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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 07/01/21 - 12/31/21 - COVID Rate Enhancement Nursing Home Benchmark Rates Non Medicare Eligible |
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| 07/01/21 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 | 2020 Cash Receipts (CRA) Per Diem | Non Medicare Eligible Total Payment |
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| 700341210 | Beach Gardens Rehab and Nursing Center | 07/01/2021 | 163 | $ 9.90 | $ 202.32 | $ 61.39 | $ 2.32 | $ - | $ - | $ - | $ 0.80 | $ 3.73 | $ (1.11) | $ (0.72) | $ - | $ 278.63 | $ 22.14 | $ 300.77 | $ 150.38 | $ 15.94 | $ 467.09 | ||||||||||||||
| 540131110 | Cayuga Ridge Extended Care | 07/01/2021 | 187 | $ 10.49 | $ 104.82 | $ 50.18 | $ 2.51 | $ - | $ - | $ (4.58) | $ 0.75 | $ 2.83 | $ (2.60) | $ (0.45) | $ - | $ 163.95 | $ 51.97 | $ 215.92 | $ 107.96 | $ 15.06 | $ 338.94 | ||||||||||||||
| 252530110 | Conesus Lake Nursing Home LLC | 07/01/2021 | 48 | $ 6.34 | $ 113.70 | $ 51.52 | $ 4.98 | $ - | $ - | $ - | $ 2.99 | $ 2.82 | $ (1.58) | $ (0.52) | $ - | $ 180.25 | $ 31.68 | $ 211.93 | $ 105.96 | $ 16.49 | $ 334.38 | ||||||||||||||
| 145130710 | Elderwood at Amherst | 07/01/2021 | 92 | $ 9.39 | $ 119.36 | $ 51.94 | $ 2.35 | $ - | $ - | $ - | $ 1.23 | $ 2.77 | $ (1.29) | $ (0.48) | $ - | $ 185.27 | $ 25.70 | $ 210.97 | $ 105.48 | $ 19.52 | $ 335.97 | ||||||||||||||
| 140630110 | Harris Hill Nursing Facility LLC | 07/01/2021 | 192 | $ 10.52 | $ 127.22 | $ 50.06 | $ 1.62 | $ - | $ - | $ - | $ 1.41 | $ 2.85 | $ (0.81) | $ (0.58) | $ - | $ 192.29 | $ 16.11 | $ 208.40 | $ 104.20 | $ 16.68 | $ 329.28 | ||||||||||||||
| 700030210 | Hebrew Home For The Aged At Riverdale | 07/01/2021 | 843 | $ 23.43 | $ 180.41 | $ 69.75 | $ 1.06 | $ - | $ - | $ - | $ 0.05 | $ 4.13 | $ (1.00) | $ (0.95) | $ - | $ 276.88 | $ 19.91 | $ 296.79 | $ 148.40 | $ 20.28 | $ 465.47 | ||||||||||||||
| 276130210 | Hill Haven Nursing Home | 07/01/2021 | 288 | $ 9.28 | $ 113.80 | $ 60.27 | $ 3.88 | $ - | $ - | $ - | $ 0.15 | $ 2.90 | $ (0.27) | $ (0.56) | $ - | $ 189.45 | $ 5.41 | $ 194.86 | $ 97.43 | $ 13.69 | $ 305.99 | ||||||||||||||
| 330132710 | Loretto Health and Rehabilitation Center | 07/01/2021 | 583 | $ 11.38 | $ 147.01 | $ 61.73 | $ 3.90 | $ - | $ - | $ - | $ 0.17 | $ 3.31 | $ (0.95) | $ (0.52) | $ - | $ 226.03 | $ 19.04 | $ 245.07 | $ 122.54 | $ 16.79 | $ 384.40 | ||||||||||||||
