Nursing Home Benchmark Rates (COVID-Positive Only Facilities)
- Rates also available in Portable Document Format (PDF)
Non Medicare Eligible
New York State Department of Health Bureau Of Long Term Care Reimbursement |
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01/01/21 - 12/31/21 - COVID Rate Enhancement Nursing Home Benchmark Rates Non Medicare Eligible |
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01/01/21 Statewide Pricing Rate Computation Sheet | Final All Inclusive Benchmark | ||||||||||||||||||||||||||||||||||
Misc Per Diem Adjustment | |||||||||||||||||||||||||||||||||||
Opcert | Name | Date | Bed Count | Non-Comp Component - Refer to Non Comp Ancillaries Tab |
Non Medicare Eligible Direct Component | Indirect Component | TBI, BMI, Dementia Add On | Transition Adjustment | Misc. | 2% Penalty on Poor Performing Nursing Homes |
Minimum Wage Adjustment | Transformation 1.5% Investment | 5% Capital Reduction | Bed Hold Per Diem Adjustment |
Case Mix Percent Adjustment |
Total Price | Capital | Total Price + Capital Per Diem | COVID Rate Enhancement | 2020 Cash Receipts (CRA) Per Diem | Non Medicare Eligible Total Payment |
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700341210 | Beach Gardens Rehab and Nursing Center | 01/01/2021 | 163 | $ 9.90 | $ 180.33 | $ 61.39 | $ 1.13 | $ - | $ - | $ - | $ 0.80 | $ 3.73 | $ (1.11) | $ (0.72) | $ - | $ 255.45 | $ 22.14 | $ 277.59 | $ 138.79 | $ 15.94 | $ 432.32 | ||||||||||||||
540131110 | Cayuga Ridge Extended Care | 01/01/2021 | 187 | $ 10.49 | $ 113.63 | $ 50.18 | $ 1.99 | $ - | $ - | $ (4.58) | $ 0.75 | $ 2.83 | $ (2.60) | $ (0.45) | $ - | $ 172.24 | $ 51.97 | $ 224.21 | $ 112.11 | $ 15.06 | $ 351.38 | ||||||||||||||
252530110 | Conesus Lake Nursing Home LLC | 01/01/2021 | 48 | $ 6.34 | $ 121.00 | $ 51.52 | $ 6.01 | $ - | $ - | $ - | $ 2.99 | $ 2.82 | $ (1.58) | $ (0.52) | $ 2.87 | $ 191.45 | $ 31.68 | $ 223.13 | $ 111.56 | $ 16.49 | $ 351.18 | ||||||||||||||
145130710 | Elderwood at Amherst | 01/01/2021 | 92 | $ 9.39 | $ 133.08 | $ 51.94 | $ 0.20 | $ - | $ - | $ - | $ 1.23 | $ 2.77 | $ (1.29) | $ (0.48) | $ (7.75) | $ 189.09 | $ 25.70 | $ 214.79 | $ 107.39 | $ 19.52 | $ 341.70 | ||||||||||||||
140630110 | Harris Hill Nursing Facility LLC | 01/01/2021 | 192 | $ 10.52 | $ 130.26 | $ 50.06 | $ 0.81 | $ - | $ - | $ - | $ 1.41 | $ 2.85 | $ (0.81) | $ (0.58) | $ - | $ 194.52 | $ 16.11 | $ 210.63 | $ 105.31 | $ 16.68 | $ 332.62 | ||||||||||||||
700030210 | Hebrew Home For The Aged At Riverdale | 01/01/2021 | 843 | $ 23.43 | $ 188.47 | $ 69.75 | $ 0.83 | $ - | $ - | $ - | $ 0.05 | $ 4.13 | $ (1.00) | $ (0.95) | $ - | $ 284.71 | $ 19.91 | $ 304.62 | $ 152.31 | $ 20.28 | $ 477.21 | ||||||||||||||
276130210 | Hill Haven Nursing Home | 01/01/2021 | 288 | $ 9.28 | $ 108.96 | $ 60.27 | $ 3.44 | $ - | $ - | $ - | $ 0.15 | $ 2.90 | $ (0.27) | $ (0.56) | $ (0.91) | $ 183.26 | $ 5.41 | $ 188.67 | $ 94.34 | $ 13.69 | $ 296.70 | ||||||||||||||
