.73
25.69
15.43
32.98
14.00
15.31
25.56
12.19
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
274.24
206.45
198.67
209.54
196.40
192.88
197.50
199.18
171.30
198.47
184.32
197.95
201.63
253.79
319.92
160.33
274.15
202.34
174.89
217.27
279.87
221.62
264.50
275.66
150.94
162.51
182.75
213.12
273.64
184.72
223.16
155.43
186.41
212.87
179.72
259.84
198.70
231.00
278.53
295.22
155.29
196.15
287.18
240.13
295.16
228.51
315.81
201.37
164.58
241.81
242.97
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
2.76
0.29
(1.50)
(1.57)
0.24
0.24
(1.47)
1.91
(1.40)
(1.50)
(1.42)
(1.44)
(1.54)
(2.19)
0.37
0.95
(2.58)
1.13
(1.51)
(1.59)
3.08
2.30
(2.21)
2.93
(1.20)
0.20
1.12
2.21
(2.23)
(1.44)
0.33
0.92
(1.42)
(1.67)
0.24
(2.20)
1.23
2.61
0.40
(2.07)
(1.31)
0.26
1.79
0.30
(2.09)
(1.77)
(2.55)
(1.54)
0.22
0.34
2.67
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
18.04
14.18
12.31
12.16
12.20
11.21
11.28
11.32
10.63
11.36
11.11
10.80
12.22
15.10
20.74
10.18
13.23
9.39
12.51
11.17
22.67
13.22
15.68
14.41
10.25
14.37
11.38
16.03
19.24
12.30
19.53
10.74
12.59
13.48
10.99
16.81
15.41
14.86
16.83
15.30
9.72
14.65
23.31
14.83
16.72
13.36
15.20
8.20
11.92
16.84
17.69
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
015130010
320130710
700335210
582830110
700139410
593130110
700330910
030130810
270135410
310130010
512030130
700038110
700038010
700036410
512330410
700339910
700138810
700180010
700130810
700138210
145630010
700138310
140134110
700136410
355730210
142130510
285030110
515330610
700431010
223800130
700136610
526300030
540131110
590530810
700135410
295230810
090100130
700335110
322730410
082330010
060130410
070130110
082400030
380130410
270133910
700338010
342100030
095230010
700432110
700132310
295230710
Name
Bethlehem Commons Care Center
Betsy Ross Rehabilitation Center Inc
Bezalel Rehabilitation and Nursing Center
Blossom View Nursing Home
Boro Park Center for Rehabilitation and Healthcare
Briarcliff Manor Center for Rehabilitation and Nursing Care
Bridge View Nursing Home
Bridgewater Center for Rehabilitation & Nursing LLC
Brighton Manor
Briody Health Care Facility
Broadlawn Manor Nursing and Rehabilitation Center
Bronx Center For Rehabilitation and Health
Bronx Park Rehabilitation & Nursing Center
Bronx-Lebanon Special Care Center
Brookhaven Health Care Facility LLC
Brookhaven Rehabilitation & Health Care Center
Brooklyn Center for Rehabilitation and Residential Hea
Brooklyn Gardens Nursing & Rehabilitation Center
Brooklyn United Methodist Church Home
Brooklyn-Queens Nursing Home
Brothers Of Mercy Nursing & Rehabilitation Center
Buena Vida Continuing Care & Rehab Ctr
Buffalo Center for Rehabilitation and Nursing
Bushwick Center for Rehabilitation and Health Care
Campbell Hall Rehabilitation Center Inc
Canterbury Woods
Capstone Center for Rehabilitation and Nursing
Carillon Nursing and Rehabilitation Center
Carmel Richmond Healthcare and Rehabilitation Center
Carthage Area Hospital
Caton Park Nursing Home
Catskill Regional Medical Center
Cayuga Ridge Extended Care
Cedar Manor Nursing & Rehabilitation Center
Center For Nursing & Rehabilitation Inc
Central Island Healthcare
Champlain Valley Physicians Hospital Medical Center Snf
Chapin Home For The Aging
Charles T Sitrin Health Care Center Inc
ChaseHealth Rehab and Residential Care
Chautauqua Nursing and Rehabilitation Center
Chemung County Health Center-nursing Facility
Chenango Memorial Hospital Inc Snf
Chestnut Park Rehabilitation and Nursing Center
Church Home Of The Protestant Episcopal Church
Cliffside Rehabilitation and Residential Health Care Center
Clifton Springs Hospital And Clinic Extended Care
Clinton County Nursing Home
Clove Lakes Health Care and Rehabilitation Center
Cobble Hill Health Center Inc
Cold Spring Hills Center for Nursing and Rehabilitation
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
120
120
120
130
504
131
200
356
80
82
320
200
240
240
160
298
215
240
120
140
240
240
200
225
134
48
120
315
300
30
119
64
187
153
320
202
96
220
156
80
218
200
78
80
182
218
108
80
576
364
606
Non-Comp Component Refer to Non Non Medicare
Comp
Eligible
Ancillaries
Direct
Tab
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
8.64
9.87
10.76
8.15
38.07
10.95
4.41
7.37
8.01
6.95
22.43
8.67
6.73
27.58
13.86
13.12
5.82
9.75
11.90
7.06
9.89
19.40
7.22
8.00
6.07
6.74
14.90
9.40
15.26
13.83
8.54
15.62
10.49
7.11
14.87
11.28
20.76
7.59
18.37
5.85
11.34
11.64
9.24
5.67
11.67
7.51
25.67
4.96
13.30
13.90
13.65
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
98.05
113.84
141.62
101.02
223.62
136.82
150.48
122.44
96.82
104.08
163.87
174.38
139.89
130.29
189.29
163.34
175.39
159.58
128.50
173.53
103.02
126.31
120.59
176.58
124.25
102.49
126.02
190.52
167.32
85.93
164.40
127.40
102.46
138.85
178.22
163.74
104.18
145.01
99.90
88.67
122.73
99.82
80.10
109.41
106.18
144.50
102.55
102.72
166.79
166.99
174.94
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
55.50
48.97
56.79
51.35
68.09
55.82
58.30
60.96
51.39
48.94
69.48
59.94
57.84
59.91
60.53
59.52
59.35
59.29
59.29
58.11
48.46
58.83
50.17
59.78
55.59
50.94
54.96
65.93
67.29
54.06
59.72
63.73
49.95
59.05
67.61
59.15
59.97
57.85
49.39
50.20
54.35
51.04
52.29
51.89
52.74
58.39
55.20
55.98
67.15
67.14
69.88
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.49
2.64
2.20
6.44
1.70
2.98
2.38
3.76
4.13
1.67
1.09
1.65
2.38
2.75
0.97
6.15
1.02
2.06
3.23
3.37
2.05
2.06
2.06
2.73
2.91
2.69
2.12
0.92
1.56
3.26
1.92
2.43
3.04
2.12
1.71
3.13
5.73
1.44
3.19
2.84
2.59
3.16
5.01
2.96
2.68
1.71
3.74
4.61
2.89
2.40
1.88
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.85)
(1.19)
(1.60)
5.03
16.76
(13.27)
(9.34)
(8.59)
33.91
(9.12)
5.03
6.73
8.35
19.43
(0.98)
3.14
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.49)
(0.38)
(0.62)
(0.49)
(0.74)
(0.47)
(0.49)
(0.45)
(0.43)
(0.38)
(0.68)
(0.76)
(0.54)
(0.71)
(0.83)
(0.64)
(0.72)
(0.65)
(0.70)
(0.56)
(0.43)
(0.73)
(0.37)
(0.74)
(0.45)
(0.93)
(0.65)
(0.70)
(0.80)
(0.53)
(0.52)
(0.64)
(0.45)
(0.55)
(0.72)
(0.68)
(0.67)
(0.57)
(0.72)
(0.38)
(0.54)
(0.50)
(0.56)
(0.41)
(0.51)
(0.59)
(0.47)
(0.44)
(0.71)
(0.74)
(0.75)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.46)
(1.08)
(4.18)
(2.15)
0.45
(0.35)
(11.99)
(13.46)
4.53
-
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
165.19
173.09
210.75
166.01
330.74
206.10
215.08
192.89
159.92
160.18
256.19
243.88
204.70
224.85
263.82
241.49
240.86
230.03
218.98
228.24
162.99
205.87
170.33
242.17
179.78
195.84
188.23
266.07
250.63
154.40
234.06
208.54
165.94
206.58
261.69
241.30
196.70
199.33
170.13
147.18
177.01
173.51
165.51
169.52
172.76
211.52
191.22
166.85
249.42
252.83
259.60
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
7.72
4.49
13.60
38.56
18.37
9.27
10.06
8.62
14.44
20.99
29.88
9.74
10.62
13.53
20.26
15.76
31.67
12.74
7.92
4.48
2.67
8.73
38.35
13.66
27.10
10.85
16.91
28.74
21.09
12.34
25.50
5.21
11.31
25.16
14.68
33.53
7.80
54.74
6.51
21.96
8.10
16.76
10.73
15.19
18.18
20.77
7.01
13.14
33.32
35.74
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
165.19
180.81
215.24
179.61
369.30
224.47
224.35
202.95
168.54
174.62
277.18
273.76
214.44
235.47
277.35
261.75
256.62
261.70
231.72
236.16
167.47
208.54
179.06
280.52
193.44
222.94
199.08
282.98
279.37
175.49
246.40
234.04
171.15
217.89
286.85
255.98
230.23
207.13
224.87
153.69
198.97
181.61
182.27
180.25
187.95
229.70
211.99
173.86
262.56
286.15
295.34
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.43)
(1.19)
2.39
0.23
(2.97)
0.31
(1.63)
(1.56)
(1.34)
1.67
(2.13)
(2.22)
0.27
2.74
3.02
0.34
(1.97)
(2.16)
1.55
1.25
1.66
0.33
0.22
(2.22)
(1.51)
0.26
1.66
3.00
(1.42)
0.32
(1.85)
0.25
(1.77)
2.97
(2.15)
2.67
(1.67)
0.31
0.94
0.25
(1.46)
2.08
(1.35)
1.08
1.34
0.27
(1.35)
0.35
(2.32)
0.40
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12.86
9.02
13.64
14.56
22.84
10.67
12.48
12.11
5.96
13.64
19.17
15.31
10.95
22.66
17.58
13.02
14.60
4.84
14.69
11.69
12.23
15.43
9.33
21.00
8.30
10.54
12.32
18.26
18.24
22.10
14.39
13.92
10.81
13.45
16.14
17.46
15.86
14.45
19.33
10.45
12.13
12.02
13.07
10.04
15.78
17.38
14.11
10.51
14.03
19.17
19.14
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
700233630
320131110
142130810
700134810
700037510
252530110
500130010
110131010
110130630
590130710
276230110
262330010
110131110
700139810
700136710
022600030
700341310
515030210
700034210
010131210
310300030
700234710
416130410
700139310
700138010
700335910
590432110
700036010
515030310
602730310
700038310
323930010
010200110
410231110
015130110
275430410
700430310
135530110
352330210
350230410
132430210
072230410
145130710
145530310
146430210
143030310
140630310
333130110
532030210
312130410
142130710
Name
Coler Rehabilitation and Nursing Care Center
Colonial Park Rehabilitation and Nursing Center
Comprehensive Rehabilitation and Nursing Center at Williamsville
Concord Nursing Home Inc
Concourse Rehabilitation and Nursing Center
Conesus Lake Nursing Home LLC
Corning Center for Rehabilitation and Healthcare
Cortland Park Rehabilitation and Nursing Center
Cortland Regional Nursing and Rehabilitation Center
Cortlandt Healthcare
Crest Manor Living and Rehabilitation Center
Crouse Community Center Inc
Crown Center for Nursing and Rehabilitation
Crown Heights Center for Nursing and Rehabilitation
Crown Nursing and Rehabilitation Center
Cuba Memorial Hospital Inc Snf
Cypress Garden Center for Nursing and Rehabilitation
Daleview Care Center
Daughters Of Jacob Nursing Home Company Inc
Daughters Of Sarah Nursing Center - NF
Degraff Memorial Hospital-skilled Nursing Facility
Dewitt Rehabilitation and Nursing Center Inc
Diamond Hill Nursing and Rehabilitation Center
Ditmas Park Care Center
Dr Susan Smith Mckinney Nursing and Rehabilitation Center
Dry Harbor Nursing Home
Dumont Center for Rehabilitation and Nursing Care
East Haven Nursing And Rehabilitation Center
East Neck Nursing and Rehabilitation Center
East Side Nursing Home
Eastchester Rehabilitation and Health Care Center
Eastern Star Home & Infirmary
Eddy Cohoes Rehabilitation Center
Eddy Heritage House Nursing Center
Eddy Village Green at Beverwyck
Edna Tina Wilson Living Center
Eger Health Care and Rehabilitation Center
Elant at Fishkill Inc
Elant at Goshen Inc
Elant at Meadow Hill
Elant at Wappinger Falls
Elcor Nursing and Rehabilitation Center
Elderwood at Amherst
Elderwood at Cheektowaga
Elderwood at Grand Island
Elderwood at Hamburg
Elderwood at Lancaster
Elderwood at Liverpool
Elderwood at Waverly
Elderwood at Wheatfield
Elderwood at Williamsville
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
815
80
142
140
240
48
120
120
82
120
80
120
200
295
189
61
278
142
405
211
80
499
120
200
320
360
196
200
300
80
200
84
192
122
24
120
378
160
120
190
62
305
92
172
90
166
96
160
211
125
200
Non-Comp Component Refer to Non Non Medicare
Comp
Eligible
Ancillaries
Direct
Tab
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
35.99
8.28
8.58
12.51
8.09
6.34
5.64
7.96
22.23
9.57
2.85
10.71
9.34
6.48
8.73
11.77
6.62
14.08
14.96
10.53
15.92
12.89
13.63
13.03
26.86
7.84
8.98
8.16
14.77
7.26
7.28
12.46
18.71
9.63
11.03
8.97
15.23
8.40
15.80
5.47
7.30
10.61
9.39
8.50
7.56
8.39
7.57
9.15
9.47
9.95
10.58
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
166.55
93.05
136.04
132.42
191.41
124.70
141.06
96.87
102.15
156.56
113.90
110.14
101.40
169.76
151.59
80.28
167.29
164.68
191.69
102.23
152.91
165.27
126.08
195.61
143.85
186.95
182.67
157.63
196.19
103.54
198.25
89.43
113.49
114.43
118.17
89.00
175.50
120.22
143.02
139.17
138.95
116.20
125.21
122.76
126.62
134.28
122.92
121.02
118.97
119.07
127.12
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
78.24
48.15
53.16
57.75
60.18
51.29
50.43
48.91
58.06
58.81
51.98
50.57
49.87
58.10
59.56
50.81
58.73
58.66
69.32
52.04
61.40
68.25
53.90
60.18
71.93
70.58
59.11
57.46
66.33
47.92
60.70
48.07
54.45
54.16
54.45
51.88
69.99
52.03
56.36
55.51
52.86
53.30
51.71
51.73
51.52
52.63
52.46
52.67
52.34
51.69
53.61
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
4.70
2.94
4.48
1.63
1.52
3.42
4.04
2.88
2.78
3.00
5.62
2.75
4.27
1.84
1.89
5.47
1.61
0.89
3.15
3.44
2.86
1.40
3.64
1.35
2.96
0.98
1.94
2.93
1.64
4.35
2.42
2.89
1.53
1.67
2.73
1.80
2.35
2.12
2.33
3.41
2.41
1.17
1.18
1.25
3.76
1.31
1.38
2.24
1.87
2.32
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
24.22
(2.34)
14.35
(3.90)
(9.69)
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.80)
(0.52)
(0.49)
(0.66)
(0.75)
(0.52)
(0.47)
(0.41)
(0.57)
(0.58)
(0.46)
(0.47)
(0.15)
(0.46)
(0.61)
(0.57)
(0.62)
(0.58)
(0.66)
(0.55)
(0.64)
(0.72)
(0.18)
(0.69)
(0.80)
(0.72)
(0.63)
(0.59)
(0.73)
(0.45)
(0.70)
(0.50)
(0.35)
(0.44)
(5.28)
(0.46)
(0.83)
(0.49)
(0.64)
(0.55)
(0.48)
(0.44)
(0.48)
(0.59)
(0.41)
(0.53)
(0.48)
(0.62)
(0.48)
(0.65)
(0.54)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(12.25)
(12.84)
(9.21)
(0.79)
(4.02)
(3.98)
(10.80)
(3.08)
(9.27)
(7.23)
(8.58)
(2.21)
4.14
2.80
(5.67)
(5.52)
(0.37)
-
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
284.68
151.90
189.52
203.65
284.67
185.23
200.70
156.21
171.81
227.36
164.68
172.91
164.73
231.70
221.16
143.78
233.63
235.39
267.66
167.69
229.37
261.44
187.80
269.48
244.80
265.63
252.07
214.46
278.20
154.04
265.74
152.35
178.14
183.59
178.37
154.92
261.69
182.51
216.66
196.26
196.52
182.08
186.63
183.58
186.54
198.53
183.78
183.60
182.54
181.93
193.09
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
29.74
10.22
6.13
22.26
16.51
14.21
14.20
9.93
31.80
24.00
14.41
8.94
16.64
14.27
11.78
27.94
15.10
27.88
12.90
23.43
55.13
10.12
10.96
20.24
25.66
29.01
21.86
14.22
20.39
10.39
11.58
21.60
45.49
14.93
13.58
9.34
6.72
14.80
6.18
5.58
8.11
18.84
19.19
17.16
17.66
17.50
21.98
14.69
21.41
13.44
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
314.42
162.12
195.65
225.91
301.18
199.44
214.90
166.14
203.61
251.36
179.09
181.85
181.37
245.97
232.94
171.72
248.73
263.27
280.56
191.12
284.50
271.56
198.76
289.72
270.46
294.64
273.93
228.68
298.59
164.43
277.32
173.95
223.63
198.52
178.37
168.50
271.03
189.23
231.46
202.44
202.10
190.19
205.47
202.77
203.70
216.19
201.28
205.58
197.23
203.34
206.53
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.00
1.08
1.08
1.55
1.84
2.09
(1.69)
(1.40)
2.24
(1.88)
1.15
0.22
(1.43)
(1.71)
1.38
1.90
2.23
1.53
0.33
2.05
1.58
0.38
(1.61)
(2.26)
(2.29)
0.40
(2.11)
(1.85)
(2.31)
0.21
(2.10)
0.98
2.01
0.25
1.08
(1.44)
0.36
(1.52)
(1.82)
(1.64)
(1.53)
(1.46)
1.14
0.29
2.06
1.27
0.26
2.18
0.25
2.34
2.18
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
11.18
10.40
11.24
13.93
17.88
13.05
13.14
12.35
15.73
14.11
14.49
13.58
10.55
20.27
13.55
11.78
13.10
15.32
15.28
15.53
21.31
17.32
11.70
16.75
18.97
18.45
18.98
13.93
15.80
9.75
16.52
10.44
17.33
15.05
21.84
15.90
14.97
14.05
18.96
13.75
12.54
11.43
18.58
14.79
14.01
14.02
14.35
15.01
13.63
15.44
15.63
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
030130710
460100130
342930310
700339610
140133910
140133810
155230010
415230310
295230910
272530010
700337510
700331510
143530210
132730010
142730310
590130210
700038510
050100030
382430010
320231310
212430010
700339410
700338710
572430210
700235910
700138510
143530410
700340210
166430010
435030510
175430110
295031710
295031610
145530010
180130410
352330310
290130510
590431810
465130010
290130010
700037610
700432210
550131110
515431010
036330110
030130510
042730210
291330110
700036110
290230410
700234110
Name
Elizabeth Church Manor Nursing Home
Ellis Residential & Rehabilitation Center
Elm Manor Nursing Home
Elmhurst Care Center Inc
Emerald North Nursing and Rehabilitation Center
Emerald South Nursing and Rehabilitation Center
Essex Center for Rehabilitation and Healthcare
Evergreen Commons
Excel at Woodbury for Rehabilitation and Nursing LLC
Fairport Baptist Homes
Fairview Nursing Care Center Inc
Far Rockaway Nursing Home
Father Baker Manor
Ferncliff Nursing Home Co Inc
Fiddlers Green Manor Rehabilitation and Nursing Center
Field Home-holy Comforter
Fieldston Lodge Care Center
Finger Lakes Center for Living
Focus Rehabilitation and Nursing Center at Otsego
Focus Rehabilitation and Nursing Center at Utica
Folts Center for Rehabilitation and Nursing
Forest Hills Care Center
Forest View Center for Rehabilitation & Nursing
Fort Hudson Nursing Center Inc
Fort Tryon Center for Rehabilitation and Nursing
Four Seasons Nursing and Rehabilitation Center
Fox Run at Orchard Park
Franklin Center for Rehabilitation and Nursing
Franklin County Nursing Home
Friedwald Center for Rehabilitation & Nursing LLC
Fulton Center for Rehabilitation and Healthcare
Fulton Commons Care Center Inc
Garden Care Center
Garden Gate Health Care Facility
Genesee County Nursing Home
Glen Arden Inc
Glen Cove Center for Nursing and Rehabilitation
Glen Island Center for Nursing and Rehabilitation
Glendale Home-Schdy Cnty Dept Social Services
Glengariff Health Care Center
Gold Crest Care Center
Golden Gate Rehabilitation and Health Care Center
Golden Hill Nursing and Rehabilitation Center
Good Samaritan Nursing Home
Good Shepherd Village at Endwell
Good Shepherd-fairview Home Inc
Gowanda Rehabilitation and Nursing Center
Grace Plaza Nursing and Rehabilitation Center
Grand Manor Nursing & Rehabilitation Center
Grandell Rehabilitation and Nursing Center
Greater Harlem Nursing Home Company Inc
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
121
82
46
240
95
122
100
242
123
142
200
100
160
328
82
125
200
80
176
120
163
100
160
196
205
270
50
320
80
180
176
280
150
184
160
40
154
182
200
262
175
238
280
100
32
56
160
214
240
278
200
Non-Comp Component Refer to Non Non Medicare
Comp
Eligible
Ancillaries
Direct
Tab
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
10.59
23.13
10.16
7.80
6.83
6.86
13.26
15.11
8.54
12.13
7.62
5.10
9.83
9.37
6.00
6.56
7.91
8.58
17.02
10.36
12.35
7.79
6.14
6.66
7.80
14.79
12.90
6.29
13.14
10.76
9.42
4.19
6.92
11.02
11.76
10.03
7.97
8.60
10.04
10.15
7.98
8.26
8.95
21.13
7.43
8.64
11.27
6.80
6.45
6.52
12.12
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
108.23
153.52
126.55
164.38
123.46
110.60
170.33
134.97
130.48
105.59
155.98
95.59
107.35
144.03
118.01
165.80
174.68
116.20
127.01
108.44
96.45
192.17
150.90
96.26
179.29
195.14
84.99
196.35
79.85
179.29
133.40
146.29
186.36
140.64
116.81
150.43
127.30
154.93
121.39
167.46
167.76
174.70
171.53
149.92
81.43
100.60
156.06
183.26
148.28
151.49
189.51
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
52.80
82.18
52.41
57.40
49.87
50.98
59.28
54.85
60.74
52.66
60.22
58.42
53.00
62.63
47.82
59.95
60.10
57.46
55.84
50.71
46.69
59.81
58.41
50.65
58.78
60.46
52.84
67.15
47.97
54.50
54.38
57.40
58.49
50.60
52.58
56.99
60.26
54.47
59.73
59.89
59.07
60.04
57.72
61.27
52.39
51.10
53.78
60.82
55.66
58.43
60.32
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
2.80
3.56
3.30
2.50
3.35
3.20
3.26
2.97
0.93
5.68
2.12
3.85
9.37
3.01
4.15
0.95
1.40
2.00
4.09
4.31
3.34
0.57
1.79
5.33
2.36
1.88
1.04
1.40
2.01
1.91
5.08
1.51
0.97
1.31
3.61
0.32
1.83
3.01
2.12
2.99
2.10
0.76
2.89
4.63
3.82
3.97
1.31
1.16
2.50
1.13
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.10)
(26.17)
5.81
(1.14)
(5.61)
1.95
(7.22)
(15.05)
(2.40)
13.74
10.02
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.48)
(0.63)
(0.71)
(0.67)
(0.40)
(0.38)
(0.54)
(0.59)
(0.69)
(0.70)
(0.62)
(0.50)
(0.53)
(0.58)
(0.38)
(0.69)
(0.61)
(0.55)
(0.49)
(0.37)
(0.39)
(0.57)
(0.69)
(0.43)
(0.69)
(0.63)
(0.42)
(0.75)
(0.46)
(0.64)
(0.46)
(0.69)
(0.60)
(0.54)
(0.46)
(0.77)
(0.66)
(0.59)
(0.51)
(0.77)
(0.58)
(0.76)
(0.50)
(0.70)
(1.68)
(0.43)
(0.63)
(0.69)
(0.51)
(0.53)
(0.66)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.33
(0.49)
(1.45)
(2.24)
(20.25)
(6.34)
(3.81)
(4.94)
(6.25)
(6.56)
(20.09)
6.28
(6.33)
(24.37)
29.33
(1.91)
(5.89)
(5.91)
(6.52)
(7.12)
(8.34)
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
172.84
235.92
191.22
231.41
181.66
169.02
225.34
207.31
205.81
175.36
224.18
162.46
167.07
214.65
175.60
227.63
243.48
185.64
203.47
159.98
151.88
259.77
216.55
158.47
247.54
251.55
142.58
270.44
142.51
245.82
201.82
202.37
227.77
200.63
184.30
216.68
224.52
232.98
193.66
236.94
231.33
248.45
231.94
234.51
144.20
156.61
224.45
251.50
211.04
218.41
254.08
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
11.90
50.42
8.54
45.29
6.66
5.54
32.20
16.35
23.58
22.51
9.02
18.36
13.13
7.20
19.30
13.44
37.36
23.17
14.17
24.38
15.49
10.32
18.07
19.12
38.64
27.49
4.27
27.17
16.53
35.27
28.29
18.72
14.09
25.95
19.87
16.53
37.55
26.10
15.73
15.94
12.40
9.40
26.32
9.92
16.96
22.22
15.10
16.72
12.93
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
184.74
286.34
199.76
276.70
188.32
174.56
225.34
239.51
222.16
198.94
246.69
171.48
185.43
227.78
182.80
246.93
256.92
223.00
226.64
174.15
151.88
284.15
232.04
168.79
265.61
270.67
181.22
297.93
146.78
272.99
218.35
237.64
256.06
219.35
198.39
242.63
244.39
249.51
231.21
263.04
247.06
264.39
244.34
243.91
170.52
166.53
241.41
273.72
226.14
235.13
267.01
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.32)
2.71
(1.52)
1.68
(1.24)
(1.19)
(1.50)
0.32
2.81
1.40
(1.92)
1.09
1.13
(1.87)
(1.27)
(1.95)
0.34
0.30
(1.60)
0.24
(1.25)
0.29
1.35
0.96
(2.09)
0.36
(2.36)
(1.24)
(1.86)
(1.70)
0.33
(1.96)
2.15
1.17
0.30
(1.85)
(1.63)
(2.08)
(1.85)
(2.14)
(1.52)
0.32
(1.42)
1.44
(2.02)
1.24
(1.79)
(1.81)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
13.24
15.20
12.07
17.28
17.73
17.37
8.55
15.55
14.28
16.04
21.58
9.47
12.50
14.93
8.56
14.71
13.27
14.73
9.07
10.01
10.23
12.61
22.94
16.68
15.11
38.00
14.98
20.63
10.25
16.77
13.57
12.98
13.80
14.43
11.76
9.18
17.95
14.92
13.40
16.72
10.42
14.60
11.04
16.29
20.78
15.01
11.15
15.03
11.71
12.99
13.37
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
195330030
146730110
540130510
015530310
515330710
275430010
700103410
322630110
140630110
700337810
700136910
700030210
432230030
290630410
700341210
700233730
152730010
065830110
320231410
060231010
066230110
295130610
700336310
440230010
022830610
350130510
140100130
515331010
276130210
700335010
700338110
700340910
700139510
700338910
500230210
010131510
700038810
555630210
140134010
515330910
492130210
030230210
572530410
502230130
335330010
700235210
515131810
700334610
410230910
030330610
330132910
Name
Greene Meadows Nursing and Rehabilitation Center
Greenfield Health and Rehabilitation Center
Groton Community Health Care Center Residential Care Facility
Guilderland Center Rehabilitation and Extended Care Facility
Gurwin Jewish Nursing and Rehabilitation Center
Hamilton Manor Nursing Home
Hamilton Park Nursing and Rehabilitation Center
Harding Nursing Home
Harris Hill Nursing Facility LLC
Haven Manor Health Care Center LLC
Haym Solomon Home For The Aged
Hebrew Home For The Aged At Riverdale
Helen Hayes Hospital RHCF
Hempstead Park Nursing Home
Hendon Garden Nursing and Rehabilitation Center
Henry J Carter Skilled Nursing Facility
Heritage Commons Residential Health Care
Heritage Green Nursing Home
Heritage Health Care Center
Heritage Park Health Care Center
Heritage Village Rehab and Skilled Nursing Inc
Highfield Gardens Care Center of Great Neck
Highland Care Center
Highland Nursing Home Inc
Highland Park Rehabilitation and Nursing Center
Highland Rehabilitation and Nursing Center
Highpointe on Michigan Health Care Facility
Hilaire Rehab & Nursing
Hill Haven Nursing Home
Hillside Manor Rehabilitation and Extended Care Center
Hollis Park Manor Nursing
Holliswood Center for Rehabilitation and Healthcare
Hopkins Center for Rehabilitation and Healthcare
Horizon Care Center
Hornell Gardens LLC
Hudson Park Rehabilitation and Nursing Center
Hudson Pointe at Riverdale Center for Nrsg and Reha
Hudson Valley Rehabilitation and Extended Care Center
Humboldt House Rehabilitation and Nursing Center
Huntington Hills Center for Health and Rehabilitation
Huntington Living Center
Ideal Senior Living Center
Indian River Rehabilitation and Nursing Center
Ira Davenport Memorial Hospital Snf hrfa
Iroquois Nursing Home Inc
Isabella Geriatric Center Inc
Island Nursing and Rehab Center
Jamaica Hospital Nursing Home Co Inc
James A Eddy Memorial Geriatric Center
James G Johnston Memorial Nursing Home
James Square Nursing And Rehabilitation Centre
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
120
160
80
127
460
40
200
92
192
240
240
557
25
251
163
167
84
134
220
146
120
200
320
140
80
98
270
76
288
400
80
314
288
280
114
200
167
203
173
320
160
150
122
120
160
705
120
224
80
122
455
Non-Comp Component Refer to Non Non Medicare
Comp
Eligible
Ancillaries
Direct
Tab
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
6.82
10.57
6.46
5.37
27.69
4.47
26.19
8.10
10.52
10.14
9.73
23.32
75.84
6.80
9.90
50.64
13.75
13.09
13.92
10.10
17.68
8.34
7.34
5.90
6.90
13.09
15.00
14.86
9.28
8.24
7.77
6.02
13.78
5.12
7.36
7.96
13.65
6.41
5.92
11.46
6.90
4.88
12.25
7.81
9.95
25.60
21.51
24.56
7.39
10.38
6.56
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
126.86
87.99
76.00
92.18
152.54
102.20
178.84
87.45
133.78
144.49
185.42
167.01
121.82
154.86
181.10
163.24
93.18
102.84
107.20
98.09
104.05
190.02
202.60
72.78
98.60
153.85
147.15
153.03
123.10
172.04
173.42
200.01
190.77
136.32
95.72
120.74
136.26
129.60
118.61
158.95
85.87
93.54
126.09
107.25
98.42
164.06
132.14
153.45
92.89
114.01
121.46
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
60.22
51.47
47.87
53.19
68.42
52.58
60.18
46.53
49.83
61.15
60.94
69.44
74.55
60.04
61.11
78.08
50.40
51.13
49.69
50.57
50.35
59.11
66.33
45.11
48.51
55.14
60.54
60.57
60.00
67.63
59.46
67.72
60.25
58.67
46.47
53.14
58.65
56.73
50.04
66.29
51.03
50.23
52.22
53.25
49.14
69.59
59.19
67.91
51.81
51.90
58.83
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.98
3.40
2.42
3.14
2.36
3.35
2.17
3.76
1.00
4.69
0.88
1.04
5.85
3.04
6.81
3.35
2.40
5.05
3.01
2.40
1.55
1.65
4.83
2.93
0.24
2.15
3.38
4.12
1.43
2.56
1.75
1.66
3.19
2.50
4.67
2.17
2.23
1.05
1.81
2.87
1.46
5.78
2.19
0.66
1.50
1.99
1.32
3.21
1.98
2.33
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(2.26)
0.37
15.63
0.04
(84.90)
1.58
(7.21)
11.51
(4.59)
(4.32)
0.72
11.25
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.55)
(0.44)
(0.36)
(0.39)
(0.75)
(0.40)
(0.89)
(0.38)
(0.58)
(0.56)
(0.90)
(0.95)
(0.59)
(0.72)
(0.84)
(0.50)
(0.48)
(0.46)
(0.44)
(0.46)
(0.73)
(0.60)
(0.40)
(0.39)
(0.48)
(0.47)
(0.76)
(0.56)
(0.64)
(0.57)
(0.50)
(0.62)
(0.47)
(0.40)
(0.42)
(0.76)
(0.52)
(0.37)
(0.73)
(0.43)
(0.47)
(0.53)
(0.39)
(0.48)
(0.77)
(0.84)
(0.91)
(0.47)
(0.47)
(0.54)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(7.06)
(5.93)
(5.10)
(1.68)
(2.95)
(1.51)
(2.29)
(5.79)
(14.18)
(5.42)
(13.03)
(0.54)
6.31
-
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
197.33
152.99
132.39
144.17
250.26
162.57
276.19
140.36
194.55
219.91
256.11
259.86
187.31
226.96
254.43
297.93
158.50
168.98
172.45
159.82
174.02
258.29
277.32
128.22
156.55
219.55
224.37
226.87
195.94
248.70
242.64
267.79
251.66
202.83
151.65
186.09
221.48
189.03
162.22
237.78
146.24
149.10
191.22
165.79
164.72
259.98
225.24
246.33
154.83
177.80
188.64
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
22.01
22.99
13.13
9.74
22.74
5.51
53.93
7.95
14.85
9.38
46.34
29.49
9.48
10.12
171.87
20.57
17.23
8.24
9.31
8.77
21.23
17.03
17.75
11.13
23.52
89.05
17.77
7.37
21.59
12.14
16.08
27.36
13.03
11.77
9.25
18.57
24.90
5.02
32.10
18.55
17.61
24.72
14.98
6.41
23.95
33.16
74.92
14.04
9.50
11.93
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
219.34
175.98
145.52
153.91
273.00
168.08
330.12
148.31
209.40
229.29
302.45
289.35
187.31
236.44
264.55
469.80
179.07
186.21
180.69
169.13
182.79
279.52
294.35
145.97
167.68
243.07
313.42
244.64
203.31
270.29
254.78
283.87
279.02
215.86
163.42
195.34
240.05
213.93
167.24
269.88
164.79
166.71
215.94
180.77
171.13
283.93
258.40
321.25
168.87
187.30
200.57
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.60)
1.06
1.58
0.87
1.69
1.74
(2.64)
0.88
1.24
2.34
(2.46)
1.89
0.31
(1.85)
3.23
(1.39)
1.10
(1.34)
0.23
1.02
(2.11)
(2.14)
(1.15)
(1.30)
(1.78)
0.40
0.33
(1.63)
1.55
1.41
0.36
(2.13)
1.12
(1.33)
(1.50)
2.80
(1.49)
(1.22)
1.67
0.95
(1.36)
0.20
1.80
0.40
0.39
3.59
1.84
1.06
(1.60)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12.86
16.11
9.49
9.09
23.91
13.09
16.08
9.76
14.98
12.84
12.20
19.77
50.12
8.67
11.31
22.21
11.12
11.02
8.90
10.68
7.69
17.53
15.14
9.19
10.59
12.10
19.85
15.95
13.56
15.86
12.83
15.70
14.86
11.18
9.91
11.08
13.82
12.95
9.57
14.14
9.69
12.30
11.25
9.75
12.20
18.67
16.93
22.03
17.26
14.25
12.47
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
700031310
515131710
142700010
275030410
330130910
322530310
540130810
593230010
700180310
590630010
700037210
460130510
270134510
700037010
275230110
515131410
275430110
275430310
700338510
182330010
242400030
700139710
700340810
340230310
340230210
252230010
106330210
700337710
515131010
330132710
700131310
130230610
060230810
291130310
700235310
700038710
442030110
272930010
700330510
515432110
290130410
700230510
320230810
290630210
500200130
140400010
700339810
290430110
090130310
515131910
362200030
Name
Jeanne Jugan Residence
Jeffersons Ferry
Jennie B Richmond Chaffee Nursing Home Company Inc
Jewish Home & Infirmary Of Rochester Ny Inc
Jewish Home Of Central New York
Katherine Luther Residential Health Care and Rehab C
Kendal at Ithaca Inc
Kendal on Hudson
King David Center for Nursing and Rehabilitation
King Street Home Inc
Kings Harbor Multicare Center
Kingsway Arms Nursing Center Inc
Kirkhaven
Laconia Nursing Home Inc
Lakeside - Beikirch Care Center Inc
Lakeview Rehabilitation and Care Center
Latta Road Nursing Home
Latta Road Nursing Home A
Lawrence Nursing Care Center Inc
Leroy Village Green Residential Health Care Facility Inc
Lewis County General Hospital-nursing Home Unit
Linden Center for Nursing and Rehabilitation
Little Neck Care Center
Living Center At Geneva North
Living Center At Geneva South
Livingston County Center for Nursing and Rehabilitatio
Livingston Hills Nursing and Rehabilitation Center
Long Island Care Center Inc
Long Island State Veterans Home
Loretto Health and Rehabilitation Center
Lutheran Augustana Center for Extended Care &Rehab
Lutheran Center at Poughkeepsie Inc
Lutheran Retirement Home
Lynbrook Restorative Therapy and Nursing
Manhattan Center for Nursing and Rehabilitation
Manhattanville Health Care Center
Maplewood Health Care and Rehabilitation Center
Maplewood Nursing Home Inc
Margaret Tietz Center For Nursing Care Inc
Maria Regina Residence Inc
Marquis Care Center
Mary Manning Walsh Nursing Home Co Inc
Masonic Care Community of New York
Mayfair Care Center
Mcauley Manor at Mercycare
Mcauley Residence
Meadow Park Rehabilitation and Health Care Center
Meadowbrook Care Center Inc
Meadowbrook Healthcare
Medford Multicare Center for Living
Medina Memorial Hospital Snf
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
30
60
80
362
132
280
35
0
271
120
720
106
147
240
120
120
40
40
200
140
160
280
120
82
103
266
120
200
350
583
240
160
148
100
219
200
96
72
200
188
102
362
320
200
122
160
143
280
207
320
30
Non-Comp
Component Refer to Non Non Medicare
Comp
Eligible
Ancillaries
Direct
Tab
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
21.47
10.97
5.50
15.57
10.10
15.95
8.05
11.29
24.99
9.91
10.12
9.31
9.24
7.14
10.83
8.78
5.26
5.29
5.74
6.46
7.02
8.36
11.67
9.05
12.94
7.83
10.40
9.32
24.20
11.38
10.28
10.30
10.01
7.32
14.61
6.86
6.98
10.92
17.78
11.24
7.23
21.65
25.61
3.46
18.59
7.79
5.57
5.51
7.19
7.04
19.09
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
136.21
78.47
110.36
138.16
112.00
111.78
79.70
132.35
194.38
88.33
165.05
110.76
117.51
191.44
107.03
119.66
89.72
96.84
157.32
102.11
113.24
164.04
180.24
92.72
110.93
114.75
126.40
160.30
161.57
137.85
181.41
121.17
110.32
119.99
88.02
164.63
93.12
107.64
175.25
118.66
131.79
159.61
114.60
120.94
105.38
146.82
172.76
141.31
101.64
170.29
98.92
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
57.56
58.46
60.11
59.93
53.07
49.39
53.09
58.95
62.09
54.14
67.43
52.91
51.94
58.73
54.63
58.16
51.67
52.42
60.03
48.22
62.00
54.77
60.18
53.77
60.67
54.86
54.14
59.26
67.63
61.45
61.52
57.77
52.17
58.97
60.18
58.93
47.15
50.84
61.87
58.53
60.61
67.51
57.18
58.12
54.14
53.91
59.86
59.11
49.32
66.52
52.93
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.79
0.85
2.40
2.68
1.67
2.71
1.52
3.01
1.72
2.88
1.63
2.77
1.19
3.99
3.00
3.45
3.76
4.77
1.05
0.49
4.61
3.44
3.59
2.40
2.05
1.25
1.47
1.71
1.31
2.42
2.75
1.34
1.98
6.28
1.40
1.71
2.66
1.48
3.12
4.22
3.05
1.78
1.94
1.27
2.64
3.07
3.94
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
45.72
(7.51)
5.45
(13.66)
0.85
4.04
(4.23)
0.54
(3.10)
(1.44)
19.35
2.62
28.00
7.54
13.32
8.69
(11.06)
6.70
3.08
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.78)
(0.74)
(0.48)
(0.62)
(0.56)
(0.47)
(0.46)
(0.76)
(0.57)
(0.68)
(0.56)
(0.48)
(0.60)
(0.52)
(0.52)
(0.46)
(0.48)
(0.64)
(0.46)
(0.52)
(0.50)
(0.61)
(0.44)
(0.50)
(0.63)
(0.49)
(0.61)
(0.79)
(0.52)
(0.77)
(0.53)
(0.48)
(1.17)
(0.66)
(0.44)
(0.51)
(0.80)
(0.62)
(0.64)
(0.76)
(0.70)
(0.52)
(0.58)
(0.64)
(0.58)
(0.65)
(0.51)
(0.86)
(0.55)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(5.57)
(12.01)
(8.97)
11.70
(13.18)
(4.26)
(7.89)
(0.14)
0.48
5.49
(2.74)
(2.44)
(9.78)
(6.31)
(12.07)
(4.84)
(1.51)
(6.78)
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
261.97
148.01
164.81
215.72
181.73
167.35
140.84
188.47
273.25
163.51
244.93
161.81
181.09
258.34
174.74
187.27
149.96
157.07
225.90
160.09
186.51
227.72
251.97
155.48
187.48
172.51
192.85
230.32
254.40
208.53
254.01
190.02
173.48
212.70
162.81
233.72
146.05
203.17
263.04
200.40
200.56
249.49
199.81
179.91
168.51
204.82
228.49
205.04
160.28
252.76
170.63
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
35.60
61.44
5.87
21.26
15.48
14.15
20.67
14.71
18.55
19.37
16.90
12.28
21.97
16.70
8.80
10.33
19.68
9.78
24.05
39.83
27.03
25.88
26.80
37.87
30.79
14.87
22.42
19.65
28.47
17.99
31.72
23.87
22.36
47.94
33.76
37.81
9.88
25.56
16.39
44.31
13.63
23.83
29.43
18.57
34.94
11.87
59.98
-
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
297.57
209.45
170.68
236.98
197.21
181.50
140.84
188.47
293.92
178.22
263.48
181.18
197.99
270.62
196.71
203.97
158.76
167.40
245.58
169.87
210.56
267.55
279.00
181.36
214.28
210.38
223.64
245.19
276.82
228.18
282.48
208.01
205.20
236.57
162.81
256.08
193.99
236.93
300.85
210.28
226.12
265.88
244.12
193.54
192.34
234.25
247.06
239.98
172.15
312.74
170.63
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.36
(1.31)
2.51
2.53
1.06
(2.28)
0.27
2.66
2.05
(1.45)
(2.04)
(1.59)
0.29
1.86
1.83
0.31
(1.24)
1.28
1.50
2.63
0.97
1.10
0.30
(1.69)
(1.84)
0.38
0.28
1.51
1.23
(1.58)
0.33
1.66
2.13
2.41
(2.49)
1.36
(1.94)
(2.25)
2.62
(1.52)
1.96
0.29
(1.86)
1.37
0.23
(1.55)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
18.08
10.67
13.31
20.78
15.90
11.01
6.73
13.56
16.13
28.81
14.98
18.10
11.52
13.83
14.24
12.03
11.82
12.56
12.57
11.92
12.95
12.84
14.27
10.10
14.05
13.88
11.23
14.61
15.87
13.35
13.86
15.55
12.76
13.79
36.57
15.69
13.24
22.13
17.37
16.07
14.90
21.04
16.49
9.07
12.66
13.32
13.08
14.72
13.80
17.46
13.41
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
700137210
140100830
162030030
700031110
370130110
350130410
700334010
515731610
342930030
210130110
515432410
270100630
356130210
700039110
370231510
700032810
700032910
122630030
290630510
170100030
515731510
700138610
700235810
700339110
700234310
270136010
700337310
700431610
700340510
700130910
700338310
582030210
315430310
310231110
316030110
295130510
291030010
596830210
556730210
132730210
700235510
435030410
435330110
432130210
052630410
700131610
082430410
700180410
335330110
435030210
082530110
Name
Menorah Home And Hospital For
Mercy Hospital Skilled Nursing Facility
Mercy Living Center
Methodist Home For Nursing and Rehabilitation
Michaud Residential Health Services Inc
Middletown Park Rehabilitation and Health Ca
Midway Nursing Home
Mills Pond Nursing and Rehabilitation Center
MM Ewing Continuing Care Center
