Nursing Home Benchmark Rates

Specialty Rates Worksheet January 1, 2014

C 78900/10 C 78902/10 C 78900/20 C 78900/30 C 78900/40 C 78900/50 C 78900/52 C 78900/60 C 78900/70 C 78900/80 78902/80
OPCERT Code NAME Date 1/1/09
Specialty Rate
(Non Medicare
Eligible)
01/01/09
Specialty Rate
(Medicare
Eligible)
2009 Capital
Per Diem
AIDS
Occupancy Factor
Adjustment
Adjusted
Specialty Rate
Other
Per Diem
Adjustment
Adjustment
per PHL Section
2808(25)©
Total
Non Capital
Component
2014 Capital Total 2014
Specialty Rate
(Non Medicare
Elighible)
Total 2014
Specialty Rate
(Medicare
Eligible)
2012 Days
700235111 1 (The) Robert Mapplethorpe Residential Treatment Facility A. N. 1/1/2014 468.37 468.37 40.8 67.03 360.54 0 -1.21 359.33 5.98 365.31 365.31 9421
295030231 1 A Holly Patterson Extended Care Facility 1/1/2014 590.39 585.12 22.94 22.96 544.49 0 -1.58 542.91 26.6 569.51 564.24 3060
700036411 1 Bronx-Lebanon Special Care Center 1/1/2014 493.9 488.66 13.99 31.7 448.21 0 -1.32 446.89 14.3 461.19 455.95 27864
700037311 1 Casa Promesa 1/1/2014 459.21 454.05 36.15 28.56 394.5 0 -1.19 393.31 34.67 427.98 422.82 29724
700036211 1 Help PSI Inc 1/1/2014 382.63 378.14 43.04 7.72 331.87 0 -1.08 330.79 82.05 412.84 408.35 18242
700036311 1 Highbridge-Woodycrest Center Inc 1/1/2014 494.65 488.91 45.42 28.83 420.4 0 -1.36 419.04 30.92 449.96 444.22 24116
515130411 1 John J Foley Skilled Nursing Facility 1/1/2014 457.83 452.44 34.02 74.33 349.48 0 -1.4 348.08 17.16 365.24 359.85 2218
700432411 1 Richmond Center for Rehabilitation and Specialty Healthcare 1/1/2014 506.74 500.66 37.04 25.85 443.85 0 -1.41 442.44 7.3 449.74 443.66 11706
700235311 1 Rivington House-The Nicholas A Rango Health Care Facility 1/1/2014 481.32 473.81 62.1 25.61 393.61 0 -1.38 392.23 76.97 469.2 461.69 35661
700131811 1 Schulman and Schachne Institute for Nursing and Rehabilitat 1/1/2014 614.21 607.7 35.03 92.12 487.06 0 -1.51 485.55 28.68 514.23 507.72 25889
700037111 1 St Barnabas Rehabilitation & Continuing Care Center 1/1/2014 494 487.73 60.31 30.74 402.95 0 -1.55 401.4 53.28 454.68 448.41 6177
700234911 1 St Marys Center Inc 1/1/2014 485.27 480.33 67.19 27.76 390.32 0 -1.37 388.95 28.08 417.03 412.09 10406
700234511 1 Terence Cardinal Cooke Health Care Ctr 1/1/2014 493.23 487.42 16.27 29.11 447.85 0 -1.28 446.57 9.51 456.08 450.27 26806
295030232 2 A Holly Patterson Extended Care Facility 1/1/2014 720.57 715.02 37.42 0 683.15 0 -2.41 680.74 40.99 721.73 716.18 1992
030130812 2 Bridgewater Center for Rehabilitation & Nursing LLC 1/1/2014 557.96 552.4 107.3 0 450.66 0 -1.75 448.91 74.5 523.41 517.85 68
700338012 2 Cliffside Rehabilitation and Residential Health Care Center 1/1/2014 661.49 654.41 28.75 0 632.74 0 -1.87 630.87 53.79 684.66 677.58 2516
342100032 2 Clifton Springs Hospital And Clinic Extended Care 1/1/2014 551.94 551.32 43.52 0 508.42 0 -2.13 506.29 51.72 558.01 557.39 #N/A