| 291030010 | North Shore-LIJ Orzac Center for Rehabilitation | 07/01/2021 | 120 | $ 15.92 | $ 203.67 | $ 63.34 | $ 5.22 | $ - | $ - | $ - | $ - | $ 3.78 | $ (0.97) | $ (0.74) | $ - | $ 290.22 | $ 19.34 | $ 309.56 | $ 154.78 | $ 48.85 | $ 513.19 | ||||||||||||||
| 132730210 | Northern Dutchess Residential Health Care Facility Inc | 07/01/2021 | 100 | $ 15.67 | $ 83.68 | $ 51.37 | $ 2.99 | $ - | $ - | $ - | $ - | $ 2.91 | $ (0.40) | $ (0.52) | $ - | $ 155.70 | $ 8.01 | $ 163.71 | $ 81.85 | $ 20.33 | $ 265.89 | ||||||||||||||
| 515500030 | Peconic Bay Skilled Nursing Facility | 07/01/2021 | 60 | $ 29.17 | $ 125.02 | $ 69.57 | $ 2.90 | $ - | $ - | $ - | $ - | $ 3.44 | $ (2.15) | $ (0.92) | $ - | $ 227.03 | $ 42.94 | $ 269.97 | $ 134.99 | $ 150.75 | $ 555.71 | ||||||||||||||
| 596030410 | Salem Hills Rehabilitation and Nursing Center | 07/01/2021 | 126 | $ 14.02 | $ 210.11 | $ 58.56 | $ 1.59 | $ - | $ - | $ - | $ 0.06 | $ 3.70 | $ (1.29) | $ (0.60) | $ - | $ 286.15 | $ 25.74 | $ 311.89 | $ 155.94 | $ 20.22 | $ 488.05 | ||||||||||||||
| 700180610 | Sea Crest Nursing and Rehabilitation Center | 07/01/2021 | 305 | $ 9.42 | $ 213.47 | $ 67.63 | $ 3.23 | $ - | $ - | $ (6.21) | $ 0.43 | $ 4.22 | $ (1.20) | $ (0.67) | $ - | $ 290.32 | $ 23.96 | $ 314.28 | $ 157.14 | $ 18.46 | $ 489.88 | ||||||||||||||
| 015330210 | Shaker Place Rehabilitation and Nursing Center | 07/01/2021 | 250 | $ 12.66 | $ 133.04 | $ 60.36 | $ 3.67 | $ - | $ - | $ - | $ - | $ 3.31 | $ (4.03) | $ (0.59) | $ - | $ 208.42 | $ 80.57 | $ 288.99 | $ 144.49 | $ 17.15 | $ 450.63 | ||||||||||||||
| 070130230 | St Josephs Hospital - Skilled Nursing Facility | 07/01/2021 | 85 | $ 16.79 | $ 108.68 | $ 55.33 | $ 4.85 | $ - | $ - | $ - | $ 0.07 | $ 2.93 | $ (0.13) | $ (0.49) | $ - | $ 188.03 | $ 2.52 | $ 190.55 | $ 95.28 | $ - | $ 285.83 | ||||||||||||||
| 700234510 | Terence Cardinal Cooke Health Care Ctr | 07/01/2021 | 559 | $ 31.62 | $ 181.43 | $ 67.70 | $ 2.77 | $ - | $ - | $ - | $ 0.09 | $ 4.37 | $ (0.90) | $ (0.78) | $ - | $ 286.30 | $ 17.96 | $ 304.26 | $ 152.13 | $ 23.31 | $ 479.70 | ||||||||||||||
| 700234010 | The New Jewish Home, Manhattan | 07/01/2021 | 514 | $ 29.58 | $ 199.18 | $ 68.88 | $ 2.50 | $ - | $ - | $ - | $ 0.33 | $ 4.46 | $ (0.73) | $ (0.90) | $ - | $ 303.30 | $ 14.52 | $ 317.82 | $ 158.91 | $ 18.43 | $ 495.16 | ||||||||||||||
