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Florida Medicaid NURSING HOME DIRECT & INDIRECT CARE COSTS A Report To The Florida Legislature 2016
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Page 1: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Florida Medicaid

NURSING HOME DIRECT & INDIRECT CARE COSTSA Report To The Florida Legislature 2016

Page 2: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and
Page 3: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Florida Medicaid Nursing Home Direct and Indirect Care Costs

AHCA 6/20/2016 i

BACKGROUND ............................................................................................................ 1 REPORT SUMMARY .................................................................................................... 2

Table 1: Direct Patient Care Costs for All Providers ......................................................................................... 3

Table 2: Direct Patient Care Costs for Providers that Are Limited .................................................................... 4

Table 3: Indirect Patient Care Costs for All Providers ........................................................................................ 5

Table 4: Indirect Patient Care Costs for Providers that Are Limited .................................................................. 6

Table 5: Comparison of Average Direct Patient Care Costs for All Providers to Average Cost Based Class

Ceilings for Direct Patient Care ............................................................................................................ 7

Table 6: Comparison of Average Direct Patient Care Costs for Providers that Are Limited to Average Cost

Based Class Ceilings for Direct Patient Care ...................................................................................... 7

Table 7: Comparison of Average Indirect Patient Care Costs for All Providers to Average Effective Limitations

for Indirect Patient Care ....................................................................................................................... 8

Table 8: Comparison of Average Indirect Patient Care Costs for Providers that Are Limited to Average Effective

Limitations for Indirect Patient Care ..................................................................................................... 8 APPENDIX I: Direct and Indirect Care Staffing Salaries, Hours, and Benefits ................................ 9

APPENDIX II: Employment Agency Salaries and Hours ................................................................. 21

Page 4: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Florida Medicaid Nursing Home Direct and Indirect Care Costs

AHCA 1 6/20/2016

BACKGROUND

Since 2001, Florida law has required the Agency for Health Care Administration (Agency) to structure its long-term care plan and cost reporting system to reflect both direct and indirect components of patient care costs used in setting nursing home payment rates. Per Section 409.908(2)(b)4, Florida Statutes:

On July 1 of each year, the agency shall report to the Legislature direct and indirect care costs, including average direct and indirect care costs per resident per facility and direct care and indirect care salaries and benefits per category of staff member per facility.

Each Medicaid participating nursing home is required to submit cost reports to the Agency. The historical costs within these cost reports are adjusted for inflation and used to establish Medicaid reimbursement per diem rates.

To gather the information needed, the Agency requires providers to submit direct patient care information with their cost reports. The box below shows what is included and excluded from direct care costs for purposes of this information set.

Included Excluded

Nurses who deliver direct care to residents

Certified nursing assistants who deliver direct care to residents

Nursing administration

Minimum data set (MDS) coordinators

Care plan coordinators

Staff development

Staffing coordinator

New nurse staffing ratios went into effect January 1, 2002. Since then the Agency has used the staffing hours information reported by the nursing homes to calculate what is called a “gross up factor.” This factor is applied to reimbursement rates to compensate for the increased staffing requirements. The box below shows staffing level requirements since 2002 on an hours per day basis.

Nurses Certified Nurse Assistants Combined Licensed & Certified Nurse Assistants

January 2002 1.0 2.3 N/A

January 2003 1.0 2.6 N/A

January 2007 1.0 2.7 minimum with a 2.9 weekly average

N/A

July 2010 1.0 2.7 3.9 weekly average

July 2011 1.0 2.5 3.6 weekly average

A requirement of 2.9 hours per day was to have gone into effect July 1, 2006; however, the requirement was modified to a minimum of 2.7 hours of direct care per resident per day effective January 1, 2007, with a weekly average requirement of 2.9 hours. Effective July 1, 2010, a combined minimum weekly average of 3.9 hours of direct care per resident per day of licensed nursing staff and certified nursing assistants was required. Effective July 1, 2011, a combined minimum weekly average of 3.6 hours of direct care per resident per day of licensed nursing staff and certified nursing assistants is required. A week is defined as Sunday through Saturday.

Page 5: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Florida Medicaid Nursing Home Direct and Indirect Care Costs

AHCA 2 6/20/2016

REPORT SUMMARY The 2016 report is based on supplemental data submitted to the Agency for the January 1, 2015, and September 1, 2015, rate setting periods. Providers submitting actual costs are required to submit supplemental data. Those submitting only estimated costs are not required to submit supplemental data. The supplemental data provided in this report is based on the actual cost reports submitted by the providers. This data is subject to change based on future audits. The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods.

Rate Setting Period

Submitted Actual Costs

Submitted Estimated Costs

Total

January 2015 612 45 657

September 2015 610 47 657

Tables 1 and 3 on the following pages reflect the averages of the direct and indirect cost components of the per diem patient care. The averages are based on all active nursing home providers during each rate setting period. Tables 2 and 4 reflect the averages of the direct and indirect cost components of the per diem patient care based only on providers that are held to a limitation other than actual costs. Tables 5 and 6 compare the average direct care cost per diem to the average cost based class ceiling for each rate semester. Class ceilings vary by region of the state and by size of the facility. No facility’s per diem rate can be higher than the ceiling for that area. Tables 7 and 8 compare the average indirect care cost per diem to the average of the effective indirect class ceiling. Appendix I shows a breakdown of total staffing salaries, hours, and benefits by provider. Appendix II shows a breakdown of salaries and hours by provider for staff supplied by employment agencies.

Page 6: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Florida Medicaid Nursing Home Direct and Indirect Care Costs

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 3 6/20/2016

Table 1: Direct Patient Care Costs for All Providers

January 2015

September 2015

Average Medicaid Direct Care Gross Up Per Diem

$0.0000

$0.0000

Average Medicaid Direct Care Cost/Facility

$1,994,315

$1,896,838

Average Medicaid Direct Care Cost Per Diem

$86.38

$88.90

Average Medicaid Direct Care Cost Per Diem Reimbursed

$84.86

$87.25

Average Medicaid Adjustment Rate (M.A.R.)

$1.13

$1.18

Average Medicaid Direct Care Cost Per Diem Reimbursed Including M.A.R.

$85.99

$88.43

Number of Providers Held to Medicaid Direct Care Cost Based Ceiling

79

74

Number of Providers Receiving Medicaid Direct Care Cost Per Diem

578

583

Total Number of Providers

657

657

Page 7: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Florida Medicaid Nursing Home Direct and Indirect Care Costs

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 4 6/20/2016

Table 2: Direct Patient Care Costs for Providers that Are Limited

January 2015 September 2015

Average Medicaid Direct Care Gross Up Per Diem $0.0000 $0.0000

Average Medicaid Direct Care Cost $2,118,783 $2,048,155

Average Medicaid Direct Care Cost Per Diem $113.00 $118.28

Average Medicaid Direct Care Cost Per Diem Reimbursed $100.34 $103.63

Average Medicaid Adjustment Rate (M.A.R.) $0.85 $0.95

Average Medicaid Direct Care Cost Per Diem Reimbursed Including M.A.R. $101.19 $104.57

Total Number of Providers that Are Limited 79 74

Page 8: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Florida Medicaid Nursing Home Direct and Indirect Care Costs

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 5 6/20/2016

Table 3: Indirect Patient Care Costs for All Providers

January 2015 September 2015

Average Medicaid Indirect Care Cost $1,252,470 $1,183,846

Average Medicaid Indirect Care Cost Per Diem $57.54 $58.77

Average Medicaid Indirect Care Cost Per Diem Reimbursed $54.89 $56.44

Average Medicaid Adjustment Rate (M.A.R.) $0.71 $0.74

Average Medicaid Indirect Care Cost Per Diem Reimbursed Including M.A.R. $55.61 $57.18

Number of Providers Held to Medicaid Indirect Care Provider Targets or Effective Ceilings 167 147

Number of Providers Receiving Medicaid Indirect Care Cost Per Diem 490 510

Total Number of Providers 657 657

Page 9: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Florida Medicaid Nursing Home Direct and Indirect Care Costs

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 6 6/20/2016

Table 4: Indirect Patient Care Costs for Providers that Are Limited

January 2015 September 2015

Average Medicaid Indirect Care Cost $1,256,750 $1,120,726

Average Medicaid Indirect Care Cost Per Diem $75.21 $78.09

Average Medicaid Indirect Care Cost Per Diem Reimbursed $64.80 $67.66

Average Medicaid Adjustment Rate (M.A.R.) $0.58 $0.48

Average Medicaid Indirect Care Cost Per Diem Reimbursed Including M.A.R. $65.39 $68.14

Total Number of Providers that Are Limited 167 147

Page 10: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Florida Medicaid Nursing Home Direct and Indirect Care Costs

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 7 6/20/2016

Table 5: Comparison of Average Direct Patient Care Costs for All Providers to Average Cost Based Class Ceilings for Direct

Patient Care

Average Medicaid Direct Care

Cost Per Diem Average Direct Care Ceiling

January 2015 $86.38 $99.16

September 2015 $88.90 $102.43

Table 6: Comparison of Average Direct Patient Care Costs for Providers that Are Limited to Average Cost Based Class Ceilings for

Direct Patient Care

Average Medicaid Direct

Care Cost Per Diem Average Direct Care Ceiling

January 2015 $113.00 $100.34

September 2015 $118.28 $103.63

Page 11: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Florida Medicaid Nursing Home Direct and Indirect Care Costs

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 8 6/20/2016

Table 7:

Comparison of Average Indirect Patient Care Costs for All Providers to Average Effective Limitations for Indirect Patient Care

Average Medicaid Indirect

Care Cost Per Diem Average Indirect Care

Limitation

January 2015 $57.54 $54.89

September 2015 $58.77 $56.44

Table 8: Comparison of Average Indirect Patient Care Costs for Providers that Are Limited to Average Effective Limitations for

Indirect Patient Care

Average Medicaid Indirect

Care Cost Per Diem Average Indirect Care

Limitation

January 2015 $75.21 $64.80

September 2015 $78.09 $67.66

Page 12: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and
Page 13: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Florida Medicaid Nursing Home Direct and Indirect Care Costs

AHCA 9 6/20/2016

APPENDIX I

DIRECT AND INDIRECT CARE STAFFING SALARIES, HOURS, AND BENEFITS

Page 14: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX I

DIRECT AND INDIRECT CARE SALARIES, HOURS, AND BENEFITS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s)

RN Total

Salary

RN Total

Hours RN Avg. $/Hr

LPN Total

Salary

LPN Total

Hours LPN Avg. $/Hr

CNA Total

Salary

CNA Total

Hours CNA Avg. $/Hr

RN Total

Benefits

LPN Total

Benefits

CNA Total

Benefits

001135 Surrey Place Care Center 7/31/2014 1/1/2015 & 9/1/2015 216,647 8,035 26.96 258,422 12,666 20.40 530,705 46,700 11.36 46,458 55,418 113,806

001136 Signature HealthCARE of Palm Beach 7/31/2014 1/1/2015 & 9/1/2015 349,414 12,700 27.51 621,662 26,950 23.07 1,088,332 83,760 12.99 54,768 97,441 170,588

001416 Florida Baptist Retirement Center 12/31/2013 1/1/2015 & 9/1/2015 125,934 4,942 25.48 106,425 5,045 21.10 294,425 25,740 11.44 34,596 29,238 80,884

002400 Village Place Health and Rehab Center 8/31/2014 1/1/2015 & 9/1/2015 499,630 17,982 27.79 592,045 26,754 22.13 878,956 66,973 13.12 103,417 122,546 181,932

005219 Osceola Health Care Center 6/30/2013 1/1/2015 316,763 12,595 25.15 876,378 39,872 21.98 1,555,800 124,348 12.51 53,884 149,082 264,656

005219 Osceola Health Care Center 12/31/2014 9/1/2015 153,298 5,935 25.83 492,115 21,203 23.21 710,695 56,097 12.67 23,688 76,043 109,818

005372 Debary Manor 6/30/2014 1/1/2015 & 9/1/2015 139,662 6,135 22.76 445,491 20,356 21.88 795,989 62,009 12.84 35,608 113,582 202,945

005374 Flagler Pines 6/30/2014 1/1/2015 & 9/1/2015 388,994 12,973 29.98 386,930 17,353 22.30 775,836 55,027 14.10 49,234 48,973 98,195

005379 Longwood Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 159,581 6,641 24.03 478,073 21,811 21.92 761,611 56,006 13.60 25,712 77,028 122,713

005380 The Rehabilitation Center of Winter Park 6/30/2014 1/1/2015 & 9/1/2015 266,596 9,470 28.15 608,500 25,598 23.77 928,801 74,489 12.47 40,483 92,404 141,043

005381 Brynwood Center 6/30/2014 1/1/2015 & 9/1/2015 107,446 3,136 34.26 361,280 15,332 23.56 635,848 43,503 14.62 26,575 89,355 157,262

005383 Nursing Pavilion at Chipola Retirement Center 6/30/2014 1/1/2015 & 9/1/2015 78,000 2,822 27.64 198,962 10,533 18.89 347,329 29,473 11.78 15,513 39,573 69,083

005384 Glencove Nursing Pavilion 6/30/2014 1/1/2015 & 9/1/2015 232,704 7,586 30.68 401,617 20,541 19.55 833,069 58,261 14.30 37,917 65,438 135,737

005385 Panama City Nursing Center 6/30/2014 1/1/2015 & 9/1/2015 186,950 6,754 27.68 434,990 20,205 21.53 873,223 63,327 13.79 41,435 96,412 193,543

005386 Riverchase Care Center 6/30/2014 1/1/2015 & 9/1/2015 113,828 4,755 23.94 467,323 20,286 23.04 745,495 59,474 12.53 18,418 75,620 120,632

005387 Suwannee Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 274,411 9,265 29.62 743,582 32,560 22.84 1,149,734 88,615 12.97 49,798 134,941 208,647

005388 Berkshire Manor 12/31/2013 1/1/2015 300,918 9,869 30.49 1,049,111 57,067 18.38 1,474,422 155,876 9.46 48,519 169,153 237,729

005519 Carnegie Gardens Nursing Center 6/30/2014 1/1/2015 & 9/1/2015 137,077 5,858 23.40 618,536 24,144 25.62 834,005 59,130 14.10 20,216 91,226 123,004

005523 Fountainhead Care Center 12/31/2013 1/1/2015 407,902 16,010 25.48 903,624 40,153 22.50 1,475,291 156,616 9.42 57,507 127,392 207,985

005543 Manor on the Green 6/30/2014 1/1/2015 & 9/1/2015 178,011 7,856 22.66 508,283 21,455 23.69 947,868 69,562 13.63 31,048 88,655 165,329

005547 Oakwood Garden of Deland 6/30/2014 1/1/2015 & 9/1/2015 126,997 4,927 25.78 390,555 18,760 20.82 708,832 54,749 12.95 18,410 56,617 102,756

005549 Oaks of Kissimmee 6/30/2014 1/1/2015 & 9/1/2015 123,457 5,009 24.65 169,699 8,101 20.95 346,065 27,456 12.60 18,475 25,395 51,788

005701 Avante at Ocala 5/31/2014 1/1/2015 & 9/1/2015 389,924 13,810 28.23 1,209,095 47,806 25.29 1,425,989 116,273 12.26 77,075 238,998 281,872

005811 Palatka Health Care Center 6/30/2013 1/1/2015 609,792 20,333 29.99 1,528,033 64,953 23.53 2,272,874 186,438 12.19 110,922 277,950 413,437

005811 Palatka Health Care Center 12/31/2014 9/1/2015 301,301 10,005 30.12 845,669 34,632 24.42 1,219,478 95,325 12.79 58,644 164,600 237,358

005814 Boynton Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 165,680 5,727 28.93 351,542 13,893 25.30 523,458 37,599 13.92 17,095 36,271 54,009

005826 Accentia Health & Rehab. Center of Tampa 6/30/2014 1/1/2015 & 9/1/2015 396,226 14,145 28.01 1,021,477 39,989 25.54 1,708,427 118,232 14.45 68,523 176,655 295,456

005849 Glen Oaks Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 110,164 3,454 31.89 293,114 12,019 24.39 571,357 36,815 15.52 15,241 40,551 79,046

005850 Heritage Park 6/30/2014 1/1/2015 & 9/1/2015 143,713 5,580 25.76 587,304 22,331 26.30 782,796 58,266 13.43 21,940 89,660 119,505

005851 Lake Eustis Care Center 6/30/2014 1/1/2015 & 9/1/2015 160,372 5,870 27.32 294,544 14,158 20.80 571,174 43,301 13.19 25,352 46,564 90,296

006339 Lake Placid Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 240,263 7,633 31.48 754,678 31,706 23.80 1,127,940 89,053 12.67 47,779 150,077 224,305

006340 Windsor Manor 6/30/2014 1/1/2015 & 9/1/2015 77,731 2,766 28.10 539,438 24,308 22.19 710,153 56,718 12.52 10,616 73,671 96,986

006483 Salerno Bay Manor 6/30/2014 1/1/2015 & 9/1/2015 117,381 5,098 23.02 502,244 20,978 23.94 833,094 56,946 14.63 16,931 72,439 120,158

006489 Royal Manor 6/30/2014 1/1/2015 & 9/1/2015 189,061 7,289 25.94 536,757 20,505 26.18 902,626 62,361 14.47 25,065 71,160 119,665

006767 Oakbrook of Labelle 6/30/2014 1/1/2015 & 9/1/2015 126,200 4,322 29.20 419,497 14,787 28.37 565,602 40,708 13.89 19,449 64,649 87,166

008793 Woods of Manatee Springs 12/31/2013 1/1/2015 & 9/1/2015 226,853 8,492 26.71 1,115,470 47,907 23.28 1,360,651 103,955 13.09 42,096 206,995 252,492

010082 Courtyard Gardens Rehabilitation Center 6/30/2013 1/1/2015 350,577 11,054 31.71 889,319 33,691 26.40 1,386,801 109,588 12.65 54,165 137,402 214,263

010082 Courtyard Gardens Rehabilitation Center 6/30/2014 9/1/2015 396,614 12,621 31.42 912,617 35,150 25.96 1,402,208 110,876 12.65 60,011 138,085 212,163

010453 Heartland of Sarasota FL, LLC 12/31/2013 1/1/2015 & 9/1/2015 487,700 18,083 26.97 859,266 44,224 19.43 1,289,511 108,180 11.92 62,496 110,112 165,245

011997 Heartland of Boca Raton FL, LLC 12/31/2013 1/1/2015 & 9/1/2015 421,628 15,750 26.77 730,345 36,719 19.89 890,778 87,503 10.18 52,142 90,321 110,162

011998 Royal Palm Healthcare & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 60,690 2,406 25.22 479,509 23,860 20.10 791,297 69,197 11.44 10,584 83,626 138,001

014169 Gulf Shore Rehab & Nursing 1/31/2014 1/1/2015 - - - - - - - - - - - -

014169 Gulf Shore Rehab & Nursing 12/31/2014 9/1/2015 - - - - - - - - - - - -

015613 St. James Health And Rehabilitation Center 12/31/2013 1/1/2015 149,284 4,766 31.32 587,304 27,500 21.36 832,575 69,096 12.05 23,987 94,373 133,784

015613 St. James Health And Rehabilitation Center 12/31/2014 9/1/2015 129,978 4,277 30.39 565,786 27,248 20.76 839,917 68,331 12.29 25,603 111,450 165,449

017221 Bayside Manor 6/30/2014 1/1/2015 & 9/1/2015 251,030 10,004 25.09 345,085 16,843 20.49 816,047 58,920 13.85 46,733 64,241 151,915

017222 Margate Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 425,371 13,119 32.42 741,575 30,964 23.95 1,041,475 82,497 12.62 61,221 106,732 149,895

017223 Rosewood Manor 6/30/2014 1/1/2015 & 9/1/2015 295,942 10,671 27.73 531,528 21,873 24.30 1,150,317 75,166 15.30 55,180 99,107 214,483

017225 Bay Breeze Nursing & Retirement Center 6/30/2014 1/1/2015 & 9/1/2015 316,825 12,763 24.82 403,558 17,704 22.79 836,801 57,708 14.50 48,859 62,234 129,047

017230 Silvercrest Manor 6/30/2014 1/1/2015 & 9/1/2015 40,987 1,414 28.99 244,156 12,538 19.47 352,797 27,448 12.85 9,860 58,738 84,874

017236 Specialty Center of Pensacola 6/30/2014 1/1/2015 & 9/1/2015 447,562 16,414 27.27 284,389 12,525 22.71 889,625 60,220 14.77 64,027 40,683 127,266

017242 Grand Boulevard Health & Rehab. Center 12/31/2013 1/1/2015 487,741 20,167 24.19 284,906 16,079 17.72 1,078,195 67,360 16.01 88,984 51,979 196,706

017242 Grand Boulevard Health & Rehab. Center 6/30/2014 9/1/2015 265,727 10,026 26.50 156,603 8,855 17.69 603,249 34,613 17.43 37,979 22,382 86,218

017301 Lake Bennett Health and Rehablitation 6/30/2013 1/1/2015 & 9/1/2015 228,379 8,638 26.44 1,133,868 51,738 21.92 1,311,252 122,696 10.69 39,491 196,073 226,747

018066 The Park Summit at Coral Springs 6/30/2013 1/1/2015 40,673 1,334 30.49 346,646 13,401 25.87 394,064 34,962 11.27 9,394 80,055 91,006

018066 The Park Summit at Coral Springs 12/31/2014 9/1/2015 48,468 2,174 22.29 157,166 5,927 26.52 209,683 18,992 11.04 8,771 28,444 37,948

018777 Bay Village of Sarasota 12/31/2013 1/1/2015 & 9/1/2015 583,231 20,244 28.81 549,108 25,341 21.67 1,131,744 71,970 15.73 176,471 166,146 342,436

019085 Golfview Healthcare Center 9/30/2013 1/1/2015 67,866 2,776 24.45 382,737 16,542 23.14 542,648 45,099 12.03 15,086 85,075 120,621

019085 Golfview Healthcare Center 7/31/2014 9/1/2015 67,937 2,966 22.91 330,055 14,821 22.27 476,348 38,672 12.32 8,123 39,465 56,958

019282 Southern Pines Healthcare Center 9/30/2013 1/1/2015 106,021 3,772 28.11 670,661 34,410 19.49 1,154,887 93,531 12.35 21,165 133,887 230,556

019282 Southern Pines Healthcare Center 7/31/2014 9/1/2015 153,955 5,615 27.42 532,693 25,752 20.69 938,063 74,075 12.66 24,027 83,137 146,401

019284 Signature HealthCARE of Jacksonville 9/30/2013 1/1/2015 389,982 14,247 27.37 1,063,682 47,185 22.54 1,824,530 136,409 13.38 76,819 209,527 359,400

019284 Signature HealthCARE of Jacksonville 7/31/2014 9/1/2015 307,506 10,800 28.47 859,435 37,177 23.12 1,512,791 115,525 13.09 62,316 174,166 306,570

019287 Golfcrest Healthcare Center 7/31/2014 1/1/2015 & 9/1/2015 230,817 7,825 29.50 309,340 13,728 22.53 560,724 49,899 11.24 60,102 80,548 146,004

021261 Coastal Health and Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 132,740 5,475 24.24 432,117 19,648 21.99 723,640 58,765 12.31 22,699 73,893 123,744

022138 Carlton Shores Health and Rehab Center 12/31/2013 1/1/2015 527,643 21,187 24.90 976,210 39,437 24.75 1,093,717 93,248 11.73 96,910 179,295 200,877

022138 Carlton Shores Health and Rehab Center 8/31/2014 9/1/2015 371,741 14,660 25.36 691,597 29,944 23.10 841,658 70,743 11.90 67,427 125,445 152,663

022987 Blountstown Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 416,818 14,884 28.00 588,858 26,684 22.07 1,108,077 91,810 12.07 52,488 74,152 139,535

022994 The Home Association, Inc. 6/30/2013 1/1/2015 128,824 4,630 27.82 870,305 38,833 22.41 1,077,442 85,959 12.53 17,315 116,978 144,819

022994 The Home Association, Inc. 6/30/2014 9/1/2015 149,531 5,462 27.38 801,917 36,329 22.07 1,287,167 85,959 14.97 32,271 173,067 277,791

023067 Okeechobee Healthcare Facility 9/30/2013 1/1/2015 1,243,688 38,432 32.36 1,540,251 72,988 21.10 2,696,590 235,532 11.45 212,101 262,680 459,884

023067 Okeechobee Healthcare Facility 3/31/2015 9/1/2015 599,746 18,345 32.69 763,732 32,386 23.58 1,336,261 106,780 12.51 101,973 129,854 227,199

024167 Key West Health & Rehabilitation 6/30/2013 1/1/2015 854,422 27,959 30.56 167,749 7,463 22.48 1,098,920 78,124 14.07 102,933 20,208 132,388

024167 Key West Health & Rehabilitation 6/30/2014 9/1/2015 917,798 29,861 30.74 231,936 10,744 21.59 1,366,311 98,710 13.84 90,237 22,803 134,334

026536 West Broward Rehabilitation and Healthcare 12/31/2013 1/1/2015 & 9/1/2015 344,018 12,651 27.19 1,094,953 44,750 24.47 1,450,926 122,851 11.81 59,279 188,673 250,012

030479 The Health Center of Windermere 6/30/2013 1/1/2015 469,735 17,884 26.27 1,012,206 48,875 20.71 1,425,210 123,788 11.51 73,357 158,072 222,569

030479 The Health Center of Windermere 12/31/2014 9/1/2015 239,980 9,091 26.40 520,662 24,454 21.29 701,763 60,632 11.57 38,256 83,002 111,872

030484 The Health Center of Plant City 6/30/2013 1/1/2015 716,510 26,671 26.86 1,593,462 73,340 21.73 2,261,923 191,364 11.82 113,245 251,851 357,502

030484 The Health Center of Plant City 12/31/2014 9/1/2015 450,285 15,686 28.71 737,541 33,222 22.20 1,122,863 95,479 11.76 68,674 112,483 171,249

TOTAL SALARIES AND HOURS BENEFITS

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 10 6/20/2016

Page 15: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX I

DIRECT AND INDIRECT CARE SALARIES, HOURS, AND BENEFITS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s)

RN Total

Salary

RN Total

Hours RN Avg. $/Hr

LPN Total

Salary

LPN Total

Hours LPN Avg. $/Hr

CNA Total

Salary

CNA Total

Hours CNA Avg. $/Hr

RN Total

Benefits

LPN Total

Benefits

CNA Total

Benefits

TOTAL SALARIES AND HOURS BENEFITS

030487 The Health Center of Pensacola, Inc. 6/30/2014 1/1/2015 1,303,807 43,569 29.93 887,017 42,896 20.68 2,334,789 183,649 12.71 219,011 148,999 392,193

030487 The Health Center of Pensacola, Inc. 12/31/2014 9/1/2015 673,019 22,776 29.55 451,008 21,007 21.47 1,176,274 90,921 12.94 106,684 71,491 186,456

030490 Parkway Health & Rehab 6/30/2014 1/1/2015 623,198 21,064 29.59 1,568,200 70,899 22.12 2,688,062 184,296 14.59 106,390 267,717 458,894

030490 Parkway Health & Rehab 12/31/2014 9/1/2015 272,509 9,074 30.03 837,235 38,061 22.00 1,359,484 92,989 14.62 45,251 139,024 225,743

030491 The Health Center of Merritt Island 6/30/2013 1/1/2015 855,311 28,464 30.05 1,428,748 60,566 23.59 2,290,726 178,974 12.80 138,126 230,732 369,933

030491 The Health Center of Merritt Island 12/31/2014 9/1/2015 342,669 11,334 30.23 808,017 35,422 22.81 1,191,360 94,118 12.66 56,898 134,164 197,814

030527 The Health Center of Lake City 6/30/2014 1/1/2015 698,794 23,228 30.08 1,008,379 43,413 23.23 1,341,463 116,552 11.51 109,554 158,090 210,310

030527 The Health Center of Lake City 12/31/2014 9/1/2015 361,738 11,828 30.58 537,550 22,879 23.50 652,537 57,572 11.33 53,866 80,045 97,168

030530 Imperial Health Care Center 6/30/2013 1/1/2015 445,212 19,928 22.34 1,082,825 43,301 25.01 1,378,089 105,877 13.02 70,165 170,650 217,183

030530 Imperial Health Care Center 12/31/2014 9/1/2015 246,032 8,366 29.41 552,493 21,350 25.88 732,617 54,148 13.53 35,435 79,574 105,516

030535 The Health Center of Daytona Beach 6/30/2014 1/1/2015 & 9/1/2015 482,937 18,013 26.81 537,857 23,955 22.45 778,596 69,808 11.15 76,951 85,701 124,060

030537 Health Center of Coconut Creek 6/30/2014 1/1/2015 821,320 25,427 32.30 1,198,754 48,724 24.60 1,462,826 123,784 11.82 132,381 193,216 235,779

030537 Health Center of Coconut Creek 12/31/2014 9/1/2015 447,789 13,889 32.24 590,810 23,679 24.95 754,429 63,695 11.84 66,674 87,969 112,332

030540 Charlotte Harbor Healthcare 6/30/2013 1/1/2015 638,633 20,719 30.82 1,666,894 73,381 22.72 2,368,251 175,161 13.52 113,479 296,192 420,816

030540 Charlotte Harbor Healthcare 12/31/2014 9/1/2015 384,690 13,639 28.21 797,840 34,251 23.29 1,147,505 87,730 13.08 61,661 127,883 183,931

030546 Bayonet Point Health & Rehabilitation Center 6/30/2013 1/1/2015 560,033 18,617 30.08 1,495,100 67,287 22.22 2,144,552 161,127 13.31 83,631 223,267 320,251

030546 Bayonet Point Health & Rehabilitation Center 12/31/2014 9/1/2015 506,089 17,293 29.27 644,330 28,551 22.57 1,114,674 83,517 13.35 68,236 86,875 150,293

030552 The Aristocrat 6/30/2014 1/1/2015 & 9/1/2015 283,512 9,209 30.79 643,541 26,157 24.60 660,111 54,161 12.19 47,229 107,206 109,966

032049 Clyde E. Lassen State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 582,873 18,675 31.21 987,846 44,574 22.16 1,987,457 168,076 11.82 296,659 502,776 1,011,540

032482 Unity Health and Rehab Center 8/31/2014 1/1/2015 & 9/1/2015 1,499,801 39,967 37.53 1,399,045 61,603 22.71 2,520,277 193,271 13.04 279,400 260,630 469,504

032486 Lady Lake Specialty Care Center 8/31/2014 1/1/2015 & 9/1/2015 360,010 12,927 27.85 951,310 42,668 22.30 1,100,413 92,202 11.93 72,452 191,453 221,462

032551 Sunset Lake Health and Rehab Center 12/31/2013 1/1/2015 492,319 16,891 29.15 1,307,121 55,969 23.35 1,441,108 112,652 12.79 96,226 255,483 281,671

032551 Sunset Lake Health and Rehab Center 8/31/2014 9/1/2015 293,901 10,264 28.63 900,007 38,036 23.66 959,499 75,189 12.76 57,833 177,101 188,808

032553 Lexington Health & Rehabilitation Center 12/31/2013 1/1/2015 458,719 17,076 26.86 1,317,101 64,996 20.26 1,790,569 152,420 11.75 82,595 237,149 322,397

032553 Lexington Health & Rehabilitation Center 8/31/2014 9/1/2015 390,000 13,703 28.46 893,677 43,271 20.65 1,209,088 99,187 12.19 69,949 160,284 216,855

033175 Seven Hills Health & Rehab Center 1/31/2014 1/1/2015 & 9/1/2015 340,196 11,371 29.92 1,481,688 67,722 21.88 1,891,059 153,667 12.31 44,295 192,924 246,226

033717 Benderson Family Skilled Nursing & Rehab Center 12/31/2012 1/1/2015 33,591 1,730 19.42 526,276 27,102 19.42 1,032,945 61,698 16.74 4,833 75,715 148,609

033717 Benderson Family Skilled Nursing & Rehab Center 6/30/2014 9/1/2015 174,437 6,298 27.70 618,428 25,646 24.11 1,110,653 67,402 16.48 30,221 107,142 192,420

034504 Grace Healthcare of Lake Wales 12/31/2013 1/1/2015 153,006 5,671 26.98 744,116 35,167 21.16 1,020,346 89,421 11.41 25,855 125,743 172,422

