Nonpublic Medical Assistance Day One Incentive (MDOI) Payments

For the quarter January 1, 2015 – March 31, 2015

A quarterly nonpublic MDOI will be calculated for each qualifying nonpublic nursing facility for

Fiscal Year 2014-2015. To qualify for a payment, the facility must be a nonpublic nursing

facility during the entire Resident Day quarter used to obtain the resident days for calculating

the payment, have an overall occupancy rate of at least 85% and an MA occupancy rate of at

least 65%. Resident Day information must be submitted on or before the reporting due date

and will not be adjusted for changes after that date.

Fiscal Quarter Resident Day Quarter Reporting Due Date

July 1 – September 30, 2014 April 1 – June 30, 2014 October 31, 2014 October 1 – December 31, 2014 July 1 – September 30, 2014 January 31, 2015 January 1 – March 31, 2015 October 1 – December 31, 2014 April 30, 2015 April 1 – June 30, 2015 January 1 – March 31, 2015 July 31, 2015

The overall occupancy rate is calculated as the Total Resident Days for the Resident Day

quarter divided by the available days (number of beds at the end of the Resident Day quarter

times the number of calendar days in the Resident Day quarter). Calculation of the MA

occupancy rate is the Total PA MA days from the Resident Day quarter divided by Total

Resident Days from the Resident Day quarter.

For nursing facilities that meet the qualifying criteria, their nonpublic MDOI payment for the

quarter is calculated as the Total PA MA days times the quarterly MDOI per diem. The MDOI

per diem varies by quarter based on the total funds available for the quarterly nonpublic

MDOI payment divided by the sum of the Total PA MA days for all qualifying facilities.

The total funds available for the January 2015 quarter is $4,151,100.04 and the Total PA MA

days for qualifying nursing facilities is 2,990,275 which results in a nonpublic MDOI per diem

amount of $1.3882000953.

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

ABINGTON CREST NURSING AND REHAB CENTER 80 5,782 6,865 93% 84% $8,026.57 5/11/2015

ABINGTON MANOR 120 7,511 10,564 96% 71% $10,426.77 5/11/2015

ABRAMSON RESIDENCE 324 18,695 29,281 98% 64% $0.00 5/11/2015

ALLIED SERVICES SKILLED NURSING CENTER 371 23,222 30,905 91% 75% $32,236.78 5/11/2015

ALTOONA CENTER FOR NURSING CARE 120 7,808 9,754 88% 80% $10,839.07 5/11/2015

AMBLER EXTENDED CARE CENTER 100 7,188 8,674 94% 83% $9,978.38 5/11/2015

ARBUTUS PARK MANOR 141 7,101 12,268 95% 58% $0.00 5/11/2015

ARISTACARE AT MEADOW SPRINGS 153 10,878 12,529 89% 87% $15,100.84 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

ARTMAN LUTHERAN HOME 61 1,397 5,301 94% 26% $0.00 5/11/2015

ASBURY HEALTH CENTER 139 5,535 12,438 97% 45% $0.00 5/11/2015

ATTLEBORO NURSING AND REHAB CENTER 179 11,176 15,609 95% 72% $15,514.52 5/11/2015

AUDUBON VILLA HEALTH AND REHAB CENTER 42 2,294 3,755 97% 61% $0.00 5/11/2015

AVALON NURSING CENTER 83 6,492 7,531 99% 86% $9,012.20 5/11/2015

AVALON SPRINGS NURSING CENTER 100 6,115 8,578 93% 71% $8,488.84 5/11/2015

BALA NURSING AND RETIREMENT CENTER 180 13,134 14,989 91% 88% $18,232.62 5/11/2015

BALANCED CARE BLOOMSBURG 66 4,020 5,767 95% 70% $5,580.56 5/11/2015

BALDWIN HEALTH CENTER 200 10,509 15,238 83% 69% $0.00 5/11/2015

BALL PAVILION, THE 85 5,234 7,437 95% 70% $7,265.84 5/11/2015

BAPTIST HOMES OF WESTERN PENNSYLVANIA 126 7,430 10,972 95% 68% $10,314.33 5/11/2015

BARCLAY FRIENDS 96 2,331 7,711 87% 30% $0.00 5/11/2015

BARNES-KASSON COUNTY HOSPITAL SNF 58 4,147 5,192 97% 80% $5,756.87 5/11/2015

BEACON RIDGE, A CHOICE COMMUNITY 118 4,893 9,587 88% 51% $0.00 5/11/2015

BEAVER ELDER CARE AND REHAB CENTER 67 3,522 5,598 91% 63% $0.00 5/11/2015

BEAVER VALLEY NURSING AND REHAB CENTER 120 6,213 10,219 93% 61% $0.00 5/11/2015

BELAIR HEALTH AND REHABILITATION CENTER 103 5,559 8,564 90% 65% $7,717.00 5/11/2015

BELLE HAVEN SKILLED NURSING & REHAB CTR 59 3,929 5,140 95% 76% $5,454.24 5/11/2015

BELLE REVE HEALTH CARE CENTER 30 907 2,447 89% 37% $0.00 5/11/2015

BERKSHIRE CENTER 130 7,272 11,646 97% 62% $0.00 5/11/2015

BERWICK RETIREMENT VILLAGE NRSNG CTR I 120 4,404 5,070 46% 87% $0.00 5/11/2015

BERWICK RETIREMENT VILLAGE NRSNG CTR II 120 5,918 9,507 86% 62% $0.00 5/11/2015

BETHANY VILLAGE RETIREMENT CENTER 69 1,877 6,226 98% 30% $0.00 5/11/2015

BETHLEN HM OF THE HUNGARIAN RFRMD FED 96 4,367 7,817 89% 56% $0.00 5/11/2015

BIRCHWOOD NURSING AND REHAB CENTER 121 7,520 10,435 94% 72% $10,439.26 5/11/2015

BLOOMSBURG HEALTH CARE CENTER 149 8,579 11,330 83% 76% $0.00 5/11/2015

BONHAM NURSING CENTER 77 4,871 6,757 95% 72% $6,761.92 5/11/2015

BRADFORD ECUMENICAL HOME, INC 100 5,702 8,857 96% 64% $0.00 5/11/2015

BRADFORD MANOR 115 6,329 9,154 87% 69% $8,785.92 5/11/2015

BRANDYWINE HALL 180 12,440 15,620 94% 80% $17,269.21 5/11/2015

BRETHREN VILLAGE 120 3,442 10,959 99% 31% $0.00 5/11/2015

BRIARCLIFF PAVILION HEALTH AND REHAB CTR 120 7,289 9,775 89% 75% $10,118.59 5/11/2015

BRIARLEAF NURSING AND CONVAL CENTER 178 13,830 16,095 98% 86% $19,198.81 5/11/2015

BRINTON MANOR 92 4,869 7,918 94% 61% $0.00 5/11/2015

BROAD ACRES HEALTH AND REHAB CENTER 120 6,556 10,760 97% 61% $0.00 5/11/2015

BROAD MOUNTAIN NURSING AND REHAB CENTER 129 8,651 10,422 88% 83% $12,009.32 5/11/2015

BROOKLINE MANOR AND REHABILITATIVE SRVCS 85 4,282 6,945 89% 62% $0.00 5/11/2015

BROOKMONT HEALTHCARE CENTER LLC 119 6,254 8,955 82% 70% $0.00 5/11/2015

BROOKSIDE HEALTHCARE AND REHAB CENTER 120 8,043 10,170 92% 79% $11,165.29 5/11/2015

BROOMALL MANOR 123 7,660 8,492 75% 90% $0.00 5/11/2015

BROOMALL PRESBYTERIAN VILLAGE 146 6,395 12,321 92% 52% $0.00 5/11/2015

BROOMALL REHAB AND NURSING CENTER 298 18,785 25,250 92% 74% $26,077.34 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

