Page 1
Revised Nonpublic Medical Assistance Day One Incentive (MDOI) Payments
For the quarter July 1 2015 ndash September 30 2015
A quarterly nonpublic MDOI will be calculated for each qualifying nonpublic nursing facility for Fiscal Year 2015-2016 To qualify for a payment the facility must be a nonpublic nursing facility during the entire Resident Day quarter used to obtain the resident days for calculating the payment have an overall occupancy rate of at least 85 and an MA occupancy rate of at least 65 Resident Day information must be submitted on or before the reporting due date and will not be adjusted for changes after that date
Fiscal Quarter Resident Day Quarter Reporting Due Date July 1 ndash September 30 2015 April 1 ndash June 30 2015 October 31 2015 October 1 ndash December 31 2015 July 1 ndash September 30 2015 January 31 2016 January 1 ndash March 31 2016 October 1 ndash December 31 2015 April 30 2016 April 1 ndash June 30 2016 January 1 ndash March 31 2016 July 31 2016
The overall occupancy rate is calculated as the Total Resident Days for the Resident Day quarter divided by the available days (number of beds at the end of the quarter times the number of calendar days in the quarter) Calculation of the MA occupancy rate is the Total PA MA days from the Resident Day quarter divided by Total Resident Days from the Resident Day quarter
For nursing facilities that meet the qualifying criteria their nonpublic MDOI payment for the quarter is calculated as the Total PA MA days times the quarterly MDOI per diem The MDOI per diem varies by quarter based on the total funds available for the quarterly nonpublic MDOI payment divided by the sum of the Total PA MA days for all qualifying facilities
The total funds available for the July 2015 quarter is $416753490 and the Total PA MA days for qualifying nursing facilities is 2671146 which results in a nonpublic MDOI per diem amount of $156020483
Provider Name of
Beds
Total PA MA Days
Total Resident
Days Overall
MA
Original Nonpublic
MDOI Payments RA Date
Revised Nonpublic
MDOI Payments
Gross Adjustment RA Date
ABINGTON CREST HEALTH AND REHAB CENTER 80 6123 6597 91 93 $967281 5232016 $955313 ($11968) 812016
ABINGTON MANOR 119 6825 10315 95 66 $1078180 5232016 $1064840 ($13340) 812016
ABRAMSON RESIDENCE 324 17676 28972 98 61 $000 5232016 $000 $000 812016 ALLIED SERVICES SKILLED NURSING CENTER 371 22241 30500 90 73 $3513523 5232016 $3470052 ($43471) 812016 ALTOONA CENTER FOR NURSING CARE 120 8320 10082 92 83 $1314352 5232016 $1298090 ($16262) 812016
AMBLER EXTENDED CARE CENTER 100 6782 8478 93 80 $1071387 5232016 $1058131 ($13256) 812016
ANNS CHOICE 88 1371 6789 85 20 $000 5232016 $000 $000 812016
ARBUTUS PARK MANOR 141 7126 11955 93 60 $000 5232016 $000 $000 812016
ARISTACARE AT MEADOW SPRINGS 153 10409 12622 91 82 $1644362 5232016 $1624017 ($20345) 812016
ARTMAN LUTHERAN HOME 61 1263 4631 83 27 $000 5232016 $000 $000 812016
ATTLEBORO NURSING AND REHAB 179 10632 15333 94 69 $1679591 5232016 $1658810 ($20781) 812016
Provider Name of
Beds
Total PA MA Days
Total Resident
Days Overall
MA
Original Nonpublic
MDOI Payments RA Date
Revised Nonpublic
MDOI Payments
Gross Adjustment RA Date
CENTER
AUDUBON VILLA HEALTH AND REHAB CENTER 42 2098 3586 94 59 $000 5232016 $000 $000 812016
AVALON NURSING CENTER 83 6010 7445 99 81 $949430 5232016 $937683 ($11747) 812016 AVALON SPRINGS NURSING CENTERBALA NURSING AND RETIREMENT
100 6484 8689 95 75 $1024310 5232016 $1011637 ($12673) 812016
CENTER 180 13347 14998 92 89 $2108493 5232016 $2082405 ($26088) 812016
BALL PAVILION THE 85 5203 7360 95 71 $821944 5232016 $811775 ($10169) 812016
BARCLAY FRIENDS 96 2739 8251 94 33 $000 5232016 $000 $000 812016 BARNES-KASSON COUNTY HOSPITAL SNF BEACON RIDGE A CHOICE
58 3646 4915 93 74 $575977 5232016 $568851 ($7126) 812016
COMMUNITY 118 4871 9410 88 52 $000 5232016 $000 $000 812016 BEAVER HEALTHCARE AND REHABILITATION CTR 67 3133 5383 88 58 $000 5232016 $000 $000 812016 BEAVER VALLEY HEALTH AND REHAB CENTER BELAIR HEALTH AND
120 6197 10278 94 60 $000 5232016 $000 $000 812016
REHABILITATION CENTER 103 5352 8618 92 62 $000 5232016 $000 $000 812016 BELLE HAVEN HEALTHCARE amp REHAB CENTER 59 3993 5086 95 79 $630794 5232016 $622990 ($7804) 812016
BELLE REVE HEALTH CARE CENTER 30 678 2277 83 30 $000 5232016 $000 $000 812016
BERKSHIRE CENTER BERWICK RETIREMENT VILLAGE
130 7197 11294 95 64 $000 5232016 $000 $000 812016
NRSNG HOME I 120 3794 4337 40 87 $000 5232016 $000 $000 812016 BERWICK RETIREMENT VILLAGE NRSNG HOME II 120 5711 8715 80 66 $000 5232016 $000 $000 812016 BETHANY VILLAGE RETIREMENT CENTERBETHLEN HM OF THE HUNGARIAN
69 1629 6111 97 27 $000 5232016 $000 $000 812016
RFRMD FED 96 4367 7988 91 55 $000 5232016 $000 $000 812016 BIRCHWOOD NURSING AND REHAB CENTER 121 7212 10281 93 70 $1139316 5232016 $1125220 ($14096) 812016
BRADFORD ECUMENICAL HOME INC 100 5294 8591 94 62 $000 5232016 $000 $000 812016
BRADFORD MANOR 115 6682 9044 86 74 $1055589 5232016 $1042529 ($13060) 812016
BRANDYWINE HALL BRIARCLIFF PAVILION HEALTH AND
180 12464 15438 94 81 $1969001 5232016 $1944639 ($24362) 812016
REHAB CTR 120 7525 10016 92 75 $1188762 5232016 $1174054 ($14708) 812016 BRIARLEAF NURSING AND CONVAL CENTER 178 13092 15839 98 83 $2068209 5232016 $2042620 ($25589) 812016
BRINTON MANOR 92 5194 7827 93 66 $820522 5232016 $810370 ($10152) 812016 BROAD ACRES HEALTH AND REHAB CENTER 120 6276 10309 94 61 $000 5232016 $000 $000 812016 BROAD MOUNTAIN HEALTH AND REHAB CENTER BROOKLINE MANOR AND
129 8211 10184 87 81 $1297133 5232016 $1281084 ($16049) 812016
REHABILITATIVE SRVCS 85 4393 6825 88 64 $000 5232016 $000 $000 812016 BROOKMONT HEALTHCARE CENTER LLC 119 6643 9429 87 70 $1049428 5232016 $1036444 ($12984) 812016 BROOKSIDE HEALTHCARE AND REHAB CENTER 120 7540 9005 82 84 $000 5232016 $000 $000 812016
BROOMALL MANOR 123 6902 7567 68 91 $000 5232016 $000 $000 812016
BROOMALL PRESBYTERIAN VILLAGE 146 6559 12051 91 54 $000 5232016 $000 $000 812016 BROOMALL REHAB AND NURSING CENTER 298 17798 24406 90 73 $2811640 5232016 $2776853 ($34787) 812016 BRYN MAWR EXTENDED CARE CENTERBUCKINGHAM VALLEY REHAB AND
160 9836 12286 84 80 $000 5232016 $000 $000 812016
NURSING CTR 130 6774 11044 93 61 $000 5232016 $000 $000 812016
BUCKTAIL MEDICAL CENTER 43 3291 3567 91 92 $519896 5232016 $513463 ($6433) 812016 BUFFALO VALLEY LUTHERAN VILLAGE 102 5950 8956 96 66 $939952 5232016 $928322 ($11630) 812016 BUTLER VALLEY MANOR HLTH AND REHAB CTR 37 2031 3133 93 65 $320847 5232016 $316878 ($3969) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
CAMBRIA CARE CENTER 301 19267 23200 85 83 $3043705 5232016 $3006047 ($37658) 812016
CANTERBURY PLACE 80 4623 6929 95 67 $730319 5232016 $721283 ($9036) 812016 CARBONDALE NURSING AND REHAB CENTER 115 7565 10028 96 75 $1195081 5232016 $1180295 ($14786) 812016 CARE PAVILION NURSING AND REHAB CENTER CARING HEART REHAB AND
396 31687 34951 97 91 $5005755 5232016 $4943821 ($61934) 812016
NURSING CENTER 269 17052 22606 92 75 $2693790 5232016 $2660461 ($33329) 812016 CARING HEIGHTS COMMUNITY CARE amp REHAB 120 8189 10016 92 82 $1293658 5232016 $1277652 ($16006) 812016
CARING PLACE THE 100 6420 8835 97 73 $1014200 5232016 $1001652 ($12548) 812016 CARLETON HEALTHCARE amp REHABILITATION CTR 26 1206 2097 89 58 $000 5232016 $000 $000 812016
CATHEDRAL VILLAGE 133 1445 9181 76 16 $000 5232016 $000 $000 812016 CEDAR HAVEN HEALTHCARE CENTER 324 24191 27731 94 87 $3821574 5232016 $3774292 ($47282) 812016 CENTENNIAL HEALTHCARE amp REHAB CENTER 180 13240 15582 95 85 $2091590 5232016 $2065711 ($25879) 812016
CENTRE CREST 240 15446 20824 95 74 $2440083 5232016 $2409892 ($30191) 812016 CHANDLER HALL HEALTH SERVICES INC 53 1163 4147 86 28 $000 5232016 $000 $000 812016
CHAPEL MANOR 238 18399 20663 95 89 $2906583 5232016 $2870621 ($35962) 812016
CHAPEL POINTE AT CARLISLE 59 2067 5301 99 39 $000 5232016 $000 $000 812016 CHARLES COLE MEMORIAL HOSPITAL ECF CHARLES M MORRIS NURSING AND
49 2445 3412 77 72 $000 5232016 $000 $000 812016
REHAB CTR 159 5921 13195 91 45 $000 5232016 $000 $000 812016 CHELTENHAM NURSING AND REHAB CENTER 255 19478 20725 89 94 $3077038 5232016 $3038967 ($38071) 812016
CHERRY TREE NURSING CENTER 120 5976 7866 72 76 $000 5232016 $000 $000 812016 CHESTER VALLEY REHAB AND NURSING CENTER 184 11066 15536 93 71 $1748152 5232016 $1726523 ($21629) 812016 CHESTNUT HILL LODGE HEALTH AND REHAB CTR 181 12412 13371 81 93 $000 5232016 $000 $000 812016
CHICORA MEDICAL CENTER 114 6718 9335 90 72 $1061276 5232016 $1048146 ($13130) 812016
CHRIST THE KING MANOR 160 8527 13908 96 61 $000 5232016 $000 $000 812016
CHURCH OF GOD HOME INC 109 4864 9529 96 51 $000 5232016 $000 $000 812016
CHURCH OF THE BRETHREN HOME CLARVIEW NURSING AND REHAB
134 7324 11349 93 65 $1157009 5232016 $1142694 ($14315) 812016
CENTER 120 6585 9286 85 71 $1040266 5232016 $1027395 ($12871) 812016
CLEPPER MANOR 54 3302 4486 91 74 $521634 5232016 $515180 ($6454) 812016
CLIVEDEN NSG amp REHAB CTR 180 13061 15423 94 85 $2063312 5232016 $2037784 ($25528) 812016
COLONIAL MANOR NURSING HOME 270 15827 19692 80 80 $000 5232016 $000 $000 812016
COLONIAL PARK CARE CENTER 198 13196 17435 97 76 $2084639 5232016 $2058846 ($25793) 812016
CONESTOGA VIEW CONSULATE HEALTH CARE OF
446 34880 39794 98 88 $5510170 5232016 $5441994 ($68176) 812016
CHESWICK 121 9124 10031 91 91 $1441364 5232016 $1423531 ($17833) 812016 CONSULATE HEALTH CARE OF NORTH STRABANE 62 3142 4816 85 65 $496358 5232016 $490216 ($6142) 812016
CORRY MANOR 121 6918 9569 87 72 $1092871 5232016 $1079350 ($13521) 812016 COUNTRYSIDE CHRISTIAN COMMUNITY 33 1693 2958 99 57 $000 5232016 $000 $000 812016 COUNTRYSIDE CONVAL HOME LTD PARTNERSHIPCOVENTRY MANOR HEALTH AND
48 2050 3837 88 53 $000 5232016 $000 $000 812016
REHAB CTR 41 2408 3421 92 70 $380404 5232016 $375697 ($4707) 812016
CRANBERRY PLACE CREEKSIDE HEALTH AND
150 7017 11023 81 64 $000 5232016 $000 $000 812016
REHABILITATION CTR 81 5530 6434 87 86 $873602 5232016 $862793 ($10809) 812016
CRESTVIEW CENTER CUMBERLAND CROSSINGS
180 9016 15775 96 57 $000 5232016 $000 $000 812016
RETIREMENT COMM DARWAY HEALTHCARE amp
58 2048 4947 94 41 $000 5232016 $000 $000 812016
REHABILITATION CTR 67 4729 5749 94 82 $747064 5232016 $737821 ($9243) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
DEER MEADOWS REHABILITATION CENTERDENVER HEALTH AND
206 11932 17669 94 68 $1884958 5232016 $1861636 ($23322) 812016
REHABILITATION CENTER 82 4843 7123 95 68 $765073 5232016 $755607 ($9466) 812016
DOCK TERRACE 72 1858 6204 95 30 $000 5232016 $000 $000 812016
DONAHOE MANOR 72 4247 6270 96 68 $670920 5232016 $662619 ($8301) 812016 DR ARTHUR CLIFTON MCKINLEY HEALTH CENTER 90 4755 7369 90 65 $751171 5232016 $741877 ($9294) 812016 DRESHER HILL HEALTH AND REHAB CENTER 118 8772 9851 92 89 $1385757 5232016 $1368612 ($17145) 812016
DUBOIS NURSING HOME 140 8355 11696 92 71 $1319881 5232016 $1303551 ($16330) 812016
DUNMORE HEALTH CARE CENTER 92 5421 7468 89 73 $856383 5232016 $845787 ($10596) 812016 EASTON HEALTH AND REHABILITATION CENTER 181 12796 14752 90 87 $2021449 5232016 $1996438 ($25011) 812016 EDGEHILL NURSING AND REHAB CENTER 60 4535 5274 97 86 $716417 5232016 $707553 ($8864) 812016
EDINBORO MANOR 121 7637 10651 97 72 $1206455 5232016 $1191528 ($14927) 812016 EDISON MANOR NURSING AND REHAB CENTER 118 7058 8758 82 81 $000 5232016 $000 $000 812016
ELDERCREST NURSING CENTER 48 2368 3823 88 62 $000 5232016 $000 $000 812016 ELIZABETHTOWN NURSING amp REHAB CENTER 45 2079 3026 74 69 $000 5232016 $000 $000 812016
ELK HAVEN NURSING HOME 120 5284 10566 97 50 $000 5232016 $000 $000 812016 ELKINS CREST HEALTH AND REHAB CENTERELLEN MEMORIAL HEALTH CARE
150 9855 11330 83 87 $000 5232016 $000 $000 812016
CENTER 130 5894 9189 78 64 $000 5232016 $000 $000 812016
ELM TERRACE GARDENS 72 1752 6651 102 26 $000 5232016 $000 $000 812016
ELMWOOD GARDENS 51 2507 4303 93 58 $000 5232016 $000 $000 812016
EPHRATA MANOR 120 5250 10183 93 52 $000 5232016 $000 $000 812016 EPWORTH HEALTHCARE AND REHAB CENTER 102 6607 8837 95 75 $1043741 5232016 $1030827 ($12914) 812016 EVERGREEN HEALTH AND REHAB CENTER 115 7948 10067 96 79 $1255586 5232016 $1240051 ($15535) 812016
FAIR WINDS MANOR 66 4811 5829 97 83 $760018 5232016 $750615 ($9403) 812016
FAIRMOUNT HOMES 114 3626 8954 86 40 $000 5232016 $000 $000 812016 FAIRVIEW CARE CENTER OF BETHLEHEM PIKE FAIRVIEW CARE CENTER OF
176 12709 14867 93 85 $2007705 5232016 $1982864 ($24841) 812016
PAPERMILL ROAD 129 8966 11189 95 80 $1416404 5232016 $1398880 ($17524) 812016
FAIRVIEW MANOR FALLING SPRING NURSING AND
121 7160 10430 95 69 $1131101 5232016 $1117107 ($13994) 812016
REHAB CENTER 186 11051 15202 90 73 $1745782 5232016 $1724182 ($21600) 812016 FORBES CENTER FOR REHAB amp HEALTHCARE LLC 134 9262 10826 89 86 $1463165 5232016 $1445062 ($18103) 812016 FOREST CITY NURSING AND REHAB CENTER 132 6401 8798 73 73 $000 5232016 $000 $000 812016
FOREST PARK HEALTH CENTER 114 7359 9905 95 74 $1162538 5232016 $1148155 ($14383) 812016
FORESTVIEW 80 2367 6522 90 36 $000 5232016 $000 $000 812016
FREY VILLAGE 136 7510 11768 95 64 $000 5232016 $000 $000 812016 FRIENDSHIP VILLAGE OF SOUTH HILLS 89 364 7904 98 5 $000 5232016 $000 $000 812016 FULTON COUNTY MEDICAL CENTER LTCU 67 4020 5865 96 69 $635060 5232016 $627202 ($7858) 812016
GARDEN SPOT VILLAGE 73 1143 6504 98 18 $000 5232016 $000 $000 812016
GARDEN SPRING CENTER 173 12611 15270 97 83 $1992223 5232016 $1967574 ($24649) 812016
GARVEY MANOR 132 8135 11849 99 69 $1285127 5232016 $1269227 ($15900) 812016
GERMANTOWN HOME 180 15501 16506 101 94 $2448771 5232016 $2418474 ($30297) 812016
GETTYSBURG CENTER 118 5722 8650 81 66 $000 5232016 $000 $000 812016
GLENDALE UPTOWN HOME 240 17702 20671 95 86 $2796474 5232016 $2761875 ($34599) 812016
GOLDEN HILL NURSING AND REHAB 204 13162 16982 91 78 $2079268 5232016 $2053542 ($25726) 812016 GOLDEN LIVINGCENTER-BLUE RIDGE MOUNTAIN 95 6237 8169 94 76 $985290 5232016 $973100 ($12190) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
GOLDEN LIVINGCENTER-CAMP HILL 95 6795 7853 91 87 $1073440 5232016 $1060159 ($13281) 812016
GOLDEN LIVINGCENTER-CLARION 83 3907 5314 70 74 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-DOYLESTOWN 120 7809 8588 79 91 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-EAST MOUNTAINGOLDEN LIVINGCENTER-
120 7725 10394 95 74 $1220357 5232016 $1205258 ($15099) 812016
GETTYSBURG 102 7351 8780 95 84 $1161275 5232016 $1146907 ($14368) 812016
GOLDEN LIVINGCENTER-HAIDA 98 5915 7928 89 75 $934422 5232016 $922861 ($11561) 812016
GOLDEN LIVINGCENTER-HILLVIEW 133 8490 11636 96 73 $1341208 5232016 $1324614 ($16594) 812016
GOLDEN LIVINGCENTER-KINZUA 106 6686 9030 94 74 $1056221 5232016 $1043153 ($13068) 812016 GOLDEN LIVINGCENTER-LANCASTER 124 9285 10502 93 88 $1466798 5232016 $1448650 ($18148) 812016
GOLDEN LIVINGCENTER-LANSDALE 126 9052 9880 86 92 $1429990 5232016 $1412297 ($17693) 812016
GOLDEN LIVINGCENTER-MANSION 70 4890 5941 93 82 $772498 5232016 $762940 ($9558) 812016 GOLDEN LIVINGCENTER-MEYERSDALE 99 6523 7994 89 82 $1030471 5232016 $1017722 ($12749) 812016 GOLDEN LIVINGCENTER-MONROEVILLEGOLDEN LIVINGCENTER-MT
120 6428 10258 94 63 $000 5232016 $000 $000 812016
LEBANON 121 7830 9920 90 79 $1236945 5232016 $1221640 ($15305) 812016 GOLDEN LIVINGCENTER-MURRYSVILLE 120 7115 9721 89 73 $1123992 5232016 $1110086 ($13906) 812016
GOLDEN LIVINGCENTER-OIL CITY 95 5350 7986 92 67 $845166 5232016 $834710 ($10456) 812016 GOLDEN LIVINGCENTER-PHOENIXVILLE 138 8483 10181 81 83 $000 5232016 $000 $000 812016
GOLDEN LIVINGCENTER-READING 124 7737 9887 88 78 $1222253 5232016 $1207130 ($15123) 812016
GOLDEN LIVINGCENTER-RICHLAND 97 4935 8198 93 60 $000 5232016 $000 $000 812016
GOLDEN LIVINGCENTER-ROSEMONT 76 5360 5903 85 91 $846746 5232016 $836270 ($10476) 812016
GOLDEN LIVINGCENTER-SCRANTON 139 8808 11262 89 78 $1391444 5232016 $1374228 ($17216) 812016 GOLDEN LIVINGCENTER-SHIPPENVILLEGOLDEN LIVINGCENTER-SOUTH
120 5124 7065 65 73 $000 5232016 $000 $000 812016
HILLS 104 5970 8451 89 71 $943111 5232016 $931442 ($11669) 812016
GOLDEN LIVINGCENTER-STENTON 94 6684 7355 86 91 $1055905 5232016 $1042841 ($13064) 812016
GOLDEN LIVINGCENTER-STROUD 127 8238 10670 92 77 $1301398 5232016 $1285297 ($16101) 812016
GOLDEN LIVINGCENTER-SUMMIT 120 7993 9991 91 80 $1262695 5232016 $1247072 ($15623) 812016
GOLDEN LIVINGCENTER-TITUSVILLE 77 4643 6238 89 74 $733478 5232016 $724403 ($9075) 812016 GOLDEN LIVINGCENTER-TUNKHANNOCK 124 7949 10354 92 77 $1255744 5232016 $1240207 ($15537) 812016 GOLDEN LIVINGCENTER-UNIONTOWNGOLDEN LIVINGCENTER-WALNUT
120 6887 10421 95 66 $1087974 5232016 $1074513 ($13461) 812016
CREEK 115 4650 9169 88 51 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-WAYNESBURG 111 6664 9186 91 73 $1052746 5232016 $1039720 ($13026) 812016 GOLDEN LIVINGCENTER-WEST SHOREGOLDEN LIVINGCENTER-WESTERN
309 14549 18637 66 78 $000 5232016 $000 $000 812016
RESERVE 133 8696 11020 91 79 $1373751 5232016 $1356754 ($16997) 812016 GOLDEN LIVINGCENTER-WILLIAM PENN 121 7629 10566 96 72 $1205192 5232016 $1190280 ($14912) 812016 GOLDEN LIVINGCENTER-YORK TERRACEGOOD SHEPHERD HOME RAKER
80 4765 6671 92 71 100
$752751 5232016 $743438 ($9313) 812016
CENTERGOOD SHEPHERD HOME-
99 8977 8977 100 100
$1418142 5232016 $1400596 ($17546) 812016
BETHLEHEM 60 5398 5415 99 $852749 5232016 $842199 ($10550) 812016
GRANDVIEW HEALTH HOMES INC 172 10738 13755 88 78 $1696336 5232016 $1675348 ($20988) 812016
GREEN HOME INC THE 120 6685 9638 88 69 $1056063 5232016 $1042997 ($13066) 812016
GREEN RIDGE CARE CENTER 95 4505 8072 93 56 $000 5232016 $000 $000 812016 GREEN VALLEY SKILLED NSG amp REHAB CENTER 48 2066 2240 51 92 $000 5232016 $000 $000 812016
GREENERY SPECIALTY CARE 140 8453 10053 79 84 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
CENTER
GREENLEAF NURSING HOME AND CONVAL CENTER 130 8876 10674 90 83 $1402186 5232016 $1384838 ($17348) 812016
GREENSBURG CARE CENTER 120 7190 9977 91 72 $1135841 5232016 $1121787 ($14054) 812016
GROVE MANOR 59 2941 5209 97 56 $000 5232016 $000 $000 812016 GUARDIAN HEALTHCARE amp REHAB CENTER 110 7385 9112 91 81 $1166646 5232016 $1152211 ($14435) 812016 GUTHRIE TOWANDA MEMORIAL HOSPITAL SNU 68 3637 5828 94 62 $000 5232016 $000 $000 812016
GUY AND MARY FELT MANOR INC 40 1860 3013 83 62 $000 5232016 $000 $000 812016 GWYNEDD SQUARE CTR FOR NSG amp CONVAL CARE 181 11752 15473 94 76 $1856523 5232016 $1833553 ($22970) 812016
HAMILTON ARMS CENTER 94 5850 8008 94 73 $924154 5232016 $912720 ($11434) 812016
HAMPTON HOUSE 104 6606 8115 86 81 $1043583 5232016 $1030671 ($12912) 812016
HANOVER HALL 152 8517 12867 93 66 $1345473 5232016 $1328826 ($16647) 812016
HARMAR VILLAGE CARE CENTER 130 7594 10924 92 70 $1199662 5232016 $1184820 ($14842) 812016
HARMON HOUSE CARE CENTER 109 6470 9358 94 69 $1022099 5232016 $1009453 ($12646) 812016 HARRISON SENIOR LIVING OF CHRISTIANA 139 7455 10005 79 75 $000 5232016 $000 $000 812016
HARSTON HALL 120 8804 10421 95 84 $1390812 5232016 $1373604 ($17208) 812016
HAVEN CONVALESCENT HOME INC HAVEN SKILLED REHABILITATION
91 6451 8256 100 78 $1019097 5232016 $1006488 ($12609) 812016
AND NURSING 90 4153 5983 73 69 $000 5232016 $000 $000 812016
HAVENCREST NURSING CENTER 48 2118 3633 83 58 $000 5232016 $000 $000 812016 HEARTHSIDE REHAB AND NURSING CENTER THE 157 9898 13343 93 74 $1563637 5232016 $1544291 ($19346) 812016
HEMPFIELD MANOR 120 5995 10213 94 59 $000 5232016 $000 $000 812016
HENRY CLAY VILLA LP HIGHLAND MANOR REHAB amp
74 5281 6278 93 84 $834266 5232016 $823944 ($10322) 812016
NURSING CENTER 120 7299 9235 85 79 $1153060 5232016 $1138794 ($14266) 812016
HIGHLAND PARK CARE CENTER HIGHLAND VIEW HEALTHCARE amp
144 9955 11584 88 86 $1572642 5232016 $1553184 ($19458) 812016
REHAB CENTER 50 2912 4147 91 70 $460023 5232016 $454332 ($5691) 812016
HIGHLANDS CARE CENTER THE 120 8996 10214 94 88 $1421143 5232016 $1403560 ($17583) 812016
HILLCREST CENTER HILLSDALE REHABILITATION AND
180 14437 15865 97 91 $2280686 5232016 $2252468 ($28218) 812016
NURSING CTR 74 4290 6157 91 70 $677713 5232016 $669328 ($8385) 812016
HOLY FAMILY MANOR 208 11834 17286 91 68 $1869477 5232016 $1846346 ($23131) 812016
HOLY FAMILY RESIDENCE 54 4345 4856 99 89 $686402 5232016 $677909 ($8493) 812016
HOMESTEAD VILLAGE INC 60 1583 4852 89 33 $000 5232016 $000 $000 812016 HOMETOWN NURSING AND REHAB CENTER 150 8831 12121 89 73 $1395078 5232016 $1377817 ($17261) 812016 HOMEWOOD AT MARTINSBURG PA INC 129 5608 11420 97 49 $000 5232016 $000 $000 812016
HOMEWOOD AT PLUM CREEK 120 3701 10634 97 35 $000 5232016 $000 $000 812016
HOPKINS CENTER 106 7986 9107 94 88 $1261589 5232016 $1245980 ($15609) 812016 HOSPITALITY CARE CENTER OF HERMITAGE INC HUNTINGDON HILLS REHAB amp
33 2002 2528 84 79 $000 5232016 $000 $000 812016
NURSING CENTER 93 5589 8174 97 68 $882923 5232016 $871998 ($10925) 812016 IMMACULATE MARY CTR FOR REHAB amp HLTHCARE 296 19975 26188 97 76 $3155552 5232016 $3116509 ($39043) 812016
INGLIS HOUSE 297 25399 26683 99 95 $4012408 5232016 $3962764 ($49644) 812016 IVY HILL REHABILITATION AND NURSING CTR 145 9303 12120 92 77 $1469642 5232016 $1451459 ($18183) 812016
JAMESON CARE CENTER 78 2384 6661 94 36 $000 5232016 $000 $000 812016 JEFFERSON HILLS HEALTHCARE amp REHAB CTR 83 4173 5991 79 70 $000 5232016 $000 $000 812016 JEFFERSON MANOR HEALTH CENTER 160 8962 12165 84 74 $000 $000 812016 JEWISH HOME OF EASTERN PENNSYLVANIA 173 10598 14309 91 74 $1674220 5232016 $1653505 ($20715) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
JULIA POUND CARE CENTER JULIA RIBAUDO EXTENDED CARE
131 5923 9650 81 61 $000 5232016 $000 $000 812016
CENTER 120 6744 9314 85 72 $1065384 5232016 $1052202 ($13182) 812016 KADE HEALTH AND REHABILITATION CENTERKEARSLEY REHAB AND NURSING
74 5118 6129 91 84 $808516 5232016 $798513 ($10003) 812016
CENTER 84 5198 7438 97 70 $821154 5232016 $810994 ($10160) 812016 KEPLER CENTER FOR NURSING AND REHAB 40 2420 2821 78 86 $000 5232016 $000 $000 812016
KINGSTON HEALTH CARE CENTER 65 2592 5009 85 52 $000 5232016 $000 $000 812016 KINKORA PYTHIAN HOME CORPORATION 60 2536 4737 87 54 $000 5232016 $000 $000 812016
KITTANNING CARE CENTER 120 8319 9648 88 86 $1314194 5232016 $1297934 ($16260) 812016
KUTZTOWN MANOR 140 10086 12591 99 80 $1593336 5232016 $1573623 ($19713) 812016 LACKAWANNA HEALTH AND REHAB CENTER 272 15336 17357 70 88 $000 5232016 $000 $000 812016
LAFAYETTE MANOR INC 98 5447 7818 88 70 $860490 5232016 $849844 ($10646) 812016 LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) 120 4973 10523 96 47 $000 5232016 $000 $000 812016 LAKESIDE HEALTH AND REHABILITATION CTR LAKEVIEW HEALTHCARE amp
31 2095 2547 90 82 $330958 5232016 $326863 ($4095) 812016
REHABILITATION CTR 34 1779 2933 95 61 $000 5232016 $000 $000 812016
LANCASHIRE HALL 240 16468 19548 90 84 $2601533 5232016 $2569345 ($32188) 812016
LANDIS HOMES LANGHORNE GARDENS HEALTH amp
103 3655 9110 97 40 $000 5232016 $000 $000 812016
REHAB CENTER 120 8155 10660 98 77 $1288286 5232016 $1272347 ($15939) 812016 LATROBE HEALTH AND REHABILITATION CENTER 107 7612 8734 90 87 $1202506 5232016 $1187628 ($14878) 812016 LAUREL CARE NURSING AND REHAB CENTER 92 4900 8157 97 60 $000 5232016 $000 $000 812016
LAUREL CENTER 130 8880 11245 95 79 $1402818 5232016 $1385462 ($17356) 812016
LAUREL RIDGE CENTER 61 3903 5068 91 77 $616577 5232016 $608948 ($7629) 812016
LAUREL WOOD CARE CENTER 120 7106 10193 93 70 $1122571 5232016 $1108682 ($13889) 812016
LAWSON NURSING HOME INC 50 1979 3887 85 51 $000 5232016 $000 $000 812016
LEBANON VALLEY BRETHREN HOME 100 3297 8064 89 41 $000 5232016 $000 $000 812016
LEBANON VALLEY HOME THE 55 2322 4812 96 48 $000 5232016 $000 $000 812016
LECOM AT PRESQUE ISLE INC 141 9318 10999 86 85 $1472011 5232016 $1453799 ($18212) 812016
LEHIGH CENTER LGAR HEALTH AND REHABILITATION
128 4712 10984 94 43 $000 5232016 $000 $000 812016
CENTERLINWOOD NURSING AND
120 7533 9703 89 78 $1190026 5232016 $1175302 ($14724) 812016
REHABILITATION CTR 102 6105 7603 82 80 $000 5232016 $000 $000 812016
LITTLE FLOWER MANOR 127 4093 9361 81 44 $000 5232016 $000 $000 812016
LITTLE SISTERS OF THE POOR LOCUST GROVE RETIREMENT
48 4027 4276 98 94 $636166 5232016 $628294 ($7872) 812016
VILLAGE 104 6535 8337 88 78 $1032367 5232016 $1019594 ($12773) 812016
LOYALHANNA CARE CENTER LOYALSOCK CREEK REHAB AND
120 6582 10101 93 65 $1039792 5232016 $1026927 ($12865) 812016
NURSING CTR 133 6346 9911 82 64 $000 5232016 $000 $000 812016
LUTHER ACRES MANOR 106 3931 9516 99 41 $000 5232016 $000 $000 812016
LUTHER CREST NURSING FACILITY LUTHER WOODS NURSING amp REHAB
60 1317 5147 94 26 $000 5232016 $000 $000 812016
CENTER 140 5033 10363 81 49 $000 5232016 $000 $000 812016 LUTHERAN COMMUNITY AT TELFORD 75 2517 6345 93 40 $000 5232016 $000 $000 812016
LUTHERAN HOME AT KANE THE 90 5754 7895 96 73 $908988 5232016 $897742 ($11246) 812016
LUTHERAN HOME AT TOPTON MAJESTIC OAKS REHAB amp NURSING
194 10116 17266 98 59 $000 5232016 $000 $000 812016
CENTER 180 12311 15278 93 81 $1944831 5232016 $1920768 ($24063) 812016
MANCHESTER COMMONS MANORCARE HEALTH SERVICES -
78 3461 6697 94 52 $000 5232016 $000 $000 812016
ERIE 120 6885 9557 88 72 $1087658 5232016 $1074201 ($13457) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SERVICES - MONTGOMERYMANORCARE HEALTH SERVICES -
170 10412 12829 83 81 $000 5232016 $000 $000 812016
NORTHSIDE 100 6607 7307 80 90 $000 5232016 $000 $000 812016 MANORCARE HEALTH SERVICES - WALLINGFORD 198 13669 16625 92 82 $2159361 5232016 $2132644 ($26717) 812016 MANORCARE HEALTH SVCS-ALLENTOWNMANORCARE HEALTH SVCS-BETHEL
166 10411 13035 86 80 $1644678 5232016 $1624329 ($20349) 812016
PARK 160 7549 10822 74 70 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2021) 227 15642 18485 89 85 $2471046 5232016 $2440472 ($30574) 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2029) MANORCARE HEALTH SVCS-CAMP
217 14132 16950 86 83 $2232503 5232016 $2204881 ($27622) 812016
HILL 123 6570 10005 89 66 $1037896 5232016 $1025055 ($12841) 812016 MANORCARE HEALTH SVCS-CARLISLE 150 9216 12128 89 76 $1455898 5232016 $1437885 ($18013) 812016 MANORCARE HEALTH SVCS-CHAMBERSBURG MANORCARE HEALTH SVCS-
210 12747 18213 95 70 $2013708 5232016 $1988793 ($24915) 812016
DALLASTOWN 202 14021 17331 94 81 $2214968 5232016 $2187563 ($27405) 812016 MANORCARE HEALTH SVCS-EASTON 227 12875 16911 82 76 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-ELIZABETHTOWN MANORCARE HEALTH SVCS-GREEN
73 4283 5959 90 72 $676607 5232016 $668236 ($8371) 812016
TREE 180 7353 12631 77 58 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY 130 8158 10380 88 79 $1288760 5232016 $1272815 ($15945) 812016 MANORCARE HEALTH SVCS-JERSEY SHOREMANORCARE HEALTH SVCS-KING
120 8222 10571 97 78 $1298871 5232016 $1282800 ($16071) 812016
OF PRUSSIA 150 8403 11318 83 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON 176 9061 12314 77 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON COURT MANORCARE HEALTH SVCS-
151 8738 12664 92 69 $1380386 5232016 $1363307 ($17079) 812016
LANCASTERMANORCARE HEALTH SVCS-
172 11273 15018 96 75 $1780853 5232016 $1758819 ($22034) 812016
LAURELDALE 198 11424 16841 93 68 $1804707 5232016 $1782378 ($22329) 812016 MANORCARE HEALTH SVCS-LEBANON 159 9511 13084 90 73 $1502501 5232016 $1483911 ($18590) 812016 MANORCARE HEALTH SVCS-MERCY FITZGERALDMANORCARE HEALTH SVCS-
129 6912 10364 88 67 $1091924 5232016 $1078414 ($13510) 812016
MONROEVILLE 131 5589 10276 86 54 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-NORTH HILLS 200 10790 15542 85 69 $1704551 5232016 $1683461 ($21090) 812016 MANORCARE HEALTH SVCS-OXFORD VALLEY MANORCARE HEALTH SVCS-PETERS
150 7359 11989 88 61 $000 5232016 $000 $000 812016
TOWNSHIP 140 6871 9362 73 73 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-PITTSBURGH 197 12687 15113 84 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-POTTSTOWNMANORCARE HEALTH SVCS-
165 9906 12370 82 80 $000 5232016 $000 $000 812016
POTTSVILLE 179 12764 15521 95 82 $2016393 5232016 $1991445 ($24948) 812016 MANORCARE HEALTH SVCS-SHADYSIDE 150 10598 12638 93 84 $1674220 5232016 $1653505 ($20715) 812016 MANORCARE HEALTH SVCS-SINKING SPRING MANORCARE HEALTH SVCS-
214 13295 18373 94 72 $2100278 5232016 $2074292 ($25986) 812016
SUNBURY 126 8845 10874 95 81 $1397289 5232016 $1380001 ($17288) 812016 MANORCARE HEALTH SVCS-WEST READING NORTH 176 13741 15583 97 88 $2170735 5232016 $2143877 ($26858) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SVCS-WHITEHALL BOROUGH MANORCARE HEALTH SVCS-
166 4466 13324 88 34 $000 5232016 $000 $000 812016
WILLIAMSPORT NORTH 152 9336 11126 80 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH 116 8174 9755 92 84 $1291288 5232016 $1275311 ($15977) 812016 MANORCARE HEALTH SVCS-YEADONMANORCARE HEALTH SVCS-YORK
198 15867 17473 97 91 $2506590 5232016 $2475577 ($31013) 812016
NORTH 161 9991 14040 96 71 $1578329 5232016 $1558801 ($19528) 812016 MANORCARE HEALTH SVCS-YORK SOUTH 151 8874 12814 93 69 $1401871 5232016 $1384526 ($17345) 812016 MANORCARE HLTH SVCS amp REHAB -WEST ALLEN 146 8495 10558 79 80 $000 5232016 $000 $000 812016
MAPLE FARM 46 1902 3872 92 49 $000 5232016 $000 $000 812016
MAPLE WINDS CARE CENTER 50 1787 3548 78 50 $000 5232016 $000 $000 812016 MAPLEWOOD NURSING AND REHABILITATION CTR 180 14261 15863 97 90 $2252882 5232016 $2225008 ($27874) 812016
100 MARGARET E MOUL HOME 82 7451 7462 100 $1177072 5232016 $1162509 ($14563) 812016
MARIAN MANOR CORPORATION 154 6836 12393 88 55 $000 5232016 $000 $000 812016
MARWOOD REST HOME INC 87 6586 7495 95 88 $1040424 5232016 $1027551 ($12873) 812016 MASONIC VILLAGE AT ELIZABETHTOWN MASONIC VILLAGE AT LAFAYETTE
453 22115 38630 94 57 $000 5232016 $000 $000 812016
HILL 60 3278 5287 97 62 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT SEWICKLEY 128 4054 11408 98 36 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT WARMINSTER 43 2425 3624 93 67 $383089 5232016 $378350 ($4739) 812016 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER 240 16037 19717 90 81 $2533446 5232016 $2502100 ($31346) 812016
MCMURRAY HILLS MANOR MEADOW VIEW HEALTHCARE amp
115 8012 10216 98 78 $1265696 5232016 $1250036 ($15660) 812016
REHAB CENTER 63 4141 5656 99 73 $654175 5232016 $646081 ($8094) 812016
MEADOW VIEW NURSING CENTER 150 9319 12460 91 75 $1472169 5232016 $1453955 ($18214) 812016
MEADOWCREST NURSING CENTER 50 2455 3684 81 67 $000 5232016 $000 $000 812016 MEADOWS NURSING AND REHAB CENTERMEADOWVIEW REHAB amp NURSING
130 6034 9745 82 62 $000 5232016 $000 $000 812016
CENTER 244 15851 18859 85 84 $2504062 5232016 $2473081 ($30981) 812016
MERCY CENTER NURSING UNIT INC 59 3201 5154 96 62 $000 5232016 $000 $000 812016
MID VALLEY HEALTH CARE CENTER 38 1427 2851 82 50 $000 5232016 $000 $000 812016
MIFFLIN CENTER 136 6641 11413 92 58 $000 5232016 $000 $000 812016 MILFORD SENIOR CARE AND REHAB CENTER 80 4805 6676 92 72 $759070 5232016 $749678 ($9392) 812016