Mohawk Valley Health Care Center
Momentum at South Bay for Rehabilitation and Nursin
Monroe Community Hospital
Montgomery Nursing and Rehabilitation Center
Morningside Nursing and Rehabilitation Center
Morningstar Residential Care Center
Morris Park Nursing Home
Mosholu Parkway Nursing And Rehabilitation Center
Mountainside Residential Care Center
Nassau Rehabilitation & Nursing Center
Nathan Littauer Hospital Nursing Home
Nesconset Center for Nursing and Rehabilitation
New Carlton Rehab and Nursing Center LLC
New East Side Nursing Home
New Glen Oaks Nursing Home
New Gouverneur Hospital Snf
New Roc Nursing and Rehabilitation Center
New Surfside Nursing Home
New Vanderbilt Rehabilitation and Care Center Inc
New York Center for Rehabilitation
New York Congregational Nursing Center Inc
New York State Veterans Home In New York City
Newark Manor Nursing Home
Newfane Rehab & Health Care Center
Niagara Rehabilitation and Nursing Center
North Gate Health Care Facility
North Shore University Hospital Stern Family Ctr for E
North Shore-LIJ Orzac Center for Rehabilitation
North Westchester Restorative Therapy and Nursing
Northeast Center for Rehabilitation and Brain Injury
Northern Dutchess Residential Health Care Facility Inc
Northern Manhattan Rehabilitation and Nursing Center
Northern Manor Geriatric Center Inc
Northern Metropolitan Residential Health Care Facility Inc
Northern Riverview Health Care Center Inc
Northwoods Rehabilitation and Nursing Center at Moravia
Norwegian Christian Home And Health Center
Norwich Rehabilitation & Nursing Center
Nostrand Center for Nursing and Rehabilitation
Nottingham Residential Health Care Facility
Nyack Manor Nursing Home
NYS Veterans Home
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
420
84
60
121
89
230
200
252
188
120
160
566
100
362
120
191
122
82
280
84
240
148
58
60
215
120
183
320
280
200
250
60
175
160
200
256
120
120
280
100
320
231
120
180
40
137
82
157
40
160
242
Non-Comp Component Refer to Non Non Medicare
Comp
Eligible
Ancillaries
Direct
Tab
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
24.74
18.51
18.98
8.79
8.40
8.24
3.76
6.59
7.00
14.86
7.00
34.38
6.93
17.57
6.67
6.29
7.45
9.46
8.49
8.39
13.68
5.16
7.87
5.96
29.64
9.45
5.34
7.95
8.59
8.96
14.42
8.99
5.84
7.42
8.75
22.60
15.92
15.56
26.64
15.67
6.13
5.95
9.92
11.32
6.47
17.64
11.12
10.54
13.18
5.67
20.81
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
202.33
113.29
105.34
155.02
102.99
144.17
143.52
164.64
120.31
101.89
155.34
134.96
145.94
165.11
94.73
175.91
134.91
85.06
163.94
116.00
160.60
178.98
124.65
159.88
153.29
109.81
144.17
191.44
167.34
155.88
108.98
114.21
116.64
116.67
144.32
150.51
131.73
125.64
146.42
106.87
171.93
155.27
152.09
148.99
103.28
134.31
138.33
111.25
84.18
136.66
110.53
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
67.24
60.54
55.84
59.97
49.09
55.38
58.21
59.48
59.48
49.39
60.48
62.95
55.71
68.33
48.39
60.34
57.48
58.12
57.92
59.46
60.68
58.64
58.77
58.23
64.74
50.87
59.15
66.62
58.95
60.40
60.18
51.72
52.20
51.60
50.92
63.42
63.06
57.95
55.29
51.14
66.43
58.25
57.07
55.82
48.97
58.96
53.03
58.27
54.14
56.90
56.77
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.43
5.24
0.18
2.93
2.48
2.17
2.96
1.08
2.37
4.13
1.68
4.62
0.92
2.29
2.77
1.22
3.08
2.40
2.22
8.13
1.87
2.66
0.88
0.87
1.04
4.64
2.01
2.89
0.96
2.31
2.25
4.28
3.44
2.64
1.38
0.56
0.56
14.34
3.16
5.25
1.32
3.06
1.99
7.97
0.75
1.98
2.59
2.79
3.67
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
8.56
(23.90)
(7.39)
(0.21)
(6.76)
3.96
10.80
12.00
8.77
(8.14)
(3.10)
4.41
(7.68)
13.10
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.86)
(0.86)
(0.48)
(0.67)
(0.45)
(0.48)
(0.58)
(0.58)
(0.52)
(0.46)
(0.69)
(0.74)
(0.56)
(0.77)
(0.43)
(0.54)
(0.58)
(0.49)
(0.69)
(0.56)
(0.76)
(0.58)
(0.65)
(0.73)
(0.99)
(0.43)
(0.53)
(0.70)
(0.86)
(0.68)
(0.74)
(0.47)
(0.40)
(0.41)
(0.52)
(0.88)
(0.74)
(0.78)
(1.06)
(0.52)
(0.75)
(0.69)
(0.55)
(0.61)
(0.39)
(0.74)
(0.40)
(0.50)
(0.65)
(0.46)
(0.72)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.86)
(1.14)
7.27
(1.55)
(0.10)
(10.62)
0.13
(0.35)
0.52
(12.43)
(0.62)
9.15
(7.45)
(8.06)
(3.69)
-
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
294.88
204.42
179.86
226.04
162.51
185.58
206.73
231.09
187.09
169.50
223.81
236.17
202.18
252.53
152.13
243.22
202.34
154.55
231.88
180.80
236.07
244.86
195.61
234.66
247.72
174.34
210.66
268.20
246.98
226.87
193.86
178.73
165.29
169.16
201.75
236.21
219.12
191.48
246.04
168.26
245.30
220.10
221.59
217.51
166.30
210.92
196.38
182.15
150.85
201.56
204.16
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
51.23
51.09
30.51
23.38
8.41
23.33
16.79
19.01
18.15
7.77
25.34
26.43
12.01
24.90
14.56
17.45
20.01
29.47
40.81
11.86
19.45
8.26
20.03
18.80
88.07
12.22
14.26
12.99
63.86
31.86
21.82
11.75
4.94
12.20
13.36
23.38
18.76
28.12
45.79
7.33
37.12
21.93
23.42
29.93
33.82
14.12
18.36
33.07
15.39
41.14
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
346.11
255.51
210.37
249.42
170.92
208.91
223.52
250.10
205.24
177.27
249.15
262.60
214.19
277.43
166.69
260.67
222.35
184.02
272.69
192.66
255.52
253.12
215.64
253.46
335.79
186.56
224.92
281.19
310.84
258.73
215.68
190.48
170.23
181.36
215.11
259.59
237.88
219.60
291.83
175.59
282.42
242.03
245.01
247.44
166.30
244.74
210.50
200.51
183.92
216.95
245.30
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(2.44)
2.79
0.32
(1.35)
1.25
(1.61)
(2.03)
(1.61)
0.24
0.34
(2.10)
(1.66)
0.36
0.98
1.43
(1.78)
1.97
(2.10)
2.03
(2.15)
0.30
2.45
1.55
(2.36)
(1.40)
0.29
0.34
(2.56)
1.51
(1.76)
(1.52)
(1.31)
(1.38)
2.15
2.62
2.35
0.31
0.41
1.07
1.66
(1.97)
(1.98)
(2.01)
(1.09)
(1.97)
0.26
0.25
1.21
(1.55)
2.75
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
15.91
17.53
16.82
16.48
10.80
13.00
12.25
14.08
16.68
12.82
14.51
17.19
13.17
7.95
10.39
13.00
14.05
12.07
17.40
12.26
23.08
13.61
13.71
15.18
25.09
8.31
12.05
15.63
18.62
14.15
11.73
11.77
9.32
10.02
13.76
32.60
38.54
10.99
13.02
14.59
16.30
15.54
14.97
14.23
7.96
16.99
12.02
10.04
23.93
12.30
12.16
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
595130010
540131010
515131510
515132210
295031410
700335410
310130510
260100110
342930410
362230310
515431910
015530110
312130310
700137310
700330610
282700010
700034710
700139110
290230610
700038210
700336410
275430230
700337410
700330710
295230110
465230210
515500030
512730110
700033810
276130310
700341110
612030010
102130010
435330310
090130410
370231310
590630310
322730310
700338610
700030610
395130210
395030210
135630310
700330310
700341010
700336110
432930110
700031410
700339710
700035610
590731510
Name
NYS Veterans Home at Montrose
Oak Hill Manor Nursing Home
Oak Hollow Nursing Center
Oasis Rehabilitation and Nursing LLC
Oceanside Care Center Inc
Oceanview Nursing & Rehabilitation Center LLC
Odd Fellow & Rebekah Rehabilitation & Health Care Center Inc
Oneida Healthcare
Ontario Center for Rehabilitation and Healthcare
Orchard Manor Rehabilitation and Nursing Center
Our Lady of Consolation Nursing and Rehabilitation Care Center
Our Lady Of Mercy Life Center
Our Lady of Peace Nursing Care Residence
Oxford Nursing Home
Ozanam Hall Of Queens Nursing Home Inc
Palatine Nursing Home
Palisade Nursing Home Company Inc
Palm Gardens Care Center LLC
Park Avenue Extended Care Facility
Park Gardens Rehabilitation & Nursing Center LLC
Park Nursing Home
Park Ridge Nursing Home
Park Terrace Care Center
Parker Jewish Institute for Health Care and Rehabilitation
Parkview Care and Rehabilitation Center Inc
Pathways Nursing and Rehabilitation Center
Peconic Bay Skilled Nursing Facility
Peconic Landing at Southold
Pelham Parkway Nursing and Rehabilitation Facility
Penfield Place LLC
Peninsula Nursing and Rehabilitation Center
Penn Yan Manor Nursing Home Inc
Pine Haven Home
Pine Valley Center for Rehabilitation and Nursing
Plattsburgh Rehabilitation and Nursing Center
Pontiac Nursing Home
Port Chester Nursing and Rehabilitation Centre
Presbyterian Home For Central New York Inc
Promenade Rehabilitation and Health Care Center
Providence Rest
Putnam Nursing & Rehabilitation Center
Putnam Ridge
Quaker Hill Manor
Queen Of Peace Residence
Queens Boulevard Extended Care Facility
Queens Nassau Rehabilitation and Nursing Center
Ramapo Manor Center for Rehabilitation & Nursing
Rebekah Rehab and Extended Care Center
Regal Heights Rehabilitation and Health Care Center
Regeis Care Center
Regency Extended Care Center
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
252
60
164
100
100
102
126
160
98
160
450
160
250
235
432
70
288
240
240
200
196
120
200
527
169
112
60
44
200
48
200
46
120
200
89
80
160
236
240
200
160
160
120
53
280
200
203
213
280
238
315
Non-Comp Component Refer to Non Non Medicare
Comp
Eligible
Ancillaries
Direct
Tab
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
20.06
6.61
7.33
9.77
6.05
6.09
10.85
17.57
9.06
8.78
11.63
8.88
10.26
5.47
16.24
11.20
23.66
12.24
8.43
8.20
6.68
21.68
9.07
33.20
5.41
28.92
29.17
12.16
5.44
7.02
17.94
4.42
9.79
6.46
5.30
5.71
6.36
8.70
1.21
9.53
4.88
11.55
9.46
15.29
10.35
5.20
8.24
16.69
9.62
9.86
7.82
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
113.44
108.58
169.71
126.81
163.89
168.16
119.02
113.53
131.22
133.17
158.49
124.80
115.63
183.75
165.70
101.66
156.00
182.36
169.97
167.82
142.29
126.51
164.55
168.40
148.47
136.28
157.75
132.44
152.30
126.50
179.43
69.64
143.34
169.54
118.79
85.65
149.84
94.24
145.11
160.99
138.20
142.07
120.32
101.80
143.04
167.76
185.07
163.05
154.64
219.17
167.41
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
58.95
47.72
59.04
58.24
59.12
58.93
51.91
54.01
56.06
50.96
69.79
54.64
52.26
58.00
70.81
50.71
61.26
58.54
58.46
59.24
62.23
63.30
59.93
69.28
58.02
55.24
69.26
60.57
58.68
53.08
67.47
49.08
58.43
60.63
46.30
46.66
54.81
48.89
57.82
59.41
50.78
55.11
52.12
55.86
56.86
59.65
61.47
61.00
58.59
60.51
66.52
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.76
0.44
3.09
0.82
1.65
1.37
2.71
2.05
2.97
2.95
1.92
2.14
2.61
2.24
1.04
4.38
0.75
1.20
2.73
2.42
2.29
1.96
27.08
1.32
1.73
4.67
6.18
1.97
4.30
2.96
2.72
3.73
1.35
1.05
4.01
1.49
2.37
2.85
1.97
1.81
0.63
2.36
3.05
0.69
30.92
2.09
1.21
0.82
2.14
4.74
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
49.05
0.04
(13.97)
(4.05)
8.76
(12.37)
(0.73)
24.46
8.94
61.20
29.20
21.22
6.05
7.69
(13.29)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.77)
(0.53)
(0.58)
(0.65)
(0.63)
(0.59)
(0.60)
(0.57)
(0.52)
(0.34)
(0.81)
(0.61)
(0.53)
(0.50)
(0.68)
(0.40)
(0.65)
(0.79)
(0.71)
(0.63)
(0.45)
(0.60)
(0.72)
(0.92)
(0.57)
(0.32)
(0.92)
(0.91)
(0.53)
(0.50)
(0.66)
(0.44)
(0.47)
(0.60)
(0.34)
(0.35)
(0.57)
(0.45)
(0.54)
(0.90)
(0.45)
(0.62)
(0.44)
(0.59)
(0.75)
(0.69)
(0.60)
(0.80)
(0.74)
(0.91)
(0.61)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(20.17)
(7.21)
1.23
(28.23)
(1.30)
(0.67)
(9.44)
(9.26)
(2.70)
(2.26)
-
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
242.49
162.86
218.42
194.99
230.08
226.75
185.12
186.59
170.56
181.55
241.02
189.85
180.23
248.96
253.11
163.50
241.02
262.31
237.58
237.05
200.67
211.45
259.91
295.74
213.06
224.79
270.38
265.46
217.86
190.40
267.14
125.42
205.38
237.38
161.84
141.68
209.23
153.75
206.45
260.20
195.22
208.74
183.82
196.63
216.24
270.53
256.27
238.89
222.93
290.77
232.59
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
28.59
11.20
16.63
18.35
15.01
12.11
16.46
25.46
11.14
15.04
15.61
13.38
25.32
5.24
36.80
8.28
10.18
18.50
44.63
20.48
14.73
75.72
16.53
25.43
12.42
23.18
79.01
61.01
15.23
16.87
21.67
5.14
4.13
14.51
9.70
7.24
14.92
13.09
13.90
62.19
22.39
19.97
15.39
39.27
11.79
12.33
55.53
34.80
40.53
9.89
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
271.08
174.06
235.05
213.34
245.09
238.86
201.58
212.05
181.70
196.59
256.63
203.23
205.55
254.20
289.91
171.78
251.20
280.81
282.21
257.53
215.40
287.17
276.44
321.17
225.48
247.97
349.39
326.47
233.09
207.27
288.81
130.56
209.51
251.89
171.54
148.92
224.15
166.84
220.35
322.39
195.22
231.13
203.79
212.02
255.51
282.32
268.60
294.42
257.73
331.30
242.48
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(2.13)
1.80
(1.68)
(1.80)
(1.86)
(1.95)
2.34
2.25
(1.39)
(1.30)
2.87
2.17
2.00
1.33
2.86
0.97
1.56
(2.18)
2.75
0.33
(1.58)
2.66
1.69
2.01
(1.78)
2.62
3.62
1.36
1.17
(1.90)
0.18
(1.51)
0.33
(1.06)
(1.17)
0.29
1.77
(1.72)
0.46
(1.51)
(1.99)
0.24
2.43
0.37
2.87
(2.05)
(2.44)
2.81
(2.62)
(1.89)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
13.69
12.51
12.11
13.67
13.06
12.90
15.40
9.87
9.82
18.76
14.40
12.30
13.80
16.58
0.05
16.28
19.79
15.85
13.48
11.55
20.88
18.82
23.33
13.26
29.78
38.89
10.39
12.61
10.92
9.82
11.30
12.87
14.56
9.90
9.47
12.40
13.25
14.80
22.00
7.01
15.64
10.09
13.88
18.44
17.47
15.16
17.34
14.99
10.62
13.92
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
700339210
135630210
700333010
700432410
140133610
280130510
130230710
700035710
515530110
440130210
412430110
532430210
122500010
700336210
290930410
320100230
145130410
526230010
515432010
700103310
700137110
596030410
220100010
226930010
512730210
295130410
590731710
700341510
452030210
450100030
515432510
590432210
700031510
352930110
590231410
310230710
140430010
700131810
482300030
700180610
700430410
700180110
147430110
370231210
492130310
455230010
700136210
140330310
700139910
700432310
700337210
Name
Rego Park Nursing Home
Renaissance Rehabilitation and Nursing Care Center
Resort Nursing Home
Richmond Center for Rehabilitation and Specialty Healthcare
Ridge View Manor LLC
River Ridge Living Center
River Valley Care Center Inc
Riverdale Nursing Home
Riverhead Care Center LLC
Riverledge Health Care and Rehabilitation Center
Riverside Center for Rehabilitation and Nursing
Riverview Manor Health Care Center
Robinson Terrace
Rockaway Care Center
Rockville Skilled Nursing & Rehabilitation Center LLC
Rome Memorial Hospital Inc - RHCF
Rosa Coplon Jewish Home
Roscoe Community Nursing Home Co Inc
Ross Health Care Center
Rutland Nursing Home Co Inc
Saints Joachim & Anne Nursing and Rehabilitation Ce
Salem Hills Rehabilitation and Nursing Center
Samaritan Keep Nursing Home Inc
Samaritan Senior Village Inc
San Simeon by the Sound Center for Nrsg and Reha
Sands Point Center For Health And Rehabilitation
Sans Souci Rehabilitation and Nursing Center
Sapphire Center for Rehabilitation and Nursing of Central Queens LLC
Saratoga Center for Rehab and Skilled Nursing Care
Saratoga Hospital Nursing Home
Sayville Nursing and Rehabilitation Center
Schaffer Extended Care Center
Schervier Nursing Care Center
Schervier Pavilion
Schnurmacher Center for Rehabilitation and Nursing
Schoellkopf Health Center
Schofield Residence
Schulman and Schachne Institute for Nursing and Rehabilitat
Schuyler Hospital Inc And Long Term Care Unit
Sea Crest Nursing and Rehabilitation Center
Sea View Hospital Rehabilitation Center And Home
Seagate Rehabilitation and Nursing Center
Seneca Health Care Center
Seneca Hill Manor Inc
Seneca Nursing and Rehabilitation Center
Seton Health at Schuyler Ridge Residential Healthcare
Sheepshead Nursing and Rehabilitation Center
Sheridan Manor LLC
Shore View Nursing & Rehabilitation Center
Silver Lake Specialized Rehabilitation and Care Cente
Silvercrest
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
200
100
280
300
120
120
160
146
181
180
80
77
120
228
66
82
180
85
135
466
200
126
272
168
120
180
120
227
277
36
180
150
366
120
200
120
120
448
120
320
304
360
160
120
120
120
200
100
320
278
320
Non-Comp Component Refer to Non Non Medicare
Comp
Eligible
Ancillaries
Direct
Tab
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
7.06
6.87
6.63
22.43
8.48
8.92
3.06
8.94
5.52
11.06
11.76
4.67
8.34
2.36
6.91
15.78
10.69
12.31
6.29
25.19
10.64
10.02
10.38
12.45
10.99
5.91
8.70
7.44
4.55
19.52
7.57
16.45
15.47
16.30
8.88
6.24
8.55
44.23
6.43
9.42
14.48
38.13
8.75
12.92
9.64
8.88
8.10
7.72
6.96
6.24
17.82
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
160.97
104.18
163.33
214.55
128.93
136.76
123.06
153.58
155.04
89.04
124.08
112.57
81.11
141.11
175.70
102.29
125.53
96.22
156.71
165.86
167.78
158.97
104.82
108.81
141.74
152.24
191.76
185.10
130.58
104.07
173.22
163.60
170.92
141.63
162.86
142.01
95.92
151.42
94.14
193.19
151.23
204.70
138.65
98.43
106.44
111.20
177.77
132.18
197.63
166.27
178.76
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
58.54
52.54
58.46
67.72
52.10
52.32
54.59
59.94
58.95
47.37
54.68
48.83
48.33
60.18
61.58
55.73
51.20
51.06
60.50
69.11
58.84
58.29
50.44
49.39
58.29
60.27
58.95
60.30
59.52
62.58
61.89
69.32
68.01
55.30
60.84
60.68
49.31
68.30
49.81
67.33
72.49
68.37
50.24
50.44
49.51
54.15
59.00
52.10
65.63
60.18
67.42
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.55
2.74
2.21
4.19
3.53
1.10
2.94
4.61
2.19
4.19
3.37
3.19
3.56
4.29
0.64
5.83
1.90
4.47
1.54
1.99
1.90
0.93
3.33
2.17
1.03
2.26
0.96
2.85
3.58
1.59
2.29
2.09
7.65
2.09
1.95
1.29
2.88
2.32
2.12
4.52
1.59
3.38
2.85
2.99
1.53
1.18
2.11
1.51
2.58
0.97
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(9.23)
(5.08)
(17.28)
(4.04)
6.56
3.01
20.69
0.44
(2.88)
8.62
2.57
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
33.72
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.60)
(0.43)
(0.61)
(0.74)
(0.35)
(0.48)
(0.47)
(0.52)
(0.59)
(0.50)
(0.52)
(0.65)
(0.37)
(0.54)
(0.80)
(0.67)
(0.50)
(0.52)
(0.68)
(1.06)
(0.78)
(0.60)
(0.45)
(0.57)
(0.74)
(0.63)
(0.63)
(0.47)
(0.65)
(0.62)
(0.81)
(0.75)
(0.48)
(0.70)
(0.48)
(0.45)
(0.73)
(0.51)
(0.67)
(0.88)
(0.81)
(0.55)
(0.59)
(0.42)
(0.49)
(0.64)
(0.42)
(0.69)
(0.60)
(0.85)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(11.64)
(0.75)
(0.38)
4.96
(6.67)
(2.66)
1.29
(2.00)
(6.86)
(9.15)
(11.85)
2.43
(2.30)
(1.60)
(1.12)
1.57
(3.64)
(2.19)
-
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
215.88
156.67
230.02
307.40
187.23
198.62
183.18
209.27
226.07
151.16
189.33
161.94
140.97
207.40
250.59
181.97
186.16
164.83
224.36
315.50
238.82
227.61
166.52
170.65
205.76
218.71
251.89
253.17
185.18
189.10
246.08
250.85
255.74
217.52
231.67
210.40
153.02
266.10
160.81
271.39
241.84
310.86
200.47
165.62
168.16
175.27
245.41
190.05
271.42
234.67
264.12
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
17.14
18.27
12.33
24.73
10.61
10.31
36.34
16.89
11.62
39.31
15.89
9.92
19.61
26.38
27.73
18.25
6.65
18.57
16.28
27.01
32.02
20.13
5.31
31.47
21.12
39.81
19.68
18.74
3.67
26.67
39.03
26.02
30.54
11.11
10.10
5.45
4.74
19.70
9.35
18.17
19.55
26.02
18.50
24.54
11.73
15.08
17.18
9.13
11.72
12.19
22.90
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
233.02
174.94
242.35
332.13
197.84
208.93
219.52
226.16
237.69
190.47
205.22
171.86
160.58
233.78
278.32
200.22
192.81
183.40
240.64
342.51
270.84
247.74
171.83
202.12
226.88
258.52
271.57
271.91
188.85
215.77
285.11
276.87
286.28
228.63
241.77
215.85
157.76
285.80
170.16
289.56
261.39
336.88
218.97
190.16
179.89
190.35
262.59
199.18
283.14
246.86
287.02
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.32
(1.35)
1.45
(2.49)
(1.42)
1.18
(1.68)
0.27
(1.95)
1.16
(1.58)
0.24
0.22
0.30
(2.14)
2.27
0.25
0.26
0.33
0.47
(2.20)
0.33
(1.32)
0.25
2.42
2.79
0.34
2.51
1.14
1.29
(2.01)
1.60
1.72
1.43
(1.99)
2.12
1.01
3.08
1.07
2.76
2.99
(2.43)
2.18
(1.60)
(1.41)
0.24
(1.93)
(1.47)
0.35
(1.86)
0.41
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
18.11
11.07
14.67
24.72
7.85
13.40
11.48
11.39
15.53
12.12
12.51
10.02
11.24
13.39
17.16
15.12
15.03
14.15
13.88
21.69
17.33
14.99
11.26
11.99
16.60
17.41
15.00
14.73
11.91
12.09
14.41
15.81
19.21
16.70
14.17
10.85
18.96
22.76
10.65
12.89
20.16
20.03
14.01
14.22
10.77
16.88
13.02
8.41
9.44
16.01
21.82
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
592130210
515731410
612000030
596630010
296130210
290430210
700038410
591030110
700138410
275730010
275730110
700037110
592530010
330132110
140132430
515731210
515731710
515731110
270135310
272530210
282830010
440130010
590731410
070100130
353500130
370230910
322730510
700030710
010130510
440230310
700036610
700431410
502230210
512330510
522030110
435300030
295130710
332130110
515431210
322130110
030330710
590432010
332730110
591130210
556730110
700234510
010131310
700037810
140100530
295130810
132730110
Name
Sky View Rehabilitation and Health Care Center LLC
Smithtown Center for Rehabilitation & Nursing Care
Soldiers And Sailors Memorial Hospital Extended Care Unit
Somers Manor Rehabilitation & Nursing Center
South Point Plaza Nursing and Rehabilitation Center
South Shore Rehabilitation and Nursing Center
Split Rock Rehabilitation and Health Care Center
Sprain Brook Manor Rehab LLC
Spring Creek Rehabilitation & Nursing Care Center
St Anns Community (Aged)
St Anns Community (NH)
St Barnabas Rehabilitation & Continuing Care Center
St Cabrini Nursing Home
St Camillus Residential Health Care Facility
St Catherine Laboure Health Care Center
St Catherine of Siena Nursing Home
St James Rehabilitation & Healthcare Center
St Johnland Nursing Center Inc
St Johns Health Care Corporation
St Johns Penfield Homes Corporation
St Johnsville Rehabilitation and Nursing Center
St Josephs Home
St Josephs Hosp Nursing Home Of Yonkers N Y Inc
St Josephs Hospital - Skilled Nursing Facility
St Josephs Place
St Luke Residential Health Care Facility Inc
St Lukes Home
St Patricks Home
St Peters Nursing and Rehabilitation Center
St Regis Nursing Home Inc
St Vincent Depaul Residence
Staten Island Care Center
Steuben Center for Rehabilitation and Healthcare
Suffolk Center for Rehabilitation and Nursing
Sullivan County Adult Care Center
Summit Park Nursing Care Center
Sunharbor Manor
Sunnyside Care Center
Sunrise Manor Center for Nursing and Rehabilitation
Sunset Nursing and Rehabilitation Center Inc
Susquehanna Nursing & Rehabilitation Center LLC
Sutton Park Center for Nursing and Rehabilitation
Syracuse Home Association
Tarrytown Hall Care Center
Ten Broeck Commons
Terence Cardinal Cooke Health Care Ctr
Teresian House Nursing Home Co Inc
Terrace Health Care Center
Terrace View Long Term Care Facility
The Amsterdam at Harborside
The Baptist Home at Brookmeade
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
192
162
151
300
185
100
240
121
188
470
72
199
304
284
80
240
230
250
475
0
120
84
200
85
46
200
202
264
160
162
120
300
105
120
146
321
266
80
84
120
160
160
120
120
258
559
300
240
354
56
120
Non-Comp Component Refer to Non Non Medicare
Comp
Eligible
Ancillaries
Direct
Tab
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
9.82
13.84
7.47
14.02
5.52
17.38
7.64
7.73
9.21
14.62
13.22
21.18
11.09
16.69
23.41
29.04
7.11
17.70
15.92
13.69
5.40
9.55
12.99
16.79
18.26
13.03
13.82
10.92
10.36
5.92
12.16
7.77
13.80
9.45
1.47
28.78
12.93
7.05
9.48
7.25
8.79
7.03
16.03
12.28
7.98
31.62
10.86
9.30
27.11
7.43
13.13
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
163.76
174.39
78.46
168.16
168.49
164.56
166.73
207.57
175.33
130.23
124.18
159.74
168.95
114.48
118.55
153.72
171.07
150.15
127.26
101.15
109.01
80.45
169.56
112.73
123.96
98.66
106.31
159.69
116.82
82.04
164.81
175.08
142.81
170.80
116.92
150.83
163.86
112.94
180.45
93.69
123.43
131.00
102.29
170.35
129.88
174.67
110.98
121.69
140.76
119.21
114.83
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
58.74
61.17
52.57
66.05
58.87
59.44
58.22
58.46
59.42
60.14
55.00
59.41
68.79
52.47
58.98
64.55
58.88
62.06
59.52
53.03
50.59
47.16
66.34
55.08
64.37
48.96
50.20
61.52
54.56
46.53
59.24
67.34
53.76
60.51
57.87
71.77
58.82
47.39
60.14
45.76
52.08
58.95
51.39
57.03
54.82
67.40
60.29
59.11
64.14
60.18
52.87
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.85
1.35
3.71
1.78
2.84
2.90
3.83
1.17
1.33
3.15
1.25
1.76
2.00
2.40
4.10
1.23
1.30
3.05
1.74
3.17
5.50
2.52
3.38
5.85
2.58
3.82
1.32
3.58
4.18
2.42
2.80
2.14
2.97
2.96
1.55
0.79
0.69
1.92
2.49
0.35
3.65
2.16
1.99
1.18
1.41
2.99
2.01
9.65
3.01
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
5.28
12.44
(1.68)
5.35
(1.87)
(15.06)
(9.97)
(0.50)
7.40
3.90
(2.01)
(5.31)
1.99
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
14.89
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.64)
(0.72)
(0.41)
(0.67)
(0.68)
(0.71)
(0.77)
(0.74)
(0.82)
(0.59)
(0.96)
(0.79)
(0.87)
(0.49)
(0.68)
(0.69)
(0.67)
(0.73)
(0.60)
(0.45)
(0.51)
(0.61)
(0.49)
(0.99)
(0.46)
(0.58)
(0.63)
(0.66)
(0.41)
(1.00)
(0.70)
(0.62)
(0.68)
(0.54)
(0.73)
(0.71)
(0.42)
(0.65)
(0.37)
(0.48)
(0.60)
(0.68)
(0.68)
(0.53)
(0.78)
(0.45)
(0.53)
(0.71)
(13.77)
(0.49)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(11.45)
(0.07)
(1.88)
(11.93)
(0.31)
(2.09)
(2.38)
0.42
(1.20)
(5.80)
(9.96)
(8.33)
(0.81)
(2.44)
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
233.53
250.03
141.80
237.89
240.25
241.69
248.09
272.51
244.47
212.90
190.82
241.30
249.96
185.55
204.36
220.86
237.69
231.92
203.84
167.87
165.63
142.15
250.80
185.11
211.87
161.57
163.60
227.02
184.66
137.76
245.03
252.29
205.83
243.05
178.68
252.20
235.69
167.65
251.34
146.81
170.53
200.03
171.19
242.96
193.33
289.21
183.86
191.58
240.95
173.05
180.91
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
31.89
37.02
17.59
33.96
18.15
25.58
26.70
76.67
25.91
58.83
31.31
60.49
11.73
26.45
20.98
16.96
15.76
21.21
22.94
31.44
3.80
22.74
41.55
14.56
26.49
18.92
8.22
19.22
11.85
15.39
44.95
22.05
4.13
15.70
17.46
9.47
14.39
14.66
24.92
15.07
33.71
16.55
20.60
20.81
11.50
79.39
41.09
10.49
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
265.42
287.05
159.39
271.85
258.40
241.69
273.67
299.21
321.14
238.81
249.65
272.61
310.45
197.28
230.81
241.84
254.65
247.68
225.05
167.87
188.57
173.59
254.60
207.85
253.42
176.13
190.09
245.94
192.88
156.98
256.88
267.68
250.78
265.10
182.81
267.90
253.15
177.12
265.73
161.47
195.45
215.10
204.90
259.51
213.93
289.21
204.67
203.08
320.34
214.14
191.40
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.34
1.66
1.01
0.34
(2.00)
2.64
(2.22)
(2.20)
(2.56)
2.51
2.42
(2.31)
(2.45)
(1.55)
1.32
0.33
1.58
2.76
0.29
0.32
0.24
1.87
0.32
1.15
2.73
0.24
(1.34)
(1.84)
2.12
0.21
2.79
(2.10)
(1.90)
(2.12)
(1.47)
1.65
(2.02)
1.00
(2.07)
(1.21)
(1.52)
(1.55)
1.34
(2.08)
0.28
1.84
2.21
0.28
(2.06)
1.92
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
15.97
16.83
12.24
15.10
12.89
6.20
18.32
15.32
18.73
17.51
16.48
22.34
20.19
17.03
14.66
14.16
16.20
17.21
15.11
10.30
10.93
18.59
12.01
13.66
12.91
12.35
14.95
13.53
9.93
17.18
15.76
14.95
15.72
11.37
16.76
13.91
8.70
10.99
9.62
11.59
10.89
15.48
14.72
13.57
23.25
14.11
10.60
15.65
12.05
14.32
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
275030710
460130610
412030010
700039310
330132310
223830310
333430310
275030110
290930510
262930310
132230210
700340410
320131010
595730410
512630310
700139210
275030610
276330010
275030810
290230210
552230210
700031710
700234010
590930210
572530310
700341410
700180210
192130310
560130710
130230810
320231510
046930010
040130310
700236010
270135910
410231210
560130610
352330110
362030110
590330910
700038610
066330230
435030110
295031810
156030110
700339310
590430910
270135830
700033710
320231610
212430110
Name
The Brightonian Inc
The Capital Living Nursing and Rehabilitation Centre
The Center for Nursing and Rehabilitation at Hoosick Falls
The Citadel Rehab and Nursing Center at Kingsbridge
The Cottages at Garden Grove
The Country Manor Nursing and Rehabilitation Centre
The Crossings Nursing and Rehabilitation Centre
The Friendly Home
The Grand Pavilion for Rehab & Nursing at Rockville Centre
The Grand Rehabilitation and Nursing at Chittenango
The Grand Rehabilitation and Nursing at Pawling
The Grand Rehabilitation and Nursing at Queens
The Grand Rehabilitation and Nursing at Rome
The Grove at Valhalla Rehabilitation and Nursing Center
The Hamptons Center for Rehabilitation and Nursing
The Heritage Rehabilitation and Health Care Center
The Highlands at Brighton
The Highlands Living Center
The Hurlbut
The Komanoff Center for Geriatric and Rehabilitative Medicine
The Mountain View Nursing and Rehabilitation Centre
The New Jewish Home, Harry and Jeanette Weinberg Campus
The New Jewish Home, Manhattan
The New Jewish Home, Sarah Neuman
The Orchard Nursing and Rehabilitation Centre
The Pavilion at Queens for Rehabilitation & Nursing
The Phoenix Rehabilitation and Nursing Center
The Pines at Catskill Center for Nursing & Rehabilitati
The Pines at Glens Falls Center for Nursing & Rehabili
The Pines at Poughkeepsie Center for Nursing & Reh
The Pines at Utica Center for Nursing & Rehabilitation
The Pines Healthcare & Rehabilitation Centers Machias Ca
The Pines Healthcare & Rehabilitation Centers Olean Camp
The Riverside
The Shore Winds LLC
The Springs Nursing and Rehabilitation Centre
The Stanton Nursing and Rehabilitation Centre
The Valley View Center for Nursing Care and Rehab
The Villages of Orleans Health and Rehabilitation Center
The Wartburg Home
Throgs Neck Rehabilitation & Nursing Center
TLC Health Network-Lake Shore Hospital Nursing Facil
Tolstoy Foundation Nursing Home Co Inc
Townhouse Center for Rehabilitation & Nursing
Uihlein Living Center
Union Plaza Care Center
United Hebrew Geriatric Center
Unity Living Center
University Nursing Home
Utica Rehabilitation & Nursing Center
Valley Health Services Inc
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
54
240
82
400
156
90
82
200
158
80
122
179
160
160
280
79
145
122
160
150
79
744
514
301
88
302
400
136
120
200
117
115
120
520
229
80
120
360
120
210
205
120
96
280
157
280
296
120
46
120
160
Non-Comp
Component Refer to Non Non Medicare
Comp
Eligible
Ancillaries
Direct
Tab
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
7.63
12.54
8.18
6.65
9.28
8.98
14.52
12.19
7.42
9.43
8.03
8.56
8.30
11.00
14.50
8.90
11.05
16.14
7.06
20.04
10.22
23.40
29.58
15.24
10.79
19.72
10.68
5.03
8.32
7.24
8.75
14.56
10.95
11.24
8.17
14.53
9.76
9.65
7.75
11.41
10.11
6.63
9.30
8.40
9.84
8.62
8.99
13.63
7.82
8.55
10.12
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
133.03
121.00
96.30
155.55
116.61
96.41
108.26
120.94
169.04
116.42
156.78
187.37
131.52
134.57
170.68
182.15
126.21
120.17
117.84
154.89
129.82
178.93
181.51
155.59
113.14
205.43
162.63
141.26
127.40
132.99
112.96
116.56
114.54
193.89
111.64
126.08
103.60
184.83
136.84
145.07
167.06
160.51
109.24
182.84
97.93
156.60
146.16
118.33
187.24
100.45
95.16
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
51.81
51.75
50.15
65.28
53.40
47.61
51.35
53.87
59.43
48.81
56.42
61.25
50.86
58.18
61.16
58.50
52.33
52.96
51.71
66.02
55.37
68.72
68.57
68.44
50.23
67.85
67.06
54.78
51.97
55.63
51.14
54.59
54.41
68.46
51.28
52.45
51.05
72.89
53.08
61.16
59.00
58.55
54.05
58.56
50.93
59.50
61.78
59.52
59.48
47.53
46.71
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.99
2.37
3.04
2.05
0.94
4.05
1.61
1.80
0.73
2.29
4.54
2.28
2.90
2.31
1.12
0.31
4.28
1.92
3.34
1.53
3.58
1.48
1.58
1.51
2.42
1.63
1.51
2.92
2.94
1.34
3.00
2.83
2.95
1.47
2.94
3.21
1.48
1.62
1.84
1.55
1.46
0.23
1.75
1.69
1.73
0.31
1.82
5.55
0.88
2.71
4.67
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.25
15.34
(2.10)
(3.43)
(21.90)
15.06
(3.22)
13.28
19.85
(4.16)
(3.08)
3.06
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.45)
(0.46)
(0.50)
(0.58)
(0.46)
(0.41)
(0.49)
(0.31)
(0.61)
(0.33)
(0.60)
(0.70)
(0.29)
(0.61)
(0.81)
(0.77)
(0.51)
(0.53)
(0.50)
(0.76)
(0.59)
(0.80)
(0.90)
(0.85)
(0.43)
(0.70)
(0.74)
(0.47)
(0.50)
(0.57)
(0.54)
(0.61)
(0.49)
(0.72)
(0.43)
(0.47)
(0.40)
(0.68)
(0.51)
(0.68)
(0.70)
(0.48)
(0.52)
(0.72)
(0.44)
(0.72)
(0.74)
(0.62)
(0.63)
(0.43)
(0.48)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.55)
(4.13)
(5.59)
(7.01)
(1.21)
1.06
(11.09)
(4.07)
(9.30)
(8.66)
(0.97)
(4.04)
(9.04)
(0.44)
(0.87)
(19.06)
(4.38)
(2.12)
(3.80)
(0.47)
-
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
193.26
187.20
156.62
240.16
174.18
149.63
175.25
187.28
236.01
174.52
221.74
259.82
171.39
194.36
261.71
249.09
186.07
181.36
179.45
241.72
189.74
270.76
293.62
259.78
172.11
284.89
241.14
203.52
189.69
196.63
174.44
187.93
182.36
274.34
173.60
195.80
161.33
268.31
179.94
218.51
236.93
222.36
172.50
248.65
156.19
224.31
218.01
195.94
254.79
158.81
156.18
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
22.57
36.69
17.69
11.58
46.40
7.92
35.82
40.00
19.31
33.17
32.38
27.29
24.47
46.68
38.32
16.84
25.34
12.27
12.44
15.17
22.01
21.10
15.92
25.11
10.34
39.13
22.31
11.93
21.11
14.94
21.29
32.44
12.93
35.29
5.94
21.96
8.00
12.67
29.20
25.90
30.31
27.85
7.57
46.42
7.56
49.42
54.31
28.87
40.93
2.21
16.16
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
215.83
223.89
174.31
251.74
220.58
157.55
211.07
227.28
255.32
207.69
254.12
287.11
195.86
241.04
300.03
265.93
211.41
193.63
191.89
256.89
211.75
291.86
309.54
284.89
182.45
324.02
263.45
215.45
210.80
211.57
195.73
220.37
195.29
309.63
179.54
217.76
169.33
280.98
209.14
244.41
267.24
250.21
180.07
295.07
163.75
273.73
272.32
224.81
295.72
161.02
172.34
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.32
1.33
1.04
2.77
0.21
(1.53)
2.36
0.35
(1.54)
(1.97)
(2.24)
(1.47)
(1.83)
(2.45)
2.79
(1.55)
1.95
(1.49)
(2.13)
1.31
1.65
1.94
3.23
(1.46)
1.67
1.64
(1.71)
(1.60)
(1.72)
(1.62)
(1.73)
0.25
(2.26)
(1.41)
(1.63)
0.23
0.37
0.25
1.52
(2.06)
0.26
(1.42)
(2.12)
(1.44)
3.02
1.60
(1.74)
0.34
0.19
0.23
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
15.41
14.44
11.32
13.37
13.83
10.65
12.50
19.87
16.72
12.22
14.97
15.37
12.64
13.42
18.20
13.03
14.74
15.70
10.85
15.10
14.18
16.97
20.44
17.80
11.32
17.08
17.08
14.35
12.73
14.46
12.20
13.14
11.58
17.87
10.24
12.46
11.43
16.73
11.90
17.60
15.55
14.05
11.53
17.88
16.15
16.30
17.75
13.92
14.35
9.77
12.42
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
082430310
330132810
410230710
700432010
033630110
590530510
700233510
330132610
565730010
575030110
140133710
514930310
596030310
700336710
700035010
582330210
582000030
272230110
170230010
022830510
270135210
450130110
700340310
590130610
590331210
595730310
180130510
275330110
515830110
295230610
590231510
105930110
280100130
700037910
142130610
036430110
700335710
130130110
132030110
555630110
700333610
515131610
552230310
295031510
275030310
700039010
602700030
Name
Valley View Manor Nursing Home
Van Duyn Center for Rehabilitation and Nursing
Van Rensselaer Manor
Verrazano Nursing Home
Vestal Park Rehabilitation and Nursing Center
Victoria Home
Villagecare Rehabilitation and Nursing Center
Vivian Teal Howard Residential Health Care Facility
Warren Center for Rehabilitation and Nursing
Washington Center for Rehabilitation and Healthcare
Waterfront Center for Rehabilitation and Healthcare
Waters Edge at Port Jefferson for Rehabilitation and Nursing
Waterview Hills Rehabilitation and Nursing Center
Waterview Nursing Care Center
Wayne Center For Nursing And Rehabilitation
Wayne County Nursing Home
Wayne Health Care
Wedgewood Nursing Home
Wells Nursing Home Inc
Wellsville Manor Care Center
Wesley Gardens Corporation
Wesley Health Care Center Inc
West Lawrence Care Center LLC
West Ledge Rehabilitation and Nursing Center
Westchester Center for Rehabilitation & Nursing
Westchester Meadows
Western New York State Veterans Home
Westgate Nursing Home Inc
Westhampton Care Center
White Oaks Rehabilitation and Nursing Center
White Plains Center For Nursing Care LLC
Whittier Rehabilitation & Skilled Nursing Center
Wilkinson Residential Health Care Facility
Williamsbridge Manor Nursing Home
Williamsville Suburban LLC
Willow Point Nursing Home
Windsor Park Nursing Home
Wingate at Beacon
Wingate of Dutchess
Wingate of Ulster
Woodcrest Rehabilitation & Residential Health Care Ctr LLC
Woodhaven Nursing Home
Woodland Pond at New Paltz
Woodmere Rehabilitation And Health Care Center
Woodside Manor Nursing Home Inc
Workmens Circle Multicare Center
Wyoming County Community Hospital Snf
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed
Count
82
513
362
120
110
49
105
160
80
122
160
120
130
180
243
192
180
29
100
120
200
356
215
100
240
20
126
124
180
200
88
120
160
77
220
300
70
160
160
120
200
143
40
336
44
524
138
Non-Comp
Component Refer to Non Non Medicare
Eligible
