Healthcare-associated Infections (), Medical Assistance () Pass-through s (for -11 s with Letters mailed on or before February 20, 2015) The Department of Health s annual health-care associated infection () surcharge on a nursing facility s licensing fee is an allowable cost under the Program. The portion of the surcharge will be reimbursed as a pass-through payment and will be paid on an annual basis. A nursing facility s annual pass-through payment will equal the annual surcharge fee paid by the nursing facility, less any penalties assessed, as verified by the DOH, multiplied by the nursing facility s occupancy rate as reported on the nursing facility s -11 cost report for the year in which the annual surcharge is paid. The pass-through payment will be made annually within 120 days after the submission of an acceptable cost report provided that payment will not be made before the later of 210 days from the close of the nursing facility fiscal year or the date on which the DOH received payment of the nursing facility s surcharge fee., Pass-through s (for the -11 cost reports with acceptance letters mailed on or before February 20, 2015): Current Name End Letter RA ABINGTON CREST NURSING AND REHAB CENTER $920.00 7/1/2013 6/30/2014 12/16/2014 83.66% $769.67 3/2/2015 ABINGTON NOR $1,380.00 7/1/2013 6/30/2014 1/26/2015 65.18% $899.48 3/2/2015 ABRAMSON RESIDENCE $3,726.00 7/1/2013 6/30/2014 12/16/2014 66.62% $2,482.26 3/2/2015 ALLIED SERVICES SKILLED NURSING CENTER $4,266.50 7/1/2013 6/30/2014 10/21/2014 73.22% $3,123.93 3/2/2015 ARBUTUS PARK NOR $1,621.50 7/1/2013 6/30/2014 11/24/2014 61.83% $1,002.57 3/2/2015 ARISTACARE AT MEADOW SPRINGS $1,759.50 7/1/2013 6/30/2014 12/16/2014 84.90% $1,493.82 3/2/2015 ARTN LUTHERAN HOME $701.50 7/1/2013 6/30/2014 11/18/2014 31.24% $219.15 3/2/2015 AVALON NURSING CENTER $954.50 7/1/2013 6/30/2014 11/18/2014 81.75% $780.30 3/2/2015 BALA NURSING AND RETIREMENT CENTER $2,070.00 7/1/2013 6/30/2014 12/16/2014 89.11% $1,844.58 3/2/2015 BALDWIN HEALTH CENTER $2,300.00 7/1/2013 6/30/2014 11/24/2014 62.71% $1,442.33 3/2/2015 BALL PAVILION, THE $977.50 7/1/2013 6/30/2014 12/16/2014 70.32% $687.38 3/2/2015 BAPTIST HOMES OF WESTERN PENNSYLVANIA $1,449.00 7/1/2013 6/30/2014 11/24/2014 63.73% $923.45 3/2/2015
End Letter RA BARNES-KASSON COUNTY HOSPITAL SNF $667.00 7/1/2013 6/30/2014 12/16/2014 81.41% $543.00 3/2/2015 BEAVER VALLEY NURSING AND REHAB CENTER $1,380.00 7/1/2013 6/30/2014 12/16/2014 57.95% $799.71 3/2/2015 BELAIR HEALTH AND REHABILITATION CENTER $1,184.50 7/1/2013 6/30/2014 12/16/2014 62.56% $741.02 3/2/2015 BERKSHIRE CENTER $1,495.00 7/1/2013 6/30/2014 1/5/2015 63.72% $952.61 3/2/2015 BERWICK RETIREMENT VILLAGE NRSNG CTR I $1,380.00 7/1/2013 6/30/2014 11/18/2014 81.17% $1,120.15 3/2/2015 BERWICK RETIREMENT VILLAGE NRSNG CTR II $1,380.00 7/1/2013 