Subchapter K. EXCEPTIONAL PAYMENT FOR NURSING FACILITY ...

under specified terms to a nursing facility, in addition to the nursing facility’s case-mixper diem rate, for nursing facility services that are provided to a specified resident andthat involve the use of certain exceptional DME. The amount of the additional paymentauthorized by a grant is based upon the necessary, reasonable and prudent cost of theexceptional DME and the related services and items specified in the grant.Resident—An MA eligible resident of a nursing facility enrolled in the MA Programwho, in a request for an exceptional DME grant, is identified as needing exceptionalDME.§ 1187.152. Additional reimbursement of nursing facility services related toexceptional DME.(a) The necessary, reasonable and prudent costs incurred by a nursing facility related tothe purchase or rental, and the use of DME in providing nursing facility services toresidents are allowable costs and included in the calculation of the case-mix per diemrates subject to this chapter. Any costs incurred in excess of the costs identified in a grantare not allowable costs under this chapter.(b) When a nursing facility provides nursing facility services involving exceptionalDME to an MA eligible resident, the nursing facility may, in addition to the submissionof invoices for payment based upon the nursing facility’s case-mix per diem rate, seekauthorization for additional payment by requesting a grant from the Department inaccordance with § 1187.153(a) (relating to exceptional DME grants—process).(c) The Department will issue a grant to a nursing facility if the Department determinesthat all of the following conditions are met:(1) The nursing facility’s request for the grant complies with all applicable Departmentinstructions.(2) The specified DME is medically necessary as defined in § 1101.21 (relating todefinitions).(3) The DME specified in the nursing facility’s request is exceptional DME as definedin § 1187.2 (relating to definitions).(4) The nursing facility’s physical plant, equipment, staff, program and policies aresufficient to insure the safe, appropriate and effective use of the exceptional DME.(5) The nursing facility certifies to the Department in writing, on a form designated bythe Department, that it has read and understands the terms of the grant.§ 1187.153. Exceptional DME grants—process.(a) Requests for exceptional DME grants.

the necessary, reasonable and prudent cost amounts identified in the nursing facility’sgrant.(2) The nursing facility shall offset all payments made by the Department under a grantagainst the allowable cost of the exceptional DME and related services and items paid bythe grant.(3) The nursing facility shall identify and report in the MA-11, the costs related to theacquisition of exceptional DME and related services and items, the adjustment to theamount identified in the grant, and the offset of the payment made by the Departmentunder the grant using the accrual basis of accounting.(d) Payment in full. A grant does not waive the preclusion on supplementationestablished by law. Payment made by the Department under a grant is payment in full fornursing facility services involving the exceptional DME and any related services anditems. The entire payment for all MA nursing facility services provided to the resident,including the exceptional DME and any related services and items shall include both ofthe following:(1) The nursing facility’s case-mix per diem rate.(2) The exceptional payments authorized by the grant.(e) Utilization review. Nursing facility services paid by a grant are subject to utilizationreview by the Department, including assessments of the resident’s continuing need forthe exceptional DME.(f) Dispute resolution. A dispute relating to a grant, including a dispute relating topayments which the nursing facility believes are authorized by the grant and a disputearising from the termination, suspension or recovery actions taken under § 1187.157(relating to termination or suspension of exceptional DME grants and recovery ofexceptional payments), shall be brought initially and exclusively for adjudication to theDepartment’s Bureau of Hearings and Appeals.(g) Records. In addition to the nursing facility’s existing obligations to maintain andprovide documents and records, a nursing facility receiving a grant shall maintain and,upon request, provide to the Department additional documents and records as may benecessary for the Department to determine the nursing facility’s compliance with thissubchapter and the terms of the nursing facility’s grant, including documents and recordsas may be necessary for the Department to determine the maximum allowable cost of theexceptional DME as specified in § 1187.155(b) (relating to exceptional DME grants—payment conditions and limitations).(h) Term of the grant. A grant is effective on the date specified in the nursing facility’sgrant and ends on the date the grant is terminated under § 1187.157.