Comp
Direct
Ancillaries
Component
Tab
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
7.30
13.92
14.91
5.18
8.02
9.97
21.44
7.10
7.50
8.27
10.09
10.68
9.78
11.38
11.11
9.53
20.99
6.41
8.47
7.72
13.86
8.94
7.63
12.90
6.25
7.96
24.11
7.46
10.60
5.94
8.66
33.16
12.22
7.97
8.72
5.64
7.08
12.50
20.82
24.33
8.68
6.67
10.70
15.05
10.52
9.81
9.15
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
113.62
121.22
126.30
145.26
102.11
140.53
154.86
116.07
108.17
127.09
133.60
186.94
168.65
175.00
132.03
117.57
116.03
107.80
97.97
120.17
116.38
126.19
184.31
170.19
199.85
100.48
93.42
116.16
151.14
167.07
177.47
108.15
121.29
177.45
121.35
129.04
171.78
132.60
137.11
129.52
145.40
194.95
121.80
171.46
140.15
176.31
135.12
TBI, BMI,
Dementia
Add On
Indirect
Component
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
47.03
60.79
62.21
59.20
50.33
56.53
60.10
51.89
50.02
52.42
51.98
61.47
58.97
60.06
57.40
54.92
57.89
50.16
51.34
49.01
51.31
60.63
60.52
60.41
58.82
60.79
54.87
49.38
59.50
60.09
57.83
53.85
58.37
59.39
52.10
61.24
59.24
54.84
56.17
55.27
58.96
60.18
55.50
67.04
52.83
65.99
58.48
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.90
2.72
2.46
10.08
3.45
3.18
11.11
4.05
2.30
3.08
5.65
0.85
2.63
2.33
3.09
3.46
0.41
2.06
3.85
3.11
5.02
2.88
2.46
1.79
4.11
2.39
1.92
1.02
2.21
1.71
1.66
2.90
2.10
2.70
1.91
1.74
2.21
1.77
3.38
1.73
0.87
3.10
2.30
3.19
2.86
Misc Per
Bed Hold
Diem
Per Diem
Case Mix
Transition Adjustmen Adjustmen
Percent
Adjustment
t
t
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.39
(5.00)
21.76
(29.24)
(7.70)
0.06
1.04
(2.32)
7.67
(7.62)
0.33
(10.68)
(16.57)
24.77
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(0.55)
(0.61)
(0.60)
(0.54)
(0.48)
(0.73)
(3.64)
(0.52)
(0.50)
(0.49)
(0.50)
(0.83)
(0.65)
(0.54)
(0.59)
(0.65)
(0.65)
(0.45)
(0.43)
(0.50)
(0.48)
(0.53)
(0.63)
(0.70)
(0.56)
(0.56)
(0.46)
(0.64)
(0.49)
(0.77)
(0.44)
(0.47)
(0.64)
(0.32)
(0.52)
(0.64)
(0.58)
(0.56)
(0.58)
(0.58)
(0.66)
(0.55)
(0.66)
(0.45)
(0.96)
(0.52)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.49
2.99
(3.99)
(1.60)
(1.53)
(1.78)
(2.98)
(2.76)
(0.38)
(10.41)
(5.48)
(7.68)
6.42
(1.22)
(6.81)
(4.06)
-
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
169.30
198.43
205.28
219.18
159.92
228.06
209.69
185.65
169.24
185.60
190.55
263.91
237.60
248.53
202.28
182.92
197.23
164.33
157.63
177.93
181.20
200.25
251.95
244.88
266.15
169.23
183.62
164.52
217.04
233.63
237.72
202.85
193.07
247.07
176.33
198.10
239.70
201.10
205.07
210.31
214.62
262.87
181.51
251.93
188.78
279.11
205.09
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
8.42
25.17
14.44
11.93
50.35
19.28
76.40
19.95
16.04
12.37
23.23
17.15
14.38
12.27
14.98
30.40
26.84
11.86
4.30
8.99
16.39
14.47
13.06
14.70
26.50
1.04
29.80
11.17
23.09
5.83
37.70
9.23
6.71
16.06
8.10
6.52
8.73
42.80
36.91
41.00
14.95
9.25
15.15
13.67
44.67
17.69
2014
Total Price +
Quality
2014 Cash
Capital Per Adustmen Receipts (CRA)
Diem
t
Per Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
177.72
223.60
219.72
231.11
210.27
247.34
286.09
205.60
185.28
197.97
213.78
281.06
251.98
260.80
217.26
213.32
224.07
176.19
161.93
186.92
197.59
214.72
265.01
259.58
292.65
170.27
213.42
175.69
240.13
239.46
275.42
212.08
199.78
263.13
184.43
204.62
248.43
243.90
241.98
251.31
229.57
272.12
181.51
267.08
202.45
323.78
222.78
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.43)
1.37
1.33
(1.33)
1.51
2.61
1.24
0.99
0.26
(2.27)
1.52
(2.01)
(1.77)
0.30
1.38
(1.39)
0.96
1.02
(1.56)
2.30
0.30
(2.05)
(1.86)
2.38
(1.30)
2.53
1.44
(2.07)
(1.83)
1.10
1.57
(1.36)
(1.50)
(2.02)
(1.84)
(1.83)
(1.83)
(1.85)
(2.19)
1.22
3.37
0.27
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
9.60
13.86
14.59
12.87
10.60
16.75
195.44
12.45
11.51
11.48
12.41
16.06
16.15
15.95
15.96
14.70
17.13
11.02
11.05
7.16
11.59
15.76
13.00
14.03
13.51
2.66
12.04
10.84
15.18
15.21
14.66
16.56
11.72
15.25
8.43
11.19
13.61
14.50
15.96
15.53
13.05
18.38
17.64
18.06
13.63
17.76
15.28
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
Name
295030230
272530110
042030210
142230310
060130310
146130210
030230310
315830210
022630210
143530310
043330310
502630110
067530210
522030310
590731810
565530210
515432310
015330210
162400030
212930310
700235610
592630010
515331110
700137810
050130910
056630210
380100030
143030110
515731310
252030110
700031910
270135710
462030010
102330110
A Holly Patterson Extended Care Facility
Aaron Manor Rehabilitation and Nursing Center
Absolut Center for Nursing and Rehabilitation at Allega
Absolut Center for Nursing and Rehabilitation at Auror
Absolut Center for Nursing and Rehabilitation at Dunki
Absolut Center for Nursing and Rehabilitation at Eden
Absolut Center for Nursing and Rehabilitation at Endic
Absolut Center for Nursing and Rehabilitation at Gaspo
Absolut Center for Nursing and Rehabilitation at Hough
Absolut Center for Nursing and Rehabilitation at Orcha
Absolut Center for Nursing and Rehabilitation at Salam
Absolut Center for Nursing and Rehabilitation at Three
Absolut Center for Nursing and Rehabilitation at Westfi
Achieve Rehab and Nursing Facility
Adira at Riverside Rehabilitation and Nursing
Adirondack Tri-County Nursing and Rehabilitation
Affinity Skilled Living and Rehabilitation Center
Albany County Nursing Home
Alice Hyde Medical Center
Alpine Rehabilitation and Nursing Center
Amsterdam Nursing Home Corp (amsterdam House)
Andrus On Hudson
Apex Rehabilitation & Care Center
Atrium Center for Rehabilitation and Nursing
Auburn Nursing Home
Auburn Senior Services Inc
Aurelia Osborn Fox Memorial Hospital
Autumn View Health Care Facility LLC
Avalon Gardens Rehabilitation and Health Care Center
Avon Nursing Home LLC
Bainbridge Nursing And Rehabilitation Center
Baird Nursing Home
Baptist Health Nursing And Rehabilitation Center Inc
Barnwell Nursing and Rehabilitation Center
Batavia Health Care Center LLC
Bay Park Center for Nursing and Rehabilitation LLC
Bayberry Nursing Home
Beach Terrace Care Center
Beacon Rehabilitation and Nursing Center
Bedford Center for Nursing and Rehabilitation
Beechtree Center for Rehabilitation and Nursing
Beechwood Homes
Belair Care Center Inc
Bellhaven Center For Rehabilitation and Nursing Care
Bensonhurst Center for Rehabilitation and Healthcare
Berkshire Nursing & Rehabilitation Center
Beth Abraham Health Services
Bethany Gardens Skilled Living Center
Bethany Nursing Home & Health Related Facility Inc
Bethel Nursing Home Company Inc
Bethel Nursing and Rehabilitation Center
180130710
700038910
590431710
290230310
700340110
700180510
540131210
145130610
295030110
515132110
700139610
510130110
700030810
320130810
072230110
590530310
592130110
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
589
140
37
320
40
40
160
83
100
202
120
120
120
140
120
82
280
250
75
80
409
197
195
380
92
317
131
230
353
40
200
28
262
236
62
482
60
182
120
200
120
272
102
240
200
177
448
100
122
42
181
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
29.80
12.93
7.15
5.84
5.95
5.94
6.63
5.64
6.34
6.96
3.27
8.55
6.24
14.81
17.52
12.70
14.58
12.66
10.31
8.43
20.14
14.99
16.48
6.84
5.29
7.25
11.96
9.53
4.75
7.22
8.87
6.35
10.69
13.73
9.46
8.62
10.18
6.88
7.33
12.25
11.27
9.36
5.29
3.74
12.31
6.11
18.90
11.39
6.25
9.61
9.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
148.47
100.05
129.14
130.81
127.12
123.09
119.52
127.06
99.51
123.67
120.31
123.33
115.15
145.46
199.46
77.56
178.25
121.16
91.22
127.77
162.14
128.46
172.04
178.37
86.77
108.28
89.11
133.68
175.08
112.95
144.39
85.01
103.19
120.19
116.11
168.40
128.36
137.17
175.89
190.15
87.55
109.07
159.68
170.35
200.25
142.81
173.54
121.99
98.39
142.73
140.66
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
72.64
51.77
48.78
57.81
50.77
51.02
51.44
50.28
47.53
51.28
49.84
49.54
49.70
55.44
59.26
48.82
60.76
60.09
56.91
49.39
67.45
58.18
60.36
67.26
47.62
58.10
56.10
50.40
67.74
50.95
57.25
50.62
53.16
53.58
50.52
67.49
56.62
59.45
59.72
61.45
47.78
50.57
58.66
60.63
61.70
60.22
69.40
50.68
46.16
59.44
58.14
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.01
1.80
4.06
1.72
3.31
1.89
2.29
4.17
2.62
2.32
3.30
3.00
2.77
2.59
1.53
4.10
1.39
4.08
5.33
1.81
0.86
1.41
2.20
1.97
3.68
4.27
6.32
1.93
3.78
1.63
3.02
5.87
2.25
4.19
5.83
2.37
1.77
9.40
4.30
1.57
2.32
2.35
0.75
2.75
1.36
2.50
3.57
2.09
4.30
0.65
2.58
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.60)
3.20
2.07
(20.18)
(2.47)
(0.43)
5.96
8.35
5.32
(21.90)
15.87
17.05
8.58
-
(0.70)
(0.53)
(0.57)
(0.47)
(0.48)
(0.44)
(0.48)
(0.50)
(0.49)
(0.45)
(0.40)
(0.48)
(0.52)
(0.79)
(0.70)
(0.45)
(0.80)
(0.59)
(0.54)
(0.46)
(0.79)
(0.54)
(0.75)
(0.69)
(0.39)
(0.40)
(0.60)
(0.54)
(0.71)
(0.48)
(0.60)
(0.40)
(0.43)
(0.50)
(0.39)
(0.70)
(0.55)
(0.67)
(0.94)
(0.57)
(0.42)
(0.51)
(0.96)
(0.58)
(0.57)
(0.57)
(0.82)
(0.50)
(0.42)
(0.72)
(0.70)
(0.39)
(4.22)
(0.24)
1.71
(2.84)
(1.36)
(2.23)
(4.85)
9.35
(11.27)
(7.25)
(10.74)
(8.41)
(6.80)
(3.99)
Total
Price
$ 251.62
$ 166.02
$ 188.56
$ 195.32
$ 186.67
$ 181.50
$ 179.40
$ 186.65
$ 158.71
$ 183.78
$ 172.10
$ 183.94
$ 173.10
$ 219.22
$ 277.07
$ 142.73
$ 254.18
$ 197.40
$ 165.30
$ 186.94
$ 246.96
$ 202.50
$ 250.33
$ 253.75
$ 142.97
$ 155.96
$ 162.89
$ 192.53
$ 250.64
$ 172.27
$ 210.70
$ 142.60
$ 168.43
$ 200.54
$ 170.26
$ 238.93
$ 185.64
$ 218.19
$ 254.65
$ 264.85
$ 148.50
$ 170.84
$ 228.74
$ 214.99
$ 266.64
$ 211.07
$ 280.46
$ 185.65
$ 147.88
$ 228.76
$ 214.27
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
20.60
39.02
8.28
12.44
7.93
9.64
16.41
10.73
11.18
12.94
10.52
12.26
26.90
32.52
40.03
16.51
17.45
3.23
8.35
28.52
30.71
17.30
11.74
19.48
6.74
5.08
18.65
18.70
20.61
10.85
10.42
11.63
16.52
10.63
7.82
18.62
11.25
10.87
21.39
27.69
5.56
23.77
56.19
22.73
25.69
15.43
32.98
14.00
15.31
12.19
25.56
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
272.22
205.04
196.84
207.76
194.60
191.14
195.81
197.38
169.89
196.72
182.62
196.20
200.00
251.74
317.10
159.24
271.63
200.63
173.65
215.46
277.67
219.80
262.07
273.23
149.71
161.04
181.54
211.23
271.25
183.12
221.12
154.23
184.95
211.17
178.08
257.55
196.89
229.06
276.04
292.54
154.06
194.61
284.93
237.72
292.33
226.50
313.44
199.65
163.19
240.95
239.83
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
2.76
0.29
(1.50)
(1.57)
0.24
0.24
(1.47)
1.91
(1.40)
(1.50)
(1.42)
(1.44)
(1.54)
(2.19)
0.37
0.95
(2.58)
1.13
(1.51)
(1.59)
3.08
2.30
(2.21)
2.93
(1.20)
0.20
1.12
2.21
(2.23)
(1.44)
0.33
0.92
(1.42)
(1.67)
0.24
(2.20)
1.23
2.61
0.40
(2.07)
(1.31)
0.26
1.79
0.30
(2.09)
(1.77)
(2.55)
(1.54)
0.22
0.34
2.67
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
18.04
14.18
12.31
12.16
12.20
11.21
11.28
11.32
10.63
11.36
11.11
10.80
12.22
15.10
20.74
10.18
13.23
9.39
12.51
11.17
22.67
13.22
15.68
14.41
10.25
14.37
11.38
16.03
19.24
12.30
19.53
10.74
12.59
13.48
10.99
16.81
15.41
14.86
16.83
15.30
9.72
14.65
23.31
14.83
16.72
13.36
15.20
8.20
11.92
17.69
16.84
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
015130010
320130710
700335210
582830110
700139410
593130110
700330910
030130810
270135410
310130010
512030130
700038110
700038010
700036410
512330410
700339910
700138810
700180010
700130810
700138210
145630010
700138310
140134110
700136410
355730210
142130510
285030110
515330610
700431010
223800130
700136610
526300030
540131110
590530810
700135410
295230810
090100130
700335110
322730410
082330010
060130410
070130110
082400030
380130410
270133910
700338010
342100030
095230010
700432110
700132310
295230710
Name
Bethlehem Commons Care Center
Betsy Ross Rehabilitation Center Inc
Bezalel Rehabilitation and Nursing Center
Blossom View Nursing Home
Boro Park Center for Rehabilitation and Healthcare
Briarcliff Manor Center for Rehabilitation and Nursing Care
Bridge View Nursing Home
Bridgewater Center for Rehabilitation & Nursing LLC
Brighton Manor
Briody Health Care Facility
Broadlawn Manor Nursing and Rehabilitation Center
Bronx Center For Rehabilitation and Health
Bronx Park Rehabilitation & Nursing Center
Bronx-Lebanon Special Care Center
Brookhaven Health Care Facility LLC
Brookhaven Rehabilitation & Health Care Center
Brooklyn Center for Rehabilitation and Residential Hea
Brooklyn Gardens Nursing & Rehabilitation Center
Brooklyn United Methodist Church Home
Brooklyn-Queens Nursing Home
Brothers Of Mercy Nursing & Rehabilitation Center
Buena Vida Continuing Care & Rehab Ctr
Buffalo Center for Rehabilitation and Nursing
Bushwick Center for Rehabilitation and Health Care
Campbell Hall Rehabilitation Center Inc
Canterbury Woods
Capstone Center for Rehabilitation and Nursing
Carillon Nursing and Rehabilitation Center
Carmel Richmond Healthcare and Rehabilitation Center
Carthage Area Hospital
Caton Park Nursing Home
Catskill Regional Medical Center
Cayuga Ridge Extended Care
Cedar Manor Nursing & Rehabilitation Center
Center For Nursing & Rehabilitation Inc
Central Island Healthcare
Champlain Valley Physicians Hospital Medical Center Snf
Chapin Home For The Aging
Charles T Sitrin Health Care Center Inc
ChaseHealth Rehab and Residential Care
Chautauqua Nursing and Rehabilitation Center
Chemung County Health Center-nursing Facility
Chenango Memorial Hospital Inc Snf
Chestnut Park Rehabilitation and Nursing Center
Church Home Of The Protestant Episcopal Church
Cliffside Rehabilitation and Residential Health Care Center
Clifton Springs Hospital And Clinic Extended Care
Clinton County Nursing Home
Clove Lakes Health Care and Rehabilitation Center
Cobble Hill Health Center Inc
Cold Spring Hills Center for Nursing and Rehabilitation
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
120
120
120
130
504
131
200
356
80
82
320
200
240
240
160
298
215
240
120
140
240
240
200
225
134
48
120
315
300
30
119
64
187
153
320
202
96
220
156
80
218
200
78
80
182
218
108
80
576
364
606
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
8.64
9.87
10.76
8.15
38.07
10.95
4.41
7.37
8.01
6.95
22.43
8.67
6.73
27.58
13.86
13.12
5.82
9.75
11.90
7.06
9.89
19.40
7.22
8.00
6.07
6.74
14.90
9.40
15.26
13.83
8.54
15.62
10.49
7.11
14.87
11.28
20.76
7.59
18.37
5.85
11.34
11.64
9.24
5.67
11.67
7.51
25.67
4.96
13.30
13.90
13.65
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
96.68
112.25
139.65
99.61
220.62
134.91
148.38
120.80
95.47
102.63
161.67
171.95
137.94
128.48
186.65
161.07
172.95
157.36
126.71
171.11
101.58
124.55
118.91
174.12
122.52
101.07
124.26
187.96
165.07
84.78
162.11
125.69
101.04
136.92
175.82
161.46
102.78
142.99
98.51
87.44
121.02
98.43
79.02
107.88
104.70
142.49
101.17
101.29
164.55
164.75
172.59
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
55.50
48.97
56.79
51.35
68.09
55.82
58.30
60.96
51.39
48.94
69.48
59.94
57.84
59.91
60.53
59.52
59.35
59.29
59.29
58.11
48.46
58.83
50.17
59.78
55.59
50.94
54.96
65.93
67.29
54.06
59.72
63.73
49.95
59.05
67.61
59.15
59.97
57.85
49.39
50.20
54.35
51.04
52.29
51.89
52.74
58.39
55.20
55.98
67.15
67.14
69.88
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.49
2.64
2.20
6.44
1.70
2.98
2.38
3.76
4.13
1.67
1.09
1.65
2.38
2.75
0.97
6.15
1.02
2.06
3.23
3.37
2.05
2.06
2.06
2.73
2.91
2.69
2.12
0.92
1.56
3.26
1.92
2.43
3.04
2.12
1.71
3.13
5.73
1.44
3.19
2.84
2.59
3.16
5.01
2.96
2.68
1.71
3.74
4.61
2.89
2.40
1.88
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.85)
(1.19)
(1.60)
5.03
16.76
(13.27)
(9.34)
(8.59)
33.91
(9.12)
5.03
6.73
8.35
19.43
(0.98)
3.14
-
-
(0.49)
(0.38)
(0.62)
(0.49)
(0.74)
(0.47)
(0.49)
(0.45)
(0.43)
(0.38)
(0.68)
(0.76)
(0.54)
(0.71)
(0.83)
(0.64)
(0.72)
(0.65)
(0.70)
(0.56)
(0.43)
(0.73)
(0.37)
(0.74)
(0.45)
(0.93)
(0.65)
(0.70)
(0.80)
(0.53)
(0.52)
(0.64)
(0.45)
(0.55)
(0.72)
(0.68)
(0.67)
(0.57)
(0.72)
(0.38)
(0.54)
(0.50)
(0.56)
(0.41)
(0.51)
(0.59)
(0.47)
(0.44)
(0.71)
(0.74)
(0.75)
(0.46)
(1.08)
(4.18)
(2.15)
0.45
(0.35)
(11.99)
(13.46)
4.53
-
Total
Price
$ 163.82
$ 171.50
$ 208.78
$ 164.60
$ 327.74
$ 204.19
$ 212.98
$ 191.25
$ 158.57
$ 158.73
$ 253.99
$ 241.45
$ 202.75
$ 223.04
$ 261.18
$ 239.22
$ 238.42
$ 227.81
$ 217.19
$ 225.82
$ 161.55
$ 204.11
$ 168.65
$ 239.71
$ 178.05
$ 194.42
$ 186.47
$ 263.51
$ 248.38
$ 153.25
$ 231.77
$ 206.83
$ 164.52
$ 204.65
$ 259.29
$ 239.02
$ 195.30
$ 197.31
$ 168.74
$ 145.95
$ 175.30
$ 172.12
$ 164.43
$ 167.99
$ 171.28
$ 209.51
$ 189.84
$ 165.42
$ 247.18
$ 250.59
$ 257.25
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
7.72
4.49
13.60
38.56
18.37
9.27
10.06
8.62
14.44
20.99
29.88
9.74
10.62
13.53
20.26
15.76
31.67
12.74
7.92
4.48
2.67
8.73
38.35
13.66
27.10
10.85
16.91
28.74
21.09
12.34
25.50
5.21
11.31
25.16
14.68
33.53
7.80
54.74
6.51
21.96
8.10
16.76
10.73
15.19
18.18
20.77
7.01
13.14
33.32
35.74
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
163.82
179.22
213.27
178.20
366.30
222.56
222.25
201.31
167.19
173.17
274.98
271.33
212.49
233.66
274.71
259.48
254.18
259.48
229.93
233.74
166.03
206.78
177.38
278.06
191.71
221.52
197.32
280.42
277.12
174.34
244.11
232.33
169.73
215.96
284.45
253.70
228.83
205.11
223.48
152.46
197.26
180.22
181.19
178.72
186.47
227.69
210.61
172.43
260.32
283.91
292.99
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.43)
(1.19)
2.39
0.23
(2.97)
0.31
(1.63)
(1.56)
(1.34)
1.67
(2.13)
(2.22)
0.27
2.74
3.02
0.34
(1.97)
(2.16)
1.55
1.25
1.66
0.33
0.22
(2.22)
(1.51)
0.26
1.66
3.00
(1.42)
0.32
(1.85)
0.25
(1.77)
2.97
(2.15)
2.67
(1.67)
0.31
0.94
0.25
(1.46)
2.08
(1.35)
1.08
1.34
0.27
(1.35)
0.35
(2.32)
0.40
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12.86
9.02
13.64
14.56
22.84
10.67
12.48
12.11
5.96
13.64
19.17
15.31
10.95
22.66
17.58
13.02
14.60
4.84
14.69
11.69
12.23
15.43
9.33
21.00
8.30
10.54
12.32
18.26
18.24
22.10
14.39
13.92
10.81
13.45
16.14
17.46
15.86
14.45
19.33
10.45
12.13
12.02
13.07
10.04
15.78
17.38
14.11
10.51
14.03
19.17
19.14
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
700233630
320131110
142130810
700134810
700037510
252530110
500130010
110131010
110130630
590130710
276230110
262330010
110131110
700139810
700136710
022600030
700341310
515030210
700034210
010131210
310300030
700234710
416130410
700139310
700138010
700335910
590432110
700036010
515030310
602730310
700038310
323930010
010200110
410231110
015130110
275430410
700430310
135530110
352330210
350230410
132430210
072230410
145130710
145530310
146430210
143030310
140630310
333130110
532030210
312130410
142130710
Name
Coler Rehabilitation and Nursing Care Center
Colonial Park Rehabilitation and Nursing Center
Comprehensive Rehabilitation and Nursing Center at Williamsville
Concord Nursing Home Inc
Concourse Rehabilitation and Nursing Center
Conesus Lake Nursing Home LLC
Corning Center for Rehabilitation and Healthcare
Cortland Park Rehabilitation and Nursing Center
Cortland Regional Nursing and Rehabilitation Center
Cortlandt Healthcare
Crest Manor Living and Rehabilitation Center
Crouse Community Center Inc
Crown Center for Nursing and Rehabilitation
Crown Heights Center for Nursing and Rehabilitation
Crown Nursing and Rehabilitation Center
Cuba Memorial Hospital Inc Snf
Cypress Garden Center for Nursing and Rehabilitation
Daleview Care Center
Daughters Of Jacob Nursing Home Company Inc
Daughters Of Sarah Nursing Center - NF
Degraff Memorial Hospital-skilled Nursing Facility
Dewitt Rehabilitation and Nursing Center Inc
Diamond Hill Nursing and Rehabilitation Center
Ditmas Park Care Center
Dr Susan Smith Mckinney Nursing and Rehabilitation Center
Dry Harbor Nursing Home
Dumont Center for Rehabilitation and Nursing Care
East Haven Nursing And Rehabilitation Center
East Neck Nursing and Rehabilitation Center
East Side Nursing Home
Eastchester Rehabilitation and Health Care Center
Eastern Star Home & Infirmary
Eddy Cohoes Rehabilitation Center
Eddy Heritage House Nursing Center
Eddy Village Green at Beverwyck
Edna Tina Wilson Living Center
Eger Health Care and Rehabilitation Center
Elant at Fishkill Inc
Elant at Goshen Inc
Elant at Meadow Hill
Elant at Wappinger Falls
Elcor Nursing and Rehabilitation Center
Elderwood at Amherst
Elderwood at Cheektowaga
Elderwood at Grand Island
Elderwood at Hamburg
Elderwood at Lancaster
Elderwood at Liverpool
Elderwood at Waverly
Elderwood at Wheatfield
Elderwood at Williamsville
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
815
80
142
140
240
48
120
120
82
120
80
120
200
295
189
61
278
142
405
211
80
499
120
200
320
360
196
200
300
80
200
84
192
122
24
120
378
160
120
190
62
305
92
172
90
166
96
160
211
125
200
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
35.99
8.28
8.58
12.51
8.09
6.34
5.64
7.96
22.23
9.57
2.85
10.71
9.34
6.48
8.73
11.77
6.62
14.08
14.96
10.53
15.92
12.89
13.63
13.03
26.86
7.84
8.98
8.16
14.77
7.26
7.28
12.46
18.71
9.63
11.03
8.97
15.23
8.40
15.80
5.47
7.30
10.61
9.39
8.50
7.56
8.39
7.57
9.15
9.47
9.95
10.58
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
164.32
91.75
134.15
130.58
188.74
122.96
139.09
95.52
100.77
154.38
112.32
108.61
99.99
167.39
149.48
79.20
164.96
162.39
189.12
100.81
150.86
163.05
124.33
192.88
141.92
184.44
180.12
155.44
193.55
102.10
195.49
88.18
111.91
112.83
116.52
87.76
173.14
118.55
141.03
137.23
137.01
114.64
123.47
121.05
124.86
132.41
121.21
119.34
117.31
117.41
125.35
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
78.24
48.15
53.16
57.75
60.18
51.29
50.43
48.91
58.06
58.81
51.98
50.57
49.87
58.10
59.56
50.81
58.73
58.66
69.32
52.04
61.40
68.25
53.90
60.18
71.93
70.58
59.11
57.46
66.33
47.92
60.70
48.07
54.45
54.16
54.45
51.88
69.99
52.03
56.36
55.51
52.86
53.30
51.71
51.73
51.52
52.63
52.46
52.67
52.34
51.69
53.61
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
4.70
2.94
4.48
1.63
1.52
3.42
4.04
2.88
2.78
3.00
5.62
2.75
4.27
1.84
1.89
5.47
1.61
0.89
3.15
3.44
2.86
1.40
3.64
1.35
2.96
0.98
1.94
2.93
1.64
4.35
2.42
2.89
1.53
1.67
2.73
1.80
2.35
2.12
2.33
3.41
2.41
1.17
1.18
1.25
3.76
1.31
1.38
2.24
1.87
2.32
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
24.22
(2.34)
14.35
(3.90)
(9.69)
-
-
(0.80)
(0.52)
(0.49)
(0.66)
(0.75)
(0.52)
(0.47)
(0.41)
(0.57)
(0.58)
(0.46)
(0.47)
(0.15)
(0.46)
(0.61)
(0.57)
(0.62)
(0.58)
(0.66)
(0.55)
(0.64)
(0.72)
(0.18)
(0.69)
(0.80)
(0.72)
(0.63)
(0.59)
(0.73)
(0.45)
(0.70)
(0.50)
(0.35)
(0.44)
(5.28)
(0.46)
(0.83)
(0.49)
(0.64)
(0.55)
(0.48)
(0.44)
(0.48)
(0.59)
(0.41)
(0.53)
(0.48)
(0.62)
(0.48)
(0.65)
(0.54)
(12.25)
(12.84)
(9.21)
(0.79)
(4.02)
(3.98)
(10.80)
(3.08)
(9.27)
(7.23)
(8.58)
(2.21)
4.14
2.80
(5.67)
(5.52)
(0.37)
-
Total
Price
$ 282.45
$ 150.60
$ 187.63
$ 201.81
$ 282.00
$ 183.49
$ 198.73
$ 154.86
$ 170.43
$ 225.18
$ 163.10
$ 171.38
$ 163.32
$ 229.33
$ 219.05
$ 142.70
$ 231.30
$ 233.10
$ 265.09
$ 166.27
$ 227.32
$ 259.22
$ 186.05
$ 266.75
$ 242.87
$ 263.12
$ 249.52
$ 212.27
$ 275.56
$ 152.60
$ 262.98
$ 151.10
$ 176.56
$ 181.99
$ 176.72
$ 153.68
$ 259.33
$ 180.84
$ 214.67
$ 194.32
$ 194.58
$ 180.52
$ 184.89
$ 181.87
$ 184.78
$ 196.66
$ 182.07
$ 181.92
$ 180.88
$ 180.27
$ 191.32
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
29.74
10.22
6.13
22.26
16.51
14.21
14.20
9.93
31.80
24.00
14.41
8.94
16.64
14.27
11.78
27.94
15.10
27.88
12.90
23.43
55.13
10.12
10.96
20.24
25.66
29.01
21.86
14.22
20.39
10.39
11.58
21.60
45.49
14.93
13.58
9.34
6.72
14.80
6.18
5.58
8.11
18.84
19.19
17.16
17.66
17.50
21.98
14.69
21.41
13.44
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
312.19
160.82
193.76
224.07
298.51
197.70
212.93
164.79
202.23
249.18
177.51
180.32
179.96
243.60
230.83
170.64
246.40
260.98
277.99
189.70
282.45
269.34
197.01
286.99
268.53
292.13
271.38
226.49
295.95
162.99
274.56
172.70
222.05
196.92
176.72
167.26
268.67
187.56
229.47
200.50
200.16
188.63
203.73
201.06
201.94
214.32
199.57
203.90
195.57
201.68
204.76
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.00
1.08
1.08
1.55
1.84
2.09
(1.69)
(1.40)
2.24
(1.88)
1.15
0.22
(1.43)
(1.71)
1.38
1.90
2.23
1.53
0.33
2.05
1.58
0.38
(1.61)
(2.26)
(2.29)
0.40
(2.11)
(1.85)
(2.31)
0.21
(2.10)
0.98
2.01
0.25
1.08
(1.44)
0.36
(1.52)
(1.82)
(1.64)
(1.53)
(1.46)
1.14
0.29
2.06
1.27
0.26
2.18
0.25
2.34
2.18
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
11.18
10.40
11.24
13.93
17.88
13.05
13.14
12.35
15.73
14.11
14.49
13.58
10.55
20.27
13.55
11.78
13.10
15.32
15.28
15.53
21.31
17.32
11.70
16.75
18.97
18.45
18.98
13.93
15.80
9.75
16.52
10.44
17.33
15.05
21.84
15.90
14.97
14.05
18.96
13.75
12.54
11.43
18.58
14.79
14.01
14.02
14.35
15.01
13.63
15.44
15.63
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
030130710
460100130
342930310
700339610
140133910
140133810
155230010
415230310
295230910
272530010
700337510
700331510
143530210
132730010
142730310
590130210
700038510
050100030
382430010
320231310
212430010
700339410
700338710
572430210
700235910
700138510
143530410
700340210
166430010
435030510
175430110
295031710
295031610
145530010
180130410
352330310
290130510
590431810
465130010
290130010
700037610
700432210
550131110
515431010
036330110
030130510
042730210
291330110
700036110
290230410
700234110
Name
Elizabeth Church Manor Nursing Home
Ellis Residential & Rehabilitation Center
Elm Manor Nursing Home
Elmhurst Care Center Inc
Emerald North Nursing and Rehabilitation Center
Emerald South Nursing and Rehabilitation Center
Essex Center for Rehabilitation and Healthcare
Evergreen Commons
Excel at Woodbury for Rehabilitation and Nursing LLC
Fairport Baptist Homes
Fairview Nursing Care Center Inc
Far Rockaway Nursing Home
Father Baker Manor
Ferncliff Nursing Home Co Inc
Fiddlers Green Manor Rehabilitation and Nursing Center
Field Home-holy Comforter
Fieldston Lodge Care Center
Finger Lakes Center for Living
Focus Rehabilitation and Nursing Center at Otsego
Focus Rehabilitation and Nursing Center at Utica
Folts Center for Rehabilitation and Nursing
Forest Hills Care Center
Forest View Center for Rehabilitation & Nursing
Fort Hudson Nursing Center Inc
Fort Tryon Center for Rehabilitation and Nursing
Four Seasons Nursing and Rehabilitation Center
Fox Run at Orchard Park
Franklin Center for Rehabilitation and Nursing
Franklin County Nursing Home
Friedwald Center for Rehabilitation & Nursing LLC
Fulton Center for Rehabilitation and Healthcare
Fulton Commons Care Center Inc
Garden Care Center
Garden Gate Health Care Facility
Genesee County Nursing Home
Glen Arden Inc
Glen Cove Center for Nursing and Rehabilitation
Glen Island Center for Nursing and Rehabilitation
Glendale Home-Schdy Cnty Dept Social Services
Glengariff Health Care Center
Gold Crest Care Center
Golden Gate Rehabilitation and Health Care Center
Golden Hill Nursing and Rehabilitation Center
Good Samaritan Nursing Home
Good Shepherd Village at Endwell
Good Shepherd-fairview Home Inc
Gowanda Rehabilitation and Nursing Center
Grace Plaza Nursing and Rehabilitation Center
Grand Manor Nursing & Rehabilitation Center
Grandell Rehabilitation and Nursing Center
Greater Harlem Nursing Home Company Inc
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
121
82
46
240
95
122
100
242
123
142
200
100
160
328
82
125
200
80
176
120
163
100
160
196
205
270
50
320
80
180
176
280
150
184
160
40
154
182
200
262
175
238
280
100
32
56
160
214
240
278
200
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
10.59
23.13
10.16
7.80
6.83
6.86
13.26
15.11
8.54
12.13
7.62
5.10
9.83
9.37
6.00
6.56
7.91
8.58
17.02
10.36
12.35
7.79
6.14
6.66
7.80
14.79
12.90
6.29
13.14
10.76
9.42
4.19
6.92
11.02
11.76
10.03
7.97
8.60
10.04
10.15
7.98
8.26
8.95
21.13
7.43
8.64
11.27
6.80
6.45
6.52
12.12
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
106.72
151.46
124.78
162.09
121.74
109.06
167.96
133.09
128.66
104.11
153.81
94.26
105.85
142.09
116.37
163.49
172.25
114.64
125.24
106.93
95.11
189.49
148.79
94.92
176.79
192.42
83.80
193.71
78.74
176.79
131.54
144.25
183.76
138.69
115.18
148.33
125.53
152.77
119.70
165.13
165.42
172.27
169.14
147.83
80.30
99.20
153.88
180.71
146.22
149.38
186.87
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
52.80
82.18
52.41
57.40
49.87
50.98
59.28
54.85
60.74
52.66
60.22
58.42
53.00
62.63
47.82
59.95
60.10
57.46
55.84
50.71
46.69
59.81
58.41
50.65
58.78
60.46
52.84
67.15
47.97
54.50
54.38
57.40
58.49
50.60
52.58
56.99
60.26
54.47
59.73
59.89
59.07
60.04
57.72
61.27
52.39
51.10
53.78
60.82
55.66
58.43
60.32
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
2.80
3.56
3.30
2.50
3.35
3.20
3.26
2.97
0.93
5.68
2.12
3.85
9.37
3.01
4.15
0.95
1.40
2.00
4.09
4.31
3.34
0.57
1.79
5.33
2.36
1.88
1.04
1.40
2.01
1.91
5.08
1.51
0.97
1.31
3.61
0.32
1.83
3.01
2.12
2.99
2.10
0.76
2.89
4.63
3.82
3.97
1.31
1.16
2.50
1.13
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.10)
(26.17)
5.81
(1.14)
(5.61)
1.95
(7.22)
(15.05)
(2.40)
13.74
10.02
-
-
(0.48)
(0.63)
(0.71)
(0.67)
(0.40)
(0.38)
(0.54)
(0.59)
(0.69)
(0.70)
(0.62)
(0.50)
(0.53)
(0.58)
(0.38)
(0.69)
(0.61)
(0.55)
(0.49)
(0.37)
(0.39)
(0.57)
(0.69)
(0.43)
(0.69)
(0.63)
(0.42)
(0.75)
(0.46)
(0.64)
(0.46)
(0.69)
(0.60)
(0.54)
(0.46)
(0.77)
(0.66)
(0.59)
(0.51)
(0.77)
(0.58)
(0.76)
(0.50)
(0.70)
(1.68)
(0.43)
(0.63)
(0.69)
(0.51)
(0.53)
(0.66)
0.33
(0.49)
(1.45)
(2.24)
(20.25)
(6.34)
(3.81)
(4.94)
(6.25)
(6.56)
(20.09)
6.28
(6.33)
(24.37)
29.33
(1.91)
(5.89)
(5.91)
(6.52)
(7.12)
(8.34)
Total
Price
$ 171.33
$ 233.86
$ 189.45
$ 229.12
$ 179.94
$ 167.48
$ 222.97
$ 205.43
$ 203.99
$ 173.88
$ 222.01
$ 161.13
$ 165.57
$ 212.71
$ 173.96
$ 225.32
$ 241.05
$ 184.08
$ 201.70
$ 158.47
$ 150.54
$ 257.09
$ 214.44
$ 157.13
$ 245.04
$ 248.83
$ 141.39
$ 267.80
$ 141.40
$ 243.32
$ 199.96
$ 200.33
$ 225.17
$ 198.68
$ 182.67
$ 214.58
$ 222.75
$ 230.82
$ 191.97
$ 234.61
$ 228.99
$ 246.02
$ 229.55
$ 232.42
$ 143.07
$ 155.21
$ 222.27
$ 248.95
$ 208.98
$ 216.30
$ 251.44
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
11.90
50.42
8.54
45.29
6.66
5.54
32.20
16.35
23.58
22.51
9.02
18.36
13.13
7.20
19.30
13.44
37.36
23.17
14.17
24.38
15.49
10.32
18.07
19.12
38.64
27.49
4.27
27.17
16.53
35.27
28.29
18.72
14.09
25.95
19.87
16.53
37.55
26.10
15.73
15.94
12.40
9.40
26.32
9.92
16.96
22.22
15.10
16.72
12.93
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
183.23
284.28
197.99
274.41
186.60
173.02
222.97
237.63
220.34
197.46
244.52
170.15
183.93
225.84
181.16
244.62
254.49
221.44
224.87
172.64
150.54
281.47
229.93
167.45
263.11
267.95
180.03
295.29
145.67
270.49
216.49
235.60
253.46
217.40
196.76
240.53
242.62
247.35
229.52
260.71
244.72
261.96
241.95
241.82
169.39
165.13
239.23
271.17
224.08
233.02
264.37
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.32)
2.71
(1.52)
1.68
(1.24)
(1.19)
(1.50)
0.32
2.81
1.40
(1.92)
1.09
1.13
(1.87)
(1.27)
(1.95)
0.34
0.30
(1.60)
0.24
(1.25)
0.29
1.35
0.96
(2.09)
0.36
(2.36)
(1.24)
(1.86)
(1.70)
0.33
(1.96)
2.15
1.17
0.30
(1.85)
(1.63)
(2.08)
(1.85)
(2.14)
(1.52)
0.32
(1.42)
1.44
(2.02)
1.24
(1.79)
(1.81)
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
13.24
15.20
12.07
17.28
17.73
17.37
8.55
15.55
14.28
16.04
21.58
9.47
12.50
14.93
8.56
14.71
13.27
14.73
9.07
10.01
10.23
12.61
22.94
16.68
15.11
38.00
14.98
20.63
10.25
16.77
13.57
12.98
13.80
14.43
11.76
9.18
17.95
14.92
13.40
16.72
10.42
14.60
11.04
16.29
20.78
15.01
11.15
15.03
11.71
12.99
-
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
195330030
146730110
540130510
015530310
515330710
275430010
700103410
322630110
140630110
700337810
700136910
700030210
432230030
290630410
700341210
700233730
152730010
065830110
320231410
060231010
066230110
295130610
700336310
440230010
022830610
350130510
140100130
515331010
276130210
700335010
700338110
700340910
700139510
700338910
500230210
010131510
700038810
555630210
140134010
515330910
492130210
030230210
572530410
502230130
335330010
700235210
515131810
700334610
410230910
030330610
330132910
Name
Greene Meadows Nursing and Rehabilitation Center
Greenfield Health and Rehabilitation Center
Groton Community Health Care Center Residential Care Facility
Guilderland Center Rehabilitation and Extended Care Facility
Gurwin Jewish Nursing and Rehabilitation Center
Hamilton Manor Nursing Home
Hamilton Park Nursing and Rehabilitation Center
Harding Nursing Home
Harris Hill Nursing Facility LLC
Haven Manor Health Care Center LLC
Haym Solomon Home For The Aged
Hebrew Home For The Aged At Riverdale
Helen Hayes Hospital RHCF
Hempstead Park Nursing Home
Hendon Garden Nursing and Rehabilitation Center
Henry J Carter Skilled Nursing Facility
Heritage Commons Residential Health Care
Heritage Green Nursing Home
Heritage Health Care Center
Heritage Park Health Care Center
Heritage Village Rehab and Skilled Nursing Inc
Highfield Gardens Care Center of Great Neck
Highland Care Center
Highland Nursing Home Inc
Highland Park Rehabilitation and Nursing Center
Highland Rehabilitation and Nursing Center
Highpointe on Michigan Health Care Facility
Hilaire Rehab & Nursing
Hill Haven Nursing Home
Hillside Manor Rehabilitation and Extended Care Center
Hollis Park Manor Nursing
Holliswood Center for Rehabilitation and Healthcare
Hopkins Center for Rehabilitation and Healthcare
Horizon Care Center
Hornell Gardens LLC
Hudson Park Rehabilitation and Nursing Center
Hudson Pointe at Riverdale Center for Nrsg and Reha
Hudson Valley Rehabilitation and Extended Care Center
Humboldt House Rehabilitation and Nursing Center
Huntington Hills Center for Health and Rehabilitation
Huntington Living Center
Ideal Senior Living Center
Indian River Rehabilitation and Nursing Center
Ira Davenport Memorial Hospital Snf hrfa
Iroquois Nursing Home Inc
Isabella Geriatric Center Inc
Island Nursing and Rehab Center
Jamaica Hospital Nursing Home Co Inc
James A Eddy Memorial Geriatric Center
James G Johnston Memorial Nursing Home
James Square Nursing And Rehabilitation Centre
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
120
160
80
127
460
40
200
92
192
240
240
557
25
251
163
167
84
134
220
146
120
200
320
140
80
98
270
76
288
400
80
314
288
280
114
200
167
203
173
320
160
150
122
120
160
705
120
224
80
122
455
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
6.82
10.57
6.46
5.37
27.69
4.47
26.19
8.10
10.52
10.14
9.73
23.32
75.84
6.80
9.90
50.64
13.75
13.09
13.92
10.10
17.68
8.34
7.34
5.90
6.90
13.09
15.00
14.86
9.28
8.24
7.77
6.02
13.78
5.12
7.36
7.96
13.65
6.41
5.92
11.46
6.90
4.88
12.25
7.81
9.95
25.60
21.51
24.56
7.39
10.38
6.56
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
125.16
86.76
74.94
90.90
150.49
100.77
176.35
86.23
131.92
142.47
182.83
164.77
120.18
152.70
178.58
161.04
91.88
101.41
105.71
96.72
102.60
187.38
199.88
71.77
97.22
151.70
145.17
150.90
121.45
169.73
171.00
197.32
188.11
134.42
94.39
119.06
134.36
127.79
116.95
156.82
84.68
92.24
124.33
105.81
97.05
161.86
130.30
151.39
91.59
112.42
119.83
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
60.22
51.47
47.87
53.19
68.42
52.58
60.18
46.53
49.83
61.15
60.94
69.44
74.55
60.04
61.11
78.08
50.40
51.13
49.69
50.57
50.35
59.11
66.33
45.11
48.51
55.14
60.54
60.57
60.00
67.63
59.46
67.72
60.25
58.67
46.47
53.14
58.65
56.73
50.04
66.29
51.03
50.23
52.22
53.25
49.14
69.59
59.19
67.91
51.81
51.90
58.83
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.98
3.40
2.42
3.14
2.36
3.35
2.17
3.76
1.00
4.69
0.88
1.04
5.85
3.04
6.81
3.35
2.40
5.05
3.01
2.40
1.55
1.65
4.83
2.93
0.24
2.15
3.38
4.12
1.43
2.56
1.75
1.66
3.19
2.50
4.67
2.17
2.23
1.05
1.81
2.87
1.46
5.78
2.19
0.66
1.50
1.99
1.32
3.21
1.98
2.33
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(2.26)
0.37
15.63
0.04
(84.90)
1.58
(7.21)
11.51
(4.59)
(4.32)
0.72
11.25
-
-
(0.55)
(0.44)
(0.36)
(0.39)
(0.75)
(0.40)
(0.89)
(0.38)
(0.58)
(0.56)
(0.90)
(0.95)
(0.59)
(0.72)
(0.84)
(0.50)
(0.48)
(0.46)
(0.44)
(0.46)
(0.73)
(0.60)
(0.40)
(0.39)
(0.48)
(0.47)
(0.76)
(0.56)
(0.64)
(0.57)
(0.50)
(0.62)
(0.47)
(0.40)
(0.42)
(0.76)
(0.52)
(0.37)
(0.73)
(0.43)
(0.47)
(0.53)
(0.39)
(0.48)
(0.77)
(0.84)
(0.91)
(0.47)
(0.47)
(0.54)
(7.06)
(5.93)
(5.10)
(1.68)
(2.95)
(1.51)
(2.29)
(5.79)
(14.18)
(5.42)
(13.03)
(0.54)
6.31
-
Total
Price
$ 195.63
$ 151.76
$ 131.33
$ 142.89
$ 248.21
$ 161.14
$ 273.70
$ 139.14
$ 192.69
$ 217.89
$ 253.52
$ 257.62
$ 185.67
$ 224.80
$ 251.91
$ 295.73
$ 157.20
$ 167.55
$ 170.96
$ 158.45
$ 172.57
$ 255.65