6/30/2014 11/18/2014 54.18% $747.68 3/2/2015 BLOOMSBURG HEALTH CARE CENTER $1,713.50 7/1/2013 6/30/2014 11/10/2014 68.85% $1,179.74 3/2/2015 BRANDYWINE HALL $2,070.00 7/1/2013 6/30/2014 12/16/2014 78.63% $1,627.64 3/2/2015 BRETHREN VILLAGE $1,380.00 7/1/2013 6/30/2014 12/16/2014 35.49% $489.76 3/2/2015 BRIARLEAF NURSING AND CONVAL CENTER $2,047.00 7/1/2013 6/30/2014 11/10/2014 84.36% $1,726.85 3/2/2015 BRINTON NOR $1,058.00 7/1/2013 6/30/2014 1/26/2015 57.19% $605.07 3/2/2015 BROAD MOUNTAIN NURSING AND REHAB CENTER $1,483.50 7/1/2013 6/30/2014 12/16/2014 76.49% $1,134.73 3/2/2015 BUCKINGHAM VALLEY REHAB AND NURSING CTR $1,495.00 7/1/2013 6/30/2014 11/18/2014 61.65% $921.67 3/2/2015 BUCKTAIL MEDICAL CENTER $494.50 7/1/2013 6/30/2014 12/16/2014 90.85% $449.25 3/2/2015 CALVARY FELLOWSHIP HOMES, INC $517.50 7/1/2013 6/30/2014 12/16/2014 63.73% $329.80 3/2/2015 CARING HEART REHAB AND NURSING CENTER $2,863.50 7/1/2013 6/30/2014 11/10/2014 68.42% $1,959.21 3/2/2015 CARING PLACE, THE $1,150.00 7/1/2013 6/30/2014 11/10/2014 68.32% $785.68 3/2/2015 CATHEDRAL VILLAGE $1,702.00 7/1/2013 6/30/2014 11/24/2014 24.34% $414.27 3/2/2015 CEDAR HAVEN HEALTHCARE CENTER $3,726.00 1/1/2014 9/30/2014 2/3/2015 87.98% $3,278.13 3/2/2015 CHAPEL NOR $2,760.00 7/1/2013 6/30/2014 12/16/2014 84.29% $2,326.40 3/2/2015 CHARLES COLE MEMORIAL HOSPITAL ECF $563.50 7/1/2013 6/30/2014 11/24/2014 75.94% $427.92 3/2/2015 CHARLES M. MORRIS NURSING AND REHAB CTR $1,828.50 7/1/2013 6/30/2014 12/16/2014 46.57% $851.53 3/2/2015 CHELTENHAM NURSING AND REHAB CENTER $2,932.50 7/1/2013 6/30/2014 11/24/2014 93.92% $2,754.20 3/2/2015 CHICORA MEDICAL CENTER $1,311.00 7/1/2013 6/30/2014 11/10/2014 69.88% $916.13 3/2/2015 CHRIST THE KING NOR $1,840.00 7/1/2013 6/30/2014 10/21/2014 62.20% $1,144.48 3/2/2015 CHRIST'S HOME RETIREMENT COMMUNITY $552.00 7/1/2013 6/30/2014 12/16/2014 29.52% $162.95 3/2/2015 CHURCH OF THE BRETHREN HOME $1,541.00 7/1/2013 6/30/2014 12/16/2014 64.88% $999.80 3/2/2015 CONCORDIA LUTHERAN HEALTH AND HUN CARE $1,633.00 7/1/2013 6/30/2014 11/24/2014 38.34% $626.09 3/2/2015 CONNER-WILLIAMS NURSING HOME $575.00 7/1/2013 6/30/2014 9/15/2014 71.08% $408.71 3/2/2015
End Letter RA COUNTRYSIDE CONVAL HOME LTD PARTNERSHIP $552.00 7/1/2013 6/30/2014 11/10/2014 43.41% $239.62 3/2/2015 CRANBERRY PLACE $1,725.00 7/1/2013 6/30/2014 12/16/2014 70.77% $1,220.78 3/2/2015 CRESTVIEW CENTER $2,070.00 7/1/2013 6/30/2014 12/16/2014 54.52% $1,128.56 3/2/2015 CROSS KEYS VILLAGE-BRETHREN HM COMM, THE $3,105.00 7/1/2013 6/30/2014 12/16/2014 51.41% $1,596.28 3/2/2015 DEER MEADOWS REHABILITATION CENTER $2,369.00 7/1/2013 6/30/2014 11/18/2014 71.54% $1,694.78 3/2/2015 DOCK TERRACE $828.00 7/1/2013 6/30/2014 12/22/2014 33.35% $276.14 3/2/2015 DONAHOE NOR $828.00 7/1/2013 6/30/2014 11/10/2014 64.75% $536.13 3/2/2015 DR ARTHUR CLIFTON MCKINLEY