034504 Grace Healthcare of Lake Wales 12/31/2014 9/1/2015 144,976 5,251 27.61 786,533 36,904 21.31 1,026,818 89,384 11.49 24,674 133,863 174,759

041685 University Center West 8/31/2014 1/1/2015 & 9/1/2015 301,234 12,545 24.01 206,585 10,320 20.02 671,305 51,643 13.00 38,876 26,660 86,634

041686 University Center East 7/31/2014 1/1/2015 & 9/1/2015 230,324 9,792 23.52 202,827 10,615 19.11 542,874 46,722 11.62 31,884 28,078 75,151

043832 Heron Pointe Health and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 406,191 15,359 26.45 1,140,241 57,156 19.95 1,804,600 158,849 11.36 56,150 157,625 249,464

043833 Heritage Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 546,376 20,600 26.52 1,575,222 80,717 19.52 2,792,678 232,687 12.00 76,156 219,562 389,257

043835 Heritage Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 413,075 15,760 26.21 1,115,297 52,786 21.13 2,098,635 153,317 13.69 56,863 153,529 288,892

043838 Heritage Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 666,176 23,921 27.85 862,212 35,657 24.18 1,678,498 129,015 13.01 88,792 114,921 223,721

043839 KeystoneRehabilitation and Health Center 12/31/2013 1/1/2015 & 9/1/2015 569,690 23,945 23.79 957,394 54,252 17.65 1,797,859 162,278 11.08 86,405 145,207 272,681

043841 Oakbridge Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 330,020 12,991 25.40 1,239,194 59,746 20.74 2,055,795 159,292 12.91 48,253 181,185 300,584

043843 Oaktree Healthcare 12/31/2013 1/1/2015 & 9/1/2015 213,687 8,450 25.29 479,131 24,521 19.54 948,447 77,519 12.24 29,971 67,201 133,023

043846 Rio Pinar Health Care 12/31/2013 1/1/2015 & 9/1/2015 1,018,076 38,849 26.21 1,519,800 68,892 22.06 3,203,191 242,635 13.20 142,966 213,424 449,820

043847 The Palms Rehabilitation and Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 581,253 23,001 25.27 1,110,589 53,399 20.80 2,192,505 165,244 13.27 86,145 164,594 324,939

043848 Coral Trace Health Care 12/31/2013 1/1/2015 & 9/1/2015 381,852 15,998 23.87 1,142,023 56,292 20.29 2,026,201 159,922 12.67 53,599 160,301 284,410

043850 The Parks Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 488,536 18,932 25.80 1,057,321 53,250 19.86 1,974,273 155,262 12.72 71,300 154,313 288,139

043851 Coral Bay Healthcare and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 442,486 15,288 28.94 1,246,690 57,069 21.85 1,966,112 163,422 12.03 61,477 173,212 273,167

043853 Plantation Bay Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 640,962 25,764 24.88 1,020,689 47,035 21.70 2,184,218 166,107 13.15 90,862 144,691 309,630

043854 Colonial Lakes Health Care 12/31/2013 1/1/2015 & 9/1/2015 525,629 21,600 24.33 1,637,418 82,985 19.73 2,653,764 240,498 11.03 77,093 240,157 389,222

043856 Central Park Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 625,651 23,176 27.00 969,858 50,406 19.24 1,871,866 159,480 11.74 105,539 163,602 315,760

043857 Beneva Lakes Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 221,719 8,462 26.20 1,384,886 63,808 21.70 2,138,971 160,832 13.30 32,386 202,290 312,440

043859 Bradenton Health Care 12/31/2013 1/1/2015 & 9/1/2015 447,969 16,578 27.02 1,003,135 47,095 21.30 1,799,763 140,336 12.82 61,573 137,881 247,378

043860 Brandon Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 572,259 20,518 27.89 1,104,946 57,816 19.11 1,779,810 159,278 11.17 81,972 158,274 254,942

043861 Fort Pierce Health Care 12/31/2013 1/1/2015 & 9/1/2015 1,242,001 41,281 30.09 1,175,630 59,423 19.78 2,626,219 221,556 11.85 174,498 165,171 368,975

043862 Habana Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 623,038 23,008 27.08 1,489,126 73,038 20.39 2,597,248 200,157 12.98 80,167 191,609 334,192

043863 The Health and Rehabilitation Centre at Dolphins View 12/31/2013 1/1/2015 & 9/1/2015 236,395 9,239 25.59 501,732 24,470 20.50 942,485 72,926 12.92 36,400 77,257 145,127

043864 Grand Oaks Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 600,647 24,317 24.70 991,251 48,836 20.30 2,082,631 161,809 12.87 83,305 137,476 288,841

043865 Harts Harbor Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 656,255 24,656 26.62 1,749,953 81,485 21.48 2,741,252 241,905 11.33 85,209 227,214 355,925

043866 Fletcher Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 503,182 18,961 26.54 1,131,738 56,142 20.16 1,963,247 162,416 12.09 74,733 168,088 291,586

043867 Wedgewood Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 645,402 23,318 27.68 1,040,650 51,163 20.34 1,982,144 156,556 12.66 92,610 149,325 284,422

043868 Deltona Health Care 12/31/2013 1/1/2015 & 9/1/2015 698,380 25,788 27.08 1,042,568 51,028 20.43 2,151,638 166,067 12.96 88,412 131,985 272,388

043871 Lake Mary Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 710,589 26,082 27.24 1,170,724 48,773 24.00 2,160,383 160,646 13.45 95,046 156,593 288,968

043872 Countryside Rehab and Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 412,800 16,648 24.80 998,504 51,596 19.35 1,874,090 156,185 12.00 59,371 143,609 269,540

043873 Harbor Beach Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 333,927 12,243 27.27 445,146 21,321 20.88 875,991 80,278 10.91 47,769 63,681 125,315

043874 Health Center at Brentwood 12/31/2013 1/1/2015 & 9/1/2015 431,862 15,433 27.98 1,097,753 57,163 19.20 1,959,231 160,567 12.20 56,461 143,519 256,148

043875 Governor's Creek Health and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 427,358 17,244 24.78 1,101,391 52,803 20.86 1,821,623 155,342 11.73 58,227 150,065 248,196

043876 Largo Rehab & Spa 12/31/2013 1/1/2015 & 9/1/2015 602,371 22,974 26.22 1,622,080 77,966 20.80 2,615,993 210,509 12.43 84,272 226,928 365,977

043877 Magnolia Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 221,050 8,114 27.24 1,400,102 61,915 22.61 2,017,932 159,998 12.61 34,676 219,623 316,536

043878 Marshall Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 275,463 10,017 27.50 1,024,338 51,933 19.72 1,660,720 146,272 11.35 36,171 134,504 218,065

043880 North Florida Rehabilitation and Specialty Care 12/31/2013 1/1/2015 & 9/1/2015 533,685 17,880 29.85 1,214,584 56,656 21.44 1,869,991 160,961 11.62 79,991 182,049 280,286

044886 Crestview Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 516,254 20,006 25.80 1,300,999 70,111 18.56 2,187,069 184,845 11.83 70,727 178,236 299,629

044888 Fort Walton Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 660,194 28,555 23.12 924,775 45,641 20.26 1,752,066 143,459 12.21 100,008 140,089 265,412

044889 River Valley Rehabilation Center 12/31/2013 1/1/2015 & 9/1/2015 456,395 17,615 25.91 1,651,587 79,606 20.75 2,108,741 195,720 10.77 58,707 212,446 271,251

046017 Homestead Manor A Palace Community 6/30/2013 1/1/2015 340,724 12,100 28.16 415,893 21,044 19.76 719,476 76,181 9.44 54,070 65,999 114,174

046017 Homestead Manor A Palace Community 12/31/2014 9/1/2015 173,346 5,026 34.49 306,412 12,802 23.93 441,457 38,804 11.38 19,931 35,232 50,759

046128 Victoria Nursing and Rehabilitation Center, Inc. 2/28/2014 1/1/2015 & 9/1/2015 2,290,466 80,589 28.42 1,718,694 80,601 21.32 3,948,849 408,098 9.68 349,792 262,472 603,055

046233 Crossbreeze Care Center 1/31/2014 1/1/2015 & 9/1/2015 234,600 6,756 34.72 582,950 21,141 27.57 963,266 67,216 14.33 34,902 86,729 143,310

046758 Riverside Care Center 2/28/2014 1/1/2015 811,850 27,037 30.03 859,280 37,114 23.15 1,714,785 170,759 10.04 176,471 186,780 372,740

046758 Riverside Care Center 2/28/2015 9/1/2015 919,805 31,580 29.13 887,155 39,360 22.54 1,768,942 155,150 11.40 169,662 163,639 326,288

047787 Renaissance Health and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 460,215 16,411 28.04 1,180,170 54,807 21.53 2,038,911 158,786 12.84 58,778 150,730 260,408

047788 Wood Lake Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 364,125 14,057 25.90 1,131,846 52,506 21.56 1,595,136 151,068 10.56 56,171 174,600 246,067

047795 Hillcrest Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 1,580,369 57,571 27.45 2,038,345 90,044 22.64 3,703,381 320,191 11.57 214,289 276,388 502,157

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 11 6/20/2016

Page 16: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX I

DIRECT AND INDIRECT CARE SALARIES, HOURS, AND BENEFITS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s)

RN Total

Salary

RN Total

Hours RN Avg. $/Hr

LPN Total

Salary

LPN Total

Hours LPN Avg. $/Hr

CNA Total

Salary

CNA Total

Hours CNA Avg. $/Hr

RN Total

Benefits

LPN Total

Benefits

CNA Total

Benefits

TOTAL SALARIES AND HOURS BENEFITS

048441 Health Central Park 9/30/2014 1/1/2015 & 9/1/2015 922,767 30,869 29.89 1,680,637 78,813 21.32 3,160,192 232,048 13.62 217,679 396,461 745,487

048611 Ocala Oaks Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 373,658 13,684 27.31 1,029,327 48,708 21.13 1,527,432 133,942 11.40 63,575 175,132 259,881

048807 New Riviera Nursing and Rehabilitation Center 11/30/2013 1/1/2015 & 9/1/2015 2,795,915 100,092 27.93 2,402,057 105,580 22.75 2,926,541 290,319 10.08 332,073 285,294 347,588

054789 South Dade Nursing and Rehabilitation Center 12/31/2012 1/1/2015 99,653 3,505 28.43 1,214,426 52,675 23.06 1,067,023 106,872 9.98 18,889 230,197 202,256

054789 South Dade Nursing and Rehabilitation Center 12/31/2013 9/1/2015 205,775 6,117 33.64 1,746,725 78,663 22.21 1,698,638 172,029 9.87 38,639 327,988 318,959

054790 Golden Glades Nursing and Rehabilitation Center 12/31/2012 1/1/2015 580,969 20,132 28.86 869,074 39,351 22.09 962,904 103,474 9.31 118,820 177,743 196,934

054790 Golden Glades Nursing and Rehabilitation Center 12/31/2013 9/1/2015 708,997 24,937 28.43 1,372,317 61,340 22.37 1,702,817 190,965 8.92 144,354 279,411 346,702

059369 Calusa Harbour 6/30/2013 1/1/2015 108,877 3,606 30.19 474,136 18,276 25.94 631,623 42,698 14.79 22,878 99,629 132,720

059369 Calusa Harbour 12/31/2014 9/1/2015 142,114 5,235 27.15 243,773 10,603 22.99 413,166 30,492 13.55 29,296 50,254 85,175

059400 Stratford Court of Palm Harbor 6/30/2013 1/1/2015 120,194 3,940 30.51 292,790 12,454 23.51 513,503 35,129 14.62 26,287 64,034 112,304

059400 Stratford Court of Palm Harbor 12/31/2014 9/1/2015 104,510 3,575 29.23 210,265 9,724 21.62 345,444 26,182 13.19 22,642 45,553 74,841

059404 Gardens of Port St. Lucie 6/30/2013 1/1/2015 94,938 3,377 28.11 173,938 7,684 22.64 329,344 23,693 13.90 23,788 43,584 82,525

059404 Gardens of Port St. Lucie 6/30/2014 9/1/2015 80,577 3,113 25.88 252,343 11,774 21.43 410,889 32,938 12.47 25,542 79,990 130,248

059783 Summer Brook Health Care Center 6/30/2013 1/1/2015 175,276 10,749 16.31 785,753 42,639 18.43 1,214,596 116,734 10.40 30,857 138,328 213,821

059783 Summer Brook Health Care Center 6/30/2014 9/1/2015 241,825 9,745 24.82 805,257 42,955 18.75 1,182,487 121,748 9.71 40,208 133,887 196,607

059852 Shoal Creek Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 945,478 42,035 22.49 475,697 28,481 16.70 1,777,847 161,476 11.01 125,522 63,153 236,028

059855 Englewood Healthcare &Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 340,739 12,684 26.86 1,162,617 54,971 21.15 2,000,743 153,940 13.00 47,396 161,716 278,296

059866 Island Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 640,565 26,170 24.48 857,774 41,646 20.60 1,841,428 154,307 11.93 83,317 111,569 239,511

059869 Rosewood Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 531,328 17,634 30.13 1,131,278 52,865 21.40 2,019,321 162,004 12.46 75,804 161,399 288,096

059873 Evans Health Care 12/31/2013 1/1/2015 & 9/1/2015 418,722 15,067 27.79 1,267,989 60,245 21.05 2,283,754 165,172 13.83 53,199 161,101 290,156

059874 Sea Breeze Health Care 12/31/2013 1/1/2015 & 9/1/2015 532,500 20,345 26.17 862,763 48,968 17.62 1,876,581 157,975 11.88 74,783 121,164 263,543

059877 Spring Hill Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 264,440 10,257 25.78 1,219,440 63,438 19.22 2,093,603 161,386 12.97 35,913 165,605 284,322

060972 Emerald Shores Health and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 233,968 9,350 25.02 668,525 36,827 18.15 1,227,149 104,428 11.75 29,621 84,640 155,366

060993 University Hills Health and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 495,106 20,847 23.75 905,980 44,789 20.23 1,945,552 157,096 12.38 61,247 112,072 240,672

061095 Heritage Park Rehabilitation and Healthcare 12/31/2013 1/1/2015 & 9/1/2015 472,244 17,214 27.43 1,216,717 56,091 21.69 2,075,993 161,777 12.83 71,250 183,570 313,215

061101 Destin Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 700,602 29,921 23.42 713,832 38,160 18.71 1,953,437 154,293 12.66 90,144 91,845 251,339

061102 San Jose Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 503,546 20,896 24.10 1,022,454 49,550 20.63 1,822,670 159,202 11.45 75,708 153,723 274,034

061107 SeaView Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 461,261 18,413 25.05 591,388 29,671 19.93 1,304,348 110,876 11.76 67,238 86,207 190,135

061109 Vista Manor 12/31/2013 1/1/2015 & 9/1/2015 293,581 11,432 25.68 1,335,425 61,934 21.56 1,786,191 158,601 11.26 40,498 184,217 246,399

061140 Lakeside Oaks Care Center 12/31/2013 1/1/2015 & 9/1/2015 400,142 15,852 25.24 735,083 37,318 19.70 1,508,624 117,303 12.86 52,480 96,410 197,864

072048 South Campus Rehabilitation & Nursing Center 6/30/2013 1/1/2015 & 9/1/2015 - - - - - - - - - - - -

072054 Rehabilitation Center of St. Pete 6/30/2013 1/1/2015 - - - - - - - - - - - -

072054 Rehabilitation Center of St. Pete 12/31/2014 9/1/2015 - - - - - - - - - - - -

072320 The Club Health and Rehab Center at the Villages 12/31/2013 1/1/2015 683,808 23,849 28.67 562,988 21,762 25.87 653,221 62,411 10.47 119,413 98,315 114,071

072320 The Club Health and Rehab Center at the Villages 8/31/2014 9/1/2015 269,119 9,712 27.71 432,160 16,792 25.74 393,556 38,759 10.15 46,591 74,818 68,134

073324 Braden River Rehabilitation Center, LLC 6/30/2013 1/1/2015 & 9/1/2015 95,507 2,314 41.27 1,100,134 40,950 26.87 1,384,573 87,609 15.80 13,384 154,171 194,032

080062 The Groves Center 8/31/2014 1/1/2015 322,867 11,421 28.27 845,761 37,875 22.33 1,417,494 111,577 12.70 43,541 114,057 191,159

080062 The Groves Center 2/28/2015 9/1/2015 112,473 3,830 29.37 461,207 20,941 22.02 709,236 56,480 12.56 16,559 67,902 104,419

080068 Lakeland Hills Center 8/31/2014 1/1/2015 511,863 18,413 27.80 711,968 31,334 22.72 1,385,255 115,059 12.04 72,568 100,937 196,391

080068 Lakeland Hills Center 2/28/2015 9/1/2015 309,072 10,819 28.57 297,626 13,358 22.28 678,387 54,982 12.34 49,241 47,418 108,078

080079 Tarpon Bayou Center 8/31/2013 1/1/2015 584,358 19,731 29.62 659,164 27,265 24.18 1,422,790 107,909 13.19 69,175 78,030 168,427

080079 Tarpon Bayou Center 2/28/2015 9/1/2015 267,810 8,616 31.08 345,991 14,221 24.33 692,412 52,310 13.24 38,500 49,739 99,539

080374 Consulate Health Care of Bayonet Point 12/31/2013 1/1/2015 & 9/1/2015 270,580 10,629 25.46 696,280 34,656 20.09 1,369,001 119,696 11.44 42,069 108,253 212,844

080377 Consulate Health Care of Brandon 12/31/2013 1/1/2015 & 9/1/2015 304,405 13,943 21.83 706,853 36,497 19.37 1,323,813 115,865 11.43 46,416 107,781 201,855

080384 Consulate Health Care of Jacksonville 12/31/2013 1/1/2015 & 9/1/2015 238,925 8,900 26.85 915,852 38,043 24.07 1,368,504 108,918 12.56 36,819 141,137 210,892

080387 Consulate Health Care of Kissimmee 12/31/2013 1/1/2015 & 9/1/2015 409,603 16,985 24.12 650,785 33,145 19.63 1,543,816 124,065 12.44 57,226 90,922 215,689

080391 Consulate Health Care of Lakeland 12/31/2013 1/1/2015 & 9/1/2015 192,849 8,941 21.57 723,223 39,137 18.48 1,319,813 111,134 11.88 30,160 113,106 206,407

080393 Consulate Health Care of Lake Parker 12/31/2013 1/1/2015 & 9/1/2015 259,133 10,123 25.60 745,978 37,779 19.75 1,311,172 111,408 11.77 39,061 112,448 197,643

080394 Consulate Health Care of Melbourne 12/31/2013 1/1/2015 & 9/1/2015 397,966 16,556 24.04 1,091,270 51,595 21.15 1,619,770 146,433 11.06 59,782 163,930 243,320

080397 Consulate Health Care of New Port Richey 12/31/2013 1/1/2015 & 9/1/2015 137,504 5,325 25.82 790,863 42,261 18.71 1,344,107 115,480 11.64 19,826 114,027 193,795

080400 Consulate Health Care of North Ft. Myers 12/31/2013 1/1/2015 & 9/1/2015 255,858 9,922 25.79 752,480 37,920 19.84 1,345,044 115,212 11.67 38,468 113,133 202,224

080402 Consulate Health Care of Orange Park 12/31/2013 1/1/2015 & 9/1/2015 354,806 15,314 23.17 745,406 35,092 21.24 1,299,107 115,332 11.26 51,372 107,923 188,093

080405 Consulate Health Care of Pensacola 12/31/2013 1/1/2015 & 9/1/2015 363,502 14,787 24.58 654,664 35,139 18.63 1,422,800 117,236 12.14 53,408 96,186 209,046

080406 Consulate Health Care of Safety Harbor 12/31/2013 1/1/2015 & 9/1/2015 228,304 10,144 22.51 723,500 38,048 19.02 1,497,830 114,886 13.04 34,894 110,581 228,927

080409 Consulate Health Care of St. Petersburg 12/31/2013 1/1/2015 & 9/1/2015 322,815 11,938 27.04 745,641 33,693 22.13 1,312,983 111,305 11.80 53,935 124,579 219,368

080413 Consulate Health Care of Sarasota 12/31/2013 1/1/2015 & 9/1/2015 348,961 12,223 28.55 468,799 21,024 22.30 1,099,216 76,658 14.34 47,160 63,355 148,552

080416 Consulate Health Care of Port Charlotte 12/31/2013 1/1/2015 & 9/1/2015 185,268 7,158 25.88 808,025 38,801 20.82 1,413,502 114,523 12.34 28,532 124,441 217,687

080428 Consulate Health Care of Tallahassee 12/31/2013 1/1/2015 & 9/1/2015 163,407 6,747 24.22 881,618 45,053 19.57 1,271,887 113,841 11.17 24,508 132,229 190,762

080430 Consulate Health Care of Vero Beach 12/31/2013 1/1/2015 & 9/1/2015 306,327 13,233 23.15 1,033,841 52,254 19.78 1,908,926 152,360 12.53 46,510 156,973 289,840

080431 Consulate Health Care at West Altamonte 12/31/2013 1/1/2015 & 9/1/2015 214,338 8,088 26.50 792,091 40,109 19.75 1,344,649 112,453 11.96 32,120 118,700 201,504

080432 Consulate Health Care of West Palm Beach 12/31/2013 1/1/2015 & 9/1/2015 523,015 19,295 27.11 714,387 30,561 23.38 1,497,358 122,386 12.23 87,874 120,028 251,578

080434 Consulate Health Care of Winter Haven 12/31/2013 1/1/2015 & 9/1/2015 212,746 8,440 25.21 798,557 41,954 19.03 1,297,978 112,078 11.58 31,184 117,053 190,258

080436 Franco Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 405,615 15,503 26.16 798,710 38,468 20.76 1,279,864 119,933 10.67 62,636 123,338 197,638

081046 The Villages Rehabilitation and Nursing Center 8/31/2014 9/1/2015 - - - - - - - - - - - -

082204 University Plaza Rehabilitation & Nursing Center 2/28/2014 9/1/2015 299,966 11,803 25.41 138,227 7,254 19.06 209,907 22,459 9.35 40,287 18,564 28,190

088049 Cross Gardens Care Center 4/30/2014 1/1/2015 & 9/1/2015 750,469 25,609 29.30 888,607 35,996 24.69 1,398,800 119,027 11.75 73,230 86,708 136,492

088601 Whitehall Boca Raton 8/1/2013 1/1/2015 & 9/1/2015 844,001 26,254 32.15 1,065,963 45,458 23.45 991,951 88,851 11.16 149,552 188,883 175,768

089220 Watercrest Care Center 1/31/2014 9/1/2015 175,312 6,302 27.82 722,737 29,816 24.24 911,200 76,662 11.89 32,565 134,251 169,259

092678 Osprey Point Nursing Center 1/31/2014 9/1/2015 71,675 2,861 25.05 207,682 10,638 19.52 297,231 28,565 10.41 13,638 39,516 56,556

092681 Baya Pointe Nursing and Rehabilitation Center 1/31/2014 9/1/2015 118,301 4,612 25.65 326,346 16,247 20.09 484,062 43,729 11.07 21,057 58,090 86,164

094353 Hawthorne Health and Rehab of Sarasota 6/30/2014 9/1/2015 513,543 16,462 31.20 610,966 24,216 25.23 1,051,380 80,186 13.11 77,253 91,907 158,157

096150 Willowbrooke Court at Azalea Trace 12/31/2013 1/1/2015 & 9/1/2015 186,748 6,545 28.53 565,554 25,503 22.18 998,099 77,791 12.83 48,275 146,196 258,010

098972 Community Health and Rehabilitation Center 6/30/2014 9/1/2015 100,951 3,287 30.71 483,662 20,548 23.54 911,663 58,263 15.65 23,629 113,210 213,393

099366 Gulfport Rehabilitation Center 7/31/2014 1/1/2015 & 9/1/2015 60,261 2,184 27.59 123,709 5,641 21.93 167,274 12,593 13.28 6,036 12,388 16,751

100509 Arcadia Health & Rehabilitation Center 6/30/2014 9/1/2015 394,136 12,983 30.36 711,018 30,294 23.47 1,303,134 81,989 15.89 45,473 82,033 150,347

101959 Carrington Place of St. Pete 12/31/2013 1/1/2015 237,065 8,920 26.58 930,057 40,303 23.08 1,553,290 115,500 13.45 33,674 132,113 220,640

101959 Carrington Place of St. Pete 12/31/2014 9/1/2015 267,524 10,053 26.61 866,857 39,261 22.08 1,495,960 112,016 13.35 47,372 153,498 264,896

101961 Trinity Regional Rehab Center 12/31/2013 1/1/2015 78,179 3,055 25.59 961,996 46,969 20.48 1,439,187 110,350 13.04 12,037 148,124 221,599

101961 Trinity Regional Rehab Center 12/31/2014 9/1/2015 131,635 5,641 23.34 909,696 43,661 20.84 1,412,800 110,753 12.76 23,503 162,422 252,249

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 12 6/20/2016

Page 17: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX I

DIRECT AND INDIRECT CARE SALARIES, HOURS, AND BENEFITS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s)

RN Total

Salary

RN Total

Hours RN Avg. $/Hr

LPN Total

Salary

LPN Total

Hours LPN Avg. $/Hr

CNA Total

Salary

CNA Total

Hours CNA Avg. $/Hr

RN Total

Benefits

LPN Total

Benefits

CNA Total

Benefits

TOTAL SALARIES AND HOURS BENEFITS

101963 Eagle Lake Rehab & Care Center 12/31/2013 1/1/2015 112,282 4,005 28.04 382,025 17,016 22.45 536,412 46,578 11.52 14,825 50,439 70,822

101963 Eagle Lake Rehab & Care Center 12/31/2014 9/1/2015 126,769 4,737 26.76 344,257 15,512 22.19 563,196 46,380 12.14 18,956 51,476 84,215

103165 Astoria Health & Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 189,663 7,380 25.70 1,145,531 60,398 18.97 1,582,021 114,905 13.77 36,779 222,146 306,791

103425 Community Convalescent Center 6/30/2013 1/1/2015 300,027 10,956 27.38 942,187 41,227 22.85 1,417,044 112,144 12.64 47,802 150,113 225,770

103425 Community Convalescent Center 6/30/2014 9/1/2015 574,256 20,213 28.41 751,143 31,999 23.47 1,426,625 113,998 12.51 69,669 91,129 173,079

103475 Westwood Nursing & Rehabilitation Center 8/31/2014 9/1/2015 225,393 7,472 30.17 265,480 14,344 18.51 553,313 39,385 14.05 47,570 56,030 116,778

103858 North Campus Rehabilitation and Nursing Center 2/28/2014 1/1/2015 & 9/1/2015 - - - - - - - - - - - -

104875 Rehabilitation Center at Park Place 9/30/2014 9/1/2015 134,793 3,865 34.88 514,884 18,209 28.28 996,467 54,488 18.29 19,221 73,419 142,090

111543 St. Catherine Laboure Manor, Inc. 6/30/2013 1/1/2015 832,027 32,086 25.93 1,612,391 84,030 19.19 2,666,989 242,800 10.98 217,355 421,216 696,714

111543 St. Catherine Laboure Manor, Inc. 6/30/2014 9/1/2015 1,038,412 32,787 31.67 1,958,034 83,599 23.42 3,304,157 264,864 12.47 292,287 551,137 930,038

122242 Cypress Village 12/31/2013 9/1/2015 324,261 13,695 23.68 1,082,954 50,472 21.46 1,552,177 123,199 12.60 57,031 190,471 272,999

128848 Bay Center 2/28/2015 9/1/2015 94,817 3,293 28.79 482,108 24,325 19.82 864,675 60,708 14.24 14,201 72,205 129,502

133196 Emerald Coast Center 1/31/2015 9/1/2015 182,460 7,630 23.91 257,026 13,819 18.60 638,800 48,325 13.22 25,185 35,479 88,175

133348 Egret Cove Center 1/31/2015 9/1/2015 205,966 6,807 30.26 334,264 15,242 21.93 735,722 52,388 14.04 29,958 48,616 107,006

200107 Bon Secours Maria Manor Nursing Care Center 8/31/2013 1/1/2015 795,049 24,712 32.17 1,954,133 84,531 23.12 3,776,501 271,372 13.92 171,992 422,737 816,968

200107 Bon Secours Maria Manor Nursing Care Center 8/31/2014 9/1/2015 1,069,053 13,760 77.69 1,824,964 80,338 22.72 3,811,515 276,666 13.78 216,795 370,088 772,942

200409 Westminster Oaks 3/31/2014 1/1/2015 & 9/1/2015 362,372 14,064 25.77 797,203 37,005 21.54 1,464,370 121,574 12.05 80,831 177,825 326,644

200425 Floridean Nursing Home, Inc. 12/31/2013 1/1/2015 & 9/1/2015 372,692 12,224 30.49 821,016 35,050 23.42 1,139,871 102,173 11.16 82,666 182,108 252,833

200506 Miami Jewish Health Systems 6/30/2014 1/1/2015 & 9/1/2015 2,280,106 72,031 31.65 3,855,020 160,705 23.99 5,034,165 444,763 11.32 737,157 1,246,326 1,627,542

200620 Pines Nursing Home 12/31/2013 1/1/2015 & 9/1/2015 162,606 5,396 30.13 450,699 21,728 20.74 445,781 51,719 8.62 19,454 53,918 53,331

200735 All Saints Catholic Nursing Home & R.C. Inc. 12/31/2013 1/1/2015 & 9/1/2015 590,026 22,859 25.81 896,867 42,933 20.89 1,772,337 127,090 13.95 183,262 278,565 550,486

200859 River Garden Hebrew Home For The Aged 12/31/2013 1/1/2015 1,445,760 48,790 29.63 1,131,306 47,988 23.57 2,636,196 205,104 12.85 305,888 239,358 557,755

200859 River Garden Hebrew Home For The Aged 12/31/2014 9/1/2015 1,619,053 53,486 30.27 1,148,430 46,434 24.73 2,821,189 205,278 13.74 330,428 234,381 575,768

200913 Avante Villa At Jacksonville Beach Inc 5/31/2014 1/1/2015 722,397 28,678 25.19 827,447 38,296 21.61 1,821,029 147,013 12.39 134,209 153,726 338,317

200913 Avante Villa At Jacksonville Beach Inc 12/31/2014 9/1/2015 464,232 18,394 25.24 504,841 22,513 22.42 1,079,352 85,761 12.59 77,950 84,768 181,235

200956 Comprehensive Healthcare of Clearwater 8/31/2013 1/1/2015 247,993 10,091 24.58 1,215,922 55,001 22.11 1,700,684 135,282 12.57 43,882 215,158 300,938

200956 Comprehensive Healthcare of Clearwater 8/31/2014 9/1/2015 471,465 14,892 31.66 1,628,871 90,828 17.93 1,748,566 131,768 13.27 85,700 296,084 317,841

201006 Memorial Manor Nursing Home 4/30/2014 1/1/2015 & 9/1/2015 1,149,318 31,545 36.43 862,603 37,631 22.92 1,804,890 132,939 13.58 270,705 203,174 425,115

201120 Gulf Coast Village Care Center 12/31/2013 1/1/2015 413,815 14,873 27.82 589,793 27,236 21.65 1,372,709 98,332 13.96 117,019 166,783 388,179

201120 Gulf Coast Village 12/31/2014 9/1/2015 413,172 15,105 27.35 592,030 27,479 21.54 1,363,903 102,645 13.29 118,988 170,498 392,788

201545 Hobe Sound Geriatric Village, Inc. 12/31/2013 1/1/2015 & 9/1/2015 146,592 7,619 19.24 933,241 48,452 19.26 1,861,357 143,588 12.96 41,898 266,734 532,003

201588 The Gardens at DePugh Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 257,929 10,021 25.74 148,323 7,002 21.18 454,047 37,905 11.98 58,133 33,431 102,337

201651 Guardian Care Nursing & Rehabilitation Center 6/30/2013 1/1/2015 274,114 10,545 25.99 815,710 39,226 20.80 1,573,520 128,963 12.20 64,183 190,995 368,435

201651 Guardian Care Nursing & Rehabilitation Center 12/31/2014 9/1/2015 199,343 7,685 25.94 373,110 17,398 21.45 880,219 69,073 12.74 44,763 83,784 197,658

202011 Westchester Gardens Rehabilitation & Care Center 6/30/2013 1/1/2015 424,741 14,930 28.45 1,076,014 45,375 23.71 1,463,453 110,625 13.23 77,080 195,273 265,583