330132710 | Loretto Health and Rehabilitation Center | 01/01/2021 | 583 | $ 11.38 | $ 153.23 | $ 61.73 | $ 2.73 | $ - | $ - | $ - | $ 0.17 | $ 3.31 | $ (0.95) | $ (0.52) | $ (8.04) | $ 223.04 | $ 19.04 | $ 242.08 | $ 121.04 | $ 16.79 | $ 379.91 | ||||||||||||||
291030010 | North Shore-LIJ Orzac Center for Rehabilitation | 01/01/2021 | 120 | $ 15.92 | $ 185.42 | $ 63.34 | $ - | $ - | $ - | $ - | $ - | $ 3.78 | $ (0.97) | $ (0.74) | $ (17.85) | $ 248.90 | $ 19.34 | $ 268.24 | $ 134.12 | $ 48.85 | $ 451.21 | ||||||||||||||
132730210 | Northern Dutchess Residential Health Care Facility Inc | 01/01/2021 | 100 | $ 15.67 | $ 86.91 | $ 51.37 | $ 2.05 | $ - | $ - | $ - | $ - | $ 2.91 | $ (0.40) | $ (0.52) | $ - | $ 157.99 | $ 8.01 | $ 166.00 | $ 83.00 | $ 20.33 | $ 269.32 | ||||||||||||||
515500030 | Peconic Bay Skilled Nursing Facility | 01/01/2021 | 60 | $ 29.17 | $ 145.59 | $ 69.57 | $ 3.84 | $ - | $ - | $ - | $ - | $ 3.44 | $ (2.15) | $ (0.92) | $ (4.36) | $ 244.18 | $ 42.94 | $ 287.12 | $ 143.56 | $ 150.75 | $ 581.43 | ||||||||||||||
596030410 | Salem Hills Rehabilitation and Nursing Center | 01/01/2021 | 126 | $ 14.02 | $ 180.86 | $ 58.56 | $ 0.48 | $ - | $ - | $ - | $ 0.06 | $ 3.70 | $ (1.29) | $ (0.60) | $ - | $ 255.79 | $ 25.74 | $ 281.53 | $ 140.76 | $ 20.22 | $ 442.51 | ||||||||||||||
700180610 | Sea Crest Nursing and Rehabilitation Center | 01/01/2021 | 305 | $ 9.42 | $ 204.40 | $ 67.63 | $ 2.33 | $ - | $ - | $ (6.21) | $ 0.43 | $ 4.22 | $ (1.20) | $ (0.67) | $ - | $ 280.35 | $ 23.96 | $ 304.31 | $ 152.16 | $ 18.46 | $ 474.93 | ||||||||||||||
015330210 | Shaker Place Rehabilitation and Nursing Center | 01/01/2021 | 250 | $ 12.66 | $ 145.52 | $ 60.36 | $ 1.71 | $ - | $ - | $ - | $ - | $ 3.31 | $ (4.03) | $ (0.59) | $ - | $ 218.94 | $ 80.57 | $ 299.51 | $ 149.75 | $ 17.15 | $ 466.41 | ||||||||||||||
070130230 | St Josephs Hospital - Skilled Nursing Facility | 01/01/2021 | 85 | $ 16.79 | $ 109.78 | $ 55.33 | $ 2.93 | $ - | $ - | $ - | $ 0.07 | $ 2.93 | $ (0.13) | $ (0.49) | $ (3.73) | $ 183.48 | $ 2.52 | $ 186.00 | $ 93.00 | $ - | $ 279.01 | ||||||||||||||
700234510 | Terence Cardinal Cooke Health Care Ctr | 01/01/2021 | 559 | $ 31.62 | $ 189.18 | $ 67.70 | $ 1.92 | $ - | $ - | $ - | $ 0.09 | $ 4.37 | $ (0.90) | $ (0.78) | $ - | $ 293.20 | $ 17.96 | $ 311.16 | $ 155.58 | $ 23.31 | $ 490.05 | ||||||||||||||
700234010 | The New Jewish Home, Manhattan | 01/01/2021 | 514 | $ 29.58 | $ 222.54 | $ 68.88 | $ 1.50 | $ - | $ - | $ - | $ 0.33 | $ 4.46 | $ (0.73) | $ (0.90) | $ (19.93) | $ 305.73 | $ 14.52 | $ 320.25 | $ 160.12 | $ 18.43 | $ 498.80 | ||||||||||||||
700039610 | The Plaza Rehab and Nursing Center (Bronx County) | 01/01/2021 | 744 | $ 23.40 | $ 220.43 | $ 69.03 | $ 1.44 | $ - | $ - | $ - | $ 0.46 | $ 4.56 | $ (2.29) | $ (0.80) | $ - | $ 316.23 | $ 45.89 | $ 362.12 | $ 181.06 | $ 22.09 | $ 565.28 | ||||||||||||||