HEALTH CENTER $1,035.00 7/1/2013 6/30/2014 12/16/2014 57.99% $600.20 3/2/2015 DRESHER HILL HEALTH AND REHAB CENTER $1,357.00 7/1/2013 6/30/2014 12/16/2014 87.02% $1,180.86 3/2/2015 DUBOIS NURSING HOME $1,610.00 7/1/2013 6/30/2014 12/16/2014 61.37% $988.06 3/2/2015 EDGEHILL NURSING AND REHAB CENTER $690.00 7/1/2013 6/30/2014 12/16/2014 83.66% $577.25 3/2/2015 ELDERCREST NURSING CENTER $552.00 7/1/2013 6/30/2014 12/16/2014 57.27% $316.13 3/2/2015 ELK HAVEN NURSING HOME $1,380.00 7/1/2013 6/30/2014 11/24/2014 57.90% $799.02 3/2/2015 ELKINS CREST HEALTH AND REHAB CENTER $1,725.00 7/1/2013 6/30/2014 12/16/2014 86.45% $1,491.26 3/2/2015 ELLEN MEMORIAL HEALTH CARE CENTER $1,495.00 7/1/2013 6/30/2014 10/21/2014 64.96% $971.15 3/2/2015 ELM TERRACE GARDENS $828.00 7/1/2013 6/30/2014 11/18/2014 30.65% $253.78 3/2/2015 FAIR WINDS NOR $759.00 7/1/2013 6/30/2014 11/10/2014 70.78% $537.22 3/2/2015 FAIRMOUNT HOMES $1,311.00 7/1/2013 6/30/2014 12/16/2014 45.58% $597.55 3/2/2015 FAIRVIEW CARE CENTER OF BETHLEHEM PIKE $2,024.00 7/1/2013 6/30/2014 1/5/2015 84.32% $1,706.64 3/2/2015 FAIRVIEW CARE CENTER OF PAPERMILL ROAD $1,483.50 7/1/2013 6/30/2014 1/26/2015 76.12% $1,129.24 3/2/2015 FALLING SPRING NURSING AND REHAB CENTER $2,139.00 1/1/2014 6/30/2014 12/16/2014 68.45% $1,464.15 3/2/2015 FELLOWSHIP NOR $1,391.50 7/1/2013 6/30/2014 12/16/2014 34.93% $486.05 3/2/2015 FOX SUBACUTE AT MECHANICSBURG $506.00 7/1/2013 6/30/2014 11/18/2014 66.10% $334.47 3/2/2015 FRIENDLY NURSING HOME - PITN $552.00 7/1/2013 6/30/2014 12/22/2014 81.32% $448.89 3/2/2015 FULTON COUNTY MEDICAL CENTER LTCU $770.50 7/1/2013 6/30/2014 12/16/2014 71.51% $550.98 3/2/2015 GARDEN SPOT VILLAGE $839.50 7/1/2013 6/30/2014 12/22/2014 17.94% $150.61 3/2/2015 GARDEN SPRING CENTER $1,989.50 7/1/2013 6/30/2014 12/16/2014 82.67% $1,644.72 3/2/2015 GERNTOWN HOME $2,070.00 7/1/2013 6/30/2014 12/16/2014 90.87% $1,881.01 3/2/2015 GETTYSBURG CENTER $1,357.00 7/1/2013 6/30/2014 12/16/2014 59.83% $811.89 3/2/2015
End Letter RA GOLDEN HILL NURSING AND REHAB $2,346.00 2/1/2014 6/30/2014 12/16/2014 78.30% $1,836.92 3/2/2015 GOOD SHEPHERD HOME RAKER CENTER $1,138.50 7/1/2013 6/30/2014 12/16/2014 98.39% $1,120.17 3/2/2015 GOOD SHEPHERD HOME-BETHLEHEM $690.00 7/1/2013 6/30/2014 12/16/2014 96.15% $663.44 3/2/2015 GRANDVIEW HEALTH HOMES, INC $1,978.00 7/1/2013 6/30/2014 12/16/2014 75.92% $1,501.70 3/2/2015 GREEN HOME, INC, THE $1,380.00 7/1/2013 6/30/2014 12/22/2014 69.68% $961.58 3/2/2015 GREENLEAF NURSING HOME AND CONVAL CENTER $1,495.00 7/1/2013 6/30/2014 11/10/2014 74.90% $1,119.76 3/2/2015 GROVE NOR $678.50 7/1/2013 6/30/2014 11/10/2014 45.54% $308.99 3/2/2015 GUY AND RY FELT NOR, INC $460.00 7/1/2013 6/30/2014 10/21/2014 61.38% $282.35 3/2/2015 GWYNEDD SQUARE CTR FOR NSG & CONVAL CARE $2,081.50 7/1/2013 6/30/2014 11/18/2014 74.38% $1,548.22 3/2/2015 