202011 Westchester Gardens Rehabilitation & Care Center 6/30/2014 9/1/2015 702,639 24,851 28.27 900,622 37,924 23.75 1,514,084 113,845 13.30 129,855 166,442 279,817

202533 The Rohr Home 9/30/2013 1/1/2015 323,554 12,741 25.39 166,984 8,394 19.89 657,647 53,908 12.20 131,068 67,643 266,407

202533 The Rohr Home 9/30/2014 9/1/2015 345,907 13,518 25.59 187,479 9,198 20.38 661,278 52,981 12.48 117,138 63,488 223,936

202606 Samantha R. Wilson at Bay View 9/30/2013 1/1/2015 216,051 8,416 25.67 1,133,546 50,589 22.41 1,724,365 136,011 12.68 51,318 269,246 409,580

202606 Samantha Wilson Care Center 9/30/2014 9/1/2015 262,512 9,468 27.73 1,105,850 49,606 22.29 1,736,567 140,909 12.32 70,574 297,296 466,856

202703 Pines of Sarasota 7/31/2013 1/1/2015 525,575 17,956 29.27 2,166,152 88,880 24.37 3,361,389 212,495 15.82 105,678 435,549 675,875

202703 Pines of Sarasota 7/31/2014 9/1/2015 569,336 18,100 31.46 2,265,716 93,586 24.21 3,233,061 203,258 15.91 121,308 482,749 688,859

202711 Sunnyside Nursing Home 6/30/2014 1/1/2015 548,233 17,154 31.96 373,409 15,491 24.10 1,067,841 69,778 15.30 126,849 86,399 247,075

202711 Sunnyside Nursing Home 12/31/2014 9/1/2015 266,847 8,609 31.00 184,230 7,362 25.02 512,530 33,845 15.14 58,602 40,460 112,559

202789 Center for Health Care of The Alliance Community 6/30/2013 1/1/2015 343,850 14,487 23.74 860,218 42,595 20.20 1,486,883 125,291 11.87 76,704 191,893 331,688

202789 Center for Health Care of The Alliance Community 6/30/2014 9/1/2015 344,522 14,147 24.35 863,201 42,878 20.13 1,522,733 127,434 11.95 75,220 188,460 332,456

202941 Miracle Hill Nursing and Rehabilitation Centers, Inc. 6/30/2013 1/1/2015 & 9/1/2015 227,464 6,570 34.62 932,948 43,382 21.51 1,556,167 107,668 14.45 39,535 162,154 270,476

203122 Avante at Leesburg 5/31/2014 1/1/2015 & 9/1/2015 582,682 22,533 25.86 564,805 26,829 21.05 1,218,930 96,419 12.64 133,363 129,272 278,987

203165 Villa Maria Nursing & Rehabilitation 9/30/2013 1/1/2015 1,172,780 33,132 35.40 1,894,476 78,838 24.03 2,491,033 218,046 11.42 294,496 475,721 625,523

203165 Villa Maria Nursing & Rehabilitation 9/30/2014 9/1/2015 1,195,273 33,546 35.63 1,904,244 77,772 24.48 2,448,274 208,658 11.73 290,729 463,175 595,501

203203 Glades Health Care Center 2/28/2014 1/1/2015 565,162 16,761 33.72 777,371 32,649 23.81 1,304,804 116,927 11.16 107,496 147,858 248,178

203203 Glades Health Care Center 2/28/2015 9/1/2015 554,649 16,582 33.45 762,119 32,925 23.15 1,232,626 111,463 11.06 105,975 145,615 235,515

203220 Avante at Inverness 5/31/2014 1/1/2015 150,779 6,006 25.10 769,467 37,259 20.65 1,042,632 91,475 11.40 35,159 179,433 243,132

203220 Avante at Inverness 12/31/2014 9/1/2015 116,785 4,815 24.25 468,905 21,499 21.81 638,435 52,509 12.16 21,337 85,673 116,647

203238 Avante at Lake Worth 5/31/2014 1/1/2015 & 9/1/2015 372,224 14,427 25.80 929,445 42,699 21.77 1,419,679 106,987 13.27 102,784 256,655 392,025

203327 The Palace at Kendall Nursing and Rehab Center 7/31/2013 1/1/2015 1,072,463 37,290 28.76 1,427,060 65,345 21.84 2,119,745 200,763 10.56 150,312 200,012 297,097

203327 The Palace at Kendall Nursing and Rehab Center 1/31/2015 9/1/2015 734,145 24,201 30.34 752,271 30,499 24.67 1,283,329 94,607 13.56 92,494 94,778 161,684

203335 TimberRidge Nursing & Rehab Center 12/31/2013 1/1/2015 691,994 25,606 27.02 1,793,461 89,726 19.99 2,490,522 223,554 11.14 142,188 368,508 511,737

203335 TimberRidge Nursing & Rehab Center 12/31/2014 9/1/2015 791,929 25,123 31.52 1,629,879 62,613 26.03 2,344,722 162,048 14.47 140,678 289,530 416,515

203475 Marianna Health & Rehabilitation 9/30/2013 1/1/2015 389,254 15,016 25.92 1,292,452 62,670 20.62 2,215,102 177,048 12.51 120,213 399,146 684,088

203475 Marianna Health & Rehabilitation 12/31/2014 9/1/2015 512,737 20,048 25.58 1,660,719 80,546 20.62 2,886,091 227,510 12.69 170,810 553,240 961,451

203599 The Manor at Carpenter's 12/31/2013 1/1/2015 165,333 7,071 23.38 712,263 37,193 19.15 1,128,739 91,073 12.39 31,796 136,981 217,076

203599 The Manor at Carpenter's 12/31/2014 9/1/2015 316,006 12,888 24.52 570,045 28,046 20.33 1,155,237 92,172 12.53 66,102 119,244 241,655

203670 Perdue Medical Center 9/30/2013 1/1/2015 911,311 21,819 41.77 1,169,089 56,813 20.58 2,227,729 167,870 13.27 234,043 300,246 572,127

203670 Jackson Memorial Perdue Medical Center 9/30/2014 9/1/2015 843,901 18,441 45.76 1,253,891 55,844 22.45 2,228,323 156,156 14.27 225,352 334,833 595,041

203769 John Knox Village of Florida 12/31/2013 1/1/2015 & 9/1/2015 301,559 10,649 28.32 1,383,033 57,778 23.94 2,017,314 170,947 11.80 42,231 193,684 282,511

203815 Westminster Asbury Towers 3/31/2014 1/1/2015 & 9/1/2015 580,961 22,289 26.06 639,292 28,197 22.67 1,631,714 119,354 13.67 111,883 123,116 314,237

203980 Lisenby on Lake Caroline 12/31/2013 1/1/2015 & 9/1/2015 33,561 1,397 24.02 189,770 10,599 17.90 276,941 21,520 12.87 7,926 44,817 65,404

204072 Mease Continuing Care 7/31/2013 1/1/2015 160,964 6,198 25.97 701,318 33,711 20.80 1,249,595 97,199 12.86 29,370 127,966 228,009

204072 Mease Continuing Care 7/31/2014 9/1/2015 221,113 8,614 25.67 701,717 35,606 19.71 1,230,708 102,088 12.06 38,483 122,130 214,197

204161 Jackson Memorial Long Term Care Center 9/30/2013 1/1/2015 1,645,272 41,377 39.76 1,695,487 80,921 20.95 2,457,046 187,767 13.09 429,425 442,533 641,303

204161 Jackson Memorial Long Term Care Center 9/30/2014 9/1/2015 1,494,699 32,932 45.39 1,747,202 73,045 23.92 2,448,226 175,906 13.92 419,611 490,496 687,297

204170 Regents Park of Boca Raton 2/28/2014 1/1/2015 796,884 22,175 35.94 2,423,723 87,856 27.59 2,155,812 163,070 13.22 106,468 323,824 288,031

204170 Regents Park Nursing & Rehabilitation Center 2/28/2015 9/1/2015 942,814 26,417 35.69 2,477,202 88,138 28.11 2,197,419 163,832 13.41 121,760 319,916 283,785

204391 Olds Hall Good Samaritan 12/31/2013 1/1/2015 & 9/1/2015 569,291 21,519 26.46 618,049 29,064 21.27 1,387,750 101,688 13.65 100,795 109,429 245,708

204536 Taylor Home for the Aged, Inc. 8/31/2013 1/1/2015 88,231 3,806 23.18 152,796 6,734 22.69 344,658 33,263 10.36 16,984 29,413 66,345

204536 Taylor Home for the Aged, Inc. 8/31/2014 9/1/2015 53,458 2,310 23.14 173,600 7,595 22.86 220,813 21,886 10.09 12,282 39,884 50,730

204625 Tri-County Nursing Home 6/30/2014 1/1/2015 251,214 6,001 41.86 647,188 28,372 22.81 930,114 82,006 11.34 29,372 75,672 108,754

204625 Tri-County Nursing Home 12/31/2014 9/1/2015 116,796 3,208 36.41 295,656 13,053 22.65 460,810 39,500 11.67 20,032 50,708 79,033

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 13 6/20/2016

Page 18: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX I

DIRECT AND INDIRECT CARE SALARIES, HOURS, AND BENEFITS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s)

RN Total

Salary

RN Total

Hours RN Avg. $/Hr

LPN Total

Salary

LPN Total

Hours LPN Avg. $/Hr

CNA Total

Salary

CNA Total

Hours CNA Avg. $/Hr

RN Total

Benefits

LPN Total

Benefits

CNA Total

Benefits

TOTAL SALARIES AND HOURS BENEFITS

205303 Kissimmee Good Samaritan 7/31/2014 1/1/2015 & 9/1/2015 522,818 21,101 24.78 1,283,196 61,552 20.85 2,236,196 182,614 12.25 96,352 236,485 412,115

205460 American Finnish Nursing Home 6/30/2013 1/1/2015 170,632 8,843 19.30 309,015 13,978 22.11 642,554 57,514 11.17 43,465 78,715 163,677

205460 The Village On High Ridge 6/30/2014 9/1/2015 118,359 8,843 13.38 319,218 13,978 22.84 562,654 57,514 9.78 25,895 69,840 123,100

205745 Health Center at Abbey Delray 12/31/2013 1/1/2015 & 9/1/2015 419,814 13,385 31.36 990,710 49,463 20.03 1,441,563 118,325 12.18 116,048 273,859 398,487

205796 The Commons at Orlando Lutheran Towers 8/31/2014 1/1/2015 & 9/1/2015 403,852 15,864 25.46 1,036,685 49,430 20.97 1,587,548 146,839 10.81 67,761 173,943 266,372

205800 St. John's Nursing Home 9/30/2013 1/1/2015 863,082 27,304 31.61 1,583,603 72,977 21.70 1,982,667 190,824 10.39 247,290 453,735 568,076

205800 St. John's Nursing Center 9/30/2014 9/1/2015 769,295 23,116 33.28 1,614,172 74,558 21.65 1,946,890 185,242 10.51 218,624 458,727 553,282

205923 Lourdes-Noreen McKeen Residence 12/31/2013 1/1/2015 1,045,980 31,767 32.93 873,197 38,465 22.70 1,976,529 147,685 13.38 311,745 260,247 589,086

205923 Lourdes-Noreen McKeen Residence 12/31/2014 9/1/2015 1,421,565 42,836 33.19 860,650 36,609 23.51 1,843,135 141,570 13.02 394,434 238,800 511,405

206300 Suwannee Valley Nursing Center 8/31/2013 1/1/2015 273,235 9,561 28.58 453,636 22,464 20.19 827,316 75,398 10.97 57,420 95,331 173,858

206300 Suwannee Valley Nursing Center 8/31/2014 9/1/2015 276,380 9,600 28.79 447,284 22,060 20.28 837,699 75,293 11.13 65,975 106,773 199,970

206431 Morton Plant Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 1,845,241 52,006 35.48 758,497 33,677 22.52 940,404 65,084 14.45 400,504 164,629 204,112

206521 Saint Andrews Estates North 12/31/2013 1/1/2015 & 9/1/2015 115,647 3,652 31.67 799,504 32,253 24.79 1,192,423 80,736 14.77 29,199 201,860 301,063

206610 The Waterford 12/31/2013 1/1/2015 & 9/1/2015 455,022 15,781 28.83 416,203 18,912 22.01 788,135 60,820 12.96 101,588 92,921 175,958

206865 Abbey Delray South 12/31/2013 1/1/2015 & 9/1/2015 357,059 12,539 28.48 725,625 33,923 21.39 1,213,257 102,818 11.80 94,306 191,653 320,447

207381 Joseph L. Morse Geriatric Center, Inc 5/31/2014 1/1/2015 & 9/1/2015 3,289,384 96,277 34.17 1,761,568 63,059 27.94 4,014,688 330,099 12.16 531,244 284,498 648,382

207446 Taylor Care Center, Inc. 8/31/2013 1/1/2015 321,609 12,201 26.36 853,000 43,424 19.64 1,774,009 136,681 12.98 67,242 178,343 370,906

207446 Taylor Care Center, Inc. 8/31/2014 9/1/2015 363,222 12,986 27.97 760,631 36,056 21.10 1,553,665 119,336 13.02 77,583 162,470 331,860

207497 Sunrise Health & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 774,630 26,386 29.36 1,195,396 55,079 21.70 2,368,399 197,916 11.97 134,297 207,245 410,608

207527 Auburndale Oaks Healthcare Center 8/31/2013 1/1/2015 213,773 8,153 26.22 630,996 33,756 18.69 1,066,640 99,041 10.77 33,062 97,592 164,968

207527 Orchard Park Health And Rehabilitation 8/31/2014 9/1/2015 308,918 10,241 30.16 620,595 33,026 18.79 1,036,098 96,429 10.74 99,253 199,394 332,894

207683 Lakeside Health Center 7/31/2014 1/1/2015 & 9/1/2015 549,610 19,568 28.09 699,028 29,365 23.80 1,340,830 109,062 12.29 118,027 150,113 287,938

207799 The Ponce Therapy Care Center 7/31/2013 1/1/2015 182,531 5,965 30.60 975,497 38,648 25.24 1,502,272 105,160 14.29 31,266 167,093 257,324

207799 The Ponce Therapy Care Center 1/31/2015 9/1/2015 66,319 2,085 31.81 518,368 21,723 23.86 780,386 54,118 14.42 12,917 100,968 152,001

208442 Bernard L Samson Nursing Center 6/30/2013 1/1/2015 174,281 2,489 70.02 1,613,035 69,813 23.11 2,252,292 164,831 13.66 39,260 363,366 507,370

208442 Bernard L Samson Nursing Center 6/30/2014 9/1/2015 208,306 3,049 68.32 1,634,920 73,945 22.11 2,175,531 149,105 14.59 38,376 301,205 400,803

208485 Jupiter Medical Center Pavilion, Inc. 9/30/2013 1/1/2015 514,576 16,237 31.69 1,077,197 46,252 23.29 1,225,413 78,408 15.63 123,532 258,600 294,182

208485 Jupiter Medical Center Pavilion Inc. 9/30/2014 9/1/2015 477,276 15,816 30.18 690,146 27,361 25.22 920,372 61,979 14.85 90,697 131,150 174,899

208507 Claridge House Nursing & Rehabilitation Center 8/31/2013 1/1/2015 694,134 20,921 33.18 2,702,598 114,295 23.65 2,790,708 244,751 11.40 110,092 428,637 442,612

208507 Claridge House Nursing & Rehabilitation Center 2/28/2015 9/1/2015 366,096 10,380 35.27 1,469,313 61,830 23.76 1,513,140 128,343 11.79 54,238 217,683 224,177

208540 Westminster Towers 3/31/2014 1/1/2015 & 9/1/2015 612,242 26,154 23.41 520,539 25,667 20.28 1,301,004 118,399 10.99 123,810 105,266 263,093

209325 Courtenay Springs Village 9/30/2013 1/1/2015 230,672 8,465 27.25 432,376 20,361 21.24 777,905 65,219 11.93 52,040 97,545 175,497

209325 Courtenay Springs Village 9/30/2014 9/1/2015 235,308 8,316 28.30 583,107 25,745 22.65 865,755 73,511 11.78 53,321 132,131 196,179

209422 Westminster Asbury Manor 3/31/2014 1/1/2015 & 9/1/2015 121,731 4,624 26.33 417,477 18,767 22.25 801,995 58,282 13.76 23,765 81,505 156,575

209473 St. Anne's Nursing Center 9/30/2013 1/1/2015 773,366 24,964 30.98 1,920,508 93,683 20.50 2,406,879 229,664 10.48 235,620 585,116 733,298

209473 St. Anne's Nursing Center 9/30/2014 9/1/2015 801,785 25,682 31.22 1,824,350 88,006 20.73 2,362,947 218,589 10.81 235,567 536,001 694,243

209511 Bishop's Glen Health Care Center 9/30/2013 1/1/2015 406,203 16,065 25.28 239,576 10,407 23.02 774,419 59,134 13.10 95,648 56,413 182,352

209511 Bishop's Glen Retirement Center 9/30/2014 9/1/2015 415,695 15,006 27.70 272,144 11,000 24.74 773,457 62,174 12.44 96,913 63,447 180,322

209848 Winter Park Towers 3/31/2014 1/1/2015 & 9/1/2015 527,342 21,221 24.85 489,480 23,908 20.47 1,194,502 106,210 11.25 105,647 98,061 239,306

209856 Sun Terrace Health Care Center 8/31/2014 1/1/2015 & 9/1/2015 574,332 21,066 27.26 855,615 38,707 22.10 1,397,942 107,672 12.98 108,306 161,352 263,624

210137 Life Care Center of Altamonte Springs 7/31/2014 1/1/2015 & 9/1/2015 1,377,394 51,920 26.53 1,197,310 52,751 22.70 2,637,434 214,288 12.31 278,404 242,005 533,089

210188 Covenant Village Care Center 1/31/2014 1/1/2015 146,056 4,851 30.11 482,197 20,866 23.11 731,118 57,263 12.77 38,382 126,716 192,129

210188 Covenant Village Care Center 1/31/2015 9/1/2015 248,926 8,269 30.10 406,916 19,175 21.22 692,063 54,915 12.60 55,020 89,939 152,964

210285 John Knox Village Medical Center 12/31/2013 1/1/2015 & 9/1/2015 449,864 15,568 28.90 1,366,582 62,414 21.90 2,075,228 149,075 13.92 141,369 429,443 652,132

210463 Village on the Isle 12/31/2013 1/1/2015 227,020 8,499 26.71 469,708 19,454 24.14 1,009,125 63,271 15.95 45,366 93,861 201,653

210463 Village on the Isle 12/31/2014 9/1/2015 175,388 6,415 27.34 515,206 21,418 24.05 1,104,691 68,120 16.22 35,049 102,955 220,753

210587 HealthPark Care Center 9/30/2013 1/1/2015 629,909 20,861 30.20 1,491,478 61,561 24.23 1,805,444 124,848 14.46 111,599 264,242 319,867

210587 HealthPark Care Center 9/30/2014 9/1/2015 760,001 24,309 31.26 1,462,620 59,679 24.51 1,794,766 123,950 14.48 134,877 259,571 318,516

210676 Avante at Boca Raton 5/31/2014 1/1/2015 992,418 36,464 27.22 915,064 38,242 23.93 1,491,837 130,512 11.43 143,919 132,700 216,344

210676 Avante At Boca Raton 12/31/2014 9/1/2015 543,851 21,291 25.54 552,472 23,149 23.87 869,312 77,709 11.19 95,908 97,428 153,304

210684 The Edgewater at Waterman Village 9/30/2013 1/1/2015 493,946 16,293 30.32 965,990 45,633 21.17 1,523,779 126,944 12.00 118,837 232,405 366,602

210684 The Edgewater at Waterman Village 9/30/2014 9/1/2015 648,200 21,802 29.73 847,386 39,767 21.31 1,532,567 120,553 12.71 139,451 182,303 329,712

210889 Emory L. Bennett State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 498,175 21,522 23.15 893,839 41,600 21.49 1,713,498 138,752 12.35 254,436 456,515 875,142

210951 Sabal Palms Health Care Center 6/30/2014 1/1/2015 1,291,698 46,557 27.74 2,053,953 79,987 25.68 3,278,046 238,479 13.75 257,937 410,152 654,588

210951 Sabal Palms Health Care Center 12/31/2014 9/1/2015 707,589 25,586 27.66 977,777 37,637 25.98 1,622,105 115,944 13.99 137,364 189,815 314,897

211010 Stratford Court at Boca Pointe 12/31/2013 1/1/2015 31,658 1,064 29.75 511,392 20,897 24.47 740,964 55,937 13.25 8,111 131,030 189,854

211010 Stratford Court Of Boca Raton 12/31/2014 9/1/2015 128,230 3,811 33.65 504,922 19,884 25.39 699,655 51,421 13.61 25,874 101,877 141,169

211052 W Frank Wells Nursing Facility 9/30/2013 1/1/2015 191,191 7,340 26.05 540,889 90,875 5.95 867,584 61,815 14.04 79,874 225,966 362,450

211052 W Frank Wells Nursing Facility 9/30/2014 9/1/2015 232,810 8,910 26.13 559,401 96,729 5.78 902,515 64,251 14.05 77,657 186,597 301,046

211281 Huntington Place Care & Rehabiliation Center 7/31/2013 1/1/2015 488,868 17,752 27.54 508,391 25,080 20.27 1,122,013 101,732 11.03 111,721 116,182 256,415

211281 Huntington Place Care & Rehabiliation Center 7/31/2014 9/1/2015 564,997 21,101 26.78 461,935 21,858 21.13 1,146,527 101,112 11.34 107,462 87,860 218,068

211435 Hardee Manor Healthcare Center 12/31/2012 1/1/2015 105,659 4,596 22.99 539,888 28,904 18.68 806,933 75,277 10.72 14,432 73,743 110,219

211435 Hardee Manor Healthcare Center 12/31/2013 9/1/2015 125,089 5,408 23.13 503,968 27,120 18.58 839,955 78,279 10.73 16,485 66,417 110,696

211516 Laurel Pointe Health and Rehabilitation 8/31/2013 1/1/2015 371,856 14,071 26.43 554,689 27,109 20.46 969,791 94,124 10.30 68,034 101,484 177,431

211516 Laurel Pointe Health and Rehabilitation 8/31/2014 9/1/2015 587,078 20,256 28.98 440,037 18,873 23.32 1,006,351 83,396 12.07 131,480 98,550 225,379

211532 Life Care Center of Citrus County 7/31/2014 1/1/2015 & 9/1/2015 467,858 15,979 29.28 786,485 35,388 22.22 1,195,812 100,248 11.93 91,753 154,241 234,515

211885 Plaza West 12/31/2013 1/1/2015 & 9/1/2015 201,605 7,127 28.29 1,034,145 43,851 23.58 1,431,582 109,816 13.04 32,729 167,883 232,403

211923 Lake Park of Madison 8/31/2013 1/1/2015 46,123 1,689 27.31 800,808 40,869 19.59 1,033,435 125,999 8.20 6,035 104,769 135,202

211923 Lake Park of Madison 2/28/2015 9/1/2015 10,989 402 27.34 396,518 20,321 19.51 554,150 50,109 11.06 1,571 56,696 79,235

212032 Edward J Healey Rehabilitation and Nursing Center 9/30/2013 1/1/2015 947,246 31,761 29.82 997,757 42,565 23.44 2,050,486 147,701 13.88 346,276 364,740 749,577

212032 Edward J Healey Rehabilitation and Nursing Center 9/30/2014 9/1/2015 1,560,778 45,973 33.95 1,018,842 40,729 25.02 2,576,963 177,760 14.50 702,471 458,558 1,159,833

212083 Westminster Woods on Julington Creek 3/31/2014 1/1/2015 & 9/1/2015 303,112 11,758 25.78 331,017 14,924 22.18 726,793 54,823 13.26 67,163 73,345 161,039

212164 Ybor City Healthcare and Rehabilitation Center 7/31/2014 1/1/2015 & 9/1/2015 130,686 4,945 26.43 828,567 35,378 23.42 907,731 76,436 11.88 21,282 134,931 147,822

212393 The Fountains Nursing Home 12/31/2013 1/1/2015 28,351 1,016 27.90 291,639 12,900 22.61 347,468 34,361 10.11 4,600 47,326 56,386

212393 The Fountains Nursing Home 12/31/2014 9/1/2015 41,880 1,571 26.66 321,934 14,038 22.93 375,581 34,634 10.84 6,200 47,664 55,607

212636 Woodland Terrace 12/31/2012 1/1/2015 102,174 4,514 22.63 807,506 39,564 20.41 1,287,292 114,457 11.25 15,556 122,946 195,996

212709 Suncoast Manor 3/31/2014 1/1/2015 & 9/1/2015 530,723 20,755 25.57 571,323 27,924 20.46 1,316,365 111,837 11.77 102,907 110,780 255,244

212733 Oceanside Extended Care Center 12/31/2013 1/1/2015 & 9/1/2015 211,271 8,019 26.35 1,548,465 79,064 19.58 2,142,958 221,014 9.70 43,434 318,340 440,558

212792 Florida Lutheran Retirement Center 6/30/2014 1/1/2015 & 9/1/2015 576,761 25,127 22.95 20,623 932 22.13 660,659 56,835 11.62 116,947 4,182 133,958

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 14 6/20/2016

Page 19: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX I

DIRECT AND INDIRECT CARE SALARIES, HOURS, AND BENEFITS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s)

RN Total

Salary

RN Total

Hours RN Avg. $/Hr

LPN Total

Salary

LPN Total

Hours LPN Avg. $/Hr

CNA Total

Salary

CNA Total

Hours CNA Avg. $/Hr

RN Total

Benefits

LPN Total

Benefits

CNA Total

Benefits

TOTAL SALARIES AND HOURS BENEFITS

212806 Palmetto Subacute Care Center 7/31/2013 1/1/2015 118,312 3,747 31.58 1,457,368 61,731 23.61 1,094,142 105,060 10.41 22,662 279,154 209,580

212806 Palmetto Sub Acute Care Center Inc 7/31/2014 9/1/2015 261,254 9,671 27.01 1,378,604 55,537 24.82 1,048,622 101,593 10.32 50,655 267,304 203,321

212890 Egret Cove Center 7/31/2013 1/1/2015 430,253 15,122 28.45 776,527 35,479 21.89 1,683,350 121,990 13.80 55,796 100,704 218,304

212903 Emerald Coast Center 7/31/2014 1/1/2015 366,766 15,442 23.75 503,267 26,702 18.85 1,298,260 96,643 13.43 52,095 71,483 184,401

212911 Clearwater Center 8/31/2014 1/1/2015 & 9/1/2015 225,447 7,622 29.58 918,931 35,988 25.53 1,438,600 99,555 14.45 30,013 122,329 191,507

212971 FLORIDA PRESBYTERIAN HOMES, INC. 12/31/2013 1/1/2015 267,277 10,797 24.75 177,378 9,134 19.42 652,830 53,273 12.25 60,755 40,321 148,397

212971 Florida Presbyterian Homes Inc 12/31/2014 9/1/2015 257,577 10,165 25.34 214,257 11,153 19.21 756,295 62,338 12.13 57,337 47,694 168,351

212989 Bay Center 8/31/2014 1/1/2015 182,533 6,498 28.09 905,897 46,240 19.59 1,650,999 118,996 13.87 25,240 125,270 228,304

212997 Bartow Center 8/31/2013 1/1/2015 230,999 8,255 27.98 833,836 38,541 21.64 1,423,976 106,370 13.39 27,010 97,497 166,500

212997 Bartow Center 2/28/2015 9/1/2015 141,708 4,871 29.09 381,758 17,544 21.76 674,801 52,656 12.82 23,116 62,274 110,075

213004 Boca Ciega Center 8/31/2014 1/1/2015 & 9/1/2015 426,784 15,853 26.92 584,011 28,041 20.83 1,543,942 99,940 15.45 63,764 87,254 230,675

213098 Tamarac Rehabilitation and Health Center 1/31/2014 1/1/2015 & 9/1/2015 197,762 6,847 28.88 751,120 34,709 21.64 1,081,367 90,598 11.94 38,635 146,736 211,252

213152 Water's Edge Extended Care 12/31/2013 1/1/2015 & 9/1/2015 88,741 3,485 25.46 462,749 21,886 21.14 583,377 46,659 12.50 21,076 109,906 138,556

213161 Life Care Center at Wells Crossing 7/31/2013 1/1/2015 549,422 22,570 24.34 745,090 35,029 21.27 1,288,433 106,965 12.05 103,394 140,216 242,466

213161 Life Care Center at Wells Crossing 7/31/2014 9/1/2015 509,960 20,856 24.45 758,519 36,111 21.01 1,280,640 106,418 12.03 97,866 145,567 245,768

213322 Harborchase of Venice 12/31/2013 1/1/2015 215,716 8,916 24.19 220,502 10,583 20.84 555,075 41,494 13.38 48,773 49,855 125,504

213322 Harborchase of Venice 12/31/2014 9/1/2015 157,274 6,143 25.60 247,335 10,950 22.59 554,276 41,072 13.50 33,895 53,303 119,455

213403 Life Care Center of Orlando 7/31/2013 1/1/2015 415,083 17,485 23.74 830,428 43,697 19.00 1,183,046 107,788 10.98 75,402 150,851 214,906

213403 Life Care Center of Orlando 7/31/2014 9/1/2015 395,502 16,109 24.55 904,853 46,412 19.50 1,222,705 111,731 10.94 71,767 164,196 221,875

213462 Madison Health and Rehabilitation Center 7/31/2013 1/1/2015 176,499 6,262 28.19 526,714 25,296 20.82 687,784 60,051 11.45 26,704 79,690 104,059

213462 Madison Health and Rehabilitation Center 7/31/2014 9/1/2015 200,478 7,086 28.29 534,273 25,219 21.19 724,155 62,744 11.54 33,553 89,421 121,200

213837 Vi at Lakeside Village 12/31/2013 1/1/2015 & 9/1/2015 432,536 15,728 27.50 393,218 16,749 23.48 602,671 49,789 12.10 103,187 93,807 143,775

213900 Page Rehabilitation and Healthcare Center 9/30/2013 1/1/2015 138,034 5,112 27.00 1,838,409 79,931 23.00 2,560,352 205,486 12.46 31,724 422,514 588,434

213900 Page Rehabilitation and Healthcare Center 9/30/2014 9/1/2015 130,669 4,746 27.53 2,078,612 77,186 26.93 2,535,417 194,136 13.06 28,360 451,147 550,295

213934 TMH Skilled Nursing Facility 9/30/2013 1/1/2015 1,718,115 56,656 30.33 370,968 17,705 20.95 579,834 48,745 11.90 497,511 107,421 167,901

213934 TMH Skilled Nursing Facility 9/30/2014 9/1/2015 1,941,086 61,355 31.64 327,435 15,456 21.18 579,297 48,078 12.05 445,338 75,123 132,907

214035 Miami Shores Nursing and Rehab Center 7/31/2013 1/1/2015 532,317 15,930 33.42 786,346 34,232 22.97 1,374,949 120,490 11.41 133,861 197,741 345,756

214035 Miami Shores Nursing and Rehab Center 1/31/2015 9/1/2015 252,139 7,354 34.29 414,135 17,894 23.14 745,304 62,463 11.93 59,298 97,397 175,283

214060 Life Care Center of Hilliard 7/31/2014 1/1/2015 & 9/1/2015 366,114 14,926 24.53 775,116 37,098 20.89 1,276,481 110,976 11.50 76,179 161,281 265,601

214914 Baldomero Lopez State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 525,878 22,785 23.08 993,366 50,017 19.86 1,837,994 156,225 11.77 299,269 565,311 1,045,976

216399 Harbour's Edge 12/31/2013 1/1/2015 & 9/1/2015 469,251 15,513 30.25 438,196 18,103 24.21 689,096 53,084 12.98 131,356 122,661 192,896

217263 Crystal River Health & Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 152,468 5,948 25.63 936,012 44,002 21.27 1,547,075 114,459 13.52 42,878 263,225 435,068

217395 Ocala Health & Rehabilitation Center 6/30/2013 1/1/2015 231,781 9,238 25.09 1,319,324 62,776 21.02 2,212,142 171,335 12.91 59,085 336,316 563,909

217395 Ocala Health & Rehabilitation Center 6/30/2014 9/1/2015 180,340 7,054 25.57 1,364,908 63,995 21.33 2,270,598 173,248 13.11 50,913 385,340 641,035