270135910 | The Shore Winds LLC | 01/01/2021 | 229 | $ 8.17 | $ 102.64 | $ 51.51 | $ 2.62 | $ - | $ - | $ - | $ 3.50 | $ 2.46 | $ (0.31) | $ (0.43) | $ - | $ 170.16 | $ 6.17 | $ 176.33 | $ 88.17 | $ 10.96 | $ 275.46 |
Medicare Eligible
New York State Department of Health Bureau Of Long Term Care Reimbursement |
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01/01/21 - 12/31/21 - COVID Rate Enhancement Nursing Home Benchmark Rates Medicare Eligible |
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01/01/21 Statewide Pricing Rate Computation Sheet | Inclusive Benchmark | ||||||||||||||||||||
Misc Per Diem Adjustment | |||||||||||||||||||||
Opcert | Name | Date | Bed Count | Non-Comp Component - Refer to Non Comp Ancillaries Tab |
Non Medicare Eligible Direct Component | Indirect Component | TBI, BMI, Dementia Add On | Transition Adjustment | Misc. | 2% Penalty on Poor Performing Nursing Homes |
Minimum Wage Adjustment | Transformation 1.5% Investment | 5% Capital Reduction | Bed Hold Per Diem Adjustment |
Case Mix Percent Adjustment |
Total Price | Capital | Total Price + Capital Per Diem | COVID Rate Enhancement | 2020 Cash Receipts (CRA) Per Diem | Non Medicare Eligible Total Payment |
700341210 | Beach Gardens Rehab and Nursing Center | 01/01/2021 | 163 | $ 9.90 | $ 177.81 | $ 61.39 | $ 1.13 | $ - | $ - | $ - | $ 0.80 | $ 3.69 | $ (1.11) | $ (0.72) | $ - | $ 252.89 | $ 22.14 | $ 275.03 | $ 137.52 | $ 15.94 | $ 428.49 |
540131110 | Cayuga Ridge Extended Care | 01/01/2021 | 187 | $ 10.49 | $ 112.05 | $ 50.18 | $ 1.99 | $ - | $ - | $ (4.54) | $ 0.75 | $ 2.80 | $ (2.60) | $ (0.45) | $ - | $ 170.67 | $ 51.97 | $ 222.64 | $ 111.32 | $ 15.06 | $ 349.03 |
252530110 | Conesus Lake Nursing Home LLC | 01/01/2021 | 48 | $ 6.34 | $ 119.31 | $ 51.52 | $ 6.01 | $ - | $ - | $ - | $ 2.99 | $ 2.79 | $ (1.58) | $ (0.52) | $ 2.87 | $ 189.73 | $ 31.68 | $ 221.41 | $ 110.71 | $ 16.49 | $ 348.61 |
145130710 | Elderwood at Amherst | 01/01/2021 | 92 | $ 9.39 | $ 131.22 | $ 51.94 | $ 0.20 | $ - | $ - | $ - | $ 1.23 | $ 2.74 | $ (1.29) | $ (0.48) | $ (7.75) | $ 187.20 | $ 25.70 | $ 212.90 | $ 106.45 | $ 19.52 | $ 338.87 |
140630110 | Harris Hill Nursing Facility LLC | 01/01/2021 | 192 | $ 10.52 | $ 128.44 | $ 50.06 | $ 0.81 | $ - | $ - | $ - | $ 1.41 | $ 2.82 | $ (0.81) | $ (0.58) | $ - | $ 192.67 | $ 16.11 | $ 208.78 | $ 104.39 | $ 16.68 | $ 329.85 |
700030210 | Hebrew Home For The Aged At Riverdale | 01/01/2021 | 843 | $ 23.43 | $ 185.93 | $ 69.75 | $ 0.83 | $ - | $ - | $ - | $ 0.05 | $ 4.10 | $ (1.00) | $ (0.95) | $ - | $ 282.14 | $ 19.91 | $ 302.05 | $ 151.02 | $ 20.28 | $ 473.35 |
276130210 | Hill Haven Nursing Home | 01/01/2021 | 288 | $ 9.28 | $ 107.49 | $ 60.27 | $ 3.44 | $ - | $ - | $ - | $ 0.15 | $ 2.88 | $ (0.27) | $ (0.56) | $ (0.91) | $ 181.77 | $ 5.41 | $ 187.18 | $ 93.59 | $ 13.69 | $ 294.46 |