HAMILTON ARMS CENTER $1,081.00 7/1/2013 6/30/2014 1/5/2015 73.58% $795.40 3/2/2015 HAMPTON HOUSE $1,196.00 7/1/2013 6/30/2014 12/16/2014 75.43% $902.14 3/2/2015 HARSTON HALL $1,380.00 7/1/2013 6/30/2014 12/16/2014 74.17% $1,023.55 3/2/2015 HAVEN SKILLED REHABILITATION AND NURSING $1,035.00 7/1/2013 6/30/2014 1/5/2015 70.59% $730.61 3/2/2015 HAVENCREST NURSING CENTER $552.00 7/1/2013 6/30/2014 12/16/2014 44.49% $245.58 3/2/2015 HENRY CLAY VILLA, LP $851.00 7/1/2013 6/30/2014 11/10/2014 81.15% $690.59 3/2/2015 HIGHLAND NOR REHAB & NURSING CENTER $1,380.00 7/1/2013 6/17/2014 9/29/2014 79.87% $1,102.21 3/2/2015 HILLCREST CENTER $2,070.00 7/1/2013 6/30/2014 12/16/2014 87.63% $1,813.94 3/2/2015 HOMELAND CENTER $1,058.00 7/1/2013 6/30/2014 11/24/2014 57.27% $605.92 3/2/2015 HOMESTEAD VILLAGE, INC $690.00 7/1/2013 6/30/2014 11/24/2014 29.09% $200.72 3/2/2015 HOPKINS CENTER $1,219.00 7/1/2013 6/30/2014 1/26/2015 73.09% $890.97 3/2/2015 HUNTINGDON NURSING AND REHAB CENTER $1,069.50 7/1/2013 6/30/2014 12/22/2014 76.12% $814.10 3/2/2015 IMCULATE RY CTR FOR REHAB & HLTHCARE $3,404.00 7/1/2013 6/30/2014 11/18/2014 78.33% $2,666.35 3/2/2015 INGLIS HOUSE $3,415.50 7/1/2013 6/30/2014 12/16/2014 96.31% $3,289.47 3/2/2015 IVY HILL REHABILITATION AND NURSING CTR $1,667.50 7/1/2013 6/30/2014 12/16/2014 78.80% $1,313.99 3/2/2015 JEFFERSON NOR HEALTH CENTER $1,840.00 7/1/2013 6/30/2014 11/24/2014 75.72% $1,393.25 3/2/2015 JEWISH HOME OF GREATER HARRISBURG $1,587.00 7/1/2013 6/30/2014 1/5/2015 57.19% $907.61 3/2/2015 KINGSTON HEALTH CARE CENTER $747.50 1/1/2014 6/30/2014 10/6/2014 42.83% $320.15 3/2/2015 KINKORA PYTHIAN HOME $690.00 7/1/2013 6/30/2014 11/18/2014 54.80% $378.12 3/2/2015 KUTZTOWN NOR $1,610.00 7/1/2013 6/30/2014 11/10/2014 81.32% $1,309.25 3/2/2015
End Letter RA LACKAWANNA HEALTH AND REHAB CENTER $3,128.00 7/1/2013 6/30/2014 12/22/2014 85.24% $2,666.31 3/2/2015 LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) $1,380.00 7/1/2013 6/30/2014 11/10/2014 39.37% $543.31 3/2/2015 LANDIS HOMES $1,184.50 7/1/2013 6/30/2014 1/5/2015 47.72% $565.24 3/2/2015 LANGHORNE GARDENS REHAB AND NURSING CTR $1,380.00 7/1/2013 6/30/2014 12/16/2014 77.03% $1,063.01 3/2/2015 LAUREL CENTER $1,495.00 7/1/2013 6/30/2014 1/26/2015 75.50% $1,128.73 3/2/2015 LAUREL RIDGE CENTER $701.50 7/1/2013 6/30/2014 12/16/2014 71.73% $503.19 3/2/2015 LAUREL VIEW VILLAGE $690.00 7/1/2013 6/30/2014 1/5/2015 30.39% $209.69 3/2/2015 LEHIGH CENTER $1,472.00 7/1/2013 6/30/2014 12/16/2014 37.78% $556.12 3/2/2015 LIBERTY NURSING AND REHAB CENTER $1,679.00 7/1/2013 6/30/2014 11/10/2014 78.52% $1,318.35 3/2/2015 LIFEQUEST NURSING CENTER $1,610.00 7/1/2013 6/30/2014 1/13/2015 71.52% $1,151.47 3/2/2015 LINWOOD NURSING AND REHABILITATION CTR $1,173.00 7/1/2013 6/30/2014 12/16/2014 75.55% $886.20 3/2/2015 LITTLE FLOWER NOR $1,460.50 