BRYN MAWR EXTENDED CARE CENTER 160 10,295 12,734 87% 81% $14,291.52 5/11/2015

BUCKINGHAM VALLEY REHAB AND NURSING CTR 130 6,560 11,247 94% 58% $0.00 5/11/2015

BUCKTAIL MEDICAL CENTER 43 2,774 3,114 79% 89% $0.00 5/11/2015

BUFFALO VALLEY LUTHERAN VILLAGE 102 5,717 8,874 95% 64% $0.00 5/11/2015

BUTLER VALLEY MANOR HLTH AND REHAB CTR 37 2,320 3,197 94% 73% $3,220.62 5/11/2015

CALVARY FELLOWSHIP HOMES, INC 45 2,215 3,924 95% 56% $0.00 5/11/2015

CAMBRIA CARE CENTER 301 19,959 23,036 83% 87% $0.00 5/11/2015

CANTERBURY PLACE 80 4,663 7,006 95% 67% $6,473.18 5/11/2015

CARBONDALE NURSING AND REHAB CENTER 115 7,766 10,115 96% 77% $10,780.76 5/11/2015

CARE PAVILION NURSING AND REHAB CENTER 396 30,896 34,629 95% 89% $42,889.83 5/11/2015

CARING HEART REHAB AND NURSING CENTER 269 15,893 22,773 92% 70% $22,062.66 5/11/2015

CARING HEIGHTS COMMUNITY CARE & REHAB 120 8,065 10,142 92% 80% $11,195.83 5/11/2015

CARING PLACE, THE 100 6,377 9,084 99% 70% $8,852.55 5/11/2015

CARLETON SENIOR CARE AND REHAB CENTER 26 1,322 2,322 97% 57% $0.00 5/11/2015

CATHEDRAL VILLAGE 133 1,595 9,254 76% 17% $0.00 5/11/2015

CEDAR HAVEN HEALTHCARE CENTER 324 25,013 28,832 97% 87% $34,723.05 5/11/2015

CENTENNIAL HEALTHCARE & REHAB CENTER 180 13,372 15,656 95% 85% $18,563.01 5/11/2015

CENTRE CREST 240 14,601 20,609 93% 71% $20,269.11 5/11/2015

CHANDLER HALL HEALTH SERVICES INC 53 1,687 4,634 95% 36% $0.00 5/11/2015

CHAPEL MANOR 238 18,468 21,145 97% 87% $25,637.28 5/11/2015

CHAPEL POINTE AT CARLISLE 59 1,946 5,325 98% 37% $0.00 5/11/2015

CHARLES COLE MEMORIAL HOSPITAL ECF 49 2,684 3,558 79% 75% $0.00 5/11/2015

CHARLES M. MORRIS NURSING AND REHAB CTR 159 6,742 13,921 95% 48% $0.00 5/11/2015

CHELTENHAM NURSING AND REHAB CENTER 255 19,736 21,290 91% 93% $27,397.52 5/11/2015

CHERRY TREE NURSING CENTER 120 6,415 7,897 72% 81% $0.00 5/11/2015

CHESTER VALLEY REHAB AND NURSING CENTER 184 11,980 15,590 92% 77% $16,630.64 5/11/2015

CHESTNUT HILL LODGE HEALTH AND REHAB CTR 181 12,990 13,930 84% 93% $0.00 5/11/2015

CHICORA MEDICAL CENTER 114 7,024 9,841 94% 71% $9,750.72 5/11/2015

CHRIST THE KING MANOR 160 9,110 14,305 97% 64% $0.00 5/11/2015

CHRIST'S HOME RETIREMENT COMMUNITY 48 636 3,216 73% 20% $0.00 5/11/2015

CHURCH OF GOD HOME, INC 109 4,751 9,743 97% 49% $0.00 5/11/2015

CHURCH OF THE BRETHREN HOME 134 7,589 11,657 95% 65% $10,535.05 5/11/2015

CLARVIEW NURSING AND REHAB CENTER 120 6,446 8,983 81% 72% $0.00 5/11/2015

CLEPPER MANOR 54 3,210 4,720 95% 68% $4,456.12 5/11/2015

CLIVEDEN NSG & REHAB CTR 180 12,948 15,987 97% 81% $17,974.41 5/11/2015

COLONIAL MANOR NURSING HOME 270 17,907 21,380 86% 84% $24,858.50 5/11/2015

COLONIAL PARK CARE CENTER 198 12,602 17,503 96% 72% $17,494.10 5/11/2015

CONCORDIA AT THE CEDARS 59 2,483 4,731 87% 52% $0.00 5/11/2015

CONCORDIA LUTHERAN HEALTH AND HUMAN CARE 142 6,363 12,784 98% 50% $0.00 5/11/2015

CONESTOGA VIEW 446 35,434 40,440 99% 88% $49,189.48 5/11/2015

CONNER-WILLIAMS NURSING HOME 50 2,896 4,020 87% 72% $4,020.23 5/11/2015

CONSULATE HEALTH CARE OF CHESWICK 121 8,752 10,043 90% 87% $12,149.53 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

CONSULATE HEALTH CARE OF NORTH STRABANE 62 3,867 5,240 92% 74% $5,368.17 5/11/2015

CORNWALL MANOR 108 2,851 9,071 91% 31% $0.00 5/11/2015

CORRY MANOR 121 7,253 10,054 90% 72% $10,068.62 5/11/2015 COUNTRY MEADOWS NURSING CENTER-BETHLEHEM 70 184 6,232 97% 3% $0.00 5/11/2015

COUNTRY MEADOWS OF SOUTH HILLS 194 4,931 15,473 87% 32% $0.00 5/11/2015

COUNTRYSIDE CHRISTIAN COMMUNITY 33 1,253 2,979 98% 42% $0.00 5/11/2015

COUNTRYSIDE CONVAL HOME LTD PARTNERSHIP 48 2,490 4,268 97% 58% $0.00 5/11/2015

COURTYARD GARDENS NURSING AND REHAB CTR 102 5,139 8,163 87% 63% $0.00 5/11/2015

COVENTRY MANOR HEALTH AND REHAB CTR 41 2,200 3,457 92% 64% $0.00 5/11/2015

CRANBERRY PLACE 150 7,283 11,869 86% 61% $0.00 5/11/2015

CREEKSIDE HEALTH AND REHABILITATION CTR 81 5,765 6,754 91% 85% $8,002.97 5/11/2015

CRESTVIEW CENTER 180 9,446 15,870 96% 60% $0.00 5/11/2015

CROSS KEYS VILLAGE-BRETHREN HM COMM, THE 270 13,689 23,688 95% 58% $0.00 5/11/2015

CUMBERLAND CROSSINGS RETIREMENT COMM 58 2,146 5,138 96% 42% $0.00 5/11/2015

DARWAY ELDER CARE REHABILITATION CENTER 67 5,053 6,059 98% 83% $7,014.58 5/11/2015

DEER MEADOWS REHABILITATION CENTER 206 11,702 16,966 90% 69% $16,244.72 5/11/2015

DENVER HEALTH AND REHABILITATION CENTER 82 4,934 7,317 97% 67% $6,849.38 5/11/2015

DOCK TERRACE 72 2,089 6,420 97% 33% $0.00 5/11/2015

DONAHOE MANOR 72 4,032 6,194 94% 65% $5,597.22 5/11/2015

DR ARTHUR CLIFTON MCKINLEY HEALTH CENTER 90 5,004 7,715 93% 65% $6,946.55 5/11/2015

DRESHER HILL HEALTH AND REHAB CENTER 118 8,497 9,536 88% 89% $11,795.54 5/11/2015

DUBOIS NURSING HOME 140 7,921 12,112 94% 65% $10,995.93 5/11/2015

DUNMORE HEALTH CARE CENTER 92 5,746 7,605 90% 76% $7,976.60 5/11/2015

EASTON HEALTH AND REHABILITATION CENTER 181 13,593 16,247 98% 84% $18,869.80 5/11/2015

EDGEHILL NURSING AND REHAB CENTER 60 4,864 5,394 98% 90% $6,752.21 5/11/2015

EDINBORO MANOR 121 7,121 10,270 92% 69% $9,885.37 5/11/2015

EDISON MANOR NURSING AND REHAB CENTER 118 7,123 9,257 85% 77% $9,888.15 5/11/2015

ELDERCREST NURSING CENTER 48 2,038 4,046 92% 50% $0.00 5/11/2015

ELK HAVEN NURSING HOME 120 5,889 10,626 96% 55% $0.00 5/11/2015

ELKINS CREST HEALTH AND REHAB CENTER 150 10,598 12,034 87% 88% $14,712.14 5/11/2015

ELLEN MEMORIAL HEALTH CARE CENTER 130 6,994 10,084 84% 69% $0.00 5/11/2015

ELM TERRACE GARDENS 72 2,293 6,633 100% 35% $0.00 5/11/2015

ELMWOOD GARDENS 51 2,850 4,445 95% 64% $0.00 5/11/2015

EMMANUEL CENTER FOR NURSING AND REHAB 90 4,654 8,034 97% 58% $0.00 5/11/2015

EPHRATA MANOR 120 5,619 10,364 94% 54% $0.00 5/11/2015

EPWORTH MANOR 102 6,641 8,961 95% 74% $9,219.04 5/11/2015

EVANGELICAL MANOR 120 7,305 10,542 95% 69% $10,140.80 5/11/2015

EVERGREEN HEALTH AND REHAB CENTER 115 7,480 9,759 92% 77% $10,383.74 5/11/2015

FAIR WINDS MANOR 66 4,442 5,859 96% 76% $6,166.38 5/11/2015

FAIRMOUNT HOMES 114 4,515 9,708 93% 47% $0.00 5/11/2015

FAIRVIEW CARE CENTER OF BETHLEHEM PIKE 176 12,880 15,011 93% 86% $17,880.02 5/11/2015

FAIRVIEW CARE CENTER OF PAPERMILL ROAD 129 9,083 11,464 97% 79% $12,609.02 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