217727 West Melbourne Health & Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 313,847 11,246 27.91 1,217,519 54,959 22.15 1,945,957 146,016 13.33 90,089 349,485 558,580

217735 St. Augustine Health & Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 239,794 9,333 25.69 1,007,251 45,509 22.13 1,766,341 119,472 14.78 66,374 278,806 488,920

217743 Daytona Beach Health and Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 444,545 15,820 28.10 1,237,974 56,448 21.93 2,040,693 148,885 13.71 124,669 347,177 572,293

217824 Life Care Center of Port St. Lucie 7/31/2013 1/1/2015 387,942 14,011 27.69 984,868 45,407 21.69 1,364,662 108,893 12.53 74,576 189,325 262,334

217824 Life Care Center of Port St. Lucie 7/31/2014 9/1/2015 429,881 15,330 28.04 1,009,241 46,899 21.52 1,387,006 109,539 12.66 85,331 200,334 275,321

218171 West Jacksonville Health and Rehabilitation Center 8/31/2013 1/1/2015 402,890 15,642 25.76 611,186 29,889 20.45 1,147,728 100,758 11.39 77,465 117,514 220,676

218171 West Jacksonville Health and Rehabilitation Center 8/31/2014 9/1/2015 512,725 18,666 27.47 640,694 29,997 21.36 1,249,989 103,717 12.05 98,415 122,979 239,930

219380 Life Care Center of Winter Haven 7/31/2014 1/1/2015 & 9/1/2015 611,848 22,826 26.80 1,565,507 76,113 20.57 2,277,717 196,589 11.59 127,527 326,297 474,742

220604 Century Care Center. 7/31/2014 1/1/2015 & 9/1/2015 547,743 18,950 28.90 564,692 23,869 23.66 1,115,987 89,831 12.42 87,355 90,059 177,980

220612 Santa Rosa Health & Rehabilitation Center 7/31/2014 1/1/2015 & 9/1/2015 326,389 10,840 30.11 842,541 38,181 22.07 1,295,921 100,926 12.84 59,704 154,118 237,052

220621 Sandy Ridge Care Center 7/31/2014 1/1/2015 & 9/1/2015 194,390 7,030 27.65 459,965 20,744 22.17 757,076 56,669 13.36 31,253 73,950 121,717

221465 Clermont Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 1,250,157 43,070 29.03 859,076 39,226 21.90 2,152,640 172,602 12.47 170,889 117,431 294,254

221589 Delaney Park Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 341,539 12,407 27.53 276,709 12,586 21.99 651,723 56,554 11.52 47,233 38,267 90,129

223239 Regents Park at Aventura 8/31/2013 1/1/2015 412,291 14,105 29.23 1,697,060 76,593 22.16 1,827,147 167,688 10.90 60,795 250,241 269,422

223239 Regents Park at Aventura 2/28/2015 9/1/2015 199,247 6,485 30.72 959,879 41,562 23.10 1,038,840 89,778 11.57 28,256 136,122 147,319

223654 Orlando Health and Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 2,171,814 75,316 28.84 2,043,711 90,130 22.68 3,827,766 342,229 11.18 337,843 317,916 595,439

223786 Life Care Center of Sarasota 1/31/2014 1/1/2015 & 9/1/2015 938,610 33,841 27.74 413,081 18,690 22.10 1,397,094 102,139 13.68 185,964 81,842 276,801

223808 Avante at Orlando 5/31/2014 1/1/2015 & 9/1/2015 525,268 19,815 26.51 583,716 27,504 21.22 1,182,023 95,488 12.38 108,886 121,001 245,026

223883 Doctors Lake of Orange Park 9/30/2013 1/1/2015 262,663 9,942 26.42 996,464 40,160 24.81 1,365,384 100,794 13.55 40,352 153,088 209,765

224341 MK of Haines City LLC 11/30/2013 1/1/2015 424,788 14,024 30.29 705,630 32,248 21.88 1,281,580 101,149 12.67 92,382 153,460 278,715

224341 Haines City Health Care 11/30/2014 9/1/2015 532,997 19,684 27.08 706,020 32,234 21.90 1,408,424 110,687 12.72 106,790 141,457 282,190

224910 South Tampa Health and Rehabilitation Center 6/30/2013 1/1/2015 649,107 22,887 28.36 1,332,194 57,379 23.22 2,110,427 146,252 14.43 87,901 180,404 285,793

224910 South Tampa Health and Rehabilitation Center 6/30/2014 9/1/2015 549,787 19,564 28.10 1,432,763 59,038 24.27 2,061,734 150,478 13.70 79,115 206,175 296,685

225053 MK of North Port LLC 2/28/2014 1/1/2015 & 9/1/2015 282,617 10,483 26.96 895,670 37,836 23.67 1,560,881 109,070 14.31 58,162 184,323 321,218

225274 MK of Fernandina Beach LLC 12/31/2013 1/1/2015 490,076 22,432 21.85 550,893 31,418 17.53 1,515,286 105,967 14.30 87,647 98,523 271,000

225274 Quality Health of Fernandina Beach 12/31/2014 9/1/2015 576,020 22,545 25.55 659,385 27,675 23.83 1,605,945 110,155 14.58 96,307 110,244 268,502

225410 MK of Winter Garden LLC 12/31/2013 1/1/2015 & 9/1/2015 494,489 9,936 49.77 686,667 31,419 21.86 1,526,452 105,967 14.40 110,079 152,861 339,807

225631 Springtree Rehab & Health Center, LLC 8/31/2014 1/1/2015 & 9/1/2015 318,768 11,407 27.94 798,923 35,476 22.52 1,184,799 103,999 11.39 53,268 133,505 197,987

225754 Pinecrest Convalescent Center 8/31/2014 1/1/2015 & 9/1/2015 274,568 9,436 29.10 721,658 30,400 23.74 1,059,657 81,942 12.93 51,424 135,161 198,466

225991 Stuart Nursing & Restorative Care Center 12/31/2013 1/1/2015 344,107 14,304 24.06 738,905 38,315 19.29 1,421,988 112,635 12.62 81,164 174,283 335,400

225991 Stuart Nursing & Restorative Care Center 12/31/2014 9/1/2015 422,778 17,596 24.03 676,584 34,299 19.73 1,411,782 109,165 12.93 103,802 166,118 346,625

226009 Port St. Lucie Nursing & Restorative Care Center 12/31/2013 1/1/2015 580,970 20,586 28.22 938,614 46,139 20.34 1,477,526 113,778 12.99 88,431 142,868 224,898

226009 Port St. Lucie Nursing & Restorative Care Center 12/31/2014 9/1/2015 691,126 27,622 25.02 765,124 38,110 20.08 1,628,989 122,288 13.32 146,420 162,096 345,112

226017 Plantation Nursing & Rehab Center 8/31/2013 1/1/2015 1,682,605 55,258 30.45 1,480,244 63,968 23.14 1,349,412 117,113 11.52 259,474 228,268 208,093

226017 Plantation Nursing & Rehab Center 8/31/2014 9/1/2015 1,594,091 54,626 29.18 1,505,197 67,447 22.32 1,266,396 114,792 11.03 298,309 281,674 236,986

226033 Martin Nursing and Restorative Care Center 12/31/2013 1/1/2015 281,593 11,631 24.21 878,474 46,407 18.93 1,471,457 124,730 11.80 54,007 168,485 282,215

226033 Martin Nursing and Restorative Care Center 12/31/2014 9/1/2015 340,383 13,151 25.88 955,433 50,013 19.10 1,535,053 124,589 12.32 85,823 240,896 387,039

226041 The Manor at Blue Water Bay 8/31/2013 1/1/2015 & 9/1/2015 625,352 23,617 26.48 718,410 38,217 18.80 1,560,609 117,062 13.33 98,531 113,194 245,891

226068 Cathedral Gerontology Center 9/30/2013 1/1/2015 674,739 25,304 26.67 849,738 37,719 22.53 1,397,706 115,900 12.06 157,771 198,692 326,823

226068 Cathedral Gerontology Center 9/30/2014 9/1/2015 724,317 25,821 28.05 891,275 37,875 23.53 1,408,577 112,467 12.52 131,675 162,025 256,064

226335 Broward Nursing and Rehab Center 8/31/2014 1/1/2015 & 9/1/2015 418,883 13,528 30.96 1,369,224 54,806 24.98 1,683,698 131,974 12.76 76,229 249,170 306,398

226351 Ocean View Nursing and Rehabilitation Center 1/31/2014 1/1/2015 962,963 34,660 27.78 843,789 40,594 20.79 1,903,439 159,815 11.91 183,478 160,772 362,673

226351 Ocean View Nursing and Rehabilitation Center 12/31/2014 9/1/2015 1,003,671 38,490 26.08 666,334 33,020 20.18 1,710,726 144,541 11.84 195,761 129,966 333,669

226360 South Heritage Health and Rehabiliation Center 6/30/2014 1/1/2015 & 9/1/2015 346,486 13,674 25.34 183,260 8,381 21.87 622,828 52,015 11.97 49,918 26,403 89,730

226602 Treasure Isle Care Center 6/30/2013 1/1/2015 811,903 28,776 28.21 999,328 46,031 21.71 2,122,752 169,870 12.50 105,748 130,160 276,482

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 15 6/20/2016

Page 20: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX I

DIRECT AND INDIRECT CARE SALARIES, HOURS, AND BENEFITS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s)

RN Total

Salary

RN Total

Hours RN Avg. $/Hr

LPN Total

Salary

LPN Total

Hours LPN Avg. $/Hr

CNA Total

Salary

CNA Total

Hours CNA Avg. $/Hr

RN Total

Benefits

LPN Total

Benefits

CNA Total

Benefits

TOTAL SALARIES AND HOURS BENEFITS

226602 Treasure Isle Care Center 12/31/2014 9/1/2015 378,812 13,630 27.79 493,859 22,707 21.75 1,053,890 82,126 12.83 48,780 63,596 135,712

227226 Fair Havens Center 12/31/2013 1/1/2015 534,425 24,012 22.26 2,107,805 104,356 20.20 2,396,280 275,550 8.70 90,032 355,093 403,691

227226 Fair Havens Center 12/31/2014 9/1/2015 643,085 28,714 22.40 1,949,764 96,849 20.13 2,481,384 278,557 8.91 115,917 351,448 447,271

227251 Alpine Health and Rehabilitation Center 6/30/2013 1/1/2015 113,324 4,408 25.71 388,970 17,909 21.72 635,931 51,677 12.31 14,028 48,151 78,725

227251 Alpine Health and Rehabilitation Center 6/30/2014 9/1/2015 133,041 4,760 27.95 381,289 17,867 21.34 669,301 52,353 12.78 18,513 53,053 93,130

227579 Wilton Manors Health & Rehabilitation Center 12/31/2013 1/1/2015 764,500 24,929 30.67 1,491,274 63,904 23.34 1,489,692 137,786 10.81 133,540 260,489 260,212

227579 Wilton Manors Health & Rehabilitation Center 8/31/2014 9/1/2015 581,284 19,243 30.21 923,293 39,296 23.50 973,143 89,694 10.85 104,737 166,361 175,342

227587 Rockledge Rehab and Nursing Center 12/31/2013 1/1/2015 500,045 18,660 26.80 890,167 38,277 23.26 1,130,672 95,852 11.80 87,236 155,297 197,254

227587 Rockledge Health and Rehabilitation Center 8/31/2014 9/1/2015 347,810 12,825 27.12 598,166 26,407 22.65 802,183 67,103 11.95 64,158 110,339 147,973

227625 Greenbriar Rehab & Nursing Center 8/31/2014 1/1/2015 & 9/1/2015 341,946 12,763 26.79 356,031 13,088 27.20 531,563 44,087 12.06 53,611 55,821 83,341

227633 Apollo Health & Rehab Center 8/31/2014 1/1/2015 & 9/1/2015 295,136 11,112 26.56 482,182 23,343 20.66 739,930 63,896 11.58 53,129 86,800 133,199

227641 North Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 63,762 2,453 25.99 272,962 11,729 23.27 329,193 26,661 12.35 11,570 49,525 59,728

227765 Park Meadows Health & Rehab Center 12/31/2013 1/1/2015 395,554 14,516 27.25 1,347,014 60,601 22.23 1,516,992 132,381 11.46 67,373 229,431 258,383

227765 Park Meadows Health & Rehab Center 8/31/2014 9/1/2015 239,291 8,517 28.10 971,591 43,609 22.28 1,039,400 91,541 11.35 38,573 156,617 167,549

227773 The Lodge Health and Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 325,633 12,390 26.28 590,653 23,619 25.01 785,563 66,060 11.89 68,647 124,516 165,606

227838 First Coast Health & Rehabilitation Center 6/30/2013 1/1/2015 469,784 17,974 26.14 559,021 23,266 24.03 1,114,688 92,128 12.10 64,483 76,733 153,003

227838 First Coast Health & Rehabilitation Center 12/31/2014 9/1/2015 273,183 10,260 26.63 235,553 10,115 23.29 556,946 45,822 12.15 40,386 34,822 82,336

227871 Ayers Health & Rehab Center 7/31/2014 1/1/2015 & 9/1/2015 307,409 10,820 28.41 908,731 38,309 23.72 1,518,711 117,568 12.92 41,966 124,056 207,327

228001 North Beach Nursing & Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 363,566 12,494 29.10 654,757 23,521 27.84 846,571 65,274 12.97 63,348 114,088 147,511

228320 The Gardens Court 8/31/2013 1/1/2015 811,501 26,442 30.69 665,690 27,440 24.26 1,100,227 98,388 11.18 156,102 128,054 211,643

228320 The Gardens Court 8/31/2014 9/1/2015 878,338 28,999 30.29 555,003 22,487 24.68 1,089,479 97,243 11.20 160,448 101,383 199,017

228338 Life Care Center of Melbourne 2/28/2014 1/1/2015 & 9/1/2015 229,979 9,692 23.73 1,174,256 52,651 22.30 1,317,720 112,469 11.72 43,906 224,180 251,569

228401 Park Ridge Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 236,576 8,733 27.09 725,664 33,896 21.41 941,161 82,405 11.42 50,041 153,496 199,079

228567 Bear Creek Nursing Center 7/31/2013 1/1/2015 358,569 12,734 28.16 825,300 39,718 20.78 1,438,487 113,354 12.69 57,111 131,448 229,112

228567 Bear Creek Nursing Center 7/31/2014 9/1/2015 408,091 14,929 27.34 733,722 35,390 20.73 1,416,242 108,985 12.99 59,946 107,778 208,035

228575 Royal Oak Nursing Center 7/31/2014 1/1/2015 & 9/1/2015 375,441 13,270 28.29 746,037 33,659 22.16 1,426,343 109,309 13.05 58,986 117,211 224,095

228591 Heather Hill Nursing Home 7/31/2014 1/1/2015 & 9/1/2015 149,043 5,646 26.40 745,106 35,510 20.98 1,246,491 98,349 12.67 22,279 111,379 186,326

228621 Inn at Sarasota Bay Club 12/31/2013 1/1/2015 & 9/1/2015 273,799 6,828 40.10 640,094 26,697 23.98 1,113,336 77,989 14.28 22,847 53,413 92,903

228702 Winter Haven Health and Rehab Center 6/30/2013 1/1/2015 633,133 23,769 26.64 684,666 33,011 20.74 1,339,694 128,105 10.46 91,842 99,318 194,335

228702 Winter Haven Health and Rehab Center 6/30/2014 9/1/2015 691,153 23,941 28.87 712,651 33,134 21.51 1,446,872 130,130 11.12 103,216 106,426 216,075

228711 Woodland Terrace of Citrus County 12/31/2012 1/1/2015 253,827 9,540 26.61 743,432 36,223 20.52 1,415,795 116,990 12.10 41,081 120,319 229,135

228788 East Ridge Retirement Village, Inc. 12/31/2013 1/1/2015 & 9/1/2015 98,660 3,699 26.67 498,999 22,790 21.90 773,789 68,162 11.35 22,291 112,747 174,836

228940 Cypress Cove Care Center 7/31/2014 1/1/2015 & 9/1/2015 267,645 9,043 29.60 848,250 36,325 23.35 1,348,304 107,446 12.55 41,880 132,729 210,975

228958 Brooksville Healthcare Center 7/31/2014 1/1/2015 & 9/1/2015 202,978 6,903 29.40 1,364,523 64,364 21.20 1,901,436 149,012 12.76 29,893 200,962 280,036

228966 Lake Harris Health Center 12/31/2012 1/1/2015 277,408 10,186 27.23 859,228 40,533 21.20 1,422,572 120,222 11.83 46,488 143,988 238,394

229164 Sylvan Health Center 12/31/2013 1/1/2015 91,761 3,102 29.58 573,191 24,860 23.06 845,871 62,515 13.53 14,892 93,019 137,271

229202 Shell Point Pavilion 6/30/2013 1/1/2015 1,117,986 46,708 23.94 1,318,136 61,327 21.49 2,594,089 198,268 13.08 294,084 346,733 682,371

229202 Shell Point Pavilion 6/30/2014 9/1/2015 1,338,554 48,368 27.67 1,237,430 59,628 20.75 2,654,720 206,968 12.83 403,285 372,818 799,828

229288 Gainesville Health Care Center 8/31/2013 1/1/2015 & 9/1/2015 724,691 25,890 27.99 1,434,619 63,973 22.43 2,121,698 182,634 11.62 109,089 215,955 319,381

229610 Lake View Care Center at Delray 12/31/2013 1/1/2015 & 9/1/2015 513,331 16,445 31.22 1,062,205 44,844 23.69 1,367,148 114,616 11.93 82,353 170,409 219,331

229628 Menorah House 12/31/2013 1/1/2015 456,495 14,384 31.74 1,022,163 42,215 24.21 1,259,682 113,342 11.11 77,825 174,261 214,755

229628 Menorah House 12/31/2014 9/1/2015 430,175 12,987 33.12 1,031,004 42,175 24.45 1,262,295 111,391 11.33 65,623 157,281 192,564

229849 Alexander Nininger State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 503,472 19,193 26.23 1,005,846 48,896 20.57 2,019,249 160,901 12.55 246,505 492,472 988,646

250988 Hialeah Nursing and Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 634,246 22,312 28.43 852,508 35,027 24.34 1,333,206 119,478 11.16 154,013 207,012 323,740

251399 Brandywyne Health Care Center 7/31/2013 1/1/2015 289,056 11,092 26.06 891,736 39,449 22.60 1,354,485 105,364 12.86 53,215 164,174 249,367

251399 Brandywyne Health Care Center 7/31/2014 9/1/2015 304,838 10,435 29.21 899,500 37,997 23.67 1,383,436 103,128 13.41 57,620 170,020 261,493

251666 Concordia Manor 6/30/2013 1/1/2015 84,682 3,166 26.75 255,273 11,748 21.73 372,659 32,956 11.31 12,129 36,564 53,377

251666 Concordia Manor 6/30/2014 9/1/2015 123,173 4,576 26.92 237,049 10,748 22.06 391,885 34,311 11.42 17,722 34,103 56,378

251721 Oakhurst Care & Rehabilitation Center 7/31/2013 1/1/2015 464,558 11,726 39.62 1,394,185 66,816 20.87 2,063,123 170,555 12.10 109,528 328,703 486,418

251721 Oakhurst Care & Rehabilitation Center 7/31/2014 9/1/2015 480,145 17,109 28.06 1,382,136 64,355 21.48 2,119,537 172,774 12.27 87,719 252,507 387,225

252018 Avante at Melbourne 5/31/2014 1/1/2015 & 9/1/2015 452,056 17,156 26.35 679,829 27,324 24.88 1,322,360 92,559 14.29 84,726 127,417 247,843

252034 Avante at Ormond Beach 5/31/2014 1/1/2015 & 9/1/2015 479,584 18,892 25.39 813,264 33,669 24.15 1,497,439 110,446 13.56 89,420 151,636 279,203

252042 Avante at Mt. Dora 5/31/2014 1/1/2015 & 9/1/2015 411,007 15,579 26.38 755,917 34,464 21.93 1,381,514 105,230 13.13 69,784 128,347 234,566

252662 Pinebrook Care & Rehabiliation Center 7/31/2013 1/1/2015 409,619 13,999 29.26 903,052 38,097 23.70 1,557,089 116,034 13.42 101,823 224,482 387,063

252662 Pinebrook Care & Rehabiliation Center 1/31/2015 9/1/2015 221,724 7,952 27.88 451,308 18,587 24.28 729,877 53,158 13.73 40,478 82,390 133,244

252671 Palms of Sebring 12/31/2013 1/1/2015 & 9/1/2015 260,726 9,663 26.98 1,148,129 54,162 21.20 1,200,974 111,244 10.80 45,482 200,285 209,503

252689 Orchard Ridge Care & Rehabilitation Center 7/31/2013 1/1/2015 366,848 8,722 42.06 900,795 45,216 19.92 1,566,133 124,596 12.57 83,815 205,809 357,821

252689 Orchard Ridge Care & Rehabilitation Center 7/31/2014 9/1/2015 412,627 14,438 28.58 927,291 40,909 22.67 1,593,899 122,405 13.02 75,083 168,732 290,030

253014 Springwood Care & Rehabiliation Center 7/31/2013 1/1/2015 358,557 11,751 30.51 904,242 39,934 22.64 1,722,984 117,626 14.65 74,611 188,161 358,529

253014 Springwood Care & Rehabiliation Center 1/31/2015 9/1/2015 187,093 6,173 30.31 470,281 19,392 24.25 878,199 59,972 14.64 30,784 77,379 144,498

253430 Sunset Point Care & Rehabiliation Center 7/31/2013 1/1/2015 360,873 11,392 31.68 891,554 40,951 21.77 1,569,630 123,506 12.71 83,507 206,312 363,224

253430 Sunset Point Care & Rehabiliation Center 7/31/2014 9/1/2015 431,535 15,570 27.72 826,511 36,337 22.75 1,543,022 117,841 13.09 82,830 158,641 296,168

253448 Bay Tree Care & Rehabiliation Center 7/31/2013 1/1/2015 367,293 7,451 49.29 875,916 29,733 29.46 1,486,887 86,535 17.18 89,357 213,096 361,736

253448 Bay Tree Care & Rehabiliation Center 1/31/2015 9/1/2015 260,185 8,678 29.98 409,064 17,042 24.00 814,165 58,459 13.93 49,020 77,069 153,391

253456 Hawthorne Health & Rehab of Ocala 6/30/2014 1/1/2015 & 9/1/2015 249,238 10,879 22.91 986,620 43,503 22.68 1,451,878 122,113 11.89 40,702 161,121 237,100

253464 West Bay Care & Rehabiliation Center 7/31/2013 1/1/2015 444,331 15,537 28.60 809,169 36,118 22.40 1,548,474 115,305 13.43 100,626 183,249 350,677

253464 West Bay Of Tampa 7/31/2014 9/1/2015 403,626 16,068 25.12 911,680 37,581 24.26 1,635,418 119,426 13.69 76,595 173,008 310,350

253481 Forum at Deer Creek 6/30/2013 1/1/2015 246,400 7,690 32.04 402,444 16,958 23.73 716,238 55,038 13.01 55,034 89,888 159,974

253481 Forum at Deer Creek 12/31/2014 9/1/2015 161,844 5,196 31.15 200,349 8,770 22.84 371,029 31,117 11.92 30,775 38,099 70,554

253707 Eden Springs Nursing And Rehab Center 7/31/2013 1/1/2015 395,777 13,408 29.52 1,039,650 46,769 22.23 1,543,124 132,829 11.62 93,071 244,484 362,881

253707 Eden Springs Nursing And Rehab Center 1/31/2015 9/1/2015 143,129 4,633 30.89 552,731 23,841 23.18 746,433 63,563 11.74 30,831 119,058 160,782

253723 Jackson Plaza Nursing & Rehabilitation Center 2/28/2014 1/1/2015 & 9/1/2015 1,199,360 41,477 28.92 757,158 36,124 20.96 1,458,267 147,323 9.90 298,236 188,276 362,617

254177 Manor Pines Convalescent Center, LLC 6/30/2013 1/1/2015 510,616 16,232 31.46 1,183,559 50,108 23.62 1,476,037 133,439 11.06 104,602 242,461 302,376

254177 Manor Pines Convalescent Center, LLC 1/31/2015 9/1/2015 456,469 13,973 32.67 716,504 28,432 25.20 978,870 85,476 11.45 85,264 133,837 182,843

254291 Arch Plaza Nursing & Rehabilitation Center 7/31/2013 1/1/2015 569,003 19,422 29.30 654,089 30,260 21.62 1,062,944 99,891 10.64 127,890 147,015 238,910

254291 Arch Plaza Nursing & Rehabilitation Center 7/31/2014 9/1/2015 623,378 22,104 28.20 655,807 31,504 20.82 1,086,646 102,492 10.60 146,806 154,442 255,906

254762 Wrights Healthcare & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 53,907 1,898 28.40 437,101 19,228 22.73 675,246 50,432 13.39 8,802 71,368 110,251

254878 EdgeWood Nursing Center 12/31/2013 1/1/2015 201,892 7,874 25.64 379,865 19,586 19.39 654,737 58,767 11.14 28,094 52,859 91,108

254878 EdgeWood Nursing Center 12/31/2014 9/1/2015 239,968 9,412 25.50 382,452 18,396 20.79 649,721 57,160 11.37 31,199 49,725 84,474

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 16 6/20/2016

Page 21: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX I

DIRECT AND INDIRECT CARE SALARIES, HOURS, AND BENEFITS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s)

RN Total

Salary

RN Total

Hours RN Avg. $/Hr

LPN Total

Salary

LPN Total

Hours LPN Avg. $/Hr

CNA Total

Salary

CNA Total

Hours CNA Avg. $/Hr

RN Total

Benefits

LPN Total

Benefits

CNA Total

Benefits

TOTAL SALARIES AND HOURS BENEFITS

256269 Diamond Ridge Health & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 521,286 17,837 29.22 836,349 37,119 22.53 1,748,455 133,969 13.05 71,557 114,805 240,010

256277 Surrey Place Healthcare and Rehabilitation 12/31/2013 1/1/2015 366,858 13,157 27.88 720,330 29,956 24.05 873,697 67,790 12.89 51,789 101,690 123,340

256277 Surrey Place Healthcare and Rehabilitation 12/31/2014 9/1/2015 299,784 10,116 29.63 780,186 31,516 24.76 838,511 64,290 13.04 47,441 123,467 132,697

256757 Lakeside Nursing & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 352,488 13,676 25.77 952,596 43,204 22.05 1,142,433 102,059 11.19 69,005 186,485 223,648

256846 Lakeside Pavilion 7/31/2013 1/1/2015 271,983 8,188 33.22 927,957 41,608 22.30 1,571,561 121,617 12.92 64,392 219,694 372,066

256846 Lakeside Pavilion 7/31/2014 9/1/2015 407,800 13,143 31.03 908,856 37,331 24.35 1,655,724 119,148 13.90 75,165 167,517 305,178

256935 Manor Oaks Nursing & Rehab Center 8/31/2014 1/1/2015 279,235 9,562 29.20 562,431 25,026 22.47 830,754 77,433 10.73 58,579 117,991 174,279

256935 Manor Oaks Nursing & Rehabilitation Center 2/28/2015 9/1/2015 178,492 6,242 28.60 241,455 10,607 22.76 410,940 38,522 10.67 37,447 50,658 86,215

257419 Citrus Health and Rehabilitation Center 5/31/2014 1/1/2015 & 9/1/2015 152,391 5,811 26.22 740,640 37,422 19.79 1,243,640 105,262 11.81 49,411 240,142 403,231

258342 Oak Manor Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 409,051 16,729 24.45 1,418,905 63,407 22.38 2,003,306 147,043 13.62 61,017 211,657 298,831

258750 Indigo Manor 6/30/2013 1/1/2015 498,735 19,809 25.18 1,220,063 54,150 22.53 2,008,177 158,370 12.68 81,523 199,431 328,256

258750 Indigo Manor 6/30/2014 9/1/2015 469,437 17,550 26.75 1,257,084 56,703 22.17 2,160,409 166,500 12.98 71,888 192,507 330,841

258831 Haven of Our Lady of Peace 6/30/2013 1/1/2015 & 9/1/2015 58,205 2,433 23.92 1,276,946 64,661 19.75 1,617,080 138,407 11.68 17,186 377,048 477,480

259080 Life Care Center at Inverrary 8/31/2014 1/1/2015 & 9/1/2015 967,271 33,463 28.91 528,427 24,243 21.80 1,261,080 116,398 10.83 187,260 102,301 244,139

259225 Lakeview Terrace Skilled Nursing Facility 12/31/2013 1/1/2015 & 9/1/2015 60,330 2,497 24.16 220,199 10,162 21.67 233,022 19,859 11.73 14,702 53,662 56,785

259331 UniHealth Post-Acute Care- Santa Rosa 6/30/2013 1/1/2015 212,691 9,676 21.98 782,111 37,517 20.85 1,412,229 113,608 12.43 39,106 143,800 259,652

259331 Pruitthealth - Santa Rosa 6/30/2014 9/1/2015 324,107 15,423 21.01 766,503 38,909 19.70 1,407,697 113,900 12.36 52,051 123,099 226,075

259357 Life Care Center of New Port Richey 8/31/2014 1/1/2015 & 9/1/2015 375,212 13,668 27.45 903,903 43,796 20.64 1,356,885 107,951 12.57 75,549 182,002 273,210

259462 The Nursing Center at University Village 12/31/2013 1/1/2015 & 9/1/2015 278,496 9,695 28.73 1,024,106 38,430 26.65 1,600,732 112,560 14.22 57,109 210,006 328,252

259586 Hamlin Place 8/31/2013 1/1/2015 - - - - - - - - - - - -

259586 Hamlin Place 8/31/2014 9/1/2015 - - - - - - - - - - - -

259870 Avante at St. Cloud 5/31/2014 1/1/2015 & 9/1/2015 917,179 36,181 25.35 692,474 31,868 21.73 1,445,988 118,478 12.20 149,993 113,245 236,471

259942 Riverfront Nursing and Rehab Center 8/31/2013 1/1/2015 235,723 8,389 28.10 1,161,525 48,654 23.87 1,447,591 126,100 11.48 37,134 182,982 228,047

260355 Sarasota Memorial Nursing & Rehabilitation Center 9/30/2013 1/1/2015 353,360 12,218 28.92 1,155,367 48,900 23.63 1,831,756 113,283 16.17 57,777 188,916 299,513

260355 Sarasota Memorial Nursing & Rehabilitation Center 9/30/2014 9/1/2015 653,645 21,729 30.08 1,154,928 47,661 24.23 2,033,273 124,378 16.35 101,693 179,683 316,333

260371 Bridgeview Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 332,976 11,775 28.28 800,555 37,225 21.51 1,564,180 112,814 13.87 77,821 187,101 365,570

260444 Bayview Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 316,660 10,524 30.09 797,710 36,761 21.70 1,336,894 104,514 12.79 67,286 169,503 284,071

260452 Ruleme Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 281,200 9,303 30.23 1,095,323 49,540 22.11 1,682,297 125,544 13.40 65,825 256,399 393,801

260568 Tierra Pines Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 280,564 9,289 30.20 949,835 41,443 22.92 1,533,924 114,858 13.35 58,298 197,365 318,732

260576 Highlands Lake Center, LLC 12/31/2013 1/1/2015 462,962 15,559 29.76 1,455,347 67,507 21.56 2,389,241 178,378 13.39 99,620 313,164 514,119

260576 Highlands Lake Center, LLC 12/31/2014 9/1/2015 552,242 19,725 28.00 1,336,558 63,980 20.89 2,390,549 173,616 13.77 117,658 284,759 509,317

260649 Coquina Center, LLC 12/31/2013 1/1/2015 395,006 14,071 28.07 817,535 35,995 22.71 1,559,150 110,307 14.13 87,231 180,541 344,316

260649 Coquina Center, LLC 12/31/2014 9/1/2015 424,682 16,101 26.38 690,922 30,981 22.30 1,499,196 104,353 14.37 95,423 155,248 336,862

260657 Island Lake Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 491,542 16,393 29.98 839,152 37,001 22.68 1,498,176 115,893 12.93 106,123 181,168 323,449

260665 Indian River Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 743,600 25,013 29.73 1,273,725 55,037 23.14 2,420,197 180,436 13.41 179,797 307,976 585,184

260673 Riverwood Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 571,840 17,107 33.43 1,813,862 77,455 23.42 2,864,217 212,107 13.50 134,065 425,252 671,503