7/1/2013 6/30/2014 1/13/2015 46.52% $679.42 3/2/2015 LOYALSOCK CREEK REHAB AND NURSING CTR $1,529.50 1/1/2014 8/31/2014 1/13/2015 70.10% $1,072.18 3/2/2015 LUTHERAN COMMUNITY AT TELFORD $862.50 7/1/2013 6/30/2014 12/16/2014 40.12% $346.04 3/2/2015 JESTIC OAKS REHAB & NURSING CENTER $2,070.00 7/1/2013 6/17/2014 9/29/2014 85.95% $1,779.17 3/2/2015 NORCARE HEALTH SERVICES - ERIE $1,380.00 7/1/2013 6/30/2014 12/16/2014 73.35% $1,012.23 3/2/2015 NORCARE HEALTH SERVICES - NORTHSIDE $1,150.00 7/1/2013 6/30/2014 12/16/2014 88.82% $1,021.43 3/2/2015 NORCARE HEALTH SERVICES - WALLINGFORD $2,277.00 7/1/2013 6/30/2014 12/16/2014 79.46% $1,809.30 3/2/2015 NORCARE HEALTH SVCS-KINGSTON COURT $1,736.50 7/1/2013 6/30/2014 11/10/2014 62.57% $1,086.53 3/2/2015 NORCARE HEALTH SVCS-MERCY FITZGERALD $1,483.50 7/1/2013 6/30/2014 12/16/2014 66.68% $989.20 3/2/2015 NORCARE HEALTH SVCS-PITTSBURGH $2,576.00 7/1/2013 6/30/2014 12/16/2014 81.28% $2,093.77 3/2/2015 NORCARE HEALTH SVCS-SHADYSIDE $1,725.00 7/1/2013 6/30/2014 11/10/2014 85.78% $1,479.71 3/2/2015 NORCARE HEALTH SVCS-YORK NORTH $1,851.50 7/1/2013 6/30/2014 11/10/2014 67.93% $1,257.72 3/2/2015 NORCARE HEALTH SVCS-YORK SOUTH $1,736.50 7/1/2013 6/30/2014 12/16/2014 71.06% $1,233.96 3/2/2015 PLE FARM $529.00 7/1/2013 6/30/2014 11/24/2014 58.27% $308.25 3/2/2015 RGARET E. MOUL HOME $943.00 7/1/2013 6/30/2014 11/18/2014 99.84% $941.49 3/2/2015 RIAN NOR CORPORATION $1,771.00 7/1/2013 6/30/2014 1/5/2015 51.07% $904.45 3/2/2015 RWOOD REST HOME, INC $1,000.50 7/1/2013 6/30/2014 1/13/2015 91.59% $916.36 3/2/2015 MCMURRAY HILLS NOR $1,322.50 7/1/2013 6/30/2014 12/22/2014 74.92% $990.82 3/2/2015
End Letter RA MEADOW VIEW NURSING CENTER $1,725.00 7/1/2013 6/30/2014 12/16/2014 76.48% $1,319.28 3/2/2015 MEADOWCREST NURSING CENTER $575.00 7/1/2013 6/30/2014 12/16/2014 72.02% $414.12 3/2/2015 MEADOWS NURSING AND REHAB CENTER $1,495.00 7/1/2013 6/30/2014 10/6/2014 59.35% $887.28 3/2/2015 MEMORIAL HOSPITAL INC SNU $782.00 7/1/2013 6/30/2014 1/5/2015 74.27% $580.79 3/2/2015 MENNONITE HOME, THE $2,162.00 7/1/2013 6/30/2014 1/5/2015 45.02% $973.33 3/2/2015 MESSIAH LIFEWAYS AT MESSIAH VILLAGE $2,116.00 7/1/2013 6/30/2014 1/5/2015 26.09% $552.06 3/2/2015 MID VALLEY HEALTH CARE CENTER $437.00 1/1/2014 6/30/2014 10/6/2014 41.22% $180.13 3/2/2015 MIFFLIN CENTER $1,564.00 7/1/2013 6/30/2014 12/16/2014 49.26% $770.43 3/2/2015 MILLCREEK NOR $575.00 7/1/2013 6/30/2014 1/13/2015 69.24% $398.13 3/2/2015 MORAVIAN HALL SQ. HLTH AND WELLNESS CTR $701.50 7/1/2013 6/30/2014 1/5/2015 9.19% $64.47 3/2/2015 MOSSER NURSING HOME $690.00 7/1/2013 6/30/2014 1/5/2015 55.60% $383.64 3/2/2015 MOUNT HOPE NAZARENE RETIREMENT COMMUNITY $575.00 7/1/2013 6/30/2014 1/13/2015 77.68% $446.66 3/2/2015 MOUNT CRINA NOR NURSING HOME $1,598.50 7/1/2013 6/30/2014 1/5/2015 67.21% $1,074.35 3/2/2015 MOUNTAIN