295230712 2 Cold Spring Hills Center for Nursing and Rehabilitation 1/1/2014 767.83 759.83 17.21 0 750.62 0 -3.18 747.44 29.37 776.81 768.81 1140
700134812 2 Concord Nursing Home Inc 1/1/2014 578.55 572.58 77.78 0 500.77 0 -1.92 498.85 88.34 587.19 581.22 702
700037512 2 Concourse Rehabilitation and Nursing Center 1/1/2014 593.54 586.96 54.55 0 538.99 0 -2.1 536.89 76.75 613.64 607.06 1781
700034212 2 Daughters Of Jacob Nursing Home Company Inc 1/1/2014 638.78 632.37 13.55 0 625.23 0 -1.68 623.55 6.14 629.69 623.28 2598
700339512 2 Dr William O Benenson Rehabilitation Pavilion 1/1/2014 613.54 611.11 47.05 0 566.49 0 -1.78 564.71 41.74 606.45 604.02 #N/A
590432112 2 Dumont Center for Rehabilitation and Nursing Care 1/1/2014 574.9 568.14 28.3 0 546.6 0 -2.19 544.41 51.34 595.75 588.99 1220
700038312 2 Eastchester Rehabilitation and Health Care Center 1/1/2014 705.76 699.57 39.46 0 666.3 0 -2 664.3 49.59 713.89 707.7 #N/A
142130412 2 Elderwood Health Care Oakwood 1/1/2014 501.04 495.83 10.65 0 490.39 0 -1.28 489.11 14.51 503.62 498.41 #N/A
700038512 2 Fieldston Lodge Care Center 1/1/2014 646.24 639.01 36.87 0 609.37 0 -2.25 607.12 13.88 621 613.77 #N/A
700138512 2 Four Seasons Nursing and Rehabilitation Center 1/1/2014 590.3 583.37 20.97 0 569.33 0 -1.76 567.57 62.21 629.78 622.85 1096
700340212 2 Franklin Center for Rehabilitation and Nursing 1/1/2014 596.9 591.18 15.87 0 581.03 0 -1.7 579.33 33.3 612.63 606.91 912
435030512 2 Friedwald Center for Rehabilitation & Nursing LLC 1/1/2014 521.16 519.16 42.46 0 478.7 0 -1.34 477.36 70.51 547.87 545.87 115
515330712 2 Gurwin Jewish Nursing and Rehabilitation Center 1/1/2014 605.3 599.28 78.62 0 526.68 0 -1.69 524.99 63.06 588.05 582.03 159
140100132 2 Highpointe on Michigan Health Care Facility 1/1/2014 582.3 576.48 0 0 582.3 0 0 582.3 133.76 716.06 710.24 0
700235212 2 Isabella Geriatric Center Inc 1/1/2014 596.7 588.75 17.11 0 579.59 0 -1.66 577.93 18.94 596.87 588.92 443
330132212 2 James Square Health And Rehabilitation Centre 1/1/2014 360.26 356.53 0 0 360.26 0 0 360.26 0 360.26 356.53 #N/A
700337712 2 Long Island Care Center Inc 1/1/2014 637.32 631.15 44.08 0 593.24 0 -1.85 591.39 60.55 651.94 645.77 27
500200132 2 Mcauley Manor at Mercycare 1/1/2014 405.03 403.41 31.84 0 373.19 0 -1.15 372.04 41.95 413.99 412.37 280
290430112 2 Meadowbrook Care Center Inc 1/1/2014 497.49 491.46 46.81 0 450.68 0 -1.68 449 69.11 518.11 512.08 #N/A
515131912 2 Medford Multicare Center for Living 1/1/2014 733.62 725.86 134.13 0 599.49 0 -1.9 597.59 101.9 699.49 691.73 547
590731612 2 Michael Malotz Skilled Nursing Pavilion 1/1/2014 494.12 489.01 62.02 0 432.1 0 -1.84 430.26 53.12 483.38 478.27 41
700431612 2 New Vanderbilt Rehabilitation and Care Center Inc 1/1/2014 619.92 619.92 50.73 0 569.19 0 -1.75 567.44 39.72 607.16 607.16 43
550131012 2 Northeast Center for Special Care 1/1/2014 505.72 500.58 49.73 0 455.99 0 -0.92 455.07 39.01 494.08 488.94 2496