$ 274.60
$ 127.21
$ 155.17
$ 217.40
$ 222.39
$ 224.74
$ 194.29
$ 246.39
$ 240.22
$ 265.10
$ 249.00
$ 200.93
$ 150.32
$ 184.41
$ 219.58
$ 187.22
$ 160.56
$ 235.65
$ 145.05
$ 147.80
$ 189.46
$ 164.35
$ 163.35
$ 257.78
$ 223.40
$ 244.27
$ 153.53
$ 176.21
$ 187.01
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
22.01
22.99
13.13
9.74
22.74
5.51
53.93
7.95
14.85
9.38
46.34
29.49
9.48
10.12
171.87
20.57
17.23
8.24
9.31
8.77
21.23
17.03
17.75
11.13
23.52
89.05
17.77
7.37
21.59
12.14
16.08
27.36
13.03
11.77
9.25
18.57
24.90
5.02
32.10
18.55
17.61
24.72
14.98
6.41
23.95
33.16
74.92
14.04
9.50
11.93
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
217.64
174.75
144.46
152.63
270.95
166.65
327.63
147.09
207.54
227.27
299.86
287.11
185.67
234.28
262.03
467.60
177.77
184.78
179.20
167.76
181.34
276.88
291.63
144.96
166.30
240.92
311.44
242.51
201.66
267.98
252.36
281.18
276.36
213.96
162.09
193.66
238.15
212.12
165.58
267.75
163.60
165.41
214.18
179.33
169.76
281.73
256.56
319.19
167.57
185.71
198.94
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.60)
1.06
1.58
0.87
1.69
1.74
(2.64)
0.88
1.24
2.34
(2.46)
1.89
0.31
(1.85)
3.23
(1.39)
1.10
(1.34)
0.23
1.02
(2.11)
(2.14)
(1.15)
(1.30)
(1.78)
0.40
0.33
(1.63)
1.55
1.41
0.36
(2.13)
1.12
(1.33)
(1.50)
2.80
(1.49)
(1.22)
1.67
0.95
(1.36)
0.20
1.80
0.40
0.39
3.59
1.84
1.06
(1.60)
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12.86
16.11
9.49
9.09
23.91
13.09
16.08
9.76
14.98
12.84
12.20
19.77
50.12
8.67
11.31
22.21
11.12
11.02
8.90
10.68
7.69
17.53
15.14
9.19
10.59
12.10
19.85
15.95
13.56
15.86
12.83
15.70
14.86
11.18
9.91
11.08
13.82
12.95
9.57
14.14
9.69
12.30
11.25
9.75
12.20
18.67
16.93
22.03
17.26
14.25
12.47
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
700031310
515131710
142700010
275030410
330130910
322530310
540130810
593230010
700180310
590630010
700037210
460130510
270134510
700037010
275230110
515131410
275430110
275430310
700338510
182330010
242400030
700139710
700340810
340230310
340230210
252230010
106330210
700337710
515131010
330132710
700131310
130230610
060230810
291130310
342930030
700235310
700038710
442030110
272930010
700330510
515432110
290130410
700230510
320230810
290630210
500200130
140400010
700339810
290430110
090130310
515131910
Name
Jeanne Jugan Residence
Jeffersons Ferry
Jennie B Richmond Chaffee Nursing Home Company Inc
Jewish Home & Infirmary Of Rochester Ny Inc
Jewish Home Of Central New York
Katherine Luther Residential Health Care and Rehab C
Kendal at Ithaca Inc
Kendal on Hudson
King David Center for Nursing and Rehabilitation
King Street Home Inc
Kings Harbor Multicare Center
Kingsway Arms Nursing Center Inc
Kirkhaven
Laconia Nursing Home Inc
Lakeside - Beikirch Care Center Inc
Lakeview Rehabilitation and Care Center
Latta Road Nursing Home
Latta Road Nursing Home A
Lawrence Nursing Care Center Inc
Leroy Village Green Residential Health Care Facility Inc
Lewis County General Hospital-nursing Home Unit
Linden Center for Nursing and Rehabilitation
Little Neck Care Center
Living Center At Geneva North
Living Center At Geneva South
Livingston County Center for Nursing and Rehabilitatio
Livingston Hills Nursing and Rehabilitation Center
Long Island Care Center Inc
Long Island State Veterans Home
Loretto Health and Rehabilitation Center
Lutheran Augustana Center for Extended Care &Rehab
Lutheran Center at Poughkeepsie Inc
Lutheran Retirement Home
Lynbrook Restorative Therapy and Nursing
MM Ewing Continuing Care Center
Manhattan Center for Nursing and Rehabilitation
Manhattanville Health Care Center
Maplewood Health Care and Rehabilitation Center
Maplewood Nursing Home Inc
Margaret Tietz Center For Nursing Care Inc
Maria Regina Residence Inc
Marquis Care Center
Mary Manning Walsh Nursing Home Co Inc
Masonic Care Community of New York
Mayfair Care Center
Mcauley Manor at Mercycare
Mcauley Residence
Meadow Park Rehabilitation and Health Care Center
Meadowbrook Care Center Inc
Meadowbrook Healthcare
Medford Multicare Center for Living
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
30
60
80
362
132
280
35
0
271
120
720
106
147
240
120
120
40
40
200
140
160
280
120
82
103
266
120
200
350
583
240
160
148
100
188
219
200
96
72
200
188
102
362
320
200
122
160
143
280
207
320
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
21.47
10.97
5.50
15.57
10.10
15.95
8.05
11.29
24.99
9.91
10.12
9.31
9.24
7.14
10.83
8.78
5.26
5.29
5.74
6.46
7.02
8.36
11.67
9.05
12.94
7.83
10.40
9.32
24.20
11.38
10.28
10.30
10.01
7.32
7.00
14.61
6.86
6.98
10.92
17.78
11.24
7.23
21.65
25.61
3.46
18.59
7.79
5.57
5.51
7.19
7.04
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
134.31
77.38
108.87
136.30
110.44
110.22
78.59
130.50
191.67
87.10
162.83
109.21
115.87
188.77
105.54
118.00
88.47
95.49
155.13
100.68
111.72
161.76
177.73
91.43
109.44
113.15
124.64
158.07
159.40
136.00
178.88
119.49
108.78
118.32
118.69
86.79
162.34
91.83
106.14
172.81
117.01
129.95
157.47
113.06
119.26
103.96
144.77
170.36
139.34
100.22
168.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
57.56
58.46
60.11
59.93
53.07
49.39
53.09
58.95
62.09
54.14
67.43
52.91
51.94
58.73
54.63
58.16
51.67
52.42
60.03
48.22
62.00
54.77
60.18
53.77
60.67
54.86
54.14
59.26
67.63
61.45
61.52
57.77
52.17
58.97
59.48
60.18
58.93
47.15
50.84
61.87
58.53
60.61
67.51
57.18
58.12
54.14
53.91
59.86
59.11
49.32
66.52
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.79
0.85
2.40
2.68
1.67
2.71
1.52
3.01
1.72
2.88
1.63
2.77
1.19
3.99
3.00
3.45
3.76
4.77
1.05
0.49
4.61
3.44
3.59
2.40
2.05
1.25
1.47
1.71
1.31
2.42
2.75
2.37
1.34
1.98
6.28
1.40
1.71
2.66
1.48
3.12
4.22
3.05
1.78
1.94
1.27
2.64
3.07
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
45.72
(7.51)
5.45
(13.66)
0.85
4.04
(4.23)
0.54
(3.10)
(1.44)
19.35
2.62
28.00
7.54
13.32
8.69
(11.06)
6.70
-
(0.78)
(0.74)
(0.48)
(0.62)
(0.56)
(0.47)
(0.46)
(0.76)
(0.57)
(0.68)
(0.56)
(0.48)
(0.60)
(0.52)
(0.52)
(0.46)
(0.48)
(0.64)
(0.46)
(0.52)
(0.50)
(0.61)
(0.44)
(0.50)
(0.63)
(0.49)
(0.61)
(0.79)
(0.52)
(0.77)
(0.53)
(0.48)
(1.17)
(0.52)
(0.66)
(0.44)
(0.51)
(0.80)
(0.62)
(0.64)
(0.76)
(0.70)
(0.52)
(0.58)
(0.64)
(0.58)
(0.65)
(0.51)
(0.86)
(5.57)
(12.01)
(8.97)
11.70
(13.18)
(4.26)
(7.89)
(0.14)
0.48
5.49
(1.55)
(2.74)
(2.44)
(9.78)
(6.31)
(12.07)
(4.84)
(1.51)
-
Total
Price
$ 260.07
$ 146.92
$ 163.32
$ 213.86
$ 180.17
$ 165.79
$ 139.73
$ 186.62
$ 270.54
$ 162.28
$ 242.71
$ 160.26
$ 179.45
$ 255.67
$ 173.25
$ 185.61
$ 148.71
$ 155.72
$ 223.71
$ 158.66
$ 184.99
$ 225.44
$ 249.46
$ 154.19
$ 185.99
$ 170.91
$ 191.09
$ 228.09
$ 252.23
$ 206.68
$ 251.48
$ 188.34
$ 171.94
$ 211.03
$ 185.47
$ 161.58
$ 231.43
$ 144.76
$ 201.67
$ 260.60
$ 198.75
$ 198.72
$ 247.35
$ 198.27
$ 178.23
$ 167.09
$ 202.77
$ 226.09
$ 203.07
$ 158.86
$ 250.47
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
35.60
61.44
5.87
21.26
15.48
14.15
20.67
14.71
18.55
19.37
16.90
12.28
21.97
16.70
8.80
10.33
19.68
9.78
24.05
39.83
27.03
25.88
26.80
37.87
30.79
14.87
22.42
19.65
28.47
17.99
31.72
23.87
18.15
22.36
47.94
33.76
37.81
9.88
25.56
16.39
44.31
13.63
23.83
29.43
18.57
34.94
11.87
59.98
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
295.67
208.36
169.19
235.12
195.65
179.94
139.73
186.62
291.21
176.99
261.26
179.63
196.35
267.95
195.22
202.31
157.51
166.05
243.39
168.44
209.04
265.27
276.49
180.07
212.79
208.78
221.88
242.96
274.65
226.33
279.95
206.33
203.66
234.90
203.62
161.58
253.79
192.70
235.43
298.41
208.63
224.28
263.74
242.58
191.86
190.92
232.20
244.66
238.01
170.73
310.45
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.36
(1.31)
2.51
2.53
1.06
(2.28)
0.27
2.66
2.05
(1.45)
(2.04)
(1.59)
0.29
1.86
1.83
0.31
(1.24)
1.28
1.50
2.63
0.97
1.10
0.30
(1.69)
(1.84)
0.38
0.28
1.51
1.23
(1.58)
0.33
1.66
2.13
2.41
(2.49)
1.36
(1.94)
(2.25)
2.62
(1.52)
1.96
0.29
(1.86)
1.37
0.23
(1.55)
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
18.08
10.67
13.31
20.78
15.90
11.01
6.73
16.13
28.81
14.98
18.10
11.52
13.83
14.24
12.03
11.82
12.56
12.57
11.92
12.95
12.84
14.27
10.10
14.05
13.88
11.23
14.61
15.87
13.35
13.86
15.55
12.76
13.79
16.68
36.57
15.69
13.24
22.13
17.37
16.07
14.90
21.04
16.49
9.07
12.66
13.32
13.08
14.72
13.80
17.46
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
362200030
700137210
140100830
162030030
700031110
370130110
350130410
700334010
515731610
210130110
515432410
270100630
356130210
700039110
370231510
700032810
700032910
122630030
082530110
595130010
290630510
170100030
515731510
700138610
700235810
700339110
700234310
270136010
700337310
700431610
700340510
700130910
700338310
582030210
315430310
310231110
316030110
295130510
291030010
596830210
556730210
132730210
700235510
435030410
435330110
432130210
052630410
700131610
082430410
700180410
335330110
Name
Medina Memorial Hospital Snf
Menorah Home And Hospital For
Mercy Hospital Skilled Nursing Facility
Mercy Living Center
Methodist Home For Nursing and Rehabilitation
Michaud Residential Health Services Inc
Middletown Park Rehabilitation and Health Ca
Midway Nursing Home
Mills Pond Nursing and Rehabilitation Center
Mohawk Valley Health Care Center
Momentum at South Bay for Rehabilitation and Nursin
Monroe Community Hospital
Montgomery Nursing and Rehabilitation Center
Morningside Nursing and Rehabilitation Center
Morningstar Residential Care Center
Morris Park Nursing Home
Mosholu Parkway Nursing And Rehabilitation Center
Mountainside Residential Care Center
NYS Veterans Home
NYS Veterans Home at Montrose
Nassau Rehabilitation & Nursing Center
Nathan Littauer Hospital Nursing Home
Nesconset Center for Nursing and Rehabilitation
New Carlton Rehab and Nursing Center LLC
New East Side Nursing Home
New Glen Oaks Nursing Home
New Gouverneur Hospital Snf
New Roc Nursing and Rehabilitation Center
New Surfside Nursing Home
New Vanderbilt Rehabilitation and Care Center Inc
New York Center for Rehabilitation
New York Congregational Nursing Center Inc
New York State Veterans Home In New York City
Newark Manor Nursing Home
Newfane Rehab & Health Care Center
Niagara Rehabilitation and Nursing Center
North Gate Health Care Facility
North Shore University Hospital Stern Family Ctr for E
North Shore-LIJ Orzac Center for Rehabilitation
North Westchester Restorative Therapy and Nursing
Northeast Center for Rehabilitation and Brain Injury
Northern Dutchess Residential Health Care Facility Inc
Northern Manhattan Rehabilitation and Nursing Center
Northern Manor Geriatric Center Inc
Northern Metropolitan Residential Health Care Facility Inc
Northern Riverview Health Care Center Inc
Northwoods Rehabilitation and Nursing Center at Moravia
Norwegian Christian Home And Health Center
Norwich Rehabilitation & Nursing Center
Nostrand Center for Nursing and Rehabilitation
Nottingham Residential Health Care Facility
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
30
420
84
60
121
89
230
200
252
120
160
566
100
362
120
191
122
82
242
252
280
84
240
148
58
60
215
120
183
320
280
200
250
60
175
160
200
256
120
120
280
100
320
231
120
180
40
137
82
157
40
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
19.09
24.74
18.51
18.98
8.79
8.40
8.24
3.76
6.59
14.86
7.00
34.38
6.93
17.57
6.67
6.29
7.45
9.46
20.81
20.06
8.49
8.39
13.68
5.16
7.87
5.96
29.64
9.45
5.34
7.95
8.59
8.96
14.42
8.99
5.84
7.42
8.75
22.60
15.92
15.56
26.64
15.67
6.13
5.95
9.92
11.32
6.47
17.64
11.12
10.54
13.18
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
97.59
199.61
111.77
103.93
152.86
101.56
142.16
141.52
162.34
100.47
153.18
133.15
143.91
162.89
93.41
173.46
133.03
83.92
108.99
111.86
161.65
114.44
158.36
176.49
122.92
157.66
151.16
108.28
142.16
188.87
165.00
153.71
107.46
112.61
115.01
115.05
142.30
148.41
129.90
123.89
144.38
105.39
169.62
153.11
149.97
146.91
101.84
132.44
136.41
109.70
83.01
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
52.93
67.24
60.54
55.84
59.97
49.09
55.38
58.21
59.48
49.39
60.48
62.95
55.71
68.33
48.39
60.34
57.48
58.12
56.77
58.95
57.92
59.46
60.68
58.64
58.77
58.23
64.74
50.87
59.15
66.62
58.95
60.40
60.18
51.72
52.20
51.60
50.92
63.42
63.06
57.95
55.29
51.14
66.43
58.25
57.07
55.82
48.97
58.96
53.03
58.27
54.14
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.94
1.43
5.24
0.18
2.93
2.48
2.17
2.96
1.08
4.13
1.68
4.62
0.92
2.29
2.77
1.22
3.08
2.40
3.67
1.76
2.22
8.13
1.87
2.66
0.88
0.87
1.04
4.64
2.01
2.89
0.96
2.31
2.25
4.28
3.44
2.64
1.38
0.56
0.56
14.34
3.16
5.25
1.32
3.06
1.99
7.97
0.75
1.98
2.59
-
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.08
8.56
(23.90)
(7.39)
(0.21)
(6.76)
13.10
49.05
3.96
10.80
12.00
8.77
(8.14)
(3.10)
4.41
(7.68)
-
-
(0.55)
(0.86)
(0.86)
(0.48)
(0.67)
(0.45)
(0.48)
(0.58)
(0.58)
(0.46)
(0.69)
(0.74)
(0.56)
(0.77)
(0.43)
(0.54)
(0.58)
(0.49)
(0.72)
(0.77)
(0.69)
(0.56)
(0.76)
(0.58)
(0.65)
(0.73)
(0.99)
(0.43)
(0.53)
(0.70)
(0.86)
(0.68)
(0.74)
(0.47)
(0.40)
(0.41)
(0.52)
(0.88)
(0.74)
(0.78)
(1.06)
(0.52)
(0.75)
(0.69)
(0.55)
(0.61)
(0.39)
(0.74)
(0.40)
(0.50)
(0.65)
(6.78)
(0.86)
(1.14)
7.27
(0.10)
(10.62)
0.13
(0.35)
0.52
(12.43)
(0.62)
9.15
(7.45)
(8.06)
(3.69)
-
Total
Price
$ 169.30
$ 292.16
$ 202.90
$ 178.45
$ 223.88
$ 161.08
$ 183.57
$ 204.73
$ 228.79
$ 168.08
$ 221.65
$ 234.36
$ 200.15
$ 250.31
$ 150.81
$ 240.77
$ 200.46
$ 153.41
$ 202.62
$ 240.91
$ 229.59
$ 179.24
$ 233.83
$ 242.37
$ 193.88
$ 232.44
$ 245.59
$ 172.81
$ 208.65
$ 265.63
$ 244.64
$ 224.70
$ 192.34
$ 177.13
$ 163.66
$ 167.54
$ 199.73
$ 234.11
$ 217.29
$ 189.73
$ 244.00
$ 166.78
$ 242.99
$ 217.94
$ 219.47
$ 215.43
$ 164.86
$ 209.05
$ 194.46
$ 180.60
$ 149.68
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
51.23
51.09
30.51
23.38
8.41
23.33
16.79
19.01
7.77
25.34
26.43
12.01
24.90
14.56
17.45
20.01
29.47
41.14
28.59
40.81
11.86
19.45
8.26
20.03
18.80
88.07
12.22
14.26
12.99
63.86
31.86
21.82
11.75
4.94
12.20
13.36
23.38
18.76
28.12
45.79
7.33
37.12
21.93
23.42
29.93
33.82
14.12
18.36
33.07
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
169.30
343.39
253.99
208.96
247.26
169.49
206.90
221.52
247.80
175.85
246.99
260.79
212.16
275.21
165.37
258.22
220.47
182.88
243.76
269.50
270.40
191.10
253.28
250.63
213.91
251.24
333.66
185.03
222.91
278.62
308.50
256.56
214.16
188.88
168.60
179.74
213.09
257.49
236.05
217.85
289.79
174.11
280.11
239.87
242.89
245.36
164.86
242.87
208.58
198.96
182.75
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(2.44)
2.79
0.32
(1.35)
1.25
(1.61)
(2.03)
(1.61)
0.24
0.34
(2.10)
(1.66)
0.36
0.98
1.43
(1.78)
1.97
(2.10)
2.03
(2.15)
0.30
2.45
1.55
(2.36)
(1.40)
0.29
0.34
(2.56)
1.51
(1.76)
(1.52)
(1.31)
(1.38)
2.15
2.62
2.35
0.31
0.41
1.07
1.66
(1.97)
(1.98)
(2.01)
(1.09)
(1.97)
0.26
0.25
1.21
(1.55)
2.75
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
13.41
15.91
17.53
16.82
16.48
10.80
13.00
12.25
14.08
12.82
14.51
17.19
13.17
7.95
10.39
13.00
14.05
12.07
12.16
17.40
12.26
23.08
13.61
13.71
15.18
25.09
8.31
12.05
15.63
18.62
14.15
11.73
11.77
9.32
10.02
13.76
32.60
38.54
10.99
13.02
14.59
16.30
15.54
14.97
14.23
7.96
16.99
12.02
10.04
23.93
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
435030210
540131010
515131510
515132210
295031410
700335410
310130510
260100110
342930410
362230310
015530110
515431910
312130310
700137310
700330610
282700010
700034710
700139110
290230610
700038210
700336410
275430230
700337410
700330710
295230110
465230210
515500030
512730110
700033810
276130310
700341110
612030010
102130010
435330310
090130410
370231310
590630310
322730310
700338610
700030610
395130210
395030210
135630310
700330310
700341010
700336110
432930110
700031410
700339710
700035610
590731510
Name
Nyack Manor Nursing Home
Oak Hill Manor Nursing Home
Oak Hollow Nursing Center
Oasis Rehabilitation and Nursing LLC
Oceanside Care Center Inc
Oceanview Nursing & Rehabilitation Center LLC
Odd Fellow & Rebekah Rehabilitation & Health Care Center Inc
Oneida Healthcare
Ontario Center for Rehabilitation and Healthcare
Orchard Manor Rehabilitation and Nursing Center
Our Lady Of Mercy Life Center
Our Lady of Consolation Nursing and Rehabilitation Care Center
Our Lady of Peace Nursing Care Residence
Oxford Nursing Home
Ozanam Hall Of Queens Nursing Home Inc
Palatine Nursing Home
Palisade Nursing Home Company Inc
Palm Gardens Care Center LLC
Park Avenue Extended Care Facility
Park Gardens Rehabilitation & Nursing Center LLC
Park Nursing Home
Park Ridge Nursing Home
Park Terrace Care Center
Parker Jewish Institute for Health Care and Rehabilitation
Parkview Care and Rehabilitation Center Inc
Pathways Nursing and Rehabilitation Center
Peconic Bay Skilled Nursing Facility
Peconic Landing at Southold
Pelham Parkway Nursing and Rehabilitation Facility
Penfield Place LLC
Peninsula Nursing and Rehabilitation Center
Penn Yan Manor Nursing Home Inc
Pine Haven Home
Pine Valley Center for Rehabilitation and Nursing
Plattsburgh Rehabilitation and Nursing Center
Pontiac Nursing Home
Port Chester Nursing and Rehabilitation Centre
Presbyterian Home For Central New York Inc
Promenade Rehabilitation and Health Care Center
Providence Rest
Putnam Nursing & Rehabilitation Center
Putnam Ridge
Quaker Hill Manor
Queen Of Peace Residence
Queens Boulevard Extended Care Facility
Queens Nassau Rehabilitation and Nursing Center
Ramapo Manor Center for Rehabilitation & Nursing
Rebekah Rehab and Extended Care Center
Regal Heights Rehabilitation and Health Care Center
Regeis Care Center
Regency Extended Care Center
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
160
60
164
100
100
102
126
160
98
160
160
450
250
235
432
70
288
240
240
200
196
120
200
527
169
112
60
44
200
48
200
46
120
200
89
80
160
236
240
200
160
160
120
53
280
200
203
213
280
238
315
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
5.67
6.61
7.33
9.77
6.05
6.09
10.85
17.57
9.06
8.78
8.88
11.63
10.26
5.47
16.24
11.20
23.66
12.24
8.43
8.20
6.68
21.68
9.07
33.20
5.41
28.92
29.17
12.16
5.44
7.02
17.94
4.42
9.79
6.46
5.30
5.71
6.36
8.70
1.21
9.53
4.88
11.55
9.46
15.29
10.35
5.20
8.24
16.69
9.62
9.86
7.82
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
134.75
107.07
167.35
125.04
161.61
165.82
117.37
111.95
129.39
131.32
123.06
156.36
114.02
181.19
163.47
100.24
153.83
179.82
167.60
165.48
140.30
124.81
162.25
166.14
146.41
134.38
155.63
130.59
150.17
124.74
177.02
68.67
141.34
167.18
117.13
84.46
147.75
92.92
143.09
158.75
136.27
140.09
118.64
100.38
141.05
165.43
182.49
160.78
152.49
216.12
165.17
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
56.90
47.72
59.04
58.24
59.12
58.93
51.91
54.01
56.06
50.96
54.64
69.79
52.26
58.00
70.81
50.71
61.26
58.54
58.46
59.24
62.23
63.30
59.93
69.28
58.02
55.24
69.26
60.57
58.68
53.08
67.47
49.08
58.43
60.63
46.30
46.66
54.81
48.89
57.82
59.41
50.78
55.11
52.12
55.86
56.86
59.65
61.47
61.00
58.59
60.51
66.52
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
2.79
0.44
3.09
0.82
1.65
1.37
2.71
2.05
2.97
2.95
2.14
1.92
2.61
2.24
1.04
4.38
0.75
1.20
2.73
2.42
2.29
1.96
27.08
1.32
1.73
4.67
6.18
1.97
4.30
2.96
2.72
3.73
1.35
1.05
4.01
1.49
2.37
2.85
1.97
1.81
0.63
2.36
3.05
0.69
30.92
2.09
1.21
0.82
2.14
4.74
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.04
(13.97)
(4.05)
8.76
(12.37)
(0.73)
24.46
8.94
61.20
29.20
21.22
6.05
7.69
(13.29)
-
(0.46)
(0.53)
(0.58)
(0.65)
(0.63)
(0.59)
(0.60)
(0.57)
(0.52)
(0.34)
(0.61)
(0.81)
(0.53)
(0.50)
(0.68)
(0.40)
(0.65)
(0.79)
(0.71)
(0.63)
(0.45)
(0.60)
(0.72)
(0.92)
(0.57)
(0.32)
(0.92)
(0.91)
(0.53)
(0.50)
(0.66)
(0.44)
(0.47)
(0.60)
(0.34)
(0.35)
(0.57)
(0.45)
(0.54)
(0.90)
(0.45)
(0.62)
(0.44)
(0.59)
(0.75)
(0.69)
(0.60)
(0.80)
(0.74)
(0.91)
(0.61)
(20.17)
(7.21)
1.23
(28.23)
(1.30)
(0.67)
(9.44)
(9.26)
(2.70)
(2.26)
-
Total
Price
$ 199.65
$ 161.35
$ 216.06
$ 193.22
$ 227.80
$ 224.41
$ 183.47
$ 185.01
$ 168.73
$ 179.70
$ 188.11
$ 238.89
$ 178.62
$ 246.40
$ 250.88
$ 162.08
$ 238.85
$ 259.77
$ 235.21
$ 234.71
$ 198.68
$ 209.75
$ 257.61
$ 293.48
$ 211.00
$ 222.89
$ 268.26
$ 263.61
$ 215.73
$ 188.64
$ 264.73
$ 124.45
$ 203.38
$ 235.02
$ 160.18
$ 140.49
$ 207.14
$ 152.43
$ 204.43
$ 257.96
$ 193.29
$ 206.76
$ 182.14
$ 195.21
$ 214.25
$ 268.20
$ 253.69
$ 236.62
$ 220.78
$ 287.72
$ 230.35
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
15.39
11.20
16.63
18.35
15.01
12.11
16.46
25.46
11.14
15.04
13.38
15.61
25.32
5.24
36.80
8.28
10.18
18.50
44.63
20.48
14.73
75.72
16.53
25.43
12.42
23.18
79.01
61.01
15.23
16.87
21.67
5.14
4.13
14.51
9.70
7.24
14.92
13.09
13.90
62.19
22.39
19.97
15.39
39.27
11.79
12.33
55.53
34.80
40.53
9.89
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
215.04
172.55
232.69
211.57
242.81
236.52
199.93
210.47
179.87
194.74
201.49
254.50
203.94
251.64
287.68
170.36
249.03
278.27
279.84
255.19
213.41
285.47
274.14
318.91
223.42
246.07
347.27
324.62
230.96
205.51
286.40
129.59
207.51
249.53
169.88
147.73
222.06
165.52
218.33
320.15
193.29
229.15
202.11
210.60
253.52
279.99
266.02
292.15
255.58
328.25
240.24
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(2.13)
1.80
(1.68)
(1.80)
(1.86)
(1.95)
2.34
2.25
(1.39)
(1.30)
2.87
2.17
2.00
1.33
2.86
0.97
1.56
(2.18)
2.75
0.33
(1.58)
2.66
1.69
2.01
(1.78)
2.62
3.62
1.36
1.17
(1.90)
0.18
(1.51)
0.33
(1.06)
(1.17)
0.29
1.77
(1.72)
0.46
(1.51)
(1.99)
0.24
2.43
0.37
2.87
(2.05)
(2.44)
2.81
(2.62)
(1.89)
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
12.30
13.69
12.51
12.11
13.67
13.06
12.90
15.40
9.87
9.82
14.40
18.76
12.30
13.80
16.58
0.05
16.28
19.79
15.85
13.48
11.55
20.88
18.82
23.33
13.26
29.78
38.89
10.39
12.61
10.92
9.82
11.30
12.87
14.56
9.90
9.47
12.40
13.25
14.80
22.00
7.01
15.64
10.09
13.88
18.44
17.47
15.16
17.34
14.99
10.62
13.92
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
700339210
135630210
700333010
700432410
140133610
280130510
130230710
700035710
515530110
440130210
412430110
532430210
122500010
700336210
290930410
320100230
145130410
526230010
515432010
700103310
700137110
596030410
220100010
226930010
512730210
295130410
590731710
700341510
452030210
450100030
515432510
590432210
700031510
352930110
590231410
310230710
140430010
700131810
482300030
700180610
700430410
700180110
147430110
370231210
492130310
455230010
700136210
140330310
700139910
700432310
700337210
Name
Rego Park Nursing Home
Renaissance Rehabilitation and Nursing Care Center
Resort Nursing Home
Richmond Center for Rehabilitation and Specialty Healthcare
Ridge View Manor LLC
River Ridge Living Center
River Valley Care Center Inc
Riverdale Nursing Home
Riverhead Care Center LLC
Riverledge Health Care and Rehabilitation Center
Riverside Center for Rehabilitation and Nursing
Riverview Manor Health Care Center
Robinson Terrace
Rockaway Care Center
Rockville Skilled Nursing & Rehabilitation Center LLC
Rome Memorial Hospital Inc - RHCF
Rosa Coplon Jewish Home
Roscoe Community Nursing Home Co Inc
Ross Health Care Center
Rutland Nursing Home Co Inc
Saints Joachim & Anne Nursing and Rehabilitation Ce
Salem Hills Rehabilitation and Nursing Center
Samaritan Keep Nursing Home Inc
Samaritan Senior Village Inc
San Simeon by the Sound Center for Nrsg and Reha
Sands Point Center For Health And Rehabilitation
Sans Souci Rehabilitation and Nursing Center
Sapphire Center for Rehabilitation and Nursing of Central Queens LLC
Saratoga Center for Rehab and Skilled Nursing Care
Saratoga Hospital Nursing Home
Sayville Nursing and Rehabilitation Center
Schaffer Extended Care Center
Schervier Nursing Care Center
Schervier Pavilion
Schnurmacher Center for Rehabilitation and Nursing
Schoellkopf Health Center
Schofield Residence
Schulman and Schachne Institute for Nursing and Rehabilitat
Schuyler Hospital Inc And Long Term Care Unit
Sea Crest Nursing and Rehabilitation Center
Sea View Hospital Rehabilitation Center And Home
Seagate Rehabilitation and Nursing Center
Seneca Health Care Center
Seneca Hill Manor Inc
Seneca Nursing and Rehabilitation Center
Seton Health at Schuyler Ridge Residential Healthcare
Sheepshead Nursing and Rehabilitation Center
Sheridan Manor LLC
Shore View Nursing & Rehabilitation Center
Silver Lake Specialized Rehabilitation and Care Cente
Silvercrest
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
200
100
280
300
120
120
160
146
181
180
80
77
120
228
66
82
180
85
135
466
200
126
272
168
120
180
120
227
277
36
180
150
366
120
200
120
120
448
120
320
304
360
160
120
120
120
200
100
320
278
320
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
7.06
6.87
6.63
22.43
8.48
8.92
3.06
8.94
5.52
11.06
11.76
4.67
8.34
2.36
6.91
15.78
10.69
12.31
6.29
25.19
10.64
10.02
10.38
12.45
10.99
5.91
8.70
7.44
4.55
19.52
7.57
16.45
15.47
16.30
8.88
6.24
8.55
44.23
6.43
9.42
14.48
38.13
8.75
12.92
9.64
8.88
8.10
7.72
6.96
6.24
17.82
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
158.73
102.73
161.05
211.67
127.13
134.85
121.35
151.44
152.88
87.80
122.36
111.01
79.98
139.14
173.25
100.92
123.79
94.88
154.53
163.64
165.44
156.76
103.36
107.29
139.77
150.12
189.09
182.52
128.76
102.67
170.81
161.40
168.63
139.66
160.59
140.10
94.58
149.38
92.88
190.59
149.20
201.95
136.71
97.06
104.96
109.65
175.30
130.33
194.98
163.95
176.36
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
58.54
52.54
58.46
67.72
52.10
52.32
54.59
59.94
58.95
47.37
54.68
48.83
48.33
60.18
61.58
55.73
51.20
51.06
60.50
69.11
58.84
58.29
50.44
49.39
58.29
60.27
58.95
60.30
59.52
62.58
61.89
69.32
68.01
55.30
60.84
60.68
49.31
68.30
49.81
67.33
72.49
68.37
50.24
50.44
49.51
54.15
59.00
52.10
65.63
60.18
67.42
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.55
2.74
2.21
4.19
3.53
1.10
2.94
4.61
2.19
4.19
3.37
3.19
3.56
4.29
0.64
5.83
1.90
4.47
1.54
1.99
1.90
0.93
3.33
2.17
1.03
2.26
0.96
2.85
3.58
1.59
2.29
2.09
7.65
2.09
1.95
1.29
2.88
2.32
2.12
4.52
1.59
3.38
2.85
2.99
1.53
1.18
2.11
1.51
2.58
0.97
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(9.23)
(5.08)
(17.28)
(4.04)
6.56
3.01
20.69
0.44
(2.88)
8.62
2.57
-
33.72
-
(0.60)
(0.43)
(0.61)
(0.74)
(0.35)
(0.48)
(0.47)
(0.52)
(0.59)
(0.50)
(0.52)
(0.65)
(0.37)
(0.54)
(0.80)
(0.67)
(0.50)
(0.52)
(0.68)
(1.06)
(0.78)
(0.60)
(0.45)
(0.57)
(0.74)
(0.63)
(0.63)
(0.47)
(0.65)
(0.62)
(0.81)
(0.75)
(0.48)
(0.70)
(0.48)
(0.45)
(0.73)
(0.51)
(0.67)
(0.88)
(0.81)
(0.55)
(0.59)
(0.42)
(0.49)
(0.64)
(0.42)
(0.69)
(0.60)
(0.85)
(11.64)
(0.75)
(0.38)
4.96
(6.67)
(2.66)
1.29
(2.00)
(6.86)
(9.15)
(11.85)
2.43
(2.30)
(1.60)
(1.12)
1.57
(3.64)
(2.19)
-
Total
Price
$ 213.64
$ 155.22
$ 227.74
$ 304.52
$ 185.43
$ 196.71
$ 181.47
$ 207.13
$ 223.91
$ 149.92
$ 187.61
$ 160.38
$ 139.84
$ 205.43
$ 248.14
$ 180.60
$ 184.42
$ 163.49
$ 222.18
$ 313.28
$ 236.48
$ 225.40
$ 165.06
$ 169.13
$ 203.79
$ 216.59
$ 249.22
$ 250.59
$ 183.36
$ 187.70
$ 243.67
$ 248.65
$ 253.45
$ 215.55
$ 229.40
$ 208.49
$ 151.68
$ 264.06
$ 159.55
$ 268.79
$ 239.81
$ 308.11
$ 198.53
$ 164.25
$ 166.68
$ 173.72
$ 242.94
$ 188.20
$ 268.77
$ 232.35
$ 261.72
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
17.14
18.27
12.33
24.73
10.61
10.31
36.34
16.89
11.62
39.31
15.89
9.92
19.61
26.38
27.73
18.25
6.65
18.57
16.28
27.01
32.02
20.13
5.31
31.47
21.12
39.81
19.68
18.74
3.67
26.67
39.03
26.02
30.54
11.11
10.10
5.45
4.74
19.70
9.35
18.17
19.55
26.02
18.50
24.54
11.73
15.08
17.18
9.13
11.72
12.19
22.90
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
230.78
173.49
240.07
329.25
196.04
207.02
217.81
224.02
235.53
189.23
203.50
170.30
159.45
231.81
275.87
198.85
191.07
182.06
238.46
340.29
268.50
245.53
170.37
200.60
224.91
256.40
268.90
269.33
187.03
214.37
282.70
274.67
283.99
226.66
239.50
213.94
156.42
283.76
168.90
286.96
259.36
334.13
217.03
188.79
178.41
188.80
260.12
197.33
280.49
244.54
284.62
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.32
(1.35)
1.45
(2.49)
(1.42)
1.18
(1.68)
0.27
(1.95)
1.16
(1.58)
0.24
0.22
0.30
(2.14)
2.27
0.25
0.26
0.33
0.47
(2.20)
0.33
(1.32)
0.25
2.42
2.79
0.34
2.51
1.14
1.29
(2.01)
1.60
1.72
1.43
(1.99)
2.12
1.01
3.08
1.07
2.76
2.99
(2.43)
2.18
(1.60)
(1.41)
0.24
(1.93)
(1.47)
0.35
(1.86)
0.41
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
18.11
11.07
14.67
24.72
7.85
13.40
11.48
11.39
15.53
12.12
12.51
10.02
11.24
13.39
17.16
15.12
15.03
14.15
13.88
21.69
17.33
14.99
11.26
11.99
16.60
17.41
15.00
14.73
11.91
12.09
14.41
15.81
19.21
16.70
14.17
10.85
18.96
22.76
10.65
12.89
20.16
20.03
14.01
14.22
10.77
16.88
13.02
8.41
9.44
16.01
21.82
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
592130210
515731410
612000030
596630010
296130210
290430210
700038410
591030110
700138410
275730010
275730110
700037110
592530010
330132110
140132430
515731210
515731710
515731110
270135310
272530210
282830010
440130010
590731410
070100130
353500130
370230910
322730510
700030710
010130510
440230310
700036610
700431410
502230210
512330510
522030110
435300030
295130710
332130110
515431210
322130110
030330710
590432010
332730110
066330230
591130210
556730110
700234510
010131310
700037810
140100530
295130810
Name
Sky View Rehabilitation and Health Care Center LLC
Smithtown Center for Rehabilitation & Nursing Care
Soldiers And Sailors Memorial Hospital Extended Care Unit
Somers Manor Rehabilitation & Nursing Center
South Point Plaza Nursing and Rehabilitation Center
South Shore Rehabilitation and Nursing Center
Split Rock Rehabilitation and Health Care Center
Sprain Brook Manor Rehab LLC
Spring Creek Rehabilitation & Nursing Care Center
St Anns Community (Aged)
St Anns Community (NH)
St Barnabas Rehabilitation & Continuing Care Center
St Cabrini Nursing Home
St Camillus Residential Health Care Facility
St Catherine Laboure Health Care Center
St Catherine of Siena Nursing Home
St James Rehabilitation & Healthcare Center
St Johnland Nursing Center Inc
St Johns Health Care Corporation
St Johns Penfield Homes Corporation
St Johnsville Rehabilitation and Nursing Center
St Josephs Home
St Josephs Hosp Nursing Home Of Yonkers N Y Inc
St Josephs Hospital - Skilled Nursing Facility
St Josephs Place
St Luke Residential Health Care Facility Inc
St Lukes Home
St Patricks Home
St Peters Nursing and Rehabilitation Center
St Regis Nursing Home Inc
St Vincent Depaul Residence
Staten Island Care Center
Steuben Center for Rehabilitation and Healthcare
Suffolk Center for Rehabilitation and Nursing
Sullivan County Adult Care Center
Summit Park Nursing Care Center
Sunharbor Manor
Sunnyside Care Center
Sunrise Manor Center for Nursing and Rehabilitation
Sunset Nursing and Rehabilitation Center Inc
Susquehanna Nursing & Rehabilitation Center LLC
Sutton Park Center for Nursing and Rehabilitation
Syracuse Home Association
TLC Health Network-Lake Shore Hospital Nursing Facil
Tarrytown Hall Care Center
Ten Broeck Commons
Terence Cardinal Cooke Health Care Ctr
Teresian House Nursing Home Co Inc
Terrace Health Care Center
Terrace View Long Term Care Facility
The Amsterdam at Harborside
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
192
162
151
300
185
100
240
121
188
470
72
199
304
284
80
240
230
250
475
0
120
84
200
85
46
200
202
264
160
162
120
300
105
120
146
321
266
80
84
120
160
160
120
120
120
258
559
300
240
354
56
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
9.82
13.84
7.47
14.02
5.52
17.38
7.64
7.73
9.21
14.62
13.22
21.18
11.09
16.69
23.41
29.04
7.11
17.70
15.92
13.69
5.40
9.55
12.99
16.79
18.26
13.03
13.82
10.92
10.36
5.92
12.16
7.77
13.80
9.45
1.47
28.78
12.93
7.05
9.48
7.25
8.79
7.03
16.03
6.63
12.28
7.98
31.62
10.86
9.30
27.11
7.43
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
161.48
171.96
77.41
165.90
166.15
162.27
164.41
204.68
172.89
128.48
122.45
157.52
166.68
112.88
116.95
151.58
168.69
148.05
125.55
99.74
107.49
79.33
167.28
111.21
122.30
97.29
104.82
157.46
115.19
80.89
162.51
172.73
140.82
168.42
115.29
148.80
161.57
111.37
177.93
92.39
121.71
129.18
100.86
158.35
167.98
128.07
172.32
109.49
119.99
138.87
117.55
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
58.74
61.17
52.57
66.05
58.87
59.44
58.22
58.46
59.42
60.14
55.00
59.41
68.79
52.47
58.98
64.55
58.88
62.06
59.52
53.03
50.59
47.16
66.34
55.08
64.37
48.96
50.20
61.52
54.56
46.53
59.24
67.34
53.76
60.51
57.87
71.77
58.82
47.39
60.14
45.76
52.08
58.95
51.39
58.55
57.03
54.82
67.40
60.29
59.11
64.14
60.18
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.85
1.35
3.71
1.78
2.84
2.90
3.83
1.17
1.33
3.15
1.25
1.76
2.00
2.40
4.10
1.23
1.30
3.05
1.74
3.17
5.50
2.52
3.38
5.85
2.58
3.82
1.32
3.58
4.18
2.42
2.80
2.14
2.97
2.96
1.55
0.79
0.69
1.92
2.49
0.35
3.65
2.16
0.23
1.99
1.18
1.41
2.99
2.01
9.65
-
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
5.28
12.44
(1.68)
5.35
(1.87)
(15.06)
(9.97)
(0.50)
7.40
3.90
(2.01)
(5.31)
(3.08)
1.99
-
14.89
-
(0.64)
(0.72)
(0.41)
(0.67)
(0.68)
(0.71)
(0.77)
(0.74)
(0.82)
(0.59)
(0.96)
(0.79)
(0.87)
(0.49)
(0.68)
(0.69)
(0.67)
(0.73)
(0.60)
(0.45)
(0.51)
(0.61)
(0.49)
(0.99)
(0.46)
(0.58)
(0.63)
(0.66)
(0.41)
(1.00)
(0.70)
(0.62)
(0.68)
(0.54)
(0.73)
(0.71)
(0.42)
(0.65)
(0.37)
(0.48)
(0.60)
(0.68)
(0.48)
(0.68)
(0.53)
(0.78)
(0.45)
(0.53)
(0.71)
(13.77)
(11.45)
(0.07)
(1.88)
(11.93)
(0.31)
(2.09)
(2.38)
0.42
(1.20)
(5.80)
(9.96)
(8.33)
(0.81)
-
Total
Price
$ 231.25
$ 247.60
$ 140.75
$ 235.63
$ 237.91
$ 239.40
$ 245.77
$ 269.62
$ 242.03
$ 211.15
$ 189.09
$ 239.08
$ 247.69
$ 183.95
$ 202.76
$ 218.72
$ 235.31
$ 229.82
$ 202.13
$ 166.46
$ 164.11
$ 141.03
$ 248.52
$ 183.59
$ 210.21
$ 160.20
$ 162.11
$ 224.79
$ 183.03
$ 136.61
$ 242.73
$ 249.94
$ 203.84
$ 240.67
$ 177.05
$ 250.17
$ 233.40
$ 166.08
$ 248.82
$ 145.51
$ 168.81
$ 198.21
$ 169.76
$ 220.20
$ 240.59
$ 191.52
$ 286.86
$ 182.37
$ 189.88
$ 239.06
$ 171.39
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
31.89
37.02
17.59
33.96
18.15
25.58
26.70
76.67
25.91
58.83
31.31
60.49
11.73
26.45
20.98
16.96
15.76
21.21
22.94
31.44
3.80
22.74
41.55
14.56
26.49
18.92
8.22
19.22
11.85
15.39
44.95
22.05
4.13
15.70
17.46
9.47
14.39
14.66
24.92
15.07
33.71
27.85
16.55
20.60
20.81
11.50
79.39
41.09
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
263.14
284.62
158.34
269.59
256.06
239.40
271.35
296.32
318.70
237.06
247.92
270.39
308.18
195.68
229.21
239.70
252.27
245.58
223.34
166.46
187.05
172.47
252.32
206.33
251.76
174.76
188.60
243.71
191.25
155.83
254.58
265.33
248.79
262.72
181.18
265.87
250.86
175.55
263.21
160.17
193.73
213.28
203.47
248.05
257.14
212.12
286.86
203.18
201.38
318.45
212.48
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.34
1.66
1.01
0.34
(2.00)
2.64
(2.22)
(2.20)
(2.56)
2.51
2.42
(2.31)
(2.45)
(1.55)
1.32
0.33
1.58
2.76
0.29
0.32
0.24
1.87
0.32
1.15
2.73
0.24
(1.34)
(1.84)
2.12
0.21
2.79
(2.10)
(1.90)
(2.12)
(1.47)
1.65
(2.02)
1.00
(2.07)
(1.21)
(1.52)
(1.55)
1.34
(2.08)
0.28
1.84
2.21
0.28
(2.06)
1.92
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
15.97
16.83
12.24
15.10
12.89
6.20
18.32
15.32
18.73
17.51
16.48
22.34
20.19
17.03
14.66
14.16
16.20
17.21
15.11
10.30
10.93
18.59
12.01
13.66
12.91
12.35
14.95
13.53
9.93
17.18
15.76
14.95
15.72
11.37
16.76
13.91
8.70
10.99
9.62
11.59
10.89
15.48
14.05
14.72
13.57
23.25
14.11
10.60
15.65
12.05
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
132730110
275030710
460130610
412030010
700039310
330132310
223830310
333430310
275030110
290930510
262930310
132230210
700340410
320131010
595730410
512630310
700139210
276330010
275030610
275030810
290230210
552230210
700031710
700234010
590930210
572530310
700341410
700180210
046930010
040130310
192130310
560130710
130230810
320231510
700236010
270135910
410231210
560130610
352330110
362030110
590330910
700038610
435030110
295031810
156030110
700339310
590430910
270135830
700033710
320231610
212430110
Name
The Baptist Home at Brookmeade
The Brightonian Inc
The Capital Living Nursing and Rehabilitation Centre
The Center for Nursing and Rehabilitation at Hoosick Falls
The Citadel Rehab and Nursing Center at Kingsbridge
The Cottages at Garden Grove
The Country Manor Nursing and Rehabilitation Centre
The Crossings Nursing and Rehabilitation Centre
The Friendly Home
The Grand Pavilion for Rehab & Nursing at Rockville Centre
The Grand Rehabilitation and Nursing at Chittenango