260690 Fairway Oaks Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 297,902 10,146 29.36 900,381 39,169 22.99 1,471,717 111,392 13.21 63,567 192,125 314,038

260771 Sinai Plaza Nursing & Rehab Center 7/31/2013 1/1/2015 562,252 19,519 28.81 1,593,655 71,695 22.23 1,894,598 174,960 10.83 136,509 386,923 459,987

260771 Sinai Plaza Nursing & Rehab Center 7/31/2014 9/1/2015 636,280 22,168 28.70 1,394,544 62,291 22.39 1,731,256 159,737 10.84 168,051 368,321 457,252

261254 Alhambra Health & Rehab Center 8/31/2014 1/1/2015 & 9/1/2015 151,620 5,680 26.69 341,371 15,224 22.42 418,440 37,821 11.06 27,779 62,546 76,666

261611 Terra Vista Rehabilitation and Health Center 12/31/2013 1/1/2015 278,420 9,913 28.09 742,912 35,583 20.88 1,143,052 97,656 11.70 46,007 122,765 188,888

261611 Terra Vista Rehabilitation and Health Center 12/31/2014 9/1/2015 241,794 8,858 27.30 757,025 35,370 21.40 1,217,108 102,807 11.84 40,999 128,363 206,376

261629 Avalon Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 267,335 8,038 33.26 644,592 28,994 22.23 878,978 78,762 11.16 51,230 123,525 168,442

261637 Emerald Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 582,338 20,644 28.21 765,393 35,020 21.86 1,335,515 112,585 11.86 104,763 137,695 240,261

261670 Hawthorne Health & Rehab of Brandon 6/30/2014 1/1/2015 & 9/1/2015 317,756 13,291 23.91 1,019,561 44,176 23.08 1,518,938 121,608 12.49 55,519 178,142 265,396

263389 Atlantic Shores Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 359,451 15,294 23.50 867,377 43,019 20.16 1,294,427 115,227 11.23 68,112 164,356 245,277

263443 Bonifay Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 467,298 17,515 26.68 1,182,424 68,971 17.14 1,731,206 164,583 10.52 75,601 191,297 280,081

263451 Riviera Palms Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 330,938 12,122 27.30 975,910 48,288 20.21 1,492,752 126,188 11.83 57,480 169,504 259,274

263460 Boynton Beach Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 785,344 26,997 29.09 1,196,094 53,125 22.51 1,697,442 151,811 11.18 144,301 219,774 311,894

263478 Arbor Trail Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 410,971 14,724 27.91 863,295 43,284 19.94 1,318,188 121,335 10.86 76,864 161,463 246,541

263486 Pinellas Point Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 134,540 4,634 29.03 539,609 24,676 21.87 640,032 57,483 11.13 20,262 81,266 96,391

263494 Jacksonville Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 382,489 13,554 28.22 1,628,443 70,146 23.22 2,121,809 179,719 11.81 61,872 263,421 343,229

263508 Port Orange Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 434,612 16,132 26.94 1,103,034 51,674 21.35 1,506,636 117,056 12.87 72,922 185,075 252,795

263516 Macclenny Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 458,971 19,243 23.85 819,546 42,334 19.36 1,206,963 119,944 10.06 73,582 131,391 193,502

263524 Medicana Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 247,853 8,168 30.34 839,888 38,820 21.64 1,034,300 94,874 10.90 45,622 154,593 190,377

263532 Tiffany Hall Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 296,166 10,993 26.94 994,104 48,970 20.30 1,431,494 119,215 12.01 51,474 172,779 248,798

263541 Metrowest Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 387,378 15,206 25.48 965,673 47,170 20.47 1,275,958 119,163 10.71 65,593 163,512 216,051

263559 Moultrie Creek Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 537,136 19,276 27.87 921,204 46,850 19.66 1,417,524 116,207 12.20 106,411 182,498 280,823

263567 Orange City Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 300,717 12,773 23.54 1,036,888 52,374 19.80 1,342,232 119,714 11.21 57,451 198,092 256,426

263575 Bayshore Pointe Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 826,379 31,289 26.41 663,086 31,278 21.20 1,294,071 120,600 10.73 149,813 120,210 234,600

263583 Royal Oaks Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 501,705 19,664 25.51 929,709 43,911 21.17 1,281,895 121,853 10.52 91,451 169,468 233,664

263591 Tuskawilla Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 557,044 21,722 25.64 710,351 34,357 20.68 1,089,199 99,513 10.95 97,319 124,103 190,291

263605 Hunter's Creek Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 641,573 23,651 27.13 1,005,797 47,433 21.20 1,530,437 137,518 11.13 112,399 176,208 268,123

263613 Boulevard Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 879,111 29,614 29.69 1,111,984 52,109 21.34 1,761,362 165,531 10.64 146,951 185,880 294,428

263621 Palm City Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 602,052 21,574 27.91 838,884 40,154 20.89 1,431,786 119,521 11.98 117,380 163,553 279,148

263834 Bay Pointe Nursing Pavilion 12/31/2013 1/1/2015 & 9/1/2015 471,315 16,925 27.85 720,521 32,483 22.18 1,277,113 105,763 12.08 86,265 131,877 233,750

263842 Boca Raton Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 1,007,002 35,526 28.35 379,939 16,603 22.88 1,181,836 103,581 11.41 154,976 58,472 181,881

263851 Deerfield Beach Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 1,606,645 53,080 30.27 565,475 25,279 22.37 1,801,121 167,019 10.78 262,839 92,508 294,654

263869 Rehabilitation and Healthcare Center of Cape Coral 12/31/2013 1/1/2015 & 9/1/2015 531,638 19,725 26.95 756,417 32,570 23.22 1,464,695 112,303 13.04 83,591 118,934 230,297

263877 Carrollwood Care Center 12/31/2013 1/1/2015 600,066 20,361 29.47 706,956 32,178 21.97 1,441,405 117,051 12.31 104,988 123,689 252,189

263877 Carrollwood Care Center 12/31/2014 9/1/2015 657,886 22,060 29.82 621,731 28,104 22.12 1,436,870 115,727 12.42 111,180 105,071 242,828

263885 Casa Mora Rehabilitation and Extended Care 12/31/2013 1/1/2015 & 9/1/2015 616,081 20,044 30.74 893,817 40,069 22.31 2,400,565 170,377 14.09 98,592 143,038 384,163

263893 Evergreen Woods Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 863,522 30,939 27.91 428,073 21,493 19.92 1,409,557 116,128 12.14 152,679 75,687 249,221

263907 Highland Pines Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 330,037 10,809 30.53 767,910 33,513 22.91 1,394,689 101,766 13.70 54,888 127,709 231,948

263915 Rehabilitation Center of The Palm Beaches 12/31/2013 1/1/2015 728,127 24,477 29.75 432,291 18,914 22.86 1,071,841 97,236 11.02 116,215 68,997 171,075

263915 The Rehabilitation Center Of The Palm Beaches 12/31/2014 9/1/2015 496,289 16,536 30.01 545,823 24,942 21.88 1,092,049 95,633 11.42 80,613 88,661 177,384

263923 Pompano Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 890,573 29,800 29.89 477,761 21,301 22.43 1,379,294 119,309 11.56 142,663 76,534 220,955

263931 Healthcare and Rehabilitation Center of Sanford 12/31/2013 1/1/2015 & 9/1/2015 590,506 20,690 28.54 660,137 25,088 26.31 1,263,007 104,982 12.03 103,817 116,058 222,050

263940 Rehabilitation and Healthcare Center of Tampa 12/31/2013 1/1/2015 & 9/1/2015 1,040,838 36,858 28.24 933,084 44,914 20.77 1,937,545 165,697 11.69 145,636 130,559 271,104

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 17 6/20/2016

Page 22: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX I

DIRECT AND INDIRECT CARE SALARIES, HOURS, AND BENEFITS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s)

RN Total

Salary

RN Total

Hours RN Avg. $/Hr

LPN Total

Salary

LPN Total

Hours LPN Avg. $/Hr

CNA Total

Salary

CNA Total

Hours CNA Avg. $/Hr

RN Total

Benefits

LPN Total

Benefits

CNA Total

Benefits

TOTAL SALARIES AND HOURS BENEFITS

263958 The Abbey Rehabilitation and Nursing Center 12/31/2013 1/1/2015 756,764 26,643 28.40 556,355 26,129 21.29 1,554,682 111,934 13.89 130,576 95,997 268,254

263958 Abbey Rehabilitation And Nursing Center 12/31/2014 9/1/2015 632,053 22,009 28.72 580,378 27,446 21.15 1,554,599 110,377 14.08 104,887 96,312 257,979

263966 The Oaks at Avon Park 12/31/2013 1/1/2015 & 9/1/2015 256,516 9,061 28.31 662,068 32,483 20.38 1,102,379 91,011 12.11 42,081 108,612 180,845

263974 Titusville Rehabilitation and Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 1,134,754 36,933 30.72 662,871 27,566 24.05 1,591,849 130,820 12.17 167,477 97,833 234,939

263982 Sarasota Health and Rehabilitation Center 12/31/2013 1/1/2015 425,102 15,235 27.90 983,500 40,324 24.39 1,574,450 125,008 12.59 65,803 152,241 243,717

263982 Sarasota Health and Rehabilitation Center 12/31/2014 9/1/2015 419,537 14,628 28.68 915,223 38,719 23.64 1,587,027 122,348 12.97 64,179 140,007 242,775

263991 Windsor Woods Rehabilitation and Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 302,468 11,185 27.04 657,461 31,812 20.67 1,152,920 97,563 11.82 47,603 103,475 181,453

264008 Winkler Court 12/31/2013 1/1/2015 500,032 18,561 26.94 686,505 31,923 21.51 1,503,658 116,158 12.94 88,724 121,813 266,809

264008 Winkler Court 12/31/2014 9/1/2015 533,514 19,699 27.08 655,733 30,346 21.61 1,526,669 115,746 13.19 93,533 114,960 267,650

264482 Lafayette Healthcare Center 10/31/2013 1/1/2015 86,241 3,394 25.41 410,659 20,986 19.57 622,743 55,144 11.29 10,619 50,565 76,679

264482 Lafayette Healthcare Center 10/31/2014 9/1/2015 127,423 4,645 27.43 361,731 17,760 20.37 585,380 53,291 10.98 13,351 37,899 61,331

264491 Clifford Chester Sims State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 450,385 19,242 23.41 1,015,900 49,101 20.69 1,804,072 142,342 12.67 270,390 609,896 1,083,078

264512 Conway Lakes Health & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 940,229 33,597 27.99 707,410 32,861 21.53 1,233,931 109,947 11.22 181,502 136,557 238,198

264521 Belleair Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 451,740 17,040 26.51 937,003 42,905 21.84 1,334,969 118,033 11.31 77,081 159,884 227,790

264539 East Bay Rehabilitation Center 12/31/2013 1/1/2015 780,483 30,319 25.74 740,377 34,729 21.32 1,419,066 125,764 11.28 138,824 131,691 252,409

264539 East Bay Rehabilitation Center 12/31/2014 9/1/2015 977,731 37,101 26.35 645,894 29,057 22.23 1,466,855 123,136 11.91 162,947 107,644 244,462

264547 Melbourne Terrace Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 327,711 12,479 26.26 1,048,610 46,055 22.77 1,424,329 120,800 11.79 56,211 179,864 244,309

264563 Centre Pointe Health and Rehab Center 12/31/2013 1/1/2015 & 9/1/2015 354,258 12,235 28.95 1,074,388 52,550 20.45 1,375,622 118,279 11.63 65,162 197,626 253,036

264571 Spring Lake Rehabilitation Center 12/31/2013 1/1/2015 341,712 12,918 26.45 1,308,538 59,454 22.01 1,426,075 123,718 11.53 57,681 220,882 240,722

264571 Spring Lake Rehabilitation Center 12/31/2014 9/1/2015 485,132 18,299 26.51 1,391,327 62,455 22.28 1,496,398 125,627 11.91 82,334 236,127 253,959

265381 Life Care Center of Estero 6/30/2014 1/1/2015 & 9/1/2015 890,245 30,945 28.77 983,056 44,119 22.28 1,714,406 139,053 12.33 185,303 204,621 356,848

265560 Valencia Hills Health and Rehabilitation Center 12/31/2013 1/1/2015 1,047,575 36,750 28.51 1,928,886 85,762 22.49 3,216,614 248,714 12.93 148,264 272,998 455,252

265560 Valencia Hills Health and Rehabilitation Center 12/31/2014 9/1/2015 999,961 35,053 28.53 2,038,555 90,126 22.62 3,288,409 252,874 13.00 153,611 313,156 505,153

265730 Hialeah Nursing and Rehabilitation Center 12/31/2013 1/1/2015 1,687,534 66,027 25.56 1,640,403 67,431 24.33 3,429,114 289,564 11.84 317,338 308,475 644,839

265730 Hialeah Nursing and Rehabilitation Center 12/31/2014 9/1/2015 1,935,630 71,955 26.90 1,430,037 57,909 24.69 3,503,111 286,812 12.21 318,746 235,488 576,868

266108 Life Care Center of Ocala 1/31/2014 1/1/2015 & 9/1/2015 564,940 20,386 27.71 956,200 41,124 23.25 1,401,641 117,380 11.94 106,910 180,953 265,249

266124 Oasis Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 285,942 9,042 31.62 953,064 42,071 22.65 1,340,935 121,442 11.04 42,130 140,423 197,571

266281 Southpoint Terrace 12/31/2013 1/1/2015 299,064 12,186 24.54 731,262 33,181 22.04 1,357,444 113,495 11.96 42,559 104,064 193,175

266612 Whispering Oaks 12/31/2013 1/1/2015 & 9/1/2015 1,134,224 41,305 27.46 1,199,616 60,631 19.79 2,569,616 225,727 11.38 198,729 210,188 450,225

267724 The Springs at Boca Ciega Bay 12/31/2013 1/1/2015 256,589 8,496 30.20 1,194,936 47,987 24.90 1,486,642 110,412 13.46 34,035 158,499 197,193

267724 The Springs at Boca Ciega Bay 12/31/2014 9/1/2015 349,680 11,949 29.26 1,133,936 45,186 25.09 1,471,836 109,143 13.49 53,240 172,647 224,093

267902 The Nursing Center at Mercy 12/31/2013 1/1/2015 & 9/1/2015 144,220 6,068 23.77 1,092,180 52,714 20.72 1,230,106 130,376 9.44 19,539 147,974 166,663

268003 Lanier Manor 12/31/2013 1/1/2015 & 9/1/2015 323,100 12,146 26.60 873,893 42,124 20.75 1,374,070 106,920 12.85 40,793 110,331 173,481

268062 Susanna Wesley Health Center 12/31/2013 1/1/2015 & 9/1/2015 681,992 21,682 31.45 1,134,184 42,872 26.46 1,466,237 137,611 10.65 122,918 204,418 264,265

268186 Life Care Center of Palm Bay 12/31/2013 1/1/2015 & 9/1/2015 496,724 19,574 25.38 947,174 44,081 21.49 1,570,521 130,448 12.04 103,080 196,560 325,918

268585 Harborchase of Naples 12/31/2013 1/1/2015 106,439 3,974 26.78 453,743 18,195 24.94 475,750 39,301 12.11 23,988 102,260 107,220

268585 Harborchase of Naples 12/31/2014 9/1/2015 161,046 6,114 26.34 396,308 15,135 26.18 503,501 41,157 12.23 34,110 83,940 106,644

268755 Abbiejean Russell Care Center, LLC 12/31/2013 1/1/2015 157,429 5,439 28.94 581,815 29,313 19.85 918,291 78,737 11.66 32,257 119,214 188,157

268755 Abbiejean Russell Care Center, LLC 12/31/2014 9/1/2015 264,752 9,012 29.38 547,748 26,725 20.50 871,662 73,838 11.81 51,606 106,765 169,904

268763 Good Samaritan Center 6/30/2014 1/1/2015 & 9/1/2015 273,422 10,568 25.87 1,446,891 65,875 21.96 2,032,371 175,343 11.59 54,089 286,228 402,048

268780 The Springs at Lake Pointe Woods 12/31/2013 1/1/2015 527,897 18,626 28.34 893,286 36,899 24.21 1,727,799 111,682 15.47 76,419 129,312 250,117

268780 The Springs At Lake Pointe Woods 12/31/2014 9/1/2015 571,713 20,034 28.54 881,030 36,029 24.45 1,790,060 112,705 15.88 91,713 141,332 287,154

269000 Majestic Oaks Continuing Care Complex 12/31/2013 1/1/2015 344,968 13,603 25.36 1,346,149 61,715 21.81 2,254,081 166,377 13.55 91,004 355,119 594,636

269000 Majestic Oaks Continuing Care Complex 12/31/2014 9/1/2015 445,691 18,418 24.20 1,315,277 59,047 22.28 2,198,287 163,725 13.43 123,987 365,899 611,544

269107 Harmony Health Center 12/31/2013 1/1/2015 & 9/1/2015 994,274 36,120 27.53 1,445,267 66,125 21.86 2,035,705 205,565 9.90 137,396 199,717 281,308

269492 Douglas Jacobson State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 606,037 24,236 25.01 835,308 42,492 19.66 1,716,164 144,294 11.89 324,900 447,814 920,045

269697 Regents Park of Sunrise 12/31/2013 1/1/2015 & 9/1/2015 735,548 25,717 28.60 633,665 27,725 22.86 1,324,128 116,080 11.41 96,055 82,751 172,918

269719 Regents Park of Winter Park 12/31/2013 1/1/2015 & 9/1/2015 955,063 34,401 27.76 365,026 16,167 22.58 1,424,795 111,020 12.83 121,694 46,511 181,547

269727 Regents Park of Jacksonville 12/31/2013 1/1/2015 & 9/1/2015 631,075 24,442 25.82 569,642 24,399 23.35 1,432,643 112,534 12.73 83,008 74,929 188,443

281743 Jacaranda Manor 12/31/2013 1/1/2015 & 9/1/2015 267,199 11,793 22.66 2,540,295 132,265 19.21 3,850,002 327,449 11.76 46,917 446,042 676,011

282359 West Gables Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 781,840 27,726 28.20 1,132,807 46,839 24.19 1,295,606 130,516 9.93 161,518 234,021 267,654

282464 Ridgecrest Nursing & Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 477,041 18,857 25.30 613,421 29,151 21.04 899,362 82,329 10.92 88,947 114,375 167,689

282529 Coral Reef Nursing & Rehabilitation Center 12/31/2013 1/1/2015 - - - - - - - - - - - -

282529 Coral Reef Nursing & Rehabilitation Center 12/31/2014 9/1/2015 - - - - - - - - - - - -

282537 Palm Terrace of St. Petersburg 6/30/2013 1/1/2015 247,969 8,061 30.76 694,816 28,693 24.22 1,069,669 78,549 13.62 48,752 136,607 210,307

282537 Palm Terrace of St Petersburg 6/30/2014 9/1/2015 289,023 10,953 26.39 691,569 27,754 24.92 1,233,104 89,710 13.75 53,936 129,059 230,119

282618 Palm Terrace of Clewiston 6/30/2013 1/1/2015 155,865 2,208 70.59 1,540,637 52,244 29.49 1,314,257 118,693 11.07 18,913 186,937 159,468

282618 Palm Terrace of Clewiston 6/30/2014 9/1/2015 504,341 11,121 45.35 1,344,112 48,594 27.66 1,429,560 127,973 11.17 55,410 147,673 157,061

282626 Palm Terrace of Lakeland 6/30/2014 1/1/2015 & 9/1/2015 678,263 23,938 28.33 1,621,560 75,003 21.62 2,042,940 163,644 12.48 118,673 283,718 357,446

283193 Life Care Center of Jacksonville 6/30/2014 1/1/2015 & 9/1/2015 391,871 13,503 29.02 1,146,799 51,988 22.06 1,343,337 107,659 12.48 76,329 223,373 261,654

284289 Life Care Center of Orange Park 7/31/2014 1/1/2015 & 9/1/2015 506,684 20,683 24.50 1,311,365 60,328 21.74 1,883,514 163,455 11.52 93,030 240,774 345,824

284793 Brighton Gardens of Tampa 12/31/2013 1/1/2015 283,640 9,667 29.34 257,784 11,500 22.42 539,957 38,895 13.88 66,399 60,347 126,404

284793 Brighton Gardens of Tampa 12/31/2014 9/1/2015 331,276 11,285 29.36 213,649 9,186 23.26 543,844 37,579 14.47 65,334 42,137 107,257

284823 Aventura Plaza Rehabilitation & Nursing Center 8/31/2013 1/1/2015 814,785 30,160 27.02 547,676 26,644 20.56 1,061,223 100,289 10.58 179,481 120,643 233,767

284823 Aventura Plaza Rehabilitation & Nursing Center 8/31/2014 9/1/2015 740,311 27,292 27.13 587,030 27,923 21.02 1,083,749 101,608 10.67 196,221 155,593 287,251

307998 Cypress Village 12/31/2013 1/1/2015 324,261 13,695 23.68 1,082,954 50,472 21.46 1,552,177 123,199 12.60 57,031 190,471 272,999

308242 Hebrew Home of South Beach 8/31/2012 1/1/2015 603,632 20,963 28.80 783,353 36,780 21.30 1,087,996 106,485 10.22 129,132 167,579 232,750

308251 Ponce Plaza Nursing & Rehab Center 1/31/2014 1/1/2015 & 9/1/2015 873,057 32,537 26.83 1,122,299 49,496 22.67 1,646,074 163,456 10.07 179,960 231,334 339,298

309800 The Allegro at College Harbor 12/31/2013 1/1/2015 161,879 5,590 28.96 404,081 18,132 22.29 731,625 57,901 12.64 39,423 98,407 178,176

309800 The Allegro at College Harbor 12/31/2014 9/1/2015 236,781 8,810 26.88 265,084 11,340 23.38 670,913 50,821 13.20 58,834 65,868 166,707

310581 Atlantic Healthcare Center 8/31/2013 1/1/2015 161,290 6,649 24.26 765,993 36,248 21.13 1,003,936 95,697 10.49 40,926 194,364 254,741

310581 Atlantic Healthcare Center 8/31/2014 9/1/2015 248,682 7,678 32.39 826,806 35,178 23.50 985,810 82,744 11.91 53,781 178,806 213,193

310841 St. Mark Village, Inc. 12/31/2013 1/1/2015 83,930 2,873 29.21 432,153 18,855 22.92 842,861 61,426 13.72 21,745 111,967 218,380

310841 St. Mark Village, Inc. 12/31/2014 9/1/2015 236,378 8,076 29.27 882,633 37,926 23.27 1,118,748 79,114 14.14 54,933 205,118 259,990

311308 South Pointe Plaza Rehabilitation And Nursing Center 7/31/2013 1/1/2015 723,829 25,732 28.13 1,418,735 62,612 22.66 2,414,060 222,469 10.85 134,966 264,538 450,129

311308 South Pointe Plaza Rehabilitation And Nursing Center 1/31/2015 9/1/2015 332,197 11,679 28.44 683,260 31,251 21.86 1,216,824 114,016 10.67 72,429 148,972 265,306

311685 Life Care Center of Punta Gorda 2/28/2014 1/1/2015 & 9/1/2015 510,228 18,419 27.70 1,227,703 56,591 21.69 2,002,954 141,347 14.17 102,518 246,679 402,449

312045 SandalWood Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 199,925 8,070 24.77 746,613 35,121 21.26 943,973 74,457 12.68 37,786 141,112 178,413

312142 Lakewood Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 188,605 7,737 24.38 787,321 39,539 19.91 1,175,788 112,991 10.41 25,444 106,213 158,619

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 18 6/20/2016

Page 23: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX I

DIRECT AND INDIRECT CARE SALARIES, HOURS, AND BENEFITS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s)

RN Total

Salary

RN Total

Hours RN Avg. $/Hr

LPN Total

Salary

LPN Total

Hours LPN Avg. $/Hr

CNA Total

Salary

CNA Total

Hours CNA Avg. $/Hr

RN Total

Benefits

LPN Total

Benefits

CNA Total

Benefits

TOTAL SALARIES AND HOURS BENEFITS

312151 Cross City Rehabilitation and Health Center 9/30/2014 1/1/2015 & 9/1/2015 128,021 4,365 29.33 391,288 18,887 20.72 564,018 52,792 10.68 16,956 51,826 74,705

312274 CrestWood Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 181,599 7,458 24.35 459,664 18,729 24.54 758,389 68,430 11.08 25,824 65,367 107,846

312312 Savannah Cove of The Palm Beaches 12/31/2013 1/1/2015 111,134 3,887 28.59 153,485 7,307 21.01 337,562 28,678 11.77 23,919 33,034 72,653

312312 Savannah Cove of The Palm Beaches 12/31/2014 9/1/2015 105,219 3,641 28.90 165,484 7,957 20.80 293,953 25,218 11.66 22,130 34,807 61,829

312550 Savannah Cove of Maitland 6/30/2014 1/1/2015 & 9/1/2015 134,446 5,223 25.74 261,989 12,544 20.89 381,665 35,262 10.82 25,586 49,860 72,637

312789 Children's Comprehensive Care Center 7/31/2014 1/1/2015 & 9/1/2015 751,769 24,939 30.14 361,463 15,418 23.44 421,851 34,587 12.20 126,926 61,029 71,223

313424 Hollywood Hills Rehabilitation Center, LLC 6/30/2013 1/1/2015 436,934 15,829 27.60 1,168,175 56,453 20.69 1,509,836 150,449 10.04 72,567 194,011 250,755

313424 Hollywood Hills Rehabilitation Center, LLC 6/30/2014 9/1/2015 581,217 21,025 27.64 1,091,405 52,141 20.93 1,463,123 144,777 10.11 93,462 175,502 235,276

313718 Lutheran Haven Nursing Home 8/31/2013 1/1/2015 130,830 5,181 25.25 326,429 16,120 20.25 421,431 39,458 10.68 30,768 76,768 99,110

313718 Lutheran Haven Nursing Home 8/31/2014 9/1/2015 130,136 5,375 24.21 345,008 16,752 20.60 452,917 41,013 11.04 31,975 84,767 111,282

315664 Life Care Center of Pensacola 12/31/2013 1/1/2015 & 9/1/2015 501,217 18,794 26.67 923,431 40,695 22.69 1,351,319 112,175 12.05 99,815 183,898 269,112

316075 Westwood Health Care Center 12/31/2012 1/1/2015 252,066 10,829 23.28 271,446 14,081 19.28 696,032 59,381 11.72 48,888 52,646 134,993

316628 LaurellWood Nursing Center, Inc. 5/31/2014 1/1/2015 & 9/1/2015 68,798 2,630 26.16 361,779 17,323 20.88 660,605 53,189 12.42 10,082 53,021 96,815

316636 HarbourWood Nursing Center, Inc. 5/31/2014 1/1/2015 & 9/1/2015 275,882 10,016 27.54 957,559 43,318 22.11 1,533,662 116,293 13.19 37,121 128,846 206,365

316644 GraceWood Nursing Center, Inc. 5/31/2014 1/1/2015 & 9/1/2015 354,656 13,272 26.72 733,186 33,661 21.78 1,370,893 109,916 12.47 41,766 86,345 161,447

316652 BayWood Nursing Center, Inc 5/31/2014 1/1/2015 & 9/1/2015 47,553 1,798 26.45 528,235 22,641 23.33 733,135 59,284 12.37 6,157 68,403 94,935

317195 The Nursing Center at Freedom Village 12/31/2013 1/1/2015 & 9/1/2015 90,058 3,103 29.02 1,056,822 42,280 25.00 1,567,064 109,069 14.37 15,027 176,329 261,461

317349 Darcy Hall of Life Care 12/31/2013 1/1/2015 514,365 16,829 30.56 1,545,624 66,820 23.13 2,018,197 161,566 12.49 108,586 326,294 426,059

317349 Darcy Hall of Life Care 12/31/2014 9/1/2015 635,026 21,035 30.19 1,499,461 64,142 23.38 1,981,563 159,065 12.46 125,401 296,105 391,307

317578 Parklands Rehabilitation and Nursing Center 3/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - - - - -

317586 Williston Rehabilitation and Nursing Center 3/31/2014 1/1/2015 - - - - - - - - - - - -

317586 Williston Rehabilitation and Nursing Center 12/31/2014 9/1/2015 - - - - - - - - - - - -

318787 Citrus Gardens of Fort Myers 6/30/2013 1/1/2015 333,145 11,778 28.29 808,354 36,763 21.99 1,409,718 117,068 12.04 49,847 120,950 210,930

318787 Citrus Gardens of Fort Myers 6/30/2014 9/1/2015 408,032 14,672 27.81 770,287 33,418 23.05 1,406,727 111,694 12.59 74,767 141,145 257,763

318795 The Court at Palm-Aire 6/30/2013 1/1/2015 155,757 5,219 29.84 538,008 23,762 22.64 682,121 54,676 12.48 32,179 111,150 140,923

318795 The Court at Palm-Aire 12/31/2014 9/1/2015 101,259 3,719 27.23 263,117 11,349 23.18 355,132 28,352 12.53 18,561 48,227 65,094

319244 Palmer Ranch Healthcare and Rehabilitation 6/30/2013 1/1/2015 & 9/1/2015 145,566 5,413 26.89 633,159 26,312 24.06 1,017,313 65,198 15.60 32,907 143,133 229,974

319325 Port Charlotte Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 351,295 11,813 29.74 1,173,795 49,186 23.86 1,407,358 116,091 12.12 63,279 211,437 253,508

319333 Harbour Health Center 12/31/2013 1/1/2015 & 9/1/2015 278,931 10,105 27.60 884,724 42,240 20.95 1,318,537 103,314 12.76 44,709 141,813 211,349

319376 Atrium Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 308,749 10,988 28.10 608,770 26,056 23.36 905,904 74,703 12.13 54,238 106,942 159,139

320391 Zephyr Haven Health & Rehab Center, Inc. 12/31/2013 1/1/2015 147,624 6,328 23.33 1,179,588 57,012 20.69 1,401,517 118,215 11.86 25,543 204,100 242,499

320391 Zephyr Haven Health & Rehab Center, Inc. 12/31/2014 9/1/2015 152,560 6,213 24.55 1,157,839 57,398 20.17 1,410,406 118,900 11.86 22,761 172,751 210,433

320404 Zephyrhills Health & Rehab Center, Inc. 7/31/2014 1/1/2015 444,312 16,916 26.27 788,398 37,527 21.01 1,247,494 107,127 11.65 69,651 123,590 195,558

320404 Zephyrhills Health & Rehab Center, Inc. 1/31/2015 9/1/2015 242,398 9,425 25.72 425,025 19,272 22.05 697,107 58,479 11.92 33,715 59,117 96,961

320412 Sunbelt Health & Rehab Center - Apopka, Inc. 7/31/2013 1/1/2015 340,803 11,844 28.77 1,174,878 50,602 23.22 1,393,457 117,005 11.91 57,718 198,977 235,996

320412 Sunbelt Health & Rehab Center - Apopka, Inc. 1/31/2015 9/1/2015 279,642 9,935 28.15 599,403 24,996 23.98 736,422 60,464 12.18 34,296 73,511 90,314

320421 East Orlando Health & Rehab Center, Inc. 7/31/2013 1/1/2015 505,290 19,466 25.96 1,286,062 57,047 22.54 1,420,549 117,998 12.04 83,103 211,515 233,634

320421 East Orlando Health & Rehab Center, Inc. 1/31/2015 9/1/2015 389,616 13,051 29.85 631,535 26,806 23.56 739,119 59,438 12.44 46,332 75,101 87,895

320439 Adventist Care Centers - Courtland, Inc. 12/31/2013 1/1/2015 & 9/1/2015 633,825 22,872 27.71 948,745 39,873 23.79 1,450,907 115,105 12.61 105,768 158,320 242,118

320463 Florida Living Nursing Center 7/31/2013 1/1/2015 1,156,702 42,678 27.10 1,698,515 76,177 22.30 2,497,676 206,190 12.11 231,108 339,361 499,034

320463 Florida Living Nursing Center 1/31/2015 9/1/2015 714,961 25,026 28.57 809,360 33,881 23.89 1,266,077 104,719 12.09 93,741 106,117 165,999

320978 Lehigh Acres Health & Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 531,290 18,513 28.70 577,154 22,835 25.27 943,075 70,245 13.43 112,030 121,701 198,860

321303 Ft. Lauderdale Health & Rehab Center 12/31/2013 1/1/2015 601,076 20,020 30.02 1,467,409 63,892 22.97 1,618,421 149,951 10.79 100,217 244,660 269,838