LAUREL NRC $2,760.00 7/1/2013 6/30/2014 12/16/2014 69.78% $1,925.93 3/2/2015 MOUNTAIN VIEW CARE CENTER $2,070.00 7/1/2013 6/30/2014 12/22/2014 57.72% $1,194.80 3/2/2015 NAANS CREEK COUNTRY NOR $1,035.00 7/1/2013 6/30/2014 1/5/2015 58.21% $602.47 3/2/2015 NEW EASTWOOD HEALTHCARE AND REHAB CENTER $1,115.50 7/1/2013 6/30/2014 1/13/2015 58.30% $650.34 3/2/2015 NORTH HILLS HEALTH AND REHAB CENTER $632.50 7/1/2013 6/30/2014 1/13/2015 51.22% $323.97 3/2/2015 OAK HILL NURSING AND REHAB CENTER $552.00 7/1/2013 6/30/2014 12/16/2014 52.72% $291.01 3/2/2015 OAKWOOD HEALTHCARE & REHABILITATION CTR $1,702.00 7/1/2013 6/30/2014 1/5/2015 74.86% $1,274.12 3/2/2015 ORCHARD NOR, INC $1,391.50 7/1/2013 6/30/2014 1/5/2015 64.13% $892.37 3/2/2015 ORWIGSBURG CENTER $1,495.00 7/1/2013 6/30/2014 1/5/2015 74.01% $1,106.45 3/2/2015 PASSAVANT RETIREMENT AND HEALTH CENTER $1,817.00 7/1/2013 6/30/2014 1/5/2015 55.84% $1,014.61 3/2/2015 PAVILION AT BRMC $1,092.50 7/1/2013 6/30/2014 1/13/2015 69.99% $764.64 3/2/2015 PENN CENTER FOR REHABILITATION AND CARE $1,426.00 7/1/2013 6/30/2014 12/22/2014 75.85% $1,081.62 3/2/2015 PENNSBURG NOR $1,380.00 7/1/2013 6/30/2014 12/16/2014 68.67% $947.65 3/2/2015 PENNYPACK CENTER $621.00 7/1/2013 6/30/2014 12/16/2014 46.11% $286.34 3/2/2015 PETER BECKER COMMUNITY $828.00 7/1/2013 6/30/2014 12/22/2014 33.66% $278.70 3/2/2015 PHOEBE ALLENTOWN HEALTH CARE $4,542.50 7/1/2013 6/30/2014 11/18/2014 54.73% $2,486.11 3/2/2015
End Letter RA PHOEBE BERKS HEALTH CARE CENTER, INC $1,380.00 7/1/2013 6/30/2014 11/18/2014 24.37% $336.31 3/2/2015 PHOEBE RICHLAND HCC $1,644.50 7/1/2013 6/30/2014 11/10/2014 57.69% $948.71 3/2/2015 PHOEBE WYNCOTE $667.00 7/1/2013 6/30/2014 11/18/2014 71.68% $478.11 3/2/2015 PICKERING NOR HOME $540.50 7/1/2013 6/30/2014 1/26/2015 35.13% $189.88 3/2/2015 PINE RUN HEALTH CENTER $1,460.50 7/1/2013 6/30/2014 11/24/2014 23.22% $339.13 3/2/2015 PINECREST NOR $1,587.00 7/1/2013 6/30/2014 12/22/2014 59.22% $939.82 3/2/2015 POWERBACK REHABILITATION 1526 $1,725.00 7/1/2013 6/30/2014 1/5/2015 29.75% $513.19 3/2/2015 POWERBACK REHABILITATION 1700 $1,138.50 7/1/2013 6/30/2014 1/26/2015 40.26% $458.36 3/2/2015 POWERBACK REHABILITATION 3485 $1,253.50 7/1/2013 6/30/2014 1/26/2015 19.97% $250.32 3/2/2015 QUAKERTOWN CENTER $1,587.00 7/1/2013 6/30/2014 1/26/2015 71.07% $1,127.88 3/2/2015 QUARRYVILLE PRESBYTERIAN RETIREMENT COMM $1,495.00 7/1/2013 6/30/2014 1/13/2015 39.20% $586.04 3/2/2015 REDSTONE HIGHLANDS HEALTH CARE CENTER $885.50 7/1/2013 6/30/2014 1/26/2015 54.73% $484.63 3/2/2015 REGINA COMMUNITY NURSING CENTER $1,391.50 7/1/2013 6/30/2014 9/29/2014 76.79% $1,068.53 3/2/2015 RENAISSANCE HEALTHCARE & REHAB CENTER $1,414.50 7/1/2013 6/30/2014 1/5/2015 78.45% $1,109.68 3/2/2015 REST HAVEN-YORK $1,828.50 7/1/2013 6/30/2014 1/13/2015 62.50% $1,142.81 3/2/2015 RICHBORO REHAB AND