330132710 | Loretto Health and Rehabilitation Center | 01/01/2021 | 583 | $ 11.38 | $ 151.17 | $ 61.73 | $ 2.73 | $ - | $ - | $ - | $ 0.17 | $ 3.28 | $ (0.95) | $ (0.52) | $ (8.04) | $ 220.95 | $ 19.04 | $ 239.99 | $ 120.00 | $ 16.79 | $ 376.78 |
291030010 | North Shore-LIJ Orzac Center for Rehabilitation | 01/01/2021 | 120 | $ 15.92 | $ 182.83 | $ 63.34 | $ - | $ - | $ - | $ - | $ - | $ 3.75 | $ (0.97) | $ (0.74) | $ (17.85) | $ 246.28 | $ 19.34 | $ 265.62 | $ 132.81 | $ 48.85 | $ 447.27 |
132730210 | Northern Dutchess Residential Health Care Facility Inc | 01/01/2021 | 100 | $ 15.67 | $ 85.69 | $ 51.37 | $ 2.05 | $ - | $ - | $ - | $ - | $ 2.88 | $ (0.40) | $ (0.52) | $ - | $ 156.74 | $ 8.01 | $ 164.75 | $ 82.38 | $ 20.33 | $ 267.46 |
515500030 | Peconic Bay Skilled Nursing Facility | 01/01/2021 | 60 | $ 29.17 | $ 143.63 | $ 69.57 | $ 3.84 | $ - | $ - | $ - | $ - | $ 3.41 | $ (2.15) | $ (0.92) | $ (4.36) | $ 242.19 | $ 42.94 | $ 285.13 | $ 142.57 | $ 150.75 | $ 578.45 |
596030410 | Salem Hills Rehabilitation and Nursing Center | 01/01/2021 | 126 | $ 14.02 | $ 178.33 | $ 58.56 | $ 0.48 | $ - | $ - | $ - | $ 0.06 | $ 3.66 | $ (1.29) | $ (0.60) | $ - | $ 253.22 | $ 25.74 | $ 278.96 | $ 139.48 | $ 20.22 | $ 438.66 |
700180610 | Sea Crest Nursing and Rehabilitation Center | 01/01/2021 | 305 | $ 9.42 | $ 201.64 | $ 67.63 | $ 2.33 | $ - | $ - | $ (6.15) | $ 0.43 | $ 4.18 | $ (1.20) | $ (0.67) | $ - | $ 277.61 | $ 23.96 | $ 301.57 | $ 150.79 | $ 18.46 | $ 470.82 |
015330210 | Shaker Place Rehabilitation and Nursing Center | 01/01/2021 | 250 | $ 12.66 | $ 143.48 | $ 60.36 | $ 1.71 | $ - | $ - | $ - | $ - | $ 3.28 | $ (4.03) | $ (0.59) | $ - | $ 216.87 | $ 80.57 | $ 297.44 | $ 148.72 | $ 17.15 | $ 463.31 |
070130230 | St Josephs Hospital - Skilled Nursing Facility | 01/01/2021 | 85 | $ 16.79 | $ 108.30 | $ 55.33 | $ 2.93 | $ - | $ - | $ - | $ 0.07 | $ 2.91 | $ (0.13) | $ (0.49) | $ (3.73) | $ 181.98 | $ 2.52 | $ 184.50 | $ 92.25 | $ - | $ 276.75 |
700234510 | Terence Cardinal Cooke Health Care Ctr | 01/01/2021 | 559 | $ 31.62 | $ 186.63 | $ 67.70 | $ 1.92 | $ - | $ - | $ - | $ 0.09 | $ 4.33 | $ (0.90) | $ (0.78) | $ - | $ 290.61 | $ 17.96 | $ 308.57 | $ 154.29 | $ 23.31 | $ 486.17 |
700234010 | The New Jewish Home, Manhattan | 01/01/2021 | 514 | $ 29.58 | $ 219.54 | $ 68.88 | $ 1.50 | $ - | $ - | $ - | $ 0.33 | $ 4.42 | $ (0.73) | $ (0.90) | $ (19.93) | $ 302.69 | $ 14.52 | $ 317.21 | $ 158.60 | $ 18.43 | $ 494.24 |
700039610 | The Plaza Rehab and Nursing Center (Bronx County) | 01/01/2021 | 744 | $ 23.40 | $ 217.46 | $ 69.03 | $ 1.44 | $ - | $ - | $ - | $ 0.46 | $ 4.52 | $ (2.29) | $ (0.80) | $ - | $ 313.22 | $ 45.89 | $ 359.11 | $ 179.56 | $ 22.09 | $ 560.76 |
270135910 | The Shore Winds LLC | 01/01/2021 | 229 | $ 8.17 | $ 101.21 | $ 51.51 | $ 2.62 | $ - | $ - | $ - | $ 3.50 | $ 2.44 | $ (0.31) | $ (0.43) | $ - | $ 168.71 | $ 6.17 | $ 174.88 | $ 87.44 | $ 10.96 | $ 273.29 |