| 700039610 | The Plaza Rehab and Nursing Center (Bronx County) | 07/01/2021 | 744 | $ 23.40 | $ 210.99 | $ 69.03 | $ 1.82 | $ - | $ - | $ - | $ 0.46 | $ 4.56 | $ (2.29) | $ (0.80) | $ - | $ 307.17 | $ 45.89 | $ 353.06 | $ 176.53 | $ 22.09 | $ 551.69 | ||||||||||||||
| 270135910 | The Shore Winds LLC | 07/01/2021 | 229 | $ 8.17 | $ 97.40 | $ 51.51 | $ 2.84 | $ - | $ - | $ - | $ 3.50 | $ 2.46 | $ (0.31) | $ (0.43) | $ - | $ 165.14 | $ 6.17 | $ 171.31 | $ 85.66 | $ 10.96 | $ 267.93 | ||||||||||||||
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 | 07/01/2021 | 163 | $ 9.90 | $ 199.50 | $ 61.39 | $ 2.32 | $ - | $ - | $ - | $ 0.80 | $ 3.69 | $ (1.11) | $ (0.72) | $ - | $ 275.77 | $ 22.14 | $ 297.91 | $ 148.96 | $ 15.94 | $ 462.81 |
| 540131110 | Cayuga Ridge Extended Care | 07/01/2021 | 187 | $ 10.49 | $ 103.36 | $ 50.18 | $ 2.51 | $ - | $ - | $ (4.54) | $ 0.75 | $ 2.80 | $ (2.60) | $ (0.45) | $ - | $ 162.50 | $ 51.97 | $ 214.47 | $ 107.24 | $ 15.06 | $ 336.77 |
| 252530110 | Conesus Lake Nursing Home LLC | 07/01/2021 | 48 | $ 6.34 | $ 112.11 | $ 51.52 | $ 4.98 | $ - | $ - | $ - | $ 2.99 | $ 2.79 | $ (1.58) | $ (0.52) | $ - | $ 178.63 | $ 31.68 | $ 210.31 | $ 105.16 | $ 16.49 | $ 331.96 |
| 145130710 | Elderwood at Amherst | 07/01/2021 | 92 | $ 9.39 | $ 117.69 | $ 51.94 | $ 2.35 | $ - | $ - | $ - | $ 1.23 | $ 2.74 | $ (1.29) | $ (0.48) | $ - | $ 183.57 | $ 25.70 | $ 209.27 | $ 104.64 | $ 19.52 | $ 333.43 |
| 140630110 | Harris Hill Nursing Facility LLC | 07/01/2021 | 192 | $ 10.52 | $ 125.45 | $ 50.06 | $ 1.62 | $ - | $ - | $ - | $ 1.41 | $ 2.82 | $ (0.81) | $ (0.58) | $ - | $ 190.49 | $ 16.11 | $ 206.60 | $ 103.30 | $ 16.68 | $ 326.58 |
| 700030210 | Hebrew Home For The Aged At Riverdale | 07/01/2021 | 843 | $ 23.43 | $ 177.98 | $ 69.75 | $ 1.06 | $ - | $ - | $ - | $ 0.05 | $ 4.10 | $ (1.00) | $ (0.95) | $ - | $ 274.42 | $ 19.91 | $ 294.33 | $ 147.16 | $ 20.28 | $ 461.77 |
| 276130210 | Hill Haven Nursing Home | 07/01/2021 | 288 | $ 9.28 | $ 112.26 | $ 60.27 | $ 3.88 | $ - | $ - | $ - | $ 0.15 | $ 2.88 | $ (0.27) | $ (0.56) | $ - | $ 187.89 | $ 5.41 | $ 193.30 | $ 96.65 | $ 13.69 | $ 303.64 |
| 330132710 | Loretto Health and Rehabilitation Center | 07/01/2021 | 583 | $ 11.38 | $ 145.03 | $ 61.73 | $ 3.90 | $ - | $ - | $ - | $ 0.17 | $ 3.28 | $ (0.95) | $ (0.52) | $ - | $ 224.02 | $ 19.04 | $ 243.06 | $ 121.53 | $ 16.79 | $ 381.38 |
| 291030010 | North Shore-LIJ Orzac Center for Rehabilitation | 07/01/2021 | 120 | $ 15.92 | $ 200.83 | $ 63.34 | $ 5.22 | $ - | $ - | $ - | $ - | $ 3.75 | $ (0.97) | $ (0.74) | $ - | $ 287.35 | $ 19.34 | $ 306.69 | $ 153.34 | $ 48.85 | $ 508.88 |