(iii) There is a change in state or federal law or regulations governing payments toMA providers of nursing facility services.(iv) Exceptional DME payments are no longer authorized under theCommonwealth’s approved Medicaid State Plan.(v) The nursing facility has violated the terms of the grant.(vi) The nursing facility changes ownership.(3) Suspension of grant payments. The Department may suspend payments under agrant upon written notice to the nursing facility if one or more of the conditions insubparagraphs (i) and (ii) occur. The Department will simultaneously provide a copy ofthe written notice to the resident and the resident’s authorized representative, if any.(i) The resident is temporarily discharged or transferred to a hospital or other healthcare provider.(ii) The resident is absent from the nursing facility because of therapeutic leave.(4) Termination or suspension date. A termination under paragraph (1) is effective asof the date on which the condition giving rise to the automatic termination first arises. Atermination under paragraph (2) is effective on the date specified in the Department’swritten notice to the nursing facility. A suspension under paragraph (3) is effective on thedate and for the period specified in the Department’s written notice to the nursing facility.(5) Effect of termination.(i) Termination of an exceptional DME grant, whether automatic or by writtennotice, terminates the nursing facility’s authorization to obtain exceptional payments fornursing facility services provided to the resident after the termination date.(ii) Termination of the grant ends the nursing facility’s grant and the nursingfacility’s duty and obligation to comply with the terms of the grant or the requirements ofthis subchapter, except as may be otherwise specified in the grant or in this subchapter.(iii) Termination of a grant does not relieve the nursing facility of any of the nursingfacility’s duties and obligations relating to services provided to the resident or any otherresident of the nursing facility.(6) Effect of suspension.(i) Suspension of payments under a grant terminates the nursing facility’sauthorization to obtain exceptional payments for nursing facility services provided to theresident for the period specified in the notice of suspension.

(ii) Suspension of payments under a grant does not terminate the nursing facility’sgrant or the nursing facility’s duty and obligation to comply with the terms of the grant orthe requirements of this subchapter.(iii) Suspension of payments under a grant does not relieve the nursing facility of anyof the nursing facility’s duties and obligations relating to services provided to the residentor any other resident of the nursing facility.(b) Recovery of exceptional DME grant payments.(1) If a grant is terminated or if payments under a grant are suspended, the Departmentwill recover any exceptional payments made to the nursing facility for services providedafter the termination date or during the period of suspension.(2) If the nursing facility violates this subchapter or the terms of its grant, theDepartment may recover exceptional payments made to the nursing facility in addition toor instead of terminating the nursing facility’s grant.(c) Rights and remedies. The rights and remedies available to the Department under thissection are in addition to any rights, remedies and sanctions otherwise available to theDepartment under law and regulation.Cross ReferencesThis section cited in 55 Pa. Code § 1187.154 (relating to exceptional DME grants—general conditions and limitations); 55 Pa. Code § 1187.155 (relating to exceptionalDME grants—payment conditions and limitations); and 55 Pa. Code § 1187.158(relating to appeals).§ 1187.158. Appeals.(a) Appeals. An appeal may be filed by the resident or the resident’s authorizedrepresentative, by the nursing facility, or by both, from the Department’s decision todeny, terminate or suspend a grant, subject to the following:(1) If the Department denies a grant because the DME is not exceptional DME, anappeal of the denial may be filed solely on the basis that the DME is exceptional DME asdefined in § 1187.2 (relating to definitions).(2) If the Department automatically terminates a grant under § 1187.157(a)(1)(relating to termination or suspension of exceptional DME grants and recovery ofexceptional payments), an appeal of the termination may be filed solely on the basis thatnone of the conditions specified in § 1187.157(a)(1)(i)—(vi) has occurred.(3) If a resident appeals the denial, termination or suspension of a grant, Chapter 275(relating to appeal and fair hearing and administrative disqualification hearings) applies.