321532 The Palms Rehabilitation and Nursing Center 12/31/2013 1/1/2015 - - - - - - - - - - - -

321532 The Palms Rehabilitation and Nursing Center 12/31/2014 9/1/2015 - - - - - - - - - - - -

323772 Coral Gables Nursing and Rehabilitation 12/31/2013 1/1/2015 116,071 3,867 30.02 664,486 32,998 20.14 869,151 84,208 10.32 14,195 81,261 106,290

323772 Coral Gables Nursing and Rehabilitation 12/31/2014 9/1/2015 351,219 12,298 28.56 562,507 27,644 20.35 889,885 85,337 10.43 43,711 70,006 110,748

323781 Tarpon Point Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 321,602 8,315 38.68 917,557 40,078 22.89 1,458,777 108,364 13.46 68,321 194,924 309,900

323799 St. Andrew's Bay Skilled Nursing and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 178,112 6,927 25.71 967,716 47,446 20.40 1,519,613 119,040 12.77 35,199 191,242 300,311

324027 Hampton Court Nursing Center 9/30/2013 1/1/2015 464,623 13,993 33.20 1,194,749 55,642 21.47 1,458,286 138,782 10.51 79,555 204,572 249,697

324027 Hampton Court Nursing Center 3/31/2015 9/1/2015 299,884 7,956 37.69 631,427 27,444 23.01 780,579 70,509 11.07 46,960 98,879 122,236

324094 Advanced Rehabilitation & Health Center 2/28/2014 1/1/2015 - - - - - - - - - - - -

324094 Advanced Rehabilitation & Health Center 12/31/2014 9/1/2015 - - - - - - - - - - - -

324108 Bayside Rehabilitation & Health Center 2/28/2014 1/1/2015 - - - - - - - - - - - -

324108 Bayside Rehabilitation & Health Center 12/31/2014 9/1/2015 - - - - - - - - - - - -

324116 Excel Rehabilitation & Health Center 2/28/2014 1/1/2015 & 9/1/2015 - - - - - - - - - - - -

324124 Madison Pointe Rehabilitation & Health Center 2/28/2014 1/1/2015 & 9/1/2015 - - - - - - - - - - - -

324132 Shore Acres Rehabilitation & Health Center 2/28/2014 1/1/2015 - - - - - - - - - - - -

324132 Shore Acres Rehabilitation & Health Center 12/31/2014 9/1/2015 - - - - - - - - - - - -

324141 Woodbridge Rehabilitation & Health Center 2/28/2014 1/1/2015 - - - - - - - - - - - -

324141 Woodbridge Rehabilitation & Health Center 12/31/2014 9/1/2015 - - - - - - - - - - - -

324167 Palmetto Rehabilitation and Health Center 2/28/2014 1/1/2015 - - - - - - - - - - - -

324167 Palmetto Rehabilitation and Health Center 12/31/2014 9/1/2015 - - - - - - - - - - - -

324175 Courtyards of Orlando 2/28/2014 1/1/2015 - - - - - - - - - - - -

324175 Courtyards of Orlando 12/31/2014 9/1/2015 - - - - - - - - - - - -

324213 Royal Care of Avon Park 12/31/2013 1/1/2015 & 9/1/2015 229,753 9,297 24.71 672,182 30,612 21.96 892,436 85,258 10.47 47,446 138,809 184,294

324230 Seminole Pavilion Rehabilitation & Nursing Service 5/31/2014 1/1/2015 & 9/1/2015 224,396 8,472 26.49 1,172,033 55,901 20.97 1,579,762 118,331 13.35 39,010 203,750 274,631

324248 Freedom Square Rehabilitation & Nursing Services 12/31/2013 1/1/2015 & 9/1/2015 74,390 3,213 23.15 925,001 47,125 19.63 1,713,877 131,639 13.02 13,276 165,073 305,853

324345 Heritage Park Care and Rehabilitation Center 9/30/2013 1/1/2015 159,760 5,795 27.57 866,156 35,537 24.37 1,321,620 95,318 13.87 26,731 144,926 221,134

324345 Heritage Park Care and Rehabilitation Center 7/31/2014 9/1/2015 223,872 8,760 25.56 633,479 29,067 21.79 1,079,380 85,416 12.64 37,231 105,351 179,505

324353 Washington Rehabilitation & Nursing Center 7/31/2013 1/1/2015 108,376 3,243 33.42 1,242,937 61,264 20.29 1,820,698 152,164 11.97 14,715 168,760 247,208

324353 Washington Rehabilitation & Nursing Center 7/31/2014 9/1/2015 117,368 3,851 30.48 1,212,087 62,730 19.32 1,803,357 155,123 11.63 14,251 147,172 218,962

324361 Chautauqua Rehabilitation & Nursing Center 7/31/2013 1/1/2015 289,540 10,312 28.08 1,013,601 42,794 23.69 1,559,280 127,140 12.26 49,105 171,901 264,446

324361 Chautauqua Rehabilitation & Nursing Center 7/31/2014 9/1/2015 451,981 15,337 29.47 931,955 43,141 21.60 1,608,862 133,580 12.04 59,625 122,943 212,241

324370 Signature HealthCARE of College Park 9/30/2013 1/1/2015 200,277 6,996 28.63 535,150 24,822 21.56 980,563 77,386 12.67 42,111 112,523 206,177

324370 Signature HealthCARE of College Park 7/31/2014 9/1/2015 202,497 7,617 26.58 429,707 18,569 23.14 781,242 59,376 13.16 36,655 77,784 141,417

324388 Signature HealthCARE of Gainesville 9/30/2013 1/1/2015 514,389 18,540 27.74 524,505 21,767 24.10 1,119,991 89,401 12.53 78,910 80,462 171,814

324388 Signature HealthCARE of Gainesville 7/31/2014 9/1/2015 284,181 10,289 27.62 601,260 27,184 22.12 971,535 85,330 11.39 29,946 63,358 102,375

324396 Signature HealthCARE of North Florida 7/31/2013 1/1/2015 147,493 4,849 30.42 1,187,314 57,440 20.67 1,757,716 154,958 11.34 20,759 167,113 247,398

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 19 6/20/2016

Page 24: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX I

DIRECT AND INDIRECT CARE SALARIES, HOURS, AND BENEFITS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s)

RN Total

Salary

RN Total

Hours RN Avg. $/Hr

LPN Total

Salary

LPN Total

Hours LPN Avg. $/Hr

CNA Total

Salary

CNA Total

Hours CNA Avg. $/Hr

RN Total

Benefits

LPN Total

Benefits

CNA Total

Benefits

TOTAL SALARIES AND HOURS BENEFITS

324396 Signature HealthCARE of North Florida 7/31/2014 9/1/2015 119,591 3,940 30.35 1,210,689 61,309 19.75 1,726,595 151,388 11.41 14,394 145,704 207,793

324400 Signature HealthCARE Center of Waterford 7/31/2013 1/1/2015 1,542,288 50,188 30.73 926,327 37,766 24.53 2,404,914 205,803 11.69 292,398 175,620 455,943

324400 Signature HealthCARE Center of Waterford 7/31/2014 9/1/2015 1,604,202 53,678 29.89 903,270 36,720 24.60 2,321,468 203,591 11.40 270,848 152,505 391,949

324418 Signature HealthCARE of Brookwood Gardens 7/31/2014 1/1/2015 & 9/1/2015 421,927 15,070 28.00 1,094,200 47,109 23.23 1,430,252 130,180 10.99 92,325 239,432 312,966

324426 Signature HealthCARE at The Courtyard 7/31/2013 1/1/2015 458,966 15,474 29.66 731,538 30,528 23.96 1,310,433 116,427 11.26 67,138 107,008 191,688

324426 Signature HealthCARE at The Courtyard 7/31/2014 9/1/2015 428,942 14,726 29.13 697,625 34,259 20.36 1,273,290 112,362 11.33 62,008 100,849 184,068

324434 Signature HealthCARE of Orange Park 9/30/2013 1/1/2015 170,628 5,910 28.87 756,458 33,814 22.37 1,267,828 92,088 13.77 31,424 139,318 233,497

324434 Signature HealthCARE of Orange Park 7/31/2014 9/1/2015 202,979 7,486 27.11 540,733 23,384 23.12 1,043,234 75,921 13.74 33,975 90,506 174,613

324442 Signature HealthCARE of Ormond 7/31/2014 1/1/2015 & 9/1/2015 132,872 5,277 25.18 280,192 13,218 21.20 579,045 41,086 14.09 19,676 41,490 85,745

324451 Anchor Care & Rehabilitation Center 9/30/2013 1/1/2015 224,124 8,892 25.21 799,597 36,949 21.64 1,455,684 104,849 13.88 31,004 110,610 201,368

324451 Anchor Care & Rehabilitation Center 7/31/2014 9/1/2015 214,814 9,025 23.80 602,790 29,777 20.24 1,157,942 88,221 13.13 34,539 96,919 186,176

324469 Pinellas Park Care and Rehabilitation Center 7/31/2014 1/1/2015 & 9/1/2015 159,317 6,140 25.95 674,625 33,927 19.88 1,162,741 94,456 12.31 20,325 86,065 148,335

324477 Signature HealthCARE of Port Charlotte 7/31/2014 1/1/2015 & 9/1/2015 407,780 15,212 26.81 883,471 41,949 21.06 1,637,202 116,794 14.02 49,706 107,691 199,567

324485 The Bridge at Bay St. Joe 9/30/2013 1/1/2015 125,946 4,881 25.80 780,189 41,532 18.79 1,418,226 100,916 14.05 20,925 129,624 235,631

324485 The Bridge at Bay St. Joe 7/31/2014 9/1/2015 31,257 1,350 23.15 778,395 39,565 19.67 1,210,285 89,978 13.45 3,503 87,268 135,686

324493 Kenilworth Care and Rehabilitation Center 7/31/2014 1/1/2015 & 9/1/2015 112,256 4,354 25.78 556,476 25,470 21.85 796,080 63,992 12.44 28,245 140,020 200,310

324507 Peninsula Care and Rehabilitation Center 9/30/2013 1/1/2015 106,120 3,676 28.87 1,022,665 41,085 24.89 1,346,912 103,288 13.04 18,885 181,989 239,690

324507 Peninsula Care and Rehabilitation Center 7/31/2014 9/1/2015 148,350 5,429 27.33 759,393 34,991 21.70 1,154,805 93,966 12.29 32,387 165,789 252,115

324515 Winter Park Care and Rehabilitation Center 9/30/2013 1/1/2015 424,629 17,923 23.69 511,955 18,063 28.34 1,071,595 80,250 13.35 58,669 70,733 148,054

324515 Winter Park Care and Rehabilitation Center 7/31/2014 9/1/2015 294,834 11,956 24.66 481,815 18,500 26.04 900,414 71,989 12.51 34,842 56,937 106,404

324566 Southern Oaks Rehabilitation and Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - - - - -

325031 Terraces of Lake Worth Rehab and Health Center 2/28/2014 1/1/2015 - - - - - - - - - - - -

325031 Terraces of Lake Worth Rehab and Health Center 12/31/2014 9/1/2015 - - - - - - - - - - - -

325040 Arbor Village Nursing Center 2/28/2014 1/1/2015 - - - - - - - - - - - -

325040 Arbor Village Nursing Center 12/31/2014 9/1/2015 - - - - - - - - - - - -

325163 North Lake Rehabilitation and Health Center 2/28/2014 1/1/2015 - - - - - - - - - - - -

325163 North Lake Rehabilitation and Health Center 12/31/2014 9/1/2015 - - - - - - - - - - - -

325236 Heartland Health Care Center-Jacksonville 6/30/2014 1/1/2015 & 9/1/2015 374,139 14,672 25.50 791,165 39,539 20.01 1,244,749 123,365 10.09 65,290 138,064 217,217

325244 Heartland Health Care Center-Kendall 6/30/2013 1/1/2015 639,570 26,352 24.27 925,732 43,728 21.17 1,157,249 119,305 9.70 153,438 222,092 277,634

325244 Heartland Health Care Center-Kendall 6/30/2014 9/1/2015 692,582 28,280 24.49 917,401 44,064 20.82 1,165,849 119,821 9.73 111,231 147,339 187,241

325252 Heartland Health Care Center- Miami Lakes 9/30/2014 1/1/2015 & 9/1/2015 437,163 13,248 33.00 1,188,813 59,800 19.88 1,299,972 120,928 10.75 77,320 210,260 229,921

325261 Heartland Health Care Center-Orange Park 9/30/2014 1/1/2015 & 9/1/2015 383,572 15,586 24.61 760,023 38,776 19.60 1,204,940 118,948 10.13 49,417 97,915 155,235

325279 ManorCare Nursing and Rehabilitation Center 9/30/2013 1/1/2015 547,827 23,726 23.09 577,694 26,708 21.63 1,212,730 108,570 11.17 69,623 73,419 154,125

325279 ManorCare Nursing and Rehabilitation Center 9/30/2014 9/1/2015 501,176 21,156 23.69 597,133 28,973 20.61 1,198,221 107,464 11.15 95,093 113,301 227,353

325287 Heartland Health Care Center of South Jacksonville 5/31/2014 1/1/2015 & 9/1/2015 587,998 26,450 22.23 749,766 38,176 19.64 1,329,420 121,630 10.93 96,623 123,206 218,457

325295 Heartland of Brooksville 8/31/2014 1/1/2015 & 9/1/2015 259,217 10,783 24.04 723,225 36,656 19.73 1,116,028 100,272 11.13 51,805 144,539 223,041

325309 Heartland Health Care Center- Boynton Beach 6/30/2014 1/1/2015 & 9/1/2015 235,024 8,862 26.52 947,430 45,484 20.83 1,294,287 125,294 10.33 34,896 140,674 192,175

325325 Heartland Health Care Center-Ft. Myers 9/30/2013 1/1/2015 417,487 15,479 26.97 972,806 43,063 22.59 1,432,397 117,506 12.19 67,478 157,236 231,519

325325 Heartland Health Care Center-Ft. Myers 9/30/2014 9/1/2015 369,409 13,682 27.00 982,410 43,202 22.74 1,378,059 114,742 12.01 62,824 167,074 234,360

325333 Heartland Health Care Center- Lauderhill 7/31/2013 1/1/2015 252,858 8,758 28.87 749,990 37,993 19.74 1,169,841 106,349 11.00 36,876 109,375 170,604

325333 Heartland Health Care Center- Lauderhill 7/31/2014 9/1/2015 271,333 9,152 29.65 783,780 39,485 19.85 1,215,996 109,352 11.12 39,083 112,897 175,155

325341 Heartland Health Care Center-Prosperity Oaks 9/30/2014 1/1/2015 & 9/1/2015 364,833 14,353 25.42 821,733 41,231 19.93 1,222,782 111,263 10.99 98,335 221,486 329,583

325350 Heartland of Tamarac 9/30/2013 1/1/2015 634,993 24,862 25.54 1,324,142 68,538 19.32 1,592,847 144,804 11.00 59,825 124,754 150,068

325350 Heartland of Tamarac 9/30/2014 9/1/2015 619,367 24,128 25.67 1,222,341 62,588 19.53 1,651,445 148,779 11.10 69,023 136,221 184,042

325368 ManorCare Health Services (Boca Raton) 5/31/2014 1/1/2015 & 9/1/2015 566,880 21,998 25.77 1,452,888 72,212 20.12 1,823,835 180,043 10.13 77,925 199,721 250,714

325376 ManorCare Health Services-Boynton Beach 5/31/2014 1/1/2015 & 9/1/2015 951,564 33,936 28.04 899,935 45,636 19.72 1,676,490 158,308 10.59 145,383 137,494 256,139

325384 ManorCare Health Services 5/31/2014 1/1/2015 & 9/1/2015 328,848 12,926 25.44 955,505 46,862 20.39 1,332,720 115,287 11.56 55,503 161,273 224,939

325422 Manor Care @ Lely Palms 9/30/2013 1/1/2015 679,008 25,652 26.47 650,412 37,511 17.34 1,423,042 116,739 12.19 200,490 192,045 420,179

325422 Manor Care @ Lely Palms 9/30/2014 9/1/2015 665,333 24,569 27.08 687,700 30,880 22.27 1,463,193 119,444 12.25 116,057 119,958 255,231

325449 Manor Care Nursing and Rehabilitation Center 5/31/2014 1/1/2015 & 9/1/2015 427,314 17,092 25.00 753,234 37,050 20.33 1,290,839 104,776 12.32 65,146 114,836 196,797

325457 ManorCare Health Services (Plantation) 5/31/2014 1/1/2015 & 9/1/2015 390,362 15,696 24.87 960,244 49,625 19.35 1,309,102 119,009 11.00 61,014 150,087 204,614

325465 ManorCare Health Services-Sarasota 5/31/2014 1/1/2015 & 9/1/2015 805,944 29,127 27.67 1,168,649 53,097 22.01 2,384,615 175,727 13.57 147,042 213,215 435,063

325473 Manor Care Health Services 5/31/2014 1/1/2015 & 9/1/2015 391,407 14,670 26.68 803,328 39,847 20.16 1,466,653 111,110 13.20 65,156 133,727 244,147

325481 ManorCare Health Services-West Palm Beach 9/30/2014 1/1/2015 & 9/1/2015 208,168 7,733 26.92 1,008,224 49,642 20.31 1,305,255 115,509 11.30 22,122 107,136 138,700

325490 Heartland Health Care Center-North Sarasota 8/31/2014 1/1/2015 & 9/1/2015 329,640 12,182 27.06 526,215 24,986 21.06 1,121,835 86,495 12.97 78,611 125,488 267,528

325520 ManorCare Health Services (Delray Beach) 4/30/2014 1/1/2015 & 9/1/2015 946,032 31,885 29.67 585,787 28,478 20.57 1,028,959 114,839 8.96 115,110 71,277 125,201

325678 ManorCare Health Services-Carrollwood 5/31/2014 1/1/2015 & 9/1/2015 748,774 26,953 27.78 725,245 35,002 20.72 1,285,804 122,925 10.46 124,392 120,483 213,606

325686 Manor-Care Health Services-Dunedin 9/30/2014 1/1/2015 & 9/1/2015 555,481 22,627 24.55 679,160 34,009 19.97 1,298,117 119,863 10.83 125,224 153,106 292,641

325694 ManorCare Health Services-Palm Harbor 5/31/2014 1/1/2015 & 9/1/2015 589,189 22,377 26.33 1,169,140 59,377 19.69 2,107,560 181,530 11.61 80,543 159,825 288,109

325708 Heartland of Zephyrhills 9/30/2013 1/1/2015 495,226 18,866 26.25 494,845 25,814 19.17 1,390,157 131,147 10.60 83,617 83,553 234,722

325708 Heartland of Zephyrhills 9/30/2014 9/1/2015 553,683 20,831 26.58 581,637 30,058 19.35 1,306,964 103,747 12.60 95,922 100,766 226,426

326011 Moosehaven, Inc. 4/30/2014 1/1/2015 & 9/1/2015 443,201 16,779 26.41 - - - 611,812 48,380 12.65 142,622 - 196,884

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 20 6/20/2016

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Florida Medicaid Nursing Home Direct and Indirect Care Costs

AHCA 21 6/20/2016

APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Page 26: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

001135 Surrey Place Care Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

001136 Signature HealthCARE of Palm Beach 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

001416 Florida Baptist Retirement Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

002400 Village Place Health and Rehab Center 8/31/2014 1/1/2015 & 9/1/2015 8,885 178 49.92 - - - - - -

005219 Osceola Health Care Center 6/30/2013 1/1/2015 - - - - - - - - -

005219 Osceola Health Care Center 12/31/2014 9/1/2015 - - - - - - - - -

005372 Debary Manor 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005374 Flagler Pines 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005379 Longwood Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005380 The Rehabilitation Center of Winter Park 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005381 Brynwood Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005383 Nursing Pavilion at Chipola Retirement Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005384 Glencove Nursing Pavilion 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005385 Panama City Nursing Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005386 Riverchase Care Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005387 Suwannee Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005388 Berkshire Manor 12/31/2013 1/1/2015 - - - - - - - - -

005519 Carnegie Gardens Nursing Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005523 Fountainhead Care Center 12/31/2013 1/1/2015 - - - - - - - - -

005543 Manor on the Green 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005547 Oakwood Garden of Deland 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005549 Oaks of Kissimmee 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005701 Avante at Ocala 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005811 Palatka Health Care Center 6/30/2013 1/1/2015 - - - - - - - - -

005811 Palatka Health Care Center 12/31/2014 9/1/2015 - - - - - - - - -

005814 Boynton Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005826 Accentia Health & Rehab. Center of Tampa 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005849 Glen Oaks Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005850 Heritage Park 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

005851 Lake Eustis Care Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

006339 Lake Placid Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

006340 Windsor Manor 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

006483 Salerno Bay Manor 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

006489 Royal Manor 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

006767 Oakbrook of Labelle 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

008793 Woods of Manatee Springs 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

010082 Courtyard Gardens Rehabilitation Center 6/30/2013 1/1/2015 - - - - - - - - -

010082 Courtyard Gardens Rehabilitation Center 6/30/2014 9/1/2015 - - - - - - - - -

010453 Heartland of Sarasota FL, LLC 12/31/2013 1/1/2015 & 9/1/2015 208,318 6,509 32.00 20,733 829 25.01 - - -

011997 Heartland of Boca Raton FL, LLC 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

011998 Royal Palm Healthcare & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

014169 Gulf Shore Rehab & Nursing 1/31/2014 1/1/2015 496,267 11,816 42.00 1,192,513 34,317 34.75 2,190,191 105,551 20.75

014169 Gulf Shore Rehab & Nursing 12/31/2014 9/1/2015 477,516 11,369 42.00 1,068,798 30,757 34.75 1,961,247 94,518 20.75

015613 St. James Health And Rehabilitation Center 12/31/2013 1/1/2015 1,231 31 39.71 - - - 7,151 358 19.97

015613 St. James Health And Rehabilitation Center 12/31/2014 9/1/2015 480 12 40.00 - - - 4,314 169 25.53

017221 Bayside Manor 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

017222 Margate Health Care Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

017223 Rosewood Manor 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

017225 Bay Breeze Nursing & Retirement Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

017230 Silvercrest Manor 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

017236 Specialty Center of Pensacola 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

017242 Grand Boulevard Health & Rehab. Center 12/31/2013 1/1/2015 - - - - - - - - -

017242 Grand Boulevard Health & Rehab. Center 6/30/2014 9/1/2015 - - - - - - - - -

017301 Lake Bennett Health and Rehablitation 6/30/2013 1/1/2015 & 9/1/2015 - - - 48,050 1,697 28.31 - - -

018066 The Park Summit at Coral Springs 6/30/2013 1/1/2015 - - - - - - - - -

018066 The Park Summit at Coral Springs 12/31/2014 9/1/2015 - - - - - - 996 55 18.11

018777 Bay Village of Sarasota 12/31/2013 1/1/2015 & 9/1/2015 84,528 1,691 49.99 - - - - - -

019085 Golfview Healthcare Center 9/30/2013 1/1/2015 - - - - - - - - -

019085 Golfview Healthcare Center 7/31/2014 9/1/2015 - - - - - - - - -

019282 Southern Pines Healthcare Center 9/30/2013 1/1/2015 - - - - - - - - -

019282 Southern Pines Healthcare Center 7/31/2014 9/1/2015 - - - - - - - - -

019284 Signature HealthCARE of Jacksonville 9/30/2013 1/1/2015 - - - - - - - - -

019284 Signature HealthCARE of Jacksonville 7/31/2014 9/1/2015 - - - - - - - - -

019287 Golfcrest Healthcare Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

021261 Coastal Health and Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

022138 Carlton Shores Health and Rehab Center 12/31/2013 1/1/2015 30,596 612 49.99 - - - - - -

022138 Carlton Shores Health and Rehab Center 8/31/2014 9/1/2015 41,565 831 50.02 - - - - - -

022987 Blountstown Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

022994 The Home Association, Inc. 6/30/2013 1/1/2015 - - - - - - - - -

022994 The Home Association, Inc. 6/30/2014 9/1/2015 - - - - - - - - -

STAFFING SERVICES SALARIES AND HOURS

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 22 6/20/2016

Page 27: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

023067 Okeechobee Healthcare Facility 9/30/2013 1/1/2015 136,683 3,526 38.76 - - - - - -

023067 Okeechobee Healthcare Facility 3/31/2015 9/1/2015 - - - - - - - - -

024167 Key West Health & Rehabilitation 6/30/2013 1/1/2015 - - - - - - 13,337 530 25.16

024167 Key West Health & Rehabilitation 6/30/2014 9/1/2015 - - - - - - - - -

026536 West Broward Rehabilitation and Healthcare 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

030479 The Health Center of Windermere 6/30/2013 1/1/2015 - - - - - - - - -

030479 The Health Center of Windermere 12/31/2014 9/1/2015 - - - - - - - - -

030484 The Health Center of Plant City 6/30/2013 1/1/2015 - - - - - - - - -

030484 The Health Center of Plant City 12/31/2014 9/1/2015 - - - - - - - - -

030487 The Health Center of Pensacola, Inc. 6/30/2014 1/1/2015 - - - - - - - - -

030487 The Health Center of Pensacola, Inc. 12/31/2014 9/1/2015 - - - - - - - - -

030490 Parkway Health & Rehab 6/30/2014 1/1/2015 - - - - - - - - -

030490 Parkway Health & Rehab 12/31/2014 9/1/2015 - - - - - - - - -

030491 The Health Center of Merritt Island 6/30/2013 1/1/2015 - - - - - - - - -

030491 The Health Center of Merritt Island 12/31/2014 9/1/2015 - - - - - - - - -

030527 The Health Center of Lake City 6/30/2014 1/1/2015 - - - - - - - - -

030527 The Health Center of Lake City 12/31/2014 9/1/2015 - - - - - - - - -

030530 Imperial Health Care Center 6/30/2013 1/1/2015 - - - - - - - - -

030530 Imperial Health Care Center 12/31/2014 9/1/2015 - - - - - - - - -

030535 The Health Center of Daytona Beach 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

030537 Health Center of Coconut Creek 6/30/2014 1/1/2015 - - - - - - - - -

030537 Health Center of Coconut Creek 12/31/2014 9/1/2015 - - - - - - - - -

030540 Charlotte Harbor Healthcare 6/30/2013 1/1/2015 - - - - - - - - -

030540 Charlotte Harbor Healthcare 12/31/2014 9/1/2015 - - - - - - - - -

030546 Bayonet Point Health & Rehabilitation Center 6/30/2013 1/1/2015 - - - - - - - - -

030546 Bayonet Point Health & Rehabilitation Center 12/31/2014 9/1/2015 - - - - - - - - -

030552 The Aristocrat 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

032049 Clyde E. Lassen State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 84,059 4,506 18.65 101,888 6,827 14.92 113,307 12,148 9.33

032482 Unity Health and Rehab Center 8/31/2014 1/1/2015 & 9/1/2015 10,805 216 50.02 - - - - - -

032486 Lady Lake Specialty Care Center 8/31/2014 1/1/2015 & 9/1/2015 31,147 623 50.00 68,986 1,533 45.00 11,733 587 19.99

032551 Sunset Lake Health and Rehab Center 12/31/2013 1/1/2015 30,069 588 51.14 - - - - - -

032551 Sunset Lake Health and Rehab Center 8/31/2014 9/1/2015 42,709 119 358.90 - - - - - -

032553 Lexington Health & Rehabilitation Center 12/31/2013 1/1/2015 98,302 1,966 50.00 685 15 45.67 - - -

032553 Lexington Health & Rehabilitation Center 8/31/2014 9/1/2015 (3,654) (73) 50.05 1,176 26 45.23 59,777 2,989 20.00

033175 Seven Hills Health & Rehab Center 1/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

033717 Benderson Family Skilled Nursing & Rehab Center 12/31/2012 1/1/2015 - - - 47,255 1,265 37.36 - - -

033717 Benderson Family Skilled Nursing & Rehab Center 6/30/2014 9/1/2015 - - - 31,404 31,404 1.00 - - -

034504 Grace Healthcare of Lake Wales 12/31/2013 1/1/2015 - - - - - - - - -

034504 Grace Healthcare of Lake Wales 12/31/2014 9/1/2015 - - - - - - - - -

041685 University Center West 8/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

041686 University Center East 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

043832 Heron Pointe Health and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043833 Heritage Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043835 Heritage Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043838 Heritage Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043839 KeystoneRehabilitation and Health Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043841 Oakbridge Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043843 Oaktree Healthcare 12/31/2013 1/1/2015 & 9/1/2015 - - - 602 21 28.67 - - -

043846 Rio Pinar Health Care 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043847 The Palms Rehabilitation and Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043848 Coral Trace Health Care 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043850 The Parks Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043851 Coral Bay Healthcare and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043853 Plantation Bay Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043854 Colonial Lakes Health Care 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043856 Central Park Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043857 Beneva Lakes Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043859 Bradenton Health Care 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043860 Brandon Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043861 Fort Pierce Health Care 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043862 Habana Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043863 The Health and Rehabilitation Centre at Dolphins View 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043864 Grand Oaks Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043865 Harts Harbor Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043866 Fletcher Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043867 Wedgewood Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043868 Deltona Health Care 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043871 Lake Mary Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043872 Countryside Rehab and Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043873 Harbor Beach Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 23 6/20/2016

Page 28: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

043874 Health Center at Brentwood 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043875 Governor's Creek Health and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043876 Largo Rehab & Spa 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043877 Magnolia Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043878 Marshall Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

043880 North Florida Rehabilitation and Specialty Care 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

044886 Crestview Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 6,800 136 50.00 - - - - - -

044888 Fort Walton Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 1,023 20 51.15 - - - - - -

044889 River Valley Rehabilation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

046017 Homestead Manor A Palace Community 6/30/2013 1/1/2015 - - - - - - - - -

046017 Homestead Manor A Palace Community 12/31/2014 9/1/2015 - - - - - - - - -

046128 Victoria Nursing and Rehabilitation Center, Inc. 2/28/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

046233 Crossbreeze Care Center 1/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

046758 Riverside Care Center 2/28/2014 1/1/2015 - - - - - - - - -

046758 Riverside Care Center 2/28/2015 9/1/2015 - - - - - - - - -

047787 Renaissance Health and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

047788 Wood Lake Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

047795 Hillcrest Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

048441 Health Central Park 9/30/2014 1/1/2015 & 9/1/2015 - - - 224 8 28.00 - - -

048611 Ocala Oaks Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

048807 New Riviera Nursing and Rehabilitation Center 11/30/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

054789 South Dade Nursing and Rehabilitation Center 12/31/2012 1/1/2015 - - - - - - - - -

054789 South Dade Nursing and Rehabilitation Center 12/31/2013 9/1/2015 - - - - - - - - -

054790 Golden Glades Nursing and Rehabilitation Center 12/31/2012 1/1/2015 - - - - - - - - -

054790 Golden Glades Nursing and Rehabilitation Center 12/31/2013 9/1/2015 - - - - - - - - -

059369 Calusa Harbour 6/30/2013 1/1/2015 - - - - - - - - -

059369 Calusa Harbour 12/31/2014 9/1/2015 - - - - - - - - -

059400 Stratford Court of Palm Harbor 6/30/2013 1/1/2015 - - - - - - - - -

059400 Stratford Court of Palm Harbor 12/31/2014 9/1/2015 - - - - - - - - -

059404 Gardens of Port St. Lucie 6/30/2013 1/1/2015 - - - - - - - - -

059404 Gardens of Port St. Lucie 6/30/2014 9/1/2015 - - - - - - - - -

059783 Summer Brook Health Care Center 6/30/2013 1/1/2015 - - - - - - - - -

059783 Summer Brook Health Care Center 6/30/2014 9/1/2015 - - - - - - - - -

059852 Shoal Creek Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

059855 Englewood Healthcare &Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

059866 Island Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

059869 Rosewood Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

059873 Evans Health Care 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

059874 Sea Breeze Health Care 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

059877 Spring Hill Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

060972 Emerald Shores Health and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

060993 University Hills Health and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 - - - 12,088 363 33.30 - - -

061095 Heritage Park Rehabilitation and Healthcare 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

061101 Destin Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

061102 San Jose Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

061107 SeaView Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

061109 Vista Manor 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

061140 Lakeside Oaks Care Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

072048 South Campus Rehabilitation & Nursing Center 6/30/2013 1/1/2015 & 9/1/2015 155,105 3,783 41.00 578,596 17,803 32.50 960,345 50,544 19.00