MILLCREEK MANOR 138 3336 4817 38 69 $000 5232016 $000 $000 812016 MILLVILLE HEALTH AND REHABILITATION CTR MILTON NURSING AND
110 7602 8148 81 93 $000 5232016 $000 $000 812016
REHABILITATION CENTER 138 8893 11114 89 80 $1404872 5232016 $1387490 ($17382) 812016
MON VALLEY CARE CENTER MORAVIAN HALL SQ HLTH AND
60 1955 4926 90 40 $000 5232016 $000 $000 812016
WELLNESS CTR 61 273 5257 95 5 $000 5232016 $000 $000 812016
MORAVIAN MANOR 127 2782 10551 91 26 $000 5232016 $000 $000 812016
MORRISONS COVE HOME MOUNT CARMEL NURSING AND
124 7738 10588 94 73 $1222411 5232016 $1207286 ($15125) 812016
REHAB CENTER MOUNT MACRINA MANOR NURSING
121 7593 10382 94 73 $1199505 5232016 $1184664 ($14841) 812016
HOME 139 7377 10604 84 70 $000 5232016 $000 $000 812016 MOUNTAIN CITY NURSING AND REHAB CENTER 297 19439 24350 90 80 $3070877 5232016 $3032882 ($37995) 812016
MOUNTAIN LAUREL NRC 240 14471 18157 83 80 $000 5232016 $000 $000 812016 MOUNTAIN TOP HEALTHCARE AND REHAB CTR 106 6767 9142 95 74 $1069017 5232016 $1055791 ($13226) 812016
MOUNTAIN VIEW A NURSING AND 271 14896 17958 73 83 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
REHAB CTR
MOUNTAINVIEW SPECIALTY CARE CENTER 137 7086 9938 80 71 $000 5232016 $000 $000 812016 MULBERRY HEALTHCARE amp REHAB CTR 75 4408 6172 90 71 $696354 5232016 $687738 ($8616) 812016
NAAMANS CREEK COUNTRY MANOR NEW EASTWOOD HEALTHCARE AND
90 4638 7642 93 61 $000 5232016 $000 $000 812016
REHAB CENTER 97 4424 8242 93 54 $000 5232016 $000 $000 812016
NORMANDIE RIDGE NORRITON SQUARE NURSING amp
64 2527 5457 94 46 $000 5232016 $000 $000 812016
REHAB CENTER 99 3369 7844 87 43 $000 5232016 $000 $000 812016 NORTH HILLS HEALTH AND REHAB CENTER 55 2700 4705 94 57 $000 5232016 $000 $000 812016
NOTTINGHAM VILLAGE 121 6185 9707 88 64 $000 5232016 $000 $000 812016
NUGENT CONVALESCENT HOME OAK HILL NURSING AND REHAB
105 6153 8954 94 69 $972020 5232016 $959994 ($12026) 812016
CENTER 48 2758 3885 89 71 $435695 5232016 $430304 ($5391) 812016 OAKMONT CENTER FOR NURSING AND REHAB 85 5301 6694 87 79 $837426 5232016 $827065 ($10361) 812016 OAKWOOD HEALTHCARE amp REHABILITATION CTR 148 9099 12142 90 75 $1437415 5232016 $1419630 ($17785) 812016
OAKWOOD HEIGHTS 106 6632 9084 94 73 $1047690 5232016 $1034728 ($12962) 812016
OHESSON MANOR 134 7753 11739 96 66 $1224781 5232016 $1209627 ($15154) 812016 OLD ORCHARD HEALTH CARE CENTERORANGEVILLE HEALTH AND REHAB
180 10603 15271 93 69 $1675009 5232016 $1654285 ($20724) 812016
CENTER 120 7517 9777 90 77 $1187498 5232016 $1172806 ($14692) 812016
ORCHARD MANOR INC 121 6990 10558 96 66 $1104246 5232016 $1090583 ($13663) 812016
ORWIGSBURG CENTER 130 7695 10014 85 77 $1215618 5232016 $1200578 ($15040) 812016 OVERLOOK HEALTH AND REHAB CENTER 115 7301 8449 81 86 $000 5232016 $000 $000 812016
OXFORD HEALTH CENTER 137 7198 12057 97 60 $000 5232016 $000 $000 812016 PALMYRA HEALTH AND REHABILITATION CTR PARK AVENUE REHAB AND
39 2248 3132 88 72 $355128 5232016 $350734 ($4394) 812016
NURSING CENTER 173 9846 12609 80 78 $000 5232016 $000 $000 812016 PARKHOUSE NURSING AND REHABILITATION CTR 467 31182 37791 89 83 $4925978 5232016 $4865031 ($60947) 812016 PASSAVANT RETIREMENT AND HEALTH CENTER 102 5007 9074 98 55 $000 5232016 $000 $000 812016
PAULS RUN 120 4135 10113 93 41 $000 5232016 $000 $000 812016
PAVILION AT BRMC 95 4647 7431 86 63 $000 5232016 $000 $000 812016 PEMBROOKE HEALTH AND REHAB CENTERPENN CENTER FOR REHABILITATION
180 12001 14374 88 83 $1895859 5232016 $1872402 ($23457) 812016
AND CARE 124 7587 10045 89 76 $1198557 5232016 $1183727 ($14830) 812016
PENNKNOLL VILLAGE 133 8841 11828 98 75 $1396657 5232016 $1379377 ($17280) 812016
PENNSBURG MANOR 120 6810 10237 94 67 $1075810 5232016 $1062499 ($13311) 812016
PENNYPACK CENTER 54 1997 4237 86 47 $000 5232016 $000 $000 812016
PHILADELPHIA PROTESTANT HOME 126 5611 11111 97 50 $000 $000 812016
PHOEBE ALLENTOWN HEALTH CARE PHOEBE BERKS HEALTH CARE
395 21047 31233 87 67 $3283763 $3283763 812016
CENTER INC 120 2306 8259 76 28 $000 $000 812016
PHOEBE RICHLAND HCC 143 7156 11553 89 62 $000 $000 812016
PHOEBE WYNCOTE 58 2889 4572 87 63 $000 $000 812016
PICKERING MANOR HOME 47 1520 4003 94 38 $000 5232016 $000 $000 812016 PLATINUM RIDGE CTR FOR REHAB amp HEALING 97 5898 8590 97 69 $931737 5232016 $920209 ($11528) 812016
POWERBACK REHABILITATION 1526 150 3935 11953 88 33 $000 5232016 $000 $000 812016
POWERBACK REHABILITATION 3485 109 1266 8550 86 15 $000 5232016 $000 $000 812016
PRAXIS ALZHEIMERS FACILITY PRESBYTERIAN HOMES-
115 8778 10034 96 87 $1386705 5232016 $1369548 ($17157) 812016
PRESBYTERY-HUNTINGDON 67 2962 5634 92 53 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
PROSPECT PARK HEALTH AND REHAB CENTER 180 12542 15346 94 82 $1981323 5232016 $1956809 ($24514) 812016
PROVIDENCE CARE CENTER 180 12935 15707 96 82 $2043407 5232016 $2018125 ($25282) 812016
QUAKERTOWN CENTER 138 7869 11241 90 70 $1243106 5232016 $1227725 ($15381) 812016
QUINCY RETIREMENT COMMUNITY 134 6760 11710 96 58 $000 5232016 $000 $000 812016
REFORMED PRESBYTERIAN HOME 58 3272 4575 87 72 $516894 5232016 $510499 ($6395) 812016 REGINA COMMUNITY NURSING CENTERRENAISSANCE HEALTHCARE amp
121 7934 10475 95 76 $1253374 5232016 $1237867 ($15507) 812016
REHAB CENTER 123 8018 10627 95 75 $1266644 5232016 $1250972 ($15672) 812016
REST HAVEN-YORK RICHBORO REHAB AND NURSING
159 8307 11626 80 71 $000 5232016 $000 $000 812016
CENTER 82 4398 6585 88 67 $694774 5232016 $686178 ($8596) 812016 RICHFIELD HEALTHCARE AND REHAB CENTER RIDGEVIEW HEALTHCARE amp REHAB
40 2357 3315 91 71 $372347 5232016 $367740 ($4607) 812016
CENTER 131 8890 11406 96 78 $1404398 5232016 $1387022 ($17376) 812016 RIDGEVIEW HEALTHCARE amp REHAB CENTER 111 5481 7498 74 73 $000 5232016 $000 $000 812016 RIVER RUN REHAB AND NURSING CENTERRIVERS EDGE NURSING AND REHAB
145 6567 8119 62 81 $000 5232016 $000 $000 812016
CENTER 120 6257 9108 83 69 $000 5232016 $000 $000 812016
RIVERSIDE CARE CENTER RIVERSIDE REHABILITATION AND
120 9013 10480 96 86 $1423829 5232016 $1406213 ($17616) 812016
NURSING CTR 161 10603 12961 88 82 $1675009 5232016 $1654285 ($20724) 812016
RIVERSTREET MANOR 122 7085 10168 92 70 $1119253 5232016 $1105405 ($13848) 812016
RIVERWOODS 226 7947 13637 66 58 $000 5232016 $000 $000 812016
ROCHESTER MANOR 122 5703 8311 75 69 $000 5232016 $000 $000 812016
ROLLING FIELDS INC 181 11319 15372 93 74 $1788120 5232016 $1765996 ($22124) 812016 ROLLING HILLS HEALTHCARE amp REHAB CENTER 57 3949 4785 92 83 $623843 5232016 $616125 ($7718) 812016
ROLLING MEADOWS 121 6979 9532 87 73 $1102508 5232016 $1088867 ($13641) 812016
ROSE VIEW CENTER 123 8174 10813 97 76 $1291288 5232016 $1275311 ($15977) 812016 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 1752 9224 89 19 $000 5232016 $000 $000 812016
SAINT ANNE HOME 125 5864 11062 97 53 $000 5232016 $000 $000 812016
SAINT JOSEPH VILLA SAINT MARYS VILLA NURSING
106 5410 8161 85 66 $854645 5232016 $844071 ($10574) 812016
HOME INC 112 5747 9617 94 60 $000 5232016 $000 $000 812016
SAINT PAUL HOMES 192 9221 17066 98 54 $000 5232016 $000 $000 812016
SANATOGA CENTER 130 6362 11287 95 56 $000 5232016 $000 $000 812016
SARAH A TODD MEMORIAL HOME 117 7221 10047 94 72 $1140738 5232016 $1126624 ($14114) 812016
SAXONY HEALTH CENTER 68 3658 5701 92 64 $000 5232016 $000 $000 812016
SAYRE HEALTH CARE CENTER LLC 50 1868 4161 91 45 $000 5232016 $000 $000 812016 SCENERY HILL HEALTHCARE amp REHAB CENTER 56 2800 4320 85 65 $442330 5232016 $436857 ($5473) 812016
SCHUYLKILL CENTER 190 13372 16629 96 80 $2112442 5232016 $2086306 ($26136) 812016 SCOTTDALE HEALTHCARE amp REHAB CENTER 35 1135 2977 93 38 $000 5232016 $000 $000 812016
SCRANTON HEALTH CARE CENTER 44 1965 3513 88 56 $000 5232016 $000 $000 812016
SENA-KEAN MANOR 152 8802 11557 84 76 $000 5232016 $000 $000 812016
SENECA PLACE 174 8176 12058 76 68 $000 5232016 $000 $000 812016
SETON MANOR INC SHENANDOAH MANOR NURSING
120 7571 10246 94 74 $1196029 5232016 $1181231 ($14798) 812016
CENTER 124 8066 10261 91 79 $1274227 5232016 $1258461 ($15766) 812016 SHENANGO PRESBYTERIAN SENIORCARE 25 439 2194 96 20 $000 5232016 $000 $000 812016
SHERWOOD OAKS 43 91 3064 78 3 $000 5232016 $000 $000 812016 SHIPPENSBURG HEALTH CARE CENTER 125 7420 9605 84 77 $000 5232016 $000 $000 812016
SIEMONS LAKEVIEW MANOR NSG 120 8142 10548 97 77 $1286233 5232016 $1270319 ($15914) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 2
Provider Name of
Beds
Total PA MA Days
Total Resident
Days Overall
MA
Original Nonpublic
MDOI Payments RA Date
Revised Nonpublic
MDOI Payments
Gross Adjustment RA Date
CENTER
AUDUBON VILLA HEALTH AND REHAB CENTER 42 2098 3586 94 59 $000 5232016 $000 $000 812016
AVALON NURSING CENTER 83 6010 7445 99 81 $949430 5232016 $937683 ($11747) 812016 AVALON SPRINGS NURSING CENTERBALA NURSING AND RETIREMENT
100 6484 8689 95 75 $1024310 5232016 $1011637 ($12673) 812016
CENTER 180 13347 14998 92 89 $2108493 5232016 $2082405 ($26088) 812016
BALL PAVILION THE 85 5203 7360 95 71 $821944 5232016 $811775 ($10169) 812016
BARCLAY FRIENDS 96 2739 8251 94 33 $000 5232016 $000 $000 812016 BARNES-KASSON COUNTY HOSPITAL SNF BEACON RIDGE A CHOICE
58 3646 4915 93 74 $575977 5232016 $568851 ($7126) 812016
COMMUNITY 118 4871 9410 88 52 $000 5232016 $000 $000 812016 BEAVER HEALTHCARE AND REHABILITATION CTR 67 3133 5383 88 58 $000 5232016 $000 $000 812016 BEAVER VALLEY HEALTH AND REHAB CENTER BELAIR HEALTH AND
120 6197 10278 94 60 $000 5232016 $000 $000 812016
REHABILITATION CENTER 103 5352 8618 92 62 $000 5232016 $000 $000 812016 BELLE HAVEN HEALTHCARE amp REHAB CENTER 59 3993 5086 95 79 $630794 5232016 $622990 ($7804) 812016
BELLE REVE HEALTH CARE CENTER 30 678 2277 83 30 $000 5232016 $000 $000 812016
BERKSHIRE CENTER BERWICK RETIREMENT VILLAGE
130 7197 11294 95 64 $000 5232016 $000 $000 812016
NRSNG HOME I 120 3794 4337 40 87 $000 5232016 $000 $000 812016 BERWICK RETIREMENT VILLAGE NRSNG HOME II 120 5711 8715 80 66 $000 5232016 $000 $000 812016 BETHANY VILLAGE RETIREMENT CENTERBETHLEN HM OF THE HUNGARIAN
69 1629 6111 97 27 $000 5232016 $000 $000 812016
RFRMD FED 96 4367 7988 91 55 $000 5232016 $000 $000 812016 BIRCHWOOD NURSING AND REHAB CENTER 121 7212 10281 93 70 $1139316 5232016 $1125220 ($14096) 812016
BRADFORD ECUMENICAL HOME INC 100 5294 8591 94 62 $000 5232016 $000 $000 812016
BRADFORD MANOR 115 6682 9044 86 74 $1055589 5232016 $1042529 ($13060) 812016
BRANDYWINE HALL BRIARCLIFF PAVILION HEALTH AND
180 12464 15438 94 81 $1969001 5232016 $1944639 ($24362) 812016
REHAB CTR 120 7525 10016 92 75 $1188762 5232016 $1174054 ($14708) 812016 BRIARLEAF NURSING AND CONVAL CENTER 178 13092 15839 98 83 $2068209 5232016 $2042620 ($25589) 812016
BRINTON MANOR 92 5194 7827 93 66 $820522 5232016 $810370 ($10152) 812016 BROAD ACRES HEALTH AND REHAB CENTER 120 6276 10309 94 61 $000 5232016 $000 $000 812016 BROAD MOUNTAIN HEALTH AND REHAB CENTER BROOKLINE MANOR AND
129 8211 10184 87 81 $1297133 5232016 $1281084 ($16049) 812016
REHABILITATIVE SRVCS 85 4393 6825 88 64 $000 5232016 $000 $000 812016 BROOKMONT HEALTHCARE CENTER LLC 119 6643 9429 87 70 $1049428 5232016 $1036444 ($12984) 812016 BROOKSIDE HEALTHCARE AND REHAB CENTER 120 7540 9005 82 84 $000 5232016 $000 $000 812016
BROOMALL MANOR 123 6902 7567 68 91 $000 5232016 $000 $000 812016
BROOMALL PRESBYTERIAN VILLAGE 146 6559 12051 91 54 $000 5232016 $000 $000 812016 BROOMALL REHAB AND NURSING CENTER 298 17798 24406 90 73 $2811640 5232016 $2776853 ($34787) 812016 BRYN MAWR EXTENDED CARE CENTERBUCKINGHAM VALLEY REHAB AND
160 9836 12286 84 80 $000 5232016 $000 $000 812016
NURSING CTR 130 6774 11044 93 61 $000 5232016 $000 $000 812016
BUCKTAIL MEDICAL CENTER 43 3291 3567 91 92 $519896 5232016 $513463 ($6433) 812016 BUFFALO VALLEY LUTHERAN VILLAGE 102 5950 8956 96 66 $939952 5232016 $928322 ($11630) 812016 BUTLER VALLEY MANOR HLTH AND REHAB CTR 37 2031 3133 93 65 $320847 5232016 $316878 ($3969) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
CAMBRIA CARE CENTER 301 19267 23200 85 83 $3043705 5232016 $3006047 ($37658) 812016
CANTERBURY PLACE 80 4623 6929 95 67 $730319 5232016 $721283 ($9036) 812016 CARBONDALE NURSING AND REHAB CENTER 115 7565 10028 96 75 $1195081 5232016 $1180295 ($14786) 812016 CARE PAVILION NURSING AND REHAB CENTER CARING HEART REHAB AND
396 31687 34951 97 91 $5005755 5232016 $4943821 ($61934) 812016
NURSING CENTER 269 17052 22606 92 75 $2693790 5232016 $2660461 ($33329) 812016 CARING HEIGHTS COMMUNITY CARE amp REHAB 120 8189 10016 92 82 $1293658 5232016 $1277652 ($16006) 812016
CARING PLACE THE 100 6420 8835 97 73 $1014200 5232016 $1001652 ($12548) 812016 CARLETON HEALTHCARE amp REHABILITATION CTR 26 1206 2097 89 58 $000 5232016 $000 $000 812016
CATHEDRAL VILLAGE 133 1445 9181 76 16 $000 5232016 $000 $000 812016 CEDAR HAVEN HEALTHCARE CENTER 324 24191 27731 94 87 $3821574 5232016 $3774292 ($47282) 812016 CENTENNIAL HEALTHCARE amp REHAB CENTER 180 13240 15582 95 85 $2091590 5232016 $2065711 ($25879) 812016
CENTRE CREST 240 15446 20824 95 74 $2440083 5232016 $2409892 ($30191) 812016 CHANDLER HALL HEALTH SERVICES INC 53 1163 4147 86 28 $000 5232016 $000 $000 812016
CHAPEL MANOR 238 18399 20663 95 89 $2906583 5232016 $2870621 ($35962) 812016
CHAPEL POINTE AT CARLISLE 59 2067 5301 99 39 $000 5232016 $000 $000 812016 CHARLES COLE MEMORIAL HOSPITAL ECF CHARLES M MORRIS NURSING AND
49 2445 3412 77 72 $000 5232016 $000 $000 812016
REHAB CTR 159 5921 13195 91 45 $000 5232016 $000 $000 812016 CHELTENHAM NURSING AND REHAB CENTER 255 19478 20725 89 94 $3077038 5232016 $3038967 ($38071) 812016
CHERRY TREE NURSING CENTER 120 5976 7866 72 76 $000 5232016 $000 $000 812016 CHESTER VALLEY REHAB AND NURSING CENTER 184 11066 15536 93 71 $1748152 5232016 $1726523 ($21629) 812016 CHESTNUT HILL LODGE HEALTH AND REHAB CTR 181 12412 13371 81 93 $000 5232016 $000 $000 812016
CHICORA MEDICAL CENTER 114 6718 9335 90 72 $1061276 5232016 $1048146 ($13130) 812016
CHRIST THE KING MANOR 160 8527 13908 96 61 $000 5232016 $000 $000 812016
CHURCH OF GOD HOME INC 109 4864 9529 96 51 $000 5232016 $000 $000 812016
CHURCH OF THE BRETHREN HOME CLARVIEW NURSING AND REHAB
134 7324 11349 93 65 $1157009 5232016 $1142694 ($14315) 812016
CENTER 120 6585 9286 85 71 $1040266 5232016 $1027395 ($12871) 812016
CLEPPER MANOR 54 3302 4486 91 74 $521634 5232016 $515180 ($6454) 812016
CLIVEDEN NSG amp REHAB CTR 180 13061 15423 94 85 $2063312 5232016 $2037784 ($25528) 812016
COLONIAL MANOR NURSING HOME 270 15827 19692 80 80 $000 5232016 $000 $000 812016
COLONIAL PARK CARE CENTER 198 13196 17435 97 76 $2084639 5232016 $2058846 ($25793) 812016
CONESTOGA VIEW CONSULATE HEALTH CARE OF
446 34880 39794 98 88 $5510170 5232016 $5441994 ($68176) 812016
CHESWICK 121 9124 10031 91 91 $1441364 5232016 $1423531 ($17833) 812016 CONSULATE HEALTH CARE OF NORTH STRABANE 62 3142 4816 85 65 $496358 5232016 $490216 ($6142) 812016
CORRY MANOR 121 6918 9569 87 72 $1092871 5232016 $1079350 ($13521) 812016 COUNTRYSIDE CHRISTIAN COMMUNITY 33 1693 2958 99 57 $000 5232016 $000 $000 812016 COUNTRYSIDE CONVAL HOME LTD PARTNERSHIPCOVENTRY MANOR HEALTH AND
48 2050 3837 88 53 $000 5232016 $000 $000 812016
REHAB CTR 41 2408 3421 92 70 $380404 5232016 $375697 ($4707) 812016
CRANBERRY PLACE CREEKSIDE HEALTH AND
150 7017 11023 81 64 $000 5232016 $000 $000 812016
REHABILITATION CTR 81 5530 6434 87 86 $873602 5232016 $862793 ($10809) 812016
CRESTVIEW CENTER CUMBERLAND CROSSINGS
180 9016 15775 96 57 $000 5232016 $000 $000 812016
RETIREMENT COMM DARWAY HEALTHCARE amp
58 2048 4947 94 41 $000 5232016 $000 $000 812016
REHABILITATION CTR 67 4729 5749 94 82 $747064 5232016 $737821 ($9243) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
DEER MEADOWS REHABILITATION CENTERDENVER HEALTH AND
206 11932 17669 94 68 $1884958 5232016 $1861636 ($23322) 812016
REHABILITATION CENTER 82 4843 7123 95 68 $765073 5232016 $755607 ($9466) 812016
DOCK TERRACE 72 1858 6204 95 30 $000 5232016 $000 $000 812016
DONAHOE MANOR 72 4247 6270 96 68 $670920 5232016 $662619 ($8301) 812016 DR ARTHUR CLIFTON MCKINLEY HEALTH CENTER 90 4755 7369 90 65 $751171 5232016 $741877 ($9294) 812016 DRESHER HILL HEALTH AND REHAB CENTER 118 8772 9851 92 89 $1385757 5232016 $1368612 ($17145) 812016
DUBOIS NURSING HOME 140 8355 11696 92 71 $1319881 5232016 $1303551 ($16330) 812016
DUNMORE HEALTH CARE CENTER 92 5421 7468 89 73 $856383 5232016 $845787 ($10596) 812016 EASTON HEALTH AND REHABILITATION CENTER 181 12796 14752 90 87 $2021449 5232016 $1996438 ($25011) 812016 EDGEHILL NURSING AND REHAB CENTER 60 4535 5274 97 86 $716417 5232016 $707553 ($8864) 812016
EDINBORO MANOR 121 7637 10651 97 72 $1206455 5232016 $1191528 ($14927) 812016 EDISON MANOR NURSING AND REHAB CENTER 118 7058 8758 82 81 $000 5232016 $000 $000 812016
ELDERCREST NURSING CENTER 48 2368 3823 88 62 $000 5232016 $000 $000 812016 ELIZABETHTOWN NURSING amp REHAB CENTER 45 2079 3026 74 69 $000 5232016 $000 $000 812016
ELK HAVEN NURSING HOME 120 5284 10566 97 50 $000 5232016 $000 $000 812016 ELKINS CREST HEALTH AND REHAB CENTERELLEN MEMORIAL HEALTH CARE
150 9855 11330 83 87 $000 5232016 $000 $000 812016
CENTER 130 5894 9189 78 64 $000 5232016 $000 $000 812016
ELM TERRACE GARDENS 72 1752 6651 102 26 $000 5232016 $000 $000 812016
ELMWOOD GARDENS 51 2507 4303 93 58 $000 5232016 $000 $000 812016
EPHRATA MANOR 120 5250 10183 93 52 $000 5232016 $000 $000 812016 EPWORTH HEALTHCARE AND REHAB CENTER 102 6607 8837 95 75 $1043741 5232016 $1030827 ($12914) 812016 EVERGREEN HEALTH AND REHAB CENTER 115 7948 10067 96 79 $1255586 5232016 $1240051 ($15535) 812016
FAIR WINDS MANOR 66 4811 5829 97 83 $760018 5232016 $750615 ($9403) 812016
FAIRMOUNT HOMES 114 3626 8954 86 40 $000 5232016 $000 $000 812016 FAIRVIEW CARE CENTER OF BETHLEHEM PIKE FAIRVIEW CARE CENTER OF
176 12709 14867 93 85 $2007705 5232016 $1982864 ($24841) 812016
PAPERMILL ROAD 129 8966 11189 95 80 $1416404 5232016 $1398880 ($17524) 812016
FAIRVIEW MANOR FALLING SPRING NURSING AND
121 7160 10430 95 69 $1131101 5232016 $1117107 ($13994) 812016
REHAB CENTER 186 11051 15202 90 73 $1745782 5232016 $1724182 ($21600) 812016 FORBES CENTER FOR REHAB amp HEALTHCARE LLC 134 9262 10826 89 86 $1463165 5232016 $1445062 ($18103) 812016 FOREST CITY NURSING AND REHAB CENTER 132 6401 8798 73 73 $000 5232016 $000 $000 812016
FOREST PARK HEALTH CENTER 114 7359 9905 95 74 $1162538 5232016 $1148155 ($14383) 812016
FORESTVIEW 80 2367 6522 90 36 $000 5232016 $000 $000 812016
FREY VILLAGE 136 7510 11768 95 64 $000 5232016 $000 $000 812016 FRIENDSHIP VILLAGE OF SOUTH HILLS 89 364 7904 98 5 $000 5232016 $000 $000 812016 FULTON COUNTY MEDICAL CENTER LTCU 67 4020 5865 96 69 $635060 5232016 $627202 ($7858) 812016
GARDEN SPOT VILLAGE 73 1143 6504 98 18 $000 5232016 $000 $000 812016
GARDEN SPRING CENTER 173 12611 15270 97 83 $1992223 5232016 $1967574 ($24649) 812016
GARVEY MANOR 132 8135 11849 99 69 $1285127 5232016 $1269227 ($15900) 812016
GERMANTOWN HOME 180 15501 16506 101 94 $2448771 5232016 $2418474 ($30297) 812016
GETTYSBURG CENTER 118 5722 8650 81 66 $000 5232016 $000 $000 812016
GLENDALE UPTOWN HOME 240 17702 20671 95 86 $2796474 5232016 $2761875 ($34599) 812016
GOLDEN HILL NURSING AND REHAB 204 13162 16982 91 78 $2079268 5232016 $2053542 ($25726) 812016 GOLDEN LIVINGCENTER-BLUE RIDGE MOUNTAIN 95 6237 8169 94 76 $985290 5232016 $973100 ($12190) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
GOLDEN LIVINGCENTER-CAMP HILL 95 6795 7853 91 87 $1073440 5232016 $1060159 ($13281) 812016
GOLDEN LIVINGCENTER-CLARION 83 3907 5314 70 74 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-DOYLESTOWN 120 7809 8588 79 91 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-EAST MOUNTAINGOLDEN LIVINGCENTER-
120 7725 10394 95 74 $1220357 5232016 $1205258 ($15099) 812016
GETTYSBURG 102 7351 8780 95 84 $1161275 5232016 $1146907 ($14368) 812016
GOLDEN LIVINGCENTER-HAIDA 98 5915 7928 89 75 $934422 5232016 $922861 ($11561) 812016
GOLDEN LIVINGCENTER-HILLVIEW 133 8490 11636 96 73 $1341208 5232016 $1324614 ($16594) 812016
GOLDEN LIVINGCENTER-KINZUA 106 6686 9030 94 74 $1056221 5232016 $1043153 ($13068) 812016 GOLDEN LIVINGCENTER-LANCASTER 124 9285 10502 93 88 $1466798 5232016 $1448650 ($18148) 812016
GOLDEN LIVINGCENTER-LANSDALE 126 9052 9880 86 92 $1429990 5232016 $1412297 ($17693) 812016
GOLDEN LIVINGCENTER-MANSION 70 4890 5941 93 82 $772498 5232016 $762940 ($9558) 812016 GOLDEN LIVINGCENTER-MEYERSDALE 99 6523 7994 89 82 $1030471 5232016 $1017722 ($12749) 812016 GOLDEN LIVINGCENTER-MONROEVILLEGOLDEN LIVINGCENTER-MT
120 6428 10258 94 63 $000 5232016 $000 $000 812016
LEBANON 121 7830 9920 90 79 $1236945 5232016 $1221640 ($15305) 812016 GOLDEN LIVINGCENTER-MURRYSVILLE 120 7115 9721 89 73 $1123992 5232016 $1110086 ($13906) 812016
GOLDEN LIVINGCENTER-OIL CITY 95 5350 7986 92 67 $845166 5232016 $834710 ($10456) 812016 GOLDEN LIVINGCENTER-PHOENIXVILLE 138 8483 10181 81 83 $000 5232016 $000 $000 812016
GOLDEN LIVINGCENTER-READING 124 7737 9887 88 78 $1222253 5232016 $1207130 ($15123) 812016
GOLDEN LIVINGCENTER-RICHLAND 97 4935 8198 93 60 $000 5232016 $000 $000 812016
GOLDEN LIVINGCENTER-ROSEMONT 76 5360 5903 85 91 $846746 5232016 $836270 ($10476) 812016
GOLDEN LIVINGCENTER-SCRANTON 139 8808 11262 89 78 $1391444 5232016 $1374228 ($17216) 812016 GOLDEN LIVINGCENTER-SHIPPENVILLEGOLDEN LIVINGCENTER-SOUTH
120 5124 7065 65 73 $000 5232016 $000 $000 812016
HILLS 104 5970 8451 89 71 $943111 5232016 $931442 ($11669) 812016
GOLDEN LIVINGCENTER-STENTON 94 6684 7355 86 91 $1055905 5232016 $1042841 ($13064) 812016
GOLDEN LIVINGCENTER-STROUD 127 8238 10670 92 77 $1301398 5232016 $1285297 ($16101) 812016
GOLDEN LIVINGCENTER-SUMMIT 120 7993 9991 91 80 $1262695 5232016 $1247072 ($15623) 812016
GOLDEN LIVINGCENTER-TITUSVILLE 77 4643 6238 89 74 $733478 5232016 $724403 ($9075) 812016 GOLDEN LIVINGCENTER-TUNKHANNOCK 124 7949 10354 92 77 $1255744 5232016 $1240207 ($15537) 812016 GOLDEN LIVINGCENTER-UNIONTOWNGOLDEN LIVINGCENTER-WALNUT
120 6887 10421 95 66 $1087974 5232016 $1074513 ($13461) 812016
CREEK 115 4650 9169 88 51 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-WAYNESBURG 111 6664 9186 91 73 $1052746 5232016 $1039720 ($13026) 812016 GOLDEN LIVINGCENTER-WEST SHOREGOLDEN LIVINGCENTER-WESTERN
309 14549 18637 66 78 $000 5232016 $000 $000 812016
RESERVE 133 8696 11020 91 79 $1373751 5232016 $1356754 ($16997) 812016 GOLDEN LIVINGCENTER-WILLIAM PENN 121 7629 10566 96 72 $1205192 5232016 $1190280 ($14912) 812016 GOLDEN LIVINGCENTER-YORK TERRACEGOOD SHEPHERD HOME RAKER
80 4765 6671 92 71 100
$752751 5232016 $743438 ($9313) 812016
CENTERGOOD SHEPHERD HOME-
99 8977 8977 100 100
$1418142 5232016 $1400596 ($17546) 812016
BETHLEHEM 60 5398 5415 99 $852749 5232016 $842199 ($10550) 812016
GRANDVIEW HEALTH HOMES INC 172 10738 13755 88 78 $1696336 5232016 $1675348 ($20988) 812016
GREEN HOME INC THE 120 6685 9638 88 69 $1056063 5232016 $1042997 ($13066) 812016
GREEN RIDGE CARE CENTER 95 4505 8072 93 56 $000 5232016 $000 $000 812016 GREEN VALLEY SKILLED NSG amp REHAB CENTER 48 2066 2240 51 92 $000 5232016 $000 $000 812016
GREENERY SPECIALTY CARE 140 8453 10053 79 84 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
CENTER
GREENLEAF NURSING HOME AND CONVAL CENTER 130 8876 10674 90 83 $1402186 5232016 $1384838 ($17348) 812016
GREENSBURG CARE CENTER 120 7190 9977 91 72 $1135841 5232016 $1121787 ($14054) 812016
GROVE MANOR 59 2941 5209 97 56 $000 5232016 $000 $000 812016 GUARDIAN HEALTHCARE amp REHAB CENTER 110 7385 9112 91 81 $1166646 5232016 $1152211 ($14435) 812016 GUTHRIE TOWANDA MEMORIAL HOSPITAL SNU 68 3637 5828 94 62 $000 5232016 $000 $000 812016
GUY AND MARY FELT MANOR INC 40 1860 3013 83 62 $000 5232016 $000 $000 812016 GWYNEDD SQUARE CTR FOR NSG amp CONVAL CARE 181 11752 15473 94 76 $1856523 5232016 $1833553 ($22970) 812016
HAMILTON ARMS CENTER 94 5850 8008 94 73 $924154 5232016 $912720 ($11434) 812016
HAMPTON HOUSE 104 6606 8115 86 81 $1043583 5232016 $1030671 ($12912) 812016
HANOVER HALL 152 8517 12867 93 66 $1345473 5232016 $1328826 ($16647) 812016
HARMAR VILLAGE CARE CENTER 130 7594 10924 92 70 $1199662 5232016 $1184820 ($14842) 812016
HARMON HOUSE CARE CENTER 109 6470 9358 94 69 $1022099 5232016 $1009453 ($12646) 812016 HARRISON SENIOR LIVING OF CHRISTIANA 139 7455 10005 79 75 $000 5232016 $000 $000 812016
HARSTON HALL 120 8804 10421 95 84 $1390812 5232016 $1373604 ($17208) 812016
HAVEN CONVALESCENT HOME INC HAVEN SKILLED REHABILITATION
91 6451 8256 100 78 $1019097 5232016 $1006488 ($12609) 812016
AND NURSING 90 4153 5983 73 69 $000 5232016 $000 $000 812016
HAVENCREST NURSING CENTER 48 2118 3633 83 58 $000 5232016 $000 $000 812016 HEARTHSIDE REHAB AND NURSING CENTER THE 157 9898 13343 93 74 $1563637 5232016 $1544291 ($19346) 812016
HEMPFIELD MANOR 120 5995 10213 94 59 $000 5232016 $000 $000 812016
HENRY CLAY VILLA LP HIGHLAND MANOR REHAB amp
74 5281 6278 93 84 $834266 5232016 $823944 ($10322) 812016
NURSING CENTER 120 7299 9235 85 79 $1153060 5232016 $1138794 ($14266) 812016
HIGHLAND PARK CARE CENTER HIGHLAND VIEW HEALTHCARE amp
144 9955 11584 88 86 $1572642 5232016 $1553184 ($19458) 812016
REHAB CENTER 50 2912 4147 91 70 $460023 5232016 $454332 ($5691) 812016
HIGHLANDS CARE CENTER THE 120 8996 10214 94 88 $1421143 5232016 $1403560 ($17583) 812016
HILLCREST CENTER HILLSDALE REHABILITATION AND
180 14437 15865 97 91 $2280686 5232016 $2252468 ($28218) 812016
NURSING CTR 74 4290 6157 91 70 $677713 5232016 $669328 ($8385) 812016
HOLY FAMILY MANOR 208 11834 17286 91 68 $1869477 5232016 $1846346 ($23131) 812016
HOLY FAMILY RESIDENCE 54 4345 4856 99 89 $686402 5232016 $677909 ($8493) 812016
HOMESTEAD VILLAGE INC 60 1583 4852 89 33 $000 5232016 $000 $000 812016 HOMETOWN NURSING AND REHAB CENTER 150 8831 12121 89 73 $1395078 5232016 $1377817 ($17261) 812016 HOMEWOOD AT MARTINSBURG PA INC 129 5608 11420 97 49 $000 5232016 $000 $000 812016
HOMEWOOD AT PLUM CREEK 120 3701 10634 97 35 $000 5232016 $000 $000 812016
HOPKINS CENTER 106 7986 9107 94 88 $1261589 5232016 $1245980 ($15609) 812016 HOSPITALITY CARE CENTER OF HERMITAGE INC HUNTINGDON HILLS REHAB amp
33 2002 2528 84 79 $000 5232016 $000 $000 812016
NURSING CENTER 93 5589 8174 97 68 $882923 5232016 $871998 ($10925) 812016 IMMACULATE MARY CTR FOR REHAB amp HLTHCARE 296 19975 26188 97 76 $3155552 5232016 $3116509 ($39043) 812016
INGLIS HOUSE 297 25399 26683 99 95 $4012408 5232016 $3962764 ($49644) 812016 IVY HILL REHABILITATION AND NURSING CTR 145 9303 12120 92 77 $1469642 5232016 $1451459 ($18183) 812016
JAMESON CARE CENTER 78 2384 6661 94 36 $000 5232016 $000 $000 812016 JEFFERSON HILLS HEALTHCARE amp REHAB CTR 83 4173 5991 79 70 $000 5232016 $000 $000 812016 JEFFERSON MANOR HEALTH CENTER 160 8962 12165 84 74 $000 $000 812016 JEWISH HOME OF EASTERN PENNSYLVANIA 173 10598 14309 91 74 $1674220 5232016 $1653505 ($20715) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
JULIA POUND CARE CENTER JULIA RIBAUDO EXTENDED CARE
131 5923 9650 81 61 $000 5232016 $000 $000 812016
CENTER 120 6744 9314 85 72 $1065384 5232016 $1052202 ($13182) 812016 KADE HEALTH AND REHABILITATION CENTERKEARSLEY REHAB AND NURSING
74 5118 6129 91 84 $808516 5232016 $798513 ($10003) 812016
CENTER 84 5198 7438 97 70 $821154 5232016 $810994 ($10160) 812016 KEPLER CENTER FOR NURSING AND REHAB 40 2420 2821 78 86 $000 5232016 $000 $000 812016
KINGSTON HEALTH CARE CENTER 65 2592 5009 85 52 $000 5232016 $000 $000 812016 KINKORA PYTHIAN HOME CORPORATION 60 2536 4737 87 54 $000 5232016 $000 $000 812016
KITTANNING CARE CENTER 120 8319 9648 88 86 $1314194 5232016 $1297934 ($16260) 812016
KUTZTOWN MANOR 140 10086 12591 99 80 $1593336 5232016 $1573623 ($19713) 812016 LACKAWANNA HEALTH AND REHAB CENTER 272 15336 17357 70 88 $000 5232016 $000 $000 812016
LAFAYETTE MANOR INC 98 5447 7818 88 70 $860490 5232016 $849844 ($10646) 812016 LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) 120 4973 10523 96 47 $000 5232016 $000 $000 812016 LAKESIDE HEALTH AND REHABILITATION CTR LAKEVIEW HEALTHCARE amp
31 2095 2547 90 82 $330958 5232016 $326863 ($4095) 812016
REHABILITATION CTR 34 1779 2933 95 61 $000 5232016 $000 $000 812016
LANCASHIRE HALL 240 16468 19548 90 84 $2601533 5232016 $2569345 ($32188) 812016
LANDIS HOMES LANGHORNE GARDENS HEALTH amp
103 3655 9110 97 40 $000 5232016 $000 $000 812016
REHAB CENTER 120 8155 10660 98 77 $1288286 5232016 $1272347 ($15939) 812016 LATROBE HEALTH AND REHABILITATION CENTER 107 7612 8734 90 87 $1202506 5232016 $1187628 ($14878) 812016 LAUREL CARE NURSING AND REHAB CENTER 92 4900 8157 97 60 $000 5232016 $000 $000 812016
LAUREL CENTER 130 8880 11245 95 79 $1402818 5232016 $1385462 ($17356) 812016
LAUREL RIDGE CENTER 61 3903 5068 91 77 $616577 5232016 $608948 ($7629) 812016
LAUREL WOOD CARE CENTER 120 7106 10193 93 70 $1122571 5232016 $1108682 ($13889) 812016
LAWSON NURSING HOME INC 50 1979 3887 85 51 $000 5232016 $000 $000 812016
LEBANON VALLEY BRETHREN HOME 100 3297 8064 89 41 $000 5232016 $000 $000 812016
LEBANON VALLEY HOME THE 55 2322 4812 96 48 $000 5232016 $000 $000 812016
LECOM AT PRESQUE ISLE INC 141 9318 10999 86 85 $1472011 5232016 $1453799 ($18212) 812016
LEHIGH CENTER LGAR HEALTH AND REHABILITATION
128 4712 10984 94 43 $000 5232016 $000 $000 812016
CENTERLINWOOD NURSING AND
120 7533 9703 89 78 $1190026 5232016 $1175302 ($14724) 812016
REHABILITATION CTR 102 6105 7603 82 80 $000 5232016 $000 $000 812016
LITTLE FLOWER MANOR 127 4093 9361 81 44 $000 5232016 $000 $000 812016
LITTLE SISTERS OF THE POOR LOCUST GROVE RETIREMENT
48 4027 4276 98 94 $636166 5232016 $628294 ($7872) 812016
VILLAGE 104 6535 8337 88 78 $1032367 5232016 $1019594 ($12773) 812016
LOYALHANNA CARE CENTER LOYALSOCK CREEK REHAB AND
120 6582 10101 93 65 $1039792 5232016 $1026927 ($12865) 812016
NURSING CTR 133 6346 9911 82 64 $000 5232016 $000 $000 812016
LUTHER ACRES MANOR 106 3931 9516 99 41 $000 5232016 $000 $000 812016
LUTHER CREST NURSING FACILITY LUTHER WOODS NURSING amp REHAB
60 1317 5147 94 26 $000 5232016 $000 $000 812016
CENTER 140 5033 10363 81 49 $000 5232016 $000 $000 812016 LUTHERAN COMMUNITY AT TELFORD 75 2517 6345 93 40 $000 5232016 $000 $000 812016
LUTHERAN HOME AT KANE THE 90 5754 7895 96 73 $908988 5232016 $897742 ($11246) 812016
LUTHERAN HOME AT TOPTON MAJESTIC OAKS REHAB amp NURSING
194 10116 17266 98 59 $000 5232016 $000 $000 812016
CENTER 180 12311 15278 93 81 $1944831 5232016 $1920768 ($24063) 812016
MANCHESTER COMMONS MANORCARE HEALTH SERVICES -
78 3461 6697 94 52 $000 5232016 $000 $000 812016
ERIE 120 6885 9557 88 72 $1087658 5232016 $1074201 ($13457) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SERVICES - MONTGOMERYMANORCARE HEALTH SERVICES -
170 10412 12829 83 81 $000 5232016 $000 $000 812016
NORTHSIDE 100 6607 7307 80 90 $000 5232016 $000 $000 812016 MANORCARE HEALTH SERVICES - WALLINGFORD 198 13669 16625 92 82 $2159361 5232016 $2132644 ($26717) 812016 MANORCARE HEALTH SVCS-ALLENTOWNMANORCARE HEALTH SVCS-BETHEL