(4) If a nursing facility appeals the denial, termination or suspension of a grant,§ 1187.141(b), (d) and (e) (relating to nursing facility’s right to appeal and to a hearing)apply.(5) An appeal from the Department’s decision denying a request for a grant shall bereceived in the Department’s Bureau of Hearings and Appeals within 30 days of the dateof the Department’s written notice.(6) If the resident or the nursing facility timely appeals the Department’s decision todeny, suspend or terminate a grant, the Department’s decision is not final until theDepartment issues a final adjudication on the appeal.(b) Effect of decisions.(1) Effect on subsequent grant requests. The denial or termination of a grant, does notprohibit a nursing facility from submitting a new request for an exceptional DME grantfor the same resident, if the nursing facility determines that there has been a change in theresident’s condition since the denial or termination.(2) Effect on services.(i) If the Department determines that DME specified in the nursing facility’s requestis medically necessary but denies the request because the DME is not exceptional DME,the nursing facility shall, as a part of the nursing facility services that it provides to theresident, provide the DME to the resident, unless the resident refuses the DME,regardless of whether the nursing facility or resident appeals the Department’s decision.If the resident refuses the DME, the nursing facility shall notify the Department inaccordance with § 1187.22(17) (relating to ongoing responsibilities of nursing facilities).(ii) If the Department determines that the DME specified in the nursing facility’srequest is exceptional DME but denies the request because the DME is not medicallynecessary, the nursing facility may provide the DME and charge the resident inaccordance with and subject to applicable Federal and state requirements, including 42CFR 483.10(c)(8) (relating to resident rights) and § 1101.63(a) (relating to payment infull), if, after receiving actual notice of the Department’s denial, the resident requests thatthe nursing facility provide the DME. If the resident or nursing facility appeals theDepartment’s determination to deny the exceptional DME grant and the appeal issustained, the nursing facility shall refund any payment made by the resident within 60days from the date of the Department’s final adjudication sustaining the appeal.(iii) If the Department terminates a grant or suspends payment under a grant under§ 1187.157(a)(2) and (3), and the resident or the resident’s authorized representativeappeals the termination or suspension within 10-calendar days of the date on which theDepartment’s notice was mailed, the Department will continue to make payments underthe grant pending the outcome of the hearing on the resident’s appeal. If, after thehearing, the Department denies the resident’s appeal, the Department will recover any

payments made under the grant on or after the termination date or during the period ofsuspension specified in the Department’s notice.(iv) If the Department terminates a grant or suspends payment under a grant under§ 1187.157(a)(2) and (3), and the resident or the resident’s authorized representativedoes not appeal the termination or suspension, or appeals more than 10-calendar daysfrom the date on which the Department’s notice was mailed, the Department will ceasepayments under the grant on the termination date or during the period of suspensionspecified in the Department’s notice.Appendix AResource Utilization Group Index Scoresfor Case-Mix Adjustment NursingFacility Reimbursement SystemThe Department announces the Resource Utilization Group (RUG-III) index scores forcase-mix adjustment in the nursing facility reimbursement system. The index scores shallbe effective for nursing facility rates starting January 1, 1996, and these index scores willremain in effect until a subsequent notice is published in the Pennsylvania Bulletin.Section 1187.92(d) (relating to resident classification system) authorizes the Departmentto announce these index scores by notice submitted for recommended publication in thePennsylvania Bulletin and suggested codification in the Pennsylvania Code as AppendixA.The National RUG-III nursing CMI scores were normalized for the average resident in anursing facility participating in the MA Program on February 1, 1993. The RUG-III PAnormalized index scores are used to make case-mix adjustments in the computation ofnursing facility rates. Subchapter G (relating to rate setting) defines the rate settingprocess.The following chart is a listing by group of the RUG-III index scores. The table has onecolumn that is the RUG-III nursing CMI scores and a second column that is the RUG-IIIPA normalized index scores.RUG-III INDEX SCORES