072054 Rehabilitation Center of St. Pete 6/30/2013 1/1/2015 140,953 3,438 41.00 947,716 27,272 34.75 1,376,380 68,819 20.00

072054 Rehabilitation Center of St. Pete 12/31/2014 9/1/2015 158,719 3,871 41.00 800,666 23,041 34.75 1,112,624 55,631 20.00

072320 The Club Health and Rehab Center at the Villages 12/31/2013 1/1/2015 6,721 134 50.16 13,642 303 45.02 24,328 1,216 20.01

072320 The Club Health and Rehab Center at the Villages 8/31/2014 9/1/2015 2,251 45 50.02 8,243 183 45.04 2,929 146 20.06

073324 Braden River Rehabilitation Center, LLC 6/30/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080062 The Groves Center 8/31/2014 1/1/2015 - - - 8,827 281 31.41 17,616 867 20.32

080062 The Groves Center 2/28/2015 9/1/2015 - - - - - - - - -

080068 Lakeland Hills Center 8/31/2014 1/1/2015 - - - 3,047 90 33.86 - - -

080068 Lakeland Hills Center 2/28/2015 9/1/2015 - - - - - - - - -

080079 Tarpon Bayou Center 8/31/2013 1/1/2015 - - - - - - - - -

080079 Tarpon Bayou Center 2/28/2015 9/1/2015 - - - - - - - - -

080374 Consulate Health Care of Bayonet Point 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080377 Consulate Health Care of Brandon 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080384 Consulate Health Care of Jacksonville 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080387 Consulate Health Care of Kissimmee 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080391 Consulate Health Care of Lakeland 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080393 Consulate Health Care of Lake Parker 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080394 Consulate Health Care of Melbourne 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080397 Consulate Health Care of New Port Richey 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080400 Consulate Health Care of North Ft. Myers 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080402 Consulate Health Care of Orange Park 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 24 6/20/2016

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Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

080405 Consulate Health Care of Pensacola 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080406 Consulate Health Care of Safety Harbor 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080409 Consulate Health Care of St. Petersburg 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - 6,717 310 21.67

080413 Consulate Health Care of Sarasota 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080416 Consulate Health Care of Port Charlotte 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080428 Consulate Health Care of Tallahassee 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080430 Consulate Health Care of Vero Beach 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080431 Consulate Health Care at West Altamonte 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080432 Consulate Health Care of West Palm Beach 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080434 Consulate Health Care of Winter Haven 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

080436 Franco Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

081046 The Villages Rehabilitation and Nursing Center 8/31/2014 9/1/2015 813,129 19,824 41.02 1,710,524 52,665 32.48 2,446,702 129,080 18.95

082204 University Plaza Rehabilitation & Nursing Center 2/28/2014 9/1/2015 - - - - - - - - -

088049 Cross Gardens Care Center 4/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

088601 Whitehall Boca Raton 8/1/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

089220 Watercrest Care Center 1/31/2014 9/1/2015 - - - - - - - - -

092678 Osprey Point Nursing Center 1/31/2014 9/1/2015 - - - - - - - - -

092681 Baya Pointe Nursing and Rehabilitation Center 1/31/2014 9/1/2015 - - - - - - - - -

094353 Hawthorne Health and Rehab of Sarasota 6/30/2014 9/1/2015 - - - - - - - - -

096150 Willowbrooke Court at Azalea Trace 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - 9,792 442 22.15

098972 Community Health and Rehabilitation Center 6/30/2014 9/1/2015 - - - - - - - - -

099366 Gulfport Rehabilitation Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

100509 Arcadia Health & Rehabilitation Center 6/30/2014 9/1/2015 - - - - - - - - -

101959 Carrington Place of St. Pete 12/31/2013 1/1/2015 - - - - - - - - -

101959 Carrington Place of St. Pete 12/31/2014 9/1/2015 - - - (568) 79 (7.19) (1,899) 112 (16.96)

101961 Trinity Regional Rehab Center 12/31/2013 1/1/2015 - - - - - - - - -

101961 Trinity Regional Rehab Center 12/31/2014 9/1/2015 - - - - - - - - -

101963 Eagle Lake Rehab & Care Center 12/31/2013 1/1/2015 - - - - - - - - -

101963 Eagle Lake Rehab & Care Center 12/31/2014 9/1/2015 - - - 568 79 7.19 1,899 112 16.96

103165 Astoria Health & Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

103425 Community Convalescent Center 6/30/2013 1/1/2015 - - - - - - - - -

103425 Community Convalescent Center 6/30/2014 9/1/2015 - - - - - - - - -

103475 Westwood Nursing & Rehabilitation Center 8/31/2014 9/1/2015 - - - - - - - - -

103858 North Campus Rehabilitation and Nursing Center 2/28/2014 1/1/2015 & 9/1/2015 82,548 2,117 38.99 1,076,695 34,732 31.00 1,530,362 81,079 18.87

104875 Rehabilitation Center at Park Place 9/30/2014 9/1/2015 - - - 10,988 350 31.39 15,625 717 21.79

111543 St. Catherine Laboure Manor, Inc. 6/30/2013 1/1/2015 - - - 306,952 6,144 49.96 167,142 9,533 17.53

111543 St. Catherine Laboure Manor, Inc. 6/30/2014 9/1/2015 - - - 304,939 10,164 30.00 7,214 289 24.96

122242 Cypress Village 12/31/2013 9/1/2015 - - - - - - - - -

128848 Bay Center 2/28/2015 9/1/2015 - - - - - - - - -

133196 Emerald Coast Center 1/31/2015 9/1/2015 - - - - - - - - -

133348 Egret Cove Center 1/31/2015 9/1/2015 - - - 8,787 235 37.39 165 8 20.63

200107 Bon Secours Maria Manor Nursing Care Center 8/31/2013 1/1/2015 2,550 66 38.64 482,405 15,370 31.39 432,096 22,209 19.46

200107 Bon Secours Maria Manor Nursing Care Center 8/31/2014 9/1/2015 - - - 371,776 11,170 33.28 145,545 6,515 22.34

200409 Westminster Oaks 3/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

200425 Floridean Nursing Home, Inc. 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

200506 Miami Jewish Health Systems 6/30/2014 1/1/2015 & 9/1/2015 - - - 218,763 7,292 30.00 226,291 14,694 15.40

200620 Pines Nursing Home 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

200735 All Saints Catholic Nursing Home & R.C. Inc. 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

200859 River Garden Hebrew Home For The Aged 12/31/2013 1/1/2015 - - - - - - 11,731 624 18.80

200859 River Garden Hebrew Home For The Aged 12/31/2014 9/1/2015 - - - - - - - - -

200913 Avante Villa At Jacksonville Beach Inc 5/31/2014 1/1/2015 - - - - - - - - -

200913 Avante Villa At Jacksonville Beach Inc 12/31/2014 9/1/2015 - - - 3,215 130 24.73 - - -

200956 Comprehensive Healthcare of Clearwater 8/31/2013 1/1/2015 1,989 27 73.67 - - - - - -

200956 Comprehensive Healthcare of Clearwater 8/31/2014 9/1/2015 - - - - - - - - -

201006 Memorial Manor Nursing Home 4/30/2014 1/1/2015 & 9/1/2015 - - - 16,988 633 26.84 90,868 7,532 12.06

201120 Gulf Coast Village Care Center 12/31/2013 1/1/2015 - - - - - - - - -

201120 Gulf Coast Village 12/31/2014 9/1/2015 - - - - - - - - -

201545 Hobe Sound Geriatric Village, Inc. 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

201588 The Gardens at DePugh Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

201651 Guardian Care Nursing & Rehabilitation Center 6/30/2013 1/1/2015 - - - - - - - - -

201651 Guardian Care Nursing & Rehabilitation Center 12/31/2014 9/1/2015 - - - - - - - - -

202011 Westchester Gardens Rehabilitation & Care Center 6/30/2013 1/1/2015 - - - - - - - - -

202011 Westchester Gardens Rehabilitation & Care Center 6/30/2014 9/1/2015 - - - - - - - - -

202533 The Rohr Home 9/30/2013 1/1/2015 - - - 107,875 4,571 23.60 190,359 13,675 13.92

202533 The Rohr Home 9/30/2014 9/1/2015 - - - 119,581 4,703 25.43 211,785 14,397 14.71

202606 Samantha R. Wilson at Bay View 9/30/2013 1/1/2015 - - - 199 199 1.00 - - -

202606 Samantha Wilson Care Center 9/30/2014 9/1/2015 - - - - - - - - -

202703 Pines of Sarasota 7/31/2013 1/1/2015 - - - - - - - - -

202703 Pines of Sarasota 7/31/2014 9/1/2015 - - - - - - - - -

202711 Sunnyside Nursing Home 6/30/2014 1/1/2015 - - - - - - - - -

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 25 6/20/2016

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Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

202711 Sunnyside Nursing Home 12/31/2014 9/1/2015 - - - - - - - - -

202789 Center for Health Care of The Alliance Community 6/30/2013 1/1/2015 - - - - - - - - -

202789 Center for Health Care of The Alliance Community 6/30/2014 9/1/2015 - - - - - - - - -

202941 Miracle Hill Nursing and Rehabilitation Centers, Inc. 6/30/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

203122 Avante at Leesburg 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

203165 Villa Maria Nursing & Rehabilitation 9/30/2013 1/1/2015 - - - - - - 27,276 1,974 13.82

203165 Villa Maria Nursing & Rehabilitation 9/30/2014 9/1/2015 - - - - - - 15,070 1,678 8.98

203203 Glades Health Care Center 2/28/2014 1/1/2015 - - - - - - - - -

203203 Glades Health Care Center 2/28/2015 9/1/2015 - - - - - - - - -

203220 Avante at Inverness 5/31/2014 1/1/2015 - - - - - - - - -

203220 Avante at Inverness 12/31/2014 9/1/2015 - - - - - - - - -

203238 Avante at Lake Worth 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

203327 The Palace at Kendall Nursing and Rehab Center 7/31/2013 1/1/2015 - - - - - - - - -

203327 The Palace at Kendall Nursing and Rehab Center 1/31/2015 9/1/2015 - - - - - - - - -

203335 TimberRidge Nursing & Rehab Center 12/31/2013 1/1/2015 - - - - - - - - -

203335 TimberRidge Nursing & Rehab Center 12/31/2014 9/1/2015 - - - - - - - - -

203475 Marianna Health & Rehabilitation 9/30/2013 1/1/2015 - - - - - - - - -

203475 Marianna Health & Rehabilitation 12/31/2014 9/1/2015 - - - - - - - - -

203599 The Manor at Carpenter's 12/31/2013 1/1/2015 - - - - - - - - -

203599 The Manor at Carpenter's 12/31/2014 9/1/2015 - - - - - - - - -

203670 Perdue Medical Center 9/30/2013 1/1/2015 690 32 21.56 - - - - - -

203670 Jackson Memorial Perdue Medical Center 9/30/2014 9/1/2015 - - - - - - - - -

203769 John Knox Village of Florida 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - 83,566 5,105 16.37

203815 Westminster Asbury Towers 3/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

203980 Lisenby on Lake Caroline 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

204072 Mease Continuing Care 7/31/2013 1/1/2015 - - - 65,321 2,142 30.50 9,988 459 21.76

204072 Mease Continuing Care 7/31/2014 9/1/2015 - - - - - - - - -

204161 Jackson Memorial Long Term Care Center 9/30/2013 1/1/2015 - - - 112,517 3,311 33.98 29,098 1,661 17.52

204161 Jackson Memorial Long Term Care Center 9/30/2014 9/1/2015 - - - - - - - - -

204170 Regents Park of Boca Raton 2/28/2014 1/1/2015 - - - - - - - - -

204170 Regents Park Nursing & Rehabilitation Center 2/28/2015 9/1/2015 - - - - - - - - -

204391 Olds Hall Good Samaritan 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

204536 Taylor Home for the Aged, Inc. 8/31/2013 1/1/2015 - - - - - - - - -

204536 Taylor Home for the Aged, Inc. 8/31/2014 9/1/2015 - - - - - - - - -

204625 Tri-County Nursing Home 6/30/2014 1/1/2015 1,852 32 57.88 - - - - - -

204625 Tri-County Nursing Home 12/31/2014 9/1/2015 - - - - - - - - -

205303 Kissimmee Good Samaritan 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

205460 American Finnish Nursing Home 6/30/2013 1/1/2015 - - - 24,171 780 30.99 - - -

205460 The Village On High Ridge 6/30/2014 9/1/2015 - - - 5,667 175 32.38 - - -

205745 Health Center at Abbey Delray 12/31/2013 1/1/2015 & 9/1/2015 - - - 15,002 1,894 7.92 - - -

205796 The Commons at Orlando Lutheran Towers 8/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

205800 St. John's Nursing Home 9/30/2013 1/1/2015 4,556 101 45.11 - - - 11,799 590 20.00

205800 St. John's Nursing Center 9/30/2014 9/1/2015 - - - 625 18 34.72 64,617 3,231 20.00

205923 Lourdes-Noreen McKeen Residence 12/31/2013 1/1/2015 - - - - - - - - -

205923 Lourdes-Noreen McKeen Residence 12/31/2014 9/1/2015 - - - - - - - - -

206300 Suwannee Valley Nursing Center 8/31/2013 1/1/2015 - - - - - - - - -

206300 Suwannee Valley Nursing Center 8/31/2014 9/1/2015 - - - - - - - - -

206431 Morton Plant Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

206521 Saint Andrews Estates North 12/31/2013 1/1/2015 & 9/1/2015 - - - 1,404 44 31.91 20,801 1,213 17.15

206610 The Waterford 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - 1,296 232 5.59

206865 Abbey Delray South 12/31/2013 1/1/2015 & 9/1/2015 - - - 38,395 960 39.99 - - -

207381 Joseph L. Morse Geriatric Center, Inc 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - 20,490 1,057 19.39

207446 Taylor Care Center, Inc. 8/31/2013 1/1/2015 - 11,137 - - 39,486 - - 126,676 -

207446 Taylor Care Center, Inc. 8/31/2014 9/1/2015 - - - - - - - - -

207497 Sunrise Health & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

207527 Auburndale Oaks Healthcare Center 8/31/2013 1/1/2015 - - - - - - - - -

207527 Orchard Park Health And Rehabilitation 8/31/2014 9/1/2015 - - - - - - - - -

207683 Lakeside Health Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

207799 The Ponce Therapy Care Center 7/31/2013 1/1/2015 - - - - - - - - -

207799 The Ponce Therapy Care Center 1/31/2015 9/1/2015 - - - - - - - - -

208442 Bernard L Samson Nursing Center 6/30/2013 1/1/2015 2,453 70 35.04 234,901 7,438 31.58 186,069 9,867 18.86

208442 Bernard L Samson Nursing Center 6/30/2014 9/1/2015 - - - 191,328 6,210 30.81 237,211 12,581 18.85

208485 Jupiter Medical Center Pavilion, Inc. 9/30/2013 1/1/2015 4,724 101 46.77 - - - - - -

208485 Jupiter Medical Center Pavilion Inc. 9/30/2014 9/1/2015 47,687 994 47.97 2,511 66 38.05 7,255 465 15.60

208507 Claridge House Nursing & Rehabilitation Center 8/31/2013 1/1/2015 - - - - - - - - -

208507 Claridge House Nursing & Rehabilitation Center 2/28/2015 9/1/2015 - - - - - - - - -

208540 Westminster Towers 3/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

209325 Courtenay Springs Village 9/30/2013 1/1/2015 - - - - - - - - -

209325 Courtenay Springs Village 9/30/2014 9/1/2015 3,772 108 34.93 146,094 3,858 37.87 109,628 6,882 15.93

209422 Westminster Asbury Manor 3/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 26 6/20/2016

Page 31: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

209473 St. Anne's Nursing Center 9/30/2013 1/1/2015 - - - 845 24 35.21 - - -

209473 St. Anne's Nursing Center 9/30/2014 9/1/2015 - - - - - - 180 9 20.00

209511 Bishop's Glen Health Care Center 9/30/2013 1/1/2015 - - - - - - - - -

209511 Bishop's Glen Retirement Center 9/30/2014 9/1/2015 - - - - - - - - -

209848 Winter Park Towers 3/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

209856 Sun Terrace Health Care Center 8/31/2014 1/1/2015 & 9/1/2015 32,672 599 54.54 - - - - - -

210137 Life Care Center of Altamonte Springs 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

210188 Covenant Village Care Center 1/31/2014 1/1/2015 - - - - - - - - -

210188 Covenant Village Care Center 1/31/2015 9/1/2015 - - - - - - - - -

210285 John Knox Village Medical Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

210463 Village on the Isle 12/31/2013 1/1/2015 - - - - - - - - -

210463 Village on the Isle 12/31/2014 9/1/2015 72,413 1,448 50.01 - - - - - -

210587 HealthPark Care Center 9/30/2013 1/1/2015 - - - - - - - - -

210587 HealthPark Care Center 9/30/2014 9/1/2015 - - - - - - - - -

210676 Avante at Boca Raton 5/31/2014 1/1/2015 - - - - - - - - -

210676 Avante At Boca Raton 12/31/2014 9/1/2015 - - - - - - - - -

210684 The Edgewater at Waterman Village 9/30/2013 1/1/2015 - - - - - - - - -

210684 The Edgewater at Waterman Village 9/30/2014 9/1/2015 - - - - - - 3,827 205 18.67

210889 Emory L. Bennett State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 46,813 2,470 18.95 122,903 8,106 15.16 37,216 3,941 9.44

210951 Sabal Palms Health Care Center 6/30/2014 1/1/2015 - - - - - - - - -

210951 Sabal Palms Health Care Center 12/31/2014 9/1/2015 - - - - - - - - -

211010 Stratford Court at Boca Pointe 12/31/2013 1/1/2015 - - - - - - - - -

211010 Stratford Court Of Boca Raton 12/31/2014 9/1/2015 - - - - - - - - -

211052 W Frank Wells Nursing Facility 9/30/2013 1/1/2015 - - - - - - - - -

211052 W Frank Wells Nursing Facility 9/30/2014 9/1/2015 - - - - - - - - -

211281 Huntington Place Care & Rehabiliation Center 7/31/2013 1/1/2015 - - - - - - - - -

211281 Huntington Place Care & Rehabiliation Center 7/31/2014 9/1/2015 - - - - - - - - -

211435 Hardee Manor Healthcare Center 12/31/2012 1/1/2015 - - - - - - - - -

211435 Hardee Manor Healthcare Center 12/31/2013 9/1/2015 - - - - - - - - -

211516 Laurel Pointe Health and Rehabilitation 8/31/2013 1/1/2015 - - - - - - - - -

211516 Laurel Pointe Health and Rehabilitation 8/31/2014 9/1/2015 - - - - - - - - -

211532 Life Care Center of Citrus County 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

211885 Plaza West 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

211923 Lake Park of Madison 8/31/2013 1/1/2015 - - - - - - - - -

211923 Lake Park of Madison 2/28/2015 9/1/2015 - - - - - - - - -

212032 Edward J Healey Rehabilitation and Nursing Center 9/30/2013 1/1/2015 - - - - - - - - -

212032 Edward J Healey Rehabilitation and Nursing Center 9/30/2014 9/1/2015 - - - - - - - - -

212083 Westminster Woods on Julington Creek 3/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

212164 Ybor City Healthcare and Rehabilitation Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

212393 The Fountains Nursing Home 12/31/2013 1/1/2015 - - - - - - - - -

212393 The Fountains Nursing Home 12/31/2014 9/1/2015 - - - - - - - - -

212636 Woodland Terrace 12/31/2012 1/1/2015 - - - - - - - - -

212709 Suncoast Manor 3/31/2014 1/1/2015 & 9/1/2015 - - - - - - 70,916 2,431 29.17

212733 Oceanside Extended Care Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - 46,991 4,104 11.45

212792 Florida Lutheran Retirement Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

212806 Palmetto Subacute Care Center 7/31/2013 1/1/2015 - - - - - - - - -

212806 Palmetto Sub Acute Care Center Inc 7/31/2014 9/1/2015 - - - - - - - - -

212890 Egret Cove Center 7/31/2013 1/1/2015 (500) - - 6,954 227 30.63 - - -

212903 Emerald Coast Center 7/31/2014 1/1/2015 - - - - - - - - -

212911 Clearwater Center 8/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

212971 FLORIDA PRESBYTERIAN HOMES, INC. 12/31/2013 1/1/2015 - - - 50,886 1,589 32.02 53,103 2,738 19.39

212971 Florida Presbyterian Homes Inc 12/31/2014 9/1/2015 341 9 37.89 27,632 882 31.33 8,553 440 19.44

212989 Bay Center 8/31/2014 1/1/2015 - - - - - - - - -

212997 Bartow Center 8/31/2013 1/1/2015 - - - - - - - - -

212997 Bartow Center 2/28/2015 9/1/2015 - - - - - - - - -

213004 Boca Ciega Center 8/31/2014 1/1/2015 & 9/1/2015 - - - 730 26 28.08 - - -

213098 Tamarac Rehabilitation and Health Center 1/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

213152 Water's Edge Extended Care 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

213161 Life Care Center at Wells Crossing 7/31/2013 1/1/2015 - - - - - - - - -

213161 Life Care Center at Wells Crossing 7/31/2014 9/1/2015 - - - - - - - - -

213322 Harborchase of Venice 12/31/2013 1/1/2015 - - - - - - - - -

213322 Harborchase of Venice 12/31/2014 9/1/2015 - - - - - - - - -

213403 Life Care Center of Orlando 7/31/2013 1/1/2015 - - - - - - - - -

213403 Life Care Center of Orlando 7/31/2014 9/1/2015 - - - - - - - - -

213462 Madison Health and Rehabilitation Center 7/31/2013 1/1/2015 - - - - - - - - -

213462 Madison Health and Rehabilitation Center 7/31/2014 9/1/2015 - - - - - - - - -

213837 Vi at Lakeside Village 12/31/2013 1/1/2015 & 9/1/2015 - - - 17,142 437 39.23 - - -

213900 Page Rehabilitation and Healthcare Center 9/30/2013 1/1/2015 43,922 1,061 41.40 - - - - - -

213900 Page Rehabilitation and Healthcare Center 9/30/2014 9/1/2015 51,672 1,248 41.40 - - - - - -

213934 TMH Skilled Nursing Facility 9/30/2013 1/1/2015 32,588 1,075 30.31 - - - - - -

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 27 6/20/2016

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Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

213934 TMH Skilled Nursing Facility 9/30/2014 9/1/2015 - - - - - - - - -

214035 Miami Shores Nursing and Rehab Center 7/31/2013 1/1/2015 - - - - - - 6,000 300 20.00

214035 Miami Shores Nursing and Rehab Center 1/31/2015 9/1/2015 - - - - - - 2,700 225 12.00

214060 Life Care Center of Hilliard 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

214914 Baldomero Lopez State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 49,924 2,811 17.76 75,494 5,384 14.02 28,126 3,167 8.88

216399 Harbour's Edge 12/31/2013 1/1/2015 & 9/1/2015 - - - 380 13 29.23 - - -

217263 Crystal River Health & Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

217395 Ocala Health & Rehabilitation Center 6/30/2013 1/1/2015 - - - - - - - - -

217395 Ocala Health & Rehabilitation Center 6/30/2014 9/1/2015 - - - - - - - - -

217727 West Melbourne Health & Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

217735 St. Augustine Health & Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

217743 Daytona Beach Health and Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

217824 Life Care Center of Port St. Lucie 7/31/2013 1/1/2015 - - - - - - - - -

217824 Life Care Center of Port St. Lucie 7/31/2014 9/1/2015 - - - - - - - - -

218171 West Jacksonville Health and Rehabilitation Center 8/31/2013 1/1/2015 - - - - - - - - -

218171 West Jacksonville Health and Rehabilitation Center 8/31/2014 9/1/2015 - - - - - - - - -

219380 Life Care Center of Winter Haven 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

220604 Century Care Center. 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

220612 Santa Rosa Health & Rehabilitation Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

220621 Sandy Ridge Care Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

221465 Clermont Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

221589 Delaney Park Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

223239 Regents Park at Aventura 8/31/2013 1/1/2015 - - - - - - - - -

223239 Regents Park at Aventura 2/28/2015 9/1/2015 - - - - - - - - -

223654 Orlando Health and Rehabilitation Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

223786 Life Care Center of Sarasota 1/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

223808 Avante at Orlando 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

223883 Doctors Lake of Orange Park 9/30/2013 1/1/2015 11,071 230 48.13 628 20 31.40 10,612 545 19.47

224341 MK of Haines City LLC 11/30/2013 1/1/2015 2,552 75 34.03 61,974 1,829 33.88 3,720 199 18.69

224341 Haines City Health Care 11/30/2014 9/1/2015 993 25 39.72 76,536 1,885 40.60 9,892 432 22.90

224910 South Tampa Health and Rehabilitation Center 6/30/2013 1/1/2015 - - - 1,625 40 40.63 - - -

224910 South Tampa Health and Rehabilitation Center 6/30/2014 9/1/2015 - - - - - - - - -

225053 MK of North Port LLC 2/28/2014 1/1/2015 & 9/1/2015 - - - - - - 54,580 2,115 25.81

225274 MK of Fernandina Beach LLC 12/31/2013 1/1/2015 - - - - - - - - -

225274 Quality Health of Fernandina Beach 12/31/2014 9/1/2015 - - - - - - - - -

225410 MK of Winter Garden LLC 12/31/2013 1/1/2015 & 9/1/2015 13,966 436 32.03 67,115 2,036 32.96 2,461 124 19.85

225631 Springtree Rehab & Health Center, LLC 8/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

225754 Pinecrest Convalescent Center 8/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

225991 Stuart Nursing & Restorative Care Center 12/31/2013 1/1/2015 - - - - - - - - -

225991 Stuart Nursing & Restorative Care Center 12/31/2014 9/1/2015 - - - - - - - - -

226009 Port St. Lucie Nursing & Restorative Care Center 12/31/2013 1/1/2015 - - - - - - - - -

226009 Port St. Lucie Nursing & Restorative Care Center 12/31/2014 9/1/2015 - - - - - - - - -

226017 Plantation Nursing & Rehab Center 8/31/2013 1/1/2015 - - - - - - - - -

226017 Plantation Nursing & Rehab Center 8/31/2014 9/1/2015 - - - - - - - - -

226033 Martin Nursing and Restorative Care Center 12/31/2013 1/1/2015 - - - - - - - - -

226033 Martin Nursing and Restorative Care Center 12/31/2014 9/1/2015 - - - - - - - - -

226041 The Manor at Blue Water Bay 8/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

226068 Cathedral Gerontology Center 9/30/2013 1/1/2015 - - - - - - - - -

226068 Cathedral Gerontology Center 9/30/2014 9/1/2015 - - - - - - - - -

226335 Broward Nursing and Rehab Center 8/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

226351 Ocean View Nursing and Rehabilitation Center 1/31/2014 1/1/2015 - - - - - - - - -

226351 Ocean View Nursing and Rehabilitation Center 12/31/2014 9/1/2015 - - - - - - - - -

226360 South Heritage Health and Rehabiliation Center 6/30/2014 1/1/2015 & 9/1/2015 32,465 794 40.89 79,556 2,484 32.03 5,901 277 21.30

226602 Treasure Isle Care Center 6/30/2013 1/1/2015 - - - - - - - - -

226602 Treasure Isle Care Center 12/31/2014 9/1/2015 - - - - - - - - -

227226 Fair Havens Center 12/31/2013 1/1/2015 - - - - - - - - -

227226 Fair Havens Center 12/31/2014 9/1/2015 - - - - - - - - -

227251 Alpine Health and Rehabilitation Center 6/30/2013 1/1/2015 - - - 205 16 12.81 - - -

227251 Alpine Health and Rehabilitation Center 6/30/2014 9/1/2015 - - - - - - - - -

227579 Wilton Manors Health & Rehabilitation Center 12/31/2013 1/1/2015 36,168 723 50.02 - - - - - -

227579 Wilton Manors Health & Rehabilitation Center 8/31/2014 9/1/2015 20,056 401 50.01 - - - - - -

227587 Rockledge Rehab and Nursing Center 12/31/2013 1/1/2015 13,486 270 49.95 - - - - - -

227587 Rockledge Health and Rehabilitation Center 8/31/2014 9/1/2015 6,044 121 49.95 - - - - - -

227625 Greenbriar Rehab & Nursing Center 8/31/2014 1/1/2015 & 9/1/2015 12,786 256 49.95 - - - - - -

227633 Apollo Health & Rehab Center 8/31/2014 1/1/2015 & 9/1/2015 15,974 319 50.08 - - - - - -

227641 North Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 3,326 67 49.64 - - - - - -

227765 Park Meadows Health & Rehab Center 12/31/2013 1/1/2015 14,433 276 52.29 - - - - - -

227765 Park Meadows Health & Rehab Center 8/31/2014 9/1/2015 8,698 174 49.99 - - - - - -

227773 The Lodge Health and Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 8,604 172 50.02 - - - - - -

227838 First Coast Health & Rehabilitation Center 6/30/2013 1/1/2015 - - - - - - - - -

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 28 6/20/2016

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Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

227838 First Coast Health & Rehabilitation Center 12/31/2014 9/1/2015 - - - - - - - - -

227871 Ayers Health & Rehab Center 7/31/2014 1/1/2015 & 9/1/2015 1,098 35 31.37 - - - - - -

228001 North Beach Nursing & Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 17,524 350 50.07 - - - - - -

228320 The Gardens Court 8/31/2013 1/1/2015 - - - - - - - - -

228320 The Gardens Court 8/31/2014 9/1/2015 - - - - - - - - -

228338 Life Care Center of Melbourne 2/28/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

228401 Park Ridge Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

228567 Bear Creek Nursing Center 7/31/2013 1/1/2015 - - - - - - - - -

228567 Bear Creek Nursing Center 7/31/2014 9/1/2015 - - - - - - - - -

228575 Royal Oak Nursing Center 7/31/2014 1/1/2015 & 9/1/2015 - - - 2,066 60 34.43 - - -

228591 Heather Hill Nursing Home 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

228621 Inn at Sarasota Bay Club 12/31/2013 1/1/2015 & 9/1/2015 41,062 1,020 40.26 - - - 5,351 47 113.85

228702 Winter Haven Health and Rehab Center 6/30/2013 1/1/2015 - - - - - - - - -

228702 Winter Haven Health and Rehab Center 6/30/2014 9/1/2015 - - - - - - - - -

228711 Woodland Terrace of Citrus County 12/31/2012 1/1/2015 - - - - - - - - -

228788 East Ridge Retirement Village, Inc. 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

228940 Cypress Cove Care Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

228958 Brooksville Healthcare Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

228966 Lake Harris Health Center 12/31/2012 1/1/2015 - - - - - - - - -

229164 Sylvan Health Center 12/31/2013 1/1/2015 - - - - - - - - -

229202 Shell Point Pavilion 6/30/2013 1/1/2015 - - - - - - - - -

229202 Shell Point Pavilion 6/30/2014 9/1/2015 - - - - - - - - -

229288 Gainesville Health Care Center 8/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

229610 Lake View Care Center at Delray 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

229628 Menorah House 12/31/2013 1/1/2015 - - - - - - - - -

229628 Menorah House 12/31/2014 9/1/2015 - - - - - - - - -

229849 Alexander Nininger State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 74,171 4,049 18.32 46,956 3,247 14.46 68,291 7,456 9.16