166 10411 13035 86 80 $1644678 5232016 $1624329 ($20349) 812016
PARK 160 7549 10822 74 70 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2021) 227 15642 18485 89 85 $2471046 5232016 $2440472 ($30574) 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2029) MANORCARE HEALTH SVCS-CAMP
217 14132 16950 86 83 $2232503 5232016 $2204881 ($27622) 812016
HILL 123 6570 10005 89 66 $1037896 5232016 $1025055 ($12841) 812016 MANORCARE HEALTH SVCS-CARLISLE 150 9216 12128 89 76 $1455898 5232016 $1437885 ($18013) 812016 MANORCARE HEALTH SVCS-CHAMBERSBURG MANORCARE HEALTH SVCS-
210 12747 18213 95 70 $2013708 5232016 $1988793 ($24915) 812016
DALLASTOWN 202 14021 17331 94 81 $2214968 5232016 $2187563 ($27405) 812016 MANORCARE HEALTH SVCS-EASTON 227 12875 16911 82 76 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-ELIZABETHTOWN MANORCARE HEALTH SVCS-GREEN
73 4283 5959 90 72 $676607 5232016 $668236 ($8371) 812016
TREE 180 7353 12631 77 58 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY 130 8158 10380 88 79 $1288760 5232016 $1272815 ($15945) 812016 MANORCARE HEALTH SVCS-JERSEY SHOREMANORCARE HEALTH SVCS-KING
120 8222 10571 97 78 $1298871 5232016 $1282800 ($16071) 812016
OF PRUSSIA 150 8403 11318 83 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON 176 9061 12314 77 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON COURT MANORCARE HEALTH SVCS-
151 8738 12664 92 69 $1380386 5232016 $1363307 ($17079) 812016
LANCASTERMANORCARE HEALTH SVCS-
172 11273 15018 96 75 $1780853 5232016 $1758819 ($22034) 812016
LAURELDALE 198 11424 16841 93 68 $1804707 5232016 $1782378 ($22329) 812016 MANORCARE HEALTH SVCS-LEBANON 159 9511 13084 90 73 $1502501 5232016 $1483911 ($18590) 812016 MANORCARE HEALTH SVCS-MERCY FITZGERALDMANORCARE HEALTH SVCS-
129 6912 10364 88 67 $1091924 5232016 $1078414 ($13510) 812016
MONROEVILLE 131 5589 10276 86 54 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-NORTH HILLS 200 10790 15542 85 69 $1704551 5232016 $1683461 ($21090) 812016 MANORCARE HEALTH SVCS-OXFORD VALLEY MANORCARE HEALTH SVCS-PETERS
150 7359 11989 88 61 $000 5232016 $000 $000 812016
TOWNSHIP 140 6871 9362 73 73 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-PITTSBURGH 197 12687 15113 84 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-POTTSTOWNMANORCARE HEALTH SVCS-
165 9906 12370 82 80 $000 5232016 $000 $000 812016
POTTSVILLE 179 12764 15521 95 82 $2016393 5232016 $1991445 ($24948) 812016 MANORCARE HEALTH SVCS-SHADYSIDE 150 10598 12638 93 84 $1674220 5232016 $1653505 ($20715) 812016 MANORCARE HEALTH SVCS-SINKING SPRING MANORCARE HEALTH SVCS-
214 13295 18373 94 72 $2100278 5232016 $2074292 ($25986) 812016
SUNBURY 126 8845 10874 95 81 $1397289 5232016 $1380001 ($17288) 812016 MANORCARE HEALTH SVCS-WEST READING NORTH 176 13741 15583 97 88 $2170735 5232016 $2143877 ($26858) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SVCS-WHITEHALL BOROUGH MANORCARE HEALTH SVCS-
166 4466 13324 88 34 $000 5232016 $000 $000 812016
WILLIAMSPORT NORTH 152 9336 11126 80 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH 116 8174 9755 92 84 $1291288 5232016 $1275311 ($15977) 812016 MANORCARE HEALTH SVCS-YEADONMANORCARE HEALTH SVCS-YORK
198 15867 17473 97 91 $2506590 5232016 $2475577 ($31013) 812016
NORTH 161 9991 14040 96 71 $1578329 5232016 $1558801 ($19528) 812016 MANORCARE HEALTH SVCS-YORK SOUTH 151 8874 12814 93 69 $1401871 5232016 $1384526 ($17345) 812016 MANORCARE HLTH SVCS amp REHAB -WEST ALLEN 146 8495 10558 79 80 $000 5232016 $000 $000 812016
MAPLE FARM 46 1902 3872 92 49 $000 5232016 $000 $000 812016
MAPLE WINDS CARE CENTER 50 1787 3548 78 50 $000 5232016 $000 $000 812016 MAPLEWOOD NURSING AND REHABILITATION CTR 180 14261 15863 97 90 $2252882 5232016 $2225008 ($27874) 812016
100 MARGARET E MOUL HOME 82 7451 7462 100 $1177072 5232016 $1162509 ($14563) 812016
MARIAN MANOR CORPORATION 154 6836 12393 88 55 $000 5232016 $000 $000 812016
MARWOOD REST HOME INC 87 6586 7495 95 88 $1040424 5232016 $1027551 ($12873) 812016 MASONIC VILLAGE AT ELIZABETHTOWN MASONIC VILLAGE AT LAFAYETTE
453 22115 38630 94 57 $000 5232016 $000 $000 812016
HILL 60 3278 5287 97 62 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT SEWICKLEY 128 4054 11408 98 36 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT WARMINSTER 43 2425 3624 93 67 $383089 5232016 $378350 ($4739) 812016 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER 240 16037 19717 90 81 $2533446 5232016 $2502100 ($31346) 812016
MCMURRAY HILLS MANOR MEADOW VIEW HEALTHCARE amp
115 8012 10216 98 78 $1265696 5232016 $1250036 ($15660) 812016
REHAB CENTER 63 4141 5656 99 73 $654175 5232016 $646081 ($8094) 812016
MEADOW VIEW NURSING CENTER 150 9319 12460 91 75 $1472169 5232016 $1453955 ($18214) 812016
MEADOWCREST NURSING CENTER 50 2455 3684 81 67 $000 5232016 $000 $000 812016 MEADOWS NURSING AND REHAB CENTERMEADOWVIEW REHAB amp NURSING
130 6034 9745 82 62 $000 5232016 $000 $000 812016
CENTER 244 15851 18859 85 84 $2504062 5232016 $2473081 ($30981) 812016
MERCY CENTER NURSING UNIT INC 59 3201 5154 96 62 $000 5232016 $000 $000 812016
MID VALLEY HEALTH CARE CENTER 38 1427 2851 82 50 $000 5232016 $000 $000 812016
MIFFLIN CENTER 136 6641 11413 92 58 $000 5232016 $000 $000 812016 MILFORD SENIOR CARE AND REHAB CENTER 80 4805 6676 92 72 $759070 5232016 $749678 ($9392) 812016
MILLCREEK MANOR 138 3336 4817 38 69 $000 5232016 $000 $000 812016 MILLVILLE HEALTH AND REHABILITATION CTR MILTON NURSING AND
110 7602 8148 81 93 $000 5232016 $000 $000 812016
REHABILITATION CENTER 138 8893 11114 89 80 $1404872 5232016 $1387490 ($17382) 812016
MON VALLEY CARE CENTER MORAVIAN HALL SQ HLTH AND
60 1955 4926 90 40 $000 5232016 $000 $000 812016
WELLNESS CTR 61 273 5257 95 5 $000 5232016 $000 $000 812016
MORAVIAN MANOR 127 2782 10551 91 26 $000 5232016 $000 $000 812016
MORRISONS COVE HOME MOUNT CARMEL NURSING AND
124 7738 10588 94 73 $1222411 5232016 $1207286 ($15125) 812016
REHAB CENTER MOUNT MACRINA MANOR NURSING
121 7593 10382 94 73 $1199505 5232016 $1184664 ($14841) 812016
HOME 139 7377 10604 84 70 $000 5232016 $000 $000 812016 MOUNTAIN CITY NURSING AND REHAB CENTER 297 19439 24350 90 80 $3070877 5232016 $3032882 ($37995) 812016
MOUNTAIN LAUREL NRC 240 14471 18157 83 80 $000 5232016 $000 $000 812016 MOUNTAIN TOP HEALTHCARE AND REHAB CTR 106 6767 9142 95 74 $1069017 5232016 $1055791 ($13226) 812016
MOUNTAIN VIEW A NURSING AND 271 14896 17958 73 83 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
REHAB CTR
MOUNTAINVIEW SPECIALTY CARE CENTER 137 7086 9938 80 71 $000 5232016 $000 $000 812016 MULBERRY HEALTHCARE amp REHAB CTR 75 4408 6172 90 71 $696354 5232016 $687738 ($8616) 812016
NAAMANS CREEK COUNTRY MANOR NEW EASTWOOD HEALTHCARE AND
90 4638 7642 93 61 $000 5232016 $000 $000 812016
REHAB CENTER 97 4424 8242 93 54 $000 5232016 $000 $000 812016
NORMANDIE RIDGE NORRITON SQUARE NURSING amp
64 2527 5457 94 46 $000 5232016 $000 $000 812016
REHAB CENTER 99 3369 7844 87 43 $000 5232016 $000 $000 812016 NORTH HILLS HEALTH AND REHAB CENTER 55 2700 4705 94 57 $000 5232016 $000 $000 812016
NOTTINGHAM VILLAGE 121 6185 9707 88 64 $000 5232016 $000 $000 812016
NUGENT CONVALESCENT HOME OAK HILL NURSING AND REHAB
105 6153 8954 94 69 $972020 5232016 $959994 ($12026) 812016
CENTER 48 2758 3885 89 71 $435695 5232016 $430304 ($5391) 812016 OAKMONT CENTER FOR NURSING AND REHAB 85 5301 6694 87 79 $837426 5232016 $827065 ($10361) 812016 OAKWOOD HEALTHCARE amp REHABILITATION CTR 148 9099 12142 90 75 $1437415 5232016 $1419630 ($17785) 812016
OAKWOOD HEIGHTS 106 6632 9084 94 73 $1047690 5232016 $1034728 ($12962) 812016
OHESSON MANOR 134 7753 11739 96 66 $1224781 5232016 $1209627 ($15154) 812016 OLD ORCHARD HEALTH CARE CENTERORANGEVILLE HEALTH AND REHAB
180 10603 15271 93 69 $1675009 5232016 $1654285 ($20724) 812016
CENTER 120 7517 9777 90 77 $1187498 5232016 $1172806 ($14692) 812016
ORCHARD MANOR INC 121 6990 10558 96 66 $1104246 5232016 $1090583 ($13663) 812016
ORWIGSBURG CENTER 130 7695 10014 85 77 $1215618 5232016 $1200578 ($15040) 812016 OVERLOOK HEALTH AND REHAB CENTER 115 7301 8449 81 86 $000 5232016 $000 $000 812016
OXFORD HEALTH CENTER 137 7198 12057 97 60 $000 5232016 $000 $000 812016 PALMYRA HEALTH AND REHABILITATION CTR PARK AVENUE REHAB AND
39 2248 3132 88 72 $355128 5232016 $350734 ($4394) 812016
NURSING CENTER 173 9846 12609 80 78 $000 5232016 $000 $000 812016 PARKHOUSE NURSING AND REHABILITATION CTR 467 31182 37791 89 83 $4925978 5232016 $4865031 ($60947) 812016 PASSAVANT RETIREMENT AND HEALTH CENTER 102 5007 9074 98 55 $000 5232016 $000 $000 812016
PAULS RUN 120 4135 10113 93 41 $000 5232016 $000 $000 812016
PAVILION AT BRMC 95 4647 7431 86 63 $000 5232016 $000 $000 812016 PEMBROOKE HEALTH AND REHAB CENTERPENN CENTER FOR REHABILITATION
180 12001 14374 88 83 $1895859 5232016 $1872402 ($23457) 812016
AND CARE 124 7587 10045 89 76 $1198557 5232016 $1183727 ($14830) 812016
PENNKNOLL VILLAGE 133 8841 11828 98 75 $1396657 5232016 $1379377 ($17280) 812016
PENNSBURG MANOR 120 6810 10237 94 67 $1075810 5232016 $1062499 ($13311) 812016
PENNYPACK CENTER 54 1997 4237 86 47 $000 5232016 $000 $000 812016
PHILADELPHIA PROTESTANT HOME 126 5611 11111 97 50 $000 $000 812016
PHOEBE ALLENTOWN HEALTH CARE PHOEBE BERKS HEALTH CARE
395 21047 31233 87 67 $3283763 $3283763 812016
CENTER INC 120 2306 8259 76 28 $000 $000 812016
PHOEBE RICHLAND HCC 143 7156 11553 89 62 $000 $000 812016
PHOEBE WYNCOTE 58 2889 4572 87 63 $000 $000 812016
PICKERING MANOR HOME 47 1520 4003 94 38 $000 5232016 $000 $000 812016 PLATINUM RIDGE CTR FOR REHAB amp HEALING 97 5898 8590 97 69 $931737 5232016 $920209 ($11528) 812016
POWERBACK REHABILITATION 1526 150 3935 11953 88 33 $000 5232016 $000 $000 812016
POWERBACK REHABILITATION 3485 109 1266 8550 86 15 $000 5232016 $000 $000 812016
PRAXIS ALZHEIMERS FACILITY PRESBYTERIAN HOMES-
115 8778 10034 96 87 $1386705 5232016 $1369548 ($17157) 812016
PRESBYTERY-HUNTINGDON 67 2962 5634 92 53 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
PROSPECT PARK HEALTH AND REHAB CENTER 180 12542 15346 94 82 $1981323 5232016 $1956809 ($24514) 812016
PROVIDENCE CARE CENTER 180 12935 15707 96 82 $2043407 5232016 $2018125 ($25282) 812016
QUAKERTOWN CENTER 138 7869 11241 90 70 $1243106 5232016 $1227725 ($15381) 812016
QUINCY RETIREMENT COMMUNITY 134 6760 11710 96 58 $000 5232016 $000 $000 812016
REFORMED PRESBYTERIAN HOME 58 3272 4575 87 72 $516894 5232016 $510499 ($6395) 812016 REGINA COMMUNITY NURSING CENTERRENAISSANCE HEALTHCARE amp
121 7934 10475 95 76 $1253374 5232016 $1237867 ($15507) 812016
REHAB CENTER 123 8018 10627 95 75 $1266644 5232016 $1250972 ($15672) 812016
REST HAVEN-YORK RICHBORO REHAB AND NURSING
159 8307 11626 80 71 $000 5232016 $000 $000 812016
CENTER 82 4398 6585 88 67 $694774 5232016 $686178 ($8596) 812016 RICHFIELD HEALTHCARE AND REHAB CENTER RIDGEVIEW HEALTHCARE amp REHAB
40 2357 3315 91 71 $372347 5232016 $367740 ($4607) 812016
CENTER 131 8890 11406 96 78 $1404398 5232016 $1387022 ($17376) 812016 RIDGEVIEW HEALTHCARE amp REHAB CENTER 111 5481 7498 74 73 $000 5232016 $000 $000 812016 RIVER RUN REHAB AND NURSING CENTERRIVERS EDGE NURSING AND REHAB
145 6567 8119 62 81 $000 5232016 $000 $000 812016
CENTER 120 6257 9108 83 69 $000 5232016 $000 $000 812016
RIVERSIDE CARE CENTER RIVERSIDE REHABILITATION AND
120 9013 10480 96 86 $1423829 5232016 $1406213 ($17616) 812016
NURSING CTR 161 10603 12961 88 82 $1675009 5232016 $1654285 ($20724) 812016
RIVERSTREET MANOR 122 7085 10168 92 70 $1119253 5232016 $1105405 ($13848) 812016
RIVERWOODS 226 7947 13637 66 58 $000 5232016 $000 $000 812016
ROCHESTER MANOR 122 5703 8311 75 69 $000 5232016 $000 $000 812016
ROLLING FIELDS INC 181 11319 15372 93 74 $1788120 5232016 $1765996 ($22124) 812016 ROLLING HILLS HEALTHCARE amp REHAB CENTER 57 3949 4785 92 83 $623843 5232016 $616125 ($7718) 812016
ROLLING MEADOWS 121 6979 9532 87 73 $1102508 5232016 $1088867 ($13641) 812016
ROSE VIEW CENTER 123 8174 10813 97 76 $1291288 5232016 $1275311 ($15977) 812016 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 1752 9224 89 19 $000 5232016 $000 $000 812016
SAINT ANNE HOME 125 5864 11062 97 53 $000 5232016 $000 $000 812016
SAINT JOSEPH VILLA SAINT MARYS VILLA NURSING
106 5410 8161 85 66 $854645 5232016 $844071 ($10574) 812016
HOME INC 112 5747 9617 94 60 $000 5232016 $000 $000 812016
SAINT PAUL HOMES 192 9221 17066 98 54 $000 5232016 $000 $000 812016
SANATOGA CENTER 130 6362 11287 95 56 $000 5232016 $000 $000 812016
SARAH A TODD MEMORIAL HOME 117 7221 10047 94 72 $1140738 5232016 $1126624 ($14114) 812016
SAXONY HEALTH CENTER 68 3658 5701 92 64 $000 5232016 $000 $000 812016
SAYRE HEALTH CARE CENTER LLC 50 1868 4161 91 45 $000 5232016 $000 $000 812016 SCENERY HILL HEALTHCARE amp REHAB CENTER 56 2800 4320 85 65 $442330 5232016 $436857 ($5473) 812016
SCHUYLKILL CENTER 190 13372 16629 96 80 $2112442 5232016 $2086306 ($26136) 812016 SCOTTDALE HEALTHCARE amp REHAB CENTER 35 1135 2977 93 38 $000 5232016 $000 $000 812016
SCRANTON HEALTH CARE CENTER 44 1965 3513 88 56 $000 5232016 $000 $000 812016
SENA-KEAN MANOR 152 8802 11557 84 76 $000 5232016 $000 $000 812016
SENECA PLACE 174 8176 12058 76 68 $000 5232016 $000 $000 812016
SETON MANOR INC SHENANDOAH MANOR NURSING
120 7571 10246 94 74 $1196029 5232016 $1181231 ($14798) 812016
CENTER 124 8066 10261 91 79 $1274227 5232016 $1258461 ($15766) 812016 SHENANGO PRESBYTERIAN SENIORCARE 25 439 2194 96 20 $000 5232016 $000 $000 812016
SHERWOOD OAKS 43 91 3064 78 3 $000 5232016 $000 $000 812016 SHIPPENSBURG HEALTH CARE CENTER 125 7420 9605 84 77 $000 5232016 $000 $000 812016
SIEMONS LAKEVIEW MANOR NSG 120 8142 10548 97 77 $1286233 5232016 $1270319 ($15914) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 3
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
CAMBRIA CARE CENTER 301 19267 23200 85 83 $3043705 5232016 $3006047 ($37658) 812016
CANTERBURY PLACE 80 4623 6929 95 67 $730319 5232016 $721283 ($9036) 812016 CARBONDALE NURSING AND REHAB CENTER 115 7565 10028 96 75 $1195081 5232016 $1180295 ($14786) 812016 CARE PAVILION NURSING AND REHAB CENTER CARING HEART REHAB AND
396 31687 34951 97 91 $5005755 5232016 $4943821 ($61934) 812016
NURSING CENTER 269 17052 22606 92 75 $2693790 5232016 $2660461 ($33329) 812016 CARING HEIGHTS COMMUNITY CARE amp REHAB 120 8189 10016 92 82 $1293658 5232016 $1277652 ($16006) 812016
CARING PLACE THE 100 6420 8835 97 73 $1014200 5232016 $1001652 ($12548) 812016 CARLETON HEALTHCARE amp REHABILITATION CTR 26 1206 2097 89 58 $000 5232016 $000 $000 812016
CATHEDRAL VILLAGE 133 1445 9181 76 16 $000 5232016 $000 $000 812016 CEDAR HAVEN HEALTHCARE CENTER 324 24191 27731 94 87 $3821574 5232016 $3774292 ($47282) 812016 CENTENNIAL HEALTHCARE amp REHAB CENTER 180 13240 15582 95 85 $2091590 5232016 $2065711 ($25879) 812016
CENTRE CREST 240 15446 20824 95 74 $2440083 5232016 $2409892 ($30191) 812016 CHANDLER HALL HEALTH SERVICES INC 53 1163 4147 86 28 $000 5232016 $000 $000 812016
CHAPEL MANOR 238 18399 20663 95 89 $2906583 5232016 $2870621 ($35962) 812016
CHAPEL POINTE AT CARLISLE 59 2067 5301 99 39 $000 5232016 $000 $000 812016 CHARLES COLE MEMORIAL HOSPITAL ECF CHARLES M MORRIS NURSING AND
49 2445 3412 77 72 $000 5232016 $000 $000 812016
REHAB CTR 159 5921 13195 91 45 $000 5232016 $000 $000 812016 CHELTENHAM NURSING AND REHAB CENTER 255 19478 20725 89 94 $3077038 5232016 $3038967 ($38071) 812016
CHERRY TREE NURSING CENTER 120 5976 7866 72 76 $000 5232016 $000 $000 812016 CHESTER VALLEY REHAB AND NURSING CENTER 184 11066 15536 93 71 $1748152 5232016 $1726523 ($21629) 812016 CHESTNUT HILL LODGE HEALTH AND REHAB CTR 181 12412 13371 81 93 $000 5232016 $000 $000 812016
CHICORA MEDICAL CENTER 114 6718 9335 90 72 $1061276 5232016 $1048146 ($13130) 812016
CHRIST THE KING MANOR 160 8527 13908 96 61 $000 5232016 $000 $000 812016
CHURCH OF GOD HOME INC 109 4864 9529 96 51 $000 5232016 $000 $000 812016
CHURCH OF THE BRETHREN HOME CLARVIEW NURSING AND REHAB
134 7324 11349 93 65 $1157009 5232016 $1142694 ($14315) 812016
CENTER 120 6585 9286 85 71 $1040266 5232016 $1027395 ($12871) 812016
CLEPPER MANOR 54 3302 4486 91 74 $521634 5232016 $515180 ($6454) 812016
CLIVEDEN NSG amp REHAB CTR 180 13061 15423 94 85 $2063312 5232016 $2037784 ($25528) 812016
COLONIAL MANOR NURSING HOME 270 15827 19692 80 80 $000 5232016 $000 $000 812016
COLONIAL PARK CARE CENTER 198 13196 17435 97 76 $2084639 5232016 $2058846 ($25793) 812016
CONESTOGA VIEW CONSULATE HEALTH CARE OF
446 34880 39794 98 88 $5510170 5232016 $5441994 ($68176) 812016
CHESWICK 121 9124 10031 91 91 $1441364 5232016 $1423531 ($17833) 812016 CONSULATE HEALTH CARE OF NORTH STRABANE 62 3142 4816 85 65 $496358 5232016 $490216 ($6142) 812016
CORRY MANOR 121 6918 9569 87 72 $1092871 5232016 $1079350 ($13521) 812016 COUNTRYSIDE CHRISTIAN COMMUNITY 33 1693 2958 99 57 $000 5232016 $000 $000 812016 COUNTRYSIDE CONVAL HOME LTD PARTNERSHIPCOVENTRY MANOR HEALTH AND
48 2050 3837 88 53 $000 5232016 $000 $000 812016
REHAB CTR 41 2408 3421 92 70 $380404 5232016 $375697 ($4707) 812016
CRANBERRY PLACE CREEKSIDE HEALTH AND
150 7017 11023 81 64 $000 5232016 $000 $000 812016
REHABILITATION CTR 81 5530 6434 87 86 $873602 5232016 $862793 ($10809) 812016
CRESTVIEW CENTER CUMBERLAND CROSSINGS
180 9016 15775 96 57 $000 5232016 $000 $000 812016
RETIREMENT COMM DARWAY HEALTHCARE amp
58 2048 4947 94 41 $000 5232016 $000 $000 812016
REHABILITATION CTR 67 4729 5749 94 82 $747064 5232016 $737821 ($9243) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
DEER MEADOWS REHABILITATION CENTERDENVER HEALTH AND
206 11932 17669 94 68 $1884958 5232016 $1861636 ($23322) 812016
REHABILITATION CENTER 82 4843 7123 95 68 $765073 5232016 $755607 ($9466) 812016
DOCK TERRACE 72 1858 6204 95 30 $000 5232016 $000 $000 812016
DONAHOE MANOR 72 4247 6270 96 68 $670920 5232016 $662619 ($8301) 812016 DR ARTHUR CLIFTON MCKINLEY HEALTH CENTER 90 4755 7369 90 65 $751171 5232016 $741877 ($9294) 812016 DRESHER HILL HEALTH AND REHAB CENTER 118 8772 9851 92 89 $1385757 5232016 $1368612 ($17145) 812016
DUBOIS NURSING HOME 140 8355 11696 92 71 $1319881 5232016 $1303551 ($16330) 812016
DUNMORE HEALTH CARE CENTER 92 5421 7468 89 73 $856383 5232016 $845787 ($10596) 812016 EASTON HEALTH AND REHABILITATION CENTER 181 12796 14752 90 87 $2021449 5232016 $1996438 ($25011) 812016 EDGEHILL NURSING AND REHAB CENTER 60 4535 5274 97 86 $716417 5232016 $707553 ($8864) 812016
EDINBORO MANOR 121 7637 10651 97 72 $1206455 5232016 $1191528 ($14927) 812016 EDISON MANOR NURSING AND REHAB CENTER 118 7058 8758 82 81 $000 5232016 $000 $000 812016
ELDERCREST NURSING CENTER 48 2368 3823 88 62 $000 5232016 $000 $000 812016 ELIZABETHTOWN NURSING amp REHAB CENTER 45 2079 3026 74 69 $000 5232016 $000 $000 812016
ELK HAVEN NURSING HOME 120 5284 10566 97 50 $000 5232016 $000 $000 812016 ELKINS CREST HEALTH AND REHAB CENTERELLEN MEMORIAL HEALTH CARE
150 9855 11330 83 87 $000 5232016 $000 $000 812016
CENTER 130 5894 9189 78 64 $000 5232016 $000 $000 812016
ELM TERRACE GARDENS 72 1752 6651 102 26 $000 5232016 $000 $000 812016
ELMWOOD GARDENS 51 2507 4303 93 58 $000 5232016 $000 $000 812016
EPHRATA MANOR 120 5250 10183 93 52 $000 5232016 $000 $000 812016 EPWORTH HEALTHCARE AND REHAB CENTER 102 6607 8837 95 75 $1043741 5232016 $1030827 ($12914) 812016 EVERGREEN HEALTH AND REHAB CENTER 115 7948 10067 96 79 $1255586 5232016 $1240051 ($15535) 812016
FAIR WINDS MANOR 66 4811 5829 97 83 $760018 5232016 $750615 ($9403) 812016
FAIRMOUNT HOMES 114 3626 8954 86 40 $000 5232016 $000 $000 812016 FAIRVIEW CARE CENTER OF BETHLEHEM PIKE FAIRVIEW CARE CENTER OF
176 12709 14867 93 85 $2007705 5232016 $1982864 ($24841) 812016
PAPERMILL ROAD 129 8966 11189 95 80 $1416404 5232016 $1398880 ($17524) 812016
FAIRVIEW MANOR FALLING SPRING NURSING AND
121 7160 10430 95 69 $1131101 5232016 $1117107 ($13994) 812016
REHAB CENTER 186 11051 15202 90 73 $1745782 5232016 $1724182 ($21600) 812016 FORBES CENTER FOR REHAB amp HEALTHCARE LLC 134 9262 10826 89 86 $1463165 5232016 $1445062 ($18103) 812016 FOREST CITY NURSING AND REHAB CENTER 132 6401 8798 73 73 $000 5232016 $000 $000 812016
FOREST PARK HEALTH CENTER 114 7359 9905 95 74 $1162538 5232016 $1148155 ($14383) 812016
FORESTVIEW 80 2367 6522 90 36 $000 5232016 $000 $000 812016
FREY VILLAGE 136 7510 11768 95 64 $000 5232016 $000 $000 812016 FRIENDSHIP VILLAGE OF SOUTH HILLS 89 364 7904 98 5 $000 5232016 $000 $000 812016 FULTON COUNTY MEDICAL CENTER LTCU 67 4020 5865 96 69 $635060 5232016 $627202 ($7858) 812016
GARDEN SPOT VILLAGE 73 1143 6504 98 18 $000 5232016 $000 $000 812016
GARDEN SPRING CENTER 173 12611 15270 97 83 $1992223 5232016 $1967574 ($24649) 812016
GARVEY MANOR 132 8135 11849 99 69 $1285127 5232016 $1269227 ($15900) 812016
GERMANTOWN HOME 180 15501 16506 101 94 $2448771 5232016 $2418474 ($30297) 812016
GETTYSBURG CENTER 118 5722 8650 81 66 $000 5232016 $000 $000 812016
GLENDALE UPTOWN HOME 240 17702 20671 95 86 $2796474 5232016 $2761875 ($34599) 812016
GOLDEN HILL NURSING AND REHAB 204 13162 16982 91 78 $2079268 5232016 $2053542 ($25726) 812016 GOLDEN LIVINGCENTER-BLUE RIDGE MOUNTAIN 95 6237 8169 94 76 $985290 5232016 $973100 ($12190) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
GOLDEN LIVINGCENTER-CAMP HILL 95 6795 7853 91 87 $1073440 5232016 $1060159 ($13281) 812016
GOLDEN LIVINGCENTER-CLARION 83 3907 5314 70 74 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-DOYLESTOWN 120 7809 8588 79 91 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-EAST MOUNTAINGOLDEN LIVINGCENTER-
120 7725 10394 95 74 $1220357 5232016 $1205258 ($15099) 812016
GETTYSBURG 102 7351 8780 95 84 $1161275 5232016 $1146907 ($14368) 812016
GOLDEN LIVINGCENTER-HAIDA 98 5915 7928 89 75 $934422 5232016 $922861 ($11561) 812016
GOLDEN LIVINGCENTER-HILLVIEW 133 8490 11636 96 73 $1341208 5232016 $1324614 ($16594) 812016
GOLDEN LIVINGCENTER-KINZUA 106 6686 9030 94 74 $1056221 5232016 $1043153 ($13068) 812016 GOLDEN LIVINGCENTER-LANCASTER 124 9285 10502 93 88 $1466798 5232016 $1448650 ($18148) 812016
GOLDEN LIVINGCENTER-LANSDALE 126 9052 9880 86 92 $1429990 5232016 $1412297 ($17693) 812016
GOLDEN LIVINGCENTER-MANSION 70 4890 5941 93 82 $772498 5232016 $762940 ($9558) 812016 GOLDEN LIVINGCENTER-MEYERSDALE 99 6523 7994 89 82 $1030471 5232016 $1017722 ($12749) 812016 GOLDEN LIVINGCENTER-MONROEVILLEGOLDEN LIVINGCENTER-MT
120 6428 10258 94 63 $000 5232016 $000 $000 812016
LEBANON 121 7830 9920 90 79 $1236945 5232016 $1221640 ($15305) 812016 GOLDEN LIVINGCENTER-MURRYSVILLE 120 7115 9721 89 73 $1123992 5232016 $1110086 ($13906) 812016
GOLDEN LIVINGCENTER-OIL CITY 95 5350 7986 92 67 $845166 5232016 $834710 ($10456) 812016 GOLDEN LIVINGCENTER-PHOENIXVILLE 138 8483 10181 81 83 $000 5232016 $000 $000 812016
GOLDEN LIVINGCENTER-READING 124 7737 9887 88 78 $1222253 5232016 $1207130 ($15123) 812016
GOLDEN LIVINGCENTER-RICHLAND 97 4935 8198 93 60 $000 5232016 $000 $000 812016
GOLDEN LIVINGCENTER-ROSEMONT 76 5360 5903 85 91 $846746 5232016 $836270 ($10476) 812016
GOLDEN LIVINGCENTER-SCRANTON 139 8808 11262 89 78 $1391444 5232016 $1374228 ($17216) 812016 GOLDEN LIVINGCENTER-SHIPPENVILLEGOLDEN LIVINGCENTER-SOUTH
120 5124 7065 65 73 $000 5232016 $000 $000 812016
HILLS 104 5970 8451 89 71 $943111 5232016 $931442 ($11669) 812016
GOLDEN LIVINGCENTER-STENTON 94 6684 7355 86 91 $1055905 5232016 $1042841 ($13064) 812016
GOLDEN LIVINGCENTER-STROUD 127 8238 10670 92 77 $1301398 5232016 $1285297 ($16101) 812016
GOLDEN LIVINGCENTER-SUMMIT 120 7993 9991 91 80 $1262695 5232016 $1247072 ($15623) 812016
GOLDEN LIVINGCENTER-TITUSVILLE 77 4643 6238 89 74 $733478 5232016 $724403 ($9075) 812016 GOLDEN LIVINGCENTER-TUNKHANNOCK 124 7949 10354 92 77 $1255744 5232016 $1240207 ($15537) 812016 GOLDEN LIVINGCENTER-UNIONTOWNGOLDEN LIVINGCENTER-WALNUT
120 6887 10421 95 66 $1087974 5232016 $1074513 ($13461) 812016
CREEK 115 4650 9169 88 51 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-WAYNESBURG 111 6664 9186 91 73 $1052746 5232016 $1039720 ($13026) 812016 GOLDEN LIVINGCENTER-WEST SHOREGOLDEN LIVINGCENTER-WESTERN
309 14549 18637 66 78 $000 5232016 $000 $000 812016
RESERVE 133 8696 11020 91 79 $1373751 5232016 $1356754 ($16997) 812016 GOLDEN LIVINGCENTER-WILLIAM PENN 121 7629 10566 96 72 $1205192 5232016 $1190280 ($14912) 812016 GOLDEN LIVINGCENTER-YORK TERRACEGOOD SHEPHERD HOME RAKER
80 4765 6671 92 71 100
$752751 5232016 $743438 ($9313) 812016
CENTERGOOD SHEPHERD HOME-
99 8977 8977 100 100
$1418142 5232016 $1400596 ($17546) 812016
BETHLEHEM 60 5398 5415 99 $852749 5232016 $842199 ($10550) 812016
GRANDVIEW HEALTH HOMES INC 172 10738 13755 88 78 $1696336 5232016 $1675348 ($20988) 812016
GREEN HOME INC THE 120 6685 9638 88 69 $1056063 5232016 $1042997 ($13066) 812016
GREEN RIDGE CARE CENTER 95 4505 8072 93 56 $000 5232016 $000 $000 812016 GREEN VALLEY SKILLED NSG amp REHAB CENTER 48 2066 2240 51 92 $000 5232016 $000 $000 812016
GREENERY SPECIALTY CARE 140 8453 10053 79 84 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
CENTER
GREENLEAF NURSING HOME AND CONVAL CENTER 130 8876 10674 90 83 $1402186 5232016 $1384838 ($17348) 812016
GREENSBURG CARE CENTER 120 7190 9977 91 72 $1135841 5232016 $1121787 ($14054) 812016
GROVE MANOR 59 2941 5209 97 56 $000 5232016 $000 $000 812016 GUARDIAN HEALTHCARE amp REHAB CENTER 110 7385 9112 91 81 $1166646 5232016 $1152211 ($14435) 812016 GUTHRIE TOWANDA MEMORIAL HOSPITAL SNU 68 3637 5828 94 62 $000 5232016 $000 $000 812016
GUY AND MARY FELT MANOR INC 40 1860 3013 83 62 $000 5232016 $000 $000 812016 GWYNEDD SQUARE CTR FOR NSG amp CONVAL CARE 181 11752 15473 94 76 $1856523 5232016 $1833553 ($22970) 812016
HAMILTON ARMS CENTER 94 5850 8008 94 73 $924154 5232016 $912720 ($11434) 812016
HAMPTON HOUSE 104 6606 8115 86 81 $1043583 5232016 $1030671 ($12912) 812016
HANOVER HALL 152 8517 12867 93 66 $1345473 5232016 $1328826 ($16647) 812016
HARMAR VILLAGE CARE CENTER 130 7594 10924 92 70 $1199662 5232016 $1184820 ($14842) 812016
HARMON HOUSE CARE CENTER 109 6470 9358 94 69 $1022099 5232016 $1009453 ($12646) 812016 HARRISON SENIOR LIVING OF CHRISTIANA 139 7455 10005 79 75 $000 5232016 $000 $000 812016
HARSTON HALL 120 8804 10421 95 84 $1390812 5232016 $1373604 ($17208) 812016
HAVEN CONVALESCENT HOME INC HAVEN SKILLED REHABILITATION
91 6451 8256 100 78 $1019097 5232016 $1006488 ($12609) 812016
AND NURSING 90 4153 5983 73 69 $000 5232016 $000 $000 812016
HAVENCREST NURSING CENTER 48 2118 3633 83 58 $000 5232016 $000 $000 812016 HEARTHSIDE REHAB AND NURSING CENTER THE 157 9898 13343 93 74 $1563637 5232016 $1544291 ($19346) 812016
HEMPFIELD MANOR 120 5995 10213 94 59 $000 5232016 $000 $000 812016
HENRY CLAY VILLA LP HIGHLAND MANOR REHAB amp
74 5281 6278 93 84 $834266 5232016 $823944 ($10322) 812016
NURSING CENTER 120 7299 9235 85 79 $1153060 5232016 $1138794 ($14266) 812016
HIGHLAND PARK CARE CENTER HIGHLAND VIEW HEALTHCARE amp
144 9955 11584 88 86 $1572642 5232016 $1553184 ($19458) 812016
REHAB CENTER 50 2912 4147 91 70 $460023 5232016 $454332 ($5691) 812016
HIGHLANDS CARE CENTER THE 120 8996 10214 94 88 $1421143 5232016 $1403560 ($17583) 812016
HILLCREST CENTER HILLSDALE REHABILITATION AND
180 14437 15865 97 91 $2280686 5232016 $2252468 ($28218) 812016
NURSING CTR 74 4290 6157 91 70 $677713 5232016 $669328 ($8385) 812016
HOLY FAMILY MANOR 208 11834 17286 91 68 $1869477 5232016 $1846346 ($23131) 812016
HOLY FAMILY RESIDENCE 54 4345 4856 99 89 $686402 5232016 $677909 ($8493) 812016
HOMESTEAD VILLAGE INC 60 1583 4852 89 33 $000 5232016 $000 $000 812016 HOMETOWN NURSING AND REHAB CENTER 150 8831 12121 89 73 $1395078 5232016 $1377817 ($17261) 812016 HOMEWOOD AT MARTINSBURG PA INC 129 5608 11420 97 49 $000 5232016 $000 $000 812016
HOMEWOOD AT PLUM CREEK 120 3701 10634 97 35 $000 5232016 $000 $000 812016
HOPKINS CENTER 106 7986 9107 94 88 $1261589 5232016 $1245980 ($15609) 812016 HOSPITALITY CARE CENTER OF HERMITAGE INC HUNTINGDON HILLS REHAB amp
33 2002 2528 84 79 $000 5232016 $000 $000 812016
NURSING CENTER 93 5589 8174 97 68 $882923 5232016 $871998 ($10925) 812016 IMMACULATE MARY CTR FOR REHAB amp HLTHCARE 296 19975 26188 97 76 $3155552 5232016 $3116509 ($39043) 812016
INGLIS HOUSE 297 25399 26683 99 95 $4012408 5232016 $3962764 ($49644) 812016 IVY HILL REHABILITATION AND NURSING CTR 145 9303 12120 92 77 $1469642 5232016 $1451459 ($18183) 812016
JAMESON CARE CENTER 78 2384 6661 94 36 $000 5232016 $000 $000 812016 JEFFERSON HILLS HEALTHCARE amp REHAB CTR 83 4173 5991 79 70 $000 5232016 $000 $000 812016 JEFFERSON MANOR HEALTH CENTER 160 8962 12165 84 74 $000 $000 812016 JEWISH HOME OF EASTERN PENNSYLVANIA 173 10598 14309 91 74 $1674220 5232016 $1653505 ($20715) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
JULIA POUND CARE CENTER JULIA RIBAUDO EXTENDED CARE
131 5923 9650 81 61 $000 5232016 $000 $000 812016
CENTER 120 6744 9314 85 72 $1065384 5232016 $1052202 ($13182) 812016 KADE HEALTH AND REHABILITATION CENTERKEARSLEY REHAB AND NURSING
74 5118 6129 91 84 $808516 5232016 $798513 ($10003) 812016
CENTER 84 5198 7438 97 70 $821154 5232016 $810994 ($10160) 812016 KEPLER CENTER FOR NURSING AND REHAB 40 2420 2821 78 86 $000 5232016 $000 $000 812016
KINGSTON HEALTH CARE CENTER 65 2592 5009 85 52 $000 5232016 $000 $000 812016 KINKORA PYTHIAN HOME CORPORATION 60 2536 4737 87 54 $000 5232016 $000 $000 812016
KITTANNING CARE CENTER 120 8319 9648 88 86 $1314194 5232016 $1297934 ($16260) 812016
KUTZTOWN MANOR 140 10086 12591 99 80 $1593336 5232016 $1573623 ($19713) 812016 LACKAWANNA HEALTH AND REHAB CENTER 272 15336 17357 70 88 $000 5232016 $000 $000 812016
LAFAYETTE MANOR INC 98 5447 7818 88 70 $860490 5232016 $849844 ($10646) 812016 LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) 120 4973 10523 96 47 $000 5232016 $000 $000 812016 LAKESIDE HEALTH AND REHABILITATION CTR LAKEVIEW HEALTHCARE amp
31 2095 2547 90 82 $330958 5232016 $326863 ($4095) 812016
REHABILITATION CTR 34 1779 2933 95 61 $000 5232016 $000 $000 812016
LANCASHIRE HALL 240 16468 19548 90 84 $2601533 5232016 $2569345 ($32188) 812016
LANDIS HOMES LANGHORNE GARDENS HEALTH amp
103 3655 9110 97 40 $000 5232016 $000 $000 812016
REHAB CENTER 120 8155 10660 98 77 $1288286 5232016 $1272347 ($15939) 812016 LATROBE HEALTH AND REHABILITATION CENTER 107 7612 8734 90 87 $1202506 5232016 $1187628 ($14878) 812016 LAUREL CARE NURSING AND REHAB CENTER 92 4900 8157 97 60 $000 5232016 $000 $000 812016
LAUREL CENTER 130 8880 11245 95 79 $1402818 5232016 $1385462 ($17356) 812016
LAUREL RIDGE CENTER 61 3903 5068 91 77 $616577 5232016 $608948 ($7629) 812016
LAUREL WOOD CARE CENTER 120 7106 10193 93 70 $1122571 5232016 $1108682 ($13889) 812016
LAWSON NURSING HOME INC 50 1979 3887 85 51 $000 5232016 $000 $000 812016
LEBANON VALLEY BRETHREN HOME 100 3297 8064 89 41 $000 5232016 $000 $000 812016
LEBANON VALLEY HOME THE 55 2322 4812 96 48 $000 5232016 $000 $000 812016