FAIRVIEW MANOR 121 7,694 10,665 96% 72% $10,680.81 5/11/2015

FALLING SPRING NURSING AND REHAB CENTER 186 11,718 15,651 91% 75% $16,266.93 5/11/2015

FELLOWSHIP MANOR 121 3,267 10,596 95% 31% $0.00 5/11/2015

FORBES CENTER FOR REHAB & HEALTHCARE LLC 134 9,396 11,358 92% 83% $13,043.53 5/11/2015

FOREST CITY NURSING AND REHAB CENTER 132 6,393 9,490 78% 67% $0.00 5/11/2015

FOREST PARK HEALTH CENTER 114 7,386 10,069 96% 73% $10,253.25 5/11/2015

FORESTVIEW 80 2,112 6,650 90% 32% $0.00 5/11/2015

FOX SUBACUTE AT CLARA BURKE 60 4,361 5,227 95% 83% $6,053.94 5/11/2015

FOX SUBACUTE AT MECHANICSBURG 44 2,270 3,278 81% 69% $0.00 5/11/2015

FOX SUBACUTE CENTER 60 3,029 4,052 73% 75% $0.00 5/11/2015

FREDERICK LIVING - CEDARWOOD 61 1,328 5,360 96% 25% $0.00 5/11/2015

FREY VILLAGE 136 7,596 11,759 94% 65% $10,544.77 5/11/2015

FRIENDLY NURSING HOME - PITMAN 48 2,051 2,463 56% 83% $0.00 5/11/2015

FRIENDSHIP RIDGE 589 36,217 42,636 79% 85% $0.00 5/11/2015

FRIENDSHIP VILLAGE OF SOUTH HILLS 89 827 7,796 95% 11% $0.00 5/11/2015

FULTON COUNTY MEDICAL CENTER LTCU 67 4,620 6,058 98% 76% $6,413.48 5/11/2015

GARDEN SPOT VILLAGE 73 1,619 6,610 98% 24% $0.00 5/11/2015

GARDEN SPRING CENTER 173 12,687 15,658 98% 81% $17,612.09 5/11/2015

GARVEY MANOR 132 7,922 11,978 99% 66% $10,997.32 5/11/2015

GERMANTOWN HOME 180 14,395 16,199 98% 89% $19,983.14 5/11/2015

GETTYSBURG CENTER 118 5,530 8,276 76% 67% $0.00 5/11/2015

GLENDALE UPTOWN HOME 240 17,989 20,440 93% 88% $24,972.33 5/11/2015

GOLDEN HILL NURSING AND REHAB 204 12,602 16,902 90% 75% $17,494.10 5/11/2015

GOLDEN LIVINGCENTER-BLUE RIDGE MOUNTAIN 95 6,019 7,455 85% 81% $8,355.58 5/11/2015

GOLDEN LIVINGCENTER-CAMP HILL 95 6,706 7,920 91% 85% $9,309.27 5/11/2015

GOLDEN LIVINGCENTER-CLARION 83 3,645 5,057 66% 72% $0.00 5/11/2015

GOLDEN LIVINGCENTER-DOYLESTOWN 120 8,679 9,948 90% 87% $12,048.19 5/11/2015

GOLDEN LIVINGCENTER-EAST MOUNTAIN 120 7,704 10,459 95% 74% $10,694.69 5/11/2015

GOLDEN LIVINGCENTER-GETTYSBURG 102 7,226 9,018 96% 80% $10,031.13 5/11/2015

GOLDEN LIVINGCENTER-HAIDA 98 6,102 8,243 91% 74% $8,470.80 5/11/2015

GOLDEN LIVINGCENTER-HILLVIEW 133 7,884 11,182 91% 71% $10,944.57 5/11/2015

GOLDEN LIVINGCENTER-KINZUA 106 6,729 9,030 93% 75% $9,341.20 5/11/2015

GOLDEN LIVINGCENTER-LANCASTER 124 9,267 10,754 94% 86% $12,864.45 5/11/2015

GOLDEN LIVINGCENTER-LANSDALE 126 8,706 9,384 81% 93% $0.00 5/11/2015

GOLDEN LIVINGCENTER-MANSION 70 4,458 5,685 88% 78% $6,188.60 5/11/2015

GOLDEN LIVINGCENTER-MEYERSDALE 99 6,073 7,420 81% 82% $0.00 5/11/2015

GOLDEN LIVINGCENTER-MONROEVILLE 120 6,776 10,554 96% 64% $0.00 5/11/2015

GOLDEN LIVINGCENTER-MT LEBANON 121 7,942 9,874 89% 80% $11,025.09 5/11/2015

GOLDEN LIVINGCENTER-MURRYSVILLE 120 7,118 10,240 93% 70% $9,881.21 5/11/2015

GOLDEN LIVINGCENTER-OIL CITY 95 5,791 8,079 92% 72% $8,039.07 5/11/2015

GOLDEN LIVINGCENTER-PHOENIXVILLE 138 9,078 11,283 89% 80% $12,602.08 5/11/2015

GOLDEN LIVINGCENTER-READING 124 8,407 10,744 94% 78% $11,670.60 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

GOLDEN LIVINGCENTER-RICHLAND 97 5,436 8,212 92% 66% $7,546.26 5/11/2015

GOLDEN LIVINGCENTER-ROSEMONT 76 5,753 6,204 89% 93% $7,986.32 5/11/2015

GOLDEN LIVINGCENTER-SCRANTON 139 8,396 9,850 77% 85% $0.00 5/11/2015

GOLDEN LIVINGCENTER-SHIPPENVILLE 120 5,425 7,668 69% 71% $0.00 5/11/2015

GOLDEN LIVINGCENTER-SOUTH HILLS 104 6,511 8,576 90% 76% $9,038.57 5/11/2015

GOLDEN LIVINGCENTER-STENTON 94 6,935 7,598 88% 91% $9,627.17 5/11/2015

GOLDEN LIVINGCENTER-STROUD 127 8,972 10,969 94% 82% $12,454.93 5/11/2015

GOLDEN LIVINGCENTER-SUMMIT 120 7,159 8,621 78% 83% $0.00 5/11/2015

GOLDEN LIVINGCENTER-TITUSVILLE 77 4,963 6,409 90% 77% $6,889.64 5/11/2015

GOLDEN LIVINGCENTER-TUNKHANNOCK 124 7,790 10,402 91% 75% $10,814.08 5/11/2015

GOLDEN LIVINGCENTER-UNIONTOWN 120 7,110 10,554 96% 67% $9,870.10 5/11/2015

GOLDEN LIVINGCENTER-WALNUT CREEK 115 4,556 9,478 90% 48% $0.00 5/11/2015

GOLDEN LIVINGCENTER-WAYNESBURG 111 6,459 9,000 88% 72% $8,966.38 5/11/2015

GOLDEN LIVINGCENTER-WEST SHORE 309 14,444 18,428 65% 78% $0.00 5/11/2015

GOLDEN LIVINGCENTER-WESTERN RESERVE 133 8,262 11,359 93% 73% $11,469.31 5/11/2015

GOLDEN LIVINGCENTER-WILLIAM PENN 121 7,710 10,782 97% 72% $10,703.02 5/11/2015

GOLDEN LIVINGCENTER-YORK TERRACE 80 5,006 6,570 89% 76% $6,949.33 5/11/2015

GOOD SHEPHERD HOME RAKER CENTER 99 8,938 9,097 100% 98% $12,407.73 5/11/2015

GOOD SHEPHERD HOME-BETHLEHEM 60 5,350 5,488 99% 97% $7,426.87 5/11/2015

GRANDVIEW HEALTH HOMES, INC 172 10,633 13,524 85% 79% $14,760.73 5/11/2015

GREEN HOME, INC, THE 120 6,674 9,896 90% 67% $9,264.85 5/11/2015

GREEN RIDGE CARE CENTER 95 4,118 7,954 91% 52% $0.00 5/11/2015

GREENERY SPECIALTY CARE CENTER 140 8,640 11,037 86% 78% $11,994.05 5/11/2015

GREENLEAF NURSING HOME AND CONVAL CENTER 130 9,437 11,368 95% 83% $13,100.44 5/11/2015

GREENSBURG CARE CENTER 120 7,916 9,985 90% 79% $10,988.99 5/11/2015

GROVE MANOR 59 2,362 5,334 98% 44% $0.00 5/11/2015

GUARDIAN ELDER CARE CENTER 110 7,352 9,423 93% 78% $10,206.05 5/11/2015

GUTHRIE TOWANDA MEMORIAL HOSPITAL SNU 68 4,013 5,909 94% 68% $5,570.85 5/11/2015

GUY AND MARY FELT MANOR, INC 40 1,979 3,265 89% 61% $0.00 5/11/2015

GWYNEDD SQUARE CTR FOR NSG & CONVAL CARE 181 11,860 15,606 94% 76% $16,464.05 5/11/2015

HAMILTON ARMS CENTER 94 5,966 8,320 96% 72% $8,282.00 5/11/2015

HAMPTON HOUSE 104 7,231 8,831 92% 82% $10,038.07 5/11/2015

HANOVER HALL 152 9,033 13,067 93% 69% $12,539.61 5/11/2015

HARMAR VILLAGE CARE CENTER 130 7,643 11,213 94% 68% $10,610.01 5/11/2015

HARMON HOUSE CARE CENTER 109 7,174 9,373 93% 77% $9,958.95 5/11/2015

HARRISON SENIOR LIVING OF CHRISTIANA 139 7,930 10,260 80% 77% $0.00 5/11/2015

HARSTON HALL 120 8,706 10,550 96% 83% $12,085.67 5/11/2015

HAVEN CONVALESCENT HOME, INC 91 6,378 8,307 99% 77% $8,853.94 5/11/2015

HAVEN SKILLED REHABILITATION AND NURSING 90 4,041 5,803 70% 70% $0.00 5/11/2015

HAVENCREST NURSING CENTER 48 1,844 3,926 89% 47% $0.00 5/11/2015

HEARTHSIDE REHAB AND NURSING CENTER, THE 157 9,228 12,628 87% 73% $12,810.31 5/11/2015

HEMPFIELD MANOR 120 5,954 10,270 93% 58% $0.00 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

