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 | Miscellaneous | 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 | 2019 Cash Receipts (CRA) Per Diem | Non Medicare Eligible Total Payment | ||||||||||||||
| 700341210 | Beach Gardens Rehab and Nursing Center | 01/01/2021 | 163 | $9.90 | $159.80 | $61.39 | $1.92 | $ – | $ – | $ – | $0.80 | $3.73 | $(1.12) | $(0.72) | $(2.78) | $232.92 | $22.33 | $255.25 | $127.63 | $15.18 | $398.06 | ||||||||||||||
| 540131110 | Cayuga Ridge Extended Care | 01/01/2021 | 187 | $10.49 | $125.39 | $50.18 | $2.53 | $ – | $ – | $ – | $0.66 | $2.83 | $(2.58) | $(0.45) | $(1.96) | $187.09 | $51.52 | $238.61 | $119.31 | $14.28 | $372.20 | ||||||||||||||
| 252530110 | Conesus Lake Nursing Home LLC | 01/01/2021 | 48 | $6.34 | $124.13 | $51.52 | $4.67 | $ – | $ – | $ – | $2.67 | $2.82 | $(0.45) | $(0.52) | $ – | $191.18 | $9.03 | $200.21 | $100.10 | $18.05 | $318.36 | ||||||||||||||
| 145130710 | Elderwood at Amherst | 01/01/2021 | 92 | $9.39 | $119.36 | $51.94 | $1.04 | $ – | $ – | $ – | $1.15 | $2.77 | $(1.29) | $(0.48) | $(9.56) | $174.32 | $25.79 | $200.11 | $100.05 | $15.61 | $315.77 | ||||||||||||||
| 140630110 | Harris Hill Nursing Facility LLC | 01/01/2021 | 192 | $10.52 | $114.10 | $50.06 | $1.92 | $ – | $ – | $ – | $1.30 | $2.85 | $(0.84) | $(0.58) | $ – | $179.33 | $16.72 | $196.05 | $98.02 | $14.02 | $308.09 | ||||||||||||||
| 700030210 | Hebrew Home For The Aged At Riverdale | 01/01/2021 | 843 | $23.43 | $169.14 | $69.75 | $1.18 | $ – | $ – | $ – | $0.05 | $4.13 | $(1.11) | $(0.95) | $ – | $265.62 | $22.18 | $287.80 | $143.90 | $22.66 | $454.36 | ||||||||||||||
| 276130210 | Hill Haven Nursing Home | 01/01/2021 | 288 | $9.28 | $111.38 | $60.27 | $4.58 | $ – | $ – | $ – | $0.15 | $2.90 | $(0.31) | $(0.56) | $ – | $187.69 | $6.26 | $193.95 | $96.98 | $12.99 | $303.92 | ||||||||||||||
| 330132710 | Loretto Health and Rehabilitation Center | 01/01/2021 | 583 | $11.38 | $145.76 | $61.73 | $2.26 | $ – | $ – | $ – | $0.15 | $3.31 | $(1.05) | $(0.52) | $ – | $223.02 | $20.99 | $244.01 | $122.01 | $16.70 | $382.72 | ||||||||||||||
| 291030010 | North Shore-LIJ Orzac Center for Rehabilitation | 01/01/2021 | 120 | $15.92 | $136.79 | $63.34 | $3.00 | $ – | $ – | $ – | $ – | $3.78 | $(1.08) | $(0.74) | $ – | $221.01 | $21.54 | $242.55 | $121.27 | $44.26 | $408.08 | ||||||||||||||
| 132730210 | Northern Dutchess Residential Health Care Facility Inc | 01/01/2021 | 100 | $15.67 | $94.41 | $51.37 | $2.32 | $ – | $ – | $ – | $ – | $2.91 | $(0.39) | $(0.52) | $ – | $165.77 | $7.72 | $173.49 | $86.74 | $16.53 | $276.76 | ||||||||||||||
| 515500030 | Peconic Bay Skilled Nursing Facility | 01/01/2021 | 60 | $29.17 | $159.83 | $69.57 | $4.75 | $ – | $ – | $ – | $ – | $3.44 | $(3.38) | $(0.92) | $(18.59) | $243.87 | $67.60 | $311.47 | $155.74 | $59.49 | $526.70 | ||||||||||||||
| 596030410 | Salem Hills Rehabilitation and Nursing Center | 01/01/2021 | 126 | $14.02 | $187.51 | $58.56 | $1.59 | $ – | $ – | $ – | $0.06 | $3.70 | $(1.22) | $(0.60) | $ – | $263.62 | $24.38 | $288.00 | $144.00 | $19.37 | $451.37 | ||||||||||||||