NURSING CENTER $943.00 7/1/2013 6/30/2014 11/18/2014 67.55% $637.00 3/2/2015 RIVERSTREET NOR $1,403.00 7/1/2013 6/30/2014 1/26/2015 65.22% $915.04 3/2/2015 ROCKHILL MENNONITE COMMUNITY $1,035.00 7/1/2013 6/30/2014 1/27/2015 32.34% $334.72 3/2/2015 ROLLING MEADOWS $1,391.50 7/1/2013 6/30/2014 11/24/2014 73.66% $1,024.98 3/2/2015 ROSE VIEW CENTER $1,414.50 7/1/2013 6/30/2014 1/26/2015 67.99% $961.72 3/2/2015 SAINT ANNE HOME $1,437.50 7/1/2013 6/30/2014 1/26/2015 61.73% $887.37 3/2/2015 SAINT ANNE'S RETIREMENT COMMUNITY $1,368.50 7/1/2013 6/30/2014 1/5/2015 41.72% $570.94 3/2/2015 SAINT JOSEPH VILLA $1,219.00 7/1/2013 6/30/2014 1/26/2015 57.55% $701.53 3/2/2015 SANATOGA CENTER $1,495.00 7/1/2013 6/30/2014 1/5/2015 51.89% $775.76 3/2/2015 SARAH REED SENIOR LIVING $1,219.00 7/1/2013 6/30/2014 11/10/2014 55.59% $677.64 3/2/2015 SAUNDERS HOUSE $2,070.00 7/1/2013 6/30/2014 1/26/2015 46.66% $965.86 3/2/2015 SAYRE HEALTH CARE CENTER, LLC $575.00 7/1/2013 6/30/2014 1/26/2015 44.65% $256.74 3/2/2015 SCHUYLKILL CENTER $2,185.00 7/1/2013 6/30/2014 1/5/2015 71.35% $1,559.00 3/2/2015 SENECA PLACE $2,001.00 7/1/2013 6/30/2014 1/27/2015 73.36% $1,467.93 3/2/2015
End Letter RA SETON NOR INC $1,380.00 7/1/2013 6/30/2014 1/26/2015 70.25% $969.45 3/2/2015 SHERWOOD OAKS $494.50 7/1/2013 6/30/2014 1/13/2015 2.60% $12.86 3/2/2015 SILVER LAKE CENTER $2,001.00 7/1/2013 6/30/2014 1/27/2015 82.44% $1,649.62 3/2/2015 SILVER STREAM CENTER $1,380.00 7/1/2013 6/30/2014 1/26/2015 90.90% $1,254.42 3/2/2015 SLATE BELT NURSING AND REHAB CENTER $1,449.00 7/1/2013 6/30/2014 12/16/2014 66.18% $958.95 3/2/2015 SMITH HEALTH CARE, LTD $425.50 7/1/2013 6/30/2014 1/5/2015 49.77% $211.77 3/2/2015 SOMERTON CENTER $2,771.50 7/1/2013 6/30/2014 1/26/2015 82.32% $2,281.50 3/2/2015 SOUDERTON MENNONITE HOMES $816.50 7/1/2013 6/30/2014 1/26/2015 41.17% $336.15 3/2/2015 SOUTH FAYETTE NURSING CENTER $690.00 7/1/2013 6/30/2014 11/10/2014 90.64% $625.42 3/2/2015 SPRUCE NOR NURSING AND REHAB CENTER $2,116.00 7/1/2013 6/30/2014 12/16/2014 80.52% $1,703.80 3/2/2015 ST FRANCIS CENTER FOR REHAB & HEALTHCARE $3,139.50 7/1/2013 6/30/2014 11/18/2014 78.63% $2,468.59 3/2/2015 ST JOHN NEUNN CTR FOR REHAB & HLTHCARE $2,599.00 7/1/2013 6/30/2014 11/18/2014 75.61% $1,965.10 3/2/2015 ST JOHN SPECIALTY CARE CENTER $3,450.00 7/1/2013 6/30/2014 1/5/2015 76.44% $2,637.18 3/2/2015 ST JOSEPH'S NOR (DBA ENTITY OF HRHS) $3,404.00 7/1/2013 6/30/2014 11/10/2014 55.18% $1,878.33 3/2/2015 ST LUKE'S REHABILITATION AND NURSING CTR $552.00 7/1/2013 6/30/2014 11/18/2014 60.52% $334.07 3/2/2015 ST RTHA CENTER FOR REHAB & HEALTHCARE $1,380.00 7/1/2013 6/30/2014 11/18/2014 55.02% $759.28 3/2/2015 ST RY CENTER FOR REHAB & HEALTHCARE $1,380.00 7/1/2013 6/30/2014 11/18/2014 63.46% $875.75 3/2/2015 ST MONICA CENTER FOR REHAB & HEALTHCARE $2,070.00 7/1/2013 6/30/2014 11/18/2014 