HENRY CLAY VILLA, LP 74 5,114 6,530 96% 78% $7,099.26 5/11/2015

HICKORY HOUSE NURSING HOME 110 4,008 8,940 88% 45% $0.00 5/11/2015

HIGHLAND MANOR REHAB & NURSING CENTER 120 8,029 9,889 90% 81% $11,145.86 5/11/2015

HIGHLAND PARK CARE CENTER 144 9,418 11,437 86% 82% $13,074.07 5/11/2015

HIGHLAND VIEW HEALTHCARE & REHAB CENTER 50 3,003 4,142 90% 73% $4,168.76 5/11/2015

HIGHLANDS CARE CENTER, THE 120 8,909 10,656 97% 84% $12,367.47 5/11/2015

HILLCREST CENTER 180 14,738 16,064 97% 92% $20,459.29 5/11/2015

HILLSDALE REHABILITATION AND NURSING CTR 74 4,398 6,286 92% 70% $6,105.30 5/11/2015

HOLY FAMILY HOME 45 3,696 4,003 97% 92% $5,130.79 5/11/2015

HOLY FAMILY MANOR 208 12,510 17,536 92% 71% $17,366.38 5/11/2015

HOLY FAMILY RESIDENCE 54 4,301 4,901 99% 88% $5,970.65 5/11/2015

HOMELAND CENTER 95 4,818 8,413 96% 57% $0.00 5/11/2015

HOMESTEAD VILLAGE, INC 60 1,589 4,839 88% 33% $0.00 5/11/2015

HOMETOWN NURSING AND REHAB CENTER 150 9,202 12,693 92% 72% $12,774.22 5/11/2015

HOMEWOOD AT MARTINSBURG PA INC 129 5,159 11,677 98% 44% $0.00 5/11/2015

HOMEWOOD AT PLUM CREEK 120 3,689 10,860 98% 34% $0.00 5/11/2015

HOPKINS CENTER 106 8,439 9,249 95% 91% $11,715.02 5/11/2015

HOSPITALITY CARE CENTER OF HERMITAGE INC 33 2,201 2,744 90% 80% $3,055.43 5/11/2015

HUNTINGDON HILLS REHAB & NURSING CENTER 93 5,313 7,296 85% 73% $7,375.51 5/11/2015

IMMACULATE MARY CTR FOR REHAB & HLTHCARE 296 19,988 26,021 96% 77% $27,747.34 5/11/2015

INGLIS HOUSE 297 25,106 26,607 97% 94% $34,852.15 5/11/2015

IVY HILL REHABILITATION AND NURSING CTR 145 9,810 12,701 95% 77% $13,618.24 5/11/2015

JAMESON CARE CENTER 78 2,806 6,838 95% 41% $0.00 5/11/2015

JEFFERSON HILLS MANOR 83 4,948 6,587 86% 75% $6,868.81 5/11/2015

JEFFERSON MANOR HEALTH CENTER 160 8,659 11,559 79% 75% $0.00 5/11/2015

JEWISH HOME OF EASTERN PENNSYLVANIA 173 11,367 14,929 94% 76% $15,779.67 5/11/2015

JEWISH HOME OF GREATER HARRISBURG 138 7,878 12,282 97% 64% $0.00 5/11/2015

JULIA POUND CARE CENTER 131 5,971 10,456 87% 57% $0.00 5/11/2015

JULIA RIBAUDO EXTENDED CARE CENTER 120 6,533 9,523 86% 69% $9,069.11 5/11/2015

KADE HEALTH AND REHABILITATION CENTER 74 5,699 6,433 94% 89% $7,911.35 5/11/2015

KEARSLEY REHAB AND NURSING CENTER 84 5,351 7,603 98% 70% $7,428.26 5/11/2015

KEPLER CENTER FOR NURSING AND REHAB 40 2,615 2,944 80% 89% $0.00 5/11/2015

KINGSTON HEALTH CARE CENTER 65 2,419 4,340 73% 56% $0.00 5/11/2015

KINKORA PYTHIAN HOME 60 2,630 4,796 87% 55% $0.00 5/11/2015

KITTANNING CARE CENTER 120 7,569 9,517 86% 80% $10,507.29 5/11/2015

KUTZTOWN MANOR 140 10,013 12,607 98% 79% $13,900.05 5/11/2015

LACKAWANNA HEALTH AND REHAB CENTER 272 16,177 18,524 74% 87% $0.00 5/11/2015

LAFAYETTE MANOR, INC 98 5,489 8,077 90% 68% $7,619.83 5/11/2015

LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) 120 4,594 10,774 98% 43% $0.00 5/11/2015

LAKESIDE HEALTH AND REHABILITATION CTR 31 1,836 2,463 86% 75% $2,548.74 5/11/2015

LAKEVIEW SENIOR CARE AND LIVING CENTER 34 2,111 2,971 95% 71% $2,930.49 5/11/2015

LANCASHIRE HALL 240 16,614 20,527 93% 81% $23,063.56 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