LECOM AT PRESQUE ISLE INC 141 9318 10999 86 85 $1472011 5232016 $1453799 ($18212) 812016
LEHIGH CENTER LGAR HEALTH AND REHABILITATION
128 4712 10984 94 43 $000 5232016 $000 $000 812016
CENTERLINWOOD NURSING AND
120 7533 9703 89 78 $1190026 5232016 $1175302 ($14724) 812016
REHABILITATION CTR 102 6105 7603 82 80 $000 5232016 $000 $000 812016
LITTLE FLOWER MANOR 127 4093 9361 81 44 $000 5232016 $000 $000 812016
LITTLE SISTERS OF THE POOR LOCUST GROVE RETIREMENT
48 4027 4276 98 94 $636166 5232016 $628294 ($7872) 812016
VILLAGE 104 6535 8337 88 78 $1032367 5232016 $1019594 ($12773) 812016
LOYALHANNA CARE CENTER LOYALSOCK CREEK REHAB AND
120 6582 10101 93 65 $1039792 5232016 $1026927 ($12865) 812016
NURSING CTR 133 6346 9911 82 64 $000 5232016 $000 $000 812016
LUTHER ACRES MANOR 106 3931 9516 99 41 $000 5232016 $000 $000 812016
LUTHER CREST NURSING FACILITY LUTHER WOODS NURSING amp REHAB
60 1317 5147 94 26 $000 5232016 $000 $000 812016
CENTER 140 5033 10363 81 49 $000 5232016 $000 $000 812016 LUTHERAN COMMUNITY AT TELFORD 75 2517 6345 93 40 $000 5232016 $000 $000 812016
LUTHERAN HOME AT KANE THE 90 5754 7895 96 73 $908988 5232016 $897742 ($11246) 812016
LUTHERAN HOME AT TOPTON MAJESTIC OAKS REHAB amp NURSING
194 10116 17266 98 59 $000 5232016 $000 $000 812016
CENTER 180 12311 15278 93 81 $1944831 5232016 $1920768 ($24063) 812016
MANCHESTER COMMONS MANORCARE HEALTH SERVICES -
78 3461 6697 94 52 $000 5232016 $000 $000 812016
ERIE 120 6885 9557 88 72 $1087658 5232016 $1074201 ($13457) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SERVICES - MONTGOMERYMANORCARE HEALTH SERVICES -
170 10412 12829 83 81 $000 5232016 $000 $000 812016
NORTHSIDE 100 6607 7307 80 90 $000 5232016 $000 $000 812016 MANORCARE HEALTH SERVICES - WALLINGFORD 198 13669 16625 92 82 $2159361 5232016 $2132644 ($26717) 812016 MANORCARE HEALTH SVCS-ALLENTOWNMANORCARE HEALTH SVCS-BETHEL
166 10411 13035 86 80 $1644678 5232016 $1624329 ($20349) 812016
PARK 160 7549 10822 74 70 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2021) 227 15642 18485 89 85 $2471046 5232016 $2440472 ($30574) 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2029) MANORCARE HEALTH SVCS-CAMP
217 14132 16950 86 83 $2232503 5232016 $2204881 ($27622) 812016
HILL 123 6570 10005 89 66 $1037896 5232016 $1025055 ($12841) 812016 MANORCARE HEALTH SVCS-CARLISLE 150 9216 12128 89 76 $1455898 5232016 $1437885 ($18013) 812016 MANORCARE HEALTH SVCS-CHAMBERSBURG MANORCARE HEALTH SVCS-
210 12747 18213 95 70 $2013708 5232016 $1988793 ($24915) 812016
DALLASTOWN 202 14021 17331 94 81 $2214968 5232016 $2187563 ($27405) 812016 MANORCARE HEALTH SVCS-EASTON 227 12875 16911 82 76 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-ELIZABETHTOWN MANORCARE HEALTH SVCS-GREEN
73 4283 5959 90 72 $676607 5232016 $668236 ($8371) 812016
TREE 180 7353 12631 77 58 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY 130 8158 10380 88 79 $1288760 5232016 $1272815 ($15945) 812016 MANORCARE HEALTH SVCS-JERSEY SHOREMANORCARE HEALTH SVCS-KING
120 8222 10571 97 78 $1298871 5232016 $1282800 ($16071) 812016
OF PRUSSIA 150 8403 11318 83 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON 176 9061 12314 77 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON COURT MANORCARE HEALTH SVCS-
151 8738 12664 92 69 $1380386 5232016 $1363307 ($17079) 812016
LANCASTERMANORCARE HEALTH SVCS-
172 11273 15018 96 75 $1780853 5232016 $1758819 ($22034) 812016
LAURELDALE 198 11424 16841 93 68 $1804707 5232016 $1782378 ($22329) 812016 MANORCARE HEALTH SVCS-LEBANON 159 9511 13084 90 73 $1502501 5232016 $1483911 ($18590) 812016 MANORCARE HEALTH SVCS-MERCY FITZGERALDMANORCARE HEALTH SVCS-
129 6912 10364 88 67 $1091924 5232016 $1078414 ($13510) 812016
MONROEVILLE 131 5589 10276 86 54 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-NORTH HILLS 200 10790 15542 85 69 $1704551 5232016 $1683461 ($21090) 812016 MANORCARE HEALTH SVCS-OXFORD VALLEY MANORCARE HEALTH SVCS-PETERS
150 7359 11989 88 61 $000 5232016 $000 $000 812016
TOWNSHIP 140 6871 9362 73 73 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-PITTSBURGH 197 12687 15113 84 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-POTTSTOWNMANORCARE HEALTH SVCS-
165 9906 12370 82 80 $000 5232016 $000 $000 812016
POTTSVILLE 179 12764 15521 95 82 $2016393 5232016 $1991445 ($24948) 812016 MANORCARE HEALTH SVCS-SHADYSIDE 150 10598 12638 93 84 $1674220 5232016 $1653505 ($20715) 812016 MANORCARE HEALTH SVCS-SINKING SPRING MANORCARE HEALTH SVCS-
214 13295 18373 94 72 $2100278 5232016 $2074292 ($25986) 812016
SUNBURY 126 8845 10874 95 81 $1397289 5232016 $1380001 ($17288) 812016 MANORCARE HEALTH SVCS-WEST READING NORTH 176 13741 15583 97 88 $2170735 5232016 $2143877 ($26858) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SVCS-WHITEHALL BOROUGH MANORCARE HEALTH SVCS-
166 4466 13324 88 34 $000 5232016 $000 $000 812016
WILLIAMSPORT NORTH 152 9336 11126 80 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH 116 8174 9755 92 84 $1291288 5232016 $1275311 ($15977) 812016 MANORCARE HEALTH SVCS-YEADONMANORCARE HEALTH SVCS-YORK
198 15867 17473 97 91 $2506590 5232016 $2475577 ($31013) 812016
NORTH 161 9991 14040 96 71 $1578329 5232016 $1558801 ($19528) 812016 MANORCARE HEALTH SVCS-YORK SOUTH 151 8874 12814 93 69 $1401871 5232016 $1384526 ($17345) 812016 MANORCARE HLTH SVCS amp REHAB -WEST ALLEN 146 8495 10558 79 80 $000 5232016 $000 $000 812016
MAPLE FARM 46 1902 3872 92 49 $000 5232016 $000 $000 812016
MAPLE WINDS CARE CENTER 50 1787 3548 78 50 $000 5232016 $000 $000 812016 MAPLEWOOD NURSING AND REHABILITATION CTR 180 14261 15863 97 90 $2252882 5232016 $2225008 ($27874) 812016
100 MARGARET E MOUL HOME 82 7451 7462 100 $1177072 5232016 $1162509 ($14563) 812016
MARIAN MANOR CORPORATION 154 6836 12393 88 55 $000 5232016 $000 $000 812016
MARWOOD REST HOME INC 87 6586 7495 95 88 $1040424 5232016 $1027551 ($12873) 812016 MASONIC VILLAGE AT ELIZABETHTOWN MASONIC VILLAGE AT LAFAYETTE
453 22115 38630 94 57 $000 5232016 $000 $000 812016
HILL 60 3278 5287 97 62 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT SEWICKLEY 128 4054 11408 98 36 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT WARMINSTER 43 2425 3624 93 67 $383089 5232016 $378350 ($4739) 812016 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER 240 16037 19717 90 81 $2533446 5232016 $2502100 ($31346) 812016
MCMURRAY HILLS MANOR MEADOW VIEW HEALTHCARE amp
115 8012 10216 98 78 $1265696 5232016 $1250036 ($15660) 812016
REHAB CENTER 63 4141 5656 99 73 $654175 5232016 $646081 ($8094) 812016
MEADOW VIEW NURSING CENTER 150 9319 12460 91 75 $1472169 5232016 $1453955 ($18214) 812016
MEADOWCREST NURSING CENTER 50 2455 3684 81 67 $000 5232016 $000 $000 812016 MEADOWS NURSING AND REHAB CENTERMEADOWVIEW REHAB amp NURSING
130 6034 9745 82 62 $000 5232016 $000 $000 812016
CENTER 244 15851 18859 85 84 $2504062 5232016 $2473081 ($30981) 812016
MERCY CENTER NURSING UNIT INC 59 3201 5154 96 62 $000 5232016 $000 $000 812016
MID VALLEY HEALTH CARE CENTER 38 1427 2851 82 50 $000 5232016 $000 $000 812016
MIFFLIN CENTER 136 6641 11413 92 58 $000 5232016 $000 $000 812016 MILFORD SENIOR CARE AND REHAB CENTER 80 4805 6676 92 72 $759070 5232016 $749678 ($9392) 812016
MILLCREEK MANOR 138 3336 4817 38 69 $000 5232016 $000 $000 812016 MILLVILLE HEALTH AND REHABILITATION CTR MILTON NURSING AND
110 7602 8148 81 93 $000 5232016 $000 $000 812016
REHABILITATION CENTER 138 8893 11114 89 80 $1404872 5232016 $1387490 ($17382) 812016
MON VALLEY CARE CENTER MORAVIAN HALL SQ HLTH AND
60 1955 4926 90 40 $000 5232016 $000 $000 812016
WELLNESS CTR 61 273 5257 95 5 $000 5232016 $000 $000 812016
MORAVIAN MANOR 127 2782 10551 91 26 $000 5232016 $000 $000 812016
MORRISONS COVE HOME MOUNT CARMEL NURSING AND
124 7738 10588 94 73 $1222411 5232016 $1207286 ($15125) 812016
REHAB CENTER MOUNT MACRINA MANOR NURSING
121 7593 10382 94 73 $1199505 5232016 $1184664 ($14841) 812016
HOME 139 7377 10604 84 70 $000 5232016 $000 $000 812016 MOUNTAIN CITY NURSING AND REHAB CENTER 297 19439 24350 90 80 $3070877 5232016 $3032882 ($37995) 812016
MOUNTAIN LAUREL NRC 240 14471 18157 83 80 $000 5232016 $000 $000 812016 MOUNTAIN TOP HEALTHCARE AND REHAB CTR 106 6767 9142 95 74 $1069017 5232016 $1055791 ($13226) 812016
MOUNTAIN VIEW A NURSING AND 271 14896 17958 73 83 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
REHAB CTR
MOUNTAINVIEW SPECIALTY CARE CENTER 137 7086 9938 80 71 $000 5232016 $000 $000 812016 MULBERRY HEALTHCARE amp REHAB CTR 75 4408 6172 90 71 $696354 5232016 $687738 ($8616) 812016
NAAMANS CREEK COUNTRY MANOR NEW EASTWOOD HEALTHCARE AND
90 4638 7642 93 61 $000 5232016 $000 $000 812016
REHAB CENTER 97 4424 8242 93 54 $000 5232016 $000 $000 812016
NORMANDIE RIDGE NORRITON SQUARE NURSING amp
64 2527 5457 94 46 $000 5232016 $000 $000 812016
REHAB CENTER 99 3369 7844 87 43 $000 5232016 $000 $000 812016 NORTH HILLS HEALTH AND REHAB CENTER 55 2700 4705 94 57 $000 5232016 $000 $000 812016
NOTTINGHAM VILLAGE 121 6185 9707 88 64 $000 5232016 $000 $000 812016
NUGENT CONVALESCENT HOME OAK HILL NURSING AND REHAB
105 6153 8954 94 69 $972020 5232016 $959994 ($12026) 812016
CENTER 48 2758 3885 89 71 $435695 5232016 $430304 ($5391) 812016 OAKMONT CENTER FOR NURSING AND REHAB 85 5301 6694 87 79 $837426 5232016 $827065 ($10361) 812016 OAKWOOD HEALTHCARE amp REHABILITATION CTR 148 9099 12142 90 75 $1437415 5232016 $1419630 ($17785) 812016
OAKWOOD HEIGHTS 106 6632 9084 94 73 $1047690 5232016 $1034728 ($12962) 812016
OHESSON MANOR 134 7753 11739 96 66 $1224781 5232016 $1209627 ($15154) 812016 OLD ORCHARD HEALTH CARE CENTERORANGEVILLE HEALTH AND REHAB
180 10603 15271 93 69 $1675009 5232016 $1654285 ($20724) 812016
CENTER 120 7517 9777 90 77 $1187498 5232016 $1172806 ($14692) 812016
ORCHARD MANOR INC 121 6990 10558 96 66 $1104246 5232016 $1090583 ($13663) 812016
ORWIGSBURG CENTER 130 7695 10014 85 77 $1215618 5232016 $1200578 ($15040) 812016 OVERLOOK HEALTH AND REHAB CENTER 115 7301 8449 81 86 $000 5232016 $000 $000 812016
OXFORD HEALTH CENTER 137 7198 12057 97 60 $000 5232016 $000 $000 812016 PALMYRA HEALTH AND REHABILITATION CTR PARK AVENUE REHAB AND
39 2248 3132 88 72 $355128 5232016 $350734 ($4394) 812016
NURSING CENTER 173 9846 12609 80 78 $000 5232016 $000 $000 812016 PARKHOUSE NURSING AND REHABILITATION CTR 467 31182 37791 89 83 $4925978 5232016 $4865031 ($60947) 812016 PASSAVANT RETIREMENT AND HEALTH CENTER 102 5007 9074 98 55 $000 5232016 $000 $000 812016
PAULS RUN 120 4135 10113 93 41 $000 5232016 $000 $000 812016
PAVILION AT BRMC 95 4647 7431 86 63 $000 5232016 $000 $000 812016 PEMBROOKE HEALTH AND REHAB CENTERPENN CENTER FOR REHABILITATION
180 12001 14374 88 83 $1895859 5232016 $1872402 ($23457) 812016
AND CARE 124 7587 10045 89 76 $1198557 5232016 $1183727 ($14830) 812016
PENNKNOLL VILLAGE 133 8841 11828 98 75 $1396657 5232016 $1379377 ($17280) 812016
PENNSBURG MANOR 120 6810 10237 94 67 $1075810 5232016 $1062499 ($13311) 812016
PENNYPACK CENTER 54 1997 4237 86 47 $000 5232016 $000 $000 812016
PHILADELPHIA PROTESTANT HOME 126 5611 11111 97 50 $000 $000 812016
PHOEBE ALLENTOWN HEALTH CARE PHOEBE BERKS HEALTH CARE
395 21047 31233 87 67 $3283763 $3283763 812016
CENTER INC 120 2306 8259 76 28 $000 $000 812016
PHOEBE RICHLAND HCC 143 7156 11553 89 62 $000 $000 812016
PHOEBE WYNCOTE 58 2889 4572 87 63 $000 $000 812016
PICKERING MANOR HOME 47 1520 4003 94 38 $000 5232016 $000 $000 812016 PLATINUM RIDGE CTR FOR REHAB amp HEALING 97 5898 8590 97 69 $931737 5232016 $920209 ($11528) 812016
POWERBACK REHABILITATION 1526 150 3935 11953 88 33 $000 5232016 $000 $000 812016
POWERBACK REHABILITATION 3485 109 1266 8550 86 15 $000 5232016 $000 $000 812016
PRAXIS ALZHEIMERS FACILITY PRESBYTERIAN HOMES-
115 8778 10034 96 87 $1386705 5232016 $1369548 ($17157) 812016
PRESBYTERY-HUNTINGDON 67 2962 5634 92 53 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
PROSPECT PARK HEALTH AND REHAB CENTER 180 12542 15346 94 82 $1981323 5232016 $1956809 ($24514) 812016
PROVIDENCE CARE CENTER 180 12935 15707 96 82 $2043407 5232016 $2018125 ($25282) 812016
QUAKERTOWN CENTER 138 7869 11241 90 70 $1243106 5232016 $1227725 ($15381) 812016
QUINCY RETIREMENT COMMUNITY 134 6760 11710 96 58 $000 5232016 $000 $000 812016
REFORMED PRESBYTERIAN HOME 58 3272 4575 87 72 $516894 5232016 $510499 ($6395) 812016 REGINA COMMUNITY NURSING CENTERRENAISSANCE HEALTHCARE amp
121 7934 10475 95 76 $1253374 5232016 $1237867 ($15507) 812016
REHAB CENTER 123 8018 10627 95 75 $1266644 5232016 $1250972 ($15672) 812016
REST HAVEN-YORK RICHBORO REHAB AND NURSING
159 8307 11626 80 71 $000 5232016 $000 $000 812016
CENTER 82 4398 6585 88 67 $694774 5232016 $686178 ($8596) 812016 RICHFIELD HEALTHCARE AND REHAB CENTER RIDGEVIEW HEALTHCARE amp REHAB
40 2357 3315 91 71 $372347 5232016 $367740 ($4607) 812016
CENTER 131 8890 11406 96 78 $1404398 5232016 $1387022 ($17376) 812016 RIDGEVIEW HEALTHCARE amp REHAB CENTER 111 5481 7498 74 73 $000 5232016 $000 $000 812016 RIVER RUN REHAB AND NURSING CENTERRIVERS EDGE NURSING AND REHAB
145 6567 8119 62 81 $000 5232016 $000 $000 812016
CENTER 120 6257 9108 83 69 $000 5232016 $000 $000 812016
RIVERSIDE CARE CENTER RIVERSIDE REHABILITATION AND
120 9013 10480 96 86 $1423829 5232016 $1406213 ($17616) 812016
NURSING CTR 161 10603 12961 88 82 $1675009 5232016 $1654285 ($20724) 812016
RIVERSTREET MANOR 122 7085 10168 92 70 $1119253 5232016 $1105405 ($13848) 812016
RIVERWOODS 226 7947 13637 66 58 $000 5232016 $000 $000 812016
ROCHESTER MANOR 122 5703 8311 75 69 $000 5232016 $000 $000 812016
ROLLING FIELDS INC 181 11319 15372 93 74 $1788120 5232016 $1765996 ($22124) 812016 ROLLING HILLS HEALTHCARE amp REHAB CENTER 57 3949 4785 92 83 $623843 5232016 $616125 ($7718) 812016
ROLLING MEADOWS 121 6979 9532 87 73 $1102508 5232016 $1088867 ($13641) 812016
ROSE VIEW CENTER 123 8174 10813 97 76 $1291288 5232016 $1275311 ($15977) 812016 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 1752 9224 89 19 $000 5232016 $000 $000 812016
SAINT ANNE HOME 125 5864 11062 97 53 $000 5232016 $000 $000 812016
SAINT JOSEPH VILLA SAINT MARYS VILLA NURSING
106 5410 8161 85 66 $854645 5232016 $844071 ($10574) 812016
HOME INC 112 5747 9617 94 60 $000 5232016 $000 $000 812016
SAINT PAUL HOMES 192 9221 17066 98 54 $000 5232016 $000 $000 812016
SANATOGA CENTER 130 6362 11287 95 56 $000 5232016 $000 $000 812016
SARAH A TODD MEMORIAL HOME 117 7221 10047 94 72 $1140738 5232016 $1126624 ($14114) 812016
SAXONY HEALTH CENTER 68 3658 5701 92 64 $000 5232016 $000 $000 812016
SAYRE HEALTH CARE CENTER LLC 50 1868 4161 91 45 $000 5232016 $000 $000 812016 SCENERY HILL HEALTHCARE amp REHAB CENTER 56 2800 4320 85 65 $442330 5232016 $436857 ($5473) 812016
SCHUYLKILL CENTER 190 13372 16629 96 80 $2112442 5232016 $2086306 ($26136) 812016 SCOTTDALE HEALTHCARE amp REHAB CENTER 35 1135 2977 93 38 $000 5232016 $000 $000 812016
SCRANTON HEALTH CARE CENTER 44 1965 3513 88 56 $000 5232016 $000 $000 812016
SENA-KEAN MANOR 152 8802 11557 84 76 $000 5232016 $000 $000 812016
SENECA PLACE 174 8176 12058 76 68 $000 5232016 $000 $000 812016
SETON MANOR INC SHENANDOAH MANOR NURSING
120 7571 10246 94 74 $1196029 5232016 $1181231 ($14798) 812016
CENTER 124 8066 10261 91 79 $1274227 5232016 $1258461 ($15766) 812016 SHENANGO PRESBYTERIAN SENIORCARE 25 439 2194 96 20 $000 5232016 $000 $000 812016
SHERWOOD OAKS 43 91 3064 78 3 $000 5232016 $000 $000 812016 SHIPPENSBURG HEALTH CARE CENTER 125 7420 9605 84 77 $000 5232016 $000 $000 812016
SIEMONS LAKEVIEW MANOR NSG 120 8142 10548 97 77 $1286233 5232016 $1270319 ($15914) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 4
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
DEER MEADOWS REHABILITATION CENTERDENVER HEALTH AND
206 11932 17669 94 68 $1884958 5232016 $1861636 ($23322) 812016
REHABILITATION CENTER 82 4843 7123 95 68 $765073 5232016 $755607 ($9466) 812016
DOCK TERRACE 72 1858 6204 95 30 $000 5232016 $000 $000 812016
DONAHOE MANOR 72 4247 6270 96 68 $670920 5232016 $662619 ($8301) 812016 DR ARTHUR CLIFTON MCKINLEY HEALTH CENTER 90 4755 7369 90 65 $751171 5232016 $741877 ($9294) 812016 DRESHER HILL HEALTH AND REHAB CENTER 118 8772 9851 92 89 $1385757 5232016 $1368612 ($17145) 812016
DUBOIS NURSING HOME 140 8355 11696 92 71 $1319881 5232016 $1303551 ($16330) 812016
DUNMORE HEALTH CARE CENTER 92 5421 7468 89 73 $856383 5232016 $845787 ($10596) 812016 EASTON HEALTH AND REHABILITATION CENTER 181 12796 14752 90 87 $2021449 5232016 $1996438 ($25011) 812016 EDGEHILL NURSING AND REHAB CENTER 60 4535 5274 97 86 $716417 5232016 $707553 ($8864) 812016
EDINBORO MANOR 121 7637 10651 97 72 $1206455 5232016 $1191528 ($14927) 812016 EDISON MANOR NURSING AND REHAB CENTER 118 7058 8758 82 81 $000 5232016 $000 $000 812016
ELDERCREST NURSING CENTER 48 2368 3823 88 62 $000 5232016 $000 $000 812016 ELIZABETHTOWN NURSING amp REHAB CENTER 45 2079 3026 74 69 $000 5232016 $000 $000 812016
ELK HAVEN NURSING HOME 120 5284 10566 97 50 $000 5232016 $000 $000 812016 ELKINS CREST HEALTH AND REHAB CENTERELLEN MEMORIAL HEALTH CARE
150 9855 11330 83 87 $000 5232016 $000 $000 812016
CENTER 130 5894 9189 78 64 $000 5232016 $000 $000 812016
ELM TERRACE GARDENS 72 1752 6651 102 26 $000 5232016 $000 $000 812016
ELMWOOD GARDENS 51 2507 4303 93 58 $000 5232016 $000 $000 812016
EPHRATA MANOR 120 5250 10183 93 52 $000 5232016 $000 $000 812016 EPWORTH HEALTHCARE AND REHAB CENTER 102 6607 8837 95 75 $1043741 5232016 $1030827 ($12914) 812016 EVERGREEN HEALTH AND REHAB CENTER 115 7948 10067 96 79 $1255586 5232016 $1240051 ($15535) 812016
FAIR WINDS MANOR 66 4811 5829 97 83 $760018 5232016 $750615 ($9403) 812016
FAIRMOUNT HOMES 114 3626 8954 86 40 $000 5232016 $000 $000 812016 FAIRVIEW CARE CENTER OF BETHLEHEM PIKE FAIRVIEW CARE CENTER OF
176 12709 14867 93 85 $2007705 5232016 $1982864 ($24841) 812016
PAPERMILL ROAD 129 8966 11189 95 80 $1416404 5232016 $1398880 ($17524) 812016
FAIRVIEW MANOR FALLING SPRING NURSING AND
121 7160 10430 95 69 $1131101 5232016 $1117107 ($13994) 812016
REHAB CENTER 186 11051 15202 90 73 $1745782 5232016 $1724182 ($21600) 812016 FORBES CENTER FOR REHAB amp HEALTHCARE LLC 134 9262 10826 89 86 $1463165 5232016 $1445062 ($18103) 812016 FOREST CITY NURSING AND REHAB CENTER 132 6401 8798 73 73 $000 5232016 $000 $000 812016
FOREST PARK HEALTH CENTER 114 7359 9905 95 74 $1162538 5232016 $1148155 ($14383) 812016
FORESTVIEW 80 2367 6522 90 36 $000 5232016 $000 $000 812016
FREY VILLAGE 136 7510 11768 95 64 $000 5232016 $000 $000 812016 FRIENDSHIP VILLAGE OF SOUTH HILLS 89 364 7904 98 5 $000 5232016 $000 $000 812016 FULTON COUNTY MEDICAL CENTER LTCU 67 4020 5865 96 69 $635060 5232016 $627202 ($7858) 812016
GARDEN SPOT VILLAGE 73 1143 6504 98 18 $000 5232016 $000 $000 812016
GARDEN SPRING CENTER 173 12611 15270 97 83 $1992223 5232016 $1967574 ($24649) 812016
GARVEY MANOR 132 8135 11849 99 69 $1285127 5232016 $1269227 ($15900) 812016
GERMANTOWN HOME 180 15501 16506 101 94 $2448771 5232016 $2418474 ($30297) 812016
GETTYSBURG CENTER 118 5722 8650 81 66 $000 5232016 $000 $000 812016
GLENDALE UPTOWN HOME 240 17702 20671 95 86 $2796474 5232016 $2761875 ($34599) 812016
GOLDEN HILL NURSING AND REHAB 204 13162 16982 91 78 $2079268 5232016 $2053542 ($25726) 812016 GOLDEN LIVINGCENTER-BLUE RIDGE MOUNTAIN 95 6237 8169 94 76 $985290 5232016 $973100 ($12190) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
GOLDEN LIVINGCENTER-CAMP HILL 95 6795 7853 91 87 $1073440 5232016 $1060159 ($13281) 812016
GOLDEN LIVINGCENTER-CLARION 83 3907 5314 70 74 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-DOYLESTOWN 120 7809 8588 79 91 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-EAST MOUNTAINGOLDEN LIVINGCENTER-
120 7725 10394 95 74 $1220357 5232016 $1205258 ($15099) 812016
GETTYSBURG 102 7351 8780 95 84 $1161275 5232016 $1146907 ($14368) 812016
GOLDEN LIVINGCENTER-HAIDA 98 5915 7928 89 75 $934422 5232016 $922861 ($11561) 812016
GOLDEN LIVINGCENTER-HILLVIEW 133 8490 11636 96 73 $1341208 5232016 $1324614 ($16594) 812016
GOLDEN LIVINGCENTER-KINZUA 106 6686 9030 94 74 $1056221 5232016 $1043153 ($13068) 812016 GOLDEN LIVINGCENTER-LANCASTER 124 9285 10502 93 88 $1466798 5232016 $1448650 ($18148) 812016
GOLDEN LIVINGCENTER-LANSDALE 126 9052 9880 86 92 $1429990 5232016 $1412297 ($17693) 812016
GOLDEN LIVINGCENTER-MANSION 70 4890 5941 93 82 $772498 5232016 $762940 ($9558) 812016 GOLDEN LIVINGCENTER-MEYERSDALE 99 6523 7994 89 82 $1030471 5232016 $1017722 ($12749) 812016 GOLDEN LIVINGCENTER-MONROEVILLEGOLDEN LIVINGCENTER-MT
120 6428 10258 94 63 $000 5232016 $000 $000 812016
LEBANON 121 7830 9920 90 79 $1236945 5232016 $1221640 ($15305) 812016 GOLDEN LIVINGCENTER-MURRYSVILLE 120 7115 9721 89 73 $1123992 5232016 $1110086 ($13906) 812016
GOLDEN LIVINGCENTER-OIL CITY 95 5350 7986 92 67 $845166 5232016 $834710 ($10456) 812016 GOLDEN LIVINGCENTER-PHOENIXVILLE 138 8483 10181 81 83 $000 5232016 $000 $000 812016
GOLDEN LIVINGCENTER-READING 124 7737 9887 88 78 $1222253 5232016 $1207130 ($15123) 812016
GOLDEN LIVINGCENTER-RICHLAND 97 4935 8198 93 60 $000 5232016 $000 $000 812016
GOLDEN LIVINGCENTER-ROSEMONT 76 5360 5903 85 91 $846746 5232016 $836270 ($10476) 812016
GOLDEN LIVINGCENTER-SCRANTON 139 8808 11262 89 78 $1391444 5232016 $1374228 ($17216) 812016 GOLDEN LIVINGCENTER-SHIPPENVILLEGOLDEN LIVINGCENTER-SOUTH
120 5124 7065 65 73 $000 5232016 $000 $000 812016
HILLS 104 5970 8451 89 71 $943111 5232016 $931442 ($11669) 812016
GOLDEN LIVINGCENTER-STENTON 94 6684 7355 86 91 $1055905 5232016 $1042841 ($13064) 812016
GOLDEN LIVINGCENTER-STROUD 127 8238 10670 92 77 $1301398 5232016 $1285297 ($16101) 812016
GOLDEN LIVINGCENTER-SUMMIT 120 7993 9991 91 80 $1262695 5232016 $1247072 ($15623) 812016
GOLDEN LIVINGCENTER-TITUSVILLE 77 4643 6238 89 74 $733478 5232016 $724403 ($9075) 812016 GOLDEN LIVINGCENTER-TUNKHANNOCK 124 7949 10354 92 77 $1255744 5232016 $1240207 ($15537) 812016 GOLDEN LIVINGCENTER-UNIONTOWNGOLDEN LIVINGCENTER-WALNUT
120 6887 10421 95 66 $1087974 5232016 $1074513 ($13461) 812016
CREEK 115 4650 9169 88 51 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-WAYNESBURG 111 6664 9186 91 73 $1052746 5232016 $1039720 ($13026) 812016 GOLDEN LIVINGCENTER-WEST SHOREGOLDEN LIVINGCENTER-WESTERN
309 14549 18637 66 78 $000 5232016 $000 $000 812016
RESERVE 133 8696 11020 91 79 $1373751 5232016 $1356754 ($16997) 812016 GOLDEN LIVINGCENTER-WILLIAM PENN 121 7629 10566 96 72 $1205192 5232016 $1190280 ($14912) 812016 GOLDEN LIVINGCENTER-YORK TERRACEGOOD SHEPHERD HOME RAKER
80 4765 6671 92 71 100
$752751 5232016 $743438 ($9313) 812016
CENTERGOOD SHEPHERD HOME-
99 8977 8977 100 100
$1418142 5232016 $1400596 ($17546) 812016
BETHLEHEM 60 5398 5415 99 $852749 5232016 $842199 ($10550) 812016
GRANDVIEW HEALTH HOMES INC 172 10738 13755 88 78 $1696336 5232016 $1675348 ($20988) 812016
GREEN HOME INC THE 120 6685 9638 88 69 $1056063 5232016 $1042997 ($13066) 812016
GREEN RIDGE CARE CENTER 95 4505 8072 93 56 $000 5232016 $000 $000 812016 GREEN VALLEY SKILLED NSG amp REHAB CENTER 48 2066 2240 51 92 $000 5232016 $000 $000 812016
GREENERY SPECIALTY CARE 140 8453 10053 79 84 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
CENTER
GREENLEAF NURSING HOME AND CONVAL CENTER 130 8876 10674 90 83 $1402186 5232016 $1384838 ($17348) 812016
GREENSBURG CARE CENTER 120 7190 9977 91 72 $1135841 5232016 $1121787 ($14054) 812016
GROVE MANOR 59 2941 5209 97 56 $000 5232016 $000 $000 812016 GUARDIAN HEALTHCARE amp REHAB CENTER 110 7385 9112 91 81 $1166646 5232016 $1152211 ($14435) 812016 GUTHRIE TOWANDA MEMORIAL HOSPITAL SNU 68 3637 5828 94 62 $000 5232016 $000 $000 812016
GUY AND MARY FELT MANOR INC 40 1860 3013 83 62 $000 5232016 $000 $000 812016 GWYNEDD SQUARE CTR FOR NSG amp CONVAL CARE 181 11752 15473 94 76 $1856523 5232016 $1833553 ($22970) 812016
HAMILTON ARMS CENTER 94 5850 8008 94 73 $924154 5232016 $912720 ($11434) 812016
HAMPTON HOUSE 104 6606 8115 86 81 $1043583 5232016 $1030671 ($12912) 812016
HANOVER HALL 152 8517 12867 93 66 $1345473 5232016 $1328826 ($16647) 812016
HARMAR VILLAGE CARE CENTER 130 7594 10924 92 70 $1199662 5232016 $1184820 ($14842) 812016
HARMON HOUSE CARE CENTER 109 6470 9358 94 69 $1022099 5232016 $1009453 ($12646) 812016 HARRISON SENIOR LIVING OF CHRISTIANA 139 7455 10005 79 75 $000 5232016 $000 $000 812016
HARSTON HALL 120 8804 10421 95 84 $1390812 5232016 $1373604 ($17208) 812016
HAVEN CONVALESCENT HOME INC HAVEN SKILLED REHABILITATION
91 6451 8256 100 78 $1019097 5232016 $1006488 ($12609) 812016
AND NURSING 90 4153 5983 73 69 $000 5232016 $000 $000 812016
HAVENCREST NURSING CENTER 48 2118 3633 83 58 $000 5232016 $000 $000 812016 HEARTHSIDE REHAB AND NURSING CENTER THE 157 9898 13343 93 74 $1563637 5232016 $1544291 ($19346) 812016
HEMPFIELD MANOR 120 5995 10213 94 59 $000 5232016 $000 $000 812016
HENRY CLAY VILLA LP HIGHLAND MANOR REHAB amp
74 5281 6278 93 84 $834266 5232016 $823944 ($10322) 812016
NURSING CENTER 120 7299 9235 85 79 $1153060 5232016 $1138794 ($14266) 812016
HIGHLAND PARK CARE CENTER HIGHLAND VIEW HEALTHCARE amp
144 9955 11584 88 86 $1572642 5232016 $1553184 ($19458) 812016
REHAB CENTER 50 2912 4147 91 70 $460023 5232016 $454332 ($5691) 812016
HIGHLANDS CARE CENTER THE 120 8996 10214 94 88 $1421143 5232016 $1403560 ($17583) 812016
HILLCREST CENTER HILLSDALE REHABILITATION AND
180 14437 15865 97 91 $2280686 5232016 $2252468 ($28218) 812016
NURSING CTR 74 4290 6157 91 70 $677713 5232016 $669328 ($8385) 812016
HOLY FAMILY MANOR 208 11834 17286 91 68 $1869477 5232016 $1846346 ($23131) 812016
HOLY FAMILY RESIDENCE 54 4345 4856 99 89 $686402 5232016 $677909 ($8493) 812016
HOMESTEAD VILLAGE INC 60 1583 4852 89 33 $000 5232016 $000 $000 812016 HOMETOWN NURSING AND REHAB CENTER 150 8831 12121 89 73 $1395078 5232016 $1377817 ($17261) 812016 HOMEWOOD AT MARTINSBURG PA INC 129 5608 11420 97 49 $000 5232016 $000 $000 812016
HOMEWOOD AT PLUM CREEK 120 3701 10634 97 35 $000 5232016 $000 $000 812016
HOPKINS CENTER 106 7986 9107 94 88 $1261589 5232016 $1245980 ($15609) 812016 HOSPITALITY CARE CENTER OF HERMITAGE INC HUNTINGDON HILLS REHAB amp
33 2002 2528 84 79 $000 5232016 $000 $000 812016
NURSING CENTER 93 5589 8174 97 68 $882923 5232016 $871998 ($10925) 812016 IMMACULATE MARY CTR FOR REHAB amp HLTHCARE 296 19975 26188 97 76 $3155552 5232016 $3116509 ($39043) 812016
INGLIS HOUSE 297 25399 26683 99 95 $4012408 5232016 $3962764 ($49644) 812016 IVY HILL REHABILITATION AND NURSING CTR 145 9303 12120 92 77 $1469642 5232016 $1451459 ($18183) 812016
JAMESON CARE CENTER 78 2384 6661 94 36 $000 5232016 $000 $000 812016 JEFFERSON HILLS HEALTHCARE amp REHAB CTR 83 4173 5991 79 70 $000 5232016 $000 $000 812016 JEFFERSON MANOR HEALTH CENTER 160 8962 12165 84 74 $000 $000 812016 JEWISH HOME OF EASTERN PENNSYLVANIA 173 10598 14309 91 74 $1674220 5232016 $1653505 ($20715) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
JULIA POUND CARE CENTER JULIA RIBAUDO EXTENDED CARE
131 5923 9650 81 61 $000 5232016 $000 $000 812016
CENTER 120 6744 9314 85 72 $1065384 5232016 $1052202 ($13182) 812016 KADE HEALTH AND REHABILITATION CENTERKEARSLEY REHAB AND NURSING
74 5118 6129 91 84 $808516 5232016 $798513 ($10003) 812016
CENTER 84 5198 7438 97 70 $821154 5232016 $810994 ($10160) 812016 KEPLER CENTER FOR NURSING AND REHAB 40 2420 2821 78 86 $000 5232016 $000 $000 812016
KINGSTON HEALTH CARE CENTER 65 2592 5009 85 52 $000 5232016 $000 $000 812016 KINKORA PYTHIAN HOME CORPORATION 60 2536 4737 87 54 $000 5232016 $000 $000 812016
KITTANNING CARE CENTER 120 8319 9648 88 86 $1314194 5232016 $1297934 ($16260) 812016
KUTZTOWN MANOR 140 10086 12591 99 80 $1593336 5232016 $1573623 ($19713) 812016 LACKAWANNA HEALTH AND REHAB CENTER 272 15336 17357 70 88 $000 5232016 $000 $000 812016
LAFAYETTE MANOR INC 98 5447 7818 88 70 $860490 5232016 $849844 ($10646) 812016 LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) 120 4973 10523 96 47 $000 5232016 $000 $000 812016 LAKESIDE HEALTH AND REHABILITATION CTR LAKEVIEW HEALTHCARE amp
31 2095 2547 90 82 $330958 5232016 $326863 ($4095) 812016
REHABILITATION CTR 34 1779 2933 95 61 $000 5232016 $000 $000 812016
LANCASHIRE HALL 240 16468 19548 90 84 $2601533 5232016 $2569345 ($32188) 812016
LANDIS HOMES LANGHORNE GARDENS HEALTH amp
103 3655 9110 97 40 $000 5232016 $000 $000 812016
REHAB CENTER 120 8155 10660 98 77 $1288286 5232016 $1272347 ($15939) 812016 LATROBE HEALTH AND REHABILITATION CENTER 107 7612 8734 90 87 $1202506 5232016 $1187628 ($14878) 812016 LAUREL CARE NURSING AND REHAB CENTER 92 4900 8157 97 60 $000 5232016 $000 $000 812016
LAUREL CENTER 130 8880 11245 95 79 $1402818 5232016 $1385462 ($17356) 812016
LAUREL RIDGE CENTER 61 3903 5068 91 77 $616577 5232016 $608948 ($7629) 812016
LAUREL WOOD CARE CENTER 120 7106 10193 93 70 $1122571 5232016 $1108682 ($13889) 812016
LAWSON NURSING HOME INC 50 1979 3887 85 51 $000 5232016 $000 $000 812016
LEBANON VALLEY BRETHREN HOME 100 3297 8064 89 41 $000 5232016 $000 $000 812016
LEBANON VALLEY HOME THE 55 2322 4812 96 48 $000 5232016 $000 $000 812016
LECOM AT PRESQUE ISLE INC 141 9318 10999 86 85 $1472011 5232016 $1453799 ($18212) 812016
LEHIGH CENTER LGAR HEALTH AND REHABILITATION
128 4712 10984 94 43 $000 5232016 $000 $000 812016
CENTERLINWOOD NURSING AND
120 7533 9703 89 78 $1190026 5232016 $1175302 ($14724) 812016
REHABILITATION CTR 102 6105 7603 82 80 $000 5232016 $000 $000 812016
LITTLE FLOWER MANOR 127 4093 9361 81 44 $000 5232016 $000 $000 812016
LITTLE SISTERS OF THE POOR LOCUST GROVE RETIREMENT
48 4027 4276 98 94 $636166 5232016 $628294 ($7872) 812016
VILLAGE 104 6535 8337 88 78 $1032367 5232016 $1019594 ($12773) 812016
LOYALHANNA CARE CENTER LOYALSOCK CREEK REHAB AND
120 6582 10101 93 65 $1039792 5232016 $1026927 ($12865) 812016
NURSING CTR 133 6346 9911 82 64 $000 5232016 $000 $000 812016
LUTHER ACRES MANOR 106 3931 9516 99 41 $000 5232016 $000 $000 812016
LUTHER CREST NURSING FACILITY LUTHER WOODS NURSING amp REHAB
60 1317 5147 94 26 $000 5232016 $000 $000 812016
CENTER 140 5033 10363 81 49 $000 5232016 $000 $000 812016 LUTHERAN COMMUNITY AT TELFORD 75 2517 6345 93 40 $000 5232016 $000 $000 812016
LUTHERAN HOME AT KANE THE 90 5754 7895 96 73 $908988 5232016 $897742 ($11246) 812016
LUTHERAN HOME AT TOPTON MAJESTIC OAKS REHAB amp NURSING
194 10116 17266 98 59 $000 5232016 $000 $000 812016
CENTER 180 12311 15278 93 81 $1944831 5232016 $1920768 ($24063) 812016
MANCHESTER COMMONS MANORCARE HEALTH SERVICES -
78 3461 6697 94 52 $000 5232016 $000 $000 812016
ERIE 120 6885 9557 88 72 $1087658 5232016 $1074201 ($13457) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SERVICES - MONTGOMERYMANORCARE HEALTH SERVICES -
170 10412 12829 83 81 $000 5232016 $000 $000 812016
NORTHSIDE 100 6607 7307 80 90 $000 5232016 $000 $000 812016 MANORCARE HEALTH SERVICES - WALLINGFORD 198 13669 16625 92 82 $2159361 5232016 $2132644 ($26717) 812016 MANORCARE HEALTH SVCS-ALLENTOWNMANORCARE HEALTH SVCS-BETHEL