RUG-III Group RUG-III RUG-III PA Normalized IndexNursing CMIRLA 1.14 1.13RLB 1.36 1.35RMA 1.25 1.24RMB 1.38 1.37RMC 2.09 2.07RHA 1.06 1.05RHB 1.31 1.30RHC 1.50 1.49RHD 1.93 1.91RVA 0.82 0.81RVB 1.18 1.17RVC 1.79 1.77SE1 1.78 1.76SE2 2.65 2.62SE3 3.97 3.93SSA 1.28 1.27SSB 1.47 1.46SSC 1.61 1.59CA1 0.67 0.66CA2 0.76 0.75CB1 0.94 0.93CB2 1.08 1.07CC1 1.16 1.15CC2 1.19 1.18CD1 1.37 1.36CD2 1.46 1.45IA1 0.49 0.49IA2 0.60 0.59IB1 0.80 0.79IB2 0.88 0.87BA1 0.41 0.41BA2 0.58 0.57BB1 0.78 0.77BB2 0.87 0.86PA1 0.39 0.39

PA2 0.52 0.51PB1 0.66 0.65PB2 0.68 0.67PC1 0.77 0.76PC2 0.86 0.85PD1 1.00 0.99PD2 1.01 1.00PE1 1.13 1.12PE2 1.19 1.18Appendix BMEDIANS AND PRICES FOR 2005-2006File Date: 1/5/2006MedianPeerGroupProviderNameMostRecentCostReportEnd DateSecond MostRecentCost ReportEnd DateThird MostRecentCost ReportEnd Date1BROOMALL REHAB ANDNURSING CENTER12/31/02 12/31/01 12/31/001CARE PAVILION OF WALNUTPARK, INC06/30/03 06/30/02 06/30/011FAIR ACRES GERIATRICCENTER12/31/02 12/31/01 12/31/001 FRIENDSHIP RIDGE 12/31/02 12/31/01 12/31/001 IMMACULATE MARY HOME 06/30/03 06/30/02 06/30/011JOHN J KANE REGIONALCENTER—GLEN HAZEL12/31/02 12/31/01 12/31/001JOHN J KANE REGIONALCENTER-MCKEESPORT12/31/02 12/31/01 12/31/001JOHN J KANE REGIONALCENTER—ROSS TWNSHP12/31/02 12/31/01 12/31/001JOHN J KANE REGIONALCENTER—SCOTT TWNSHP12/31/02 12/31/01 12/31/00

1MADLYN AND LEONARDABRAMSON CENTER06/30/031 NESHAMINY MANOR HOME 12/31/02 12/31/01 12/31/001PARKHOUSE, PROVIDENCEPOINTE12/31/02 12/31/01 12/31/001PHILADELPHIA NURSINGHOME12/31/02 12/31/01 12/31/001 POCOPSON HOME 12/31/02 12/31/01 12/31/001SAINT FRANCIS COUNTRYHOUSE06/30/03 06/30/02 06/30/011 SAINT JOSEPH’S MANOR 06/30/03 06/30/02 06/30/011ST JOHN SPECIALTY CARECENTER06/30/03 06/30/02 06/30/011WASHINGTON COUNTYHEALTH CENTER12/31/02 12/31/01 12/31/001 WESTMORELAND MANOR 12/31/02 12/31/01 12/31/00PG1PG1Resident Care MedianOtherResidentRltdMedian$100.13 $50.68 $17.95Resident Care PriceOtherResidentRltd Price$117.15 $56.76 $18.67AdministrativeMedianAdministrativePriceMedianPeerGroupProviderNameMost RecentCost ReportEnd DateSecond Third MostMost Recent RecentCost Report Cost ReportEnd Date End Date2ANDORRA WOODSHEALTHCARE CENTER12/31/02 12/31/01 12/31/002 ASBURY HEALTH CENTER 12/31/02 12/31/01 12/31/002ASHTON HALL NURSINGAND REHAB CENTER06/30/03 06/30/02 06/30/012ATTLEBORO NURSING ANDREHAB CENTER12/31/02 12/31/01 12/31/002BALA NURSING ANDRETIREMENT CENTER06/30/03 06/30/02 06/30/01