| 700180610 | Sea Crest Nursing and Rehabilitation Center | 01/01/2021 | 305 | $9.42 | $193.79 | $67.63 | $3.42 | $ – | $ – | $(5.89) | $0.43 | $4.22 | $(1.19) | $(0.67) | $(6.20) | $264.96 | $23.87 | $288.83 | $144.42 | $17.39 | $450.64 | ||||||||||||||
| 015330210 | Shaker Place Rehabilitation and Nursing Center | 01/01/2021 | 250 | $12.66 | $134.44 | $60.36 | $2.88 | $ – | $ – | $ – | $ – | $3.31 | $(2.88) | $(0.59) | $ – | $210.18 | $57.55 | $267.73 | $133.86 | $18.07 | $419.66 | ||||||||||||||
| 070100130 | St Josephs Hospital - Skilled Nursing Facility | 01/01/2021 | 85 | $16.79 | $104.29 | $55.33 | $2.34 | $ – | $ – | $ – | $0.07 | $2.93 | $(0.80) | $(0.49) | $ – | $180.46 | $16.01 | $196.47 | $98.24 | $15.01 | $309.72 | ||||||||||||||
| 700234510 | Terence Cardinal Cooke Health Care Ctr | 01/01/2021 | 559 | $31.62 | $189.18 | $67.70 | $2.27 | $ – | $ – | $ – | $0.09 | $4.37 | $(0.83) | $(0.78) | $(13.33) | $280.29 | $16.60 | $296.89 | $148.45 | $24.66 | $470.00 | ||||||||||||||
| 700234010 | The New Jewish Home, Manhattan | 01/01/2021 | 514 | $29.58 | $192.96 | $68.88 | $1.67 | $ – | $ – | $ – | $0.33 | $4.46 | $(0.73) | $(0.90) | $(0.15) | $296.10 | $14.50 | $310.60 | $155.30 | $23.98 | $489.88 | ||||||||||||||
| 700039610 | The Plaza Rehab and Nursing Center (Bronx County) | 01/01/2021 | 744 | $23.40 | $201.53 | $69.03 | $2.13 | $ – | $ – | $ – | $0.46 | $4.56 | $(1.71) | $(0.80) | $ – | $298.60 | $34.25 | $332.85 | $166.43 | $20.49 | $519.77 | ||||||||||||||
| 270135910 | The Shore Winds LLC | 01/01/2021 | 229 | $8.17 | $104.73 | $51.51 | $3.36 | $ – | $ – | $(3.51) | $3.19 | $2.46 | $(0.33) | $(0.43) | $(3.56) | $165.59 | $6.53 | $172.12 | $86.06 | $13.18 | $271.37 | ||||||||||||||
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 | Medicare Eligible Direct Component | Indirect Component | TBI, BMI, Dementia Add On | Transition Adjustment | Miscellaneous | 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 | 2019 Cash Receipts (CRA) Per Diem | Medicare Eligible Total Payment |
| 700341210 | Beach Gardens Rehab and Nursing Center | 01/01/2021 | 163 | $9.90 | $157.57 | $61.39 | $1.92 | $ – | $ – | $ – | $0.80 | $3.69 | $(1.12) | $(0.72) | $(2.78) | $230.65 | $22.33 | $252.98 | $126.49 | $15.18 | $394.65 |
| 540131110 | Cayuga Ridge Extended Care | 01/01/2021 | 187 | $10.49 | $123.64 | $50.18 | $2.53 | $ – | $ – | $ – | $0.66 | $2.80 | $(2.58) | $(0.45) | $(1.96) | $185.31 | $51.52 | $236.83 | $118.42 | $14.28 | $369.53 |
| 252530110 | Conesus Lake Nursing Home LLC | 01/01/2021 | 48 | $6.34 | $122.40 | $51.52 | $4.67 | $ – | $ – | $ – | $2.67 | $2.79 | $(0.45) | $(0.52) | $ – | $189.42 | $9.03 | $198.45 | $99.23 | $18.05 | $315.73 |
| 145130710 | Elderwood at Amherst | 01/01/2021 | 92 | $9.39 | $117.69 | $51.94 | $1.04 | $ – | $ – | $ – | $1.15 | $2.74 | $(1.29) | $(0.48) | $(9.56) | $172.62 | $25.79 | $198.41 | $99.21 | $15.61 | $313.23 |
| 140630110 | Harris Hill Nursing Facility LLC | 01/01/2021 | 192 | $10.52 | $112.51 | $50.06 | $1.92 | $ – | $ – | $ – | $1.30 | $2.82 | $(0.84) | $(0.58) | $ – | $177.71 | $16.72 | $194.43 | $97.22 | $14.02 | $305.67 |