LANDIS HOMES 103 4,380 9,249 98% 47% $0.00 5/11/2015

LANGHORNE GARDENS REHAB AND NURSING CTR 120 8,458 10,650 96% 79% $11,741.40 5/11/2015

LATROBE HEALTH AND REHABILITATION CENTER 107 7,753 9,070 92% 85% $10,762.72 5/11/2015

LAUREL CARE NURSING AND REHAB CENTER 92 5,326 8,219 97% 65% $7,393.55 5/11/2015

LAUREL CENTER 130 8,745 11,283 94% 78% $12,139.81 5/11/2015

LAUREL RIDGE CENTER 61 3,835 5,338 95% 72% $5,323.75 5/11/2015

LAUREL VIEW VILLAGE 60 1,892 5,329 97% 36% $0.00 5/11/2015

LAUREL WOOD CARE CENTER 120 7,355 10,330 94% 71% $10,210.21 5/11/2015

LAWSON NURSING HOME, INC. 50 1,479 3,434 75% 43% $0.00 5/11/2015

LEBANON VALLEY BRETHREN HOME 100 3,333 8,596 93% 39% $0.00 5/11/2015

LEBANON VALLEY HOME THE 55 2,389 5,004 99% 48% $0.00 5/11/2015

LEHIGH CENTER 128 4,732 11,081 94% 43% $0.00 5/11/2015

LGAR HEALTH AND REHABILITATION CENTER 120 7,624 9,650 87% 79% $10,583.64 5/11/2015

LIBERTY NURSING AND REHAB CENTER 146 9,604 11,718 87% 82% $13,332.27 5/11/2015

LIFEQUEST NURSING CENTER 140 8,062 11,483 89% 70% $11,191.67 5/11/2015

LINWOOD NURSING AND REHABILITATION CTR 102 5,435 6,880 73% 79% $0.00 5/11/2015

LITTLE FLOWER MANOR 127 4,739 9,323 80% 51% $0.00 5/11/2015

LITTLE FLOWER MANOR OF DIOCESE SCRANTON 133 6,606 11,696 96% 56% $0.00 5/11/2015

LITTLE SISTERS OF THE POOR 48 4,366 4,696 106% 93% $6,060.88 5/11/2015

LOCUST GROVE RETIREMENT VILLAGE 104 7,260 9,028 94% 80% $10,078.33 5/11/2015

LOYALHANNA CARE CENTER 120 7,468 10,158 92% 74% $10,367.08 5/11/2015

LOYALSOCK CREEK REHAB AND NURSING CTR 133 7,283 10,722 88% 68% $10,110.26 5/11/2015

LUTHER ACRES MANOR 106 4,599 9,509 98% 48% $0.00 5/11/2015

LUTHER CREST NURSING FACILITY 60 1,104 5,312 96% 21% $0.00 5/11/2015

LUTHER WOODS CONVALESCENT CENTER 140 5,722 11,134 86% 51% $0.00 5/11/2015

LUTHERAN COMMUNITY AT TELFORD 75 2,484 6,315 92% 39% $0.00 5/11/2015

LUTHERAN HOME AT HOLLIDAYSBURG, THE 89 4,449 7,963 97% 56% $0.00 5/11/2015

LUTHERAN HOME AT JOHNSTOWN, THE 63 2,600 5,605 97% 46% $0.00 5/11/2015

LUTHERAN HOME AT KANE, THE 90 6,337 8,018 97% 79% $8,797.02 5/11/2015

LUTHERAN HOME AT TOPTON 194 10,673 17,551 98% 61% $0.00 5/11/2015

MAHONING VALLEY NURSING AND REHAB CENTER 142 7,455 11,744 90% 63% $0.00 5/11/2015

MAJESTIC OAKS REHAB & NURSING CENTER 180 12,775 15,188 92% 84% $17,734.26 5/11/2015

MALTA HOME 40 2,951 3,335 91% 88% $4,096.58 5/11/2015

MANATAWNY MANOR INC 133 7,468 11,739 96% 64% $0.00 5/11/2015

MANCHESTER COMMONS 78 3,352 6,794 95% 49% $0.00 5/11/2015

MANORCARE HEALTH SERVICES - ERIE 120 7,374 9,822 89% 75% $10,236.59 5/11/2015

MANORCARE HEALTH SERVICES - NORTHSIDE 100 6,994 7,864 85% 89% $9,709.07 5/11/2015

MANORCARE HEALTH SERVICES - WALLINGFORD 198 13,702 16,868 93% 81% $19,021.12 5/11/2015

MANORCARE HEALTH SVCS-ALLENTOWN 166 10,638 13,574 89% 78% $14,767.67 5/11/2015

MANORCARE HEALTH SVCS-BETHEL PARK 160 8,311 11,662 79% 71% $0.00 5/11/2015

MANORCARE HEALTH SVCS-BETHLEHEM (2021) 227 16,345 19,052 91% 86% $22,690.13 5/11/2015

MANORCARE HEALTH SVCS-BETHLEHEM (2029) 217 14,726 17,292 87% 85% $20,442.63 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

MANORCARE HEALTH SVCS-CAMP HILL 123 6,810 10,455 92% 65% $9,453.64 5/11/2015

MANORCARE HEALTH SVCS-CARLISLE 150 9,712 12,413 90% 78% $13,482.20 5/11/2015

MANORCARE HEALTH SVCS-CHAMBERSBURG 210 13,459 18,462 96% 73% $18,683.79 5/11/2015

MANORCARE HEALTH SVCS-DALLASTOWN 202 13,560 17,765 96% 76% $18,823.99 5/11/2015

MANORCARE HEALTH SVCS-EASTON 227 13,964 17,607 84% 79% $0.00 5/11/2015

MANORCARE HEALTH SVCS-ELIZABETHTOWN 73 4,157 6,058 90% 69% $5,770.75 5/11/2015

MANORCARE HEALTH SVCS-GREEN TREE 180 7,853 13,870 84% 57% $0.00 5/11/2015

MANORCARE HEALTH SVCS-HUNTINGDON VALLEY 130 8,514 10,794 90% 79% $11,819.14 5/11/2015

MANORCARE HEALTH SVCS-JERSEY SHORE 120 7,764 10,105 92% 77% $10,777.99 5/11/2015

MANORCARE HEALTH SVCS-KING OF PRUSSIA 150 8,632 11,681 85% 74% $11,982.94 5/11/2015

MANORCARE HEALTH SVCS-KINGSTON 176 10,727 13,676 84% 78% $0.00 5/11/2015

MANORCARE HEALTH SVCS-KINGSTON COURT 151 8,273 12,520 90% 66% $11,484.58 5/11/2015

MANORCARE HEALTH SVCS-LANCASTER 172 11,135 15,082 95% 74% $15,457.61 5/11/2015

MANORCARE HEALTH SVCS-LANSDALE 170 11,455 13,971 89% 82% $15,901.83 5/11/2015

MANORCARE HEALTH SVCS-LAURELDALE 198 12,865 17,444 96% 74% $17,859.19 5/11/2015

MANORCARE HEALTH SVCS-LEBANON 159 10,106 13,452 92% 75% $14,029.15 5/11/2015

MANORCARE HEALTH SVCS-MERCY FITZGERALD 129 7,150 10,793 91% 66% $9,925.63 5/11/2015

MANORCARE HEALTH SVCS-MONROEVILLE 131 5,256 9,634 80% 55% $0.00 5/11/2015

MANORCARE HEALTH SVCS-NORTH HILLS 200 11,556 15,967 87% 72% $16,042.04 5/11/2015

MANORCARE HEALTH SVCS-OXFORD VALLEY 150 7,920 12,267 89% 65% $10,994.54 5/11/2015

MANORCARE HEALTH SVCS-PETERS TOWNSHIP 140 7,153 10,396 81% 69% $0.00 5/11/2015

MANORCARE HEALTH SVCS-PITTSBURGH 197 13,295 16,088 89% 83% $18,456.12 5/11/2015

MANORCARE HEALTH SVCS-POTTSTOWN 165 10,560 13,008 86% 81% $14,659.39 5/11/2015

MANORCARE HEALTH SVCS-POTTSVILLE 179 12,417 14,568 88% 85% $17,237.28 5/11/2015

MANORCARE HEALTH SVCS-SHADYSIDE 150 9,786 12,289 89% 80% $13,584.93 5/11/2015

MANORCARE HEALTH SVCS-SINKING SPRING 214 14,357 18,833 96% 76% $19,930.39 5/11/2015

MANORCARE HEALTH SVCS-SUNBURY 126 8,261 10,991 95% 75% $11,467.92 5/11/2015

MANORCARE HEALTH SVCS-WEST READING NORTH 176 13,715 15,617 96% 88% $19,039.16 5/11/2015

MANORCARE HEALTH SVCS-WHITEHALL BOROUGH 166 4,904 13,654 89% 36% $0.00 5/11/2015

MANORCARE HEALTH SVCS-WILLIAMSPORT NORTH 152 10,317 12,219 87% 84% $14,322.06 5/11/2015

MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH 116 7,563 9,148 86% 83% $10,498.96 5/11/2015

MANORCARE HEALTH SVCS-YEADON 198 15,976 17,406 96% 92% $22,177.88 5/11/2015

MANORCARE HEALTH SVCS-YORK NORTH 161 9,416 13,682 92% 69% $13,071.29 5/11/2015

MANORCARE HEALTH SVCS-YORK SOUTH 151 9,401 13,358 96% 70% $13,050.47 5/11/2015

MAPLE FARM 46 1,983 4,009 95% 49% $0.00 5/11/2015

MAPLE WINDS CARE CENTER 50 1,988 3,492 76% 57% $0.00 5/11/2015

MAPLEWOOD NURSING AND REHABILITATION CTR 180 14,457 16,027 97% 90% $20,069.21 5/11/2015

MARGARET E. MOUL HOME 82 7,542 7,542 100% 100% $10,469.81 5/11/2015

MARIAN MANOR CORPORATION 154 7,077 12,728 90% 56% $0.00 5/11/2015

MARWOOD REST HOME, INC 87 7,223 7,835 98% 92% $10,026.97 5/11/2015

MASONIC VILLAGE AT ELIZABETHTOWN 453 22,329 38,725 93% 58% $0.00 5/11/2015

MASONIC VILLAGE AT LAFAYETTE HILL 60 3,630 5,438 99% 67% $5,039.17 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