The Grand Rehabilitation and Nursing at Pawling
The Grand Rehabilitation and Nursing at Queens
The Grand Rehabilitation and Nursing at Rome
The Grove at Valhalla Rehabilitation and Nursing Center
The Hamptons Center for Rehabilitation and Nursing
The Heritage Rehabilitation and Health Care Center
The Highlands Living Center
The Highlands at Brighton
The Hurlbut
The Komanoff Center for Geriatric and Rehabilitative Medicine
The Mountain View Nursing and Rehabilitation Centre
The New Jewish Home, Harry and Jeanette Weinberg Campus
The New Jewish Home, Manhattan
The New Jewish Home, Sarah Neuman
The Orchard Nursing and Rehabilitation Centre
The Pavilion at Queens for Rehabilitation & Nursing
The Phoenix Rehabilitation and Nursing Center
The Pines Healthcare & Rehabilitation Centers Machias Ca
The Pines Healthcare & Rehabilitation Centers Olean Camp
The Pines at Catskill Center for Nursing & Rehabilitati
The Pines at Glens Falls Center for Nursing & Rehabili
The Pines at Poughkeepsie Center for Nursing & Reh
The Pines at Utica Center for Nursing & Rehabilitation
The Riverside
The Shore Winds LLC
The Springs Nursing and Rehabilitation Centre
The Stanton Nursing and Rehabilitation Centre
The Valley View Center for Nursing Care and Rehab
The Villages of Orleans Health and Rehabilitation Center
The Wartburg Home
Throgs Neck Rehabilitation & Nursing Center
Tolstoy Foundation Nursing Home Co Inc
Townhouse Center for Rehabilitation & Nursing
Uihlein Living Center
Union Plaza Care Center
United Hebrew Geriatric Center
Unity Living Center
University Nursing Home
Utica Rehabilitation & Nursing Center
Valley Health Services Inc
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
120
54
240
82
400
156
90
82
200
158
80
122
179
160
160
280
79
122
145
160
150
79
744
514
301
88
302
400
115
120
136
120
200
117
520
229
80
120
360
120
210
205
96
280
157
280
296
120
46
120
160
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
13.13
7.63
12.54
8.18
6.65
9.28
8.98
14.52
12.19
7.42
9.43
8.03
8.56
8.30
11.00
14.50
8.90
16.14
11.05
7.06
20.04
10.22
23.40
29.58
15.24
10.79
19.72
10.68
14.56
10.95
5.03
8.32
7.24
8.75
11.24
8.17
14.53
9.76
9.65
7.75
11.41
10.11
9.30
8.40
9.84
8.62
8.99
13.63
7.82
8.55
10.12
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
113.23
131.18
119.31
94.96
153.46
114.99
95.06
106.75
119.25
166.68
114.80
154.59
184.76
129.69
132.69
168.30
179.61
118.50
124.45
116.19
152.81
128.01
176.53
179.07
153.50
111.56
202.67
160.44
114.93
112.94
139.29
125.63
131.13
111.39
191.29
110.08
124.32
102.16
182.34
134.93
143.05
164.74
107.71
180.30
96.56
154.41
144.12
116.74
184.63
99.05
93.83
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
52.87
51.81
51.75
50.15
65.28
53.40
47.61
51.35
53.87
59.43
48.81
56.42
61.25
50.86
58.18
61.16
58.50
52.96
52.33
51.71
66.02
55.37
68.72
68.57
68.44
50.23
67.85
67.06
54.59
54.41
54.78
51.97
55.63
51.14
68.46
51.28
52.45
51.05
72.89
53.08
61.16
59.00
54.05
58.56
50.93
59.50
61.78
59.52
59.48
47.53
46.71
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3.01
0.99
2.37
3.04
2.05
0.94
4.05
1.61
1.80
0.73
2.29
4.54
2.28
2.90
2.31
1.12
0.31
1.92
4.28
3.34
1.53
3.58
1.48
1.58
1.51
2.42
1.63
1.51
2.83
2.95
2.92
2.94
1.34
3.00
1.47
2.94
3.21
1.48
1.62
1.84
1.55
1.46
1.75
1.69
1.73
0.31
1.82
5.55
0.88
2.71
4.67
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.25
15.34
(2.10)
(3.43)
(21.90)
15.06
(3.22)
13.28
19.85
(4.16)
3.06
-
-
(0.49)
(0.45)
(0.46)
(0.50)
(0.58)
(0.46)
(0.41)
(0.49)
(0.31)
(0.61)
(0.33)
(0.60)
(0.70)
(0.29)
(0.61)
(0.81)
(0.77)
(0.53)
(0.51)
(0.50)
(0.76)
(0.59)
(0.80)
(0.90)
(0.85)
(0.43)
(0.70)
(0.74)
(0.61)
(0.49)
(0.47)
(0.50)
(0.57)
(0.54)
(0.72)
(0.43)
(0.47)
(0.40)
(0.68)
(0.51)
(0.68)
(0.70)
(0.52)
(0.72)
(0.44)
(0.72)
(0.74)
(0.62)
(0.63)
(0.43)
(0.48)
(2.44)
(0.55)
(4.13)
(5.59)
(7.01)
(1.21)
1.06
(11.09)
(9.30)
(4.07)
(8.66)
(0.97)
(4.04)
(9.04)
(0.44)
(0.87)
(19.06)
(4.38)
(2.12)
(3.80)
(0.47)
-
Total
Price
$ 179.31
$ 191.41
$ 185.51
$ 155.28
$ 238.07
$ 172.56
$ 148.28
$ 173.74
$ 185.59
$ 233.65
$ 172.90
$ 219.55
$ 257.21
$ 169.56
$ 192.48
$ 259.33
$ 246.55
$ 179.69
$ 184.31
$ 177.80
$ 239.64
$ 187.93
$ 268.36
$ 291.18
$ 257.69
$ 170.53
$ 282.13
$ 238.95
$ 186.30
$ 180.76
$ 201.55
$ 187.92
$ 194.77
$ 172.87
$ 271.74
$ 172.04
$ 194.04
$ 159.89
$ 265.82
$ 178.03
$ 216.49
$ 234.61
$ 170.97
$ 246.11
$ 154.82
$ 222.12
$ 215.97
$ 194.35
$ 252.18
$ 157.41
$ 154.85
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
10.49
22.57
36.69
17.69
11.58
46.40
7.92
35.82
40.00
19.31
33.17
32.38
27.29
24.47
46.68
38.32
16.84
12.27
25.34
12.44
15.17
22.01
21.10
15.92
25.11
10.34
39.13
22.31
32.44
12.93
11.93
21.11
14.94
21.29
35.29
5.94
21.96
8.00
12.67
29.20
25.90
30.31
7.57
46.42
7.56
49.42
54.31
28.87
40.93
2.21
16.16
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
189.80
213.98
222.20
172.97
249.65
218.96
156.20
209.56
225.59
252.96
206.07
251.93
284.50
194.03
239.16
297.65
263.39
191.96
209.65
190.24
254.81
209.94
289.46
307.10
282.80
180.87
321.26
261.26
218.74
193.69
213.48
209.03
209.71
194.16
307.03
177.98
216.00
167.89
278.49
207.23
242.39
264.92
178.54
292.53
162.38
271.54
270.28
223.22
293.11
159.62
171.01
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.32
1.33
1.04
2.77
0.21
(1.53)
2.36
0.35
(1.54)
(1.97)
(2.24)
(1.47)
(1.83)
(2.45)
2.79
(1.55)
1.95
(1.49)
(2.13)
1.31
1.65
1.94
3.23
(1.46)
1.67
1.64
(1.71)
(1.60)
(1.72)
(1.62)
(1.73)
0.25
(2.26)
(1.41)
(1.63)
0.23
0.37
0.25
1.52
(2.06)
0.26
(1.42)
(2.12)
(1.44)
3.02
1.60
(1.74)
0.34
0.19
0.23
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
14.32
15.41
14.44
11.32
13.37
13.83
10.65
12.50
19.87
16.72
12.22
14.97
15.37
12.64
13.42
18.20
13.03
15.70
14.74
10.85
14.18
16.97
20.44
17.80
11.32
17.08
17.08
13.14
11.58
14.35
12.73
14.46
12.20
17.87
10.24
12.46
11.43
16.73
11.90
17.60
15.55
11.53
17.88
16.15
16.30
17.75
13.92
14.35
9.77
12.42
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 - Intial Rates
Nursing Home Benchmark Rates
Medicare Eligible
Per Diems not Included
on Rate Sheets
01/01/16 Statewide Pricing Rate Computation Sheet
Opcert
082430310
330132810
410230710
700432010
033630110
590530510
700233510
330132610
565730010
575030110
140133710
514930310
596030310
700336710
700035010
582330210
582000030
272230110
170230010
022830510
270135210
450130110
700340310
590130610
590331210
595730310
180130510
275330110
515830110
295230610
590231510
105930110
280100130
700037910
142130610
036430110
700335710
130130110
132030110
555630110
700333610
515131610
552230310
295031510
275030310
700039010
602700030
Name
Valley View Manor Nursing Home
Van Duyn Center for Rehabilitation and Nursing
Van Rensselaer Manor
Verrazano Nursing Home
Vestal Park Rehabilitation and Nursing Center
Victoria Home
Villagecare Rehabilitation and Nursing Center
Vivian Teal Howard Residential Health Care Facility
Warren Center for Rehabilitation and Nursing
Washington Center for Rehabilitation and Healthcare
Waterfront Center for Rehabilitation and Healthcare
Waters Edge at Port Jefferson for Rehabilitation and Nursing
Waterview Hills Rehabilitation and Nursing Center
Waterview Nursing Care Center
Wayne Center For Nursing And Rehabilitation
Wayne County Nursing Home
Wayne Health Care
Wedgewood Nursing Home
Wells Nursing Home Inc
Wellsville Manor Care Center
Wesley Gardens Corporation
Wesley Health Care Center Inc
West Lawrence Care Center LLC
West Ledge Rehabilitation and Nursing Center
Westchester Center for Rehabilitation & Nursing
Westchester Meadows
Western New York State Veterans Home
Westgate Nursing Home Inc
Westhampton Care Center
White Oaks Rehabilitation and Nursing Center
White Plains Center For Nursing Care LLC
Whittier Rehabilitation & Skilled Nursing Center
Wilkinson Residential Health Care Facility
Williamsbridge Manor Nursing Home
Williamsville Suburban LLC
Willow Point Nursing Home
Windsor Park Nursing Home
Wingate at Beacon
Wingate of Dutchess
Wingate of Ulster
Woodcrest Rehabilitation & Residential Health Care Ctr LLC
Woodhaven Nursing Home
Woodland Pond at New Paltz
Woodmere Rehabilitation And Health Care Center
Woodside Manor Nursing Home Inc
Workmens Circle Multicare Center
Wyoming County Community Hospital Snf
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non-Comp
Component Medicare
Refer to Non
Eligible
Comp
Direct
Indirect
Bed Count Ancillaries Tab Component Component
82
513
362
120
110
49
105
160
80
122
160
120
130
180
243
192
180
29
100
120
200
356
215
100
240
20
126
124
180
200
88
120
160
77
220
300
70
160
160
120
200
143
40
336
44
524
138
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
7.30
13.92
14.91
5.18
8.02
9.97
21.44
7.10
7.50
8.27
10.09
10.68
9.78
11.38
11.11
9.53
20.99
6.41
8.47
7.72
13.86
8.94
7.63
12.90
6.25
7.96
24.11
7.46
10.60
5.94
8.66
33.16
12.22
7.97
8.72
5.64
7.08
12.50
20.82
24.33
8.68
6.67
10.70
15.05
10.52
9.81
9.15
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
112.04
119.59
124.60
143.24
100.68
138.57
152.70
114.46
106.66
125.32
131.73
184.34
166.30
172.57
130.20
115.93
114.47
106.30
96.60
118.50
114.76
124.50
181.75
167.82
197.06
99.08
92.12
114.54
149.03
164.74
174.99
106.65
119.66
174.98
119.66
127.31
169.39
130.76
135.20
127.72
143.38
192.23
120.10
169.16
138.20
173.95
133.31
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
47.03
60.79
62.21
59.20
50.33
56.53
60.10
51.89
50.02
52.42
51.98
61.47
58.97
60.06
57.40
54.92
57.89
50.16
51.34
49.01
51.31
60.63
60.52
60.41
58.82
60.79
54.87
49.38
59.50
60.09
57.83
53.85
58.37
59.39
52.10
61.24
59.24
54.84
56.17
55.27
58.96
60.18
55.50
67.04
52.83
65.99
58.48
TBI, BMI,
Dementia
Add On
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.90
2.72
2.46
10.08
3.45
3.18
11.11
4.05
2.30
3.08
5.65
0.85
2.63
2.33
3.09
3.46
0.41
2.06
3.85
3.11
5.02
2.88
2.46
1.79
4.11
2.39
1.92
1.02
2.21
1.71
1.66
2.90
2.10
2.70
1.91
1.74
2.21
1.77
3.38
1.73
0.87
3.10
2.30
3.19
2.86
Transition
Adjustment
Misc Per
Diem
Adjustment
Bed Hold
Per Diem
Adjustment
Case Mix
Percent
Adjustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.39
(5.00)
21.76
(29.24)
(7.70)
0.06
1.04
(2.32)
7.67
(7.62)
0.33
(10.68)
(16.57)
24.77
-
-
(0.55)
(0.61)
(0.60)
(0.54)
(0.48)
(0.73)
(3.64)
(0.52)
(0.50)
(0.49)
(0.50)
(0.83)
(0.65)
(0.54)
(0.59)
(0.65)
(0.65)
(0.45)
(0.43)
(0.50)
(0.48)
(0.53)
(0.63)
(0.70)
(0.56)
(0.56)
(0.46)
(0.64)
(0.49)
(0.77)
(0.44)
(0.47)
(0.64)
(0.32)
(0.52)
(0.64)
(0.58)
(0.56)
(0.58)
(0.58)
(0.66)
(0.55)
(0.66)
(0.45)
(0.96)
(0.52)
1.49
2.99
(3.99)
(1.60)
(1.53)
(1.78)
(2.98)
(2.76)
(0.38)
(10.41)
(5.48)
(7.68)
6.42
(1.22)
(6.81)
(4.06)
-
Total
Price
$ 167.72
$ 196.80
$ 203.58
$ 217.16
$ 158.49
$ 226.10
$ 207.53
$ 184.04
$ 167.73
$ 183.83
$ 188.68
$ 261.31
$ 235.25
$ 246.10
$ 200.45
$ 181.28
$ 195.67
$ 162.83
$ 156.26
$ 176.26
$ 179.58
$ 198.56
$ 249.39
$ 242.51
$ 263.36
$ 167.83
$ 182.32
$ 162.90
$ 214.93
$ 231.30
$ 235.24
$ 201.35
$ 191.44
$ 244.60
$ 174.64
$ 196.37
$ 237.31
$ 199.26
$ 203.16
$ 208.51
$ 212.60
$ 260.15
$ 179.81
$ 249.63
$ 186.83
$ 276.75
$ 203.28
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
8.42
25.17
14.44
11.93
50.35
19.28
76.40
19.95
16.04
12.37
23.23
17.15
14.38
12.27
14.98
30.40
26.84
11.86
4.30
8.99
16.39
14.47
13.06
14.70
26.50
1.04
29.80
11.17
23.09
5.83
37.70
9.23
6.71
16.06
8.10
6.52
8.73
42.80
36.91
41.00
14.95
9.25
15.15
13.67
44.67
17.69
Total Price +
Capital Per 2014 Quality
Diem
Adustment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
176.14
221.97
218.02
229.09
208.84
245.38
283.93
203.99
183.77
196.20
211.91
278.46
249.63
258.37
215.43
211.68
222.51
174.69
160.56
185.25
195.97
213.03
262.45
257.21
289.86
168.87
212.12
174.07
238.02
237.13
272.94
210.58
198.15
260.66
182.74
202.89
246.04
242.06
240.07
249.51
227.55
269.40
179.81
264.78
200.50
321.42
220.97
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.43)
1.37
1.33
(1.33)
1.51
2.61
1.24
0.99
0.26
(2.27)
1.52
(2.01)
(1.77)
0.30
1.38
(1.39)
0.96
1.02
(1.56)
2.30
0.30
(2.05)
(1.86)
2.38
(1.30)
2.53
1.44
(2.07)
(1.83)
1.10
1.57
(1.36)
(1.50)
(2.02)
(1.84)
(1.83)
(1.83)
(1.85)
(2.19)
1.22
3.37
0.27
2014 Cash
Receipts
(CRA) Per
Diem
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
9.60
13.86
14.59
12.87
10.60
16.75
195.44
12.45
11.51
11.48
12.41
16.06
16.15
15.95
15.96
14.70
17.13
11.02
11.05
7.16
11.59
15.76
13.00
14.03
13.51
2.66
12.04
10.84
15.18
15.21
14.66
16.56
11.72
15.25
8.43
11.19
13.61
14.50
15.96
15.53
13.05
18.38
18.06
13.63
17.76
15.28
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 Initial Rates
Nursing Home Benchmark Rates
Non Medicare Eligible
Opcert
295030230
272530110
042030210
142230310
060130310
146130210
030230310
315830210
022630210
143530310
043330310
502630110
067530210
522030310
590731810
565530210
515432310
015330210
162400030
212930310
700235610
592630010
515331110
700137810
050130910
056630210
380100030
143030110
515731310
252030110
700031910
270135710
462030010
102330110
180130710
700038910
590431710
290230310
700340110
700180510
540131210
145130610
295030110
515132110
700139610
510130110
700030810
320130810
072230110
590530310
592130110
Name
A Holly Patterson Extended Care Facility
Aaron Manor Rehabilitation and Nursing Center
Absolut Center for Nursing and Rehabilitation at Allega
Absolut Center for Nursing and Rehabilitation at Auror
Absolut Center for Nursing and Rehabilitation at Dunki
Absolut Center for Nursing and Rehabilitation at Eden
Absolut Center for Nursing and Rehabilitation at Endic
Absolut Center for Nursing and Rehabilitation at Gaspo
Absolut Center for Nursing and Rehabilitation at Hough
Absolut Center for Nursing and Rehabilitation at Orcha
Absolut Center for Nursing and Rehabilitation at Salam
Absolut Center for Nursing and Rehabilitation at Three
Absolut Center for Nursing and Rehabilitation at Westfi
Achieve Rehab and Nursing Facility
Adira at Riverside Rehabilitation and Nursing
Adirondack Tri-County Nursing and Rehabilitation
Affinity Skilled Living and Rehabilitation Center
Albany County Nursing Home
Alice Hyde Medical Center
Alpine Rehabilitation and Nursing Center
Amsterdam Nursing Home Corp (amsterdam House)
Andrus On Hudson
Apex Rehabilitation & Care Center
Atrium Center for Rehabilitation and Nursing
Auburn Nursing Home
Auburn Senior Services Inc
Aurelia Osborn Fox Memorial Hospital
Autumn View Health Care Facility LLC
Avalon Gardens Rehabilitation and Health Care Center
Avon Nursing Home LLC
Bainbridge Nursing And Rehabilitation Center
Baird Nursing Home
Baptist Health Nursing And Rehabilitation Center Inc
Barnwell Nursing and Rehabilitation Center
Batavia Health Care Center LLC
Bay Park Center for Nursing and Rehabilitation LLC
Bayberry Nursing Home
Beach Terrace Care Center
Beacon Rehabilitation and Nursing Center
Bedford Center for Nursing and Rehabilitation
Beechtree Center for Rehabilitation and Nursing
Beechwood Homes
Belair Care Center Inc
Bellhaven Center For Rehabilitation and Nursing Care
Bensonhurst Center for Rehabilitation and Healthcare
Berkshire Nursing & Rehabilitation Center
Beth Abraham Health Services
Bethany Gardens Skilled Living Center
Bethany Nursing Home & Health Related Facility Inc
Bethel Nursing Home Company Inc
Bethel Nursing and Rehabilitation Center
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Bed Count
589
140
37
320
40
40
160
83
100
202
120
120
120
140
120
82
280
250
75
80
409
197
195
380
92
317
131
230
353
40
200
28
262
236
62
482
60
182
120
200
120
272
102
240
200
177
448
100
122
42
181
Transportatio
n Included In
Direct
Component
$
0.23
$
0.15
$
0.22
$
0.20
$
0.21
$
0.20
$
0.18
$
0.19
$
0.16
$
0.20
$
0.18
$
0.18
$
0.18
$
0.26
$
0.13
$
0.29
$
0.18
$
0.15
$
0.19
$
0.25
$
0.21
$
0.28
$
0.24
$
0.27
$
0.15
$
0.17
$
0.13
$
0.22
$
0.27
$
0.18
$
0.23
$
0.13
$
0.17
$
0.22
$
0.16
$
0.25
$
0.21
$
0.22
$
0.29
$
0.15
$
0.17
$
0.23
$
0.26
$
0.27
$
0.22
$
0.26
$
0.20
$
0.13
$
0.23
$
0.23
$
0.17
015130010
320130710
700335210
582830110
700139410
593130110
700330910
030130810
270135410
310130010
512030130
700038110
700038010
700036410
512330410
700339910
700138810
700180010
700130810
700138210
145630010
700138310
140134110
700136410
355730210
142130510
285030110
515330610
700431010
223800130
700136610
526300030
540131110
590530810
700135410
295230810
090100130
700335110
322730410
082330010
060130410
070130110
082400030
380130410
270133910
700338010
342100030
095230010
700432110
700132310
295230710
700233630
320131110
142130810
700134810
700037510
252530110
500130010
110131010
110130630
590130710
276230110
262330010
110131110
700139810
Bethlehem Commons Care Center
Betsy Ross Rehabilitation Center Inc
Bezalel Rehabilitation and Nursing Center
Blossom View Nursing Home
Boro Park Center for Rehabilitation and Healthcare
Briarcliff Manor Center for Rehabilitation and Nursing Care
Bridge View Nursing Home
Bridgewater Center for Rehabilitation & Nursing LLC
Brighton Manor
Briody Health Care Facility
Broadlawn Manor Nursing and Rehabilitation Center
Bronx Center For Rehabilitation and Health
Bronx Park Rehabilitation & Nursing Center
Bronx-Lebanon Special Care Center
Brookhaven Health Care Facility LLC
Brookhaven Rehabilitation & Health Care Center
Brooklyn Center for Rehabilitation and Residential Hea
Brooklyn Gardens Nursing & Rehabilitation Center
Brooklyn United Methodist Church Home
Brooklyn-Queens Nursing Home
Brothers Of Mercy Nursing & Rehabilitation Center
Buena Vida Continuing Care & Rehab Ctr
Buffalo Center for Rehabilitation and Nursing
Bushwick Center for Rehabilitation and Health Care
Campbell Hall Rehabilitation Center Inc
Canterbury Woods
Capstone Center for Rehabilitation and Nursing
Carillon Nursing and Rehabilitation Center
Carmel Richmond Healthcare and Rehabilitation Center
Carthage Area Hospital
Caton Park Nursing Home
Catskill Regional Medical Center
Cayuga Ridge Extended Care
Cedar Manor Nursing & Rehabilitation Center
Center For Nursing & Rehabilitation Inc
Central Island Healthcare
Champlain Valley Physicians Hospital Medical Center Snf
Chapin Home For The Aging
Charles T Sitrin Health Care Center Inc
ChaseHealth Rehab and Residential Care
Chautauqua Nursing and Rehabilitation Center
Chemung County Health Center-nursing Facility
Chenango Memorial Hospital Inc Snf
Chestnut Park Rehabilitation and Nursing Center
Church Home Of The Protestant Episcopal Church
Cliffside Rehabilitation and Residential Health Care Center
Clifton Springs Hospital And Clinic Extended Care
Clinton County Nursing Home
Clove Lakes Health Care and Rehabilitation Center
Cobble Hill Health Center Inc
Cold Spring Hills Center for Nursing and Rehabilitation
Coler Rehabilitation and Nursing Care Center
Colonial Park Rehabilitation and Nursing Center
Comprehensive Rehabilitation and Nursing Center at Williamsville
Concord Nursing Home Inc
Concourse Rehabilitation and Nursing Center
Conesus Lake Nursing Home LLC
Corning Center for Rehabilitation and Healthcare
Cortland Park Rehabilitation and Nursing Center
Cortland Regional Nursing and Rehabilitation Center
Cortlandt Healthcare
Crest Manor Living and Rehabilitation Center
Crouse Community Center Inc
Crown Center for Nursing and Rehabilitation
Crown Heights Center for Nursing and Rehabilitation
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
120
120
120
130
504
131
200
356
80
82
320
200
240
240
160
298
215
240
120
140
240
240
200
225
134
48
120
315
300
30
119
64
187
153
320
202
96
220
156
80
218
200
78
80
182
218
108
80
576
364
606
815
80
142
140
240
48
120
120
82
120
80
120
200
295
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.17
0.24
0.16
0.16
0.33
0.21
0.24
0.18
0.15
0.15
0.24
0.28
0.22
0.21
0.30
0.25
0.28
0.27
0.20
0.27
0.15
0.20
0.28
0.18
0.21
0.14
0.19
0.29
0.25
0.14
0.26
0.21
0.18
0.22
0.26
0.24
0.17
0.22
0.16
0.14
0.15
0.17
0.13
0.17
0.19
0.17
0.23
0.16
0.17
0.25
0.25
0.25
0.19
0.15
0.15
0.22
0.30
0.19
0.22
0.15
0.14
0.25
0.15
0.17
0.16
700136710
022600030
700341310
515030210
700034210
010131210
310300030
700234710
416130410
700139310
700138010
700335910
590432110
700036010
515030310
602730310
700038310
323930010
010200110
410231110
015130110
275430410
700430310
135530110
352330210
350230410
132430210
072230410
145130710
145530310
146430210
143030310
140630310
333130110
532030210
312130410
142130710
030130710
460100130
342930310
700339610
140133910
140133810
155230010
415230310
295230910
272530010
700337510
700331510
143530210
132730010
142730310
590130210
700038510
050100030
382430010
320231310
212430010
700339410
700338710
572430210
700235910
700138510
143530410
700340210
Crown Nursing and Rehabilitation Center
Cuba Memorial Hospital Inc Snf
Cypress Garden Center for Nursing and Rehabilitation
Daleview Care Center
Daughters Of Jacob Nursing Home Company Inc
Daughters Of Sarah Nursing Center - NF
Degraff Memorial Hospital-skilled Nursing Facility
Dewitt Rehabilitation and Nursing Center Inc
Diamond Hill Nursing and Rehabilitation Center
Ditmas Park Care Center
Dr Susan Smith Mckinney Nursing and Rehabilitation Center
Dry Harbor Nursing Home
Dumont Center for Rehabilitation and Nursing Care
East Haven Nursing And Rehabilitation Center
East Neck Nursing and Rehabilitation Center
East Side Nursing Home
Eastchester Rehabilitation and Health Care Center
Eastern Star Home & Infirmary
Eddy Cohoes Rehabilitation Center
Eddy Heritage House Nursing Center
Eddy Village Green at Beverwyck
Edna Tina Wilson Living Center
Eger Health Care and Rehabilitation Center
Elant at Fishkill Inc
Elant at Goshen Inc
Elant at Meadow Hill
Elant at Wappinger Falls
Elcor Nursing and Rehabilitation Center
Elderwood at Amherst
Elderwood at Cheektowaga
Elderwood at Grand Island
Elderwood at Hamburg
Elderwood at Lancaster
Elderwood at Liverpool
Elderwood at Waverly
Elderwood at Wheatfield
Elderwood at Williamsville
Elizabeth Church Manor Nursing Home
Ellis Residential & Rehabilitation Center
Elm Manor Nursing Home
Elmhurst Care Center Inc
Emerald North Nursing and Rehabilitation Center
Emerald South Nursing and Rehabilitation Center
Essex Center for Rehabilitation and Healthcare
Evergreen Commons
Excel at Woodbury for Rehabilitation and Nursing LLC
Fairport Baptist Homes
Fairview Nursing Care Center Inc
Far Rockaway Nursing Home
Father Baker Manor
Ferncliff Nursing Home Co Inc
Fiddlers Green Manor Rehabilitation and Nursing Center
Field Home-holy Comforter
Fieldston Lodge Care Center
Finger Lakes Center for Living
Focus Rehabilitation and Nursing Center at Otsego
Focus Rehabilitation and Nursing Center at Utica
Folts Center for Rehabilitation and Nursing
Forest Hills Care Center
Forest View Center for Rehabilitation & Nursing
Fort Hudson Nursing Center Inc
Fort Tryon Center for Rehabilitation and Nursing
Four Seasons Nursing and Rehabilitation Center
Fox Run at Orchard Park
Franklin Center for Rehabilitation and Nursing
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
189
61
278
142
405
211
80
499
120
200
320
360
196
200
300
80
200
84
192
122
24
120
378
160
120
190
62
305
92
172
90
166
96
160
211
125
200
121
82
46
240
95
122
100
242
123
142
200
100
160
328
82
125
200
80
176
120
163
100
160
196
205
270
50
320
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.25
0.24
0.13
0.27
0.25
0.29
0.16
0.23
0.19
0.24
0.20
0.30
0.21
0.30
0.28
0.25
0.25
0.29
0.15
0.30
0.12
0.16
0.17
0.14
0.16
0.25
0.19
0.23
0.21
0.19
0.17
0.18
0.19
0.18
0.20
0.18
0.18
0.18
0.18
0.21
0.15
0.24
0.19
0.25
0.18
0.18
0.27
0.21
0.15
0.21
0.18
0.24
0.15
0.17
0.21
0.17
0.25
0.28
0.17
0.17
0.14
0.26
0.23
0.16
0.29
166430010
435030510
175430110
295031710
295031610
145530010
180130410
352330310
290130510
590431810
465130010
290130010
700037610
700432210
550131110
515431010
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291330110
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290230410
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015530310
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700103410
322630110
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700030210
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350130510
140100130
515331010
276130210
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700340910
700139510
700338910
500230210
010131510
700038810
555630210
140134010
515330910
492130210
030230210
Franklin County Nursing Home
Friedwald Center for Rehabilitation & Nursing LLC
Fulton Center for Rehabilitation and Healthcare
Fulton Commons Care Center Inc
Garden Care Center
Garden Gate Health Care Facility
Genesee County Nursing Home
Glen Arden Inc
Glen Cove Center for Nursing and Rehabilitation
Glen Island Center for Nursing and Rehabilitation
Glendale Home-Schdy Cnty Dept Social Services
Glengariff Health Care Center
Gold Crest Care Center
Golden Gate Rehabilitation and Health Care Center
Golden Hill Nursing and Rehabilitation Center
Good Samaritan Nursing Home
Good Shepherd Village at Endwell
Good Shepherd-fairview Home Inc
Gowanda Rehabilitation and Nursing Center
Grace Plaza Nursing and Rehabilitation Center
Grand Manor Nursing & Rehabilitation Center
Grandell Rehabilitation and Nursing Center
Greater Harlem Nursing Home Company Inc
Greene Meadows Nursing and Rehabilitation Center
Greenfield Health and Rehabilitation Center
Groton Community Health Care Center Residential Care Facility
Guilderland Center Rehabilitation and Extended Care Facility
Gurwin Jewish Nursing and Rehabilitation Center
Hamilton Manor Nursing Home
Hamilton Park Nursing and Rehabilitation Center
Harding Nursing Home
Harris Hill Nursing Facility LLC
Haven Manor Health Care Center LLC
Haym Solomon Home For The Aged
Hebrew Home For The Aged At Riverdale
Helen Hayes Hospital RHCF
Hempstead Park Nursing Home
Hendon Garden Nursing and Rehabilitation Center
Henry J Carter Skilled Nursing Facility
Heritage Commons Residential Health Care
Heritage Green Nursing Home
Heritage Health Care Center
Heritage Park Health Care Center
Heritage Village Rehab and Skilled Nursing Inc
Highfield Gardens Care Center of Great Neck
Highland Care Center
Highland Nursing Home Inc
Highland Park Rehabilitation and Nursing Center
Highland Rehabilitation and Nursing Center
Highpointe on Michigan Health Care Facility
Hilaire Rehab & Nursing
Hill Haven Nursing Home
Hillside Manor Rehabilitation and Extended Care Center
Hollis Park Manor Nursing
Holliswood Center for Rehabilitation and Healthcare
Hopkins Center for Rehabilitation and Healthcare
Horizon Care Center
Hornell Gardens LLC
Hudson Park Rehabilitation and Nursing Center
Hudson Pointe at Riverdale Center for Nrsg and Reha
Hudson Valley Rehabilitation and Extended Care Center
Humboldt House Rehabilitation and Nursing Center
Huntington Hills Center for Health and Rehabilitation
Huntington Living Center
Ideal Senior Living Center
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
80
180
176
280
150
184
160
40
154
182
200
262
175
238
280
100
32
56
160
214
240
278
200
120
160
80
127
460
40
200
92
192
240
240
557
25
251
163
167
84
134
220
146
120
200
320
140
80
98
270
76
288
400
80
314
288
280
114
200
167
203
173
320
160
150
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.26
0.15
0.29
0.13
0.25
0.21
0.22
0.25
0.22
0.16
0.22
0.23
0.24
0.19
0.25
0.26
0.25
0.20
0.23
0.16
0.15
0.24
0.28
0.20
0.24
0.25
0.14
0.12
0.15
0.24
0.16
0.28
0.12
0.21
0.22
0.29
0.24
0.21
0.19
0.24
0.28
0.23
0.15
0.15
0.15
0.14
0.15
0.30
0.29
0.12
0.15
0.23
0.23
0.24
0.18
0.24
0.28
0.30
0.26
0.20
0.15
0.18
0.22
0.20
0.24
572530410
502230130
335330010
700235210
515131810
700334610
410230910
030330610
330132910
700031310
515131710
142700010
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330130910
322530310
540130810
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700037210
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270134510
700037010
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515131410
275430110
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182330010
242400030
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340230210
252230010
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515131010
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700131310
130230610
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291130310
342930030
700235310
700038710
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272930010
700330510
515432110
290130410
700230510
320230810
290630210
500200130
140400010
700339810
290430110
090130310
515131910
362200030
700137210
140100830
162030030
700031110
Indian River Rehabilitation and Nursing Center
Ira Davenport Memorial Hospital Snf hrfa
Iroquois Nursing Home Inc
Isabella Geriatric Center Inc
Island Nursing and Rehab Center
Jamaica Hospital Nursing Home Co Inc
James A Eddy Memorial Geriatric Center
James G Johnston Memorial Nursing Home
James Square Nursing And Rehabilitation Centre
Jeanne Jugan Residence
Jeffersons Ferry
Jennie B Richmond Chaffee Nursing Home Company Inc
Jewish Home & Infirmary Of Rochester Ny Inc
Jewish Home Of Central New York
Katherine Luther Residential Health Care and Rehab C
Kendal at Ithaca Inc
Kendal on Hudson
King David Center for Nursing and Rehabilitation
King Street Home Inc
Kings Harbor Multicare Center
Kingsway Arms Nursing Center Inc
Kirkhaven
Laconia Nursing Home Inc
Lakeside - Beikirch Care Center Inc
Lakeview Rehabilitation and Care Center
Latta Road Nursing Home
Latta Road Nursing Home A
Lawrence Nursing Care Center Inc
Leroy Village Green Residential Health Care Facility Inc
Lewis County General Hospital-nursing Home Unit
Linden Center for Nursing and Rehabilitation
Little Neck Care Center
Living Center At Geneva North
Living Center At Geneva South
Livingston County Center for Nursing and Rehabilitatio
Livingston Hills Nursing and Rehabilitation Center
Long Island Care Center Inc
Long Island State Veterans Home
Loretto Health and Rehabilitation Center
Lutheran Augustana Center for Extended Care &Rehab
Lutheran Center at Poughkeepsie Inc
Lutheran Retirement Home
Lynbrook Restorative Therapy and Nursing
MM Ewing Continuing Care Center
Manhattan Center for Nursing and Rehabilitation
Manhattanville Health Care Center
Maplewood Health Care and Rehabilitation Center
Maplewood Nursing Home Inc
Margaret Tietz Center For Nursing Care Inc
Maria Regina Residence Inc
Marquis Care Center
Mary Manning Walsh Nursing Home Co Inc
Masonic Care Community of New York
Mayfair Care Center
Mcauley Manor at Mercycare
Mcauley Residence
Meadow Park Rehabilitation and Health Care Center
Meadowbrook Care Center Inc
Meadowbrook Healthcare
Medford Multicare Center for Living
Medina Memorial Hospital Snf
Menorah Home And Hospital For
Mercy Hospital Skilled Nursing Facility
Mercy Living Center
Methodist Home For Nursing and Rehabilitation
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
122
120
160
705
120
224
80
122
455
30
60
80
362
132
280
35
0
271
120
720
106
147
240
120
120
40
40
200
140
160
280
120
82
103
266
120
200
350
583
240
160
148
100
188
219
200
96
72
200
188
102
362
320
200
122
160
143
280
207
320
30
420
84
60
121
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.12
0.15
0.20
0.13
0.16
0.25
0.22
0.23
0.15
0.17
0.18
0.22
0.19
0.15
0.20
0.26
0.28
0.23
0.17
0.19
0.14
0.13
0.15
0.30
0.14
0.23
0.22
0.16
0.19
0.30
0.18
0.26
0.14
0.15
0.25
0.15
0.18
0.22
0.28
0.13
0.14
0.17
0.20
0.25
0.24
0.20
0.26
0.19
0.17
0.24
0.18
0.26
0.14
0.15
0.26
0.19
0.20
0.24
0.17
0.19
0.17
0.21
0.26
0.20
0.16
370130110
350130410
700334010
515731610
210130110
515432410
270100630
356130210
700039110
370231510
700032810
700032910
122630030
082530110
595130010
290630510
170100030
515731510
700138610
700235810
700339110
700234310
270136010
700337310
700431610
700340510
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700338310
582030210
315430310
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316030110
295130510
291030010
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435030410
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432130210
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700131610
082430410
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335330110
435030210
540131010
515131510
515132210
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310130510
260100110
342930410
362230310
015530110
515431910
312130310
700137310
700330610
282700010
700034710
700139110
290230610
Michaud Residential Health Services Inc
Middletown Park Rehabilitation and Health Ca
Midway Nursing Home
Mills Pond Nursing and Rehabilitation Center
Mohawk Valley Health Care Center
Momentum at South Bay for Rehabilitation and Nursin
Monroe Community Hospital
Montgomery Nursing and Rehabilitation Center
Morningside Nursing and Rehabilitation Center
Morningstar Residential Care Center
Morris Park Nursing Home
Mosholu Parkway Nursing And Rehabilitation Center
Mountainside Residential Care Center
NYS Veterans Home
NYS Veterans Home at Montrose
Nassau Rehabilitation & Nursing Center
Nathan Littauer Hospital Nursing Home
Nesconset Center for Nursing and Rehabilitation
New Carlton Rehab and Nursing Center LLC
New East Side Nursing Home
New Glen Oaks Nursing Home
New Gouverneur Hospital Snf
New Roc Nursing and Rehabilitation Center
New Surfside Nursing Home
New Vanderbilt Rehabilitation and Care Center Inc
New York Center for Rehabilitation
New York Congregational Nursing Center Inc
New York State Veterans Home In New York City
Newark Manor Nursing Home
Newfane Rehab & Health Care Center
Niagara Rehabilitation and Nursing Center
North Gate Health Care Facility
North Shore University Hospital Stern Family Ctr for E
North Shore-LIJ Orzac Center for Rehabilitation
North Westchester Restorative Therapy and Nursing
Northeast Center for Rehabilitation and Brain Injury
Northern Dutchess Residential Health Care Facility Inc
Northern Manhattan Rehabilitation and Nursing Center
Northern Manor Geriatric Center Inc
Northern Metropolitan Residential Health Care Facility Inc
Northern Riverview Health Care Center Inc
Northwoods Rehabilitation and Nursing Center at Moravia
Norwegian Christian Home And Health Center
Norwich Rehabilitation & Nursing Center
Nostrand Center for Nursing and Rehabilitation
Nottingham Residential Health Care Facility
Nyack Manor Nursing Home
Oak Hill Manor Nursing Home
Oak Hollow Nursing Center
Oasis Rehabilitation and Nursing LLC
Oceanside Care Center Inc
Oceanview Nursing & Rehabilitation Center LLC
Odd Fellow & Rebekah Rehabilitation & Health Care Center Inc
Oneida Healthcare
Ontario Center for Rehabilitation and Healthcare
Orchard Manor Rehabilitation and Nursing Center
Our Lady Of Mercy Life Center
Our Lady of Consolation Nursing and Rehabilitation Care Center
Our Lady of Peace Nursing Care Residence
Oxford Nursing Home
Ozanam Hall Of Queens Nursing Home Inc
Palatine Nursing Home
Palisade Nursing Home Company Inc
Palm Gardens Care Center LLC
Park Avenue Extended Care Facility
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
89
230
200
252
120
160
566
100
362
120
191
122
82
242
252
280
84
240
148
58
60
215
120
183
320
280
200
250
60
175
160
200
256
120
120
280
100
320
231
120
180
40
137
82
157
40
160
60
164
100
100
102
126
160
98
160
160
450
250
235
432
70
288
240
240
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.25
0.16
0.30
0.18
0.16
0.24
0.29
0.17
0.24
0.22
0.29
0.16
0.26
0.20
0.24
0.25
0.15
0.27
0.26
0.14
0.17
0.18
0.25
0.17
0.26
0.28
0.20
0.25
0.23
0.23
0.27
0.27
0.24
0.18
0.18
0.15
0.14
0.18
0.22
0.26
0.18
0.25
0.15
0.25
0.25
0.24
0.24
0.14
0.21
0.22
0.13
0.22
0.12
0.27
0.21
0.26
0.25
0.21
0.16
0.21
0.21
0.20
0.16
0.18
0.23
700038210
700336410
275430230
700337410
700330710
295230110
465230210
515500030
512730110
700033810
276130310
700341110
612030010
102130010
435330310
090130410
370231310
590630310
322730310
700338610
700030610
395130210
395030210
135630310
700330310
700341010
700336110
432930110
700031410
700339710
700035610
590731510
700339210
135630210
700333010
700432410
140133610
280130510
130230710
700035710
515530110
440130210