| 132730210 | Northern Dutchess Residential Health Care Facility Inc | 07/01/2021 | 100 | $ 15.67 | $ 82.51 | $ 51.37 | $ 2.99 | $ - | $ - | $ - | $ - | $ 2.88 | $ (0.40) | $ (0.52) | $ - | $ 154.50 | $ 8.01 | $ 162.51 | $ 81.26 | $ 20.33 | $ 264.10 |
| 515500030 | Peconic Bay Skilled Nursing Facility | 07/01/2021 | 60 | $ 29.17 | $ 123.34 | $ 69.57 | $ 2.90 | $ - | $ - | $ - | $ - | $ 3.41 | $ (2.15) | $ (0.92) | $ - | $ 225.32 | $ 42.94 | $ 268.26 | $ 134.13 | $ 150.75 | $ 553.14 |
| 596030410 | Salem Hills Rehabilitation and Nursing Center | 07/01/2021 | 126 | $ 14.02 | $ 207.18 | $ 58.56 | $ 1.59 | $ - | $ - | $ - | $ 0.06 | $ 3.66 | $ (1.29) | $ (0.60) | $ - | $ 283.18 | $ 25.74 | $ 308.92 | $ 154.46 | $ 20.22 | $ 483.60 |
| 700180610 | Sea Crest Nursing and Rehabilitation Center | 07/01/2021 | 305 | $ 9.42 | $ 210.60 | $ 67.63 | $ 3.23 | $ - | $ - | $ (6.15) | $ 0.43 | $ 4.18 | $ (1.20) | $ (0.67) | $ - | $ 287.47 | $ 23.96 | $ 311.43 | $ 155.72 | $ 18.46 | $ 485.61 |
| 015330210 | Shaker Place Rehabilitation and Nursing Center | 07/01/2021 | 250 | $ 12.66 | $ 131.18 | $ 60.36 | $ 3.67 | $ - | $ - | $ - | $ - | $ 3.28 | $ (4.03) | $ (0.59) | $ - | $ 206.53 | $ 80.57 | $ 287.10 | $ 143.55 | $ 17.15 | $ 447.80 |
| 070130230 | St Josephs Hospital - Skilled Nursing Facility | 07/01/2021 | 85 | $ 16.79 | $ 107.22 | $ 55.33 | $ 4.85 | $ - | $ - | $ - | $ 0.07 | $ 2.91 | $ (0.13) | $ (0.49) | $ - | $ 186.55 | $ 2.52 | $ 189.07 | $ 94.53 | $ - | $ 283.60 |
| 700234510 | Terence Cardinal Cooke Health Care Ctr | 07/01/2021 | 559 | $ 31.62 | $ 178.98 | $ 67.70 | $ 2.77 | $ - | $ - | $ - | $ 0.09 | $ 4.33 | $ (0.90) | $ (0.78) | $ - | $ 283.81 | $ 17.96 | $ 301.77 | $ 150.89 | $ 23.31 | $ 475.97 |
| 700234010 | The New Jewish Home, Manhattan | 07/01/2021 | 514 | $ 29.58 | $ 196.50 | $ 68.88 | $ 2.50 | $ - | $ - | $ - | $ 0.33 | $ 4.42 | $ (0.73) | $ (0.90) | $ - | $ 300.58 | $ 14.52 | $ 315.10 | $ 157.55 | $ 18.43 | $ 491.08 |
| 700039610 | The Plaza Rehab and Nursing Center (Bronx County) | 07/01/2021 | 744 | $ 23.40 | $ 208.14 | $ 69.03 | $ 1.82 | $ - | $ - | $ - | $ 0.46 | $ 4.52 | $ (2.29) | $ (0.80) | $ - | $ 304.28 | $ 45.89 | $ 350.17 | $ 175.09 | $ 22.09 | $ 547.35 |
| 270135910 | The Shore Winds LLC | 07/01/2021 | 229 | $ 8.17 | $ 96.04 | $ 51.51 | $ 2.84 | $ - | $ - | $ - | $ 3.50 | $ 2.44 | $ (0.31) | $ (0.43) | $ - | $ 163.76 | $ 6.17 | $ 169.93 | $ 84.97 | $ 10.96 | $ 265.86 |