MASONIC VILLAGE AT SEWICKLEY 128 4,792 11,355 96% 42% $0.00 5/11/2015

MASONIC VILLAGE AT WARMINSTER 28 2,100 2,529 98% 83% $2,915.22 5/11/2015

MCMURRAY HILLS MANOR 115 7,303 9,880 93% 74% $10,138.03 5/11/2015

MEADOW VIEW HEALTHCARE & REHAB CENTER 63 3,815 5,374 93% 71% $5,295.98 5/11/2015

MEADOW VIEW NURSING CENTER 150 9,288 12,830 93% 72% $12,893.60 5/11/2015

MEADOWCREST NURSING CENTER 50 2,521 3,574 78% 71% $0.00 5/11/2015

MEADOWS NURSING AND REHAB CENTER 130 5,925 10,907 91% 54% $0.00 5/11/2015

MENNO-HAVEN, INC. 152 5,866 12,545 90% 47% $0.00 5/11/2015

MENNONITE HOME, THE 188 6,514 16,358 95% 40% $0.00 5/11/2015

MERCY CENTER NURSING UNIT, INC 59 3,448 5,228 96% 66% $4,786.51 5/11/2015

MESSIAH LIFEWAYS AT MESSIAH VILLAGE 184 3,638 15,562 92% 23% $0.00 5/11/2015

MID VALLEY HEALTH CARE CENTER 38 1,315 2,869 82% 46% $0.00 5/11/2015

MIFFLIN CENTER 136 6,902 12,004 96% 57% $0.00 5/11/2015

MILFORD SENIOR CARE AND REHAB CENTER 80 5,111 7,073 96% 72% $7,095.09 5/11/2015

MILLCREEK MANOR 50 3,226 4,535 99% 71% $4,478.33 5/11/2015

MILLVILLE HEALTH AND REHABILITATION CTR 110 8,099 9,264 92% 87% $11,243.03 5/11/2015

MILTON NURSING AND REHABILITATION CENTER 138 10,190 11,869 93% 86% $14,145.76 5/11/2015

MISERICORDIA NURSING & REHAB CENTER 50 1,304 4,418 96% 30% $0.00 5/11/2015

MON VALLEY CARE CENTER 60 2,102 4,738 86% 44% $0.00 5/11/2015

MORAVIAN HALL SQ. HLTH AND WELLNESS CTR 61 460 5,379 96% 9% $0.00 5/11/2015

MORAVIAN MANOR 127 3,449 11,143 95% 31% $0.00 5/11/2015

MORRISONS COVE HOME 124 7,969 10,989 96% 73% $11,062.57 5/11/2015

MOSSER NURSING HOME 60 3,025 4,503 82% 67% $0.00 5/11/2015

MOUNT CARMEL NURSING AND REHAB CENTER 121 6,957 10,396 93% 67% $9,657.71 5/11/2015

MOUNT HOPE NAZARENE RETIREMENT COMMUNITY 50 3,590 4,570 99% 79% $4,983.64 5/11/2015

MOUNT MACRINA MANOR NURSING HOME 139 7,617 11,572 90% 66% $10,573.92 5/11/2015

MOUNTAIN CITY NURSING AND REHAB CENTER 297 20,153 24,809 91% 81% $27,976.40 5/11/2015

MOUNTAIN LAUREL NRC 240 14,801 19,418 88% 76% $20,546.75 5/11/2015

MOUNTAIN TOP SENIOR CARE AND REHAB CTR 106 7,049 9,318 96% 76% $9,785.42 5/11/2015

MOUNTAIN VIEW CARE CENTER 180 9,834 16,135 97% 61% $0.00 5/11/2015

MOUNTAIN VIEW, A NURSING AND REHAB CTR 271 14,008 17,811 71% 79% $0.00 5/11/2015

MOUNTAINVIEW SPECIALTY CARE CENTER 137 8,147 9,968 79% 82% $0.00 5/11/2015

MULBERRY SQUARE 75 4,612 6,577 95% 70% $6,402.38 5/11/2015

NAAMANS CREEK COUNTRY MANOR 90 4,453 7,625 92% 58% $0.00 5/11/2015

NEW EASTWOOD HEALTHCARE AND REHAB CENTER 97 4,493 8,425 94% 53% $0.00 5/11/2015

NORMANDIE RIDGE 64 2,404 5,358 91% 45% $0.00 5/11/2015

NORTH HILLS HEALTH AND REHAB CENTER 55 2,719 4,621 91% 59% $0.00 5/11/2015

NOTTINGHAM VILLAGE 121 6,037 9,844 88% 61% $0.00 5/11/2015

NUGENT CONVALESCENT HOME 105 6,496 9,218 95% 70% $9,017.75 5/11/2015

OAK HILL NURSING AND REHAB CENTER 48 1,983 3,735 85% 53% $0.00 5/11/2015

OAKMONT CENTER FOR NURSING AND REHAB 85 5,619 6,598 84% 85% $0.00 5/11/2015

OAKWOOD HEALTHCARE & REHABILITATION CTR 148 9,663 12,289 90% 79% $13,414.18 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

OAKWOOD HEIGHTS 106 6,559 9,246 95% 71% $9,105.20 5/11/2015

OHESSON MANOR 134 8,575 11,772 95% 73% $11,903.82 5/11/2015

OLD ORCHARD HEALTH CARE CENTER 180 10,229 15,461 93% 66% $14,199.90 5/11/2015

ORANGEVILLE HEALTH AND REHAB CENTER 120 7,803 9,931 90% 79% $10,832.13 5/11/2015

ORCHARD MANOR, INC 121 7,683 10,911 98% 70% $10,665.54 5/11/2015

ORWIGSBURG CENTER 130 8,058 10,491 88% 77% $11,186.12 5/11/2015

OVERLOOK HEALTH AND REHAB CENTER 115 7,466 9,054 86% 82% $10,364.30 5/11/2015

OXFORD HEALTH CENTER 137 7,178 12,070 96% 59% $0.00 5/11/2015

PALMYRA HEALTH AND REHABILITATION CTR 39 2,260 3,019 84% 75% $0.00 5/11/2015

PARK AVENUE REHAB AND NURSING CENTER 173 10,970 13,780 87% 80% $15,228.56 5/11/2015

PARKHOUSE NURSING AND REHABILITATION CTR 467 34,172 41,127 96% 83% $47,437.57 5/11/2015

PASSAVANT RETIREMENT AND HEALTH CENTER 158 5,480 8,964 62% 61% $0.00 5/11/2015

PAUL'S RUN 120 3,951 10,579 96% 37% $0.00 5/11/2015

PAVILION AT BRMC 95 5,170 7,892 90% 66% $7,176.99 5/11/2015

PEMBROOKE HEALTH AND REHAB CENTER 180 12,783 15,303 92% 84% $17,745.36 5/11/2015

PENN CENTER FOR REHABILITATION AND CARE 124 8,281 10,255 90% 81% $11,495.68 5/11/2015

PENN HALL AT MENNO HAVEN 60 2,212 5,433 98% 41% $0.00 5/11/2015

PENNKNOLL VILLAGE 133 9,696 11,929 97% 81% $13,459.99 5/11/2015

PENNSBURG MANOR 120 7,408 10,693 97% 69% $10,283.79 5/11/2015

PENNYPACK CENTER 54 2,279 4,363 88% 52% $0.00 5/11/2015

PETER BECKER COMMUNITY 72 1,751 6,234 94% 28% $0.00 5/11/2015

PHILADELPHIA PROTESTANT HOME 126 4,928 11,124 96% 44% $0.00 5/11/2015

PHOEBE ALLENTOWN HEALTH CARE 395 21,769 32,844 90% 66% $30,219.73 5/11/2015

PHOEBE BERKS HEALTH CARE CENTER, INC 120 2,176 8,396 76% 26% $0.00 5/11/2015

PHOEBE RICHLAND HCC 143 6,269 11,202 85% 56% $0.00 5/11/2015

PHOEBE WYNCOTE 58 3,605 5,111 96% 71% $5,004.46 5/11/2015

PICKERING MANOR HOME 47 1,432 4,205 97% 34% $0.00 5/11/2015

PINE RUN HEALTH CENTER 107 1,008 5,347 54% 19% $0.00 5/11/2015

PINECREST MANOR 138 7,909 11,342 89% 70% $10,979.27 5/11/2015

PLATINUM RIDGE CTR FOR REHAB & HEALING 97 5,863 7,905 89% 74% $8,139.02 5/11/2015

PLEASANT VIEW RETIREMENT COMMUNITY 133 5,266 11,257 92% 47% $0.00 5/11/2015

POWERBACK REHABILITATION 1526 150 4,497 12,078 88% 37% $0.00 5/11/2015

POWERBACK REHABILITATION 1700 99 3,234 7,762 85% 42% $0.00 5/11/2015

POWERBACK REHABILITATION 3485 109 1,280 8,626 86% 15% $0.00 5/11/2015

PRAXIS ALZHEIMER'S FACILITY 115 8,904 10,353 98% 86% $12,360.53 5/11/2015

PRESBYTERIAN HOME OF GREATER JOHNSTOWN 41 2,370 3,474 92% 68% $3,290.03 5/11/2015

PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON 67 2,946 5,667 92% 52% $0.00 5/11/2015

PRESQUE ISLE REHAB & NURSING CENTER 141 9,975 11,453 88% 87% $13,847.30 5/11/2015

PROSPECT PARK HEALTH AND REHAB CENTER 180 11,790 15,437 93% 76% $16,366.88 5/11/2015

PROVIDENCE CARE CENTER 180 13,452 16,160 98% 83% $18,674.07 5/11/2015

QUAKERTOWN CENTER 138 8,785 12,022 95% 73% $12,195.34 5/11/2015

QUARRYVILLE PRESBYTERIAN RETIREMENT COMM 130 3,683 9,666 81% 38% $0.00 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