435030412 2 Northern Manor Geriatric Center Inc 1/1/2014 631.04 630.62 49.96 0 581.08 0 -1.81 579.27 38.96 618.23 617.81 1293
260100112 2 Oneida Healthcare 1/1/2014 512.86 508.33 41.72 0 471.14 0 -1.42 469.72 23.49 493.21 488.68 814
700139112 2 Palm Gardens Care Center LLC 1/1/2014 630.84 625.02 32.53 0 598.31 0 -1.85 596.46 30.21 626.67 620.85 2254
465230212 2 Pathways Nursing and Rehabilitation Center 1/1/2014 493.01 488.3 65.98 0 427.03 0 -0.47 426.56 68.09 494.65 489.94 714
700338612 2 Promenade Rehabilitation and Health Care Center 1/1/2014 564.45 557.93 17.8 0 546.65 0 -1.87 544.78 39.67 584.45 577.93 2367
700333012 2 Resort Nursing Home 1/1/2014 614.55 607.9 24.21 0 590.34 0 -1.85 588.49 26.63 615.12 608.47 1605
700432412 2 Richmond Center for Rehabilitation and Specialty Healthcare 1/1/2014 723.59 715.22 61.11 0 662.48 0 -2.17 660.31 11.24 671.55 663.18 1342
700336212 2 Rockaway Care Center 1/1/2014 484.89 479.81 20.15 0 464.74 0 -1.37 463.37 29.89 493.26 488.18 866
700103312 2 Rutland Nursing Home Co Inc 1/1/2014 593.83 587.7 42.02 0 551.81 0 -2 549.81 33.03 582.84 576.71 1439
700131812 2 Schulman and Schachne Institute for Nursing and Rehabilitat 1/1/2014 691.82 683.59 52.71 0 639.11 0 -1.83 637.28 57.97 695.25 687.02 3619
700432312 2 Silver Lake Specialized Rehabilitation and Care Cente 1/1/2014 523.76 518.65 26.85 0 496.91 0 -1.79 495.12 53.27 548.39 543.28 1326
700337212 2 Silvercrest 1/1/2014 630.26 624.35 28.71 0 601.55 0 -1.54 600.01 24.93 624.94 619.03 3931
290430012 2 South Shore Healthcare 1/1/2014 492.09 486.35 5.99 0 486.1 0 -1.55 484.55 11.01 495.56 489.82 486
700038412 2 Split Rock Rehabilitation and Health Care Center 1/1/2014 622.53 617.01 18.36 0 604.17 0 -1.8 602.37 42.48 644.85 639.33 6417
700037112 2 St Barnabas Rehabilitation & Continuing Care Center 1/1/2014 676.58 669.31 108.58 0 568 0 -1.56 566.44 64.89 631.33 624.06 2067
140100532 2 Terrace View Long Term Care Facility 1/1/2014 522.4 517.23 37.57 0 484.83 0 -1.63 483.2 49.35 532.55 527.38 1242
275030612 2 The Highlands at Brighton 1/1/2014 470.42 466.43 34.45 0 435.97 0 -1.46 434.51 26.53 461.04 457.05 482
295031812 2 Townhouse Center for Rehabilitation & Nursing 1/1/2014 580.05 574.08 42.74 0 537.31 0 -1.85 535.46 49.12 584.58 578.61 1164
270135832 2 Unity Living Center 1/1/2014 493.83 488.86 32.43 0 461.4 0 -1.22 460.18 32.64 492.82 487.85 707
700035012 2 Wayne Center For Nursing And Rehabilitation 1/1/2014 531.38 526.27 40.79 0 490.59 0 -1.52 489.07 38.72 527.79 522.68 2096
582000032 2 Wayne Health Care 1/1/2014 468.85 464.25 25.63 0 443.22 0 -0.9 442.32 18.25 460.57 455.97 203
105930112 2 Whittier Rehabilitation & Skilled Nursing Center 1/1/2014 424.84 420 25.89 0 398.95 0 0 398.95 0 398.95 394.11 #N/A
130130112 2 Wingate at Beacon 1/1/2014 423.51 418.44 31.35 0 392.16 0 0 392.16 0 392.16 387.09 #N/A
132030112 2 Wingate of Dutchess 1/1/2014 478.07 472.25 25.94 0 452.13 0 -1.03 451.1 34.46 485.56 479.74 1500