412430110
532430210
122500010
700336210
290930410
320100230
145130410
526230010
515432010
700103310
700137110
596030410
220100010
226930010
512730210
295130410
590731710
700341510
452030210
450100030
515432510
590432210
700031510
Park Gardens Rehabilitation & Nursing Center LLC
Park Nursing Home
Park Ridge Nursing Home
Park Terrace Care Center
Parker Jewish Institute for Health Care and Rehabilitation
Parkview Care and Rehabilitation Center Inc
Pathways Nursing and Rehabilitation Center
Peconic Bay Skilled Nursing Facility
Peconic Landing at Southold
Pelham Parkway Nursing and Rehabilitation Facility
Penfield Place LLC
Peninsula Nursing and Rehabilitation Center
Penn Yan Manor Nursing Home Inc
Pine Haven Home
Pine Valley Center for Rehabilitation and Nursing
Plattsburgh Rehabilitation and Nursing Center
Pontiac Nursing Home
Port Chester Nursing and Rehabilitation Centre
Presbyterian Home For Central New York Inc
Promenade Rehabilitation and Health Care Center
Providence Rest
Putnam Nursing & Rehabilitation Center
Putnam Ridge
Quaker Hill Manor
Queen Of Peace Residence
Queens Boulevard Extended Care Facility
Queens Nassau Rehabilitation and Nursing Center
Ramapo Manor Center for Rehabilitation & Nursing
Rebekah Rehab and Extended Care Center
Regal Heights Rehabilitation and Health Care Center
Regeis Care Center
Regency Extended Care Center
Rego Park Nursing Home
Renaissance Rehabilitation and Nursing Care Center
Resort Nursing Home
Richmond Center for Rehabilitation and Specialty Healthcare
Ridge View Manor LLC
River Ridge Living Center
River Valley Care Center Inc
Riverdale Nursing Home
Riverhead Care Center LLC
Riverledge Health Care and Rehabilitation Center
Riverside Center for Rehabilitation and Nursing
Riverview Manor Health Care Center
Robinson Terrace
Rockaway Care Center
Rockville Skilled Nursing & Rehabilitation Center LLC
Rome Memorial Hospital Inc - RHCF
Rosa Coplon Jewish Home
Roscoe Community Nursing Home Co Inc
Ross Health Care Center
Rutland Nursing Home Co Inc
Saints Joachim & Anne Nursing and Rehabilitation Ce
Salem Hills Rehabilitation and Nursing Center
Samaritan Keep Nursing Home Inc
Samaritan Senior Village Inc
San Simeon by the Sound Center for Nrsg and Reha
Sands Point Center For Health And Rehabilitation
Sans Souci Rehabilitation and Nursing Center
Sapphire Center for Rehabilitation and Nursing of Central Queens LLC
Saratoga Center for Rehab and Skilled Nursing Care
Saratoga Hospital Nursing Home
Sayville Nursing and Rehabilitation Center
Schaffer Extended Care Center
Schervier Nursing Care Center
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
200
196
120
200
527
169
112
60
44
200
48
200
46
120
200
89
80
160
236
240
200
160
160
120
53
280
200
203
213
280
238
315
200
100
280
300
120
120
160
146
181
180
80
77
120
228
66
82
180
85
135
466
200
126
272
168
120
180
120
227
277
36
180
150
366
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.19
0.29
0.24
0.16
0.24
0.27
0.26
0.27
0.22
0.19
0.26
0.24
0.24
0.22
0.22
0.21
0.23
0.19
0.27
0.11
0.19
0.27
0.14
0.22
0.15
0.24
0.25
0.20
0.21
0.20
0.16
0.23
0.30
0.25
0.29
0.26
0.25
0.35
0.26
0.26
0.17
0.26
0.32
0.20
0.20
0.20
0.24
0.27
0.14
0.20
0.17
0.14
0.23
0.28
0.21
0.17
0.18
0.16
0.22
0.25
0.24
0.26
0.25
0.16
352930110
590231410
310230710
140430010
700131810
482300030
700180610
700430410
700180110
147430110
370231210
492130310
455230010
700136210
140330310
700139910
700432310
700337210
592130210
515731410
612000030
596630010
296130210
290430210
700038410
591030110
700138410
275730010
275730110
700037110
592530010
330132110
140132430
515731210
515731710
515731110
270135310
272530210
282830010
440130010
590731410
070100130
353500130
370230910
322730510
700030710
010130510
440230310
700036610
700431410
502230210
512330510
522030110
435300030
295130710
332130110
515431210
322130110
030330710
590432010
332730110
066330230
591130210
556730110
700234510
Schervier Pavilion
Schnurmacher Center for Rehabilitation and Nursing
Schoellkopf Health Center
Schofield Residence
Schulman and Schachne Institute for Nursing and Rehabilitat
Schuyler Hospital Inc And Long Term Care Unit
Sea Crest Nursing and Rehabilitation Center
Sea View Hospital Rehabilitation Center And Home
Seagate Rehabilitation and Nursing Center
Seneca Health Care Center
Seneca Hill Manor Inc
Seneca Nursing and Rehabilitation Center
Seton Health at Schuyler Ridge Residential Healthcare
Sheepshead Nursing and Rehabilitation Center
Sheridan Manor LLC
Shore View Nursing & Rehabilitation Center
Silver Lake Specialized Rehabilitation and Care Cente
Silvercrest
Sky View Rehabilitation and Health Care Center LLC
Smithtown Center for Rehabilitation & Nursing Care
Soldiers And Sailors Memorial Hospital Extended Care Unit
Somers Manor Rehabilitation & Nursing Center
South Point Plaza Nursing and Rehabilitation Center
South Shore Rehabilitation and Nursing Center
Split Rock Rehabilitation and Health Care Center
Sprain Brook Manor Rehab LLC
Spring Creek Rehabilitation & Nursing Care Center
St Anns Community (Aged)
St Anns Community (NH)
St Barnabas Rehabilitation & Continuing Care Center
St Cabrini Nursing Home
St Camillus Residential Health Care Facility
St Catherine Laboure Health Care Center
St Catherine of Siena Nursing Home
St James Rehabilitation & Healthcare Center
St Johnland Nursing Center Inc
St Johns Health Care Corporation
St Johns Penfield Homes Corporation
St Johnsville Rehabilitation and Nursing Center
St Josephs Home
St Josephs Hosp Nursing Home Of Yonkers N Y Inc
St Josephs Hospital - Skilled Nursing Facility
St Josephs Place
St Luke Residential Health Care Facility Inc
St Lukes Home
St Patricks Home
St Peters Nursing and Rehabilitation Center
St Regis Nursing Home Inc
St Vincent Depaul Residence
Staten Island Care Center
Steuben Center for Rehabilitation and Healthcare
Suffolk Center for Rehabilitation and Nursing
Sullivan County Adult Care Center
Summit Park Nursing Care Center
Sunharbor Manor
Sunnyside Care Center
Sunrise Manor Center for Nursing and Rehabilitation
Sunset Nursing and Rehabilitation Center Inc
Susquehanna Nursing & Rehabilitation Center LLC
Sutton Park Center for Nursing and Rehabilitation
Syracuse Home Association
TLC Health Network-Lake Shore Hospital Nursing Facil
Tarrytown Hall Care Center
Ten Broeck Commons
Terence Cardinal Cooke Health Care Ctr
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
120
200
120
120
448
120
320
304
360
160
120
120
120
200
100
320
278
320
192
162
151
300
185
100
240
121
188
470
72
199
304
284
80
240
230
250
475
0
120
84
200
85
46
200
202
264
160
162
120
300
105
120
146
321
266
80
84
120
160
160
120
120
120
258
559
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.15
0.20
0.24
0.31
0.29
0.19
0.15
0.32
0.26
0.27
0.22
0.24
0.21
0.14
0.22
0.14
0.23
0.29
0.26
0.22
0.16
0.17
0.28
0.18
0.28
0.19
0.32
0.26
0.28
0.25
0.25
0.12
0.24
0.26
0.26
0.25
0.31
0.28
0.19
0.19
0.25
0.25
0.17
0.18
0.23
0.18
0.27
0.24
0.18
0.16
0.17
0.12
0.28
0.17
0.20
0.15
0.17
0.22
0.18
0.14
0.26
0.27
0.23
0.27
0.20
010131310
700037810
140100530
295130810
132730110
275030710
460130610
412030010
700039310
330132310
223830310
333430310
275030110
290930510
262930310
132230210
700340410
320131010
595730410
512630310
700139210
276330010
275030610
275030810
290230210
552230210
700031710
700234010
590930210
572530310
700341410
700180210
046930010
040130310
192130310
560130710
130230810
320231510
700236010
270135910
410231210
560130610
352330110
362030110
590330910
700038610
435030110
295031810
156030110
700339310
590430910
270135830
700033710
320231610
212430110
082430310
330132810
410230710
700432010
033630110
590530510
700233510
330132610
565730010
575030110
Teresian House Nursing Home Co Inc
Terrace Health Care Center
Terrace View Long Term Care Facility
The Amsterdam at Harborside
The Baptist Home at Brookmeade
The Brightonian Inc
The Capital Living Nursing and Rehabilitation Centre
The Center for Nursing and Rehabilitation at Hoosick Falls
The Citadel Rehab and Nursing Center at Kingsbridge
The Cottages at Garden Grove
The Country Manor Nursing and Rehabilitation Centre
The Crossings Nursing and Rehabilitation Centre
The Friendly Home
The Grand Pavilion for Rehab & Nursing at Rockville Centre
The Grand Rehabilitation and Nursing at Chittenango
The Grand Rehabilitation and Nursing at Pawling
The Grand Rehabilitation and Nursing at Queens
The Grand Rehabilitation and Nursing at Rome
The Grove at Valhalla Rehabilitation and Nursing Center
The Hamptons Center for Rehabilitation and Nursing
The Heritage Rehabilitation and Health Care Center
The Highlands Living Center
The Highlands at Brighton
The Hurlbut
The Komanoff Center for Geriatric and Rehabilitative Medicine
The Mountain View Nursing and Rehabilitation Centre
The New Jewish Home, Harry and Jeanette Weinberg Campus
The New Jewish Home, Manhattan
The New Jewish Home, Sarah Neuman
The Orchard Nursing and Rehabilitation Centre
The Pavilion at Queens for Rehabilitation & Nursing
The Phoenix Rehabilitation and Nursing Center
The Pines Healthcare & Rehabilitation Centers Machias Ca
The Pines Healthcare & Rehabilitation Centers Olean Camp
The Pines at Catskill Center for Nursing & Rehabilitati
The Pines at Glens Falls Center for Nursing & Rehabili
The Pines at Poughkeepsie Center for Nursing & Reh
The Pines at Utica Center for Nursing & Rehabilitation
The Riverside
The Shore Winds LLC
The Springs Nursing and Rehabilitation Centre
The Stanton Nursing and Rehabilitation Centre
The Valley View Center for Nursing Care and Rehab
The Villages of Orleans Health and Rehabilitation Center
The Wartburg Home
Throgs Neck Rehabilitation & Nursing Center
Tolstoy Foundation Nursing Home Co Inc
Townhouse Center for Rehabilitation & Nursing
Uihlein Living Center
Union Plaza Care Center
United Hebrew Geriatric Center
Unity Living Center
University Nursing Home
Utica Rehabilitation & Nursing Center
Valley Health Services Inc
Valley View Manor Nursing Home
Van Duyn Center for Rehabilitation and Nursing
Van Rensselaer Manor
Verrazano Nursing Home
Vestal Park Rehabilitation and Nursing Center
Victoria Home
Villagecare Rehabilitation and Nursing Center
Vivian Teal Howard Residential Health Care Facility
Warren Center for Rehabilitation and Nursing
Washington Center for Rehabilitation and Healthcare
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
300
240
354
56
120
54
240
82
400
156
90
82
200
158
80
122
179
160
160
280
79
122
145
160
150
79
744
514
301
88
302
400
115
120
136
120
200
117
520
229
80
120
360
120
210
205
96
280
157
280
296
120
46
120
160
82
513
362
120
110
49
105
160
80
122
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.21
0.26
0.18
0.31
0.15
0.18
0.21
0.16
0.26
0.26
0.21
0.26
0.17
0.19
0.17
0.21
0.17
0.21
0.19
0.15
0.16
0.13
0.17
0.19
0.27
0.26
0.27
0.17
0.19
0.18
0.25
0.20
0.17
0.29
0.19
0.17
0.22
0.19
0.20
0.18
0.29
0.17
0.20
0.16
0.27
0.17
0.24
0.27
0.15
0.26
0.16
0.25
0.24
0.19
0.30
0.14
0.15
0.18
0.17
0.17
0.22
0.17
0.22
0.24
0.18
140133710
514930310
596030310
700336710
700035010
582330210
582000030
272230110
170230010
022830510
270135210
450130110
700340310
590130610
590331210
595730310
180130510
275330110
515830110
295230610
590231510
105930110
280100130
700037910
142130610
036430110
700335710
130130110
132030110
555630110
700333610
515131610
552230310
295031510
275030310
700039010
602700030
Waterfront Center for Rehabilitation and Healthcare
Waters Edge at Port Jefferson for Rehabilitation and Nursing
Waterview Hills Rehabilitation and Nursing Center
Waterview Nursing Care Center
Wayne Center For Nursing And Rehabilitation
Wayne County Nursing Home
Wayne Health Care
Wedgewood Nursing Home
Wells Nursing Home Inc
Wellsville Manor Care Center
Wesley Gardens Corporation
Wesley Health Care Center Inc
West Lawrence Care Center LLC
West Ledge Rehabilitation and Nursing Center
Westchester Center for Rehabilitation & Nursing
Westchester Meadows
Western New York State Veterans Home
Westgate Nursing Home Inc
Westhampton Care Center
White Oaks Rehabilitation and Nursing Center
White Plains Center For Nursing Care LLC
Whittier Rehabilitation & Skilled Nursing Center
Wilkinson Residential Health Care Facility
Williamsbridge Manor Nursing Home
Williamsville Suburban LLC
Willow Point Nursing Home
Windsor Park Nursing Home
Wingate at Beacon
Wingate of Dutchess
Wingate of Ulster
Woodcrest Rehabilitation & Residential Health Care Ctr LLC
Woodhaven Nursing Home
Woodland Pond at New Paltz
Woodmere Rehabilitation And Health Care Center
Woodside Manor Nursing Home Inc
Workmens Circle Multicare Center
Wyoming County Community Hospital Snf
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
160
120
130
180
243
192
180
29
100
120
200
356
215
100
240
20
126
124
180
200
88
120
160
77
220
300
70
160
160
120
200
143
40
336
44
524
138
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0.20
0.21
0.29
0.27
0.28
0.21
0.17
0.18
0.17
0.15
0.17
0.17
0.19
0.27
0.27
0.32
0.22
0.15
0.14
0.23
0.16
0.27
0.26
0.17
0.19
0.28
0.19
0.19
0.27
0.21
0.23
0.21
0.22
0.26
0.19
0.27
0.24
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 Initial Rates
Nursing Home Benchmark Rates
Non Comparable Ancillary Breakdown
Opcert
295030230
272530110
042030210
142230310
060130310
146130210
030230310
315830210
022630210
143530310
043330310
502630110
067530210
522030310
565530210
515432310
015330210
162400030
212930310
700235610
592630010
515331110
070100030
700138910
050130910
056630210
380100030
143030110
515731310
252030110
700031910
270135710
462030010
102330110
180130610
700038910
590431710
296130210
290230310
540130910
145130610
295030110
515132110
700139610
510130110
700030810
320130810
072230110
592130110
590530310
015130010
320130710
700335210
700335610
700137910
270135410
270136010
270136110
582830110
700139410
700330910
030130810
310130010
512030130
700038110
700038010
700036410
512330410
700339910
700138810
700130810
700138210
145630010
700138310
700136410
700235010
700130710
355730210
142130510
285030010
515330610
700431010
Name
A Holly Patterson Extended Care Facility
Aaron Manor Rehabilitation and Nursing Center
Absolut Center for Nursing and Rehabilitation at Allega
Absolut Center for Nursing and Rehabilitation at Auror
Absolut Center for Nursing and Rehabilitation at Dunki
Absolut Center for Nursing and Rehabilitation at Eden
Absolut Center for Nursing and Rehabilitation at Endic
Absolut Center for Nursing and Rehabilitation at Gaspo
Absolut Center for Nursing and Rehabilitation at Hough
Absolut Center for Nursing and Rehabilitation at Orcha
Absolut Center for Nursing and Rehabilitation at Salam
Absolut Center for Nursing and Rehabilitation at Three
Absolut Center for Nursing and Rehabilitation at Westfi
Achieve Rehab and Nursing Facility
Adirondack Tri-County Nursing and Rehabilitation
Affinity Skilled Living and Rehabilitation Center
Albany County Nursing Home
Alice Hyde Medical Center
Alpine Rehabilitation and Nursing Center
Amsterdam Nursing Home Corp (amsterdam House)
Andrus On Hudson
Apex Rehabilitation & Care Center
Arnot Ogden Medical Center Residential Health Care Facility
Atlantis Rehabilitation and Residential Health Care Fa
Auburn Nursing Home
Auburn Senior Services Inc
Aurelia Osborn Fox Memorial Hospital
Autumn View Health Care Facility LLC
Avalon Gardens Rehabilitation and Health Care Center
Avon Nursing Home LLC
Bainbridge Nursing And Rehabilitation Center
Baird Nursing Home
Baptist Health Nursing And Rehabilitation Center Inc
Barnwell Nursing and Rehabilitation Center
Batavia Nursing Home LLC
Bay Park Center for Nursing and Rehabilitation LLC
Bayberry Nursing Home
Bayview Nursing and Rehabilitation Center
Beach Terrace Care Center
Beechtree Care Center
Beechwood Homes
Belair Care Center Inc
Bellhaven Center For Rehabilitation and Nursing Care
Bensonhurst Center for Rehabilitation and Healthcare
Berkshire Nursing & Rehabilitation Center
Beth Abraham Health Services
Bethany Gardens Skilled Living Center
Bethany Nursing Home & Health Related Facility Inc
Bethel Nursing and Rehabilitation Center
Bethel Nursing Home Company Inc
Bethlehem Commons Care Center
Betsy Ross Rehabilitation Center Inc
Bezalel Rehabilitation and Nursing Center
Bishop Charles Waldo Maclean Episcopal Nursing Home
Bishop Henry B Hucles Episcopal Nursing Home
Blossom Health Care Center
Blossom North Nursing and Rehabilitation Center
Blossom South Nursing and Rehabilitation Center
Blossom View Nursing Home
Boro Park Center for Rehabilitation and Healthcare
Bridge View Nursing Home
Bridgewater Center for Rehabilitation & Nursing LLC
Briody Health Care Facility
Broadlawn Manor Nursing and Rehabilitation Center
Bronx Center For Rehabilitation and Health
Bronx Park Rehabilitation & Nursing Center
Bronx-Lebanon Special Care Center
Brookhaven Health Care Facility LLC
Brookhaven Rehabilitation & Health Care Center
Brooklyn Center for Rehabilitation and Residential Hea
Brooklyn United Methodist Church Home
Brooklyn-Queens Nursing Home
Brothers Of Mercy Nursing & Rehabilitation Center
Buena Vida Continuing Care & Rehab Ctr
Bushwick Center for Rehabilitation and Health Care
Cabrini Center For Nursing And Rehabilitation
Cabs Nursing Home Company Inc
Campbell Hall Rehabilitation Center Inc
Canterbury Woods
Capstone Center for Rehabilitation and Nursing
Carillon Nursing and Rehabilitation Center
Carmel Richmond Healthcare and Rehabilitation Center
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non
Comparable
Rate
29.8
12.93
7.15
5.84
5.95
5.94
6.63
5.64
6.34
6.96
3.27
8.55
6.24
14.81
12.7
14.58
12.66
10.31
8.43
20.14
14.99
16.48
15.84
10.68
5.29
7.25
11.96
9.53
4.75
7.22
8.87
6.35
10.69
13.73
9.46
8.62
10.18
5.52
6.88
11.27
9.36
5.29
3.74
12.31
6.11
18.9
11.39
6.25
9
9.61
8.64
9.87
10.76
9.9
9.75
8.01
9.45
7.71
8.15
38.07
4.41
7.37
6.95
22.43
8.67
6.73
27.58
13.86
13.12
5.82
11.9
7.06
9.89
19.4
8
9.32
10.54
6.07
6.74
14.9
9.4
15.26
Medical
Directors
0.93
0.62
0
0.81
0
1.18
0.49
0.64
0.58
0.68
0
1.46
1.33
3.12
0.69
0.95
2.02
0.14
0.65
1.95
0.97
1.45
0
3.01
0.71
0.38
0
1.19
1.03
0.14
0.54
0.55
0.31
0.29
1.3
1.34
2.01
0.49
0.45
0.95
0.59
0.51
0.48
0
0.53
2.55
2.39
1.5
0.85
2.5
0.67
0.76
0.73
0.87
1.14
0.42
0
0
0.68
5.32
0.88
1.06
1.87
0
1.73
0.3
3.74
1.67
0.46
0
1.24
0.29
0.57
3.91
0
4.06
1.58
0.66
0
1.81
0.3
0.37
Utilization
Review
1.57
1.33
0
0
0
0
0
0
0
0
0
0
0
2.38
1.96
0
0
3.14
0
0
0
7.22
0
1.36
0
0
1.89
0
0
0
0
0
1.02
3.41
0
0
0
0
0
1.33
0
0
0
0
0
0
0
0
0
0
0
0
0
1.8
0
0
0
0
0
5.02
2.62
0
0
3.45
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2.51
0.76
1.93
Electro
Electro
Lab Services Cardialoogy Encephalogy
$ per Day
$ Per Day
$ Per Day
0.42
0
0
0
0
0
0
0
0
0
0
0
0
0
0.32
0.9
0.18
0
0.38
0.64
0.28
0
1.26
0
0
0.51
0.85
0.67
0.4
0
0.26
0
0.17
0
0.47
0.44
0
0
0
0
0.42
0
0
0
0
3.14
0.49
0
0
0
0.28
0
0
0.57
0.18
0.14
0
0
0
1.28
0
0
0
3.86
0
0
2.39
1.35
0
0
0.2
0.15
1.1
0.18
0
0
0
0.4
0.27
0.26
0
-0.28
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0
-0.29
0.01
0
0
0
0.01
0.04
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-0.06
0
0
0.09
0
0
0
0
0
0
0
0.02
0
0
0
0
0
0.07
0
0
0
0.16
0
0
0
0.22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Radiology
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0.12
1.1
0.12
0
0.17
0.75
0.23
0.29
0.49
0
0
0.5
0.01
0.32
0
0
0
0
0.12
0
0.49
0.22
0
0
0
0.04
0.3
0
0.06
0
0
0.53
0.21
0
0
0
0.26
0.19
0
1.79
0.46
0.16
0
0
0
1.05
0
0
0
0.64
0
0
0.97
0.9
0
0
0.05
0.1
1.02
0.22
0
0
0
0.3
0.19
0.21
0
0.06
Inhalation
Therapy
1.27
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.78
0
0
0
0
0
1.24
0.45
0
0
0
0.34
0.12
0
0.05
0
0
0
0
0
0
0
0
0
0.14
0
0
0
0
0
0
0
0
0
0
0
0
0.07
0.08
0
0
0
0
1.84
0
0.2
0
0
0
0
1.84
0.07
6.15
0
0
0
0
0
0
0
0
0
0
0
0
0.17
Podiatry
0
0
0
0
0
0
0
0
0
0
0
0
0
-0.02
0
0
0
0
0
0.02
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Dental
0.79
0.46
0
0.4
0
0.64
0.59
0.6
0.56
0.42
0
0.58
0.58
0.91
0.31
0.5
0.9
0
0.23
0.54
0.57
0.56
0
0.41
0.55
0.31
0
0.35
0.56
0.05
0.31
0.11
0.44
0.43
0.38
0.43
0.7
0.6
0.53
0.78
0.49
0.81
0.45
0
0.57
0.85
0.73
0.72
0.63
1.04
0.17
0.46
0.66
0.62
0
0.36
0
0
0.5
0.51
0.39
0.45
0.29
0.62
0.38
0.62
1.53
0.54
0.54
0
0.48
0.53
0.47
0.51
0.62
0.45
0.5
0.49
0.32
0.45
0.37
0.2
Psychiatric
1.48
0.25
0
0
0
0
0
0
0
0
0
0
0
-0.22
0.56
0
0
0
0.76
0.65
0
0
0
0
0
0
0
0.08
0.01
0.21
0.02
0.42
0.08
0
0
0
0
0
1.12
0.01
0
0
0
0
0
0
0
0
0
0
0.17
0
0
0
0
0.24
0
0
0.29
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.99
0
0
Hearing
0
0
0
0
0
0
0.01
0
0
0
0
0
0.01
0.45
0.08
0
0.31
0
0
0
0
0
0
0
-0.03
0
0
0
0.21
0.02
0
0
0
0
0
0
0
0
0
0
-0.18
0
0
0
0
0.12
0
0
0
0
0
0
0
0
0
0.07
0
0
0
0.16
0
0
0
0
0
0
0.45
0
0
0
0
0
-0.28
0.27
0.05
0
0
0.02
0
0
0
0
Medcial Staff
Services
4.58
3.69
0
0.41
0
0.03
0.98
0.01
0.07
1.27
0
0.01
0
0
0
0
0.57
0
0
7.83
0
0
1.09
0
0
1.36
0
0
0
0
0
0
3.08
0.47
0
0
0
0.04
0
1.87
0
-0.1
2.13
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12.07
0
0
0
3.01
0
0
3.18
0
0
0
0
0
0.61
6.43
0
0
0
0
1.52
0
0.06
0.15
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.05
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.29
0
0
-0.01
0
0
0
3.73
0
0
0
0
0
0.84
0
0
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6.92
0
0
0
0
0.84
0
0
0
0.39
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.1
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other
Ancilary
6.46
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.06
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Admin Non
Comp
Allocation
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.16
0
0
0
0
0.28
0
0
0
0.12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Utilities Non
Comp
Allocation
11.45
6
0
4.03
0
3.92
4.39
4.09
5.02
4.42
0
6.21
4.17
7.82
7.57
10.92
6.9
-0.3
5.99
7.31
11.97
6.89
8.84
5.2
3.66
4.05
8.66
4.59
2.08
5.6
7.53
5.24
5.27
8.9
5.62
6.12
6.94
4.29
4.68
5.77
7.4
3.31
0
0
4.92
11.1
7.28
3.76
6.46
5.78
6.09
5.01
9.18
3.81
7.7
4.07
0
0
5.51
9.6
0
5.44
4.46
7.75
6.44
5.74
7.33
6.14
5.9
0
8.7
5.8
4.95
6.52
6.92
4.54
7.78
3.93
3.19
8.05
7.58
11.43
RX Admin
Allocation
0.82
0.58
0
0.18
0
0.17
0.16
0.3
0.1
0.17
0
0.29
0.14
0.38
1.09
0.2
0.6
0.25
0.25
0.43
0.97
0.36
0.51
0.26
0.4
0.14
0
1.95
0.35
1.2
0.16
0.03
0.19
0.24
1.2
0.06
0.53
0.09
0.1
0.53
0.2
0.75
0.69
0
0.08
0.52
0.28
0.27
1.07
0.28
1
3.45
0.18
0.35
0.19
2.54
0
0
1.17
0.52
0.52
0.22
0.33
2.9
0.11
0.06
2.43
2.97
0.08
0
1.23
0.19
0.61
1.37
0.41
0.27
0.68
0.27
1.25
0.61
0.33
1.23
Total Non
Comp Cost
5853000
618949
0
618480
0
80572
354664
156103
217636
488795
0
350182
257089
742598
369034
1405345
1247902
276715
232245
2963938
997338
1117022
229943
1459979
171151
707710
558585
633099
503491
96542
588765
62666
988532
1104481
202730
1425210
200678
340467
441598
473571
899040
186421
311501
0
377504
3014250
401670
263953
621689
248992
373173
389208
442328
558711
822240
226981
0
0
370871
6260082
296483
836590
197363
2567180
625077
530842
1193650
806813
1383105
0
494383
340038
838987
1663813
281470
803696
583986
274741
116430
624512
1034113
1631248
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 Initial Rates
Nursing Home Benchmark Rates
Non Comparable Ancillary Breakdown
Opcert
223800130
700136610
526300030
056630110
540131110
515132010
590530810
700135410
295230810
090100130
700335110
322730410
082330010
060130010
070130110
082400030
380130310
262930310
270133910
700338010
342100030
095230010
700432110
700132310
295230710
700233630
700233730
320130510
262500030
700134810
700037510
252530110
500130010
110130710
110130630
590130710
276230110
262330010
110130910
700139810
700136710
022600030
515030210
700034210
010131210
310300030
140132810
700234710
416130410
700139310
700138010
700339510
700335910
590432110
132230210
700036010
515030310
602730310
700038310
323930010
010200110
410231110
015130110
275430410
700430310
593130110
135530110
352330210
350230410
132430210
072230410
145130710
145530310
146430210
143030310
140630310
333130110
532030210
312130410
142130710
030130710
460100130
Name
Carthage Area Hospital
Caton Park Nursing Home
Catskill Regional Medical Center
Cayuga County Nursing Home
Cayuga Ridge Extended Care
Cedar Lodge Nursing Home
Cedar Manor Nursing & Rehabilitation Center
Center For Nursing & Rehabilitation Inc
Central Island Healthcare
Champlain Valley Physicians Hospital Medical Center Snf
Chapin Home For The Aging
Charles T Sitrin Health Care Center Inc
Chase Memorial Nursing Home Co Inc
Chautauqua County Home
Chemung County Health Center-nursing Facility
Chenango Memorial Hospital Inc Snf
Chestnut Park Rehabilitation and Nursing Center
Chittenango Center for Rehabilitation and Health Care
Church Home Of The Protestant Episcopal Church
Cliffside Rehabilitation and Residential Health Care Center
Clifton Springs Hospital And Clinic Extended Care
Clinton County Nursing Home
Clove Lakes Health Care and Rehabilitation Center
Cobble Hill Health Center Inc
Cold Spring Hills Center for Nursing and Rehabilitation
Coler Memorial Hospital Snf
Coler-Goldwater Specialty Hospital & Nursing Facility
Colonial Park Rehabilitation and Nursing Center
Community Memorial Hospital Inc Nh Unit
Concord Nursing Home Inc
Concourse Rehabilitation and Nursing Center
Conesus Lake Nursing Home LLC
Corning Center for Rehabilitation and Healthcare
Cortland Park Rehabilitation and Nursing Center
Cortland Regional Nursing and Rehabilitation Center
Cortlandt Healthcare
Crest Manor Living and Rehabilitation Center
Crouse Community Center Inc
Crown Center for Nursing and Rehabilitation
Crown Heights Center for Nursing and Rehabilitation
Crown Nursing and Rehabilitation Center
Cuba Memorial Hospital Inc Snf
Daleview Care Center
Daughters Of Jacob Nursing Home Company Inc
Daughters Of Sarah Nursing Center - NF
Degraff Memorial Hospital-skilled Nursing Facility
Delaware Nursing & Rehabilitation Center
Dewitt Rehabilitation and Nursing Center Inc
Diamond Hill Nursing and Rehabilitation Center
Ditmas Park Care Center
Dr Susan Smith Mckinney Nursing and Rehabilitation Center
Dr William O Benenson Rehabilitation Pavilion
Dry Harbor Nursing Home
Dumont Center for Rehabilitation and Nursing Care
Dutchess Center for Rehabilitation and Healthcare
East Haven Nursing And Rehabilitation Center
East Neck Nursing and Rehabilitation Center
East Side Nursing Home
Eastchester Rehabilitation and Health Care Center
Eastern Star Home & Infirmary
Eddy Cohoes Rehabilitation Center
Eddy Heritage House Nursing Center
Eddy Village Green at Beverwyck
Edna Tina Wilson Living Center
Eger Health Care and Rehabilitation Center
Elant at Brandywine Inc
Elant at Fishkill Inc
Elant at Goshen Inc
Elant at Newburgh Inc
Elant at Wappinger Falls
Elcor Nursing and Rehabilitation Center
Elderwood at Amherst
Elderwood at Cheektowaga
Elderwood at Grand Island
Elderwood at Hamburg
Elderwood at Lancaster
Elderwood at Liverpool
Elderwood at Waverly
Elderwood at Wheatfield
Elderwood at Williamsville
Elizabeth Church Manor Nursing Home
Ellis Residential & Rehabilitation Center
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non
Comparable
Rate
13.83
8.54
15.62
7.02
10.49
9.77
7.11
14.87
11.28
20.76
7.59
18.37
5.85
11.34
11.64
9.24
5.67
9.43
11.67
7.51
25.67
4.96
13.3
13.9
13.65
35.99
50.64
8.28
15.56
12.51
8.09
6.34
5.64
7.96
22.23
9.57
2.85
10.71
9.34
6.48
8.73
11.77
14.08
14.96
10.53
15.92
7.22
12.89
13.63
13.03
26.86
19.72
7.84
8.98
8.03
8.16
14.77
7.26
7.28
12.46
18.71
9.63
11.03
8.97
15.23
10.95
8.4
15.8
5.47
7.3
10.61
9.39
8.5
7.56
8.39
7.57
9.15
9.47
9.95
10.58
10.59
23.13
Medical
Directors
0
1.13
0
0.54
0
0
0.48
4
2
0
1.83
0.71
0.51
0.12
0
0
0.94
1.49
0.27
0.33
0
0.79
1.83
1.52
2.65
0
0
1.14
0.4
1.32
0.57
0.12
0.56
1.52
0.21
1.78
0.32
0
0.5
0.74
2.05
0.69
0.46
0.38
0.29
0
0.45
4.14
0.76
0.74
0
0.35
1.01
1.05
2.74
0.64
0.38
0.36
0.88
2.39
4.1
1
0
0.95
1.6
1.27
0.54
2.99
0.78
0.65
0.5
0.41
0.85
0.68
0.8
0.37
1.11
1.36
1.06
2.27
0.39
0
Utilization
Review
0.02
0
2.21
0
0
0
0
0
1.96
5.38
0
0
0
0
0
0
0
0.74
0
0
0
0
0
3.39
0
1.49
0.52
0
0
0
0
0
0
0
1.73
3.15
0
0
0.64
0
0
0
4.86
1.99
0.73
1.66
0
0
1.62
0
3.13
0
0
0
0
0
6.33
0
0
0
0
0
0
0
4.08
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2.72
0
Electro
Electro
Lab Services Cardialoogy Encephalogy
$ per Day
$ Per Day
$ Per Day
2.07
0
0.39
0
0
0
0
0
0
2.75
0.15
0
0
0.22
0.94
0.21
0
0
0
0
2.02
0
1.01
0.38
0.7
2.17
1.37
0
2.29
0.06
0
0
0
0
1.41
0
0.48
0
0.6
0
0.7
1.05
0
0.17
0.38
1.44
0
0.89
0.49
0
3.87
0
0
0.29
0
0.43
0
0
0
0
2.57
0.56
0
0.42
0.64
0.32
0.36
0
0
0
0
0.48
0.55
0.34
0.84
0.36
1.35
1.04
0.41
0.78
0.4
0.7
0.03
0
0.02
0
0
0
0
0
0
0.11
0
0
0
0
0
0
0
0
0
0
0.07
0
0
0
0
0.25
0.06
0
0
0
0
0
0
0
0.13
0
0
0
0
0
0
0
0
0
0
0.02
0
0
0
0
0
0
0
0.46
0
0
0
0
0
0
0
0
0
0
0.03
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.04
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0.05
0.06
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
Radiology
0.5
0
0.55
0
0
0
0
0
0
0.83
0.17
0
0
0.13
0
0.09
0
0
0
0
0.33
0
1.24
0.76
0.59
1.76
1.27
0
0.55
0.24
0
0
0
0
0.51
0
0
0
0.11
0
0.48
0.37
0
0.21
0.26
0.29
0
0.8
0.14
0
0
0
0
0.52
0
0
0
0
0
0
0.48
0.27
0
0
0.45
0
0.45
0
0
0
0
0.69
0.57
0.18
0.35
0.48
0.62
0.61
0.3
0.64
0.29
0.89
Inhalation
Therapy
3.69
0
0.75
0
0
0
0
0
0
3.17
0
0
0
0.01
0
0
0
0
0
0
7.08
0
0
0
0.84
1.95
4.04
0
0
0
0
0
0
0
1.86
0
0
0.4
0.28
0
0
0.5
0
0
0
0
0.01
0
0.43
3.59
0
10.54
0
0.01
0
0.05
0
0
0.68
0
0
0
0
0
0.37
0
0
0
0
0
0.41
0.33
0.45
0.06
0.06
0.13
0.1
0.22
0.3
0.14
0
0.01
Podiatry
Dental
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.45
0
0.22
0
0
0.7
0.36
0.3
0
0.54
-0.16
0.74
0.41
0
0
0.64
0.1
0.47
0.49
0
0.4
0.51
0.89
0.57
1.24
3.16
0.67
0
0.58
-1.05
0.21
0.8
0.59
0.46
0.78
0.04
0.56
0.55
0.59
0.75
0.03
0.55
0.75
0.31
1.2
0.44
0.52
0.65
0.46
0.06
0.51
0.33
0.57
0.22
0.2
0.42
0.34
0.6
1.02
1.24
0.62
0
0.27
0.48
0.68
0.52
0.66
0.5
0.72
0.12
-0.08
0.09
0.14
0.23
0.08
-0.01
0.29
0.12
0.28
0.76
0.06
Psychiatric
0
0
0
0
0
0
0
0
0
0
0
0.21
0.21
0
0
0
0
0
0
0
0
0
0
0
0
2.06
1.95
0
0
0
0
0.2
0
0
0
0
0.17
0
0.21
0
0
0
0
0
0
0
0
0
0.36
0
0.01
0
0
0
0
0.02
0
0.07
0.01
0.24
0
0
0
0
0
0
0
0
0
0
0.26
0.45
0.07
0.14
0.08
0.13
0
0.05
0.03
0.08
0
0
Hearing
0
0
0
0
0
0
0
0
0
0
0
0.94
0
0.11
0
0
0
0
0
0.02
0
0
0
0
1.06
0
0
0
0
0
0.01
0.04
0
0
0
0
-2.49
0.03
0.12
0
0
0
0
0
0
0
0
0.01
1.81
0
-0.47
0.01
0.03
0.07
0
0
0
0
0
0
0
0
0
0
0
0.84
0
0
0
0
0
0
0
0
0
0
0
0.07
0
0
0
0
Medcial Staff
Services
0
0
0
0.4
0
0
0
0
0
2.33
0
7.28
0
1.83
0
0
0
0
4.78
0
0
0
0
0
0
12.16
14.95
0
0
2.4
1.93
0
0
0.15
0
0.03
0
2.37
0
0
0
0
0
0
0.29
0.27
0.03
0
1.65
0
8.91
0.05
0.75
0
-0.11
0
0
0
0
0
0
0.68
0
2.05
0
0
0
0
0
0
4.4
0
0
0
0
0
0
0.46
0
0
0
5.21
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.27
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
1.35
0
0
0
0
0
0
0
0.07
0
0
0
0.65
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
1.9
0
0
0
0
0
0
0
0.2
0.24
0
0
0
0
0.79
1.09
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.06
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.09
Other
Ancilary
0
0
0.08
0
0
0
0
0
0
0.24
0
0
0
0
0
0
0
0
0
0
0.31
0
0
0
0
0.29
0.47
0
0.08
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.77
Other
Ancilary
0
0
0.09
0
0
0
0
0
0
0.44
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6.17
7.46
0
6.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Admin Non
Comp
Allocation
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.23
0
0
0
0
0
0
0
0
0
0.22
0.19
0
0
0
0
0
0
0
0.49
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.17
Utilities Non
Comp
Allocation
7.33
6.73
11.52
5.85
0
0
5.4
9.93
6.68
3.11
4.81
7.48
4.38
7.75
4.79
8.61
3.53
6.67
5.54
6.4
12.08
2.9
8.56
5.69
5.73
4.35
12.5
4.49
6
6.03
6.24
4.54
3.89
4.63
13.37
2.5
4.07
7.08
4.59
4.95
4.38
7.65
6.48
11.03
8.05
9.6
4.54
5.4
5.31
7.3
10.54
7.94
5.19
5.25
4.67
6.62
5.78
5.68
4.18
7.62
8.98
5.73
0
5.03
7.17
6.78
6.17
11.4
3.39
5.09
4.11
5.76
4.51
5.3
4.39
4.67
4.15
4.34
6.27
4.9
5.05
11.4
RX Admin
Allocation
0.15
0.24
0.01
0
0
0
0.52
0.58
0.33
1.58
0.09
0.02
0
0.77
5.9
0.09
0.56
0.43
0.62
0.07
3.51
0.87
0.14
1.01
1.51
1.04
1.54
1.97
0.21
1.89
0.38
1.23
0.39
1.07
2.04
1.33
0.26
0.26
0.39
0.2
0.37
1.48
1.73
0.44
0.22
1.74
1.69
1.13
0.42
0.93
0.09
0.33
0.54
0.76
0.52
0.2
1.86
0.82
0.94
1.19
1.33
0.78
0
0.25
0.41
1.07
0.36
0.76
0.79
0.84
0.81
1.35
1.41
0.72
1.64
1.35
1.83
1.03
1.46
1.49
0.98
3.74
Total Non
Comp Cost
146926
363192
355283
201093
0
0
382318
1685611
748554
545090
592348
1043938
169690
878569
830621
254932
156087
257173
714114
475595
933780
143517
2702974
2373872
3142020
10322639
10487776
217545
220347
553811
634226
100518
240243
337957
626532
403004
76986
462824
613865
627852
567740
245276
665838
2223914
801642
453100
482634
2195619
537485
877553
2905242
1954570
989039
533811
347177
574780
1548298
190714
465991
376658
350273
415129
0
390985
2087594
472152
478758
674051
367802
152923
1156161
299620
480893
240557
492464
253671
518991
669416
561720
745738
445082
669052
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 Initial Rates
Nursing Home Benchmark Rates
Non Comparable Ancillary Breakdown
Opcert
342930310
700339610
155230010
415230310
090130110
295230910
272530010
700337510
700331510
143530210
132730010
142730310
590130210
700038510
050100030
700336610
700340710
320231310
212430010
700339410
700338710
572430210
700235910
500100110
700138510
143530410
700340210
166430010
435030510
175430110
295031710
295031610
145530010
180130410
352330310
290130510
590431810
465130010
290130010
700037610
700432210
550131110
515431010
036330110
030130510
042730210
291330110
700036110
290230410
700234110
146730110
540130510
015530310
515330710
275430010
700103410
140132910
322630110
140630110
700337810
140132310
700136910
700030210
595730210
590431410
432230030
290630410
152730010
065830110
320231410
060231010
066230110
295130610
700336310
440230010
022830310
350130510
140100130
515331010
276130210
700335010
700338110
Name
Elm Manor Nursing Home
Elmhurst Care Center Inc
Essex Center for Rehabilitation and Healthcare
Evergreen Commons
Evergreen Valley Nursing Home
Excel at Woodbury for Rehabilitation and Nursing LLC
Fairport Baptist Homes
Fairview Nursing Care Center Inc
Far Rockaway Nursing Home
Father Baker Manor
Ferncliff Nursing Home Co Inc
Fiddlers Green Manor Rehabilitation and Nursing Center
Field Home-holy Comforter
Fieldston Lodge Care Center
Finger Lakes Center for Living
Flushing Manor Care Center
Flushing Manor Nursing & Rehabilitation
Focus Rehabilitation and Nursing Center at Utica
Folts Home
Forest Hills Care Center
Forest View Center for Rehabilitation & Nursing
Fort Hudson Nursing Center Inc
Fort Tryon Center for Rehabilitation and Nursing
Founders Pavilion
Four Seasons Nursing and Rehabilitation Center
Fox Run at Orchard Park
Franklin Center for Rehabilitation and Nursing
Franklin County Nursing Home
Friedwald Center for Rehabilitation & Nursing LLC
Fulton Center for Rehabilitation and Healthcare
Fulton Commons Care Center Inc
Garden Care Center
Garden Gate Health Care Facility
Genesee County Nursing Home
Glen Arden Inc
Glen Cove Center for Nursing and Rehabilitation
Glen Island Center for Nursing and Rehabilitation
Glendale Home-schdy Cnty Dept Social Services
Glengariff Health Care Center
Gold Crest Care Center
Golden Gate Rehabilitation and Health Care Center
Golden Hill Nursing and Rehabilitation Center
Good Samaritan Nursing Home
Good Shepherd Village at Endwell
Good Shepherd-fairview Home Inc
Gowanda Rehabilitation and Nursing Center
Grace Plaza Nursing and Rehabilitation Center
Grand Manor Nursing & Rehabilitation Center
Grandell Rehabilitation and Nursing Center
Greater Harlem Nursing Home Company Inc
Greenfield Health and Rehabilitation Center
Groton Community Health Care Center Residential Care Facility
Guilderland Center Rehabilitation and Extended Care Facility
Gurwin Jewish Nursing and Rehabilitation Center
Hamilton Manor Nursing Home
Hamilton Park Nursing and Rehabilitation Center
Harbour Health Multicare Center for Living