QUINCY RETIREMENT COMMUNITY 134 7,606 11,799 96% 64% $0.00 5/11/2015

REDSTONE HIGHLANDS HEALTH CARE CENTER 77 3,709 6,854 97% 54% $0.00 5/11/2015

REFORMED PRESBYTERIAN HOME 58 3,177 4,549 85% 70% $4,410.31 5/11/2015

REGINA COMMUNITY NURSING CENTER 121 8,069 10,670 96% 76% $11,201.39 5/11/2015

REHAB & NURSING CTR GREATER PITTSBURGH 120 3,683 9,325 84% 39% $0.00 5/11/2015

RENAISSANCE HEALTHCARE & REHAB CENTER 123 9,096 10,903 96% 83% $12,627.07 5/11/2015

REST HAVEN-YORK 159 9,146 13,294 91% 69% $12,696.48 5/11/2015

RHEEMS NURSING AND REHABILITATION CENTER 45 2,569 3,528 85% 73% $3,566.29 5/11/2015

RICHBORO REHAB AND NURSING CENTER 82 4,758 6,791 90% 70% $6,605.06 5/11/2015

RICHFIELD SENIOR LIVING AND REHAB CENTE 40 2,475 3,371 92% 73% $3,435.80 5/11/2015

RIDGEVIEW ELDER CARE REHAB CENTER 131 8,758 11,589 96% 76% $12,157.86 5/11/2015

RIDGEVIEW HEALTHCARE & REHAB CENTER, LLC 111 5,257 7,418 73% 71% $0.00 5/11/2015

RIVER RUN REHAB AND NURSING CENTER 145 6,486 8,292 62% 78% $0.00 5/11/2015

RIVER'S EDGE NURSING AND REHAB CENTER 120 6,449 9,473 86% 68% $8,952.50 5/11/2015

RIVERSIDE CARE CENTER 120 8,177 10,075 91% 81% $11,351.31 5/11/2015

RIVERSIDE REHABILITATION AND NURSING CTR 161 11,159 13,823 93% 81% $15,490.92 5/11/2015

RIVERSTREET MANOR 122 6,843 10,321 92% 66% $9,499.45 5/11/2015

RIVERWOODS 226 8,686 14,201 68% 61% $0.00 5/11/2015

ROCHESTER MANOR 122 5,748 7,944 71% 72% $0.00 5/11/2015

ROCKHILL MENNONITE COMMUNITY 90 2,438 7,328 89% 33% $0.00 5/11/2015

ROLLING FIELDS, INC 181 12,108 15,619 94% 78% $16,808.33 5/11/2015

ROLLING HILLS MANOR 57 4,350 5,023 96% 87% $6,038.67 5/11/2015

ROLLING MEADOWS 121 6,999 9,688 87% 72% $9,716.01 5/11/2015

ROSE VIEW CENTER 123 8,383 11,069 98% 76% $11,637.28 5/11/2015

RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 114 2,047 9,557 91% 21% $0.00 5/11/2015

SAINT ANNE HOME 125 6,113 11,189 97% 55% $0.00 5/11/2015

SAINT ANNE'S RETIREMENT COMMUNITY 119 3,761 9,047 83% 42% $0.00 5/11/2015

SAINT JOHN XXIII HOME 90 5,112 7,836 95% 65% $7,096.48 5/11/2015

SAINT JOSEPH VILLA 106 5,351 8,769 90% 61% $0.00 5/11/2015

SAINT MARY'S AT ASBURY RIDGE 80 3,430 6,921 94% 50% $0.00 5/11/2015

SAINT MARY'S EAST 139 7,105 12,429 97% 57% $0.00 5/11/2015

SAINT MARY'S VILLA NURSING HOME, INC 112 6,678 9,929 96% 67% $9,270.40 5/11/2015

SAINT PAUL HOMES 192 10,186 17,470 99% 58% $0.00 5/11/2015

SANATOGA CENTER 130 6,757 11,680 98% 58% $0.00 5/11/2015

SARAH A TODD MEMORIAL HOME 117 6,873 10,549 98% 65% $9,541.10 5/11/2015

SARAH REED SENIOR LIVING 106 4,792 9,314 96% 51% $0.00 5/11/2015

SAUNDERS HOUSE 180 8,632 15,169 92% 57% $0.00 5/11/2015

SAXONY HEALTH CENTER 68 3,785 5,712 91% 66% $5,254.34 5/11/2015

SAYRE HEALTH CARE CENTER, LLC 50 1,641 3,865 84% 42% $0.00 5/11/2015

SCENERY HILL HEALTHCARE & REHAB CENTER 56 2,832 4,436 86% 64% $0.00 5/11/2015

SCHUYLKILL CENTER 190 13,085 16,877 97% 78% $18,164.60 5/11/2015

SCOTTDALE MANOR REHABILITATION CENTER 35 1,077 2,976 92% 36% $0.00 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

SCRANTON HEALTH CARE CENTER 44 2,067 3,817 94% 54% $0.00 5/11/2015

SENA-KEAN MANOR 152 9,432 11,736 84% 80% $0.00 5/11/2015

SENECA PLACE 174 9,010 12,781 80% 70% $0.00 5/11/2015

SETON MANOR INC 120 7,201 10,289 93% 70% $9,996.43 5/11/2015

SHENANDOAH MANOR NURSING CENTER 124 9,059 10,902 96% 83% $12,575.70 5/11/2015

SHENANGO PRESBYTERIAN SENIORCARE 25 356 2,210 96% 16% $0.00 5/11/2015

SHERWOOD OAKS 43 92 3,187 81% 3% $0.00 5/11/2015

SHIPPENSBURG HEALTH CARE CENTER 125 8,837 11,213 98% 79% $12,267.52 5/11/2015

SHOOK HOME, THE 65 2,787 5,656 95% 49% $0.00 5/11/2015

SIEMONS' LAKEVIEW MANOR NSG AND REHAB 120 8,048 10,396 94% 77% $11,172.23 5/11/2015

SILVER LAKE CENTER 174 12,079 14,506 91% 83% $16,768.07 5/11/2015

SILVER OAKS HEALTH AND REHAB CENTER 62 4,964 5,353 94% 93% $6,891.03 5/11/2015

SILVER STREAM CENTER 120 10,164 10,879 99% 93% $14,109.67 5/11/2015

SIMPSON HOUSE, INC 154 11,686 13,753 97% 85% $16,222.51 5/11/2015

SLATE BELT NURSING AND REHAB CENTER 126 7,101 10,982 95% 65% $9,857.61 5/11/2015

SMITH HEALTH CARE, LTD 37 1,598 3,184 94% 50% $0.00 5/11/2015

SNYDER MEMORIAL HEALTH CARE CENTER 100 7,483 8,718 95% 86% $10,387.90 5/11/2015

SOMERTON CENTER 229 16,941 20,343 97% 83% $23,517.50 5/11/2015

SOUDERTON MENNONITE HOMES 71 2,623 6,218 95% 42% $0.00 5/11/2015

SOUTH FAYETTE NURSING CENTER 60 4,830 5,245 95% 92% $6,705.01 5/11/2015

SOUTHMONT OF PRESBYTERIAN SENIORCARE 155 6,825 12,750 89% 54% $0.00 5/11/2015

SOUTHWESTERN NURSING CARE CENTER 118 4,911 8,957 83% 55% $0.00 5/11/2015

SPANG CREST MANOR 105 4,821 9,173 95% 53% $0.00 5/11/2015

SPIRITRUST LUTHERAN VLG @ SHREWSBURY 100 4,652 8,344 91% 56% $0.00 5/11/2015

SPIRITRUST LUTHERAN VLG @ GETTYSBURG 100 4,241 8,189 89% 52% $0.00 5/11/2015

SPIRITRUST LUTHERAN VLG @ SPRENKLE DRIVE 104 5,084 9,073 95% 56% $0.00 5/11/2015

SPIRITRUST LUTHERAN VLG @ UTZ TERRACE 40 2,392 3,565 97% 67% $3,320.57 5/11/2015

SPRING CREEK REHAB AND HEALTH CARE CTR 404 27,322 32,165 87% 85% $37,928.40 5/11/2015

SPRINGS AT THE WATERMARK, THE 109 3,514 8,748 87% 40% $0.00 5/11/2015

SPRUCE MANOR NURSING AND REHAB CENTER 184 13,687 16,365 97% 84% $19,000.29 5/11/2015

SQUIRREL HILL CTR FOR REHAB AND HEALING 178 11,588 13,045 80% 89% $0.00 5/11/2015

ST FRANCIS CENTER FOR REHAB & HEALTHCARE 273 19,001 23,888 95% 80% $26,377.19 5/11/2015

ST JOHN NEUMANN CTR FOR REHAB & HLTHCARE 226 15,798 19,940 96% 79% $21,930.79 5/11/2015

ST JOHN SPECIALTY CARE CENTER 300 15,785 20,765 75% 76% $0.00 5/11/2015

ST JOSEPH'S MANOR (DBA ENTITY OF HRHS) 296 14,490 26,347 97% 55% $0.00 5/11/2015

ST LUKE'S REHABILITATION AND NURSING CTR 48 2,198 4,001 91% 55% $0.00 5/11/2015

ST MARTHA CENTER FOR REHAB & HEALTHCARE 120 5,446 10,575 96% 51% $0.00 5/11/2015

ST MARY CENTER FOR REHAB & HEALTHCARE 120 5,892 10,383 94% 57% $0.00 5/11/2015

ST MONICA CENTER FOR REHAB & HEALTHCARE 180 11,141 16,089 97% 69% $15,465.94 5/11/2015

ST. BARNABAS NURSING HOME 172 4,578 8,562 54% 53% $0.00 5/11/2015

ST. IGNATIUS NURSING & REHAB CENTER 176 13,447 15,408 95% 87% $18,667.13 5/11/2015

ST. LUKE'S VILLA 50 2,303 4,280 93% 54% $0.00 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