555630112 2 Wingate of Ulster 1/1/2014 541.39 534.28 24.93 0 516.46 0 -1.01 515.45 31.44 546.89 539.78 26
295031512 2 Woodmere Rehabilitation And Health Care Center 1/1/2014 703.58 702.97 73.42 0 630.16 0 -1.97 628.19 54.16 682.35 681.74 1829
550131013 3 Northeast Center for Special Care 1/1/2014 303.44 299.55 29.59 0 273.85 0 -0.86 272.99 37.88 310.87 306.98 32531
700432413 3 Richmond Center for Rehabilitation and Specialty Healthcare 1/1/2014 460.41 454.7 30.34 0 430.07 0 -1.29 428.78 1.96 430.74 425.03 1342
612000033 3 Soldiers And Sailors Memorial Hospital Extended Care Unit 1/1/2014 337.76 334.74 38.17 0 299.59 0 -0.98 298.61 34.82 333.43 330.41 0
140100533 3 Terrace View Long Term Care Facility 1/1/2014 435.96 431.6 0 0 435.96 0 0 435.96 65.42 501.38 497.02 1242
275030613 3 The Highlands at Brighton 1/1/2014 337.22 333.71 45.42 0 291.8 0 -0.99 290.81 29.63 320.44 316.93 482
582000033 3 Wayne Health Care 1/1/2014 370.89 367.94 36.08 0 334.81 0 -1.37 333.44 27.45 360.89 357.94 203
550131014 4 Northeast Center for Special Care 1/1/2014 303.14 299 37.87 0 265.27 0 -0.73 264.54 26.36 290.9 286.76 2341
700337414 4 Park Terrace Care Center 1/1/2014 526.83 521.76 31.83 0 495 0 -1.12 493.88 12.56 506.44 501.37 0
465230214 4 Pathways Nursing and Rehabilitation Center 1/1/2014 423.85 423.85 16.01 0 407.84 0 -0.37 407.47 21.25 428.72 428.72 0
700336114 4 Queens Nassau Rehabilitation and Nursing Center 1/1/2014 512.25 506.29 21.36 0 490.89 0 -1.35 489.54 16.52 506.06 500.1 0
700430414 4 Sea View Hospital Rehabilitation Center And Home 1/1/2014 544.69 540.35 16.37 0 528.32 0 -2.34 525.98 28.44 554.42 550.08 0
330132114 4 St Camillus Residential Health Care Facility 1/1/2014 371.98 368.96 13.53 0 358.45 0 -0.83 357.62 17.21 374.83 371.81 0
515731114 4 St Johnland Nursing Center Inc 1/1/2014 601.77 595.41 38.76 0 563.01 0 -3.52 559.49 25.9 585.39 579.03 0
515731315 5 Avalon Gardens Rehabilitation and Health Care Center 1/1/2014 510.45 510.45 22.36 0 537.24 0 0 537.24 21.82 559.06 559.06 12048
700234615 5 Elizabeth Seton Pediatric Center 1/1/2014 738.03 738.03 22.97 0 787.07 151.93 0 939 81.37 1020.37 1020.37 48434
140100135 5 Highpointe on Michigan Health Care Facility 1/1/2014 477.02 477.02 18.85 0 504.31 0 0 504.31 92.68 596.99 596.99 6877
700235715 5 Incarnation Childrens Center 1/1/2014 770.86 770.86 31.31 0 814.02 0 0 814.02 36.45 850.47 850.47 7291
465230215 5 Pathways Nursing and Rehabilitation Center 1/1/2014 654.95 654.95 35.51 0 681.82 0 0 681.82 27.5 709.32 709.32 12606
010130715 5 St Margarets Center 1/1/2014 294.6 294.6 30.78 0 290.39 213.79 0 504.18 19.14 523.32 523.32 15868
700330015 5 St Marys Hospital For Children Inc 1/1/2014 737.22 737.22 34.3 0 773.7 511.39 0 1285.09 355.31 1640.4 1640.4 31477
596130315 5 Sunshine Childrens Home and Rehab Center 1/1/2014 983.69 980.44 41.03 0 1037.59 0 0 1037.59 31.87 1069.46 1065.88 17800

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