250988 Hialeah Nursing and Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 - - - - - - 30,000 2,400 12.50

251399 Brandywyne Health Care Center 7/31/2013 1/1/2015 - - - - - - 18,099 887 20.40

251399 Brandywyne Health Care Center 7/31/2014 9/1/2015 - - - - - - - - -

251666 Concordia Manor 6/30/2013 1/1/2015 - - - 510 17 30.00 - - -

251666 Concordia Manor 6/30/2014 9/1/2015 - - - 776 24 32.33 - - -

251721 Oakhurst Care & Rehabilitation Center 7/31/2013 1/1/2015 - - - - - - - - -

251721 Oakhurst Care & Rehabilitation Center 7/31/2014 9/1/2015 - - - - - - - - -

252018 Avante at Melbourne 5/31/2014 1/1/2015 & 9/1/2015 950 33 28.79 3,348 122 27.44 - - -

252034 Avante at Ormond Beach 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

252042 Avante at Mt. Dora 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

252662 Pinebrook Care & Rehabiliation Center 7/31/2013 1/1/2015 - - - - - - - - -

252662 Pinebrook Care & Rehabiliation Center 1/31/2015 9/1/2015 - - - - - - - - -

252671 Palms of Sebring 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

252689 Orchard Ridge Care & Rehabilitation Center 7/31/2013 1/1/2015 - - - - - - - - -

252689 Orchard Ridge Care & Rehabilitation Center 7/31/2014 9/1/2015 - - - - - - - - -

253014 Springwood Care & Rehabiliation Center 7/31/2013 1/1/2015 - - - - - - - - -

253014 Springwood Care & Rehabiliation Center 1/31/2015 9/1/2015 - - - - - - - - -

253430 Sunset Point Care & Rehabiliation Center 7/31/2013 1/1/2015 - - - - - - - - -

253430 Sunset Point Care & Rehabiliation Center 7/31/2014 9/1/2015 - - - - - - - - -

253448 Bay Tree Care & Rehabiliation Center 7/31/2013 1/1/2015 - - - - - - - - -

253448 Bay Tree Care & Rehabiliation Center 1/31/2015 9/1/2015 - - - - - - - - -

253456 Hawthorne Health & Rehab of Ocala 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

253464 West Bay Care & Rehabiliation Center 7/31/2013 1/1/2015 - - - - - - - - -

253464 West Bay Care & Rehabiliation Center 7/31/2014 9/1/2015 - - - - - - - - -

253481 Forum at Deer Creek 6/30/2013 1/1/2015 - - - - - - - - -

253481 Forum at Deer Creek 12/31/2014 9/1/2015 - - - - - - - - -

253707 Eden Springs Nursing And Rehab Center 7/31/2013 1/1/2015 - - - - - - - - -

253707 Eden Springs Nursing And Rehab Center 1/31/2015 9/1/2015 - - - - - - - - -

253723 Jackson Plaza Nursing & Rehabilitation Center 2/28/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

254177 Manor Pines Convalescent Center, LLC 6/30/2013 1/1/2015 - - - 2,198 71 30.96 613 54 11.35

254177 Manor Pines Convalescent Center, LLC 1/31/2015 9/1/2015 - - - - - - 9,464 650 14.56

254291 Arch Plaza Nursing & Rehabilitation Center 7/31/2013 1/1/2015 - - - - - - - - -

254291 Arch Plaza Nursing & Rehabilitation Center 7/31/2014 9/1/2015 - - - - - - - - -

254762 Wrights Healthcare & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - 24,440 763 32.03 21,162 961 22.02

254878 EdgeWood Nursing Center 12/31/2013 1/1/2015 - - - - - - - - -

254878 EdgeWood Nursing Center 12/31/2014 9/1/2015 - - - - - - - - -

256269 Diamond Ridge Health & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

256277 Surrey Place Healthcare and Rehabilitation 12/31/2013 1/1/2015 - - - - - - - - -

256277 Surrey Place Healthcare and Rehabilitation 12/31/2014 9/1/2015 - - - - - - - - -

256757 Lakeside Nursing & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

256846 Lakeside Pavilion 7/31/2013 1/1/2015 - - - - - - - - -

256846 Lakeside Pavilion 7/31/2014 9/1/2015 840 27 31.11 3,378 139 24.30 - - -

256935 Manor Oaks Nursing & Rehab Center 8/31/2014 1/1/2015 - - - - - - - - -

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 29 6/20/2016

Page 34: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

256935 Manor Oaks Nursing & Rehabilitation Center 2/28/2015 9/1/2015 - - - - - - - - -

257419 Citrus Health and Rehabilitation Center 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

258342 Oak Manor Healthcare and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - 40,346 1,261 32.00 88 5 17.60

258750 Indigo Manor 6/30/2013 1/1/2015 - - - - - - - - -

258750 Indigo Manor 6/30/2014 9/1/2015 - - - - - - - - -

258831 Haven of Our Lady of Peace 6/30/2013 1/1/2015 & 9/1/2015 4,930 109 45.23 94,493 2,837 33.31 - - -

259080 Life Care Center at Inverrary 8/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

259225 Lakeview Terrace Skilled Nursing Facility 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

259331 UniHealth Post-Acute Care- Santa Rosa 6/30/2013 1/1/2015 - - - - - - - - -

259331 Pruitthealth - Santa Rosa 6/30/2014 9/1/2015 - - - - - - - - -

259357 Life Care Center of New Port Richey 8/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

259462 The Nursing Center at University Village 12/31/2013 1/1/2015 & 9/1/2015 16,160 248 65.16 23,979 792 30.28 2,975 149 19.97

259586 Hamlin Place 8/31/2013 1/1/2015 545,984 15,510 35.20 1,354,554 45,927 29.49 1,912,331 116,302 16.44

259586 Hamlin Place 8/31/2014 9/1/2015 571,946 15,863 36.06 1,419,465 46,528 30.51 2,001,810 116,602 17.17

259870 Avante at St. Cloud 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

259942 Riverfront Nursing and Rehab Center 8/31/2013 1/1/2015 - - - - - - - - -

260355 Sarasota Memorial Nursing & Rehabilitation Center 9/30/2013 1/1/2015 - - - - - - - - -

260355 Sarasota Memorial Nursing & Rehabilitation Center 9/30/2014 9/1/2015 - - - - - - - - -

260371 Bridgeview Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

260444 Bayview Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

260452 Ruleme Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

260568 Tierra Pines Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

260576 Highlands Lake Center, LLC 12/31/2013 1/1/2015 - - - - - - - - -

260576 Highlands Lake Center, LLC 12/31/2014 9/1/2015 421 8 52.63 129,188 3,771 34.26 109,480 5,325 20.56

260649 Coquina Center, LLC 12/31/2013 1/1/2015 - - - 22,544 768 29.35 30,215 1,458 20.72

260649 Coquina Center, LLC 12/31/2014 9/1/2015 29,695 647 45.90 99,423 2,953 33.67 58,879 3,192 18.45

260657 Island Lake Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 - - - 59,148 1,959 30.19 22,928 1,219 18.81

260665 Indian River Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

260673 Riverwood Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

260690 Fairway Oaks Center, LLC 12/31/2013 1/1/2015 & 9/1/2015 1,661 44 37.75 46,812 1,372 34.12 35,418 1,249 28.36

260771 Sinai Plaza Nursing & Rehab Center 7/31/2013 1/1/2015 - - - - - - - - -

260771 Sinai Plaza Nursing & Rehab Center 7/31/2014 9/1/2015 - - - - - - - - -

261254 Alhambra Health & Rehab Center 8/31/2014 1/1/2015 & 9/1/2015 10,036 201 49.93 - - - - - -

261611 Terra Vista Rehabilitation and Health Center 12/31/2013 1/1/2015 7,409 225 32.93 14,670 489 30.00 - - -

261611 Terra Vista Rehabilitation and Health Center 12/31/2014 9/1/2015 - - - - - - - - -

261629 Avalon Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 - - - 33,564 978 34.32 55,294 1,962 28.18

261637 Emerald Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

261670 Hawthorne Health & Rehab of Brandon 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

263389 Atlantic Shores Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263443 Bonifay Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263451 Riviera Palms Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 7,825 157 49.84 - - - - - -

263460 Boynton Beach Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 775 16 48.44 - - - - - -

263478 Arbor Trail Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 1,275 26 49.04 - - - - - -

263486 Pinellas Point Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263494 Jacksonville Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263508 Port Orange Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263516 Macclenny Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263524 Medicana Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263532 Tiffany Hall Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 1,280 32 40.00 - - - - - -

263541 Metrowest Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263559 Moultrie Creek Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263567 Orange City Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263575 Bayshore Pointe Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263583 Royal Oaks Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263591 Tuskawilla Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263605 Hunter's Creek Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 24,000 480 50.00 - - - - - -

263613 Boulevard Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263621 Palm City Nursing and Rehab 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263834 Bay Pointe Nursing Pavilion 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263842 Boca Raton Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263851 Deerfield Beach Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263869 Rehabilitation and Healthcare Center of Cape Coral 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263877 Carrollwood Care Center 12/31/2013 1/1/2015 - - - - - - - - -

263877 Carrollwood Care Center 12/31/2014 9/1/2015 - - - - - - - - -

263885 Casa Mora Rehabilitation and Extended Care 12/31/2013 1/1/2015 & 9/1/2015 26,428 575 45.96 810,011 2,252 359.69 4,825 177 27.26

263893 Evergreen Woods Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263907 Highland Pines Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263915 Rehabilitation Center of The Palm Beaches 12/31/2013 1/1/2015 - - - 785 25 31.40 - - -

263915 The Rehabilitation Center Of The Palm Beaches 12/31/2014 9/1/2015 - - - - - - - - -

263923 Pompano Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 30 6/20/2016

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Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

263931 Healthcare and Rehabilitation Center of Sanford 12/31/2013 1/1/2015 & 9/1/2015 - - - 8,236 317 25.98 - - -

263940 Rehabilitation and Healthcare Center of Tampa 12/31/2013 1/1/2015 & 9/1/2015 - - - 19,640 614 31.99 - - -

263958 The Abbey Rehabilitation and Nursing Center 12/31/2013 1/1/2015 - - - - - - - - -

263958 Abbey Rehabilitation And Nursing Center 12/31/2014 9/1/2015 - - - - - - - - -

263966 The Oaks at Avon Park 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

263974 Titusville Rehabilitation and Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 - - - 3,920 119 32.94 9,124 420 21.72

263982 Sarasota Health and Rehabilitation Center 12/31/2013 1/1/2015 - - - - - - - - -

263982 Sarasota Health and Rehabilitation Center 12/31/2014 9/1/2015 - - - - - - - - -

263991 Windsor Woods Rehabilitation and Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

264008 Winkler Court 12/31/2013 1/1/2015 - - - - - - - - -

264008 Winkler Court 12/31/2014 9/1/2015 - - - - - - - - -

264482 Lafayette Healthcare Center 10/31/2013 1/1/2015 - - - - - - - - -

264482 Lafayette Healthcare Center 10/31/2014 9/1/2015 - - - - - - - - -

264491 Clifford Chester Sims State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 47,634 2,446 19.47 173,108 11,112 15.58 138,922 12,461 11.15

264512 Conway Lakes Health & Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 97,393 1,740 55.97 - - - - - -

264521 Belleair Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 17,284 326 53.02 - - - - - -

264539 East Bay Rehabilitation Center 12/31/2013 1/1/2015 34,610 672 51.50 - - - - - -

264539 East Bay Rehabilitation Center 12/31/2014 9/1/2015 - - - - - - - - -

264547 Melbourne Terrace Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 99,797 1,900 52.52 - - - - - -

264563 Centre Pointe Health and Rehab Center 12/31/2013 1/1/2015 & 9/1/2015 6,475 112 57.81 - - - - - -

264571 Spring Lake Rehabilitation Center 12/31/2013 1/1/2015 23,287 440 52.93 - - - - - -

264571 Spring Lake Rehabilitation Center 12/31/2014 9/1/2015 - - - - - - 19,760 1,382 14.30

265381 Life Care Center of Estero 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

265560 Valencia Hills Health and Rehabilitation Center 12/31/2013 1/1/2015 - - - - - - - - -

265560 Valencia Hills Health and Rehabilitation Center 12/31/2014 9/1/2015 - - - - - - - - -

265730 Hialeah Nursing and Rehabilitation Center 12/31/2013 1/1/2015 - - - - - - - - -

265730 Hialeah Nursing and Rehabilitation Center 12/31/2014 9/1/2015 - - - - - - - - -

266108 Life Care Center of Ocala 1/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

266124 Oasis Health and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

266281 Southpoint Terrace 12/31/2013 1/1/2015 - - - - - - - - -

266612 Whispering Oaks 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

267724 The Springs at Boca Ciega Bay 12/31/2013 1/1/2015 - - - - - - - - -

267724 The Springs at Boca Ciega Bay 12/31/2014 9/1/2015 - - - - - - - - -

267902 The Nursing Center at Mercy 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

268003 Lanier Manor 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

268062 Susanna Wesley Health Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

268186 Life Care Center of Palm Bay 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

268585 Harborchase of Naples 12/31/2013 1/1/2015 - - - - - - - - -

268585 Harborchase of Naples 12/31/2014 9/1/2015 - - - - - - 5,332 355 15.02

268755 Abbiejean Russell Care Center, LLC 12/31/2013 1/1/2015 - - - - - - - - -

268755 Abbiejean Russell Care Center, LLC 12/31/2014 9/1/2015 - - - - - - - - -

268763 Good Samaritan Center 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

268780 The Springs at Lake Pointe Woods 12/31/2013 1/1/2015 - - - - - - - - -

268780 The Springs At Lake Pointe Woods 12/31/2014 9/1/2015 - - - - - - - - -

269000 Majestic Oaks Continuing Care Complex 12/31/2013 1/1/2015 - - - - - - - - -

269000 Majestic Oaks Continuing Care Complex 12/31/2014 9/1/2015 - - - - - - - - -

269107 Harmony Health Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

269492 Douglas Jacobson State Veterans' Nursing Home 6/30/2014 1/1/2015 & 9/1/2015 63,144 3,531 17.88 38,213 2,671 14.31 17,274 1,687 10.24

269697 Regents Park of Sunrise 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

269719 Regents Park of Winter Park 12/31/2013 1/1/2015 & 9/1/2015 - - - 4,576 176 26.00 - - -

269727 Regents Park of Jacksonville 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

281743 Jacaranda Manor 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

282359 West Gables Health Care Center 12/31/2013 1/1/2015 & 9/1/2015 200 5 40.00 - - - - - -

282464 Ridgecrest Nursing & Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 8,793 176 49.96 - - - - - -

282529 Coral Reef Nursing & Rehabilitation Center 12/31/2013 1/1/2015 294,920 6,839 43.12 2,423,600 63,392 38.23 3,413,480 173,340 19.69

282529 Coral Reef Nursing & Rehabilitation Center 12/31/2014 9/1/2015 294,920 6,911 42.67 2,423,600 62,399 38.84 3,413,480 177,128 19.27

282537 Palm Terrace of St. Petersburg 6/30/2013 1/1/2015 - - - - - - - - -

282537 Palm Terrace of St Petersburg 6/30/2014 9/1/2015 - - - - - - - - -

282618 Palm Terrace of Clewiston 6/30/2013 1/1/2015 - - - - - - - - -

282618 Palm Terrace of Clewiston 6/30/2014 9/1/2015 - - - - - - - - -

282626 Palm Terrace of Lakeland 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

283193 Life Care Center of Jacksonville 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

284289 Life Care Center of Orange Park 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

284793 Brighton Gardens of Tampa 12/31/2013 1/1/2015 - - - - - - - - -

284793 Brighton Gardens of Tampa 12/31/2014 9/1/2015 - - - - - - - - -

284823 Aventura Plaza Rehabilitation & Nursing Center 8/31/2013 1/1/2015 - - - - - - - - -

284823 Aventura Plaza Rehabilitation & Nursing Center 8/31/2014 9/1/2015 - - - - - - - - -

307998 Cypress Village 12/31/2013 1/1/2015 - - - - - - - - -

308242 Hebrew Home of South Beach 8/31/2012 1/1/2015 - - - - - - - - -

308251 Ponce Plaza Nursing & Rehab Center 1/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 31 6/20/2016

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Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

309800 The Allegro at College Harbor 12/31/2013 1/1/2015 - - - - - - - - -

309800 The Allegro at College Harbor 12/31/2014 9/1/2015 - - - - - - - - -

310581 Atlantic Healthcare Center 8/31/2013 1/1/2015 - - - - - - - - -

310581 Atlantic Healthcare Center 8/31/2014 9/1/2015 - - - - - - - - -

310841 St. Mark Village, Inc. 12/31/2013 1/1/2015 68,631 1,525 45.00 42,764 1,336 32.01 55,382 2,307 24.01

310841 St. Mark Village, Inc. 12/31/2014 9/1/2015 - - - 256 7 36.57 524 21 24.95

311308 South Pointe Plaza Rehabilitation And Nursing Center 7/31/2013 1/1/2015 - - - - - - - - -

311308 South Pointe Plaza Rehabilitation And Nursing Center 1/31/2015 9/1/2015 - - - - - - - - -

311685 Life Care Center of Punta Gorda 2/28/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

312045 SandalWood Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

312142 Lakewood Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

312151 Cross City Rehabilitation and Health Center 9/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

312274 CrestWood Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

312312 Savannah Cove of The Palm Beaches 12/31/2013 1/1/2015 - - - - - - - - -

312312 Savannah Cove of The Palm Beaches 12/31/2014 9/1/2015 - - - - - - - - -

312550 Savannah Cove of Maitland 6/30/2014 1/1/2015 & 9/1/2015 189,900 2,168 87.59 - - - - - -

312789 Children's Comprehensive Care Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

313424 Hollywood Hills Rehabilitation Center, LLC 6/30/2013 1/1/2015 - - - - - - - - -

313424 Hollywood Hills Rehabilitation Center, LLC 6/30/2014 9/1/2015 - - - - - - - - -

313718 Lutheran Haven Nursing Home 8/31/2013 1/1/2015 - - - - - - - - -

313718 Lutheran Haven Nursing Home 8/31/2014 9/1/2015 - - - - - - - - -

315664 Life Care Center of Pensacola 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

316075 Westwood Health Care Center 12/31/2012 1/1/2015 - - - - - - - - -

316628 LaurellWood Nursing Center, Inc. 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

316636 HarbourWood Nursing Center, Inc. 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

316644 GraceWood Nursing Center, Inc. 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

316652 BayWood Nursing Center, Inc 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

317195 The Nursing Center at Freedom Village 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

317349 Darcy Hall of Life Care 12/31/2013 1/1/2015 - - - - - - - - -

317349 Darcy Hall of Life Care 12/31/2014 9/1/2015 - - - - - - - - -

317578 Parklands Rehabilitation and Nursing Center 3/31/2014 1/1/2015 & 9/1/2015 268,953 6,404 42.00 1,335,205 39,857 33.50 2,158,772 106,606 20.25

317586 Williston Rehabilitation and Nursing Center 3/31/2014 1/1/2015 55,443 1,320 42.00 1,574,658 45,314 34.75 2,124,311 104,904 20.25

317586 Williston Rehabilitation and Nursing Center 12/31/2014 9/1/2015 70,764 1,685 42.00 1,178,141 34,524 34.13 1,647,546 80,368 20.50

318787 Citrus Gardens of Fort Myers 6/30/2013 1/1/2015 - - - - - - - - -

318787 Citrus Gardens of Fort Myers 6/30/2014 9/1/2015 - - - - - - - - -

318795 The Court at Palm-Aire 6/30/2013 1/1/2015 - - - - - - - - -

318795 The Court at Palm-Aire 12/31/2014 9/1/2015 - - - - - - - - -

319244 Palmer Ranch Healthcare and Rehabilitation 6/30/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

319325 Port Charlotte Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 76,423 1,285 59.47 - - - - - -

319333 Harbour Health Center 12/31/2013 1/1/2015 & 9/1/2015 - - - 413 11 37.55 - - -

319376 Atrium Healthcare Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

320391 Zephyr Haven Health & Rehab Center, Inc. 12/31/2013 1/1/2015 - - - - - - - - -

320391 Zephyr Haven Health & Rehab Center, Inc. 12/31/2014 9/1/2015 - - - - - - - - -

320404 Zephyrhills Health & Rehab Center, Inc. 7/31/2014 1/1/2015 - - - - - - - - -

320404 Zephyrhills Health & Rehab Center, Inc. 1/31/2015 9/1/2015 - - - - - - - - -

320412 Sunbelt Health & Rehab Center - Apopka, Inc. 7/31/2013 1/1/2015 - - - - - - - - -

320412 Sunbelt Health & Rehab Center - Apopka, Inc. 1/31/2015 9/1/2015 - - - - - - - - -

320421 East Orlando Health & Rehab Center, Inc. 7/31/2013 1/1/2015 - - - - - - - - -

320421 East Orlando Health & Rehab Center, Inc. 1/31/2015 9/1/2015 - - - 1,185 43 27.56 - - -

320439 Adventist Care Centers - Courtland, Inc. 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

320463 Florida Living Nursing Center 7/31/2013 1/1/2015 - - - - - - - - -

320463 Florida Living Nursing Center 1/31/2015 9/1/2015 - - - - - - - - -

320978 Lehigh Acres Health & Rehabilitation Center 8/31/2014 1/1/2015 & 9/1/2015 5,666 113 50.14 - - - - - -

321303 Ft. Lauderdale Health & Rehab Center 12/31/2013 1/1/2015 - - - - - - - - -

321532 The Palms Rehabilitation and Nursing Center 12/31/2013 1/1/2015 306,533 7,298 42.00 1,316,567 39,301 33.50 2,139,077 105,633 20.25

321532 The Palms Rehabilitation and Nursing Center 12/31/2014 9/1/2015 636,059 15,144 42.00 1,100,445 32,849 33.50 2,233,569 110,300 20.25

323772 Coral Gables Nursing and Rehabilitation 12/31/2013 1/1/2015 - - - - - - - - -

323772 Coral Gables Nursing and Rehabilitation 12/31/2014 9/1/2015 - - - - - - - - -

323781 Tarpon Point Nursing and Rehabilitation Center 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

323799 St. Andrew's Bay Skilled Nursing and Rehabilitation 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

324027 Hampton Court Nursing Center 9/30/2013 1/1/2015 - - - - - - - - -

324027 Hampton Court Nursing Center 3/31/2015 9/1/2015 - - - - - - - - -

324094 Advanced Rehabilitation & Health Center 2/28/2014 1/1/2015 325,364 7,936 41.00 1,261,267 37,650 33.50 2,264,593 109,137 20.75

324094 Advanced Rehabilitation & Health Center 12/31/2014 9/1/2015 306,557 7,477 41.00 1,038,626 31,004 33.50 1,889,009 91,037 20.75

324108 Bayside Rehabilitation & Health Center 2/28/2014 1/1/2015 268,292 6,544 41.00 950,965 28,387 33.50 1,619,201 79,470 20.37

324108 Bayside Rehabilitation & Health Center 12/31/2014 9/1/2015 166,429 4,059 41.00 877,167 26,990 32.50 1,421,355 71,068 20.00

324116 Excel Rehabilitation & Health Center 2/28/2014 1/1/2015 & 9/1/2015 284,417 7,246 39.25 1,253,945 40,320 31.10 1,954,933 107,120 18.25

324124 Madison Pointe Rehabilitation & Health Center 2/28/2014 1/1/2015 & 9/1/2015 452,434 11,035 41.00 1,057,279 31,561 33.50 2,032,044 101,602 20.00

324132 Shore Acres Rehabilitation & Health Center 2/28/2014 1/1/2015 223,698 5,456 41.00 1,163,158 33,472 34.75 1,845,600 92,280 20.00

324132 Shore Acres Rehabilitation & Health Center 12/31/2014 9/1/2015 176,833 4,313 41.00 1,022,415 29,422 34.75 1,579,930 78,997 20.00

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 32 6/20/2016

Page 37: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

324141 Woodbridge Rehabilitation & Health Center 2/28/2014 1/1/2015 537,227 13,103 41.00 1,048,569 32,264 32.50 2,169,173 108,459 20.00

324141 Woodbridge Rehabilitation & Health Center 12/31/2014 9/1/2015 344,926 8,413 41.00 1,004,753 30,915 32.50 1,849,668 92,483 20.00

324167 Palmetto Rehabilitation and Health Center 2/28/2014 1/1/2015 962,695 24,527 39.25 520,054 16,126 32.25 1,356,805 82,481 16.45

324167 Palmetto Rehabilitation and Health Center 12/31/2014 9/1/2015 913,096 23,264 39.25 357,086 11,072 32.25 1,144,729 69,588 16.45

324175 Courtyards of Orlando 2/28/2014 1/1/2015 199,806 4,873 41.00 1,277,281 38,128 33.50 2,250,373 112,519 20.00

324175 Courtyards of Orlando 12/31/2014 9/1/2015 198,442 4,840 41.00 1,062,537 31,718 33.50 1,890,706 94,535 20.00

324213 Royal Care of Avon Park 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

324230 Seminole Pavilion Rehabilitation & Nursing Service 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

324248 Freedom Square Rehabilitation & Nursing Services 12/31/2013 1/1/2015 & 9/1/2015 - - - - - - - - -

324345 Heritage Park Care and Rehabilitation Center 9/30/2013 1/1/2015 - - - - - - - - -

324345 Heritage Park Care and Rehabilitation Center 7/31/2014 9/1/2015 - - - - - - - - -

324353 Washington Rehabilitation & Nursing Center 7/31/2013 1/1/2015 - - - - - - - - -

324353 Washington Rehabilitation & Nursing Center 7/31/2014 9/1/2015 - - - - - - - - -

324361 Chautauqua Rehabilitation & Nursing Center 7/31/2013 1/1/2015 - - - - - - - - -

324361 Chautauqua Rehabilitation & Nursing Center 7/31/2014 9/1/2015 - - - - - - - - -

324370 Signature HealthCARE of College Park 9/30/2013 1/1/2015 - - - - - - - - -

324370 Signature HealthCARE of College Park 7/31/2014 9/1/2015 - - - - - - - - -

324388 Signature HealthCARE of Gainesville 9/30/2013 1/1/2015 - - - - - - - - -

324388 Signature HealthCARE of Gainesville 7/31/2014 9/1/2015 - - - - - - - - -

324396 Signature HealthCARE of North Florida 7/31/2013 1/1/2015 - - - - - - - - -

324396 Signature HealthCARE of North Florida 7/31/2014 9/1/2015 4,541 184 24.68 - - - - - -

324400 Signature HealthCARE Center of Waterford 7/31/2013 1/1/2015 - - - - - - - - -

324400 Signature HealthCARE Center of Waterford 7/31/2014 9/1/2015 - - - - - - - - -

324418 Signature HealthCARE of Brookwood Gardens 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

324426 Signature HealthCARE at The Courtyard 7/31/2013 1/1/2015 - - - - - - - - -

324426 Signature HealthCARE at The Courtyard 7/31/2014 9/1/2015 - - - - - - - - -

324434 Signature HealthCARE of Orange Park 9/30/2013 1/1/2015 - - - - - - - - -

324434 Signature HealthCARE of Orange Park 7/31/2014 9/1/2015 - - - - - - - - -

324442 Signature HealthCARE of Ormond 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

324451 Anchor Care & Rehabilitation Center 9/30/2013 1/1/2015 - - - - - - - - -

324451 Anchor Care & Rehabilitation Center 7/31/2014 9/1/2015 - - - - - - - - -

324469 Pinellas Park Care and Rehabilitation Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

324477 Signature HealthCARE of Port Charlotte 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

324485 The Bridge at Bay St. Joe 9/30/2013 1/1/2015 17,388 994 17.49 - - - - - -

324485 The Bridge at Bay St. Joe 7/31/2014 9/1/2015 17,723 1,125 15.75 - - - - - -

324493 Kenilworth Care and Rehabilitation Center 7/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

324507 Peninsula Care and Rehabilitation Center 9/30/2013 1/1/2015 3,189 61 52.28 - - - - - -

324507 Peninsula Care and Rehabilitation Center 7/31/2014 9/1/2015 - - - - - - - - -

324515 Winter Park Care and Rehabilitation Center 9/30/2013 1/1/2015 - - - - - - - - -

324515 Winter Park Care and Rehabilitation Center 7/31/2014 9/1/2015 - - - - - - - - -

324566 Southern Oaks Rehabilitation and Nursing Center 12/31/2013 1/1/2015 & 9/1/2015 738,186 18,455 40.00 1,914,586 58,910 32.50 3,317,069 174,583 19.00

325031 Terraces of Lake Worth Rehab and Health Center 2/28/2014 1/1/2015 400,898 9,778 41.00 839,201 25,051 33.50 1,747,223 87,361 20.00

325031 Terraces of Lake Worth Rehab and Health Center 12/31/2014 9/1/2015 451,634 11,015 41.00 625,161 18,662 33.50 1,429,537 71,477 20.00

325040 Arbor Village Nursing Center 2/28/2014 1/1/2015 843,529 20,574 41.00 1,758,060 54,094 32.50 3,091,452 162,708 19.00

325040 Arbor Village Nursing Center 12/31/2014 9/1/2015 838,785 20,458 41.00 1,289,088 39,664 32.50 2,560,801 134,779 19.00

325163 North Lake Rehabilitation and Health Center 2/28/2014 1/1/2015 220,585 5,380 41.00 882,336 27,149 32.50 1,453,460 76,498 19.00

325163 North Lake Rehabilitation and Health Center 12/31/2014 9/1/2015 175,826 4,288 41.00 742,021 22,831 32.50 1,218,643 64,139 19.00

325236 Heartland Health Care Center-Jacksonville 6/30/2014 1/1/2015 & 9/1/2015 377,064 5,545 68.00 16,350 297 55.05 4,695 223 21.05

325244 Heartland Health Care Center-Kendall 6/30/2013 1/1/2015 - - - - - - - - -

325244 Heartland Health Care Center-Kendall 6/30/2014 9/1/2015 - - - - - - - - -

325252 Heartland Health Care Center- Miami Lakes 9/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325261 Heartland Health Care Center-Orange Park 9/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325279 ManorCare Nursing and Rehabilitation Center 9/30/2013 1/1/2015 - - - - - - - - -

325279 ManorCare Nursing and Rehabilitation Center 9/30/2014 9/1/2015 - - - - - - - - -

325287 Heartland Health Care Center of South Jacksonville 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325295 Heartland of Brooksville 8/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325309 Heartland Health Care Center- Boynton Beach 6/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325325 Heartland Health Care Center-Ft. Myers 9/30/2013 1/1/2015 - - - - - - - - -

325325 Heartland Health Care Center-Ft. Myers 9/30/2014 9/1/2015 - - - - - - - - -

325333 Heartland Health Care Center- Lauderhill 7/31/2013 1/1/2015 - - - - - - - - -

325333 Heartland Health Care Center- Lauderhill 7/31/2014 9/1/2015 - - - - - - - - -

325341 Heartland Health Care Center-Prosperity Oaks 9/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325350 Heartland of Tamarac 9/30/2013 1/1/2015 - - - - - - - - -

325350 Heartland of Tamarac 9/30/2014 9/1/2015 - - - - - - - - -

325368 ManorCare Health Services (Boca Raton) 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325376 ManorCare Health Services-Boynton Beach 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325384 ManorCare Health Services 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325422 Manor Care @ Lely Palms 9/30/2013 1/1/2015 - - - - - - - - -

325422 Manor Care @ Lely Palms 9/30/2014 9/1/2015 - - - - - - - - -

325449 Manor Care Nursing and Rehabilitation Center 5/31/2014 1/1/2015 & 9/1/2015 84,809 1,247 68.01 - - - - - -

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 33 6/20/2016

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Medicaid Nursing Home Direct and Indirect Care Costs APPENDIX II

EMPLOYMENT AGENCY SALARIES AND HOURS

Fiscal Year 2015-2016

Medicaid

NumberProvider Name Fiscal Year End Rate Semester(s) RN Salary RN Hours RN Avg. $/Hr LPN Salary LPN Hours LPN Avg. $/Hr CNA Salary CNA Hours CNA Avg. $/Hr

STAFFING SERVICES SALARIES AND HOURS

325457 ManorCare Health Services (Plantation) 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325465 ManorCare Health Services-Sarasota 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325473 Manor Care Health Services 5/31/2014 1/1/2015 & 9/1/2015 1,243 24 51.79 1,631 40 40.78 655 33 19.85

325481 ManorCare Health Services-West Palm Beach 9/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325490 Heartland Health Care Center-North Sarasota 8/31/2014 1/1/2015 & 9/1/2015 - - - 104,629 2,754 37.99 - - -

325520 ManorCare Health Services (Delray Beach) 4/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325678 ManorCare Health Services-Carrollwood 5/31/2014 1/1/2015 & 9/1/2015 39,046 750 52.06 - - - - - -

325686 Manor-Care Health Services-Dunedin 9/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325694 ManorCare Health Services-Palm Harbor 5/31/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

325708 Heartland of Zephyrhills 9/30/2013 1/1/2015 - - - - - - - - -

325708 Heartland of Zephyrhills 9/30/2014 9/1/2015 - - - - - - - - -

326011 Moosehaven, Inc. 4/30/2014 1/1/2015 & 9/1/2015 - - - - - - - - -

*The data contained in this report is compiled from provider submitted cost reports. This data is subject to change based on future audits.

AHCA 34 6/20/2016

Page 39: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and
Page 40: Medicaid Nursing Home · The following box shows numbers of providers submitting actual versus estimated costs in the two rate setting periods. ... Medicaid Nursing Home Direct and

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