STATESMAN HEALTH AND REHAB CENTER 101 6,904 8,811 95% 78% $9,584.13 5/11/2015

STERLING HEALTH CARE AND REHAB CENTER 164 12,822 14,530 96% 88% $17,799.50 5/11/2015

STONEBRIDGE HEALTH AND REHAB CENTER 60 3,196 5,365 97% 60% $0.00 5/11/2015

STONERIDGE POPLAR RUN 60 2,534 5,260 95% 48% $0.00 5/11/2015

STONERIDGE TOWNE CENTRE 152 6,821 10,635 76% 64% $0.00 5/11/2015

SUBURBAN WOODS HEALTH AND REHAB CENTER 120 7,946 10,014 91% 79% $11,030.64 5/11/2015

SUGAR CREEK REST 114 7,833 9,678 92% 81% $10,873.77 5/11/2015

SUGAR CREEK STATION SKILLED NSG & REHAB 160 8,949 11,780 80% 76% $0.00 5/11/2015

SUMMIT AT BLUE MOUNTAIN NURSING & REHAB 91 5,723 8,205 98% 70% $7,944.67 5/11/2015

SUNBURY COMMUNITY HEALTH & REHAB CENTER 29 1,187 2,339 88% 51% $0.00 5/11/2015

SUNNYVIEW NURSING AND REHABILITATION CTR 220 15,603 19,759 98% 79% $21,660.09 5/11/2015

SUSQUEHANNA HLTH SKILLED NSG & REHAB CTR 138 8,570 11,543 91% 74% $11,896.87 5/11/2015

SUSQUEHANNA VALLEY NURSING AND REHAB CTR 173 9,365 13,016 82% 72% $0.00 5/11/2015

SWAIM HEALTH CENTER 79 3,877 6,749 93% 57% $0.00 5/11/2015

SWEDEN VALLEY MANOR 121 7,030 9,116 82% 77% $0.00 5/11/2015

TEL HAI RETIREMENT COMMUNITY 139 5,699 12,296 96% 46% $0.00 5/11/2015

THE BELVEDERE CENTER, GENESIS HEALTHCARE 150 12,493 13,575 98% 92% $17,342.78 5/11/2015

THE MANOR AT PENN VILLAGE 159 10,366 14,187 97% 73% $14,390.08 5/11/2015

THE MANOR AT PERRY VILLAGE 123 8,511 10,654 94% 80% $11,814.97 5/11/2015

THE MANOR AT ST LUKE VILLAGE 104 6,635 9,198 96% 72% $9,210.71 5/11/2015

THE MANOR AT SUSQUEHANNA VILLAGE 194 11,770 15,745 88% 75% $16,339.12 5/11/2015

THE PATRIOT, A CHOICE COMMUNITY 100 5,411 8,439 92% 64% $0.00 5/11/2015

THE PAVILION AT ST LUKE VILLAGE 120 7,715 10,603 96% 73% $10,709.96 5/11/2015

THE RIDGE AT WHITEMARSH HEALTH AND REHAB 244 16,322 18,440 82% 89% $0.00 5/11/2015

THORNWALD HOME 83 4,269 7,469 98% 57% $0.00 5/11/2015

TIMBER RIDGE HEALTH CENTER 180 12,277 15,548 94% 79% $17,042.93 5/11/2015

TOWNE MANOR EAST 120 8,549 9,672 88% 88% $11,867.72 5/11/2015

TOWNE MANOR WEST 119 8,700 10,106 92% 86% $12,077.34 5/11/2015

TOWNVIEW HEALTH AND REHAB CENTER 118 6,393 8,612 79% 74% $0.00 5/11/2015

TRANSITIONS HEALTHCARE AUTUMN GROVE 103 7,819 9,162 97% 85% $10,854.34 5/11/2015

TRANSITIONS HEALTHCARE GETTYSBURG 135 9,184 11,770 95% 78% $12,749.23 5/11/2015

TRANSITIONS HEALTHCARE NORTH HUNTINGDON 120 5,882 9,348 85% 63% $0.00 5/11/2015

TRANSITIONS HEALTHCARE WASHINGTON PA 120 6,362 9,182 83% 69% $0.00 5/11/2015

TREMONT HEALTH AND REHABILITATION CENTER 180 12,595 15,665 95% 80% $17,484.38 5/11/2015

TRINITY LIVING CENTER 109 7,116 9,446 94% 75% $9,878.43 5/11/2015

TUCKER HOUSE NSG & REHAB CTR 180 13,374 16,001 97% 84% $18,565.79 5/11/2015

TWIN OAKS HEALTH AND REHAB CENTER 53 2,195 4,656 95% 47% $0.00 5/11/2015

TWIN PINES HEALTH CARE CENTER 120 7,028 9,092 82% 77% $0.00 5/11/2015

UNITED ZION RETIREMENT COMMUNITY 59 1,924 5,092 94% 38% $0.00 5/11/2015

UPMC HERITAGE PLACE 145 8,247 11,488 86% 72% $11,448.49 5/11/2015

VALENCIA WOODS AT ST BARNABAS 47 773 2,665 62% 29% $0.00 5/11/2015

VALLEY MANOR NURSING AND REHAB CENTER 180 12,256 14,924 90% 82% $17,013.78 5/11/2015

Provider Name # of

Beds

Total PA MA Days

Total Resident

Days Overall

% MA %

Quarterly Nonpublic

MDOI RA Date

VALLEY VIEW HAVEN, INC 122 5,718 10,311 92% 55% $0.00 5/11/2015

VALLEY VIEW HEALTH & REHABILITATION CTR 240 16,445 20,996 95% 78% $22,828.95 5/11/2015

VALLEY VIEW NURSING CENTER 173 8,248 13,193 83% 63% $0.00 5/11/2015

VILLA SAINT JOSEPH OF BADEN INC. 120 6,370 10,802 98% 59% $0.00 5/11/2015

VILLAGE AT LUTHER SQUARE 110 8,415 9,769 97% 86% $11,681.70 5/11/2015

VILLAGE AT PENNWOOD 126 8,369 9,841 85% 85% $11,617.85 5/11/2015

VINCENTIAN DE MARILLAC 50 3,344 4,246 92% 79% $4,642.14 5/11/2015

VINCENTIAN HOME 180 7,709 15,673 95% 49% $0.00 5/11/2015

WARREN MANOR 121 5,778 9,731 87% 59% $0.00 5/11/2015

WATSONTOWN NURSING AND REHAB CENTER 125 7,173 9,815 85% 73% $9,957.56 5/11/2015

WAYNE CENTER 112 6,108 9,536 93% 64% $0.00 5/11/2015

WAYNE WOODLANDS MANOR 121 6,242 9,576 86% 65% $8,665.14 5/11/2015

WEATHERWOOD NURSING HOME AND REHAB CTR 200 12,971 17,381 94% 75% $18,006.34 5/11/2015

WESBURY UNITED METHODIST COMMUNITY 210 11,134 18,090 94% 62% $0.00 5/11/2015

WESLEY ENHANCED LIVING AT STAPELY 120 7,369 10,102 92% 73% $10,229.65 5/11/2015

WESLEY ENHANCED LIVING MAIN LINE REHAB 60 1,091 5,179 94% 21% $0.00 5/11/2015

WESLEY ENHANCED LIVING-DOYLESTOWN 60 2,124 5,115 93% 42% $0.00 5/11/2015

WESLEY VILLAGE 183 10,186 15,726 93% 65% $14,140.21 5/11/2015

WEST HAVEN MANOR 177 9,662 13,686 84% 71% $0.00 5/11/2015

WEST HILLS HEALTH AND REHAB CENTER 150 6,708 13,105 95% 51% $0.00 5/11/2015

WESTGATE REHABILITATION AND NURSING CTR 110 6,295 9,495 94% 66% $8,738.72 5/11/2015

WESTMINSTER VILLAGE 111 7,605 9,869 97% 77% $10,557.26 5/11/2015

WESTMINSTER WOODS AT HUNTINGDON 64 2,353 5,677 96% 41% $0.00 5/11/2015

WESTON REHABILITATION AND NURSING CENTER 49 1,726 3,894 86% 44% $0.00 5/11/2015

WEXFORD HEALTHCARE CENTER 182 9,237 14,716 88% 63% $0.00 5/11/2015

WHITE CLIFF HEALTH AND REHAB CENTER 154 10,802 13,512 95% 80% $14,995.34 5/11/2015

WHITESTONE CARE CENTER 90 4,700 7,635 92% 62% $0.00 5/11/2015

WILLIAM PENN CARE CENTER 155 7,668 12,424 87% 62% $0.00 5/11/2015

WILLIAMSPORT HOME, THE 129 5,746 11,246 95% 51% $0.00 5/11/2015

WILLOW TERRACE 180 12,312 15,111 91% 81% $17,091.52 5/11/2015

WILLOWBROOKE COURT AT BRITTANY POINTE 92 653 7,756 92% 8% $0.00 5/11/2015

WILLOWCREST 102 1,833 4,774 51% 38% $0.00 5/11/2015

WILLOWS OF PRESBYTERIAN SENIORCARE, THE 200 7,644 16,760 91% 46% $0.00 5/11/2015

WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 120 8,497 10,794 98% 79% $11,795.54 5/11/2015

WOODHAVEN CARE CENTER 120 7,847 9,690 88% 81% $10,893.21 5/11/2015

WOODLAND RETIREMENT COMMUNITY 125 8,182 9,400 82% 87% $0.00 5/11/2015

WYOMISSING HEALTH AND REHABILITATION CTR 103 5,672 8,326 88% 68% $7,873.87 5/11/2015

YORK NURSING AND REHABILITATION CENTER 240 18,091 21,234 96% 85% $25,113.93 5/11/2015

ZERBE SISTERS NURSING CENTER, INC. 87 5,321 7,660 96% 69% $7,386.61 5/11/2015