Nursing Home Benchmark Rates (COVID-Positive Only Facilities)

  • Rates also available in Portable Document Format (PDF)
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/21 - 12/31/21 - COVID Rate Enhancement
Nursing Home Benchmark Rates
Non Medicare Eligible
  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
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
New York State Department of Health
Bureau Of Long Term Care Reimbursement
01/01/21 - 12/31/21 - COVID Rate Enhancement
Nursing Home Benchmark Rates
Medicare Eligible
  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