62.84% $1,300.79 3/2/2015 ST. IGNATIUS NURSING & REHAB CENTER $2,024.00 7/1/2013 6/30/2014 11/18/2014 84.53% $1,710.89 3/2/2015 ST. LUKE'S VILLA $575.00 7/1/2013 6/30/2014 11/24/2014 61.40% $353.05 3/2/2015 STATESN HEALTH AND REHAB CENTER $1,161.50 7/1/2013 6/30/2014 12/16/2014 73.24% $850.68 3/2/2015 STERLING HEALTH CARE AND REHAB CENTER $1,886.00 7/1/2013 6/30/2014 1/5/2015 82.43% $1,554.63 3/2/2015 SUGAR CREEK REST $1,311.00 7/1/2013 6/30/2014 11/24/2014 85.37% $1,119.20 3/2/2015 SUMMIT AT BLUE MOUNTAIN NURSING & REHAB $1,046.50 7/1/2013 6/30/2014 1/5/2015 65.89% $689.54 3/2/2015 SUSQUEHANNA HLTH SKILLED NSG & REHAB CTR $1,587.00 7/1/2013 6/30/2014 1/26/2015 74.89% $1,188.50 3/2/2015 TEL RETIREMENT COMMUNITY $1,598.50 7/1/2013 6/30/2014 1/13/2015 41.50% $663.38 3/2/2015 THE BELVEDERE CENTER, GENESIS HEALTHCARE $1,725.00 7/1/2013 6/30/2014 1/5/2015 87.63% $1,511.62 3/2/2015 TOWNVIEW HEALTH AND REHAB CENTER $1,357.00 7/1/2013 6/30/2014 10/14/2014 71.55% $970.93 3/2/2015 TRANSITIONS HEALTHCARE AUTUMN GROVE $1,184.50 7/1/2013 6/30/2014 1/13/2015 78.27% $927.11 3/2/2015
End Letter RA TRANSITIONS HEALTHCARE NORTH HUNTINGDON $1,380.00 7/1/2013 6/30/2014 12/16/2014 60.68% $837.38 3/2/2015 TRANSITIONS HEALTHCARE WASHINGTON PA $1,380.00 7/1/2013 6/30/2014 1/5/2015 61.73% $851.87 3/2/2015 TREMONT HEALTH AND REHABILITATION CENTER $2,070.00 7/1/2013 6/30/2014 12/16/2014 77.60% $1,606.32 3/2/2015 TRINITY LIVING CENTER $1,253.50 7/1/2013 6/30/2014 11/10/2014 76.60% $960.18 3/2/2015 UPMC HERITAGE PLACE $1,667.50 7/1/2013 6/30/2014 1/27/2015 74.45% $1,241.45 3/2/2015 VALLEY NOR NURSING AND REHAB CENTER $2,070.00 7/1/2013 6/30/2014 12/16/2014 79.41% $1,643.79 3/2/2015 VILLA SAINT JOSEPH OF BADEN INC. $1,380.00 7/1/2013 6/30/2014 9/29/2014 61.87% $853.81 3/2/2015 VILLAGE AT PENNWOOD $1,449.00 7/1/2013 6/30/2014 1/27/2015 83.12% $1,204.41 3/2/2015 VINCENTIAN DE RILLAC $575.00 7/1/2013 6/30/2014 1/5/2015 72.06% $414.35 3/2/2015 VINCENTIAN HOME $2,070.00 7/1/2013 6/30/2014 1/13/2015 53.16% $1,100.41 3/2/2015 WAYNE CENTER $1,288.00 7/1/2013 6/30/2014 1/5/2015 64.63% $832.43 3/2/2015 WAYNE WOODLANDS NOR $1,391.50 7/1/2013 6/30/2014 1/5/2015 68.85% $958.05 3/2/2015 WESLEY ENHANCED LIVING AT STAPELY $1,380.00 7/1/2013 6/30/2014 1/26/2015 71.67% $989.05 3/2/2015 WEST HAVEN NOR $2,035.50 7/1/2013 6/30/2014 11/10/2014 65.60% $1,335.29 3/2/2015 WEST HILLS HEALTH AND REHAB CENTER $1,725.00 7/1/2013 6/30/2014 1/27/2015 50.12% $864.57 3/2/2015 WEXFORD HEALTHCARE CENTER $2,093.00 7/1/2013 6/30/2014 1/5/2015 57.72% $1,208.08 3/2/2015 WILLOWCREST $1,173.00 7/1/2013 6/30/2014 11/18/2014 30.12% $353.31 3/2/2015 WYOMISSING HEALTH AND REHABILITATION CTR $1,184.50 1/1/2014 6/30/2014 9/29/2014 70.56% $835.78 3/2/2015 ZERBE SISTERS NURSING CENTER, INC. $1,000.50 7/1/2013 6/30/2014 1/13/2015 77.02% $770.59 3/2/2015