166 10411 13035 86 80 $1644678 5232016 $1624329 ($20349) 812016
PARK 160 7549 10822 74 70 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2021) 227 15642 18485 89 85 $2471046 5232016 $2440472 ($30574) 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2029) MANORCARE HEALTH SVCS-CAMP
217 14132 16950 86 83 $2232503 5232016 $2204881 ($27622) 812016
HILL 123 6570 10005 89 66 $1037896 5232016 $1025055 ($12841) 812016 MANORCARE HEALTH SVCS-CARLISLE 150 9216 12128 89 76 $1455898 5232016 $1437885 ($18013) 812016 MANORCARE HEALTH SVCS-CHAMBERSBURG MANORCARE HEALTH SVCS-
210 12747 18213 95 70 $2013708 5232016 $1988793 ($24915) 812016
DALLASTOWN 202 14021 17331 94 81 $2214968 5232016 $2187563 ($27405) 812016 MANORCARE HEALTH SVCS-EASTON 227 12875 16911 82 76 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-ELIZABETHTOWN MANORCARE HEALTH SVCS-GREEN
73 4283 5959 90 72 $676607 5232016 $668236 ($8371) 812016
TREE 180 7353 12631 77 58 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY 130 8158 10380 88 79 $1288760 5232016 $1272815 ($15945) 812016 MANORCARE HEALTH SVCS-JERSEY SHOREMANORCARE HEALTH SVCS-KING
120 8222 10571 97 78 $1298871 5232016 $1282800 ($16071) 812016
OF PRUSSIA 150 8403 11318 83 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON 176 9061 12314 77 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON COURT MANORCARE HEALTH SVCS-
151 8738 12664 92 69 $1380386 5232016 $1363307 ($17079) 812016
LANCASTERMANORCARE HEALTH SVCS-
172 11273 15018 96 75 $1780853 5232016 $1758819 ($22034) 812016
LAURELDALE 198 11424 16841 93 68 $1804707 5232016 $1782378 ($22329) 812016 MANORCARE HEALTH SVCS-LEBANON 159 9511 13084 90 73 $1502501 5232016 $1483911 ($18590) 812016 MANORCARE HEALTH SVCS-MERCY FITZGERALDMANORCARE HEALTH SVCS-
129 6912 10364 88 67 $1091924 5232016 $1078414 ($13510) 812016
MONROEVILLE 131 5589 10276 86 54 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-NORTH HILLS 200 10790 15542 85 69 $1704551 5232016 $1683461 ($21090) 812016 MANORCARE HEALTH SVCS-OXFORD VALLEY MANORCARE HEALTH SVCS-PETERS
150 7359 11989 88 61 $000 5232016 $000 $000 812016
TOWNSHIP 140 6871 9362 73 73 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-PITTSBURGH 197 12687 15113 84 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-POTTSTOWNMANORCARE HEALTH SVCS-
165 9906 12370 82 80 $000 5232016 $000 $000 812016
POTTSVILLE 179 12764 15521 95 82 $2016393 5232016 $1991445 ($24948) 812016 MANORCARE HEALTH SVCS-SHADYSIDE 150 10598 12638 93 84 $1674220 5232016 $1653505 ($20715) 812016 MANORCARE HEALTH SVCS-SINKING SPRING MANORCARE HEALTH SVCS-
214 13295 18373 94 72 $2100278 5232016 $2074292 ($25986) 812016
SUNBURY 126 8845 10874 95 81 $1397289 5232016 $1380001 ($17288) 812016 MANORCARE HEALTH SVCS-WEST READING NORTH 176 13741 15583 97 88 $2170735 5232016 $2143877 ($26858) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SVCS-WHITEHALL BOROUGH MANORCARE HEALTH SVCS-
166 4466 13324 88 34 $000 5232016 $000 $000 812016
WILLIAMSPORT NORTH 152 9336 11126 80 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH 116 8174 9755 92 84 $1291288 5232016 $1275311 ($15977) 812016 MANORCARE HEALTH SVCS-YEADONMANORCARE HEALTH SVCS-YORK
198 15867 17473 97 91 $2506590 5232016 $2475577 ($31013) 812016
NORTH 161 9991 14040 96 71 $1578329 5232016 $1558801 ($19528) 812016 MANORCARE HEALTH SVCS-YORK SOUTH 151 8874 12814 93 69 $1401871 5232016 $1384526 ($17345) 812016 MANORCARE HLTH SVCS amp REHAB -WEST ALLEN 146 8495 10558 79 80 $000 5232016 $000 $000 812016
MAPLE FARM 46 1902 3872 92 49 $000 5232016 $000 $000 812016
MAPLE WINDS CARE CENTER 50 1787 3548 78 50 $000 5232016 $000 $000 812016 MAPLEWOOD NURSING AND REHABILITATION CTR 180 14261 15863 97 90 $2252882 5232016 $2225008 ($27874) 812016
100 MARGARET E MOUL HOME 82 7451 7462 100 $1177072 5232016 $1162509 ($14563) 812016
MARIAN MANOR CORPORATION 154 6836 12393 88 55 $000 5232016 $000 $000 812016
MARWOOD REST HOME INC 87 6586 7495 95 88 $1040424 5232016 $1027551 ($12873) 812016 MASONIC VILLAGE AT ELIZABETHTOWN MASONIC VILLAGE AT LAFAYETTE
453 22115 38630 94 57 $000 5232016 $000 $000 812016
HILL 60 3278 5287 97 62 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT SEWICKLEY 128 4054 11408 98 36 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT WARMINSTER 43 2425 3624 93 67 $383089 5232016 $378350 ($4739) 812016 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER 240 16037 19717 90 81 $2533446 5232016 $2502100 ($31346) 812016
MCMURRAY HILLS MANOR MEADOW VIEW HEALTHCARE amp
115 8012 10216 98 78 $1265696 5232016 $1250036 ($15660) 812016
REHAB CENTER 63 4141 5656 99 73 $654175 5232016 $646081 ($8094) 812016
MEADOW VIEW NURSING CENTER 150 9319 12460 91 75 $1472169 5232016 $1453955 ($18214) 812016
MEADOWCREST NURSING CENTER 50 2455 3684 81 67 $000 5232016 $000 $000 812016 MEADOWS NURSING AND REHAB CENTERMEADOWVIEW REHAB amp NURSING
130 6034 9745 82 62 $000 5232016 $000 $000 812016
CENTER 244 15851 18859 85 84 $2504062 5232016 $2473081 ($30981) 812016
MERCY CENTER NURSING UNIT INC 59 3201 5154 96 62 $000 5232016 $000 $000 812016
MID VALLEY HEALTH CARE CENTER 38 1427 2851 82 50 $000 5232016 $000 $000 812016
MIFFLIN CENTER 136 6641 11413 92 58 $000 5232016 $000 $000 812016 MILFORD SENIOR CARE AND REHAB CENTER 80 4805 6676 92 72 $759070 5232016 $749678 ($9392) 812016
MILLCREEK MANOR 138 3336 4817 38 69 $000 5232016 $000 $000 812016 MILLVILLE HEALTH AND REHABILITATION CTR MILTON NURSING AND
110 7602 8148 81 93 $000 5232016 $000 $000 812016
REHABILITATION CENTER 138 8893 11114 89 80 $1404872 5232016 $1387490 ($17382) 812016
MON VALLEY CARE CENTER MORAVIAN HALL SQ HLTH AND
60 1955 4926 90 40 $000 5232016 $000 $000 812016
WELLNESS CTR 61 273 5257 95 5 $000 5232016 $000 $000 812016
MORAVIAN MANOR 127 2782 10551 91 26 $000 5232016 $000 $000 812016
MORRISONS COVE HOME MOUNT CARMEL NURSING AND
124 7738 10588 94 73 $1222411 5232016 $1207286 ($15125) 812016
REHAB CENTER MOUNT MACRINA MANOR NURSING
121 7593 10382 94 73 $1199505 5232016 $1184664 ($14841) 812016
HOME 139 7377 10604 84 70 $000 5232016 $000 $000 812016 MOUNTAIN CITY NURSING AND REHAB CENTER 297 19439 24350 90 80 $3070877 5232016 $3032882 ($37995) 812016
MOUNTAIN LAUREL NRC 240 14471 18157 83 80 $000 5232016 $000 $000 812016 MOUNTAIN TOP HEALTHCARE AND REHAB CTR 106 6767 9142 95 74 $1069017 5232016 $1055791 ($13226) 812016
MOUNTAIN VIEW A NURSING AND 271 14896 17958 73 83 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
REHAB CTR
MOUNTAINVIEW SPECIALTY CARE CENTER 137 7086 9938 80 71 $000 5232016 $000 $000 812016 MULBERRY HEALTHCARE amp REHAB CTR 75 4408 6172 90 71 $696354 5232016 $687738 ($8616) 812016
NAAMANS CREEK COUNTRY MANOR NEW EASTWOOD HEALTHCARE AND
90 4638 7642 93 61 $000 5232016 $000 $000 812016
REHAB CENTER 97 4424 8242 93 54 $000 5232016 $000 $000 812016
NORMANDIE RIDGE NORRITON SQUARE NURSING amp
64 2527 5457 94 46 $000 5232016 $000 $000 812016
REHAB CENTER 99 3369 7844 87 43 $000 5232016 $000 $000 812016 NORTH HILLS HEALTH AND REHAB CENTER 55 2700 4705 94 57 $000 5232016 $000 $000 812016
NOTTINGHAM VILLAGE 121 6185 9707 88 64 $000 5232016 $000 $000 812016
NUGENT CONVALESCENT HOME OAK HILL NURSING AND REHAB
105 6153 8954 94 69 $972020 5232016 $959994 ($12026) 812016
CENTER 48 2758 3885 89 71 $435695 5232016 $430304 ($5391) 812016 OAKMONT CENTER FOR NURSING AND REHAB 85 5301 6694 87 79 $837426 5232016 $827065 ($10361) 812016 OAKWOOD HEALTHCARE amp REHABILITATION CTR 148 9099 12142 90 75 $1437415 5232016 $1419630 ($17785) 812016
OAKWOOD HEIGHTS 106 6632 9084 94 73 $1047690 5232016 $1034728 ($12962) 812016
OHESSON MANOR 134 7753 11739 96 66 $1224781 5232016 $1209627 ($15154) 812016 OLD ORCHARD HEALTH CARE CENTERORANGEVILLE HEALTH AND REHAB
180 10603 15271 93 69 $1675009 5232016 $1654285 ($20724) 812016
CENTER 120 7517 9777 90 77 $1187498 5232016 $1172806 ($14692) 812016
ORCHARD MANOR INC 121 6990 10558 96 66 $1104246 5232016 $1090583 ($13663) 812016
ORWIGSBURG CENTER 130 7695 10014 85 77 $1215618 5232016 $1200578 ($15040) 812016 OVERLOOK HEALTH AND REHAB CENTER 115 7301 8449 81 86 $000 5232016 $000 $000 812016
OXFORD HEALTH CENTER 137 7198 12057 97 60 $000 5232016 $000 $000 812016 PALMYRA HEALTH AND REHABILITATION CTR PARK AVENUE REHAB AND
39 2248 3132 88 72 $355128 5232016 $350734 ($4394) 812016
NURSING CENTER 173 9846 12609 80 78 $000 5232016 $000 $000 812016 PARKHOUSE NURSING AND REHABILITATION CTR 467 31182 37791 89 83 $4925978 5232016 $4865031 ($60947) 812016 PASSAVANT RETIREMENT AND HEALTH CENTER 102 5007 9074 98 55 $000 5232016 $000 $000 812016
PAULS RUN 120 4135 10113 93 41 $000 5232016 $000 $000 812016
PAVILION AT BRMC 95 4647 7431 86 63 $000 5232016 $000 $000 812016 PEMBROOKE HEALTH AND REHAB CENTERPENN CENTER FOR REHABILITATION
180 12001 14374 88 83 $1895859 5232016 $1872402 ($23457) 812016
AND CARE 124 7587 10045 89 76 $1198557 5232016 $1183727 ($14830) 812016
PENNKNOLL VILLAGE 133 8841 11828 98 75 $1396657 5232016 $1379377 ($17280) 812016
PENNSBURG MANOR 120 6810 10237 94 67 $1075810 5232016 $1062499 ($13311) 812016
PENNYPACK CENTER 54 1997 4237 86 47 $000 5232016 $000 $000 812016
PHILADELPHIA PROTESTANT HOME 126 5611 11111 97 50 $000 $000 812016
PHOEBE ALLENTOWN HEALTH CARE PHOEBE BERKS HEALTH CARE
395 21047 31233 87 67 $3283763 $3283763 812016
CENTER INC 120 2306 8259 76 28 $000 $000 812016
PHOEBE RICHLAND HCC 143 7156 11553 89 62 $000 $000 812016
PHOEBE WYNCOTE 58 2889 4572 87 63 $000 $000 812016
PICKERING MANOR HOME 47 1520 4003 94 38 $000 5232016 $000 $000 812016 PLATINUM RIDGE CTR FOR REHAB amp HEALING 97 5898 8590 97 69 $931737 5232016 $920209 ($11528) 812016
POWERBACK REHABILITATION 1526 150 3935 11953 88 33 $000 5232016 $000 $000 812016
POWERBACK REHABILITATION 3485 109 1266 8550 86 15 $000 5232016 $000 $000 812016
PRAXIS ALZHEIMERS FACILITY PRESBYTERIAN HOMES-
115 8778 10034 96 87 $1386705 5232016 $1369548 ($17157) 812016
PRESBYTERY-HUNTINGDON 67 2962 5634 92 53 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
PROSPECT PARK HEALTH AND REHAB CENTER 180 12542 15346 94 82 $1981323 5232016 $1956809 ($24514) 812016
PROVIDENCE CARE CENTER 180 12935 15707 96 82 $2043407 5232016 $2018125 ($25282) 812016
QUAKERTOWN CENTER 138 7869 11241 90 70 $1243106 5232016 $1227725 ($15381) 812016
QUINCY RETIREMENT COMMUNITY 134 6760 11710 96 58 $000 5232016 $000 $000 812016
REFORMED PRESBYTERIAN HOME 58 3272 4575 87 72 $516894 5232016 $510499 ($6395) 812016 REGINA COMMUNITY NURSING CENTERRENAISSANCE HEALTHCARE amp
121 7934 10475 95 76 $1253374 5232016 $1237867 ($15507) 812016
REHAB CENTER 123 8018 10627 95 75 $1266644 5232016 $1250972 ($15672) 812016
REST HAVEN-YORK RICHBORO REHAB AND NURSING
159 8307 11626 80 71 $000 5232016 $000 $000 812016
CENTER 82 4398 6585 88 67 $694774 5232016 $686178 ($8596) 812016 RICHFIELD HEALTHCARE AND REHAB CENTER RIDGEVIEW HEALTHCARE amp REHAB
40 2357 3315 91 71 $372347 5232016 $367740 ($4607) 812016
CENTER 131 8890 11406 96 78 $1404398 5232016 $1387022 ($17376) 812016 RIDGEVIEW HEALTHCARE amp REHAB CENTER 111 5481 7498 74 73 $000 5232016 $000 $000 812016 RIVER RUN REHAB AND NURSING CENTERRIVERS EDGE NURSING AND REHAB
145 6567 8119 62 81 $000 5232016 $000 $000 812016
CENTER 120 6257 9108 83 69 $000 5232016 $000 $000 812016
RIVERSIDE CARE CENTER RIVERSIDE REHABILITATION AND
120 9013 10480 96 86 $1423829 5232016 $1406213 ($17616) 812016
NURSING CTR 161 10603 12961 88 82 $1675009 5232016 $1654285 ($20724) 812016
RIVERSTREET MANOR 122 7085 10168 92 70 $1119253 5232016 $1105405 ($13848) 812016
RIVERWOODS 226 7947 13637 66 58 $000 5232016 $000 $000 812016
ROCHESTER MANOR 122 5703 8311 75 69 $000 5232016 $000 $000 812016
ROLLING FIELDS INC 181 11319 15372 93 74 $1788120 5232016 $1765996 ($22124) 812016 ROLLING HILLS HEALTHCARE amp REHAB CENTER 57 3949 4785 92 83 $623843 5232016 $616125 ($7718) 812016
ROLLING MEADOWS 121 6979 9532 87 73 $1102508 5232016 $1088867 ($13641) 812016
ROSE VIEW CENTER 123 8174 10813 97 76 $1291288 5232016 $1275311 ($15977) 812016 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 1752 9224 89 19 $000 5232016 $000 $000 812016
SAINT ANNE HOME 125 5864 11062 97 53 $000 5232016 $000 $000 812016
SAINT JOSEPH VILLA SAINT MARYS VILLA NURSING
106 5410 8161 85 66 $854645 5232016 $844071 ($10574) 812016
HOME INC 112 5747 9617 94 60 $000 5232016 $000 $000 812016
SAINT PAUL HOMES 192 9221 17066 98 54 $000 5232016 $000 $000 812016
SANATOGA CENTER 130 6362 11287 95 56 $000 5232016 $000 $000 812016
SARAH A TODD MEMORIAL HOME 117 7221 10047 94 72 $1140738 5232016 $1126624 ($14114) 812016
SAXONY HEALTH CENTER 68 3658 5701 92 64 $000 5232016 $000 $000 812016
SAYRE HEALTH CARE CENTER LLC 50 1868 4161 91 45 $000 5232016 $000 $000 812016 SCENERY HILL HEALTHCARE amp REHAB CENTER 56 2800 4320 85 65 $442330 5232016 $436857 ($5473) 812016
SCHUYLKILL CENTER 190 13372 16629 96 80 $2112442 5232016 $2086306 ($26136) 812016 SCOTTDALE HEALTHCARE amp REHAB CENTER 35 1135 2977 93 38 $000 5232016 $000 $000 812016
SCRANTON HEALTH CARE CENTER 44 1965 3513 88 56 $000 5232016 $000 $000 812016
SENA-KEAN MANOR 152 8802 11557 84 76 $000 5232016 $000 $000 812016
SENECA PLACE 174 8176 12058 76 68 $000 5232016 $000 $000 812016
SETON MANOR INC SHENANDOAH MANOR NURSING
120 7571 10246 94 74 $1196029 5232016 $1181231 ($14798) 812016
CENTER 124 8066 10261 91 79 $1274227 5232016 $1258461 ($15766) 812016 SHENANGO PRESBYTERIAN SENIORCARE 25 439 2194 96 20 $000 5232016 $000 $000 812016
SHERWOOD OAKS 43 91 3064 78 3 $000 5232016 $000 $000 812016 SHIPPENSBURG HEALTH CARE CENTER 125 7420 9605 84 77 $000 5232016 $000 $000 812016
SIEMONS LAKEVIEW MANOR NSG 120 8142 10548 97 77 $1286233 5232016 $1270319 ($15914) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 5
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
GOLDEN LIVINGCENTER-CAMP HILL 95 6795 7853 91 87 $1073440 5232016 $1060159 ($13281) 812016
GOLDEN LIVINGCENTER-CLARION 83 3907 5314 70 74 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-DOYLESTOWN 120 7809 8588 79 91 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-EAST MOUNTAINGOLDEN LIVINGCENTER-
120 7725 10394 95 74 $1220357 5232016 $1205258 ($15099) 812016
GETTYSBURG 102 7351 8780 95 84 $1161275 5232016 $1146907 ($14368) 812016
GOLDEN LIVINGCENTER-HAIDA 98 5915 7928 89 75 $934422 5232016 $922861 ($11561) 812016
GOLDEN LIVINGCENTER-HILLVIEW 133 8490 11636 96 73 $1341208 5232016 $1324614 ($16594) 812016
GOLDEN LIVINGCENTER-KINZUA 106 6686 9030 94 74 $1056221 5232016 $1043153 ($13068) 812016 GOLDEN LIVINGCENTER-LANCASTER 124 9285 10502 93 88 $1466798 5232016 $1448650 ($18148) 812016
GOLDEN LIVINGCENTER-LANSDALE 126 9052 9880 86 92 $1429990 5232016 $1412297 ($17693) 812016
GOLDEN LIVINGCENTER-MANSION 70 4890 5941 93 82 $772498 5232016 $762940 ($9558) 812016 GOLDEN LIVINGCENTER-MEYERSDALE 99 6523 7994 89 82 $1030471 5232016 $1017722 ($12749) 812016 GOLDEN LIVINGCENTER-MONROEVILLEGOLDEN LIVINGCENTER-MT
120 6428 10258 94 63 $000 5232016 $000 $000 812016
LEBANON 121 7830 9920 90 79 $1236945 5232016 $1221640 ($15305) 812016 GOLDEN LIVINGCENTER-MURRYSVILLE 120 7115 9721 89 73 $1123992 5232016 $1110086 ($13906) 812016
GOLDEN LIVINGCENTER-OIL CITY 95 5350 7986 92 67 $845166 5232016 $834710 ($10456) 812016 GOLDEN LIVINGCENTER-PHOENIXVILLE 138 8483 10181 81 83 $000 5232016 $000 $000 812016
GOLDEN LIVINGCENTER-READING 124 7737 9887 88 78 $1222253 5232016 $1207130 ($15123) 812016
GOLDEN LIVINGCENTER-RICHLAND 97 4935 8198 93 60 $000 5232016 $000 $000 812016
GOLDEN LIVINGCENTER-ROSEMONT 76 5360 5903 85 91 $846746 5232016 $836270 ($10476) 812016
GOLDEN LIVINGCENTER-SCRANTON 139 8808 11262 89 78 $1391444 5232016 $1374228 ($17216) 812016 GOLDEN LIVINGCENTER-SHIPPENVILLEGOLDEN LIVINGCENTER-SOUTH
120 5124 7065 65 73 $000 5232016 $000 $000 812016
HILLS 104 5970 8451 89 71 $943111 5232016 $931442 ($11669) 812016
GOLDEN LIVINGCENTER-STENTON 94 6684 7355 86 91 $1055905 5232016 $1042841 ($13064) 812016
GOLDEN LIVINGCENTER-STROUD 127 8238 10670 92 77 $1301398 5232016 $1285297 ($16101) 812016
GOLDEN LIVINGCENTER-SUMMIT 120 7993 9991 91 80 $1262695 5232016 $1247072 ($15623) 812016
GOLDEN LIVINGCENTER-TITUSVILLE 77 4643 6238 89 74 $733478 5232016 $724403 ($9075) 812016 GOLDEN LIVINGCENTER-TUNKHANNOCK 124 7949 10354 92 77 $1255744 5232016 $1240207 ($15537) 812016 GOLDEN LIVINGCENTER-UNIONTOWNGOLDEN LIVINGCENTER-WALNUT
120 6887 10421 95 66 $1087974 5232016 $1074513 ($13461) 812016
CREEK 115 4650 9169 88 51 $000 5232016 $000 $000 812016 GOLDEN LIVINGCENTER-WAYNESBURG 111 6664 9186 91 73 $1052746 5232016 $1039720 ($13026) 812016 GOLDEN LIVINGCENTER-WEST SHOREGOLDEN LIVINGCENTER-WESTERN
309 14549 18637 66 78 $000 5232016 $000 $000 812016
RESERVE 133 8696 11020 91 79 $1373751 5232016 $1356754 ($16997) 812016 GOLDEN LIVINGCENTER-WILLIAM PENN 121 7629 10566 96 72 $1205192 5232016 $1190280 ($14912) 812016 GOLDEN LIVINGCENTER-YORK TERRACEGOOD SHEPHERD HOME RAKER
80 4765 6671 92 71 100
$752751 5232016 $743438 ($9313) 812016
CENTERGOOD SHEPHERD HOME-
99 8977 8977 100 100
$1418142 5232016 $1400596 ($17546) 812016
BETHLEHEM 60 5398 5415 99 $852749 5232016 $842199 ($10550) 812016
GRANDVIEW HEALTH HOMES INC 172 10738 13755 88 78 $1696336 5232016 $1675348 ($20988) 812016
GREEN HOME INC THE 120 6685 9638 88 69 $1056063 5232016 $1042997 ($13066) 812016
GREEN RIDGE CARE CENTER 95 4505 8072 93 56 $000 5232016 $000 $000 812016 GREEN VALLEY SKILLED NSG amp REHAB CENTER 48 2066 2240 51 92 $000 5232016 $000 $000 812016
GREENERY SPECIALTY CARE 140 8453 10053 79 84 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
CENTER
GREENLEAF NURSING HOME AND CONVAL CENTER 130 8876 10674 90 83 $1402186 5232016 $1384838 ($17348) 812016
GREENSBURG CARE CENTER 120 7190 9977 91 72 $1135841 5232016 $1121787 ($14054) 812016
GROVE MANOR 59 2941 5209 97 56 $000 5232016 $000 $000 812016 GUARDIAN HEALTHCARE amp REHAB CENTER 110 7385 9112 91 81 $1166646 5232016 $1152211 ($14435) 812016 GUTHRIE TOWANDA MEMORIAL HOSPITAL SNU 68 3637 5828 94 62 $000 5232016 $000 $000 812016
GUY AND MARY FELT MANOR INC 40 1860 3013 83 62 $000 5232016 $000 $000 812016 GWYNEDD SQUARE CTR FOR NSG amp CONVAL CARE 181 11752 15473 94 76 $1856523 5232016 $1833553 ($22970) 812016
HAMILTON ARMS CENTER 94 5850 8008 94 73 $924154 5232016 $912720 ($11434) 812016
HAMPTON HOUSE 104 6606 8115 86 81 $1043583 5232016 $1030671 ($12912) 812016
HANOVER HALL 152 8517 12867 93 66 $1345473 5232016 $1328826 ($16647) 812016
HARMAR VILLAGE CARE CENTER 130 7594 10924 92 70 $1199662 5232016 $1184820 ($14842) 812016
HARMON HOUSE CARE CENTER 109 6470 9358 94 69 $1022099 5232016 $1009453 ($12646) 812016 HARRISON SENIOR LIVING OF CHRISTIANA 139 7455 10005 79 75 $000 5232016 $000 $000 812016
HARSTON HALL 120 8804 10421 95 84 $1390812 5232016 $1373604 ($17208) 812016
HAVEN CONVALESCENT HOME INC HAVEN SKILLED REHABILITATION
91 6451 8256 100 78 $1019097 5232016 $1006488 ($12609) 812016
AND NURSING 90 4153 5983 73 69 $000 5232016 $000 $000 812016
HAVENCREST NURSING CENTER 48 2118 3633 83 58 $000 5232016 $000 $000 812016 HEARTHSIDE REHAB AND NURSING CENTER THE 157 9898 13343 93 74 $1563637 5232016 $1544291 ($19346) 812016
HEMPFIELD MANOR 120 5995 10213 94 59 $000 5232016 $000 $000 812016
HENRY CLAY VILLA LP HIGHLAND MANOR REHAB amp
74 5281 6278 93 84 $834266 5232016 $823944 ($10322) 812016
NURSING CENTER 120 7299 9235 85 79 $1153060 5232016 $1138794 ($14266) 812016
HIGHLAND PARK CARE CENTER HIGHLAND VIEW HEALTHCARE amp
144 9955 11584 88 86 $1572642 5232016 $1553184 ($19458) 812016
REHAB CENTER 50 2912 4147 91 70 $460023 5232016 $454332 ($5691) 812016
HIGHLANDS CARE CENTER THE 120 8996 10214 94 88 $1421143 5232016 $1403560 ($17583) 812016
HILLCREST CENTER HILLSDALE REHABILITATION AND
180 14437 15865 97 91 $2280686 5232016 $2252468 ($28218) 812016
NURSING CTR 74 4290 6157 91 70 $677713 5232016 $669328 ($8385) 812016
HOLY FAMILY MANOR 208 11834 17286 91 68 $1869477 5232016 $1846346 ($23131) 812016
HOLY FAMILY RESIDENCE 54 4345 4856 99 89 $686402 5232016 $677909 ($8493) 812016
HOMESTEAD VILLAGE INC 60 1583 4852 89 33 $000 5232016 $000 $000 812016 HOMETOWN NURSING AND REHAB CENTER 150 8831 12121 89 73 $1395078 5232016 $1377817 ($17261) 812016 HOMEWOOD AT MARTINSBURG PA INC 129 5608 11420 97 49 $000 5232016 $000 $000 812016
HOMEWOOD AT PLUM CREEK 120 3701 10634 97 35 $000 5232016 $000 $000 812016
HOPKINS CENTER 106 7986 9107 94 88 $1261589 5232016 $1245980 ($15609) 812016 HOSPITALITY CARE CENTER OF HERMITAGE INC HUNTINGDON HILLS REHAB amp
33 2002 2528 84 79 $000 5232016 $000 $000 812016
NURSING CENTER 93 5589 8174 97 68 $882923 5232016 $871998 ($10925) 812016 IMMACULATE MARY CTR FOR REHAB amp HLTHCARE 296 19975 26188 97 76 $3155552 5232016 $3116509 ($39043) 812016
INGLIS HOUSE 297 25399 26683 99 95 $4012408 5232016 $3962764 ($49644) 812016 IVY HILL REHABILITATION AND NURSING CTR 145 9303 12120 92 77 $1469642 5232016 $1451459 ($18183) 812016
JAMESON CARE CENTER 78 2384 6661 94 36 $000 5232016 $000 $000 812016 JEFFERSON HILLS HEALTHCARE amp REHAB CTR 83 4173 5991 79 70 $000 5232016 $000 $000 812016 JEFFERSON MANOR HEALTH CENTER 160 8962 12165 84 74 $000 $000 812016 JEWISH HOME OF EASTERN PENNSYLVANIA 173 10598 14309 91 74 $1674220 5232016 $1653505 ($20715) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
JULIA POUND CARE CENTER JULIA RIBAUDO EXTENDED CARE
131 5923 9650 81 61 $000 5232016 $000 $000 812016
CENTER 120 6744 9314 85 72 $1065384 5232016 $1052202 ($13182) 812016 KADE HEALTH AND REHABILITATION CENTERKEARSLEY REHAB AND NURSING
74 5118 6129 91 84 $808516 5232016 $798513 ($10003) 812016
CENTER 84 5198 7438 97 70 $821154 5232016 $810994 ($10160) 812016 KEPLER CENTER FOR NURSING AND REHAB 40 2420 2821 78 86 $000 5232016 $000 $000 812016
KINGSTON HEALTH CARE CENTER 65 2592 5009 85 52 $000 5232016 $000 $000 812016 KINKORA PYTHIAN HOME CORPORATION 60 2536 4737 87 54 $000 5232016 $000 $000 812016
KITTANNING CARE CENTER 120 8319 9648 88 86 $1314194 5232016 $1297934 ($16260) 812016
KUTZTOWN MANOR 140 10086 12591 99 80 $1593336 5232016 $1573623 ($19713) 812016 LACKAWANNA HEALTH AND REHAB CENTER 272 15336 17357 70 88 $000 5232016 $000 $000 812016
LAFAYETTE MANOR INC 98 5447 7818 88 70 $860490 5232016 $849844 ($10646) 812016 LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) 120 4973 10523 96 47 $000 5232016 $000 $000 812016 LAKESIDE HEALTH AND REHABILITATION CTR LAKEVIEW HEALTHCARE amp
31 2095 2547 90 82 $330958 5232016 $326863 ($4095) 812016
REHABILITATION CTR 34 1779 2933 95 61 $000 5232016 $000 $000 812016
LANCASHIRE HALL 240 16468 19548 90 84 $2601533 5232016 $2569345 ($32188) 812016
LANDIS HOMES LANGHORNE GARDENS HEALTH amp
103 3655 9110 97 40 $000 5232016 $000 $000 812016
REHAB CENTER 120 8155 10660 98 77 $1288286 5232016 $1272347 ($15939) 812016 LATROBE HEALTH AND REHABILITATION CENTER 107 7612 8734 90 87 $1202506 5232016 $1187628 ($14878) 812016 LAUREL CARE NURSING AND REHAB CENTER 92 4900 8157 97 60 $000 5232016 $000 $000 812016
LAUREL CENTER 130 8880 11245 95 79 $1402818 5232016 $1385462 ($17356) 812016
LAUREL RIDGE CENTER 61 3903 5068 91 77 $616577 5232016 $608948 ($7629) 812016
LAUREL WOOD CARE CENTER 120 7106 10193 93 70 $1122571 5232016 $1108682 ($13889) 812016
LAWSON NURSING HOME INC 50 1979 3887 85 51 $000 5232016 $000 $000 812016
LEBANON VALLEY BRETHREN HOME 100 3297 8064 89 41 $000 5232016 $000 $000 812016
LEBANON VALLEY HOME THE 55 2322 4812 96 48 $000 5232016 $000 $000 812016
LECOM AT PRESQUE ISLE INC 141 9318 10999 86 85 $1472011 5232016 $1453799 ($18212) 812016
LEHIGH CENTER LGAR HEALTH AND REHABILITATION
128 4712 10984 94 43 $000 5232016 $000 $000 812016
CENTERLINWOOD NURSING AND
120 7533 9703 89 78 $1190026 5232016 $1175302 ($14724) 812016
REHABILITATION CTR 102 6105 7603 82 80 $000 5232016 $000 $000 812016
LITTLE FLOWER MANOR 127 4093 9361 81 44 $000 5232016 $000 $000 812016
LITTLE SISTERS OF THE POOR LOCUST GROVE RETIREMENT
48 4027 4276 98 94 $636166 5232016 $628294 ($7872) 812016
VILLAGE 104 6535 8337 88 78 $1032367 5232016 $1019594 ($12773) 812016
LOYALHANNA CARE CENTER LOYALSOCK CREEK REHAB AND
120 6582 10101 93 65 $1039792 5232016 $1026927 ($12865) 812016
NURSING CTR 133 6346 9911 82 64 $000 5232016 $000 $000 812016
LUTHER ACRES MANOR 106 3931 9516 99 41 $000 5232016 $000 $000 812016
LUTHER CREST NURSING FACILITY LUTHER WOODS NURSING amp REHAB
60 1317 5147 94 26 $000 5232016 $000 $000 812016
CENTER 140 5033 10363 81 49 $000 5232016 $000 $000 812016 LUTHERAN COMMUNITY AT TELFORD 75 2517 6345 93 40 $000 5232016 $000 $000 812016
LUTHERAN HOME AT KANE THE 90 5754 7895 96 73 $908988 5232016 $897742 ($11246) 812016
LUTHERAN HOME AT TOPTON MAJESTIC OAKS REHAB amp NURSING
194 10116 17266 98 59 $000 5232016 $000 $000 812016
CENTER 180 12311 15278 93 81 $1944831 5232016 $1920768 ($24063) 812016
MANCHESTER COMMONS MANORCARE HEALTH SERVICES -
78 3461 6697 94 52 $000 5232016 $000 $000 812016
ERIE 120 6885 9557 88 72 $1087658 5232016 $1074201 ($13457) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SERVICES - MONTGOMERYMANORCARE HEALTH SERVICES -
170 10412 12829 83 81 $000 5232016 $000 $000 812016
NORTHSIDE 100 6607 7307 80 90 $000 5232016 $000 $000 812016 MANORCARE HEALTH SERVICES - WALLINGFORD 198 13669 16625 92 82 $2159361 5232016 $2132644 ($26717) 812016 MANORCARE HEALTH SVCS-ALLENTOWNMANORCARE HEALTH SVCS-BETHEL
166 10411 13035 86 80 $1644678 5232016 $1624329 ($20349) 812016
PARK 160 7549 10822 74 70 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2021) 227 15642 18485 89 85 $2471046 5232016 $2440472 ($30574) 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2029) MANORCARE HEALTH SVCS-CAMP
217 14132 16950 86 83 $2232503 5232016 $2204881 ($27622) 812016
HILL 123 6570 10005 89 66 $1037896 5232016 $1025055 ($12841) 812016 MANORCARE HEALTH SVCS-CARLISLE 150 9216 12128 89 76 $1455898 5232016 $1437885 ($18013) 812016 MANORCARE HEALTH SVCS-CHAMBERSBURG MANORCARE HEALTH SVCS-
210 12747 18213 95 70 $2013708 5232016 $1988793 ($24915) 812016
DALLASTOWN 202 14021 17331 94 81 $2214968 5232016 $2187563 ($27405) 812016 MANORCARE HEALTH SVCS-EASTON 227 12875 16911 82 76 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-ELIZABETHTOWN MANORCARE HEALTH SVCS-GREEN
73 4283 5959 90 72 $676607 5232016 $668236 ($8371) 812016
TREE 180 7353 12631 77 58 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY 130 8158 10380 88 79 $1288760 5232016 $1272815 ($15945) 812016 MANORCARE HEALTH SVCS-JERSEY SHOREMANORCARE HEALTH SVCS-KING
120 8222 10571 97 78 $1298871 5232016 $1282800 ($16071) 812016
OF PRUSSIA 150 8403 11318 83 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON 176 9061 12314 77 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON COURT MANORCARE HEALTH SVCS-
151 8738 12664 92 69 $1380386 5232016 $1363307 ($17079) 812016
LANCASTERMANORCARE HEALTH SVCS-
172 11273 15018 96 75 $1780853 5232016 $1758819 ($22034) 812016
LAURELDALE 198 11424 16841 93 68 $1804707 5232016 $1782378 ($22329) 812016 MANORCARE HEALTH SVCS-LEBANON 159 9511 13084 90 73 $1502501 5232016 $1483911 ($18590) 812016 MANORCARE HEALTH SVCS-MERCY FITZGERALDMANORCARE HEALTH SVCS-
129 6912 10364 88 67 $1091924 5232016 $1078414 ($13510) 812016
MONROEVILLE 131 5589 10276 86 54 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-NORTH HILLS 200 10790 15542 85 69 $1704551 5232016 $1683461 ($21090) 812016 MANORCARE HEALTH SVCS-OXFORD VALLEY MANORCARE HEALTH SVCS-PETERS
150 7359 11989 88 61 $000 5232016 $000 $000 812016
TOWNSHIP 140 6871 9362 73 73 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-PITTSBURGH 197 12687 15113 84 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-POTTSTOWNMANORCARE HEALTH SVCS-
165 9906 12370 82 80 $000 5232016 $000 $000 812016
POTTSVILLE 179 12764 15521 95 82 $2016393 5232016 $1991445 ($24948) 812016 MANORCARE HEALTH SVCS-SHADYSIDE 150 10598 12638 93 84 $1674220 5232016 $1653505 ($20715) 812016 MANORCARE HEALTH SVCS-SINKING SPRING MANORCARE HEALTH SVCS-
214 13295 18373 94 72 $2100278 5232016 $2074292 ($25986) 812016
SUNBURY 126 8845 10874 95 81 $1397289 5232016 $1380001 ($17288) 812016 MANORCARE HEALTH SVCS-WEST READING NORTH 176 13741 15583 97 88 $2170735 5232016 $2143877 ($26858) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SVCS-WHITEHALL BOROUGH MANORCARE HEALTH SVCS-
166 4466 13324 88 34 $000 5232016 $000 $000 812016
WILLIAMSPORT NORTH 152 9336 11126 80 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH 116 8174 9755 92 84 $1291288 5232016 $1275311 ($15977) 812016 MANORCARE HEALTH SVCS-YEADONMANORCARE HEALTH SVCS-YORK
198 15867 17473 97 91 $2506590 5232016 $2475577 ($31013) 812016
NORTH 161 9991 14040 96 71 $1578329 5232016 $1558801 ($19528) 812016 MANORCARE HEALTH SVCS-YORK SOUTH 151 8874 12814 93 69 $1401871 5232016 $1384526 ($17345) 812016 MANORCARE HLTH SVCS amp REHAB -WEST ALLEN 146 8495 10558 79 80 $000 5232016 $000 $000 812016
MAPLE FARM 46 1902 3872 92 49 $000 5232016 $000 $000 812016
MAPLE WINDS CARE CENTER 50 1787 3548 78 50 $000 5232016 $000 $000 812016 MAPLEWOOD NURSING AND REHABILITATION CTR 180 14261 15863 97 90 $2252882 5232016 $2225008 ($27874) 812016
100 MARGARET E MOUL HOME 82 7451 7462 100 $1177072 5232016 $1162509 ($14563) 812016
MARIAN MANOR CORPORATION 154 6836 12393 88 55 $000 5232016 $000 $000 812016
MARWOOD REST HOME INC 87 6586 7495 95 88 $1040424 5232016 $1027551 ($12873) 812016 MASONIC VILLAGE AT ELIZABETHTOWN MASONIC VILLAGE AT LAFAYETTE
453 22115 38630 94 57 $000 5232016 $000 $000 812016
HILL 60 3278 5287 97 62 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT SEWICKLEY 128 4054 11408 98 36 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT WARMINSTER 43 2425 3624 93 67 $383089 5232016 $378350 ($4739) 812016 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER 240 16037 19717 90 81 $2533446 5232016 $2502100 ($31346) 812016
MCMURRAY HILLS MANOR MEADOW VIEW HEALTHCARE amp
115 8012 10216 98 78 $1265696 5232016 $1250036 ($15660) 812016
REHAB CENTER 63 4141 5656 99 73 $654175 5232016 $646081 ($8094) 812016
MEADOW VIEW NURSING CENTER 150 9319 12460 91 75 $1472169 5232016 $1453955 ($18214) 812016
MEADOWCREST NURSING CENTER 50 2455 3684 81 67 $000 5232016 $000 $000 812016 MEADOWS NURSING AND REHAB CENTERMEADOWVIEW REHAB amp NURSING
130 6034 9745 82 62 $000 5232016 $000 $000 812016
CENTER 244 15851 18859 85 84 $2504062 5232016 $2473081 ($30981) 812016
MERCY CENTER NURSING UNIT INC 59 3201 5154 96 62 $000 5232016 $000 $000 812016
MID VALLEY HEALTH CARE CENTER 38 1427 2851 82 50 $000 5232016 $000 $000 812016
MIFFLIN CENTER 136 6641 11413 92 58 $000 5232016 $000 $000 812016 MILFORD SENIOR CARE AND REHAB CENTER 80 4805 6676 92 72 $759070 5232016 $749678 ($9392) 812016
MILLCREEK MANOR 138 3336 4817 38 69 $000 5232016 $000 $000 812016 MILLVILLE HEALTH AND REHABILITATION CTR MILTON NURSING AND
110 7602 8148 81 93 $000 5232016 $000 $000 812016