Harding Nursing Home
Harris Hill Nursing Facility LLC
Haven Manor Health Care Center LLC
Hawthorn Health Multicare Center for Living
Haym Solomon Home For The Aged
Hebrew Home For The Aged At Riverdale
Hebrew Hospital Home of Westchester Inc
Helen and Michael Schaffer Extended Care Center
Helen Hayes Hospital RHCF
Hempstead Park Nursing Home
Heritage Commons Residential Health Care
Heritage Green Nursing Home
Heritage Health Care Center
Heritage Park Health Care Center
Heritage Village Rehab and Skilled Nursing Inc
Highfield Gardens Care Center of Great Neck
Highland Care Center
Highland Nursing Home Inc
Highland Park Rehabilitation and Nursing Center
Highland Rehabilitation and Nursing Center
Highpointe on Michigan Health Care Facility
Hilaire Rehab & Nursing
Hill Haven Nursing Home
Hillside Manor Rehabilitation and Extended Care Center
Hollis Park Manor Nursing
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non
Comparable
Rate
10.16
7.8
13.26
15.11
5.3
8.54
12.13
7.62
5.1
9.83
9.37
6
6.56
7.91
8.58
6.62
7.44
10.36
12.35
7.79
6.14
6.66
7.8
5.64
14.79
12.9
6.29
13.14
10.76
9.42
4.19
6.92
11.02
11.76
10.03
7.97
8.6
10.04
10.15
7.98
8.26
8.95
21.13
7.43
8.64
11.27
6.8
6.45
6.52
12.12
10.57
6.46
5.37
27.69
4.47
26.19
6.83
8.1
10.52
10.14
6.86
9.73
23.32
11
16.45
75.84
6.8
13.75
13.09
13.92
10.1
17.68
8.34
7.34
5.9
6.9
13.09
15
14.86
9.28
8.24
7.77
Medical
Directors
2.86
0.56
4.15
4.86
0.83
0.85
1.42
0.39
0.42
1.14
0
0.55
1.06
0.88
0
0.16
0.19
0
1.68
0.54
0.32
0.65
0.88
0.56
0.79
0
0.34
0.63
1.53
0
0.77
0.53
1.51
0.65
3
1.49
2.11
1.88
0.61
0.73
0.97
0.24
1.96
0
0.3
1.53
1.53
0.48
0.53
2.12
1.23
1.37
0.54
1.71
0.39
0
1.1
0.93
2.01
0.61
0.86
0.44
2.26
0.89
0
6.33
0.32
0.56
0.15
2.81
0.15
0.14
1.76
1.05
1.09
0.61
1.06
0
2.44
1.9
0.94
0.32
Utilization
Review
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.28
2.32
0
2.14
0
0
0.14
0
0
2.78
0
0
0
0
0
2.81
0
0
0
0
0
0
0
0.29
0
0
0
0
0
0
3.2
0
0
0
0
0
0
0
2.23
0
0
0
0
0
0
0
0
0
0
0
1.38
0
0
2.19
0
1.28
1.59
0
0
0
0
1.34
11.3
5.33
0
0
0
Electro
Electro
Lab Services Cardialoogy Encephalogy
$ per Day
$ Per Day
$ Per Day
0
0
0
0.57
0
0
0
0.47
0
0
0.18
0.64
0
0.56
0.14
0
0
0
0
0
0
0
0
0
0
0
0
0
0.77
0
0
0
0.73
0.63
0
0
0
-0.04
0
0.24
0
0
0
0
0.45
0
0
0
0
1.58
1.18
0.4
0
0.95
0
0
0
0.11
0.47
0
0
0
1.03
0.52
0
10.69
0.46
0.71
0
0
0
0.48
0
0
0
0
0.58
1.11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.05
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.02
0
0
0
0
0.02
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Radiology
0
0
0
0.38
0
0
0
0.33
0
0
0.17
0.13
0
0.31
0.09
0
0
0
0.77
0
0
0
0
0
0
0
0
0
0.83
0
0
0
0.22
0.28
0
0
0
0.17
0
0.23
0
0
0
0
0.48
0
0
0
0
0.24
0.33
0.16
0.01
0.84
0
0
0
0.08
0.18
0
0
0
0.14
0.55
0
1.86
0.22
0.31
0
0.22
1.25
0.26
0
0
0
0
0.34
0
0
0
0
0
Inhalation
Therapy
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.35
0
0
0
0
0
4.55
0
0
0
0
0.36
0
0
0.46
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.15
0
0
0
0
0
0.4
0
0
0.28
0.46
0
0
0.06
0
0
0
0
0
0
0
0
0
0
0
0.35
0
0.57
0
0
Podiatry
0
0
0.18
0
0
0
0.07
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.05
0
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Dental
0.48
0.67
0.91
0.48
0.79
0.77
0.43
0.43
0.67
0.39
0.26
0.39
0.59
0.57
0
0.56
0.52
0
0.47
0.52
0
0.57
0.37
0.8
0.06
0
0.44
0.11
0.72
0.27
0.37
0.5
0.28
0.24
0.66
0.41
0.58
0.14
0.53
0.61
0.55
0.61
0.41
0
0.72
1.14
0.56
0.64
0.47
0.42
0.3
0.32
0.62
0.43
0.02
0
0.38
0.62
0.34
0.6
0.38
0.37
0.46
0.52
0
0.03
0.42
0.28
0.42
0.51
0.45
0.43
0.65
0.38
0.49
0.41
0.71
0.44
0.59
0.22
0.55
0.44
Psychiatric
0.24
0
0
0
0.01
0
0.19
0
0.17
0
0
0
0
0
0
0
0
0
0.12
0
0
0
0
0
0
0
0
0
0
0
0
0
0.1
0.09
0
0
0
0.18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.1
0.27
0
0
0
0.08
1.57
0
0
0.02
0
0
0.39
0
0.13
0.16
0
0.16
0.47
0
0
0
0
0
0
0
0.31
0
0
Hearing
0
0
0.05
0.01
0.1
0
0
0
0
0
0
0
0
0.2
0
0
0
0
0
0.01
0
0
0
0
0
0
0.02
0
0.01
0
0
0
0
0
-0.97
0.06
0
0.09
0.01
0
0
0
0.89
0
-0.65
0
0
0
0
0.03
0.01
0
0.01
0.28
0
0
0
0
0
0
0
0
0.36
0.02
0
0
0
0
0
0
0
0
0
0.47
0
0
0
0
0
0.14
0
0
Medcial Staff
Services
0
0
0
0
0
0
4.39
0
0
0
0.54
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
2.55
0
3.52
0
0
0
1.99
0
0.01
0
0
0
0
0
0.64
0
0
0.3
0
0.15
0
0.09
0
0
0
0
11.93
0.74
0
0
0.07
0
0
0
0
8.67
0
0
0
0
0
3.68
0
2.61
2.69
0.06
0
0
0.53
0
0.26
0
2.49
0
0
Other
Ancilary
0
0
0
0.04
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-0.05
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.24
0
0
0
0
0
0
-0.41
0
0.75
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1.16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.12
0
26.19
-0.06
0
0
0
0.4
0
0
0
0
23.02
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.02
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5.3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Admin Non
Comp
Allocation
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.27
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Utilities Non
Comp
Allocation
4.77
6.09
6.65
8.29
3.17
5.24
5.54
5.91
3.74
6.07
7.85
3.91
3.91
5.22
8.35
5.54
4.32
0
6.65
6.44
6.07
4.07
6.24
3.89
5
0
5.25
9.11
5.92
5.15
0
5.66
5.43
5.57
5.85
5.49
5.61
6.01
7.29
5.9
6.54
6.2
5.68
0
6.26
5.18
4.45
4.91
5.3
7.55
6.84
3.19
3.75
6.95
2.48
0
4.76
5.94
4.98
6.65
4.8
8.31
8.97
7.65
0
19.94
5.07
11.49
5.57
9.83
3.43
5.82
5.37
5.12
4.12
3.7
8.5
0.47
5.74
3.35
6.22
6.7
RX Admin
Allocation
1.81
0.48
1.32
0.49
0.41
1.69
0.09
0.09
0.1
2.24
0.38
0.38
1.01
0.18
0
0.06
0.09
0
0.18
0.28
-0.2
1.22
0.31
0.39
0.4
0
0.23
0.75
0.98
0.11
0.24
0.23
2.24
2.3
1.5
0.51
0.3
1.6
1.43
0.26
0.19
1.26
12.19
0
0.77
0.21
0.11
0.41
0.13
0.17
0.69
1.02
0.29
1.88
0.57
0
0.64
0.35
2.03
0.71
0.83
0.33
0.21
0.85
0
5.23
0.3
0.28
0.92
0.54
0.78
5.79
0.5
0.33
0.2
1.65
0.57
1.05
0.76
0.29
0.53
0.3
Total Non
Comp Cost
158345
662691
476458
1310148
164904
369611
837785
541936
176295
523627
1099716
161643
454890
520818
243701
604921
583247
0
698076
260922
346640
465669
556699
240243
1431848
0
696801
374652
593895
566771
411018
350146
731618
657437
141540
403228
542262
963651
873975
475092
683418
898591
694453
0
249858
615139
494925
536708
643944
857468
578808
176341
240638
4357889
61860
533033
221104
267935
717316
866989
286801
798863
4874233
695620
0
624532
575831
411473
686346
1006181
529922
726544
558203
826316
271533
192597
454191
1177118
391319
1139313
1153613
216704
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 Initial Rates
Nursing Home Benchmark Rates
Non Comparable Ancillary Breakdown
Opcert
700340910
700139510
152130010
700338910
500230210
010131410
700038810
555630210
515330910
492130210
030230210
572530410
502230130
335330010
700235210
515131810
700334610
410230910
030330610
330132210
700031310
515131710
142700010
275030410
700031710
700234010
590930210
330130910
100100030
700234410
322530310
540130810
593230010
700138710
590630010
700037210
700037410
460130510
442300010
270134510
700037010
275230110
515131410
275430110
275430310
700338510
182330010
242400030
700139710
700340810
340230310
340230210
252230010
106330210
700337710
515131010
330132710
700131310
130230610
060230810
291130310
700038710
442030110
272930010
700135310
700330510
515432110
290130410
700230510
320230810
290630210
500200130
140400010
700339810
290430110
090130310
515131910
362200030
700137210
050130810
140100830
162030030
Name
Holliswood Center for Rehabilitation and Healthcare
Hopkins Center for Rehabilitation and Healthcare
Horace Nye Home
Horizon Care Center
Hornell Gardens LLC
Hudson Park Rehabilitation and Nursing Center
Hudson Pointe at Riverdale Center for Nrsg and Reha
Hudson Valley Rehabilitation and Extended Care Center
Huntington Hills Center for Health and Rehabilitation
Huntington Living Center
Ideal Senior Living Center
Indian River Rehabilitation and Nursing Center
Ira Davenport Memorial Hospital Snf hrfa
Iroquois Nursing Home Inc
Isabella Geriatric Center Inc
Island Nursing and Rehab Center
Jamaica Hospital Nursing Home Co Inc
James A Eddy Memorial Geriatric Center
James G Johnston Memorial Nursing Home
James Square Health And Rehabilitation Centre
Jeanne Jugan Residence
Jeffersons Ferry
Jennie B Richmond Chaffee Nursing Home Company Inc
Jewish Home & Infirmary Of Rochester Ny Inc
Jewish Home Lifecare Henry and Jeanette Weinberg Campus Bronx
Jewish Home Lifecare Manhattan
Jewish Home Lifecare Sarah Neuman Center
Jewish Home Of Central New York
Kaaterskill Care Skilled Nursing and Rehab
Kateri Residence
Katherine Luther Residential Health Care and Rehab C
Kendal at Ithaca Inc
Kendal on Hudson
Keser Nursing and Rehabilitation Center Inc
King Street Home Inc
Kings Harbor Multicare Center
Kingsbridge Heights Rehabilitation and Care
Kingsway Arms Nursing Center Inc
Kinney Nursing Home
Kirkhaven
Laconia Nursing Home Inc
Lakeside - Beikirch Care Center Inc
Lakeview Rehabilitation and Care Center
Latta Road Nursing Home
Latta Road Nursing Home A
Lawrence Nursing Care Center Inc
Leroy Village Green Residential Health Care Facility Inc
Lewis County General Hospital-nursing Home Unit
Linden Gardens Rehabilitation and Nursing Center
Little Neck Nursing Home
Living Center At Geneva North
Living Center At Geneva South
Livingston County Center for Nursing and Rehabilitatio
Livingston Hills Nursing and Rehabilitation Center
Long Island Care Center Inc
Long Island State Veterans Home
Loretto Health and Rehabilitation Center
Lutheran Augustana Center for Extended Care &Rehab
Lutheran Center at Poughkeepsie Inc
Lutheran Retirement Home
Lynbrook Restorative Therapy and Nursing
Manhattanville Health Care Center
Maplewood Health Care and Rehabilitation Center
Maplewood Nursing Home Inc
Marcus Garvey Nursing Home Company Inc
Margaret Tietz Center For Nursing Care Inc
Maria Regina Residence Inc
Marquis Care Center
Mary Manning Walsh Nursing Home Co Inc
Masonic Care Community of New York
Mayfair Care Center
Mcauley Manor at Mercycare
Mcauley Residence
Meadow Park Rehabilitation and Health Care Center
Meadowbrook Care Center Inc
Meadowbrook Healthcare
Medford Multicare Center for Living
Medina Memorial Hospital Snf
Menorah Home And Hospital For
Mercy Health & Rehab Center Nh Inc
Mercy Hospital Skilled Nursing Facility
Mercy Living Center
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non
Comparable
Rate
6.02
13.78
13.26
5.12
7.36
7.96
13.65
6.41
11.46
6.9
4.88
12.25
7.81
9.95
25.6
21.51
24.56
7.39
10.38
6.56
21.47
10.97
5.5
15.57
23.4
29.58
15.24
10.1
6.82
11.24
15.95
8.05
11.29
12.25
9.91
10.12
6.65
9.31
26.35
9.24
7.14
10.83
8.78
5.26
5.29
5.74
6.46
7.02
8.36
11.67
9.05
12.94
7.83
10.4
9.32
24.2
11.38
10.28
10.3
10.01
7.32
6.86
6.98
10.92
6.48
17.78
11.24
7.23
21.65
25.61
3.46
18.59
7.79
5.57
5.51
7.19
7.04
19.09
24.74
7.25
18.51
18.98
Medical
Directors
0.53
1.34
4.15
0.25
0
0.06
1.9
0.67
0.56
0.9
0.49
1.79
0
0.53
1.57
2.35
1.67
1
0.63
0.42
0.05
2.76
0
8.52
1.65
2.26
3.6
0
0
2.94
0.55
1.18
0
2.6
0.61
1.03
0.31
0.86
0
0.04
0.26
0.08
0.36
0.41
0.41
0.35
0.9
0
0.65
1.47
2
1.69
0.63
0.89
0.38
4.5
0.29
1.53
2.95
0.78
1
0.7
0.53
0.47
0.74
2.46
2.51
1.95
1.8
3.46
0.78
0
1.08
1.47
0.75
2.64
0.37
0
2.84
0.38
0
0
Utilization
Review
0
3.77
0
0
0
0
0
1.01
0
0.43
0.81
1.44
0
0
3.44
0
2.95
0
1.43
0
0
0
0.07
0
0
0
0
0
0.48
1.2
1.09
0
0
0
0
2.15
0
0
4.39
0
0
0
0
0
0
0
0
1.15
0
2.78
0.44
0.45
0
0
0
0
0.09
0
0
0
0
0
0
0
0
0
0
0
0.65
0
2.02
0.72
0
0
0
0
0
0
0
0
0
2.32
Electro
Electro
Lab Services Cardialoogy Encephalogy
$ per Day
$ Per Day
$ Per Day
0
0
0
0
0
0
0
0
1.6
0.17
0.66
0
2.73
0.25
0.57
2.09
1.34
0.08
0.4
0
0.14
0.62
0.57
0
0.71
3.04
0.4
0
0
0
0
0
0
0
0
0
0
0
4.75
0
0
0
1.69
0
0
0
0
0.96
0
0
0.17
1.11
0
0.55
0
0
0.55
1.93
0.79
0.7
0
0
0
0
0
0.36
0
0
0.69
0
0
2.48
0
0
0
0
0
0.71
0.88
0.51
2.22
0.12
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0
0.01
0
0
0
0
0
0.01
0
0.11
0.05
0.08
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.04
0.27
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0
0.64
0
0.03
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0.07
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Radiology
0.01
0.44
0
0
0
0
0
0
0.88
0.04
0.13
0
0.32
0.26
3.14
1.5
1.23
0.07
0.24
0
0.23
0.7
0.11
0
0.39
0.62
0.4
0
0
0
0
0
0
0
0
0
0
0
0.37
0
0
0.22
0.34
0
0
0
0
0.13
0
0
0.08
1.28
0
0.08
0
0
0.12
0
0.5
1.22
0
0
0
0
0
0.5
0
0
0.4
0.47
0
0.07
0
0
0
0
0
0.34
0
0.5
0.48
0.05
Inhalation
Therapy
0
0
0
0
0
0
0
0
0
0.05
0.33
0
0.01
0
0
1.23
1.03
0
0
0.74
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0.06
0.1
0
0
0
0.19
-0.34
0
0
0.14
0
0
0
0
0
0
0
0
0
0
0
0.02
0
0
0
0
0
0.03
0
0
2.57
0
Podiatry
0
0
0.18
0
0
0
0
0
0
0
0
0
0
0
1.04
0
0
0
0
0
0
0
0
0.01
0.12
0.05
0.08
0
0
0
0
0
0
0
0
0
0
0
0
0.15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0
0
0
0.19
0
0
0
0
0.02
0
0
0
0
0
0
0
Dental
0.3
0.53
0.91
-0.27
0
0.4
0.54
0.58
0.65
0.6
0.51
1.1
0.67
0.42
1.02
0.76
0.3
0.52
0.62
0.54
0.12
1.13
0.23
0.41
0.42
0.48
0.56
0.58
0
0.4
0.97
0
0
0.45
0
0.11
0.4
0.55
1.57
0.33
0.73
0.39
0.48
0.22
0.21
0.16
0.25
0
0.38
0.85
0.84
0.85
0.39
0.53
0.44
0.82
0.76
0.51
0.52
0.04
0.38
0.51
0.38
0.47
0.59
0.21
0.45
0.44
0.48
0.81
0.4
0
0.29
0.09
0.28
0.41
0.47
0
0.43
0.31
0
0
Psychiatric
0
0
0
0.11
0
0.2
0
0
0
0
0
0
0
0
0.63
0
0
0
0.02
0
0
0
0
1.06
1.01
1.29
0.04
0.29
0
0
0.31
0
0
0
0
0.08
0
0
0
0.29
0
0.25
0
0.25
0.27
0
0
0
0
0
0
0
0
0
0
0
0.08
0
0
0.22
0
0
0
0.31
0
0.78
0
0
0
0
0
0
0
0
0
0.1
0
0
0
0
0
0
Hearing
0
0.35
0.05
0
0
0
-0.07
-0.17
0
0
0
0
0
0
0
0.33
-0.03
0
0
0
0
0
0
0.07
0.09
0.31
0.21
0.49
0
0
0.04
0
0
0.01
0
0.04
0
0
0.04
0
0
0.02
0
0
0
0
0
0
0
0
0
0
0.03
0
0.01
0.03
0
0.01
0.45
0
0
0
0
0
0
0.22
0
0
-0.04
0.02
0
0
0.01
0
0
0
0
0
0
0
0
0
Medcial Staff
Services
0
0
0
0
0
0.98
0
0
0
0
0
1.05
0
1.55
4.27
3.76
3.39
0
0
1.05
0
0
0
0
10.98
10.99
2.33
-3.17
0
0.01
1.42
0.53
0
0
0
0.99
0
2.49
0
2.21
0
0
0
0.78
0.72
0.01
0.22
0
0
0
0
0
0
0
2.03
8.89
4.36
0
0
0
0
0
0
3.25
0
2.68
0
0
0.86
4.77
0
1.37
0
0
0
0.04
0
0.47
6.85
1.36
3.65
3.89
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0.49
0.53
0.56
0
0
0
0
0
0
0.01
0.62
0
0
0
0.77
0
0
0
0
0
0
0
0
0
0
6.96
0.07
0
0
0
0
0
0
0
0
0
0
0.08
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0.02
0
0
0
0
0
0
0
0
0
0
0.09
0
0
0
0
0
0
0
0
0
0
0
0.44
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.08
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.1
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5.23
0
0
0.01
0
Admin Non
Comp
Allocation
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.1
0.19
Utilities Non
Comp
Allocation
5.03
6.85
6.65
4.92
0
5.36
10.29
4.06
7.08
4.35
1.72
6.75
2.25
6.28
7.82
7.84
7.46
5.17
6.2
2.49
19.41
5.42
4.28
4.06
7.28
9.6
6.65
10.65
5.73
5.9
11.57
6.34
0
8.95
8.91
5.13
5.49
5.4
8.01
5.65
5.11
8.25
5.42
2.87
3.32
5.13
4.16
4.48
7.12
5.36
4.95
5.87
6.32
8.07
6.08
5.76
5.32
5.67
4.08
5.86
5.42
5.45
5.95
5.33
4.95
8.11
7.33
4.26
15.59
15.43
0
11.01
3.31
3.62
4.23
3.3
5.99
11.96
12.21
4.05
7.6
12.05
RX Admin
Allocation
0.15
0.49
1.32
0.11
0
0.96
0.98
0.25
0.68
0.33
0.23
0.11
1.81
0.18
1.57
1.09
5.18
0.55
0.84
1.31
1.51
0.34
0.2
0.75
0.64
0.89
0.88
0.48
0.6
0.79
0
0
0
0.24
0.39
0.16
0.46
0.02
0.26
0.5
1.04
1.62
0.5
0.72
0.37
0.09
0.94
0.27
0.21
1.21
0.36
1.16
0.46
0.28
0.38
4.01
0.13
0.64
1.01
1.06
0.51
0.2
0.12
1.1
0.2
2.43
0.94
0.57
1.23
0.46
0.26
2.91
3.11
0.38
0.23
0.7
0.2
0.35
0.9
0.14
0.59
0.36
Total Non
Comp Cost
620538
1420536
476458
507424
0
558776
751051
460441
1296427
396106
254775
508445
313424
572867
6268014
900417
1785351
214249
443932
1018881
231094
232927
155282
1964235
6827644
5505409
1651882
459790
285025
2094580
628583
98138
0
819965
390645
2575536
875052
527921
362873
465492
590880
452321
346280
73761
73674
396323
303705
385954
768901
494249
255922
437889
750090
409623
581427
3075753
2292547
869568
582217
827628
243693
472075
398458
285923
627852
1252236
761126
242418
2798741
2911240
228804
764560
437784
279120
517430
532406
744772
203824
2816479
707710
497073
407703
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 Initial Rates
Nursing Home Benchmark Rates
Non Comparable Ancillary Breakdown
Opcert
700031110
590731610
370130110
350130410
700334010
515731610
342930030
210130110
515432410
270100630
356130210
700034510
370231510
700032810
700032910
122630030
290630510
170100030
515731510
700138610
700235810
700339110
700234310
700337310
700431610
700340510
700130910
700338310
582030210
315430210
140131610
310231110
316030110
295130510
596830210
550131010
132730210
700235510
435030410
435330110
432130210
052630310
700131610
082430410
335330110
435030210
082530110
595130010
540131010
515131510
515132210
700340110
295031410
700335410
310130510
260100110
342930210
362230310
291000010
385930010
515431910
015330010
015530110
312130310
700137310
700330610
282700010
700034710
700139110
290230610
700038210
700336410
275430230
700337410
700330710
295230110
465230210
515500030
512730110
700033810
276130310
700330810
Name
Methodist Home For Nursing and Rehabilitation
Michael Malotz Skilled Nursing Pavilion
Michaud Residential Health Services Inc
Middletown Park Rehabilitation and Health Ca
Midway Nursing Home
Mills Pond Nursing and Rehabilitation Center
MM Ewing Continuing Care Center
Mohawk Valley Health Care Center
Momentum at South Bay for Rehabilitation and Nursin
Monroe Community Hospital
Montgomery Nursing and Rehabilitation Center
Morningside House Nursing Home Company Inc
Morningstar Residential Care Center
Morris Park Nursing Home
Mosholu Parkway Nursing And Rehabilitation Center
Mountainside Residential Care Center
Nassau Extended Care Facility
Nathan Littauer Hospital Nursing Home
Nesconset Center for Nursing and Rehabilitation
New Carlton Rehab and Nursing Center LLC
New East Side Nursing Home
New Glen Oaks Nursing Home
New Gouverneur Hospital Snf
New Surfside Nursing Home
New Vanderbilt Rehabilitation and Care Center Inc
New York Center for Rehabilitation
New York Congregational Nursing Center Inc
New York State Veterans Home In New York City
Newark Manor Nursing Home
Newfane Rehabilitation And Health Care Center Corp
Niagara Lutheran Home And Rehabilitation Center Inc
Niagara Rehabilitation and Nursing Center
North Gate Health Care Facility
North Shore University Hospital Stern Family Ctr for E
North Westchester Restorative Therapy and Nursing
Northeast Center for Special Care
Northern Dutchess Residential Health Care Facility Inc
Northern Manhattan Rehabilitation and Nursing Center
Northern Manor Geriatric Center Inc
Northern Metropolitan Residential Health Care Facility Inc
Northern Riverview Health Care Center Inc
Northwoods Rehab and Extended Care Fac at Moravia
Norwegian Christian Home And Health Center
Norwich Rehabilitation & Nursing Center
Nottingham Residential Health Care Facility
Nyack Manor Nursing Home
NYS Veterans Home
NYS Veterans Home at Montrose
Oak Hill Manor Nursing Home
Oak Hollow Nursing Center
Oasis Rehabilitation and Nursing LLC
Ocean Promenade Nursing Center Inc
Oceanside Care Center Inc
Oceanview Nursing & Rehabilitation Center LLC
Odd Fellow & Rebekah Rehabilitation & Health Care Center Inc
Oneida Healthcare
Ontario County Health Facility
Orchard Manor Rehabilitation and Nursing Center
Orzac Center for Extended Care & Rehabilitation
Otsego Manor
Our Lady of Consolation Nursing and Rehabilitation Care Center
Our Lady Of Hope Residence-little Sisters Of The Poor
Our Lady Of Mercy Life Center
Our Lady of Peace Nursing Care Residence
Oxford Nursing Home
Ozanam Hall Of Queens Nursing Home Inc
Palatine Nursing Home
Palisade Nursing Home Company Inc
Palm Gardens Care Center LLC
Park Avenue Extended Care Facility
Park Gardens Rehabilitation & Nursing Center LLC
Park Nursing Home
Park Ridge Nursing Home
Park Terrace Care Center
Parker Jewish Institute for Health Care and Rehabilitation
Parkview Care and Rehabilitation Center Inc
Pathways Nursing and Rehabilitation Center
Peconic Bay Skilled Nursing Facility
Peconic Landing at Southold
Pelham Parkway Nursing and Rehabilitation Facility
Penfield Place LLC
Peninsula Center For Extended Care and Rehabilitation
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non
Comparable
Rate
8.79
17.52
8.4
8.24
3.76
6.59
7
14.86
7
34.38
6.93
17.57
6.67
6.29
7.45
9.46
8.49
8.39
13.68
5.16
7.87
5.96
29.64
5.34
7.95
8.59
8.96
14.42
8.99
5.84
5.92
7.42
8.75
22.6
15.56
26.64
15.67
6.13
5.95
9.92
11.32
6.47
17.64
11.12
13.18
5.67
20.81
20.06
6.61
7.33
0
7.33
6.05
6.09
10.85
17.57
9.06
8.78
15.92
17.02
11.63
12.78
8.88
10.26
5.47
16.24
11.2
23.66
12.24
8.43
8.2
6.68
21.68
9.07
33.2
5.41
28.92
29.17
12.16
5.44
7.02
17.94
Medical
Directors
1.34
4.85
1.01
0.77
0.88
0
0
0.72
0.22
4.92
0.98
1.81
0.79
0.36
0.74
0.67
0.92
0.64
1.41
0.51
0.41
0.4
5.66
0.47
0.38
2.06
1.64
0
2.19
1.16
0.44
1.55
1.13
2.96
1.94
1.86
0.73
0.52
0.59
0
0
1.82
1.41
0.64
0.18
0.5
2.59
0
1.63
1.08
0
0.79
0.47
0.78
1.58
0
0.8
0.32
4.19
0
2.28
0.2
0.51
1.31
0.5
3.35
0.38
1.47
-0.2
1.3
0.75
0.36
1.57
0.38
0.73
0.57
1.45
0
1.59
0.35
1.7
4.08
Utilization
Review
0
0
0.38
0
2.23
0
1.64
4.3
0
1.83
0
0
0
0
0
0.25
0
0.94
2.95
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3.75
0
0
0
0
0
0
0
0
0
0.48
0
0
0
0
0
0
0
0
0
0
0.51
0
0
0
0
1.91
0.85
0
0
0
0
0
0
0
0
0
1.15
0
0
0
0
0
6.78
6.54
0
0
0
0
Electro
Electro
Lab Services Cardialoogy Encephalogy
$ per Day
$ Per Day
$ Per Day
0
0.33
0.22
0.45
0
0
0.71
1.07
0
1.53
0
0.47
0
0.42
0.48
0.1
0.82
0.38
0
0
0
0
0.01
0
0
0
0.22
0
0
0
0.21
0
0.4
1.48
0
0
0.4
0
0
0.9
0.76
0
0.59
0.8
0.78
0
0
0
0
0.31
0
0
0.36
0.19
0.26
1.16
0
0
0
0.26
0
0.3
0
1.04
0
0.75
0.61
2.95
0
0.65
0.2
0
9.01
0.1
2.7
0
0.16
5.51
0
0
0
1.8
0
0.02
0
0
0
0
0.02
0.16
0
0.18
0
0.44
0
0
0
0.04
0
0.01
0
0
0
0
0.16
0
0
0
0
0
0
0
0
0
0.04
0.04
0
0
0.2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0.02
0
0
1.48
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.05
0
0
0
0.02
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Radiology
0
0.66
0.08
0.3
0
0
0.23
0.47
0
0.65
0
0.17
0
0.05
0
0.05
0.65
0.13
0
0
0
0
0.8
0
0
0
0.33
0
0
0
0.15
0
0.18
0.85
0
0
0
0
0
0.9
0.44
0
0.5
0.17
0.26
0
0
0
0
0.27
0
0
0.39
0.26
0.16
0.19
0
0
1.25
0.08
0
0
0
0
0
0.56
0
1.08
0
0.34
0
0
0
0.2
0.7
0
0.59
3.53
0
0
0
1.67
Inhalation
Therapy
0
3.31
0
0
0
0
0
0.92
0
4.08
0
0
0
0
0.03
0
0
1.16
0.02
0
0
0
0.71
0
0
0
0
0
0
0
0
0
0.22
1.45
0
7.97
0.65
0
0
0
0
0
0
0
0.52
0
1.3
0
0
0
0
0
0
0
0.05
4.26
0
0
1.07
0
1.53
0
0
0.47
0
0
0
0.45
5.39
0.1
0
0
0
1.42
0.06
0
0
0.01
0
0.01
0
0
Podiatry
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.21
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.42
0
0
0
0
0
0.01
0
Dental
0.66
0.93
0.74
0.6
0.4
0.62
0
0.36
0.27
0
0.74
1.03
0.63
0.39
0.19
0.87
0.65
0
0.61
0.93
0.54
0.61
0
0.08
0.32
0.58
0.61
0
0.49
0.16
0.35
0.56
0.39
0.68
0.67
0.49
0.66
0.51
0.56
0.68
0.54
0.2
0.6
0.82
0
0.53
0.39
0
0.97
0.32
0
0.85
0.57
0.59
0.65
0.53
0.45
0.62
0.45
0.6
0.42
0.2
0.44
0.29
0.36
0.33
0.77
0.56
0.26
0.54
0.55
0.48
0.23
0.38
1.11
0.49
1.07
0
1.01
0.51
0.44
0
Psychiatric
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.18
0
0
0
0
0.12
0
0
0
0.13
0
0
1.72
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0
0
0
0
0
0
0.49
0
0
0
0
0
0.5
0
0.32
0
0
0
0.01
0
0
0
0
0
0.32
0.08
0
2.01
0
0
0
0.44
0
Hearing
0
0.36
0
0
0
0
0
0
0
0.05
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-6.92
0
0
0.28
0
0.01
0
0.01
0.13
0.01
0
0
0
0.07
0
0
0.18
0
0
0
0
0
0
0
0
0.04
0
0
0.46
0
0.02
0
0
0
1.64
0
0
0
0
0
0.03
0.04
0
0.02
0
0
0
0
0.95
Medcial Staff
Services
0
0
0.18
0.07
0
0.04
2.73
2.05
0
0
0.01
1.7
0.45
0
0
0
0
3
0
0
0
0
0
0
0.02
0.03
0
0
0
0
0
0
0.23
7.86
0
6.34
0
0.12
0
0
0
0
0
0
2.99
0
10.88
0
0
0
0
0
0
0
0.59
5.27
0.34
0
0
4.35
0
0
1.84
0
0
0
0
5.46
0
0
0
0
5.97
1.32
13.25
0
7.81
0
0
0
0
0
Other
Ancilary
0
0.07
0
0
0
0
-0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.04
0
0
0
0
0
0
0
0
0
1.03
0
0.67
0
0
0
0
0
0
0.31
0
0
0
0
0
0
0.01
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.17
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Admin Non
Comp
Allocation
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.14
0
0
0.45
0
0
0
0
0
0
0
0.12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Utilities Non
Comp
Allocation
6.6
5.81
5.32
5.76
0
5.09
0.89
4.8
5.63
15.13
4.65
10.36
4.04
4.88
5.74
7.27
5.19
1.25
6.61
3.57
6.8
4.81
11.9
4.43
7.03
5.55
5.89
0
4.96
4.39
4.5
4.99
4.26
9.21
8.75
6.92
9.73
4.86
4.8
6
8.18
4.2
14.24
7.18
8.26
4.62
5.27
0
3.91
4.93
0
5.48
4.11
4.05
6.76
4.57
6.73
7.01
6.93
9.74
5.76
11.04
5.63
6.41
3.62
9.12
4.5
8.81
6.37
5.66
5.49
5.73
4.15
4.76
10.88
3.93
7.96
12.37
8.62
4.34
3.16
8.88
RX Admin
Allocation
0.19
1.17
0.46
0.29
0.25
0.85
0.65
0.02
0.89
1.25
0.55
1.58
0.76
0.19
0.27
0.21
0.25
0.76
2.08
0.15
0.12
0.15
10.39
0.18
0.21
0.37
0.27
0
1.23
0.13
0.27
0.32
1.79
1.25
4.2
1.14
3.01
0.11
0
1.44
1.38
0.13
0.29
1.03
0.19
0.01
0.3
0
0.07
0.23
0
0.21
0.14
0.21
0.28
1.03
0.74
0.83
0.51
0.09
0.79
0.09
0.46
0.4
0.98
1.09
4.94
0.55
0.43
-0.15
0.07
0.1
0.76
0.16
2.61
0.41
1.07
1.04
0.93
0.22
1.26
0.54
Total Non
Comp Cost
365326
672891
252917
677065
247212
576031
462156
618457
382399
6872704
229049
2380112
263874
408426
305927
272391
828759
255323
1134766
256093
160520
127875
2206167
348616
832960
852988
644681
0
189113
335473
359845
393522
633393
1534411
626403
1527228
555847
702098
412269
390927
685647
84952
841133
314054
189538
297986
1823924
0
139053
397357
0
311769
215731
216134
457108
923364
314392
461738
676376
1067312
1866471
167335
504523
924324
425267
2464126
262563
2437251
955016
723010
592819
443476
918498
589452
6273781
320638
380016
574954
186108
383448
115971
1178539
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 Initial Rates
Nursing Home Benchmark Rates
Non Comparable Ancillary Breakdown
Opcert
612030010
515432510
102130010
435330310
575030010
370231310
590630310
322730310
700338610
700030610
395130110
395030210
135630310
700330310
700341010
700340410
700336110
432930110
700031410
700339710
700035610
590731510
700339210
135630210
700333010
700432410
140133610
700137810
280130510
280130410
130230710
700035710
515530110
440130210
412430010
532430210
700235310
122500010
700336210
290930410
320131010
320100230
145130410
526230010
330132310
415230410
515432010
700103310
700137110
596030410
220100010
226930010
512730210
295130410
590731710
450100030
452030110
590432210
700031510
352930110
590231410
310230710
140430010
700131810
482300030
700430410
700139010
147430110
370231210
492130310
700130310
455230010
700136210
140330310
700134210
700137610
700432310
700337210
592130210
515731410
612000030
596630010
Name
Penn Yan Manor Nursing Home Inc
Petite Fleur Nursing Home
Pine Haven Home
Pine Valley Center for Rehabilitation and Nursing
Pleasant Valley
Pontiac Nursing Home
Port Chester Nursing and Rehabilitation Centre
Presbyterian Home For Central New York Inc
Promenade Rehabilitation and Health Care Center
Providence Rest
Putnam Nursing and Rehabilitation Center
Putnam Ridge
Quaker Hill Manor
Queen Of Peace Residence
Queens Boulevard Extended Care Facility
Queens Center for Rehabilitation&Residential Hlth Car
Queens Nassau Rehabilitation and Nursing Center
Ramapo Manor Center for Rehabilitation & Nursing
Rebekah Rehab and Extended Care Center
Regal Heights Rehabilitation and Health Care Center
Regeis Care Center
Regency Extended Care Center
Rego Park Nursing Home
Renaissance Rehabilitation and Nursing Care Center
Resort Nursing Home
Richmond Center for Rehabilitation and Specialty Healthcare
Ridge View Manor LLC
River Manor Care Center
River Ridge Living Center
River Ridge Living Center LLC
River Valley Care Center Inc
Riverdale Nursing Home
Riverhead Care Center LLC
Riverledge Health Care and Rehabilitation Center
Riverside Center for Rehabilitation and Nursing
Riverview Manor Health Care Center
Rivington House-The Nicholas A Rango Health Care Facility
Robinson Terrace
Rockaway Care Center
Rockville Skilled Nursing & Rehabilitation Center LLC
Rome Center for Rehabilitation and Health Care
Rome Memorial Hospital Inc - RHCF
Rosa Coplon Jewish Home
Roscoe Community Nursing Home Co Inc
Rosewood Heights Health Center
Rosewood Rehabilitation and Nursing Center
Ross Health Care Center
Rutland Nursing Home Co Inc
Saints Joachim & Anne Nursing and Rehabilitation Ce
Salem Hills Rehabilitation and Nursing Center
Samaritan Keep Nursing Home Inc
Samaritan Senior Village Inc
San Simeon by the Sound Center for Nrsg and Reha
Sands Point Center For Health And Rehabilitation
Sans Souci Rehabilitation and Nursing Center
Saratoga Care Nursing Home
Saratoga County Maplewood Manor
Schaffer Extended Care Center
Schervier Nursing Care Center
Schervier Pavilion
Schnurmacher Center for Rehabilitation and Nursing
Schoellkopf Health Center
Schofield Residence
Schulman and Schachne Institute for Nursing and Rehabilitat
Schuyler Hospital Inc And Long Term Care Unit
Sea View Hospital Rehabilitation Center And Home
Sea-Crest Health Care Center
Seneca Health Care Center
Seneca Hill Manor Inc
Seneca Nursing and Rehabilitation Center
Sephardic Skilled Nursing and Rehabilitation Center
Seton Health at Schuyler Ridge Residential Healthcare
Sheepshead Nursing and Rehabilitation Center
Sheridan Manor LLC
Shore View Nursing Home
Shorefront Jewish Geriatric Center
Silver Lake Specialized Rehabilitation and Care Cente
Silvercrest
Sky View Rehabilitation and Health Care Center LLC
Smithtown Center for Rehabilitation & Nursing Care
Soldiers And Sailors Memorial Hospital Extended Care Unit
Somers Manor Nursing Home Inc
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non
Comparable
Rate
4.42
7.57
9.79
6.46
8.27
5.71
6.36
8.7
1.21
9.53
4.88
11.55
9.46
15.29
10.35
8.56
5.2
8.24
16.69
9.62
9.86
7.82
7.06
6.87
6.63
22.43
8.48
6.84
8.93
8.92
3.06
8.94
5.52
11.06
11.76
4.67
14.61
8.34
2.36
6.91
8.3
15.78
10.69
12.31
9.28
12.33
6.29
25.19
10.64
10.02
10.38
12.45
10.99
5.91
8.7
19.52
4.55
16.45
15.47
16.3
8.88
6.24
8.55
44.23
6.43
14.48
9.42
8.75
12.92
9.64
24.99
8.88
8.1
7.72
6.96
38.13
6.24
17.82
9.82
13.84
7.47
14.02
Medical
Directors
0.39
0.43
2.47
1.22
0.76
0.71
0.82
0.85
0.59
1.92
0.46
0.8
0.94
0.27
1.26
2.4
0.59
0.43
4.48
0.63
0.38
0.72
0.57
0.37
0.67
0
0.52
0.09
1.26
1.26
0.74
0.34
0.44
0.64
1.04
0.37
0
-0.12
0.41
0.4
1.16
0
1.52
2.1
0.45
0.71
0.53
1.09
1.29
0.29
1.94
0
0.59
0.48
0.97
0
0.77
0
2.14
3.03
0.45
0
1.6
2.22
0
1.09
1.47
0.53
0
2.36
2.1
0.22
0.56
0.5
1.17
7.38
0.09
1.76
0.5
3.41
0
1.6
Utilization
Review
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.36
0.36
1.7
0
0
0
2.36
0
0
0.19
0
0
1.31
2.53
0
0
0
0.91
0
0.08
0
3.15
0
0
3
0
0
0.89
0
0
2.19
0
0
0
0
1.22
0
0
0
0
0
0
0
2.14
0
0
0
4.73
0
0
0
2.97
0.37
4.23
Electro
Electro
Lab Services Cardialoogy Encephalogy
$ per Day
$ Per Day
$ Per Day
0.49
0
0.12
0
0
0
0
0
0
0
0
0.43
0.21
0.16
0.86
0
0
1.11
0
0.8
0
0
0.22
0.38
0
2.8
1.98
0
0
0
0
0
0
0
0.16
0
0
0
0
0
0.28
1.22
0.62
0
0
0.16
0
0.01
0.29
0
0.4
0
0
0
0
2.2
0
0
0
0.86
0.47
0
0
1.73
1.68
0.97
0
0.41
1.47
0
0.68
-0.08
0
1.04
0
1.11
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.04
0
0
0
0
0
0.01
0
0
0.01
0
0
0
0
0.06
0
0
0
0
0
0
0
0
0
0.44
0
0.03
0
0
0.51
0
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-0.07
0
0
0.03
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Radiology
0.01
0
0.23
0
0
0
0
0
0
0
0
0.26
0.1
0.04
1
0
0
0.83
0
0.83
0
0.16
0.27
0
0
1.13
0.64
0
0
0
0
0
0
0
0.08
0
0
0
0
0
0
0.92
0.31
0
0
0.23
0
0.81
0.46
0
0.5
0
0
0
0
0.52
0
0
0
1.75
0.58
0
0
1.62
0.43
0.79
0
0.1
0.05
0
2.84
0.2
0
0.49
0
0.77
0
0
0
0
0.29
0
Inhalation
Therapy
0
0
0
0.01
0
0
0.02
0
0
0.14
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0.99
0
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0
0
0
0.59
0.04
4.27
0
0.71
0
0
0
0.64
0
5.68
0
0
0.31
0.98
0
0
0
3.25
2.14
0
0.4
0.38
0
0
0
0
0
0
0.55
0.46
0
0
0.75
0
0
0
Podiatry
0
0
0.04
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.1
0
0
0
0
0
0
Dental
0.3
0.35
0.69
0.99
0.54
0.71
0.43
0.65
0.43
0.44
0.5
0.67
0.56
0.53
0.36
0.47
0.34
0.42
0.46
0.49
0.31
0.5
0.18
0.63
0.4
0.64
0.37
0.55
0.58
0.58
0.46
0.57
0.5
0.46
0.76
1.09
0
0.5
0.47
0.46
0.34
0
0.54
0.91
0.51
0.6
0.65
0.82
0.59
0.68
0.28
0
0.56
0.51
0
0
0.48
0
0.4
0.38
0.6
1.03
0.63
0.14
0
1.39
0.38
0.41
0.62
0.17
0.36
0.32
0.53
0.54
0.41
0.52
0.29
0.99
0.56
0.67
0
0.62
Psychiatric
0
0
0.09
0
0
0
0.05
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.06
0.75
0
0
0
0
0
0
0
0
0
0
0.47
0
0
0
0
0
0
0
0.08
0
0
0
0
0
0
0
0
0
0
0
0
0
0.07
0.05
0.05
0
0.6
0
0
0.01
0
0
0
0
0
0
0
Hearing
0
0
0
0
0.44
0
0
0
0
0.05
0
0
0
0.02
0.06
0.03
0.1
0
0
0
0.03
0.57
0
0
0
0.02
0.11
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0.75
0
0
0.03
0
0
0
0
0
-0.01
0
0
0
0.17
0
0
0
0.06
0
0
0
0.01
0
0
0.01
0
0
0.02
0.25
0
0.08
0.01
0.15
0
0
0
0
Medcial Staff
Services
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0
2.72
0
0
0
0
10.76
0
0
0
0
0
0
0
0
0
0
0
0
0
0.15
0
0.44
0
0
2.2
0
0
4.88
0
0
0
0
0
0.04
0
0
0
0
0.43
0
1.02
0
0
7.4
0
0
0.09
0
1.96
1.92
10.65
0
0
0
0
12.75
0.02
4.38
0
0
1.82
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0.03
0
0.2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.27
0
2.52
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.09
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.04
0
0
0
0
0
0
0
0
0
0
0
0
0
0.09
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.08
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Admin Non
Comp
Allocation
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.05
0
Utilities Non
Comp
Allocation
2.64
5.46
5.6
4.15
6.47
4.1
4.67
6.48
0
6.38
3.64
8.76
4.06
13.75
6.3
5.27
4.25
4.86
11.01
6.62
6.26
5.62
5.51
5.32
4.81
6.24
3.52
5.09
6.52
6.52
0
7.84
3.83
9.7
5.55
2.82
0
7.73
1.38
5.56
4.71
9.08
6.95
9.04
5.7
7.18
4.76
10.96
7.8
4.25
7.11
0
6.53
3.41
5.11
6.5
3.19
0
9.14
8.86
5.27
4.55
5.63
18.07
1.79
9.37
6.22
4.65
8.56
4.05
7.64
4.89
6.78
3.44
4.64
9.47
5.71
6.52
7.07
6.4
3.64
6.26
RX Admin
Allocation
0.58
1.34
0.56
0.09
0.06
0.19
0.36
0.73
0.18
0.57
0.28
0.42
3.59
0.53
0.51
0.4
-0.09
0.59
0.74
0.25
0.16
0.25
0.31
0.18
0.76
0.84
1.33
0.12
0.21
0.21
0.16
0.19
0.75
0.21
1.06
0.36
0
0.04
0.09
0.34
0.49
1.48
0.75
0.25
0.42
0.73
0.31
1.93
0.18
0.95
0.15
0
0.38
0.76
2.63
3.01
0.1
0
0.69
0.44
0.49
0.66
0.62
8.59
0.38
0.44
0.85
2.16
0.21
1.09
0.21
0.6
0.22
1.44
0.19
0.26
0.12
1.5
0.94
0.39
0.27
1.32
Total Non
Comp Cost
72686
471692
386050
424134
358562
161316
344617
744833
97467
679617
256543
653409
372998
291158
1024112
536000
332439
549355
1255939
896039
794468
877113
494771
270704
603481
947828
350476
854118
354993
354993
160898
428574
327961
383140
331535
124523
0
354937
161478
156508
459357
424986
670362
379522
796678
352801
278922
3901637
727515
443557
1018737
0
469092
371776
348771
470593
451893
0
1996573
690025
692843
268515
370423
4697179
272559
1518630
1027024
501311
544249
401945
2416692
381275
577898
275203
737732
4915020
487946
1688298
666729
790203
345828
1395310
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 Initial Rates
Nursing Home Benchmark Rates
Non Comparable Ancillary Breakdown
Opcert
290430010
700038410
591030110
700138410
275730010
275730110
700037110
592530010
330132110
140132430
515731210
142130010
515731710
515731110
270135310
272530210
282830010
320231010
440130010
590731410
070100130
353500130
370230910
322730510
700030710
010130510
440230310
700036610
700431410
502230210
512330510
522030110
435300030
295130710
332130110
515431210
322130110
030330710
590432010
332730110
591130210
556730110
700234510
010131310
700037810
140100530
295130810
460130610
132730110
275030710
412030010
223830310
333430310
275030110
290930510
512630310
700139210
275030610
276330010
275030810
290230210
552230210
572530310
192130310
560130710
130230810
320231510
046930010
040130310
700236010
270135910
410231210
560130610
352330110
362030010
590330910
700038610
066330230
435030110
295031810
156030110
700339310
Name
South Shore Healthcare
Split Rock Rehabilitation and Health Care Center
Sprain Brook Manor Rehab LLC
Spring Creek Rehabilitation & Nursing Care Center
St Anns Community (Aged)