| 700030210 | Hebrew Home For The Aged At Riverdale | 01/01/2021 | 843 | $23.43 | $166.86 | $69.75 | $1.18 | $ – | $ – | $ – | $0.05 | $4.10 | $(1.11) | $(0.95) | $ – | $263.30 | $22.18 | $285.48 | $142.74 | $22.66 | $450.88 |
| 276130210 | Hill Haven Nursing Home | 01/01/2021 | 288 | $9.28 | $109.88 | $60.27 | $4.58 | $ – | $ – | $ – | $0.15 | $2.88 | $(0.31) | $(0.56) | $ – | $186.17 | $6.26 | $192.43 | $96.21 | $12.99 | $301.63 |
| 330132710 | Loretto Health and Rehabilitation Center | 01/01/2021 | 583 | $11.38 | $143.80 | $61.73 | $2.26 | $ – | $ – | $ – | $0.15 | $3.28 | $(1.05) | $(0.52) | $ – | $221.03 | $20.99 | $242.02 | $121.01 | $16.70 | $379.73 |
| 291030010 | North Shore-LIJ Orzac Center for Rehabilitation | 01/01/2021 | 120 | $15.92 | $134.88 | $63.34 | $3.00 | $ – | $ – | $ – | $ – | $3.75 | $(1.08) | $(0.74) | $ – | $219.07 | $21.54 | $240.61 | $120.30 | $44.26 | $405.17 |
| 132730210 | Northern Dutchess Residential Health Care Facility Inc | 01/01/2021 | 100 | $15.67 | $93.09 | $51.37 | $2.32 | $ – | $ – | $ – | $ – | $2.88 | $(0.39) | $(0.52) | $ – | $164.42 | $7.72 | $172.14 | $86.07 | $16.53 | $274.74 |
| 515500030 | Peconic Bay Skilled Nursing Facility | 01/01/2021 | 60 | $29.17 | $157.67 | $69.57 | $4.75 | $ – | $ – | $ – | $ – | $3.41 | $(3.38) | $(0.92) | $(18.59) | $241.68 | $67.60 | $309.28 | $154.64 | $59.49 | $523.41 |
| 596030410 | Salem Hills Rehabilitation and Nursing Center | 01/01/2021 | 126 | $14.02 | $184.89 | $58.56 | $1.59 | $ – | $ – | $ – | $0.06 | $3.66 | $(1.22) | $(0.60) | $ – | $260.96 | $24.38 | $285.34 | $142.67 | $19.37 | $447.38 |
| 700180610 | Sea Crest Nursing and Rehabilitation Center | 01/01/2021 | 305 | $9.42 | $191.18 | $67.63 | $3.42 | $ – | $ – | $(5.84) | $0.43 | $4.18 | $(1.19) | $(0.67) | $(6.20) | $262.36 | $23.87 | $286.23 | $143.11 | $17.39 | $446.73 |
| 015330210 | Shaker Place Rehabilitation and Nursing Center | 01/01/2021 | 250 | $12.66 | $132.56 | $60.36 | $2.88 | $ – | $ – | $ – | $ – | $3.28 | $(2.88) | $(0.59) | $ – | $208.27 | $57.55 | $265.82 | $132.91 | $18.07 | $416.80 |
| 070100130 | St Josephs Hospital - Skilled Nursing Facility | 01/01/2021 | 85 | $16.79 | $102.89 | $55.33 | $2.34 | $ – | $ – | $ – | $0.07 | $2.91 | $(0.80) | $(0.49) | $ – | $179.04 | $16.01 | $195.05 | $97.52 | $15.01 | $307.58 |
| 700234510 | Terence Cardinal Cooke Health Care Ctr | 01/01/2021 | 559 | $31.62 | $186.63 | $67.70 | $2.27 | $ – | $ – | $ – | $0.09 | $4.33 | $(0.83) | $(0.78) | $(13.33) | $277.70 | $16.60 | $294.30 | $147.15 | $24.66 | $466.11 |
| 700234010 | The New Jewish Home, Manhattan | 01/01/2021 | 514 | $29.58 | $190.36 | $68.88 | $1.67 | $ – | $ – | $ – | $0.33 | $4.42 | $(0.73) | $(0.90) | $(0.15) | $293.46 | $14.50 | $307.96 | $153.98 | $23.98 | $485.92 |
| 700039610 | The Plaza Rehab and Nursing Center (Bronx County) | 01/01/2021 | 744 | $23.40 | $198.82 | $69.03 | $2.13 | $ – | $ – | $ – | $0.46 | $4.52 | $(1.71) | $(0.80) | $ – | $295.85 | $34.25 | $330.10 | $165.05 | $20.49 | $515.64 |
| 270135910 | The Shore Winds LLC | 01/01/2021 | 229 | $8.17 | $103.27 | $51.51 | $3.36 | $ – | $ – | $(3.48) | $3.19 | $2.44 | $(0.33) | $(0.43) | $(3.56) | $164.14 | $6.53 | $170.67 | $85.34 | $13.18 | $269.19 |