REHABILITATION CENTER 138 8893 11114 89 80 $1404872 5232016 $1387490 ($17382) 812016
MON VALLEY CARE CENTER MORAVIAN HALL SQ HLTH AND
60 1955 4926 90 40 $000 5232016 $000 $000 812016
WELLNESS CTR 61 273 5257 95 5 $000 5232016 $000 $000 812016
MORAVIAN MANOR 127 2782 10551 91 26 $000 5232016 $000 $000 812016
MORRISONS COVE HOME MOUNT CARMEL NURSING AND
124 7738 10588 94 73 $1222411 5232016 $1207286 ($15125) 812016
REHAB CENTER MOUNT MACRINA MANOR NURSING
121 7593 10382 94 73 $1199505 5232016 $1184664 ($14841) 812016
HOME 139 7377 10604 84 70 $000 5232016 $000 $000 812016 MOUNTAIN CITY NURSING AND REHAB CENTER 297 19439 24350 90 80 $3070877 5232016 $3032882 ($37995) 812016
MOUNTAIN LAUREL NRC 240 14471 18157 83 80 $000 5232016 $000 $000 812016 MOUNTAIN TOP HEALTHCARE AND REHAB CTR 106 6767 9142 95 74 $1069017 5232016 $1055791 ($13226) 812016
MOUNTAIN VIEW A NURSING AND 271 14896 17958 73 83 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
REHAB CTR
MOUNTAINVIEW SPECIALTY CARE CENTER 137 7086 9938 80 71 $000 5232016 $000 $000 812016 MULBERRY HEALTHCARE amp REHAB CTR 75 4408 6172 90 71 $696354 5232016 $687738 ($8616) 812016
NAAMANS CREEK COUNTRY MANOR NEW EASTWOOD HEALTHCARE AND
90 4638 7642 93 61 $000 5232016 $000 $000 812016
REHAB CENTER 97 4424 8242 93 54 $000 5232016 $000 $000 812016
NORMANDIE RIDGE NORRITON SQUARE NURSING amp
64 2527 5457 94 46 $000 5232016 $000 $000 812016
REHAB CENTER 99 3369 7844 87 43 $000 5232016 $000 $000 812016 NORTH HILLS HEALTH AND REHAB CENTER 55 2700 4705 94 57 $000 5232016 $000 $000 812016
NOTTINGHAM VILLAGE 121 6185 9707 88 64 $000 5232016 $000 $000 812016
NUGENT CONVALESCENT HOME OAK HILL NURSING AND REHAB
105 6153 8954 94 69 $972020 5232016 $959994 ($12026) 812016
CENTER 48 2758 3885 89 71 $435695 5232016 $430304 ($5391) 812016 OAKMONT CENTER FOR NURSING AND REHAB 85 5301 6694 87 79 $837426 5232016 $827065 ($10361) 812016 OAKWOOD HEALTHCARE amp REHABILITATION CTR 148 9099 12142 90 75 $1437415 5232016 $1419630 ($17785) 812016
OAKWOOD HEIGHTS 106 6632 9084 94 73 $1047690 5232016 $1034728 ($12962) 812016
OHESSON MANOR 134 7753 11739 96 66 $1224781 5232016 $1209627 ($15154) 812016 OLD ORCHARD HEALTH CARE CENTERORANGEVILLE HEALTH AND REHAB
180 10603 15271 93 69 $1675009 5232016 $1654285 ($20724) 812016
CENTER 120 7517 9777 90 77 $1187498 5232016 $1172806 ($14692) 812016
ORCHARD MANOR INC 121 6990 10558 96 66 $1104246 5232016 $1090583 ($13663) 812016
ORWIGSBURG CENTER 130 7695 10014 85 77 $1215618 5232016 $1200578 ($15040) 812016 OVERLOOK HEALTH AND REHAB CENTER 115 7301 8449 81 86 $000 5232016 $000 $000 812016
OXFORD HEALTH CENTER 137 7198 12057 97 60 $000 5232016 $000 $000 812016 PALMYRA HEALTH AND REHABILITATION CTR PARK AVENUE REHAB AND
39 2248 3132 88 72 $355128 5232016 $350734 ($4394) 812016
NURSING CENTER 173 9846 12609 80 78 $000 5232016 $000 $000 812016 PARKHOUSE NURSING AND REHABILITATION CTR 467 31182 37791 89 83 $4925978 5232016 $4865031 ($60947) 812016 PASSAVANT RETIREMENT AND HEALTH CENTER 102 5007 9074 98 55 $000 5232016 $000 $000 812016
PAULS RUN 120 4135 10113 93 41 $000 5232016 $000 $000 812016
PAVILION AT BRMC 95 4647 7431 86 63 $000 5232016 $000 $000 812016 PEMBROOKE HEALTH AND REHAB CENTERPENN CENTER FOR REHABILITATION
180 12001 14374 88 83 $1895859 5232016 $1872402 ($23457) 812016
AND CARE 124 7587 10045 89 76 $1198557 5232016 $1183727 ($14830) 812016
PENNKNOLL VILLAGE 133 8841 11828 98 75 $1396657 5232016 $1379377 ($17280) 812016
PENNSBURG MANOR 120 6810 10237 94 67 $1075810 5232016 $1062499 ($13311) 812016
PENNYPACK CENTER 54 1997 4237 86 47 $000 5232016 $000 $000 812016
PHILADELPHIA PROTESTANT HOME 126 5611 11111 97 50 $000 $000 812016
PHOEBE ALLENTOWN HEALTH CARE PHOEBE BERKS HEALTH CARE
395 21047 31233 87 67 $3283763 $3283763 812016
CENTER INC 120 2306 8259 76 28 $000 $000 812016
PHOEBE RICHLAND HCC 143 7156 11553 89 62 $000 $000 812016
PHOEBE WYNCOTE 58 2889 4572 87 63 $000 $000 812016
PICKERING MANOR HOME 47 1520 4003 94 38 $000 5232016 $000 $000 812016 PLATINUM RIDGE CTR FOR REHAB amp HEALING 97 5898 8590 97 69 $931737 5232016 $920209 ($11528) 812016
POWERBACK REHABILITATION 1526 150 3935 11953 88 33 $000 5232016 $000 $000 812016
POWERBACK REHABILITATION 3485 109 1266 8550 86 15 $000 5232016 $000 $000 812016
PRAXIS ALZHEIMERS FACILITY PRESBYTERIAN HOMES-
115 8778 10034 96 87 $1386705 5232016 $1369548 ($17157) 812016
PRESBYTERY-HUNTINGDON 67 2962 5634 92 53 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
PROSPECT PARK HEALTH AND REHAB CENTER 180 12542 15346 94 82 $1981323 5232016 $1956809 ($24514) 812016
PROVIDENCE CARE CENTER 180 12935 15707 96 82 $2043407 5232016 $2018125 ($25282) 812016
QUAKERTOWN CENTER 138 7869 11241 90 70 $1243106 5232016 $1227725 ($15381) 812016
QUINCY RETIREMENT COMMUNITY 134 6760 11710 96 58 $000 5232016 $000 $000 812016
REFORMED PRESBYTERIAN HOME 58 3272 4575 87 72 $516894 5232016 $510499 ($6395) 812016 REGINA COMMUNITY NURSING CENTERRENAISSANCE HEALTHCARE amp
121 7934 10475 95 76 $1253374 5232016 $1237867 ($15507) 812016
REHAB CENTER 123 8018 10627 95 75 $1266644 5232016 $1250972 ($15672) 812016
REST HAVEN-YORK RICHBORO REHAB AND NURSING
159 8307 11626 80 71 $000 5232016 $000 $000 812016
CENTER 82 4398 6585 88 67 $694774 5232016 $686178 ($8596) 812016 RICHFIELD HEALTHCARE AND REHAB CENTER RIDGEVIEW HEALTHCARE amp REHAB
40 2357 3315 91 71 $372347 5232016 $367740 ($4607) 812016
CENTER 131 8890 11406 96 78 $1404398 5232016 $1387022 ($17376) 812016 RIDGEVIEW HEALTHCARE amp REHAB CENTER 111 5481 7498 74 73 $000 5232016 $000 $000 812016 RIVER RUN REHAB AND NURSING CENTERRIVERS EDGE NURSING AND REHAB
145 6567 8119 62 81 $000 5232016 $000 $000 812016
CENTER 120 6257 9108 83 69 $000 5232016 $000 $000 812016
RIVERSIDE CARE CENTER RIVERSIDE REHABILITATION AND
120 9013 10480 96 86 $1423829 5232016 $1406213 ($17616) 812016
NURSING CTR 161 10603 12961 88 82 $1675009 5232016 $1654285 ($20724) 812016
RIVERSTREET MANOR 122 7085 10168 92 70 $1119253 5232016 $1105405 ($13848) 812016
RIVERWOODS 226 7947 13637 66 58 $000 5232016 $000 $000 812016
ROCHESTER MANOR 122 5703 8311 75 69 $000 5232016 $000 $000 812016
ROLLING FIELDS INC 181 11319 15372 93 74 $1788120 5232016 $1765996 ($22124) 812016 ROLLING HILLS HEALTHCARE amp REHAB CENTER 57 3949 4785 92 83 $623843 5232016 $616125 ($7718) 812016
ROLLING MEADOWS 121 6979 9532 87 73 $1102508 5232016 $1088867 ($13641) 812016
ROSE VIEW CENTER 123 8174 10813 97 76 $1291288 5232016 $1275311 ($15977) 812016 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 1752 9224 89 19 $000 5232016 $000 $000 812016
SAINT ANNE HOME 125 5864 11062 97 53 $000 5232016 $000 $000 812016
SAINT JOSEPH VILLA SAINT MARYS VILLA NURSING
106 5410 8161 85 66 $854645 5232016 $844071 ($10574) 812016
HOME INC 112 5747 9617 94 60 $000 5232016 $000 $000 812016
SAINT PAUL HOMES 192 9221 17066 98 54 $000 5232016 $000 $000 812016
SANATOGA CENTER 130 6362 11287 95 56 $000 5232016 $000 $000 812016
SARAH A TODD MEMORIAL HOME 117 7221 10047 94 72 $1140738 5232016 $1126624 ($14114) 812016
SAXONY HEALTH CENTER 68 3658 5701 92 64 $000 5232016 $000 $000 812016
SAYRE HEALTH CARE CENTER LLC 50 1868 4161 91 45 $000 5232016 $000 $000 812016 SCENERY HILL HEALTHCARE amp REHAB CENTER 56 2800 4320 85 65 $442330 5232016 $436857 ($5473) 812016
SCHUYLKILL CENTER 190 13372 16629 96 80 $2112442 5232016 $2086306 ($26136) 812016 SCOTTDALE HEALTHCARE amp REHAB CENTER 35 1135 2977 93 38 $000 5232016 $000 $000 812016
SCRANTON HEALTH CARE CENTER 44 1965 3513 88 56 $000 5232016 $000 $000 812016
SENA-KEAN MANOR 152 8802 11557 84 76 $000 5232016 $000 $000 812016
SENECA PLACE 174 8176 12058 76 68 $000 5232016 $000 $000 812016
SETON MANOR INC SHENANDOAH MANOR NURSING
120 7571 10246 94 74 $1196029 5232016 $1181231 ($14798) 812016
CENTER 124 8066 10261 91 79 $1274227 5232016 $1258461 ($15766) 812016 SHENANGO PRESBYTERIAN SENIORCARE 25 439 2194 96 20 $000 5232016 $000 $000 812016
SHERWOOD OAKS 43 91 3064 78 3 $000 5232016 $000 $000 812016 SHIPPENSBURG HEALTH CARE CENTER 125 7420 9605 84 77 $000 5232016 $000 $000 812016
SIEMONS LAKEVIEW MANOR NSG 120 8142 10548 97 77 $1286233 5232016 $1270319 ($15914) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 6
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
CENTER
GREENLEAF NURSING HOME AND CONVAL CENTER 130 8876 10674 90 83 $1402186 5232016 $1384838 ($17348) 812016
GREENSBURG CARE CENTER 120 7190 9977 91 72 $1135841 5232016 $1121787 ($14054) 812016
GROVE MANOR 59 2941 5209 97 56 $000 5232016 $000 $000 812016 GUARDIAN HEALTHCARE amp REHAB CENTER 110 7385 9112 91 81 $1166646 5232016 $1152211 ($14435) 812016 GUTHRIE TOWANDA MEMORIAL HOSPITAL SNU 68 3637 5828 94 62 $000 5232016 $000 $000 812016
GUY AND MARY FELT MANOR INC 40 1860 3013 83 62 $000 5232016 $000 $000 812016 GWYNEDD SQUARE CTR FOR NSG amp CONVAL CARE 181 11752 15473 94 76 $1856523 5232016 $1833553 ($22970) 812016
HAMILTON ARMS CENTER 94 5850 8008 94 73 $924154 5232016 $912720 ($11434) 812016
HAMPTON HOUSE 104 6606 8115 86 81 $1043583 5232016 $1030671 ($12912) 812016
HANOVER HALL 152 8517 12867 93 66 $1345473 5232016 $1328826 ($16647) 812016
HARMAR VILLAGE CARE CENTER 130 7594 10924 92 70 $1199662 5232016 $1184820 ($14842) 812016
HARMON HOUSE CARE CENTER 109 6470 9358 94 69 $1022099 5232016 $1009453 ($12646) 812016 HARRISON SENIOR LIVING OF CHRISTIANA 139 7455 10005 79 75 $000 5232016 $000 $000 812016
HARSTON HALL 120 8804 10421 95 84 $1390812 5232016 $1373604 ($17208) 812016
HAVEN CONVALESCENT HOME INC HAVEN SKILLED REHABILITATION
91 6451 8256 100 78 $1019097 5232016 $1006488 ($12609) 812016
AND NURSING 90 4153 5983 73 69 $000 5232016 $000 $000 812016
HAVENCREST NURSING CENTER 48 2118 3633 83 58 $000 5232016 $000 $000 812016 HEARTHSIDE REHAB AND NURSING CENTER THE 157 9898 13343 93 74 $1563637 5232016 $1544291 ($19346) 812016
HEMPFIELD MANOR 120 5995 10213 94 59 $000 5232016 $000 $000 812016
HENRY CLAY VILLA LP HIGHLAND MANOR REHAB amp
74 5281 6278 93 84 $834266 5232016 $823944 ($10322) 812016
NURSING CENTER 120 7299 9235 85 79 $1153060 5232016 $1138794 ($14266) 812016
HIGHLAND PARK CARE CENTER HIGHLAND VIEW HEALTHCARE amp
144 9955 11584 88 86 $1572642 5232016 $1553184 ($19458) 812016
REHAB CENTER 50 2912 4147 91 70 $460023 5232016 $454332 ($5691) 812016
HIGHLANDS CARE CENTER THE 120 8996 10214 94 88 $1421143 5232016 $1403560 ($17583) 812016
HILLCREST CENTER HILLSDALE REHABILITATION AND
180 14437 15865 97 91 $2280686 5232016 $2252468 ($28218) 812016
NURSING CTR 74 4290 6157 91 70 $677713 5232016 $669328 ($8385) 812016
HOLY FAMILY MANOR 208 11834 17286 91 68 $1869477 5232016 $1846346 ($23131) 812016
HOLY FAMILY RESIDENCE 54 4345 4856 99 89 $686402 5232016 $677909 ($8493) 812016
HOMESTEAD VILLAGE INC 60 1583 4852 89 33 $000 5232016 $000 $000 812016 HOMETOWN NURSING AND REHAB CENTER 150 8831 12121 89 73 $1395078 5232016 $1377817 ($17261) 812016 HOMEWOOD AT MARTINSBURG PA INC 129 5608 11420 97 49 $000 5232016 $000 $000 812016
HOMEWOOD AT PLUM CREEK 120 3701 10634 97 35 $000 5232016 $000 $000 812016
HOPKINS CENTER 106 7986 9107 94 88 $1261589 5232016 $1245980 ($15609) 812016 HOSPITALITY CARE CENTER OF HERMITAGE INC HUNTINGDON HILLS REHAB amp
33 2002 2528 84 79 $000 5232016 $000 $000 812016
NURSING CENTER 93 5589 8174 97 68 $882923 5232016 $871998 ($10925) 812016 IMMACULATE MARY CTR FOR REHAB amp HLTHCARE 296 19975 26188 97 76 $3155552 5232016 $3116509 ($39043) 812016
INGLIS HOUSE 297 25399 26683 99 95 $4012408 5232016 $3962764 ($49644) 812016 IVY HILL REHABILITATION AND NURSING CTR 145 9303 12120 92 77 $1469642 5232016 $1451459 ($18183) 812016
JAMESON CARE CENTER 78 2384 6661 94 36 $000 5232016 $000 $000 812016 JEFFERSON HILLS HEALTHCARE amp REHAB CTR 83 4173 5991 79 70 $000 5232016 $000 $000 812016 JEFFERSON MANOR HEALTH CENTER 160 8962 12165 84 74 $000 $000 812016 JEWISH HOME OF EASTERN PENNSYLVANIA 173 10598 14309 91 74 $1674220 5232016 $1653505 ($20715) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
JULIA POUND CARE CENTER JULIA RIBAUDO EXTENDED CARE
131 5923 9650 81 61 $000 5232016 $000 $000 812016
CENTER 120 6744 9314 85 72 $1065384 5232016 $1052202 ($13182) 812016 KADE HEALTH AND REHABILITATION CENTERKEARSLEY REHAB AND NURSING
74 5118 6129 91 84 $808516 5232016 $798513 ($10003) 812016
CENTER 84 5198 7438 97 70 $821154 5232016 $810994 ($10160) 812016 KEPLER CENTER FOR NURSING AND REHAB 40 2420 2821 78 86 $000 5232016 $000 $000 812016
KINGSTON HEALTH CARE CENTER 65 2592 5009 85 52 $000 5232016 $000 $000 812016 KINKORA PYTHIAN HOME CORPORATION 60 2536 4737 87 54 $000 5232016 $000 $000 812016
KITTANNING CARE CENTER 120 8319 9648 88 86 $1314194 5232016 $1297934 ($16260) 812016
KUTZTOWN MANOR 140 10086 12591 99 80 $1593336 5232016 $1573623 ($19713) 812016 LACKAWANNA HEALTH AND REHAB CENTER 272 15336 17357 70 88 $000 5232016 $000 $000 812016
LAFAYETTE MANOR INC 98 5447 7818 88 70 $860490 5232016 $849844 ($10646) 812016 LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) 120 4973 10523 96 47 $000 5232016 $000 $000 812016 LAKESIDE HEALTH AND REHABILITATION CTR LAKEVIEW HEALTHCARE amp
31 2095 2547 90 82 $330958 5232016 $326863 ($4095) 812016
REHABILITATION CTR 34 1779 2933 95 61 $000 5232016 $000 $000 812016
LANCASHIRE HALL 240 16468 19548 90 84 $2601533 5232016 $2569345 ($32188) 812016
LANDIS HOMES LANGHORNE GARDENS HEALTH amp
103 3655 9110 97 40 $000 5232016 $000 $000 812016
REHAB CENTER 120 8155 10660 98 77 $1288286 5232016 $1272347 ($15939) 812016 LATROBE HEALTH AND REHABILITATION CENTER 107 7612 8734 90 87 $1202506 5232016 $1187628 ($14878) 812016 LAUREL CARE NURSING AND REHAB CENTER 92 4900 8157 97 60 $000 5232016 $000 $000 812016
LAUREL CENTER 130 8880 11245 95 79 $1402818 5232016 $1385462 ($17356) 812016
LAUREL RIDGE CENTER 61 3903 5068 91 77 $616577 5232016 $608948 ($7629) 812016
LAUREL WOOD CARE CENTER 120 7106 10193 93 70 $1122571 5232016 $1108682 ($13889) 812016
LAWSON NURSING HOME INC 50 1979 3887 85 51 $000 5232016 $000 $000 812016
LEBANON VALLEY BRETHREN HOME 100 3297 8064 89 41 $000 5232016 $000 $000 812016
LEBANON VALLEY HOME THE 55 2322 4812 96 48 $000 5232016 $000 $000 812016
LECOM AT PRESQUE ISLE INC 141 9318 10999 86 85 $1472011 5232016 $1453799 ($18212) 812016
LEHIGH CENTER LGAR HEALTH AND REHABILITATION
128 4712 10984 94 43 $000 5232016 $000 $000 812016
CENTERLINWOOD NURSING AND
120 7533 9703 89 78 $1190026 5232016 $1175302 ($14724) 812016
REHABILITATION CTR 102 6105 7603 82 80 $000 5232016 $000 $000 812016
LITTLE FLOWER MANOR 127 4093 9361 81 44 $000 5232016 $000 $000 812016
LITTLE SISTERS OF THE POOR LOCUST GROVE RETIREMENT
48 4027 4276 98 94 $636166 5232016 $628294 ($7872) 812016
VILLAGE 104 6535 8337 88 78 $1032367 5232016 $1019594 ($12773) 812016
LOYALHANNA CARE CENTER LOYALSOCK CREEK REHAB AND
120 6582 10101 93 65 $1039792 5232016 $1026927 ($12865) 812016
NURSING CTR 133 6346 9911 82 64 $000 5232016 $000 $000 812016
LUTHER ACRES MANOR 106 3931 9516 99 41 $000 5232016 $000 $000 812016
LUTHER CREST NURSING FACILITY LUTHER WOODS NURSING amp REHAB
60 1317 5147 94 26 $000 5232016 $000 $000 812016
CENTER 140 5033 10363 81 49 $000 5232016 $000 $000 812016 LUTHERAN COMMUNITY AT TELFORD 75 2517 6345 93 40 $000 5232016 $000 $000 812016
LUTHERAN HOME AT KANE THE 90 5754 7895 96 73 $908988 5232016 $897742 ($11246) 812016
LUTHERAN HOME AT TOPTON MAJESTIC OAKS REHAB amp NURSING
194 10116 17266 98 59 $000 5232016 $000 $000 812016
CENTER 180 12311 15278 93 81 $1944831 5232016 $1920768 ($24063) 812016
MANCHESTER COMMONS MANORCARE HEALTH SERVICES -
78 3461 6697 94 52 $000 5232016 $000 $000 812016
ERIE 120 6885 9557 88 72 $1087658 5232016 $1074201 ($13457) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SERVICES - MONTGOMERYMANORCARE HEALTH SERVICES -
170 10412 12829 83 81 $000 5232016 $000 $000 812016
NORTHSIDE 100 6607 7307 80 90 $000 5232016 $000 $000 812016 MANORCARE HEALTH SERVICES - WALLINGFORD 198 13669 16625 92 82 $2159361 5232016 $2132644 ($26717) 812016 MANORCARE HEALTH SVCS-ALLENTOWNMANORCARE HEALTH SVCS-BETHEL
166 10411 13035 86 80 $1644678 5232016 $1624329 ($20349) 812016
PARK 160 7549 10822 74 70 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2021) 227 15642 18485 89 85 $2471046 5232016 $2440472 ($30574) 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2029) MANORCARE HEALTH SVCS-CAMP
217 14132 16950 86 83 $2232503 5232016 $2204881 ($27622) 812016
HILL 123 6570 10005 89 66 $1037896 5232016 $1025055 ($12841) 812016 MANORCARE HEALTH SVCS-CARLISLE 150 9216 12128 89 76 $1455898 5232016 $1437885 ($18013) 812016 MANORCARE HEALTH SVCS-CHAMBERSBURG MANORCARE HEALTH SVCS-
210 12747 18213 95 70 $2013708 5232016 $1988793 ($24915) 812016
DALLASTOWN 202 14021 17331 94 81 $2214968 5232016 $2187563 ($27405) 812016 MANORCARE HEALTH SVCS-EASTON 227 12875 16911 82 76 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-ELIZABETHTOWN MANORCARE HEALTH SVCS-GREEN
73 4283 5959 90 72 $676607 5232016 $668236 ($8371) 812016
TREE 180 7353 12631 77 58 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY 130 8158 10380 88 79 $1288760 5232016 $1272815 ($15945) 812016 MANORCARE HEALTH SVCS-JERSEY SHOREMANORCARE HEALTH SVCS-KING
120 8222 10571 97 78 $1298871 5232016 $1282800 ($16071) 812016
OF PRUSSIA 150 8403 11318 83 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON 176 9061 12314 77 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON COURT MANORCARE HEALTH SVCS-
151 8738 12664 92 69 $1380386 5232016 $1363307 ($17079) 812016
LANCASTERMANORCARE HEALTH SVCS-
172 11273 15018 96 75 $1780853 5232016 $1758819 ($22034) 812016
LAURELDALE 198 11424 16841 93 68 $1804707 5232016 $1782378 ($22329) 812016 MANORCARE HEALTH SVCS-LEBANON 159 9511 13084 90 73 $1502501 5232016 $1483911 ($18590) 812016 MANORCARE HEALTH SVCS-MERCY FITZGERALDMANORCARE HEALTH SVCS-
129 6912 10364 88 67 $1091924 5232016 $1078414 ($13510) 812016
MONROEVILLE 131 5589 10276 86 54 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-NORTH HILLS 200 10790 15542 85 69 $1704551 5232016 $1683461 ($21090) 812016 MANORCARE HEALTH SVCS-OXFORD VALLEY MANORCARE HEALTH SVCS-PETERS
150 7359 11989 88 61 $000 5232016 $000 $000 812016
TOWNSHIP 140 6871 9362 73 73 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-PITTSBURGH 197 12687 15113 84 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-POTTSTOWNMANORCARE HEALTH SVCS-
165 9906 12370 82 80 $000 5232016 $000 $000 812016
POTTSVILLE 179 12764 15521 95 82 $2016393 5232016 $1991445 ($24948) 812016 MANORCARE HEALTH SVCS-SHADYSIDE 150 10598 12638 93 84 $1674220 5232016 $1653505 ($20715) 812016 MANORCARE HEALTH SVCS-SINKING SPRING MANORCARE HEALTH SVCS-
214 13295 18373 94 72 $2100278 5232016 $2074292 ($25986) 812016
SUNBURY 126 8845 10874 95 81 $1397289 5232016 $1380001 ($17288) 812016 MANORCARE HEALTH SVCS-WEST READING NORTH 176 13741 15583 97 88 $2170735 5232016 $2143877 ($26858) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SVCS-WHITEHALL BOROUGH MANORCARE HEALTH SVCS-
166 4466 13324 88 34 $000 5232016 $000 $000 812016
WILLIAMSPORT NORTH 152 9336 11126 80 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH 116 8174 9755 92 84 $1291288 5232016 $1275311 ($15977) 812016 MANORCARE HEALTH SVCS-YEADONMANORCARE HEALTH SVCS-YORK
198 15867 17473 97 91 $2506590 5232016 $2475577 ($31013) 812016
NORTH 161 9991 14040 96 71 $1578329 5232016 $1558801 ($19528) 812016 MANORCARE HEALTH SVCS-YORK SOUTH 151 8874 12814 93 69 $1401871 5232016 $1384526 ($17345) 812016 MANORCARE HLTH SVCS amp REHAB -WEST ALLEN 146 8495 10558 79 80 $000 5232016 $000 $000 812016
MAPLE FARM 46 1902 3872 92 49 $000 5232016 $000 $000 812016
MAPLE WINDS CARE CENTER 50 1787 3548 78 50 $000 5232016 $000 $000 812016 MAPLEWOOD NURSING AND REHABILITATION CTR 180 14261 15863 97 90 $2252882 5232016 $2225008 ($27874) 812016
100 MARGARET E MOUL HOME 82 7451 7462 100 $1177072 5232016 $1162509 ($14563) 812016
MARIAN MANOR CORPORATION 154 6836 12393 88 55 $000 5232016 $000 $000 812016
MARWOOD REST HOME INC 87 6586 7495 95 88 $1040424 5232016 $1027551 ($12873) 812016 MASONIC VILLAGE AT ELIZABETHTOWN MASONIC VILLAGE AT LAFAYETTE
453 22115 38630 94 57 $000 5232016 $000 $000 812016
HILL 60 3278 5287 97 62 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT SEWICKLEY 128 4054 11408 98 36 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT WARMINSTER 43 2425 3624 93 67 $383089 5232016 $378350 ($4739) 812016 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER 240 16037 19717 90 81 $2533446 5232016 $2502100 ($31346) 812016
MCMURRAY HILLS MANOR MEADOW VIEW HEALTHCARE amp
115 8012 10216 98 78 $1265696 5232016 $1250036 ($15660) 812016
REHAB CENTER 63 4141 5656 99 73 $654175 5232016 $646081 ($8094) 812016
MEADOW VIEW NURSING CENTER 150 9319 12460 91 75 $1472169 5232016 $1453955 ($18214) 812016
MEADOWCREST NURSING CENTER 50 2455 3684 81 67 $000 5232016 $000 $000 812016 MEADOWS NURSING AND REHAB CENTERMEADOWVIEW REHAB amp NURSING
130 6034 9745 82 62 $000 5232016 $000 $000 812016
CENTER 244 15851 18859 85 84 $2504062 5232016 $2473081 ($30981) 812016
MERCY CENTER NURSING UNIT INC 59 3201 5154 96 62 $000 5232016 $000 $000 812016
MID VALLEY HEALTH CARE CENTER 38 1427 2851 82 50 $000 5232016 $000 $000 812016
MIFFLIN CENTER 136 6641 11413 92 58 $000 5232016 $000 $000 812016 MILFORD SENIOR CARE AND REHAB CENTER 80 4805 6676 92 72 $759070 5232016 $749678 ($9392) 812016
MILLCREEK MANOR 138 3336 4817 38 69 $000 5232016 $000 $000 812016 MILLVILLE HEALTH AND REHABILITATION CTR MILTON NURSING AND
110 7602 8148 81 93 $000 5232016 $000 $000 812016
REHABILITATION CENTER 138 8893 11114 89 80 $1404872 5232016 $1387490 ($17382) 812016
MON VALLEY CARE CENTER MORAVIAN HALL SQ HLTH AND
60 1955 4926 90 40 $000 5232016 $000 $000 812016
WELLNESS CTR 61 273 5257 95 5 $000 5232016 $000 $000 812016
MORAVIAN MANOR 127 2782 10551 91 26 $000 5232016 $000 $000 812016
MORRISONS COVE HOME MOUNT CARMEL NURSING AND
124 7738 10588 94 73 $1222411 5232016 $1207286 ($15125) 812016
REHAB CENTER MOUNT MACRINA MANOR NURSING
121 7593 10382 94 73 $1199505 5232016 $1184664 ($14841) 812016
HOME 139 7377 10604 84 70 $000 5232016 $000 $000 812016 MOUNTAIN CITY NURSING AND REHAB CENTER 297 19439 24350 90 80 $3070877 5232016 $3032882 ($37995) 812016
MOUNTAIN LAUREL NRC 240 14471 18157 83 80 $000 5232016 $000 $000 812016 MOUNTAIN TOP HEALTHCARE AND REHAB CTR 106 6767 9142 95 74 $1069017 5232016 $1055791 ($13226) 812016
MOUNTAIN VIEW A NURSING AND 271 14896 17958 73 83 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
REHAB CTR
MOUNTAINVIEW SPECIALTY CARE CENTER 137 7086 9938 80 71 $000 5232016 $000 $000 812016 MULBERRY HEALTHCARE amp REHAB CTR 75 4408 6172 90 71 $696354 5232016 $687738 ($8616) 812016
NAAMANS CREEK COUNTRY MANOR NEW EASTWOOD HEALTHCARE AND
90 4638 7642 93 61 $000 5232016 $000 $000 812016
REHAB CENTER 97 4424 8242 93 54 $000 5232016 $000 $000 812016
NORMANDIE RIDGE NORRITON SQUARE NURSING amp
64 2527 5457 94 46 $000 5232016 $000 $000 812016
REHAB CENTER 99 3369 7844 87 43 $000 5232016 $000 $000 812016 NORTH HILLS HEALTH AND REHAB CENTER 55 2700 4705 94 57 $000 5232016 $000 $000 812016
NOTTINGHAM VILLAGE 121 6185 9707 88 64 $000 5232016 $000 $000 812016
NUGENT CONVALESCENT HOME OAK HILL NURSING AND REHAB
105 6153 8954 94 69 $972020 5232016 $959994 ($12026) 812016
CENTER 48 2758 3885 89 71 $435695 5232016 $430304 ($5391) 812016 OAKMONT CENTER FOR NURSING AND REHAB 85 5301 6694 87 79 $837426 5232016 $827065 ($10361) 812016 OAKWOOD HEALTHCARE amp REHABILITATION CTR 148 9099 12142 90 75 $1437415 5232016 $1419630 ($17785) 812016
OAKWOOD HEIGHTS 106 6632 9084 94 73 $1047690 5232016 $1034728 ($12962) 812016
OHESSON MANOR 134 7753 11739 96 66 $1224781 5232016 $1209627 ($15154) 812016 OLD ORCHARD HEALTH CARE CENTERORANGEVILLE HEALTH AND REHAB
180 10603 15271 93 69 $1675009 5232016 $1654285 ($20724) 812016
CENTER 120 7517 9777 90 77 $1187498 5232016 $1172806 ($14692) 812016
ORCHARD MANOR INC 121 6990 10558 96 66 $1104246 5232016 $1090583 ($13663) 812016
ORWIGSBURG CENTER 130 7695 10014 85 77 $1215618 5232016 $1200578 ($15040) 812016 OVERLOOK HEALTH AND REHAB CENTER 115 7301 8449 81 86 $000 5232016 $000 $000 812016
OXFORD HEALTH CENTER 137 7198 12057 97 60 $000 5232016 $000 $000 812016 PALMYRA HEALTH AND REHABILITATION CTR PARK AVENUE REHAB AND
39 2248 3132 88 72 $355128 5232016 $350734 ($4394) 812016
NURSING CENTER 173 9846 12609 80 78 $000 5232016 $000 $000 812016 PARKHOUSE NURSING AND REHABILITATION CTR 467 31182 37791 89 83 $4925978 5232016 $4865031 ($60947) 812016 PASSAVANT RETIREMENT AND HEALTH CENTER 102 5007 9074 98 55 $000 5232016 $000 $000 812016
PAULS RUN 120 4135 10113 93 41 $000 5232016 $000 $000 812016
PAVILION AT BRMC 95 4647 7431 86 63 $000 5232016 $000 $000 812016 PEMBROOKE HEALTH AND REHAB CENTERPENN CENTER FOR REHABILITATION
180 12001 14374 88 83 $1895859 5232016 $1872402 ($23457) 812016
AND CARE 124 7587 10045 89 76 $1198557 5232016 $1183727 ($14830) 812016
PENNKNOLL VILLAGE 133 8841 11828 98 75 $1396657 5232016 $1379377 ($17280) 812016
PENNSBURG MANOR 120 6810 10237 94 67 $1075810 5232016 $1062499 ($13311) 812016
PENNYPACK CENTER 54 1997 4237 86 47 $000 5232016 $000 $000 812016
PHILADELPHIA PROTESTANT HOME 126 5611 11111 97 50 $000 $000 812016
PHOEBE ALLENTOWN HEALTH CARE PHOEBE BERKS HEALTH CARE
395 21047 31233 87 67 $3283763 $3283763 812016
CENTER INC 120 2306 8259 76 28 $000 $000 812016
PHOEBE RICHLAND HCC 143 7156 11553 89 62 $000 $000 812016
PHOEBE WYNCOTE 58 2889 4572 87 63 $000 $000 812016
PICKERING MANOR HOME 47 1520 4003 94 38 $000 5232016 $000 $000 812016 PLATINUM RIDGE CTR FOR REHAB amp HEALING 97 5898 8590 97 69 $931737 5232016 $920209 ($11528) 812016
POWERBACK REHABILITATION 1526 150 3935 11953 88 33 $000 5232016 $000 $000 812016
POWERBACK REHABILITATION 3485 109 1266 8550 86 15 $000 5232016 $000 $000 812016
PRAXIS ALZHEIMERS FACILITY PRESBYTERIAN HOMES-
115 8778 10034 96 87 $1386705 5232016 $1369548 ($17157) 812016
PRESBYTERY-HUNTINGDON 67 2962 5634 92 53 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
PROSPECT PARK HEALTH AND REHAB CENTER 180 12542 15346 94 82 $1981323 5232016 $1956809 ($24514) 812016
PROVIDENCE CARE CENTER 180 12935 15707 96 82 $2043407 5232016 $2018125 ($25282) 812016
QUAKERTOWN CENTER 138 7869 11241 90 70 $1243106 5232016 $1227725 ($15381) 812016
QUINCY RETIREMENT COMMUNITY 134 6760 11710 96 58 $000 5232016 $000 $000 812016
REFORMED PRESBYTERIAN HOME 58 3272 4575 87 72 $516894 5232016 $510499 ($6395) 812016 REGINA COMMUNITY NURSING CENTERRENAISSANCE HEALTHCARE amp
121 7934 10475 95 76 $1253374 5232016 $1237867 ($15507) 812016
REHAB CENTER 123 8018 10627 95 75 $1266644 5232016 $1250972 ($15672) 812016
REST HAVEN-YORK RICHBORO REHAB AND NURSING
159 8307 11626 80 71 $000 5232016 $000 $000 812016
CENTER 82 4398 6585 88 67 $694774 5232016 $686178 ($8596) 812016 RICHFIELD HEALTHCARE AND REHAB CENTER RIDGEVIEW HEALTHCARE amp REHAB
40 2357 3315 91 71 $372347 5232016 $367740 ($4607) 812016
CENTER 131 8890 11406 96 78 $1404398 5232016 $1387022 ($17376) 812016 RIDGEVIEW HEALTHCARE amp REHAB CENTER 111 5481 7498 74 73 $000 5232016 $000 $000 812016 RIVER RUN REHAB AND NURSING CENTERRIVERS EDGE NURSING AND REHAB
145 6567 8119 62 81 $000 5232016 $000 $000 812016
CENTER 120 6257 9108 83 69 $000 5232016 $000 $000 812016
RIVERSIDE CARE CENTER RIVERSIDE REHABILITATION AND
120 9013 10480 96 86 $1423829 5232016 $1406213 ($17616) 812016
NURSING CTR 161 10603 12961 88 82 $1675009 5232016 $1654285 ($20724) 812016
RIVERSTREET MANOR 122 7085 10168 92 70 $1119253 5232016 $1105405 ($13848) 812016
RIVERWOODS 226 7947 13637 66 58 $000 5232016 $000 $000 812016
ROCHESTER MANOR 122 5703 8311 75 69 $000 5232016 $000 $000 812016
ROLLING FIELDS INC 181 11319 15372 93 74 $1788120 5232016 $1765996 ($22124) 812016 ROLLING HILLS HEALTHCARE amp REHAB CENTER 57 3949 4785 92 83 $623843 5232016 $616125 ($7718) 812016
ROLLING MEADOWS 121 6979 9532 87 73 $1102508 5232016 $1088867 ($13641) 812016
ROSE VIEW CENTER 123 8174 10813 97 76 $1291288 5232016 $1275311 ($15977) 812016 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 1752 9224 89 19 $000 5232016 $000 $000 812016
SAINT ANNE HOME 125 5864 11062 97 53 $000 5232016 $000 $000 812016
SAINT JOSEPH VILLA SAINT MARYS VILLA NURSING
106 5410 8161 85 66 $854645 5232016 $844071 ($10574) 812016
HOME INC 112 5747 9617 94 60 $000 5232016 $000 $000 812016
SAINT PAUL HOMES 192 9221 17066 98 54 $000 5232016 $000 $000 812016
SANATOGA CENTER 130 6362 11287 95 56 $000 5232016 $000 $000 812016
SARAH A TODD MEMORIAL HOME 117 7221 10047 94 72 $1140738 5232016 $1126624 ($14114) 812016
SAXONY HEALTH CENTER 68 3658 5701 92 64 $000 5232016 $000 $000 812016
SAYRE HEALTH CARE CENTER LLC 50 1868 4161 91 45 $000 5232016 $000 $000 812016 SCENERY HILL HEALTHCARE amp REHAB CENTER 56 2800 4320 85 65 $442330 5232016 $436857 ($5473) 812016
SCHUYLKILL CENTER 190 13372 16629 96 80 $2112442 5232016 $2086306 ($26136) 812016 SCOTTDALE HEALTHCARE amp REHAB CENTER 35 1135 2977 93 38 $000 5232016 $000 $000 812016
SCRANTON HEALTH CARE CENTER 44 1965 3513 88 56 $000 5232016 $000 $000 812016
SENA-KEAN MANOR 152 8802 11557 84 76 $000 5232016 $000 $000 812016
SENECA PLACE 174 8176 12058 76 68 $000 5232016 $000 $000 812016
SETON MANOR INC SHENANDOAH MANOR NURSING
120 7571 10246 94 74 $1196029 5232016 $1181231 ($14798) 812016
CENTER 124 8066 10261 91 79 $1274227 5232016 $1258461 ($15766) 812016 SHENANGO PRESBYTERIAN SENIORCARE 25 439 2194 96 20 $000 5232016 $000 $000 812016
SHERWOOD OAKS 43 91 3064 78 3 $000 5232016 $000 $000 812016 SHIPPENSBURG HEALTH CARE CENTER 125 7420 9605 84 77 $000 5232016 $000 $000 812016
SIEMONS LAKEVIEW MANOR NSG 120 8142 10548 97 77 $1286233 5232016 $1270319 ($15914) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 7
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
JULIA POUND CARE CENTER JULIA RIBAUDO EXTENDED CARE
131 5923 9650 81 61 $000 5232016 $000 $000 812016
CENTER 120 6744 9314 85 72 $1065384 5232016 $1052202 ($13182) 812016 KADE HEALTH AND REHABILITATION CENTERKEARSLEY REHAB AND NURSING
74 5118 6129 91 84 $808516 5232016 $798513 ($10003) 812016
CENTER 84 5198 7438 97 70 $821154 5232016 $810994 ($10160) 812016 KEPLER CENTER FOR NURSING AND REHAB 40 2420 2821 78 86 $000 5232016 $000 $000 812016
KINGSTON HEALTH CARE CENTER 65 2592 5009 85 52 $000 5232016 $000 $000 812016 KINKORA PYTHIAN HOME CORPORATION 60 2536 4737 87 54 $000 5232016 $000 $000 812016
KITTANNING CARE CENTER 120 8319 9648 88 86 $1314194 5232016 $1297934 ($16260) 812016
KUTZTOWN MANOR 140 10086 12591 99 80 $1593336 5232016 $1573623 ($19713) 812016 LACKAWANNA HEALTH AND REHAB CENTER 272 15336 17357 70 88 $000 5232016 $000 $000 812016
LAFAYETTE MANOR INC 98 5447 7818 88 70 $860490 5232016 $849844 ($10646) 812016 LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) 120 4973 10523 96 47 $000 5232016 $000 $000 812016 LAKESIDE HEALTH AND REHABILITATION CTR LAKEVIEW HEALTHCARE amp