St Anns Community (NH)
St Barnabas Rehabilitation & Continuing Care Center
St Cabrini Nursing Home
St Camillus Residential Health Care Facility
St Catherine Laboure Health Care Center
St Catherine of Siena Nursing Home
St Francis Home Of Williamsville
St James Rehabilitation & Healthcare Center
St Johnland Nursing Center Inc
St Johns Health Care Corporation
St Johns Penfield Homes Corporation
St Johnsville Rehabilitation and Nursing Center
St Joseph Nursing Home Co Of Utica
St Josephs Home
St Josephs Hosp Nursing Home Of Yonkers N Y Inc
St Josephs Hospital - Skilled Nursing Facility
St Josephs Place
St Luke Residential Health Care Facility Inc
St Lukes Home
St Patricks Home
St Peters Nursing and Rehabilitation Center
St Regis Nursing Home Inc
St Vincent Depaul Residence
Staten Island Care Center
Steuben Center for Rehabilitation and Healthcare
Suffolk Center for Rehabilitation and Nursing
Sullivan County Adult Care Center
Summit Park Nursing Care Center
Sunharbor Manor
Sunnyside Care Center
Sunrise Manor Center for Nursing and Rehabilitation
Sunset Nursing and Rehabilitation Center Inc
Susquehanna Nursing & Rehabilitation Center LLC
Sutton Park Center for Nursing and Rehabilitation
Syracuse Home Association
Tarrytown Hall Care Center
Ten Broeck Commons
Terence Cardinal Cooke Health Care Ctr
Teresian House Nursing Home Co Inc
Terrace Health Care Center
Terrace View Long Term Care Facility
The Amsterdam at Harborside
The Avenue Nursing and Rehabilitation Centre
The Baptist Home at Brookmeade
The Brightonian Inc
The Center for Nursing and Rehabilitation at Hoosick Falls
The Country Manor Nursing and Rehabilitation Centre
The Crossings Nursing and Rehabilitation Centre
The Friendly Home
The Grand Pavilion for Rehab & Nursing at Rockville Centre
The Hamptons Center for Rehabilitation and Nursing
The Heritage Rehabilitation and Health Care Center
The Highlands at Brighton
The Highlands Living Center
The Hurlbut
The Komanoff Center for Geriatric and Rehabilitative Medicine
The Mountain View Nursing and Rehabilitation Centre
The Orchard Nursing and Rehabilitation Centre
The Pines at Catskill Center for Nursing & Rehabilitati
The Pines at Glens Falls Center for Nursing & Rehabili
The Pines at Poughkeepsie Center for Nursing & Reh
The Pines at Utica Center for Nursing & Rehabilitation
The Pines Healthcare & Rehabilitation Centers Machias Ca
The Pines Healthcare & Rehabilitation Centers Olean Camp
The Riverside
The Shore Winds LLC
The Springs Nursing and Rehabilitation Centre
The Stanton Nursing and Rehabilitation Centre
The Valley View Center for Nursing Care and Rehab
The Villages of Orleans Health & Rehabilitation Center
The Wartburg Home
Throgs Neck Extended Care Facility
TLC Health Network-Lake Shore Hospital Nursing Facil
Tolstoy Foundation Nursing Home Co Inc
Townhouse Center for Rehabilitation & Nursing
Uihlein Living Center
Union Plaza Care Center
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non
Comparable
Rate
17.38
7.64
7.73
9.21
14.62
13.22
21.18
11.09
16.69
23.41
29.04
8.58
7.11
17.7
15.92
13.69
5.4
8.55
9.55
12.99
16.79
18.26
13.03
13.82
10.92
10.36
5.92
12.16
7.77
13.8
9.45
1.47
28.78
12.93
7.05
9.48
7.25
8.79
7.03
16.03
12.28
7.98
31.62
10.86
9.3
27.11
7.43
12.54
13.13
7.63
8.18
8.98
14.52
12.19
7.42
14.5
8.9
11.05
16.14
7.06
20.04
10.22
10.79
5.03
8.32
7.24
8.75
14.56
10.95
11.24
8.17
14.53
9.76
9.65
7.75
11.41
10.11
6.63
9.3
8.4
9.84
8.62
Medical
Directors
2.33
0.54
0.79
2.65
0
0
3.11
3.54
1.26
0
0.96
0.86
0.63
4.21
1.8
0
0.47
0
0.61
0
0.18
0
1.62
0.66
1.53
0
0.43
0
1.28
4.34
2.16
0.43
0
1.21
0.64
1.49
1.42
1.09
0.52
0.53
0.67
1.08
6.16
0.32
2.24
0
0
1.13
0.14
1.64
0.33
0.5
0.82
1.51
0.93
1.71
0.5
2.03
0.12
1.46
2.35
1.1
1.16
0.53
0.59
0.75
0.43
0.9
1.21
2.94
1.82
1.97
0.51
2.62
0.51
1.19
1.25
0
0.95
0.36
3.07
0.66
Utilization
Review
0
0
0
0
0
0
0
0
4.31
0
2.81
0
0
1.87
0
0
0
0
1.75
0.54
0
2.9
1.19
3.56
0
0
0
1.76
0
0
0
0
2.86
2.49
0
0
0
0.32
0
1.64
0
0
6.81
0.57
0
2.16
0
0.43
0
0
0
1
4.14
0
1.19
0
0
0
0
0
1.12
1.21
0.96
0
0
0
0
0
0
1.2
0
2.84
1.78
0
0
1.12
1.31
0.74
0
0
0
0
Electro
Electro
Lab Services Cardialoogy Encephalogy
$ per Day
$ Per Day
$ Per Day
0
0
0
0
0
0
1.3
0
1.3
4.66
0
0
0.51
0
0
0
0
0.29
0
2.04
2.52
2.54
0.32
0
0
0
0.56
0
0
1.19
0
0.09
1.69
0
0
1.04
0
0.85
0
0
0
0.43
0.04
0
0
3.93
0
0
0.22
0
0.2
0
0
0
0
1.12
0
0
0
0
5.74
0
0
0
0
0
0
0.19
0.2
0
0
0
0
0
0
0.44
0
0.68
0.53
1.15
0
0.32
0
0
0
0
0
0
0.03
0.01
0
0.06
0
0
0
0
0
0
0
0
0
0.09
0
0.12
0
0
0.28
0
0
0
0
0
0
0
0.07
0
0
0
0
0
0
0
0
0
0
0
0
0.12
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0
0.02
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.56
0
0
0
0
0
0
0
0
0.01
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0.01
0.04
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Radiology
0
0
0
0
0
0
3.36
0
0.31
0.92
0
0
0
0
0
0
0
0.31
0
1.05
0.77
1.01
0.25
0
0.33
0
0
0
0
0.19
0
0.23
0.52
0
0.08
0.38
0
0.39
0
0
0
0.19
0.23
0
0
1.83
0
0
0.07
0
0.13
0
0
0
0
0.91
0
0
0
0
0.76
0
0
0
0
0
0
0.19
0.12
0
0
0
0
0
0
0
0
0.28
0
0
0
0.24
Inhalation
Therapy
8.99
0
0
0
0
0
1.15
0
0.76
5.41
6.9
0
0
0
0
0
0
0
0
0
3.07
1.46
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.18
0
0
2.3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0
0
0
0
0
0
0.33
0.53
0
0
0
0
0
0
0.25
0
0
0
0
0
0
Podiatry
0
0
0
0.09
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.14
0
0
0
0.19
0
0.01
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0.09
0.09
0
0
0
0
0
0
0
0
0
0
0
0
0
Dental
0.77
0.57
0.61
0.55
0.4
0.57
1.83
0.48
0.59
0
0
0.34
0.62
0.57
0.55
0
0.12
0.09
0.61
0
0
0
0.62
0.1
0.3
0.45
0.73
0.38
0.49
0.49
0.3
0.41
0.54
0.47
0.73
0.76
0.14
0.87
0.53
0.56
1.15
0.46
1.6
0.47
0
0
0
0.47
0.59
0.95
0.37
0.55
1.1
0.37
0.55
0.81
0.6
0.39
0.51
0.34
0.41
1.14
1.04
0.61
-0.02
0.55
0.59
0.54
0.52
0.4
0.35
1.11
0.84
0.45
0.7
0.61
0.69
0.18
0.51
0.62
0
0.5
Psychiatric
0
0
0
0
0
0
0
0
0.02
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.58
0
0
0
0.56
0
0
0
0
0.33
0
0
0
0.34
0.44
0.26
0
0
0
0
0.01
0
0.15
0
0
0
0.12
0
0
0
0
0
0
0
0
0
0
0
Hearing
0
0
0.02
0
0
0.22
-0.01
0
0.39
0
0.01
0.02
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0
0
0
0
0
0
0
0.17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.02
0
0
0
0
0
0
0
0
0
0.04
0.13
0
2.08
0
-0.07
0
0.23
0.25
0
0
0
0
0.04
0
0
0
0
0
0.15
0
0
0
0.05
0.02
Medcial Staff
Services
0.35
0
0
0.75
8.28
6.18
0
0
2.96
0
0
0
0
2.62
7.01
0
0
0.44
0
3
0
1.75
2.14
2.9
0
1.25
0
0.94
0
0
0.05
0
4.04
0
0
0
0
0
0.03
3.99
0
0
3.45
1.37
0
0.23
0
3.79
3.58
0
0
0.8
0.65
4.12
0
0
0
2.29
10
0
0
0.65
1.15
0
0
0
0.55
0
0
0.01
0
3.31
0.78
0
0.07
0
0
0
0
0
0
0.01
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.06
0.19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0.64
2.32
0
0
0
0
0
0
0
0
0
0
0.09
0
0
0
0
0
0.01
0.01
0
0
0
0
0
0
0
0
0
0.02
0
0
0
0
0
0
0
0
0
0
0.01
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.16
0
0
0
0
0
0
0
0
0
0
0
0
15.9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0.36
0
0
0
0
0
0
0
0
0
0
0.54
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.41
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.03
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.02
0
0
0
0
Admin Non
Comp
Allocation
0
0
0
0
0
0
0
0
0
0.14
0
0
0
0
0
0
0
0
0
0
0
0.44
0
0
0
0
0
0
0
0
0
0
1.11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Utilities Non
Comp
Allocation
3.67
6
6.07
4.92
5.2
5.17
10.58
6.82
4.41
8.99
8.15
5.62
4.87
7.05
5.89
0
4.08
7.27
6.46
5.55
8.67
7.96
5.87
6.29
7.8
8.03
3.74
8.39
5.81
6.68
6.82
0
0
6.22
5.39
4.78
4.09
3.52
5.64
8.53
10.22
4.68
9.8
7.46
5.37
14.87
0
6.03
7.5
3.9
6.67
5.36
6.91
5.26
3.8
9.89
7.46
5.56
4.43
3.62
6.73
5.61
6.04
3.17
6.72
4.94
6.26
11.35
7.52
5.9
3.56
4.75
5.49
6.07
5.97
7.07
6.49
4.23
7.05
5.53
6.72
6.7
RX Admin
Allocation
1.28
0.53
0.24
0.25
0.74
1.09
-0.17
0.24
0.38
2.73
10.21
1.75
0.48
1.38
0.68
0
0.73
0.14
0.13
0.28
0.57
0.02
1.01
0.31
0.64
0.62
0.45
0.68
0.19
0.91
0.12
0.31
1.9
2.53
0.21
1.03
1.61
1.75
0.31
0.78
0.25
0.49
1.02
0.66
0.98
0.74
0
0.68
0.27
1.13
0.47
0.77
0.9
0.5
0.94
0.06
0.34
0.4
0.51
1.37
0.79
0.5
0.51
0.72
0.79
0.75
0.77
0.96
0.76
0.79
2.26
0.55
0.35
0.5
0.51
0.74
0.22
0.51
0.26
0.18
0
0.14
Total Non
Comp Cost
546927
579656
307272
520475
1984866
930570
1106363
1187187
1597807
615170
2330526
400364
578243
1475371
2716666
0
230522
369336
283466
905121
419855
292278
873091
1185648
1045188
567596
336408
843216
798856
505038
406236
82692
3354255
1129575
199877
278215
290285
486696
369508
667165
321410
742236
5351812
1190347
804621
1186942
0
668503
569771
147438
242018
279397
391250
852151
410369
1360391
245368
430845
689077
388245
1348952
268278
311855
227896
338902
500520
342139
602383
478142
2094580
617379
391400
400435
1648653
330572
956111
714218
261402
304898
769441
507432
844858
New York State Department of Health Bureau Of Long Term Care Reimbursement 01/01/16 - 12/31/16 Initial Rates
Nursing Home Benchmark Rates
Non Comparable Ancillary Breakdown
Opcert
590430910
270135830
700033710
212430110
082430310
330132810
410230710
700432010
033630110
590530510
700233510
330132610
575030110
140133710
514930310
596030310
700336710
700035010
582330210
582000030
272230110
170230010
022830510
270135210
450130110
700340310
590130610
590331210
595730310
180130510
275330110
515830110
560130210
295230610
590231510
105930110
280100130
700037910
142130610
036430110
700335710
130130110
132030110
555630110
700333610
515131610
552230310
295031510
275030310
700039010
602700030
Name
United Hebrew Geriatric Center
Unity Living Center
University Nursing Home
Valley Health Services Inc
Valley View Manor Nursing Home
Van Duyn Center for Rehabilitation and Nursing
Van Rensselaer Manor
Verrazano Nursing Home
Vestal Park Rehabilitation and Nursing Center
Victoria Home
Villagecare Rehabilitation and Nursing Center
Vivian Teal Howard Residential Health Care Facility
Washington Center for Rehabilitation and Healthcare
Waterfront Center for Rehabilitation and Healthcare
Waters Edge at Port Jefferson for Rehabilitation and Nursing
Waterview Hills Rehabilitation and Nursing Center
Waterview Nursing Care Center
Wayne Center For Nursing And Rehabilitation
Wayne County Nursing Home
Wayne Health Care
Wedgewood Nursing Home
Wells Nursing Home Inc
Wellsville Manor Care Center
Wesley Gardens Corporation
Wesley Health Care Center Inc
West Lawrence Care Center LLC
West Ledge Rehabilitation and Nursing Center
Westchester Center for Rehabilitation & Nursing
Westchester Meadows
Western New York State Veterans Home
Westgate Nursing Home Inc
Westhampton Care Center
Westmount Health Facility
White Oaks Rehabilitation and Nursing Center
White Plains Center For Nursing Care LLC
Whittier Rehabilitation & Skilled Nursing Center
Wilkinson Residential Health Care Facility
Williamsbridge Manor Nursing Home
Williamsville Suburban LLC
Willow Point Nursing Home
Windsor Park Nursing Home
Wingate at Beacon
Wingate of Dutchess
Wingate of Ulster
Woodcrest Rehabilitation & Residential Health Care Ctr LLC
Woodhaven Nursing Home
Woodland Pond at New Paltz
Woodmere Rehabilitation And Health Care Center
Woodside Manor Nursing Home Inc
Workmens Circle Multicare Center
Wyoming County Community Hospital Snf
Date
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
Non
Comparable
Rate
8.99
13.63
7.82
10.12
7.3
13.92
14.91
5.18
8.02
9.97
21.44
7.1
8.27
10.09
10.68
9.78
11.38
11.11
9.53
20.99
6.41
8.47
7.72
13.86
8.94
7.63
12.9
6.25
7.96
24.11
7.46
10.6
7.5
5.94
8.66
33.16
12.22
7.97
8.72
5.64
7.08
12.5
20.82
24.33
8.68
6.67
10.7
15.05
10.52
9.81
9.15
Medical
Directors
1.38
0.65
2.41
0.41
0.59
0.98
0.69
0.42
0.75
1.04
3.98
2.15
0.76
0.21
1.22
0.3
0.52
0.85
0.47
0
1.62
0.5
0.46
0.95
0.86
0.68
1.81
0.32
3.6
5.98
0.41
0.9
1.38
0.33
2.99
2.9
0
1.81
0.37
0.67
0.95
0.57
0.61
0.85
0.38
0.51
0
0.87
2.94
0.61
0.5
Utilization
Review
0
0.5
0
0.69
0
0.01
0.71
0
0
0
0
0
0
0
0.55
2.35
0
0
0
1.07
0
0
0
0
0.56
0
2.68
0
0
0
0
0
0
0
0
2.5
1.5
0
0
0.16
0
0
0
0
0
0
0
0
0
0
0
Electro
Electro
Lab Services Cardialoogy Encephalogy
$ per Day
$ Per Day
$ Per Day
0.04
1.08
0
0.81
0.51
0.15
0.13
0
0
0
0.56
0
0
0.64
0.92
0
0
0.39
0.93
1.77
0
0.09
0.54
0.53
0.26
0
0
0
2.79
0
0
0
0
0
0
0
0.48
0
0.99
0.28
0.58
0
0
0
0
0
0
0
0
0
2.4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0.11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Radiology
0.25
0
0
0.62
0.28
0.11
0.12
0
0
0
0.48
0
0
0.43
0.61
0
0
0
0.31
0.14
0
0.23
0.22
0.31
0
0
0
0
0.93
0
0
0
0
0
0
0
0.18
0
0.38
0.16
0.05
0
0
0
0
0
0
0
0
0
0.52
Inhalation
Therapy
0
0
0
0.41
0
0.01
0.24
0
0
0
0
0
0
0
0
0.71
0
2.03
0
0.67
0
0
0
0
0
0
0
0
0
1.68
0
0
0
0
0
16.34
0.42
0
0
0
0
3.95
11.26
14.64
0
0
0
8.75
0.02
0
0
Podiatry
0
0
0
0
0
0.05
0.12
0
0
0
0
0
0
0
0
0
0
0
0.07
0
0.01
0.03
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
Dental
0.21
0.94
0.34
0.3
0.78
0.35
0.32
0.58
0.63
1.21
0.6
0
0.54
0.72
0.58
0.69
0.6
0.23
0.43
0
0.15
0.58
0.41
0.43
0.39
0.64
1.25
0.3
0.22
0.4
0.14
0.57
0
0.5
0.63
0.76
0
0.35
0.22
0.47
0.91
0.66
0.63
0.83
0.61
0.6
0
0.45
0.04
0.34
0
Psychiatric
0
0
0
0
0.32
0
0.02
0
0
0
0.51
0
0
0
0
0
0
0.01
0.06
0
0.18
0.19
0
0
0.15
0.21
0
0
0
0
0.19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.71
0
0
Hearing
0.02
0
0
0
0.06
0
0
0
0
0
-0.08
0
0.44
0
0
0
0.01
0
0.19
0
0
0
0.16
0.56
0
0
0.02
0
0
0
0
0
-0.22
0
0
0
0
0
0.34
0
0
1.67
1.06
1.1
0
0
0
0.02
0
0
0
Medcial Staff
Services
0
2.8
0
0.57
0
1.96
3.77
0
0
0
6.18
0
0
0
0
0
3.5
0
0
0.01
0
0
0
5.47
0
0
0
0
0
8.11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
2.39
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.01
0
0
0
0
0
0
0
0
0
0
0.01
Other
Ancilary
0
0
0
0.03
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2.14
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.02
0
0
0
0
0
0
0
0
0
0
0
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.09
Other
Ancilary
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.09
0
0
0
0
0
0
0
0
0
0
0
0
0
0.05
Admin Non
Comp
Allocation
0
0.11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.32
0
0
0
0
0
0
0
0
0
0
0
0
0
0.46
Utilities Non
Comp
Allocation
6.78
6.48
4.93
5.26
4.53
7.17
8.07
4.03
5.73
6.82
8.08
4.95
6.47
6.7
5.8
4.36
6.72
7.48
6.45
13.88
3.12
6.78
5.45
5.3
6
5.96
6.91
5.45
0
7.5
5.88
8.65
5.87
4.52
4.53
10.21
8.91
5.53
4.87
3.72
4.16
4.59
6.54
5.84
5.89
5.36
0
4.8
5.51
8.82
4.89
RX Admin
Allocation
0.3
1.08
0.15
1.01
0.23
0.74
0.73
0.15
0.9
0.9
1.14
0
0.06
1.39
1
1.38
0.03
0.12
0.62
1.28
1.33
0.07
0.48
0.3
0.71
0.13
0.23
0.18
0.42
0.44
0.84
0.48
0.47
0.6
0.51
0.46
0.32
0.29
1.55
0.12
0.44
1.06
0.73
1.08
1.8
0.21
0
0.14
1.3
0.04
0.09
Total Non
Comp Cost
852071
542159
129949
533107
203128
2514176
1930070
220026
476806
171590
1505030
379053
358562
574391
451026
425142
697596
823145
645153
1134228
66020
305397
304338
952405
1130636
586510
453063
493872
56891
1046993
303812
676069
217198
431515
260562
1181169
709126
220674
630210
752717
169282
674961
1052750
851205
619764
313318
0
1582208
153393
1611105
482050
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 Initial Rates
Specialty Benchmark Rates
Non Medicare Eligible
01/01/16 Statewide Pricing Rate Co
OPCERT Specialty Type
295030231
295030232
590731812
515731315
030130812
700036411
700037311
700338012
342100032
295230712
700134812
700037512
700034212
590432112
700038312
142130712
700234615
700038512
700138512
700340212
435030512
515330712
700233732
700036311
140100132
140100135
700039211
Aides
Vent
Vent
Peds
Vent
Aides
Aides
Vent
Vent
Vent
Vent
Vent
Vent
Vent
Vent
Vent
Peds
Vent
Vent
Vent
Vent
Vent
Vent
Aides
Vent
Peds
Aides
NAME
A Holly Patterson Extended Care Facility
A Holly Patterson Extended Care Facility
Adira at Riverside Rehabilitation and Nursing
Avalon Gardens Rehabilitation and Health Care Center
Bridgewater Center for Rehabilitation & Nursing LLC
Bronx-Lebanon Special Care Center
Casa Promesa
Cliffside Rehabilitation and Residential Health Care Center
Clifton Springs Hospital And Clinic Extended Care
Cold Spring Hills Center for Nursing and Rehabilitation
Concord Nursing Home Inc
Concourse Rehabilitation and Nursing Center
Daughters Of Jacob Nursing Home Company Inc
Dumont Center for Rehabilitation and Nursing Care
Eastchester Rehabilitation and Health Care Center
Elderwood at Williamsville
Elizabeth Seton Pediatric Center
Fieldston Lodge Care Center
Four Seasons Nursing and Rehabilitation Center
Franklin Center for Rehabilitation and Nursing
Friedwald Center for Rehabilitation & Nursing LLC
Gurwin Jewish Nursing and Rehabilitation Center
Henry J Carter Skilled Nursing Facility
Highbridge-Woodycrest Center Inc
Highpointe on Michigan Health Care Facility
Highpointe on Michigan Health Care Facility
Hope Center for HIV and Nursing Care
Date
1/1/09
Specialty Rate
(Non Medicare
Eligible)
AIDS
Non-Medicare
2009
Occupancy
Eligible
Other Per
Capital
Factor
Adjusted
Diem
Per Diem Adjustment Specialty Rate Adjustment
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$ (22.94) $
$ (37.42) $
$ (62.02) $
$ (22.36) $
$ (107.30) $
$ (13.99) $
$ (36.15) $
$ (28.75) $
$ (43.52) $
$ (17.21) $
$ (77.78) $
$ (54.55) $
$ (13.55) $
$ (28.30) $
$ (39.46) $
$ (10.65) $
$ (22.97) $
$ (36.87) $
$ (20.97) $
$ (15.87) $
$ (42.46) $
$ (78.62) $
$
$
$ (45.42) $
$
$
$ (18.85) $
$ (43.04) $
590.39
720.57
655.77
510.45
557.96
493.90
459.21
661.49
551.94
767.83
578.55
593.54
638.78
574.90
705.76
501.04
738.03
646.24
590.30
596.90
521.16
605.30
890.10
494.65
582.30
477.02
382.63
(22.96)
(31.70)
(28.56)
(28.83)
(7.72)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
544.49
683.15
593.75
560.03
450.66
448.21
394.50
632.74
508.42
750.62
500.77
538.99
625.23
546.60
666.30
490.39
820.46
609.37
569.33
581.03
478.70
526.68
890.10
420.40
582.30
525.70
331.87
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
158.38
-
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 Initial Rates
Specialty Benchmark Rates
Non Medicare Eligible
01/01/16 Statewide Pricing Rate Co
OPCERT Specialty Type
700235715
700235212
330132912
700337712
700131312
700235311
500200132
290430112
515131912
700431612
556730213
556730214
556730212
435030412
260100112
700139112
700337414
465230214
465230215
465230212
700338612
700336114
700333012
700432414
700432411
700432413
700432412
Peds
Vent
Vent
Vent
Vent
Aides
Vent
Vent
Vent
Vent
Neuro
TBI
Vent
Vent
Vent
Vent
TBI
TBI
Peds
Vent
Vent
TBI
Vent
TBI
Aides
Neuro
Vent
NAME
Incarnation Childrens Center
Isabella Geriatric Center Inc
James Square Nursing And Rehabilitation Centre
Long Island Care Center Inc
Lutheran Augustana Center for Extended Care &Rehab
Manhattan Center for Nursing and Rehabilitation
Mcauley Manor at Mercycare
Meadowbrook Care Center Inc
Medford Multicare Center for Living
New Vanderbilt Rehabilitation and Care Center Inc
Northeast Center for Rehabilitation and Brain Injury
Northeast Center for Rehabilitation and Brain Injury
Northeast Center for Rehabilitation and Brain Injury
Northern Manor Geriatric Center Inc
Oneida Healthcare
Palm Gardens Care Center LLC
Park Terrace Care Center
Pathways Nursing and Rehabilitation Center
Pathways Nursing and Rehabilitation Center
Pathways Nursing and Rehabilitation Center
Promenade Rehabilitation and Health Care Center
Queens Nassau Rehabilitation and Nursing Center
Resort Nursing Home
Richmond Center for Rehabilitation and Specialty Healthcare
Richmond Center for Rehabilitation and Specialty Healthcare
Richmond Center for Rehabilitation and Specialty Healthcare
Richmond Center for Rehabilitation and Specialty Healthcare
Date
1/1/09
Specialty Rate
(Non Medicare
Eligible)
AIDS
Non-Medicare
2009
Occupancy
Eligible
Other Per
Capital
Factor
Adjusted
Diem
Per Diem Adjustment Specialty Rate Adjustment
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$ (31.31) $
$ (17.11) $
$
$
$ (44.08) $
$
$
$ (62.10) $
$ (31.84) $
$ (46.81) $
$ (134.13) $
$ (50.73) $
$ (29.59) $
$ (37.87) $
$ (49.73) $
$ (49.96) $
$ (41.72) $
$ (32.53) $
$ (31.83) $
$ (16.01) $
$ (35.51) $
$ (65.98) $
$ (17.80) $
$ (21.36) $
$ (24.21) $
$ (61.11) $
$ (37.04) $
$ (30.34) $
$ (61.11) $
770.86
596.70
360.26
637.32
706.15
481.32
405.03
497.49
733.62
619.92
303.44
335.64
505.72
631.04
512.86
630.84
526.83
423.85
654.95
493.01
564.45
512.25
614.55
723.59
506.74
460.41
723.59
(25.61)
(25.85)
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
848.56
579.59
360.26
593.24
706.15
393.61
373.19
450.68
599.49
569.19
273.85
297.77
455.99
581.08
471.14
598.31
495.00
407.84
710.75
427.03
546.65
490.89
590.34
662.48
443.85
430.07
662.48
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 Initial Rates
Specialty Benchmark Rates
Non Medicare Eligible
01/01/16 Statewide Pricing Rate Co
OPCERT Specialty Type
700336212
700103312
700131811
700131812
700430414
700432312
700337212
612000033
290430212
700038412
700037112
700037111
330132114
515731114
010130710
010130715
700234911
700330015
596130315
700234511
140100533
140100532
275030613
275030612
700341412
295031812
270135832
Vent
Vent
Aides
Vent
TBI
Vent
Vent
Neuro
Vent
Vent
Vent
Aides
TBI
TBI
N
Peds
Aides
Peds
Peds
Aides
Neuro
Vent
Neuro
Vent
Vent
Vent
Vent
NAME
Rockaway Care Center
Rutland Nursing Home Co Inc
Schulman and Schachne Institute for Nursing and Rehabilitat
Schulman and Schachne Institute for Nursing and Rehabilitat
Sea View Hospital Rehabilitation Center And Home
Silver Lake Specialized Rehabilitation and Care Cente
Silvercrest
Soldiers And Sailors Memorial Hospital Extended Care Unit
South Shore Rehabilitation and Nursing Center
Split Rock Rehabilitation and Health Care Center
St Barnabas Rehabilitation & Continuing Care Center
St Barnabas Rehabilitation & Continuing Care Center
St Camillus Residential Health Care Facility
St Johnland Nursing Center Inc
St Margarets Center
St Margarets Center
St Marys Center Inc
St Marys Hospital For Children Inc
Sunshine Childrens Home and Rehab Center
Terence Cardinal Cooke Health Care Ctr
Terrace View Long Term Care Facility
Terrace View Long Term Care Facility
The Highlands at Brighton
The Highlands at Brighton
The Pavilion at Queens for Rehabilitation & Nursing
Townhouse Center for Rehabilitation & Nursing
Unity Living Center
Date
1/1/09
Specialty Rate
(Non Medicare
Eligible)
AIDS
Non-Medicare
2009
Occupancy
Eligible
Other Per
Capital
Factor
Adjusted
Diem
Per Diem Adjustment Specialty Rate Adjustment
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$ (20.15) $
$ (42.02) $
$ (35.03) $
$ (52.71) $
$ (16.37) $
$ (26.85) $
$ (28.71) $
$ (38.17) $
$
(5.99) $
$ (18.36) $
$ (108.58) $
$ (60.31) $
$ (13.53) $
$ (38.76) $
$ (30.78) $
$ (30.78) $
$ (67.19) $
$ (34.30) $
$ (41.03) $
$ (16.27) $
$
$
$ (37.57) $
$ (45.42) $
$ (34.45) $
$ (47.05) $
$ (42.74) $
$ (32.43) $
484.89
593.83
614.21
691.82
544.69
523.76
630.26
337.76
492.09
622.53
676.58
494.00
371.98
601.77
294.60
294.60
485.27
737.22
983.69
493.23
435.96
522.40
337.22
470.42
613.54
580.05
493.83
(92.12)
(30.74)
(27.76)
(29.11)
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
464.74
551.81
487.06
639.11
528.32
496.91
601.55
299.59
486.10
604.17
568.00
402.95
358.45
563.01
302.71
302.71
390.32
806.53
1,081.61
447.85
435.96
484.83
291.80
435.97
566.49
537.31
461.40
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
218.28
222.86
533.09
-
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 Initial Rates
Specialty Benchmark Rates
Non Medicare Eligible
01/01/16 Statewide Pricing Rate Co
OPCERT Specialty Type
700035012
582000032
582000033
105930112
130130112
132030112
Vent
Vent
Neuro
Vent
Vent
Vent
NAME
Wayne Center For Nursing And Rehabilitation
Wayne Health Care
Wayne Health Care
Whittier Rehabilitation & Skilled Nursing Center
Wingate at Beacon
Wingate of Dutchess
Date
1/1/09
Specialty Rate
(Non Medicare
Eligible)
AIDS
Non-Medicare
2009
Occupancy
Eligible
Other Per
Capital
Factor
Adjusted
Diem
Per Diem Adjustment Specialty Rate Adjustment
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
$
$
$
$
$
$
$
$
$
$
$
$
531.38
468.85
370.89
424.84
423.51
478.07
(40.79)
(25.63)
(36.08)
(25.89)
(31.35)
(25.94)
$
$
$
$
$
$
-
$
$
$
$
$
$
490.59
443.22
334.81
398.95
392.16
452.13
$
$
$
$
$
$
-
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 - Initial Rates
Specialty Benchmark Rates
Medicare Eligible
01/01/16 Statewide Pricing Rate Computation Sheet - Initial Rates
OPCERT Specialty Type
295030231
295030232
590731812
515731315
030130812
700036411
700037311
700338012
342100032
295230712
700134812
700037512
700034212
590432112
700038312
142130712
700234615
700038512
700138512
700340212
435030512
515330712
700233732
700036311
140100132
140100135
Aides
Vent
Vent
Peds
Vent
Aides
Aides
Vent
Vent
Vent
Vent
Vent
Vent
Vent
Vent
Vent
Peds
Vent
Vent
Vent
Vent
Vent
Vent
Aides
Vent
Peds
NAME
A Holly Patterson Extended Care Facility
A Holly Patterson Extended Care Facility
Adira at Riverside Rehabilitation and Nursing
Avalon Gardens Rehabilitation and Health Care Center
Bridgewater Center for Rehabilitation & Nursing LLC
Bronx-Lebanon Special Care Center
Casa Promesa
Cliffside Rehabilitation and Residential Health Care Center
Clifton Springs Hospital And Clinic Extended Care
Cold Spring Hills Center for Nursing and Rehabilitation
Concord Nursing Home Inc
Concourse Rehabilitation and Nursing Center
Daughters Of Jacob Nursing Home Company Inc
Dumont Center for Rehabilitation and Nursing Care
Eastchester Rehabilitation and Health Care Center
Elderwood at Williamsville
Elizabeth Seton Pediatric Center
Fieldston Lodge Care Center
Four Seasons Nursing and Rehabilitation Center
Franklin Center for Rehabilitation and Nursing
Friedwald Center for Rehabilitation & Nursing LLC
Gurwin Jewish Nursing and Rehabilitation Center
Henry J Carter Skilled Nursing Facility
Highbridge-Woodycrest Center Inc
Highpointe on Michigan Health Care Facility
Highpointe on Michigan Health Care Facility
Date
1/1/09
Specialty Rate
(Medicare
Eligible)
AIDS
Medicare
Adjustment
2009
Occupancy
Eligible
Other Per
per PHL
Total Non
Capital
Factor
Adjusted
Diem
Section
Capital
Per Diem Adjustment Specialty Rate Adjustment 2808(25)© Component
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$ (22.94) $
$ (37.42) $
$ (62.02) $
$ (22.36) $
$ (107.30) $
$ (13.99) $
$ (36.15) $
$ (28.75) $
$ (43.52) $
$ (17.21) $
$ (77.78) $
$ (54.55) $
$ (13.55) $
$ (28.30) $
$ (39.46) $
$ (10.65) $
$ (22.97) $
$ (36.87) $
$ (20.97) $
$ (15.87) $
$ (42.46) $
$ (78.62) $
$
$
$ (45.42) $
$
$
$ (18.85) $
585.12
715.02
650.66
510.45
552.40
488.66
454.05
654.41
551.32
759.83
572.58
586.96
632.37
568.14
699.57
495.83
738.03
639.01
583.37
591.18
519.16
599.28
881.04
488.91
576.48
477.02
(22.96)
(31.70)
(28.56)
(28.83)
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
539.22
677.60
588.64
560.03
445.10
442.97
389.34
625.66
507.80
742.62
494.80
532.41
618.82
539.84
660.11
485.18
820.46
602.14
562.40
575.31
476.70
520.66
881.04
414.66
576.48
458.17
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
158.38
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.58)
(2.41)
(1.84)
(1.75)
(1.32)
(1.19)
(1.87)
(2.13)
(3.18)
(1.92)
(2.10)
(1.68)
(2.19)
(2.00)
(1.28)
(2.25)
(1.76)
(1.70)
(1.34)
(1.69)
(1.36)
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
537.64
675.19
586.80
560.03
443.35
441.65
388.15
623.79
505.67
739.44
492.88
530.31
617.14
537.65
658.11
483.90
978.84
599.89
560.64
573.61
475.36
518.97
881.04
413.30
576.48
525.70
2016
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
22.31
33.56
38.79
22.58
81.97
11.66
37.31
52.01
36.27
40.39
66.83
100.40
9.00
48.92
86.51
16.79
189.11
15.95
48.84
25.15
67.48
50.99
171.87
25.74
137.11
98.63
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 - Initial Rates
Specialty Benchmark Rates
Medicare Eligible
01/01/16 Statewide Pricing Rate Computation Sheet - Initial Rates
OPCERT Specialty Type
700039211
700235715
700235212
330132912
700337712
700131312
700235311
500200132
290430112
515131912
700431612
556730213
556730214
556730212
435030412
260100112
700139112
700337414
465230214
465230215
465230212
700338612
700336114
700333012
700432414
700432411
Aides
Peds
Vent
Vent
Vent
Vent
Aides
Vent
Vent
Vent
Vent
Neuro
TBI
Vent
Vent
Vent
Vent
TBI
TBI
Peds
Vent
Vent
TBI
Vent
TBI
Aides
NAME
Hope Center for HIV and Nursing Care
Incarnation Childrens Center
Isabella Geriatric Center Inc
James Square Nursing And Rehabilitation Centre
Long Island Care Center Inc
Lutheran Augustana Center for Extended Care &Rehab
Manhattan Center for Nursing and Rehabilitation
Mcauley Manor at Mercycare
Meadowbrook Care Center Inc
Medford Multicare Center for Living
New Vanderbilt Rehabilitation and Care Center Inc
Northeast Center for Rehabilitation and Brain Injury
Northeast Center for Rehabilitation and Brain Injury
Northeast Center for Rehabilitation and Brain Injury
Northern Manor Geriatric Center Inc
Oneida Healthcare
Palm Gardens Care Center LLC
Park Terrace Care Center
Pathways Nursing and Rehabilitation Center
Pathways Nursing and Rehabilitation Center
Pathways Nursing and Rehabilitation Center
Promenade Rehabilitation and Health Care Center
Queens Nassau Rehabilitation and Nursing Center
Resort Nursing Home
Richmond Center for Rehabilitation and Specialty Healthcare
Richmond Center for Rehabilitation and Specialty Healthcare
Date
1/1/09
Specialty Rate
(Medicare
Eligible)
AIDS
Medicare
Adjustment
2009
Occupancy
Eligible
Other Per
per PHL
Total Non
Capital
Factor
Adjusted
Diem
Section
Capital
Per Diem Adjustment Specialty Rate Adjustment 2808(25)© Component
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$ (43.04) $
$ (31.31) $
$ (17.11) $
$
$
$ (44.08) $
$
$
$ (62.10) $
$ (31.84) $
$ (46.81) $
$ (134.13) $
$ (50.73) $
$ (29.59) $
$ (37.87) $
$ (49.73) $
$ (49.96) $
$ (41.72) $
$ (32.53) $
$ (31.83) $
$ (16.01) $
$ (35.51) $
$ (65.98) $
$ (17.80) $
$ (21.36) $
$ (24.21) $
$ (61.11) $
$ (37.04) $
378.14
770.86
588.75
356.53
631.15
699.15
473.81
403.41
491.46
725.86
619.92
299.55
331.47
500.58
630.62
508.33
625.02
521.76
423.85
654.95
488.30
557.93
506.29
607.90
715.22
500.66
(7.72)
(25.61)
(25.85)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
327.38
739.55
571.64
356.53
587.07
699.15
386.10
371.57
444.65
591.73
569.19
269.96
293.60
450.85
580.66
466.61
592.49
489.93
407.84
619.44
422.32
540.13
484.93
583.69
654.11
437.77
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.08)
(1.66)
(1.85)
(1.75)
(1.38)
(1.15)
(1.68)
(1.90)
(1.75)
(0.86)
(0.73)
(0.92)
(1.81)
(1.42)
(1.85)
(1.12)
(0.37)
(0.47)
(1.87)
(1.35)
(1.85)
(2.17)
(1.41)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
326.30
848.56
569.98
356.53
585.22
697.40
384.72
370.42
442.97
589.83
567.44
269.10
292.87
449.93
578.85
465.19
590.64
488.81
407.47
710.75
421.85
538.26
483.58
581.84
651.94
436.36
2016
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
102.63
36.34
29.33
51.24
43.72
47.67
24.95
73.13
88.02
44.34
33.73
35.85
46.08
36.75
39.36
52.80
12.56
20.67
47.33
38.89
34.60
20.48
26.86
18.07
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 - Initial Rates
Specialty Benchmark Rates
Medicare Eligible
01/01/16 Statewide Pricing Rate Computation Sheet - Initial Rates
OPCERT Specialty Type
700432413
700432412
700336212
700103312
700131811
700131812
700430414
700432312
700337212
612000033
290430212
700038412
700037112
700037111
330132114
515731114
010130710
010130715
700234911
700330015
596130315
700234511
140100533
140100532
275030613
275030612
Neuro
Vent
Vent
Vent
Aides
Vent
TBI
Vent
Vent
Neuro
Vent
Vent
Vent
Aides
TBI
TBI
N
Peds
Aides
Peds
Peds
Aides
Neuro
Vent
Neuro
Vent
NAME
Richmond Center for Rehabilitation and Specialty Healthcare
Richmond Center for Rehabilitation and Specialty Healthcare
Rockaway Care Center
Rutland Nursing Home Co Inc
Schulman and Schachne Institute for Nursing and Rehabilitat
Schulman and Schachne Institute for Nursing and Rehabilitat
Sea View Hospital Rehabilitation Center And Home
Silver Lake Specialized Rehabilitation and Care Cente
Silvercrest
Soldiers And Sailors Memorial Hospital Extended Care Unit
South Shore Rehabilitation and Nursing Center
Split Rock Rehabilitation and Health Care Center
St Barnabas Rehabilitation & Continuing Care Center
St Barnabas Rehabilitation & Continuing Care Center
St Camillus Residential Health Care Facility
St Johnland Nursing Center Inc
St Margarets Center
St Margarets Center
St Marys Center Inc
St Marys Hospital For Children Inc
Sunshine Childrens Home and Rehab Center
Terence Cardinal Cooke Health Care Ctr
Terrace View Long Term Care Facility
Terrace View Long Term Care Facility
The Highlands at Brighton
The Highlands at Brighton
Date
1/1/09
Specialty Rate
(Medicare
Eligible)
AIDS
Medicare
Adjustment
2009
Occupancy
Eligible
Other Per
per PHL
Total Non
Capital
Factor
Adjusted
Diem
Section
Capital
Per Diem Adjustment Specialty Rate Adjustment 2808(25)© Component
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$ (30.34) $
$ (61.11) $
$ (20.15) $
$ (42.02) $
$ (35.03) $
$ (52.71) $
$ (16.37) $
$ (26.85) $
$ (28.71) $
$ (38.17) $
$
(5.99) $
$ (18.36) $
$ (108.58) $
$ (60.31) $
$ (13.53) $
$ (38.76) $
$ (30.78) $
$ (30.78) $
$ (67.19) $
$ (34.30) $
$ (41.03) $
$ (16.27) $
$
$
$ (37.57) $
$ (45.42) $
$ (34.45) $
454.70
715.22
479.81
587.70
607.70
683.59
540.35
518.65
624.35
334.74
486.35
617.01
669.31
487.73
368.96
595.41
294.60
294.60
480.33
737.22
980.44
487.42
431.60
517.23
333.71
466.43
(92.12)
(30.74)
(27.76)
(29.11)
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
424.36
654.11
459.66
545.68
480.55
630.88
523.98
491.80
595.64
296.57
480.36
598.65
560.73
396.68
355.43
556.65
302.71
302.71
385.38
806.53
1,077.88
442.04
431.60
479.66
288.29
431.98
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
218.28
222.86
533.09
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1.29)
(2.17)
(1.37)
(2.00)
(1.51)
(1.83)
(2.34)
(1.79)
(1.54)
(0.98)
(1.55)
(1.80)
(1.56)
(1.55)
(0.83)
(3.52)
(1.37)
(1.28)
(1.63)
(0.99)
(1.46)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
423.07
651.94
458.29
543.68
479.04
629.05
521.64
490.01
594.10
295.59
478.81
596.85
559.17
395.13
354.60
553.13
520.99
525.57
384.01
1,339.62
1,077.88
440.76
431.60
478.03
287.30
430.52
2016
Capital
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
26.29
47.37
31.25
12.78
17.30
35.88
23.88
57.68
22.09
30.79
35.10
61.62
32.46
16.13
20.78
24.99
33.65
20.29
342.21
65.70
11.22
161.06
150.00
30.12
25.47
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/16 - 12/31/16 - Initial Rates
Specialty Benchmark Rates
Medicare Eligible
01/01/16 Statewide Pricing Rate Computation Sheet - Initial Rates
OPCERT Specialty Type
700341412
295031812
270135832
700035012
582000032
582000033
105930112
130130112
132030112
555630112
Vent
Vent
Vent
Vent
Vent
Neuro
Vent
Vent
Vent
Vent
NAME
The Pavilion at Queens for Rehabilitation & Nursing
Townhouse Center for Rehabilitation & Nursing
Unity Living Center
Wayne Center For Nursing And Rehabilitation
Wayne Health Care
Wayne Health Care
Whittier Rehabilitation & Skilled Nursing Center
Wingate at Beacon
Wingate of Dutchess
Wingate of Ulster
Date
1/1/09
Specialty Rate
(Medicare
Eligible)
AIDS
Medicare
Adjustment
2009
Occupancy
Eligible
Other Per
per PHL
Total Non
Capital
Factor
Adjusted
Diem
Section
Capital
Per Diem Adjustment Specialty Rate Adjustment 2808(25)© Component
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
1/1/2016
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
611.11
574.08
488.86
526.27
464.25
367.94
420.00
418.44
472.25
534.28
(47.05)
(42.74)
(32.43)
(40.79)
(25.63)
(36.08)
(25.89)
(31.35)
(25.94)
(24.93)
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
564.06
531.34
456.43
485.48
438.62
331.86
394.11
387.09
446.31
509.35
$
$
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
(1.78)
(1.85)
(1.22)
(1.52)
(0.90)
(1.37)
(1.03)
(1.01)
$
$
$
$
$
$
$
$
$
$
562.28
529.49
455.21
483.96
437.72
330.49
394.11
387.09
445.28
508.34
2016
Capital
$
$
$
$
$
$
$
$
$
$
49.15
74.75
42.57
38.44
38.19
36.82
28.58