31 2095 2547 90 82 $330958 5232016 $326863 ($4095) 812016
REHABILITATION CTR 34 1779 2933 95 61 $000 5232016 $000 $000 812016
LANCASHIRE HALL 240 16468 19548 90 84 $2601533 5232016 $2569345 ($32188) 812016
LANDIS HOMES LANGHORNE GARDENS HEALTH amp
103 3655 9110 97 40 $000 5232016 $000 $000 812016
REHAB CENTER 120 8155 10660 98 77 $1288286 5232016 $1272347 ($15939) 812016 LATROBE HEALTH AND REHABILITATION CENTER 107 7612 8734 90 87 $1202506 5232016 $1187628 ($14878) 812016 LAUREL CARE NURSING AND REHAB CENTER 92 4900 8157 97 60 $000 5232016 $000 $000 812016
LAUREL CENTER 130 8880 11245 95 79 $1402818 5232016 $1385462 ($17356) 812016
LAUREL RIDGE CENTER 61 3903 5068 91 77 $616577 5232016 $608948 ($7629) 812016
LAUREL WOOD CARE CENTER 120 7106 10193 93 70 $1122571 5232016 $1108682 ($13889) 812016
LAWSON NURSING HOME INC 50 1979 3887 85 51 $000 5232016 $000 $000 812016
LEBANON VALLEY BRETHREN HOME 100 3297 8064 89 41 $000 5232016 $000 $000 812016
LEBANON VALLEY HOME THE 55 2322 4812 96 48 $000 5232016 $000 $000 812016
LECOM AT PRESQUE ISLE INC 141 9318 10999 86 85 $1472011 5232016 $1453799 ($18212) 812016
LEHIGH CENTER LGAR HEALTH AND REHABILITATION
128 4712 10984 94 43 $000 5232016 $000 $000 812016
CENTERLINWOOD NURSING AND
120 7533 9703 89 78 $1190026 5232016 $1175302 ($14724) 812016
REHABILITATION CTR 102 6105 7603 82 80 $000 5232016 $000 $000 812016
LITTLE FLOWER MANOR 127 4093 9361 81 44 $000 5232016 $000 $000 812016
LITTLE SISTERS OF THE POOR LOCUST GROVE RETIREMENT
48 4027 4276 98 94 $636166 5232016 $628294 ($7872) 812016
VILLAGE 104 6535 8337 88 78 $1032367 5232016 $1019594 ($12773) 812016
LOYALHANNA CARE CENTER LOYALSOCK CREEK REHAB AND
120 6582 10101 93 65 $1039792 5232016 $1026927 ($12865) 812016
NURSING CTR 133 6346 9911 82 64 $000 5232016 $000 $000 812016
LUTHER ACRES MANOR 106 3931 9516 99 41 $000 5232016 $000 $000 812016
LUTHER CREST NURSING FACILITY LUTHER WOODS NURSING amp REHAB
60 1317 5147 94 26 $000 5232016 $000 $000 812016
CENTER 140 5033 10363 81 49 $000 5232016 $000 $000 812016 LUTHERAN COMMUNITY AT TELFORD 75 2517 6345 93 40 $000 5232016 $000 $000 812016
LUTHERAN HOME AT KANE THE 90 5754 7895 96 73 $908988 5232016 $897742 ($11246) 812016
LUTHERAN HOME AT TOPTON MAJESTIC OAKS REHAB amp NURSING
194 10116 17266 98 59 $000 5232016 $000 $000 812016
CENTER 180 12311 15278 93 81 $1944831 5232016 $1920768 ($24063) 812016
MANCHESTER COMMONS MANORCARE HEALTH SERVICES -
78 3461 6697 94 52 $000 5232016 $000 $000 812016
ERIE 120 6885 9557 88 72 $1087658 5232016 $1074201 ($13457) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SERVICES - MONTGOMERYMANORCARE HEALTH SERVICES -
170 10412 12829 83 81 $000 5232016 $000 $000 812016
NORTHSIDE 100 6607 7307 80 90 $000 5232016 $000 $000 812016 MANORCARE HEALTH SERVICES - WALLINGFORD 198 13669 16625 92 82 $2159361 5232016 $2132644 ($26717) 812016 MANORCARE HEALTH SVCS-ALLENTOWNMANORCARE HEALTH SVCS-BETHEL
166 10411 13035 86 80 $1644678 5232016 $1624329 ($20349) 812016
PARK 160 7549 10822 74 70 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2021) 227 15642 18485 89 85 $2471046 5232016 $2440472 ($30574) 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2029) MANORCARE HEALTH SVCS-CAMP
217 14132 16950 86 83 $2232503 5232016 $2204881 ($27622) 812016
HILL 123 6570 10005 89 66 $1037896 5232016 $1025055 ($12841) 812016 MANORCARE HEALTH SVCS-CARLISLE 150 9216 12128 89 76 $1455898 5232016 $1437885 ($18013) 812016 MANORCARE HEALTH SVCS-CHAMBERSBURG MANORCARE HEALTH SVCS-
210 12747 18213 95 70 $2013708 5232016 $1988793 ($24915) 812016
DALLASTOWN 202 14021 17331 94 81 $2214968 5232016 $2187563 ($27405) 812016 MANORCARE HEALTH SVCS-EASTON 227 12875 16911 82 76 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-ELIZABETHTOWN MANORCARE HEALTH SVCS-GREEN
73 4283 5959 90 72 $676607 5232016 $668236 ($8371) 812016
TREE 180 7353 12631 77 58 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY 130 8158 10380 88 79 $1288760 5232016 $1272815 ($15945) 812016 MANORCARE HEALTH SVCS-JERSEY SHOREMANORCARE HEALTH SVCS-KING
120 8222 10571 97 78 $1298871 5232016 $1282800 ($16071) 812016
OF PRUSSIA 150 8403 11318 83 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON 176 9061 12314 77 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON COURT MANORCARE HEALTH SVCS-
151 8738 12664 92 69 $1380386 5232016 $1363307 ($17079) 812016
LANCASTERMANORCARE HEALTH SVCS-
172 11273 15018 96 75 $1780853 5232016 $1758819 ($22034) 812016
LAURELDALE 198 11424 16841 93 68 $1804707 5232016 $1782378 ($22329) 812016 MANORCARE HEALTH SVCS-LEBANON 159 9511 13084 90 73 $1502501 5232016 $1483911 ($18590) 812016 MANORCARE HEALTH SVCS-MERCY FITZGERALDMANORCARE HEALTH SVCS-
129 6912 10364 88 67 $1091924 5232016 $1078414 ($13510) 812016
MONROEVILLE 131 5589 10276 86 54 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-NORTH HILLS 200 10790 15542 85 69 $1704551 5232016 $1683461 ($21090) 812016 MANORCARE HEALTH SVCS-OXFORD VALLEY MANORCARE HEALTH SVCS-PETERS
150 7359 11989 88 61 $000 5232016 $000 $000 812016
TOWNSHIP 140 6871 9362 73 73 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-PITTSBURGH 197 12687 15113 84 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-POTTSTOWNMANORCARE HEALTH SVCS-
165 9906 12370 82 80 $000 5232016 $000 $000 812016
POTTSVILLE 179 12764 15521 95 82 $2016393 5232016 $1991445 ($24948) 812016 MANORCARE HEALTH SVCS-SHADYSIDE 150 10598 12638 93 84 $1674220 5232016 $1653505 ($20715) 812016 MANORCARE HEALTH SVCS-SINKING SPRING MANORCARE HEALTH SVCS-
214 13295 18373 94 72 $2100278 5232016 $2074292 ($25986) 812016
SUNBURY 126 8845 10874 95 81 $1397289 5232016 $1380001 ($17288) 812016 MANORCARE HEALTH SVCS-WEST READING NORTH 176 13741 15583 97 88 $2170735 5232016 $2143877 ($26858) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SVCS-WHITEHALL BOROUGH MANORCARE HEALTH SVCS-
166 4466 13324 88 34 $000 5232016 $000 $000 812016
WILLIAMSPORT NORTH 152 9336 11126 80 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH 116 8174 9755 92 84 $1291288 5232016 $1275311 ($15977) 812016 MANORCARE HEALTH SVCS-YEADONMANORCARE HEALTH SVCS-YORK
198 15867 17473 97 91 $2506590 5232016 $2475577 ($31013) 812016
NORTH 161 9991 14040 96 71 $1578329 5232016 $1558801 ($19528) 812016 MANORCARE HEALTH SVCS-YORK SOUTH 151 8874 12814 93 69 $1401871 5232016 $1384526 ($17345) 812016 MANORCARE HLTH SVCS amp REHAB -WEST ALLEN 146 8495 10558 79 80 $000 5232016 $000 $000 812016
MAPLE FARM 46 1902 3872 92 49 $000 5232016 $000 $000 812016
MAPLE WINDS CARE CENTER 50 1787 3548 78 50 $000 5232016 $000 $000 812016 MAPLEWOOD NURSING AND REHABILITATION CTR 180 14261 15863 97 90 $2252882 5232016 $2225008 ($27874) 812016
100 MARGARET E MOUL HOME 82 7451 7462 100 $1177072 5232016 $1162509 ($14563) 812016
MARIAN MANOR CORPORATION 154 6836 12393 88 55 $000 5232016 $000 $000 812016
MARWOOD REST HOME INC 87 6586 7495 95 88 $1040424 5232016 $1027551 ($12873) 812016 MASONIC VILLAGE AT ELIZABETHTOWN MASONIC VILLAGE AT LAFAYETTE
453 22115 38630 94 57 $000 5232016 $000 $000 812016
HILL 60 3278 5287 97 62 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT SEWICKLEY 128 4054 11408 98 36 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT WARMINSTER 43 2425 3624 93 67 $383089 5232016 $378350 ($4739) 812016 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER 240 16037 19717 90 81 $2533446 5232016 $2502100 ($31346) 812016
MCMURRAY HILLS MANOR MEADOW VIEW HEALTHCARE amp
115 8012 10216 98 78 $1265696 5232016 $1250036 ($15660) 812016
REHAB CENTER 63 4141 5656 99 73 $654175 5232016 $646081 ($8094) 812016
MEADOW VIEW NURSING CENTER 150 9319 12460 91 75 $1472169 5232016 $1453955 ($18214) 812016
MEADOWCREST NURSING CENTER 50 2455 3684 81 67 $000 5232016 $000 $000 812016 MEADOWS NURSING AND REHAB CENTERMEADOWVIEW REHAB amp NURSING
130 6034 9745 82 62 $000 5232016 $000 $000 812016
CENTER 244 15851 18859 85 84 $2504062 5232016 $2473081 ($30981) 812016
MERCY CENTER NURSING UNIT INC 59 3201 5154 96 62 $000 5232016 $000 $000 812016
MID VALLEY HEALTH CARE CENTER 38 1427 2851 82 50 $000 5232016 $000 $000 812016
MIFFLIN CENTER 136 6641 11413 92 58 $000 5232016 $000 $000 812016 MILFORD SENIOR CARE AND REHAB CENTER 80 4805 6676 92 72 $759070 5232016 $749678 ($9392) 812016
MILLCREEK MANOR 138 3336 4817 38 69 $000 5232016 $000 $000 812016 MILLVILLE HEALTH AND REHABILITATION CTR MILTON NURSING AND
110 7602 8148 81 93 $000 5232016 $000 $000 812016
REHABILITATION CENTER 138 8893 11114 89 80 $1404872 5232016 $1387490 ($17382) 812016
MON VALLEY CARE CENTER MORAVIAN HALL SQ HLTH AND
60 1955 4926 90 40 $000 5232016 $000 $000 812016
WELLNESS CTR 61 273 5257 95 5 $000 5232016 $000 $000 812016
MORAVIAN MANOR 127 2782 10551 91 26 $000 5232016 $000 $000 812016
MORRISONS COVE HOME MOUNT CARMEL NURSING AND
124 7738 10588 94 73 $1222411 5232016 $1207286 ($15125) 812016
REHAB CENTER MOUNT MACRINA MANOR NURSING
121 7593 10382 94 73 $1199505 5232016 $1184664 ($14841) 812016
HOME 139 7377 10604 84 70 $000 5232016 $000 $000 812016 MOUNTAIN CITY NURSING AND REHAB CENTER 297 19439 24350 90 80 $3070877 5232016 $3032882 ($37995) 812016
MOUNTAIN LAUREL NRC 240 14471 18157 83 80 $000 5232016 $000 $000 812016 MOUNTAIN TOP HEALTHCARE AND REHAB CTR 106 6767 9142 95 74 $1069017 5232016 $1055791 ($13226) 812016
MOUNTAIN VIEW A NURSING AND 271 14896 17958 73 83 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
REHAB CTR
MOUNTAINVIEW SPECIALTY CARE CENTER 137 7086 9938 80 71 $000 5232016 $000 $000 812016 MULBERRY HEALTHCARE amp REHAB CTR 75 4408 6172 90 71 $696354 5232016 $687738 ($8616) 812016
NAAMANS CREEK COUNTRY MANOR NEW EASTWOOD HEALTHCARE AND
90 4638 7642 93 61 $000 5232016 $000 $000 812016
REHAB CENTER 97 4424 8242 93 54 $000 5232016 $000 $000 812016
NORMANDIE RIDGE NORRITON SQUARE NURSING amp
64 2527 5457 94 46 $000 5232016 $000 $000 812016
REHAB CENTER 99 3369 7844 87 43 $000 5232016 $000 $000 812016 NORTH HILLS HEALTH AND REHAB CENTER 55 2700 4705 94 57 $000 5232016 $000 $000 812016
NOTTINGHAM VILLAGE 121 6185 9707 88 64 $000 5232016 $000 $000 812016
NUGENT CONVALESCENT HOME OAK HILL NURSING AND REHAB
105 6153 8954 94 69 $972020 5232016 $959994 ($12026) 812016
CENTER 48 2758 3885 89 71 $435695 5232016 $430304 ($5391) 812016 OAKMONT CENTER FOR NURSING AND REHAB 85 5301 6694 87 79 $837426 5232016 $827065 ($10361) 812016 OAKWOOD HEALTHCARE amp REHABILITATION CTR 148 9099 12142 90 75 $1437415 5232016 $1419630 ($17785) 812016
OAKWOOD HEIGHTS 106 6632 9084 94 73 $1047690 5232016 $1034728 ($12962) 812016
OHESSON MANOR 134 7753 11739 96 66 $1224781 5232016 $1209627 ($15154) 812016 OLD ORCHARD HEALTH CARE CENTERORANGEVILLE HEALTH AND REHAB
180 10603 15271 93 69 $1675009 5232016 $1654285 ($20724) 812016
CENTER 120 7517 9777 90 77 $1187498 5232016 $1172806 ($14692) 812016
ORCHARD MANOR INC 121 6990 10558 96 66 $1104246 5232016 $1090583 ($13663) 812016
ORWIGSBURG CENTER 130 7695 10014 85 77 $1215618 5232016 $1200578 ($15040) 812016 OVERLOOK HEALTH AND REHAB CENTER 115 7301 8449 81 86 $000 5232016 $000 $000 812016
OXFORD HEALTH CENTER 137 7198 12057 97 60 $000 5232016 $000 $000 812016 PALMYRA HEALTH AND REHABILITATION CTR PARK AVENUE REHAB AND
39 2248 3132 88 72 $355128 5232016 $350734 ($4394) 812016
NURSING CENTER 173 9846 12609 80 78 $000 5232016 $000 $000 812016 PARKHOUSE NURSING AND REHABILITATION CTR 467 31182 37791 89 83 $4925978 5232016 $4865031 ($60947) 812016 PASSAVANT RETIREMENT AND HEALTH CENTER 102 5007 9074 98 55 $000 5232016 $000 $000 812016
PAULS RUN 120 4135 10113 93 41 $000 5232016 $000 $000 812016
PAVILION AT BRMC 95 4647 7431 86 63 $000 5232016 $000 $000 812016 PEMBROOKE HEALTH AND REHAB CENTERPENN CENTER FOR REHABILITATION
180 12001 14374 88 83 $1895859 5232016 $1872402 ($23457) 812016
AND CARE 124 7587 10045 89 76 $1198557 5232016 $1183727 ($14830) 812016
PENNKNOLL VILLAGE 133 8841 11828 98 75 $1396657 5232016 $1379377 ($17280) 812016
PENNSBURG MANOR 120 6810 10237 94 67 $1075810 5232016 $1062499 ($13311) 812016
PENNYPACK CENTER 54 1997 4237 86 47 $000 5232016 $000 $000 812016
PHILADELPHIA PROTESTANT HOME 126 5611 11111 97 50 $000 $000 812016
PHOEBE ALLENTOWN HEALTH CARE PHOEBE BERKS HEALTH CARE
395 21047 31233 87 67 $3283763 $3283763 812016
CENTER INC 120 2306 8259 76 28 $000 $000 812016
PHOEBE RICHLAND HCC 143 7156 11553 89 62 $000 $000 812016
PHOEBE WYNCOTE 58 2889 4572 87 63 $000 $000 812016
PICKERING MANOR HOME 47 1520 4003 94 38 $000 5232016 $000 $000 812016 PLATINUM RIDGE CTR FOR REHAB amp HEALING 97 5898 8590 97 69 $931737 5232016 $920209 ($11528) 812016
POWERBACK REHABILITATION 1526 150 3935 11953 88 33 $000 5232016 $000 $000 812016
POWERBACK REHABILITATION 3485 109 1266 8550 86 15 $000 5232016 $000 $000 812016
PRAXIS ALZHEIMERS FACILITY PRESBYTERIAN HOMES-
115 8778 10034 96 87 $1386705 5232016 $1369548 ($17157) 812016
PRESBYTERY-HUNTINGDON 67 2962 5634 92 53 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
PROSPECT PARK HEALTH AND REHAB CENTER 180 12542 15346 94 82 $1981323 5232016 $1956809 ($24514) 812016
PROVIDENCE CARE CENTER 180 12935 15707 96 82 $2043407 5232016 $2018125 ($25282) 812016
QUAKERTOWN CENTER 138 7869 11241 90 70 $1243106 5232016 $1227725 ($15381) 812016
QUINCY RETIREMENT COMMUNITY 134 6760 11710 96 58 $000 5232016 $000 $000 812016
REFORMED PRESBYTERIAN HOME 58 3272 4575 87 72 $516894 5232016 $510499 ($6395) 812016 REGINA COMMUNITY NURSING CENTERRENAISSANCE HEALTHCARE amp
121 7934 10475 95 76 $1253374 5232016 $1237867 ($15507) 812016
REHAB CENTER 123 8018 10627 95 75 $1266644 5232016 $1250972 ($15672) 812016
REST HAVEN-YORK RICHBORO REHAB AND NURSING
159 8307 11626 80 71 $000 5232016 $000 $000 812016
CENTER 82 4398 6585 88 67 $694774 5232016 $686178 ($8596) 812016 RICHFIELD HEALTHCARE AND REHAB CENTER RIDGEVIEW HEALTHCARE amp REHAB
40 2357 3315 91 71 $372347 5232016 $367740 ($4607) 812016
CENTER 131 8890 11406 96 78 $1404398 5232016 $1387022 ($17376) 812016 RIDGEVIEW HEALTHCARE amp REHAB CENTER 111 5481 7498 74 73 $000 5232016 $000 $000 812016 RIVER RUN REHAB AND NURSING CENTERRIVERS EDGE NURSING AND REHAB
145 6567 8119 62 81 $000 5232016 $000 $000 812016
CENTER 120 6257 9108 83 69 $000 5232016 $000 $000 812016
RIVERSIDE CARE CENTER RIVERSIDE REHABILITATION AND
120 9013 10480 96 86 $1423829 5232016 $1406213 ($17616) 812016
NURSING CTR 161 10603 12961 88 82 $1675009 5232016 $1654285 ($20724) 812016
RIVERSTREET MANOR 122 7085 10168 92 70 $1119253 5232016 $1105405 ($13848) 812016
RIVERWOODS 226 7947 13637 66 58 $000 5232016 $000 $000 812016
ROCHESTER MANOR 122 5703 8311 75 69 $000 5232016 $000 $000 812016
ROLLING FIELDS INC 181 11319 15372 93 74 $1788120 5232016 $1765996 ($22124) 812016 ROLLING HILLS HEALTHCARE amp REHAB CENTER 57 3949 4785 92 83 $623843 5232016 $616125 ($7718) 812016
ROLLING MEADOWS 121 6979 9532 87 73 $1102508 5232016 $1088867 ($13641) 812016
ROSE VIEW CENTER 123 8174 10813 97 76 $1291288 5232016 $1275311 ($15977) 812016 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 1752 9224 89 19 $000 5232016 $000 $000 812016
SAINT ANNE HOME 125 5864 11062 97 53 $000 5232016 $000 $000 812016
SAINT JOSEPH VILLA SAINT MARYS VILLA NURSING
106 5410 8161 85 66 $854645 5232016 $844071 ($10574) 812016
HOME INC 112 5747 9617 94 60 $000 5232016 $000 $000 812016
SAINT PAUL HOMES 192 9221 17066 98 54 $000 5232016 $000 $000 812016
SANATOGA CENTER 130 6362 11287 95 56 $000 5232016 $000 $000 812016
SARAH A TODD MEMORIAL HOME 117 7221 10047 94 72 $1140738 5232016 $1126624 ($14114) 812016
SAXONY HEALTH CENTER 68 3658 5701 92 64 $000 5232016 $000 $000 812016
SAYRE HEALTH CARE CENTER LLC 50 1868 4161 91 45 $000 5232016 $000 $000 812016 SCENERY HILL HEALTHCARE amp REHAB CENTER 56 2800 4320 85 65 $442330 5232016 $436857 ($5473) 812016
SCHUYLKILL CENTER 190 13372 16629 96 80 $2112442 5232016 $2086306 ($26136) 812016 SCOTTDALE HEALTHCARE amp REHAB CENTER 35 1135 2977 93 38 $000 5232016 $000 $000 812016
SCRANTON HEALTH CARE CENTER 44 1965 3513 88 56 $000 5232016 $000 $000 812016
SENA-KEAN MANOR 152 8802 11557 84 76 $000 5232016 $000 $000 812016
SENECA PLACE 174 8176 12058 76 68 $000 5232016 $000 $000 812016
SETON MANOR INC SHENANDOAH MANOR NURSING
120 7571 10246 94 74 $1196029 5232016 $1181231 ($14798) 812016
CENTER 124 8066 10261 91 79 $1274227 5232016 $1258461 ($15766) 812016 SHENANGO PRESBYTERIAN SENIORCARE 25 439 2194 96 20 $000 5232016 $000 $000 812016
SHERWOOD OAKS 43 91 3064 78 3 $000 5232016 $000 $000 812016 SHIPPENSBURG HEALTH CARE CENTER 125 7420 9605 84 77 $000 5232016 $000 $000 812016
SIEMONS LAKEVIEW MANOR NSG 120 8142 10548 97 77 $1286233 5232016 $1270319 ($15914) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 8
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SERVICES - MONTGOMERYMANORCARE HEALTH SERVICES -
170 10412 12829 83 81 $000 5232016 $000 $000 812016
NORTHSIDE 100 6607 7307 80 90 $000 5232016 $000 $000 812016 MANORCARE HEALTH SERVICES - WALLINGFORD 198 13669 16625 92 82 $2159361 5232016 $2132644 ($26717) 812016 MANORCARE HEALTH SVCS-ALLENTOWNMANORCARE HEALTH SVCS-BETHEL
166 10411 13035 86 80 $1644678 5232016 $1624329 ($20349) 812016
PARK 160 7549 10822 74 70 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2021) 227 15642 18485 89 85 $2471046 5232016 $2440472 ($30574) 812016 MANORCARE HEALTH SVCS-BETHLEHEM (2029) MANORCARE HEALTH SVCS-CAMP
217 14132 16950 86 83 $2232503 5232016 $2204881 ($27622) 812016
HILL 123 6570 10005 89 66 $1037896 5232016 $1025055 ($12841) 812016 MANORCARE HEALTH SVCS-CARLISLE 150 9216 12128 89 76 $1455898 5232016 $1437885 ($18013) 812016 MANORCARE HEALTH SVCS-CHAMBERSBURG MANORCARE HEALTH SVCS-
210 12747 18213 95 70 $2013708 5232016 $1988793 ($24915) 812016
DALLASTOWN 202 14021 17331 94 81 $2214968 5232016 $2187563 ($27405) 812016 MANORCARE HEALTH SVCS-EASTON 227 12875 16911 82 76 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-ELIZABETHTOWN MANORCARE HEALTH SVCS-GREEN
73 4283 5959 90 72 $676607 5232016 $668236 ($8371) 812016
TREE 180 7353 12631 77 58 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-HUNTINGDON VALLEY 130 8158 10380 88 79 $1288760 5232016 $1272815 ($15945) 812016 MANORCARE HEALTH SVCS-JERSEY SHOREMANORCARE HEALTH SVCS-KING
120 8222 10571 97 78 $1298871 5232016 $1282800 ($16071) 812016
OF PRUSSIA 150 8403 11318 83 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON 176 9061 12314 77 74 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-KINGSTON COURT MANORCARE HEALTH SVCS-
151 8738 12664 92 69 $1380386 5232016 $1363307 ($17079) 812016
LANCASTERMANORCARE HEALTH SVCS-
172 11273 15018 96 75 $1780853 5232016 $1758819 ($22034) 812016
LAURELDALE 198 11424 16841 93 68 $1804707 5232016 $1782378 ($22329) 812016 MANORCARE HEALTH SVCS-LEBANON 159 9511 13084 90 73 $1502501 5232016 $1483911 ($18590) 812016 MANORCARE HEALTH SVCS-MERCY FITZGERALDMANORCARE HEALTH SVCS-
129 6912 10364 88 67 $1091924 5232016 $1078414 ($13510) 812016
MONROEVILLE 131 5589 10276 86 54 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-NORTH HILLS 200 10790 15542 85 69 $1704551 5232016 $1683461 ($21090) 812016 MANORCARE HEALTH SVCS-OXFORD VALLEY MANORCARE HEALTH SVCS-PETERS
150 7359 11989 88 61 $000 5232016 $000 $000 812016
TOWNSHIP 140 6871 9362 73 73 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-PITTSBURGH 197 12687 15113 84 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-POTTSTOWNMANORCARE HEALTH SVCS-
165 9906 12370 82 80 $000 5232016 $000 $000 812016
POTTSVILLE 179 12764 15521 95 82 $2016393 5232016 $1991445 ($24948) 812016 MANORCARE HEALTH SVCS-SHADYSIDE 150 10598 12638 93 84 $1674220 5232016 $1653505 ($20715) 812016 MANORCARE HEALTH SVCS-SINKING SPRING MANORCARE HEALTH SVCS-
214 13295 18373 94 72 $2100278 5232016 $2074292 ($25986) 812016
SUNBURY 126 8845 10874 95 81 $1397289 5232016 $1380001 ($17288) 812016 MANORCARE HEALTH SVCS-WEST READING NORTH 176 13741 15583 97 88 $2170735 5232016 $2143877 ($26858) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SVCS-WHITEHALL BOROUGH MANORCARE HEALTH SVCS-
166 4466 13324 88 34 $000 5232016 $000 $000 812016
WILLIAMSPORT NORTH 152 9336 11126 80 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH 116 8174 9755 92 84 $1291288 5232016 $1275311 ($15977) 812016 MANORCARE HEALTH SVCS-YEADONMANORCARE HEALTH SVCS-YORK
198 15867 17473 97 91 $2506590 5232016 $2475577 ($31013) 812016
NORTH 161 9991 14040 96 71 $1578329 5232016 $1558801 ($19528) 812016 MANORCARE HEALTH SVCS-YORK SOUTH 151 8874 12814 93 69 $1401871 5232016 $1384526 ($17345) 812016 MANORCARE HLTH SVCS amp REHAB -WEST ALLEN 146 8495 10558 79 80 $000 5232016 $000 $000 812016
MAPLE FARM 46 1902 3872 92 49 $000 5232016 $000 $000 812016
MAPLE WINDS CARE CENTER 50 1787 3548 78 50 $000 5232016 $000 $000 812016 MAPLEWOOD NURSING AND REHABILITATION CTR 180 14261 15863 97 90 $2252882 5232016 $2225008 ($27874) 812016
100 MARGARET E MOUL HOME 82 7451 7462 100 $1177072 5232016 $1162509 ($14563) 812016
MARIAN MANOR CORPORATION 154 6836 12393 88 55 $000 5232016 $000 $000 812016
MARWOOD REST HOME INC 87 6586 7495 95 88 $1040424 5232016 $1027551 ($12873) 812016 MASONIC VILLAGE AT ELIZABETHTOWN MASONIC VILLAGE AT LAFAYETTE
453 22115 38630 94 57 $000 5232016 $000 $000 812016
HILL 60 3278 5287 97 62 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT SEWICKLEY 128 4054 11408 98 36 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT WARMINSTER 43 2425 3624 93 67 $383089 5232016 $378350 ($4739) 812016 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER 240 16037 19717 90 81 $2533446 5232016 $2502100 ($31346) 812016
MCMURRAY HILLS MANOR MEADOW VIEW HEALTHCARE amp
115 8012 10216 98 78 $1265696 5232016 $1250036 ($15660) 812016
REHAB CENTER 63 4141 5656 99 73 $654175 5232016 $646081 ($8094) 812016
MEADOW VIEW NURSING CENTER 150 9319 12460 91 75 $1472169 5232016 $1453955 ($18214) 812016
MEADOWCREST NURSING CENTER 50 2455 3684 81 67 $000 5232016 $000 $000 812016 MEADOWS NURSING AND REHAB CENTERMEADOWVIEW REHAB amp NURSING
130 6034 9745 82 62 $000 5232016 $000 $000 812016
CENTER 244 15851 18859 85 84 $2504062 5232016 $2473081 ($30981) 812016
MERCY CENTER NURSING UNIT INC 59 3201 5154 96 62 $000 5232016 $000 $000 812016
MID VALLEY HEALTH CARE CENTER 38 1427 2851 82 50 $000 5232016 $000 $000 812016
MIFFLIN CENTER 136 6641 11413 92 58 $000 5232016 $000 $000 812016 MILFORD SENIOR CARE AND REHAB CENTER 80 4805 6676 92 72 $759070 5232016 $749678 ($9392) 812016
MILLCREEK MANOR 138 3336 4817 38 69 $000 5232016 $000 $000 812016 MILLVILLE HEALTH AND REHABILITATION CTR MILTON NURSING AND
110 7602 8148 81 93 $000 5232016 $000 $000 812016
REHABILITATION CENTER 138 8893 11114 89 80 $1404872 5232016 $1387490 ($17382) 812016
MON VALLEY CARE CENTER MORAVIAN HALL SQ HLTH AND
60 1955 4926 90 40 $000 5232016 $000 $000 812016
WELLNESS CTR 61 273 5257 95 5 $000 5232016 $000 $000 812016
MORAVIAN MANOR 127 2782 10551 91 26 $000 5232016 $000 $000 812016
MORRISONS COVE HOME MOUNT CARMEL NURSING AND
124 7738 10588 94 73 $1222411 5232016 $1207286 ($15125) 812016
REHAB CENTER MOUNT MACRINA MANOR NURSING
121 7593 10382 94 73 $1199505 5232016 $1184664 ($14841) 812016
HOME 139 7377 10604 84 70 $000 5232016 $000 $000 812016 MOUNTAIN CITY NURSING AND REHAB CENTER 297 19439 24350 90 80 $3070877 5232016 $3032882 ($37995) 812016
MOUNTAIN LAUREL NRC 240 14471 18157 83 80 $000 5232016 $000 $000 812016 MOUNTAIN TOP HEALTHCARE AND REHAB CTR 106 6767 9142 95 74 $1069017 5232016 $1055791 ($13226) 812016
MOUNTAIN VIEW A NURSING AND 271 14896 17958 73 83 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
REHAB CTR
MOUNTAINVIEW SPECIALTY CARE CENTER 137 7086 9938 80 71 $000 5232016 $000 $000 812016 MULBERRY HEALTHCARE amp REHAB CTR 75 4408 6172 90 71 $696354 5232016 $687738 ($8616) 812016
NAAMANS CREEK COUNTRY MANOR NEW EASTWOOD HEALTHCARE AND
90 4638 7642 93 61 $000 5232016 $000 $000 812016
REHAB CENTER 97 4424 8242 93 54 $000 5232016 $000 $000 812016
NORMANDIE RIDGE NORRITON SQUARE NURSING amp
64 2527 5457 94 46 $000 5232016 $000 $000 812016
REHAB CENTER 99 3369 7844 87 43 $000 5232016 $000 $000 812016 NORTH HILLS HEALTH AND REHAB CENTER 55 2700 4705 94 57 $000 5232016 $000 $000 812016
NOTTINGHAM VILLAGE 121 6185 9707 88 64 $000 5232016 $000 $000 812016
NUGENT CONVALESCENT HOME OAK HILL NURSING AND REHAB
105 6153 8954 94 69 $972020 5232016 $959994 ($12026) 812016
CENTER 48 2758 3885 89 71 $435695 5232016 $430304 ($5391) 812016 OAKMONT CENTER FOR NURSING AND REHAB 85 5301 6694 87 79 $837426 5232016 $827065 ($10361) 812016 OAKWOOD HEALTHCARE amp REHABILITATION CTR 148 9099 12142 90 75 $1437415 5232016 $1419630 ($17785) 812016
OAKWOOD HEIGHTS 106 6632 9084 94 73 $1047690 5232016 $1034728 ($12962) 812016
OHESSON MANOR 134 7753 11739 96 66 $1224781 5232016 $1209627 ($15154) 812016 OLD ORCHARD HEALTH CARE CENTERORANGEVILLE HEALTH AND REHAB
180 10603 15271 93 69 $1675009 5232016 $1654285 ($20724) 812016
CENTER 120 7517 9777 90 77 $1187498 5232016 $1172806 ($14692) 812016
ORCHARD MANOR INC 121 6990 10558 96 66 $1104246 5232016 $1090583 ($13663) 812016
ORWIGSBURG CENTER 130 7695 10014 85 77 $1215618 5232016 $1200578 ($15040) 812016 OVERLOOK HEALTH AND REHAB CENTER 115 7301 8449 81 86 $000 5232016 $000 $000 812016
OXFORD HEALTH CENTER 137 7198 12057 97 60 $000 5232016 $000 $000 812016 PALMYRA HEALTH AND REHABILITATION CTR PARK AVENUE REHAB AND
39 2248 3132 88 72 $355128 5232016 $350734 ($4394) 812016
NURSING CENTER 173 9846 12609 80 78 $000 5232016 $000 $000 812016 PARKHOUSE NURSING AND REHABILITATION CTR 467 31182 37791 89 83 $4925978 5232016 $4865031 ($60947) 812016 PASSAVANT RETIREMENT AND HEALTH CENTER 102 5007 9074 98 55 $000 5232016 $000 $000 812016
PAULS RUN 120 4135 10113 93 41 $000 5232016 $000 $000 812016
PAVILION AT BRMC 95 4647 7431 86 63 $000 5232016 $000 $000 812016 PEMBROOKE HEALTH AND REHAB CENTERPENN CENTER FOR REHABILITATION
180 12001 14374 88 83 $1895859 5232016 $1872402 ($23457) 812016
AND CARE 124 7587 10045 89 76 $1198557 5232016 $1183727 ($14830) 812016
PENNKNOLL VILLAGE 133 8841 11828 98 75 $1396657 5232016 $1379377 ($17280) 812016
PENNSBURG MANOR 120 6810 10237 94 67 $1075810 5232016 $1062499 ($13311) 812016
PENNYPACK CENTER 54 1997 4237 86 47 $000 5232016 $000 $000 812016
PHILADELPHIA PROTESTANT HOME 126 5611 11111 97 50 $000 $000 812016
PHOEBE ALLENTOWN HEALTH CARE PHOEBE BERKS HEALTH CARE
395 21047 31233 87 67 $3283763 $3283763 812016
CENTER INC 120 2306 8259 76 28 $000 $000 812016
PHOEBE RICHLAND HCC 143 7156 11553 89 62 $000 $000 812016
PHOEBE WYNCOTE 58 2889 4572 87 63 $000 $000 812016
PICKERING MANOR HOME 47 1520 4003 94 38 $000 5232016 $000 $000 812016 PLATINUM RIDGE CTR FOR REHAB amp HEALING 97 5898 8590 97 69 $931737 5232016 $920209 ($11528) 812016
POWERBACK REHABILITATION 1526 150 3935 11953 88 33 $000 5232016 $000 $000 812016
POWERBACK REHABILITATION 3485 109 1266 8550 86 15 $000 5232016 $000 $000 812016
PRAXIS ALZHEIMERS FACILITY PRESBYTERIAN HOMES-
115 8778 10034 96 87 $1386705 5232016 $1369548 ($17157) 812016
PRESBYTERY-HUNTINGDON 67 2962 5634 92 53 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
PROSPECT PARK HEALTH AND REHAB CENTER 180 12542 15346 94 82 $1981323 5232016 $1956809 ($24514) 812016
PROVIDENCE CARE CENTER 180 12935 15707 96 82 $2043407 5232016 $2018125 ($25282) 812016
QUAKERTOWN CENTER 138 7869 11241 90 70 $1243106 5232016 $1227725 ($15381) 812016
QUINCY RETIREMENT COMMUNITY 134 6760 11710 96 58 $000 5232016 $000 $000 812016
REFORMED PRESBYTERIAN HOME 58 3272 4575 87 72 $516894 5232016 $510499 ($6395) 812016 REGINA COMMUNITY NURSING CENTERRENAISSANCE HEALTHCARE amp
121 7934 10475 95 76 $1253374 5232016 $1237867 ($15507) 812016
REHAB CENTER 123 8018 10627 95 75 $1266644 5232016 $1250972 ($15672) 812016
REST HAVEN-YORK RICHBORO REHAB AND NURSING
159 8307 11626 80 71 $000 5232016 $000 $000 812016
CENTER 82 4398 6585 88 67 $694774 5232016 $686178 ($8596) 812016 RICHFIELD HEALTHCARE AND REHAB CENTER RIDGEVIEW HEALTHCARE amp REHAB
40 2357 3315 91 71 $372347 5232016 $367740 ($4607) 812016
CENTER 131 8890 11406 96 78 $1404398 5232016 $1387022 ($17376) 812016 RIDGEVIEW HEALTHCARE amp REHAB CENTER 111 5481 7498 74 73 $000 5232016 $000 $000 812016 RIVER RUN REHAB AND NURSING CENTERRIVERS EDGE NURSING AND REHAB
145 6567 8119 62 81 $000 5232016 $000 $000 812016
CENTER 120 6257 9108 83 69 $000 5232016 $000 $000 812016
RIVERSIDE CARE CENTER RIVERSIDE REHABILITATION AND
120 9013 10480 96 86 $1423829 5232016 $1406213 ($17616) 812016
NURSING CTR 161 10603 12961 88 82 $1675009 5232016 $1654285 ($20724) 812016
RIVERSTREET MANOR 122 7085 10168 92 70 $1119253 5232016 $1105405 ($13848) 812016
RIVERWOODS 226 7947 13637 66 58 $000 5232016 $000 $000 812016
ROCHESTER MANOR 122 5703 8311 75 69 $000 5232016 $000 $000 812016
ROLLING FIELDS INC 181 11319 15372 93 74 $1788120 5232016 $1765996 ($22124) 812016 ROLLING HILLS HEALTHCARE amp REHAB CENTER 57 3949 4785 92 83 $623843 5232016 $616125 ($7718) 812016
ROLLING MEADOWS 121 6979 9532 87 73 $1102508 5232016 $1088867 ($13641) 812016
ROSE VIEW CENTER 123 8174 10813 97 76 $1291288 5232016 $1275311 ($15977) 812016 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 1752 9224 89 19 $000 5232016 $000 $000 812016
SAINT ANNE HOME 125 5864 11062 97 53 $000 5232016 $000 $000 812016
SAINT JOSEPH VILLA SAINT MARYS VILLA NURSING
106 5410 8161 85 66 $854645 5232016 $844071 ($10574) 812016
HOME INC 112 5747 9617 94 60 $000 5232016 $000 $000 812016
SAINT PAUL HOMES 192 9221 17066 98 54 $000 5232016 $000 $000 812016
SANATOGA CENTER 130 6362 11287 95 56 $000 5232016 $000 $000 812016
SARAH A TODD MEMORIAL HOME 117 7221 10047 94 72 $1140738 5232016 $1126624 ($14114) 812016
SAXONY HEALTH CENTER 68 3658 5701 92 64 $000 5232016 $000 $000 812016
SAYRE HEALTH CARE CENTER LLC 50 1868 4161 91 45 $000 5232016 $000 $000 812016 SCENERY HILL HEALTHCARE amp REHAB CENTER 56 2800 4320 85 65 $442330 5232016 $436857 ($5473) 812016
SCHUYLKILL CENTER 190 13372 16629 96 80 $2112442 5232016 $2086306 ($26136) 812016 SCOTTDALE HEALTHCARE amp REHAB CENTER 35 1135 2977 93 38 $000 5232016 $000 $000 812016
SCRANTON HEALTH CARE CENTER 44 1965 3513 88 56 $000 5232016 $000 $000 812016
SENA-KEAN MANOR 152 8802 11557 84 76 $000 5232016 $000 $000 812016
SENECA PLACE 174 8176 12058 76 68 $000 5232016 $000 $000 812016
SETON MANOR INC SHENANDOAH MANOR NURSING
120 7571 10246 94 74 $1196029 5232016 $1181231 ($14798) 812016
CENTER 124 8066 10261 91 79 $1274227 5232016 $1258461 ($15766) 812016 SHENANGO PRESBYTERIAN SENIORCARE 25 439 2194 96 20 $000 5232016 $000 $000 812016
SHERWOOD OAKS 43 91 3064 78 3 $000 5232016 $000 $000 812016 SHIPPENSBURG HEALTH CARE CENTER 125 7420 9605 84 77 $000 5232016 $000 $000 812016
SIEMONS LAKEVIEW MANOR NSG 120 8142 10548 97 77 $1286233 5232016 $1270319 ($15914) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 9
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
MANORCARE HEALTH SVCS-WHITEHALL BOROUGH MANORCARE HEALTH SVCS-
166 4466 13324 88 34 $000 5232016 $000 $000 812016
WILLIAMSPORT NORTH 152 9336 11126 80 84 $000 5232016 $000 $000 812016 MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH 116 8174 9755 92 84 $1291288 5232016 $1275311 ($15977) 812016 MANORCARE HEALTH SVCS-YEADONMANORCARE HEALTH SVCS-YORK
198 15867 17473 97 91 $2506590 5232016 $2475577 ($31013) 812016
NORTH 161 9991 14040 96 71 $1578329 5232016 $1558801 ($19528) 812016 MANORCARE HEALTH SVCS-YORK SOUTH 151 8874 12814 93 69 $1401871 5232016 $1384526 ($17345) 812016 MANORCARE HLTH SVCS amp REHAB -WEST ALLEN 146 8495 10558 79 80 $000 5232016 $000 $000 812016
MAPLE FARM 46 1902 3872 92 49 $000 5232016 $000 $000 812016
MAPLE WINDS CARE CENTER 50 1787 3548 78 50 $000 5232016 $000 $000 812016 MAPLEWOOD NURSING AND REHABILITATION CTR 180 14261 15863 97 90 $2252882 5232016 $2225008 ($27874) 812016
100 MARGARET E MOUL HOME 82 7451 7462 100 $1177072 5232016 $1162509 ($14563) 812016
MARIAN MANOR CORPORATION 154 6836 12393 88 55 $000 5232016 $000 $000 812016
MARWOOD REST HOME INC 87 6586 7495 95 88 $1040424 5232016 $1027551 ($12873) 812016 MASONIC VILLAGE AT ELIZABETHTOWN MASONIC VILLAGE AT LAFAYETTE
453 22115 38630 94 57 $000 5232016 $000 $000 812016
HILL 60 3278 5287 97 62 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT SEWICKLEY 128 4054 11408 98 36 $000 5232016 $000 $000 812016
MASONIC VILLAGE AT WARMINSTER 43 2425 3624 93 67 $383089 5232016 $378350 ($4739) 812016 MAYBROOK HILLS REHAB amp HEALTHCARE CENTER 240 16037 19717 90 81 $2533446 5232016 $2502100 ($31346) 812016
MCMURRAY HILLS MANOR MEADOW VIEW HEALTHCARE amp
115 8012 10216 98 78 $1265696 5232016 $1250036 ($15660) 812016
REHAB CENTER 63 4141 5656 99 73 $654175 5232016 $646081 ($8094) 812016
MEADOW VIEW NURSING CENTER 150 9319 12460 91 75 $1472169 5232016 $1453955 ($18214) 812016
MEADOWCREST NURSING CENTER 50 2455 3684 81 67 $000 5232016 $000 $000 812016 MEADOWS NURSING AND REHAB CENTERMEADOWVIEW REHAB amp NURSING
130 6034 9745 82 62 $000 5232016 $000 $000 812016
CENTER 244 15851 18859 85 84 $2504062 5232016 $2473081 ($30981) 812016
MERCY CENTER NURSING UNIT INC 59 3201 5154 96 62 $000 5232016 $000 $000 812016
MID VALLEY HEALTH CARE CENTER 38 1427 2851 82 50 $000 5232016 $000 $000 812016
MIFFLIN CENTER 136 6641 11413 92 58 $000 5232016 $000 $000 812016 MILFORD SENIOR CARE AND REHAB CENTER 80 4805 6676 92 72 $759070 5232016 $749678 ($9392) 812016
MILLCREEK MANOR 138 3336 4817 38 69 $000 5232016 $000 $000 812016 MILLVILLE HEALTH AND REHABILITATION CTR MILTON NURSING AND
110 7602 8148 81 93 $000 5232016 $000 $000 812016
REHABILITATION CENTER 138 8893 11114 89 80 $1404872 5232016 $1387490 ($17382) 812016
MON VALLEY CARE CENTER MORAVIAN HALL SQ HLTH AND
60 1955 4926 90 40 $000 5232016 $000 $000 812016
WELLNESS CTR 61 273 5257 95 5 $000 5232016 $000 $000 812016
MORAVIAN MANOR 127 2782 10551 91 26 $000 5232016 $000 $000 812016
MORRISONS COVE HOME MOUNT CARMEL NURSING AND
124 7738 10588 94 73 $1222411 5232016 $1207286 ($15125) 812016
REHAB CENTER MOUNT MACRINA MANOR NURSING
121 7593 10382 94 73 $1199505 5232016 $1184664 ($14841) 812016
HOME 139 7377 10604 84 70 $000 5232016 $000 $000 812016 MOUNTAIN CITY NURSING AND REHAB CENTER 297 19439 24350 90 80 $3070877 5232016 $3032882 ($37995) 812016
MOUNTAIN LAUREL NRC 240 14471 18157 83 80 $000 5232016 $000 $000 812016 MOUNTAIN TOP HEALTHCARE AND REHAB CTR 106 6767 9142 95 74 $1069017 5232016 $1055791 ($13226) 812016
MOUNTAIN VIEW A NURSING AND 271 14896 17958 73 83 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
REHAB CTR
MOUNTAINVIEW SPECIALTY CARE CENTER 137 7086 9938 80 71 $000 5232016 $000 $000 812016 MULBERRY HEALTHCARE amp REHAB CTR 75 4408 6172 90 71 $696354 5232016 $687738 ($8616) 812016
NAAMANS CREEK COUNTRY MANOR NEW EASTWOOD HEALTHCARE AND
90 4638 7642 93 61 $000 5232016 $000 $000 812016
REHAB CENTER 97 4424 8242 93 54 $000 5232016 $000 $000 812016
NORMANDIE RIDGE NORRITON SQUARE NURSING amp
64 2527 5457 94 46 $000 5232016 $000 $000 812016
REHAB CENTER 99 3369 7844 87 43 $000 5232016 $000 $000 812016 NORTH HILLS HEALTH AND REHAB CENTER 55 2700 4705 94 57 $000 5232016 $000 $000 812016
NOTTINGHAM VILLAGE 121 6185 9707 88 64 $000 5232016 $000 $000 812016
NUGENT CONVALESCENT HOME OAK HILL NURSING AND REHAB
105 6153 8954 94 69 $972020 5232016 $959994 ($12026) 812016
CENTER 48 2758 3885 89 71 $435695 5232016 $430304 ($5391) 812016 OAKMONT CENTER FOR NURSING AND REHAB 85 5301 6694 87 79 $837426 5232016 $827065 ($10361) 812016 OAKWOOD HEALTHCARE amp REHABILITATION CTR 148 9099 12142 90 75 $1437415 5232016 $1419630 ($17785) 812016
OAKWOOD HEIGHTS 106 6632 9084 94 73 $1047690 5232016 $1034728 ($12962) 812016
OHESSON MANOR 134 7753 11739 96 66 $1224781 5232016 $1209627 ($15154) 812016 OLD ORCHARD HEALTH CARE CENTERORANGEVILLE HEALTH AND REHAB
180 10603 15271 93 69 $1675009 5232016 $1654285 ($20724) 812016
CENTER 120 7517 9777 90 77 $1187498 5232016 $1172806 ($14692) 812016
ORCHARD MANOR INC 121 6990 10558 96 66 $1104246 5232016 $1090583 ($13663) 812016
ORWIGSBURG CENTER 130 7695 10014 85 77 $1215618 5232016 $1200578 ($15040) 812016 OVERLOOK HEALTH AND REHAB CENTER 115 7301 8449 81 86 $000 5232016 $000 $000 812016
OXFORD HEALTH CENTER 137 7198 12057 97 60 $000 5232016 $000 $000 812016 PALMYRA HEALTH AND REHABILITATION CTR PARK AVENUE REHAB AND
39 2248 3132 88 72 $355128 5232016 $350734 ($4394) 812016
NURSING CENTER 173 9846 12609 80 78 $000 5232016 $000 $000 812016 PARKHOUSE NURSING AND REHABILITATION CTR 467 31182 37791 89 83 $4925978 5232016 $4865031 ($60947) 812016 PASSAVANT RETIREMENT AND HEALTH CENTER 102 5007 9074 98 55 $000 5232016 $000 $000 812016
PAULS RUN 120 4135 10113 93 41 $000 5232016 $000 $000 812016
PAVILION AT BRMC 95 4647 7431 86 63 $000 5232016 $000 $000 812016 PEMBROOKE HEALTH AND REHAB CENTERPENN CENTER FOR REHABILITATION
180 12001 14374 88 83 $1895859 5232016 $1872402 ($23457) 812016
AND CARE 124 7587 10045 89 76 $1198557 5232016 $1183727 ($14830) 812016
PENNKNOLL VILLAGE 133 8841 11828 98 75 $1396657 5232016 $1379377 ($17280) 812016
PENNSBURG MANOR 120 6810 10237 94 67 $1075810 5232016 $1062499 ($13311) 812016
PENNYPACK CENTER 54 1997 4237 86 47 $000 5232016 $000 $000 812016
PHILADELPHIA PROTESTANT HOME 126 5611 11111 97 50 $000 $000 812016
PHOEBE ALLENTOWN HEALTH CARE PHOEBE BERKS HEALTH CARE
395 21047 31233 87 67 $3283763 $3283763 812016
CENTER INC 120 2306 8259 76 28 $000 $000 812016
PHOEBE RICHLAND HCC 143 7156 11553 89 62 $000 $000 812016
PHOEBE WYNCOTE 58 2889 4572 87 63 $000 $000 812016
PICKERING MANOR HOME 47 1520 4003 94 38 $000 5232016 $000 $000 812016 PLATINUM RIDGE CTR FOR REHAB amp HEALING 97 5898 8590 97 69 $931737 5232016 $920209 ($11528) 812016
POWERBACK REHABILITATION 1526 150 3935 11953 88 33 $000 5232016 $000 $000 812016
POWERBACK REHABILITATION 3485 109 1266 8550 86 15 $000 5232016 $000 $000 812016
PRAXIS ALZHEIMERS FACILITY PRESBYTERIAN HOMES-
115 8778 10034 96 87 $1386705 5232016 $1369548 ($17157) 812016
PRESBYTERY-HUNTINGDON 67 2962 5634 92 53 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
PROSPECT PARK HEALTH AND REHAB CENTER 180 12542 15346 94 82 $1981323 5232016 $1956809 ($24514) 812016
PROVIDENCE CARE CENTER 180 12935 15707 96 82 $2043407 5232016 $2018125 ($25282) 812016
QUAKERTOWN CENTER 138 7869 11241 90 70 $1243106 5232016 $1227725 ($15381) 812016
QUINCY RETIREMENT COMMUNITY 134 6760 11710 96 58 $000 5232016 $000 $000 812016
REFORMED PRESBYTERIAN HOME 58 3272 4575 87 72 $516894 5232016 $510499 ($6395) 812016 REGINA COMMUNITY NURSING CENTERRENAISSANCE HEALTHCARE amp
121 7934 10475 95 76 $1253374 5232016 $1237867 ($15507) 812016
REHAB CENTER 123 8018 10627 95 75 $1266644 5232016 $1250972 ($15672) 812016
REST HAVEN-YORK RICHBORO REHAB AND NURSING
159 8307 11626 80 71 $000 5232016 $000 $000 812016
CENTER 82 4398 6585 88 67 $694774 5232016 $686178 ($8596) 812016 RICHFIELD HEALTHCARE AND REHAB CENTER RIDGEVIEW HEALTHCARE amp REHAB
40 2357 3315 91 71 $372347 5232016 $367740 ($4607) 812016
CENTER 131 8890 11406 96 78 $1404398 5232016 $1387022 ($17376) 812016 RIDGEVIEW HEALTHCARE amp REHAB CENTER 111 5481 7498 74 73 $000 5232016 $000 $000 812016 RIVER RUN REHAB AND NURSING CENTERRIVERS EDGE NURSING AND REHAB
145 6567 8119 62 81 $000 5232016 $000 $000 812016
CENTER 120 6257 9108 83 69 $000 5232016 $000 $000 812016
RIVERSIDE CARE CENTER RIVERSIDE REHABILITATION AND
120 9013 10480 96 86 $1423829 5232016 $1406213 ($17616) 812016
NURSING CTR 161 10603 12961 88 82 $1675009 5232016 $1654285 ($20724) 812016
RIVERSTREET MANOR 122 7085 10168 92 70 $1119253 5232016 $1105405 ($13848) 812016
RIVERWOODS 226 7947 13637 66 58 $000 5232016 $000 $000 812016
ROCHESTER MANOR 122 5703 8311 75 69 $000 5232016 $000 $000 812016
ROLLING FIELDS INC 181 11319 15372 93 74 $1788120 5232016 $1765996 ($22124) 812016 ROLLING HILLS HEALTHCARE amp REHAB CENTER 57 3949 4785 92 83 $623843 5232016 $616125 ($7718) 812016
ROLLING MEADOWS 121 6979 9532 87 73 $1102508 5232016 $1088867 ($13641) 812016
ROSE VIEW CENTER 123 8174 10813 97 76 $1291288 5232016 $1275311 ($15977) 812016 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 1752 9224 89 19 $000 5232016 $000 $000 812016
SAINT ANNE HOME 125 5864 11062 97 53 $000 5232016 $000 $000 812016
SAINT JOSEPH VILLA SAINT MARYS VILLA NURSING
106 5410 8161 85 66 $854645 5232016 $844071 ($10574) 812016
HOME INC 112 5747 9617 94 60 $000 5232016 $000 $000 812016
SAINT PAUL HOMES 192 9221 17066 98 54 $000 5232016 $000 $000 812016
SANATOGA CENTER 130 6362 11287 95 56 $000 5232016 $000 $000 812016
SARAH A TODD MEMORIAL HOME 117 7221 10047 94 72 $1140738 5232016 $1126624 ($14114) 812016
SAXONY HEALTH CENTER 68 3658 5701 92 64 $000 5232016 $000 $000 812016
SAYRE HEALTH CARE CENTER LLC 50 1868 4161 91 45 $000 5232016 $000 $000 812016 SCENERY HILL HEALTHCARE amp REHAB CENTER 56 2800 4320 85 65 $442330 5232016 $436857 ($5473) 812016
SCHUYLKILL CENTER 190 13372 16629 96 80 $2112442 5232016 $2086306 ($26136) 812016 SCOTTDALE HEALTHCARE amp REHAB CENTER 35 1135 2977 93 38 $000 5232016 $000 $000 812016
SCRANTON HEALTH CARE CENTER 44 1965 3513 88 56 $000 5232016 $000 $000 812016
SENA-KEAN MANOR 152 8802 11557 84 76 $000 5232016 $000 $000 812016
SENECA PLACE 174 8176 12058 76 68 $000 5232016 $000 $000 812016
SETON MANOR INC SHENANDOAH MANOR NURSING
120 7571 10246 94 74 $1196029 5232016 $1181231 ($14798) 812016
CENTER 124 8066 10261 91 79 $1274227 5232016 $1258461 ($15766) 812016 SHENANGO PRESBYTERIAN SENIORCARE 25 439 2194 96 20 $000 5232016 $000 $000 812016
SHERWOOD OAKS 43 91 3064 78 3 $000 5232016 $000 $000 812016 SHIPPENSBURG HEALTH CARE CENTER 125 7420 9605 84 77 $000 5232016 $000 $000 812016
SIEMONS LAKEVIEW MANOR NSG 120 8142 10548 97 77 $1286233 5232016 $1270319 ($15914) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 10
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
REHAB CTR
MOUNTAINVIEW SPECIALTY CARE CENTER 137 7086 9938 80 71 $000 5232016 $000 $000 812016 MULBERRY HEALTHCARE amp REHAB CTR 75 4408 6172 90 71 $696354 5232016 $687738 ($8616) 812016
NAAMANS CREEK COUNTRY MANOR NEW EASTWOOD HEALTHCARE AND
90 4638 7642 93 61 $000 5232016 $000 $000 812016
REHAB CENTER 97 4424 8242 93 54 $000 5232016 $000 $000 812016
NORMANDIE RIDGE NORRITON SQUARE NURSING amp
64 2527 5457 94 46 $000 5232016 $000 $000 812016
REHAB CENTER 99 3369 7844 87 43 $000 5232016 $000 $000 812016 NORTH HILLS HEALTH AND REHAB CENTER 55 2700 4705 94 57 $000 5232016 $000 $000 812016
NOTTINGHAM VILLAGE 121 6185 9707 88 64 $000 5232016 $000 $000 812016
NUGENT CONVALESCENT HOME OAK HILL NURSING AND REHAB
105 6153 8954 94 69 $972020 5232016 $959994 ($12026) 812016
CENTER 48 2758 3885 89 71 $435695 5232016 $430304 ($5391) 812016 OAKMONT CENTER FOR NURSING AND REHAB 85 5301 6694 87 79 $837426 5232016 $827065 ($10361) 812016 OAKWOOD HEALTHCARE amp REHABILITATION CTR 148 9099 12142 90 75 $1437415 5232016 $1419630 ($17785) 812016
OAKWOOD HEIGHTS 106 6632 9084 94 73 $1047690 5232016 $1034728 ($12962) 812016
OHESSON MANOR 134 7753 11739 96 66 $1224781 5232016 $1209627 ($15154) 812016 OLD ORCHARD HEALTH CARE CENTERORANGEVILLE HEALTH AND REHAB
180 10603 15271 93 69 $1675009 5232016 $1654285 ($20724) 812016
CENTER 120 7517 9777 90 77 $1187498 5232016 $1172806 ($14692) 812016
ORCHARD MANOR INC 121 6990 10558 96 66 $1104246 5232016 $1090583 ($13663) 812016
ORWIGSBURG CENTER 130 7695 10014 85 77 $1215618 5232016 $1200578 ($15040) 812016 OVERLOOK HEALTH AND REHAB CENTER 115 7301 8449 81 86 $000 5232016 $000 $000 812016
OXFORD HEALTH CENTER 137 7198 12057 97 60 $000 5232016 $000 $000 812016 PALMYRA HEALTH AND REHABILITATION CTR PARK AVENUE REHAB AND
39 2248 3132 88 72 $355128 5232016 $350734 ($4394) 812016
NURSING CENTER 173 9846 12609 80 78 $000 5232016 $000 $000 812016 PARKHOUSE NURSING AND REHABILITATION CTR 467 31182 37791 89 83 $4925978 5232016 $4865031 ($60947) 812016 PASSAVANT RETIREMENT AND HEALTH CENTER 102 5007 9074 98 55 $000 5232016 $000 $000 812016
PAULS RUN 120 4135 10113 93 41 $000 5232016 $000 $000 812016
PAVILION AT BRMC 95 4647 7431 86 63 $000 5232016 $000 $000 812016 PEMBROOKE HEALTH AND REHAB CENTERPENN CENTER FOR REHABILITATION
180 12001 14374 88 83 $1895859 5232016 $1872402 ($23457) 812016
AND CARE 124 7587 10045 89 76 $1198557 5232016 $1183727 ($14830) 812016
PENNKNOLL VILLAGE 133 8841 11828 98 75 $1396657 5232016 $1379377 ($17280) 812016
PENNSBURG MANOR 120 6810 10237 94 67 $1075810 5232016 $1062499 ($13311) 812016
PENNYPACK CENTER 54 1997 4237 86 47 $000 5232016 $000 $000 812016
PHILADELPHIA PROTESTANT HOME 126 5611 11111 97 50 $000 $000 812016
PHOEBE ALLENTOWN HEALTH CARE PHOEBE BERKS HEALTH CARE
395 21047 31233 87 67 $3283763 $3283763 812016
CENTER INC 120 2306 8259 76 28 $000 $000 812016
PHOEBE RICHLAND HCC 143 7156 11553 89 62 $000 $000 812016
PHOEBE WYNCOTE 58 2889 4572 87 63 $000 $000 812016
PICKERING MANOR HOME 47 1520 4003 94 38 $000 5232016 $000 $000 812016 PLATINUM RIDGE CTR FOR REHAB amp HEALING 97 5898 8590 97 69 $931737 5232016 $920209 ($11528) 812016
POWERBACK REHABILITATION 1526 150 3935 11953 88 33 $000 5232016 $000 $000 812016
POWERBACK REHABILITATION 3485 109 1266 8550 86 15 $000 5232016 $000 $000 812016
PRAXIS ALZHEIMERS FACILITY PRESBYTERIAN HOMES-
115 8778 10034 96 87 $1386705 5232016 $1369548 ($17157) 812016
PRESBYTERY-HUNTINGDON 67 2962 5634 92 53 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
PROSPECT PARK HEALTH AND REHAB CENTER 180 12542 15346 94 82 $1981323 5232016 $1956809 ($24514) 812016
PROVIDENCE CARE CENTER 180 12935 15707 96 82 $2043407 5232016 $2018125 ($25282) 812016
QUAKERTOWN CENTER 138 7869 11241 90 70 $1243106 5232016 $1227725 ($15381) 812016
QUINCY RETIREMENT COMMUNITY 134 6760 11710 96 58 $000 5232016 $000 $000 812016
REFORMED PRESBYTERIAN HOME 58 3272 4575 87 72 $516894 5232016 $510499 ($6395) 812016 REGINA COMMUNITY NURSING CENTERRENAISSANCE HEALTHCARE amp
121 7934 10475 95 76 $1253374 5232016 $1237867 ($15507) 812016
REHAB CENTER 123 8018 10627 95 75 $1266644 5232016 $1250972 ($15672) 812016
REST HAVEN-YORK RICHBORO REHAB AND NURSING
159 8307 11626 80 71 $000 5232016 $000 $000 812016
CENTER 82 4398 6585 88 67 $694774 5232016 $686178 ($8596) 812016 RICHFIELD HEALTHCARE AND REHAB CENTER RIDGEVIEW HEALTHCARE amp REHAB
40 2357 3315 91 71 $372347 5232016 $367740 ($4607) 812016
CENTER 131 8890 11406 96 78 $1404398 5232016 $1387022 ($17376) 812016 RIDGEVIEW HEALTHCARE amp REHAB CENTER 111 5481 7498 74 73 $000 5232016 $000 $000 812016 RIVER RUN REHAB AND NURSING CENTERRIVERS EDGE NURSING AND REHAB
145 6567 8119 62 81 $000 5232016 $000 $000 812016
CENTER 120 6257 9108 83 69 $000 5232016 $000 $000 812016
RIVERSIDE CARE CENTER RIVERSIDE REHABILITATION AND
120 9013 10480 96 86 $1423829 5232016 $1406213 ($17616) 812016
NURSING CTR 161 10603 12961 88 82 $1675009 5232016 $1654285 ($20724) 812016
RIVERSTREET MANOR 122 7085 10168 92 70 $1119253 5232016 $1105405 ($13848) 812016
RIVERWOODS 226 7947 13637 66 58 $000 5232016 $000 $000 812016
ROCHESTER MANOR 122 5703 8311 75 69 $000 5232016 $000 $000 812016
ROLLING FIELDS INC 181 11319 15372 93 74 $1788120 5232016 $1765996 ($22124) 812016 ROLLING HILLS HEALTHCARE amp REHAB CENTER 57 3949 4785 92 83 $623843 5232016 $616125 ($7718) 812016
ROLLING MEADOWS 121 6979 9532 87 73 $1102508 5232016 $1088867 ($13641) 812016
ROSE VIEW CENTER 123 8174 10813 97 76 $1291288 5232016 $1275311 ($15977) 812016 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 1752 9224 89 19 $000 5232016 $000 $000 812016
SAINT ANNE HOME 125 5864 11062 97 53 $000 5232016 $000 $000 812016
SAINT JOSEPH VILLA SAINT MARYS VILLA NURSING
106 5410 8161 85 66 $854645 5232016 $844071 ($10574) 812016
HOME INC 112 5747 9617 94 60 $000 5232016 $000 $000 812016
SAINT PAUL HOMES 192 9221 17066 98 54 $000 5232016 $000 $000 812016
SANATOGA CENTER 130 6362 11287 95 56 $000 5232016 $000 $000 812016
SARAH A TODD MEMORIAL HOME 117 7221 10047 94 72 $1140738 5232016 $1126624 ($14114) 812016
SAXONY HEALTH CENTER 68 3658 5701 92 64 $000 5232016 $000 $000 812016
SAYRE HEALTH CARE CENTER LLC 50 1868 4161 91 45 $000 5232016 $000 $000 812016 SCENERY HILL HEALTHCARE amp REHAB CENTER 56 2800 4320 85 65 $442330 5232016 $436857 ($5473) 812016
SCHUYLKILL CENTER 190 13372 16629 96 80 $2112442 5232016 $2086306 ($26136) 812016 SCOTTDALE HEALTHCARE amp REHAB CENTER 35 1135 2977 93 38 $000 5232016 $000 $000 812016
SCRANTON HEALTH CARE CENTER 44 1965 3513 88 56 $000 5232016 $000 $000 812016
SENA-KEAN MANOR 152 8802 11557 84 76 $000 5232016 $000 $000 812016
SENECA PLACE 174 8176 12058 76 68 $000 5232016 $000 $000 812016
SETON MANOR INC SHENANDOAH MANOR NURSING
120 7571 10246 94 74 $1196029 5232016 $1181231 ($14798) 812016
CENTER 124 8066 10261 91 79 $1274227 5232016 $1258461 ($15766) 812016 SHENANGO PRESBYTERIAN SENIORCARE 25 439 2194 96 20 $000 5232016 $000 $000 812016
SHERWOOD OAKS 43 91 3064 78 3 $000 5232016 $000 $000 812016 SHIPPENSBURG HEALTH CARE CENTER 125 7420 9605 84 77 $000 5232016 $000 $000 812016
SIEMONS LAKEVIEW MANOR NSG 120 8142 10548 97 77 $1286233 5232016 $1270319 ($15914) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 11
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
PROSPECT PARK HEALTH AND REHAB CENTER 180 12542 15346 94 82 $1981323 5232016 $1956809 ($24514) 812016
PROVIDENCE CARE CENTER 180 12935 15707 96 82 $2043407 5232016 $2018125 ($25282) 812016
QUAKERTOWN CENTER 138 7869 11241 90 70 $1243106 5232016 $1227725 ($15381) 812016
QUINCY RETIREMENT COMMUNITY 134 6760 11710 96 58 $000 5232016 $000 $000 812016
REFORMED PRESBYTERIAN HOME 58 3272 4575 87 72 $516894 5232016 $510499 ($6395) 812016 REGINA COMMUNITY NURSING CENTERRENAISSANCE HEALTHCARE amp
121 7934 10475 95 76 $1253374 5232016 $1237867 ($15507) 812016
REHAB CENTER 123 8018 10627 95 75 $1266644 5232016 $1250972 ($15672) 812016
REST HAVEN-YORK RICHBORO REHAB AND NURSING
159 8307 11626 80 71 $000 5232016 $000 $000 812016
CENTER 82 4398 6585 88 67 $694774 5232016 $686178 ($8596) 812016 RICHFIELD HEALTHCARE AND REHAB CENTER RIDGEVIEW HEALTHCARE amp REHAB
40 2357 3315 91 71 $372347 5232016 $367740 ($4607) 812016
CENTER 131 8890 11406 96 78 $1404398 5232016 $1387022 ($17376) 812016 RIDGEVIEW HEALTHCARE amp REHAB CENTER 111 5481 7498 74 73 $000 5232016 $000 $000 812016 RIVER RUN REHAB AND NURSING CENTERRIVERS EDGE NURSING AND REHAB
145 6567 8119 62 81 $000 5232016 $000 $000 812016
CENTER 120 6257 9108 83 69 $000 5232016 $000 $000 812016
RIVERSIDE CARE CENTER RIVERSIDE REHABILITATION AND
120 9013 10480 96 86 $1423829 5232016 $1406213 ($17616) 812016
NURSING CTR 161 10603 12961 88 82 $1675009 5232016 $1654285 ($20724) 812016
RIVERSTREET MANOR 122 7085 10168 92 70 $1119253 5232016 $1105405 ($13848) 812016
RIVERWOODS 226 7947 13637 66 58 $000 5232016 $000 $000 812016
ROCHESTER MANOR 122 5703 8311 75 69 $000 5232016 $000 $000 812016
ROLLING FIELDS INC 181 11319 15372 93 74 $1788120 5232016 $1765996 ($22124) 812016 ROLLING HILLS HEALTHCARE amp REHAB CENTER 57 3949 4785 92 83 $623843 5232016 $616125 ($7718) 812016
ROLLING MEADOWS 121 6979 9532 87 73 $1102508 5232016 $1088867 ($13641) 812016
ROSE VIEW CENTER 123 8174 10813 97 76 $1291288 5232016 $1275311 ($15977) 812016 RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 1752 9224 89 19 $000 5232016 $000 $000 812016
SAINT ANNE HOME 125 5864 11062 97 53 $000 5232016 $000 $000 812016
SAINT JOSEPH VILLA SAINT MARYS VILLA NURSING
106 5410 8161 85 66 $854645 5232016 $844071 ($10574) 812016
HOME INC 112 5747 9617 94 60 $000 5232016 $000 $000 812016
SAINT PAUL HOMES 192 9221 17066 98 54 $000 5232016 $000 $000 812016
SANATOGA CENTER 130 6362 11287 95 56 $000 5232016 $000 $000 812016
SARAH A TODD MEMORIAL HOME 117 7221 10047 94 72 $1140738 5232016 $1126624 ($14114) 812016
SAXONY HEALTH CENTER 68 3658 5701 92 64 $000 5232016 $000 $000 812016
SAYRE HEALTH CARE CENTER LLC 50 1868 4161 91 45 $000 5232016 $000 $000 812016 SCENERY HILL HEALTHCARE amp REHAB CENTER 56 2800 4320 85 65 $442330 5232016 $436857 ($5473) 812016
SCHUYLKILL CENTER 190 13372 16629 96 80 $2112442 5232016 $2086306 ($26136) 812016 SCOTTDALE HEALTHCARE amp REHAB CENTER 35 1135 2977 93 38 $000 5232016 $000 $000 812016
SCRANTON HEALTH CARE CENTER 44 1965 3513 88 56 $000 5232016 $000 $000 812016
SENA-KEAN MANOR 152 8802 11557 84 76 $000 5232016 $000 $000 812016
SENECA PLACE 174 8176 12058 76 68 $000 5232016 $000 $000 812016
SETON MANOR INC SHENANDOAH MANOR NURSING
120 7571 10246 94 74 $1196029 5232016 $1181231 ($14798) 812016
CENTER 124 8066 10261 91 79 $1274227 5232016 $1258461 ($15766) 812016 SHENANGO PRESBYTERIAN SENIORCARE 25 439 2194 96 20 $000 5232016 $000 $000 812016
SHERWOOD OAKS 43 91 3064 78 3 $000 5232016 $000 $000 812016 SHIPPENSBURG HEALTH CARE CENTER 125 7420 9605 84 77 $000 5232016 $000 $000 812016
SIEMONS LAKEVIEW MANOR NSG 120 8142 10548 97 77 $1286233 5232016 $1270319 ($15914) 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 12
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
AND REHAB
SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 66 3473 5193 86 67 $548647 5232016 $541859 ($6788) 812016
SILVER LAKE CENTER 174 12577 14513 92 87 $1986852 5232016 $1962270 ($24582) 812016 SILVER OAKS HEALTH AND REHAB CENTER 62 4481 5074 90 88 $707886 5232016 $699128 ($8758) 812016
SIMPSON HOUSE INC 154 11598 13742 98 84 $1832195 5232016 $1809526 ($22669) 812016 SLATE BELT HEALTH AND REHAB CENTER 126 6784 10220 89 66 $1071703 5232016 $1058443 ($13260) 812016
SMITH HEALTH CARE LTD 37 1205 2982 89 40 $000 5232016 $000 $000 812016 SNYDER MEMORIAL HEALTH CARE CENTER 100 7682 8604 95 89 $1213564 5232016 $1198549 ($15015) 812016
SOMERTON CENTER 229 16268 19633 94 83 $2569938 5232016 $2538141 ($31797) 812016
SOUDERTON MENNONITE HOMES 71 2135 6316 98 34 $000 5232016 $000 $000 812016
SOUTH FAYETTE NURSING CENTER 60 4705 5243 96 90 $743273 5232016 $734076 ($9197) 812016 SOUTHWESTERN NURSING CARE CENTER 118 5682 10027 93 57 $000 5232016 $000 $000 812016
SPANG CREST MANOR SPRING CREEK REHAB AND
105 5739 9255 97 62 $000 5232016 $000 $000 812016
NURSING CENTER 404 28065 33215 90 84 $4433570 5232016 $4378715 ($54855) 812016
SPRINGS AT THE WATERMARK THE SPRUCE MANOR NURSING AND
109 3656 8659 87 42 $000 5232016 $000 $000 812016
REHAB CENTER 184 14010 15631 93 90 $2213230 5232016 $2185847 ($27383) 812016 SQUIRREL HILL CTR FOR REHAB AND HEALING ST FRANCIS CENTER FOR REHAB amp
178 11730 13386 83 88 $000 5232016 $000 $000 812016
HEALTHCARE 273 20375 24145 97 84 $3218742 5232016 $3178917 ($39825) 812016 ST JOHN NEUMANN CTR FOR REHAB amp HLTHCARE 226 15148 19900 97 76 $2393006 5232016 $2363398 ($29608) 812016
ST JOHN SPECIALTY CARE CENTER 300 14956 18511 68 81 $000 5232016 $000 $000 812016 ST JOSEPHS MANOR (DBA ENTITY OF HRHS) 296 14369 26034 97 55 $000 5232016 $000 $000 812016 ST LUKES REHABILITATION AND NURSING CTR ST MARTHA CENTER FOR REHAB amp
48 2275 4141 95 55 $000 5232016 $000 $000 812016
HEALTHCARE 120 5736 10565 97 54 $000 5232016 $000 $000 812016 ST MARY CENTER FOR REHAB amp HEALTHCARE 120 5430 10254 94 53 $000 5232016 $000 $000 812016 ST MONICA CENTER FOR REHAB amp HEALTHCARE 180 9707 16059 98 60 $000 5232016 $000 $000 812016
ST LUKES VILLA 50 2376 4070 89 58 $000 5232016 $000 $000 812016 STATESMAN HEALTH AND REHAB CENTERSTERLING HEALTH CARE AND
101 6467 8804 96 73 $1021625 5232016 $1008984 ($12641) 812016
REHAB CENTER 164 11666 14198 95 82 $1842937 5232016 $1820135 ($22802) 812016 STONEBRIDGE HEALTH AND REHAB CENTER 60 2716 5045 92 54 $000 5232016 $000 $000 812016
STONERIDGE POPLAR RUN 60 2486 5304 97 47 $000 5232016 $000 $000 812016
STONERIDGE TOWNE CENTRE 152 7063 11331 82 62 $000 5232016 $000 $000 812016 SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7972 9516 87 84 $1259377 5232016 $1243795 ($15582) 812016
SUGAR CREEK REST 114 8300 9494 92 87 $1311193 5232016 $1294970 ($16223) 812016 SUGAR CREEK STATION SKILLED NSG amp REHAB 160 8849 11129 76 80 $000 5232016 $000 $000 812016 SUMMIT AT BLUE MOUNTAIN NURSING amp REHAB SUNBURY COMMUNITY HEALTH amp
91 4639 8064 97 58 $000 5232016 $000 $000 812016
REHAB CENTER 29 1444 2310 88 63 $000 5232016 $000 $000 812016 SUNNYVIEW NURSING AND REHABILITATION CTR 220 14980 19555 98 77 $2366466 5232016 $2337187 ($29279) 812016 SUSQUEHANNA HLTH SKILLED NSG amp REHAB CTR SUSQUEHANNA VALLEY NURSING
138 8302 11451 91 73 $1311509 5232016 $1295282 ($16227) 812016
AND REHAB CTR 173 6880 9354 59 74 $000 5232016 $000 $000 812016
SWAIM HEALTH CENTER 79 3328 6382 89 52 $000 5232016 $000 $000 812016
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 13
of Total
PA MA Total
Resident Overall MA
Original Nonpublic
MDOI
Revised Nonpublic
MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
SWEDEN VALLEY MANOR 121 7894 9479 86 83 $1247055 5232016 $1231626 ($15429) 812016
TEL HAI RETIREMENT COMMUNITY 139 5372 12077 95 44 $000 5232016 $000 $000 812016 THE BELVEDERE CENTER GENESIS HEALTHCARE 150 11933 13389 98 89 $1885116 5232016 $1861792 ($23324) 812016
THE MANOR AT PENN VILLAGE 159 10790 14226 98 76 $1704551 5232016 $1683461 ($21090) 812016
THE MANOR AT PERRY VILLAGE 123 7602 10210 91 74 $1200926 5232016 $1186068 ($14858) 812016
THE MANOR AT ST LUKE VILLAGE 104 6581 8664 92 76 $1039634 5232016 $1026771 ($12863) 812016 THE MANOR AT SUSQUEHANNA VILLAGE 194 12550 17036 96 74 $1982587 5232016 $1958057 ($24530) 812016 THE PATRIOT A CHOICE COMMUNITY 100 5248 7933 87 66 $829053 5232016 $818795 ($10258) 812016
THE PAVILION AT ST LUKE VILLAGE 120 6638 9425 86 70 $1048638 5232016 $1035664 ($12974) 812016
THORNWALD HOME 83 4183 7459 99 56 $000 5232016 $000 $000 812016
TIMBER RIDGE HEALTH CENTER 180 12002 15844 97 76 $1872558 $1872558 812016
TOWNE MANOR EAST 120 8827 9840 90 90 $1394446 5232016 $1377193 ($17253) 812016
TOWNE MANOR WEST 119 9039 10142 94 89 $1427936 5232016 $1410269 ($17667) 812016 TRANSITIONS HEALTHCARE AUTUMN GROVE C C TRANSITIONS HEALTHCARE
103 7597 8947 95 85 $1200136 5232016 $1185288 ($14848) 812016
GETTYSBURG 135 8674 11605 94 75 $1370276 5232016 $1353322 ($16954) 812016 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 6334 9724 89 65 $1000614 5232016 $988234 ($12380) 812016 TRANSITIONS HEALTHCARE WASHINGTON PA 120 6471 9498 87 68 $1022257 5232016 $1009609 ($12648) 812016 TREMONT HEALTH AND REHABILITATION CENTER 180 11662 14814 90 79 $1842305 5232016 $1819511 ($22794) 812016
TRINITY LIVING CENTER 109 6774 8705 88 78 $1070123 5232016 $1056883 ($13240) 812016
TUCKER HOUSE NSG amp REHAB CTR 180 13516 16075 98 84 $2135191 5232016 $2108773 ($26418) 812016 TWIN OAKS HEALTH AND REHAB CENTER 53 2241 4398 91 51 $000 5232016 $000 $000 812016
TWIN PINES HEALTH CARE CENTER 120 6753 9135 84 74 $000 5232016 $000 $000 812016 UNITED ZION RETIREMENT COMMUNITY 59 2451 5078 95 48 $000 5232016 $000 $000 812016
UPMC HERITAGE PLACE 143 7859 10337 79 76 $000 5232016 $000 $000 812016 VALLEY MANOR HEALTH AND REHAB CENTER 180 12854 14897 91 86 $2030611 5232016 $2005487 ($25124) 812016
VALLEY VIEW HAVEN INC 122 6182 10528 95 59 $000 5232016 $000 $000 812016
VALLEY VIEW NURSING CENTER 173 7672 13419 85 57 $000 5232016 $000 $000 812016
VILLA SAINT JOSEPH OF BADEN INC 120 6829 10706 98 64 $000 5232016 $000 $000 812016
VILLAGE AT LUTHER SQUARE 110 8519 9443 94 90 $1345789 5232016 $1329138 ($16651) 812016
VILLAGE AT PENNWOOD 126 8457 9608 84 88 $000 5232016 $000 $000 812016
VINCENTIAN DE MARILLAC 50 3056 4164 92 73 $482772 5232016 $476799 ($5973) 812016
VINCENTIAN HOME 180 7050 15849 97 44 $000 5232016 $000 $000 812016
WARREN MANOR 121 5075 9182 83 55 $000 5232016 $000 $000 812016 WATSONTOWN NURSING AND REHAB CENTER 125 7102 10116 89 70 $1121939 5232016 $1108057 ($13882) 812016
WAYNE CENTER 112 6316 9362 92 67 $997770 5232016 $985425 ($12345) 812016
WAYNE WOODLANDS MANOR WEATHERWOOD HEALTHCARE AND
121 5801 9252 84 63 $000 5232016 $000 $000 812016
REHAB CTR 200 13323 17547 96 76 $2104702 5232016 $2078661 ($26041) 812016 WESLEY ENHANCED LIVING PENNYPACK PARK 120 6995 10601 97 66 $1105035 5232016 $1091363 ($13672) 812016 WESLEY ENHANCED LIVING-DOYLESTOWN 60 2238 5197 95 43 $000 5232016 $000 $000 812016
WESLEY VILLAGE 183 10422 16011 96 65 $1646416 5232016 $1626045 ($20371) 812016
WEST HAVEN MANOR 177 10353 14171 88 73 $1635516 5232016 $1615280 ($20236) 812016 WEST HILLS HEALTH AND REHAB CENTERWESTGATE REHABILITATION AND
150 6659 12264 90 54 $000 5232016 $000 $000 812016
NURSING CTR 110 6065 9397 94 65 $958119 5232016 $946264 ($11855) 812016
WESTMINSTER VILLAGE 111 6766 9495 94 71 $1068859 5232016 $1055635 ($13224) 812016
WESTMINSTER WOODS AT 64 2716 5596 96 49 $000 5232016 $000 $000 812016
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
Page 14
Original Revised Total Total Nonpublic Nonpublic
of PA MA Resident Overall MA MDOI MDOI Gross Provider Name Beds Days Days Payments RA Date Payments Adjustment RA Date
HUNTINGDON
WESTMONT WOODS 41 2071 3226 86 64 $000 5232016 $000 $000 812016 WHITE CLIFF HEALTH AND REHAB CENTER 154 11089 13389 96 83 $1751785 5232016 $1730111 ($21674) 812016
WHITESTONE CARE CENTER 90 4862 7304 89 67 $768075 5232016 $758572 ($9503) 812016
WILLOW TERRACE 180 11846 15174 93 78 $1871372 5232016 $1848219 ($23153) 812016 WILLOWS OF PRESBYTERIAN SENIORCARE THE 200 7872 16937 93 46 $000 5232016 $000 $000 812016 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 7986 10590 97 75 $1261589 5232016 $1245980 ($15609) 812016
WOODHAVEN CARE CENTER 120 7562 9628 88 79 $1194607 5232016 $1179827 ($14780) 812016 WOODLAND REHABILITATION AND NURSING CTR 125 5300 6499 57 82 $000 5232016 $000 $000 812016 WYOMISSING HEALTH AND REHABILITATION CTR YORK NURSING AND
103 5935 7780 83 76 $000 5232016 $000 $000 812016
REHABILITATION CENTER 240 17935 20974 96 86 $2833282 5232016 $2798227 ($35055) 812016 ZERBE SISTERS NURSING CENTER INC 87 5195 7526 95 69 $820680 5232016 $810526 ($10154) 812016