2BALDOCK HEALTH CARECENTER06/30/03 06/30/02 06/30/012 BALDWIN HEALTH CENTER 06/30/03 06/30/02 06/30/012BAPTIST HOMES NURSINGCENTER06/30/03 06/30/02 06/30/012BEAVER VALLEY NURSINGAND REHAB CENTER06/30/03 06/30/02 06/30/012BEVERLY HEALTHCARE—LANSDALE12/31/02 12/31/01 12/31/002BEVERLY HEALTHCARE—MONROEVILLE12/31/02 12/31/01 12/31/002BEVERLY HEALTHCARE—MOUNT LEBANON MANOR12/31/02 12/31/01 12/31/002BEVERLY HEALTHCARE—MURRYSVILLE12/31/02 12/31/01 12/31/002BEVERLY HEALTHCARE—PHOENIXVILLE12/31/02 12/31/01 12/31/002BEVERLY HEALTHCARE—UNIONTOWN12/31/02 12/31/01 12/31/002 BRANDYWINE HALL 06/30/03 06/30/02 06/30/012BRIARCLIFF PAVILION FORSPECIALIZED CARE12/31/02 12/31/01 12/31/002BRIARLEAF NURSING ANDCONVAL CENTER06/30/03 06/30/02 06/30/012 BRIGHTEN AT BROOMALL 12/31/02 12/31/01 12/31/002 BRIGHTEN AT BRYN MAWR 12/31/02 12/31/00 12/31/992BROOMALL PRESBYTERIANVILLAGE12/31/02 12/31/01 12/31/002BUCKINGHAM VALLEYREHAB AND NURSING CTR06/30/03 06/30/02 06/30/012 CATHEDRAL VILLAGE 06/30/03 06/30/02 06/30/012 CENTENNIAL VILLAGE 12/31/01 06/30/00 06/30/992 CHAPEL MANOR 12/31/02 12/31/01 12/31/002CHARLES M. MORRISNURSING AND REHAB CTR06/30/03 06/30/02 06/30/012 CHATHAM ACRES, INC 06/30/03 06/30/02 06/30/012CHELTENHAM NURSINGAND REHAB CENTER06/30/03 06/30/02 06/30/012CHELTENHAM YORK ROADNSG & REHAB CENTER06/30/03 06/30/02 06/30/012 CHERRY TREE NURSING 12/31/02 12/31/01 12/31/00

2HEARTLAND HEALTH CARECENTER06/30/03 06/30/02 06/30/012 HEMPFIELD MANOR 12/31/03 12/31/02 12/31/012 HERITAGE SHADYSIDE, THE 06/30/03 06/30/02 06/30/012HIGHLAND PARK CARECENTER12/31/02 06/30/01 06/30/002 HILLCREST CENTER 06/30/03 06/30/02 06/30/012HUMBERT LANE HEALTHCARE CENTER06/30/03 06/30/02 06/30/012IHS OF GREATERPITTSBURGH12/31/02 12/31/01 12/31/002LAFAYETTE REDEEMER,THE06/30/03 06/30/02 06/30/012LANGHORNE GARDENSREHAB AND NURSING CTR06/30/03 06/30/02 06/30/012 LEMINGTON CENTER 06/30/03 06/30/02 06/30/012LGAR HEALTH ANDREHABILITATION CENTER12/31/02 12/31/01 12/31/002LIBERTY COURT, GENESISELDERCARE NETWORK06/30/03 06/30/02 06/30/012LIFEQUEST NURSINGCENTER06/30/03 06/30/02 06/30/012 LITTLE FLOWER MANOR 06/30/03 06/30/02 06/30/012LUTHER WOODSCONVALESCENT CENTER12/31/02 12/31/01 12/31/002MAIN LINE NURSING ANDREHAB CENTER06/30/03 06/30/02 06/30/012 MAJESTIC OAKS 06/30/03 06/30/02 06/30/012 MANATAWNY MANOR INC 06/30/03 06/30/02 06/30/012MANORCARE HEALTHSVCS—BETHEL PARK12/31/02 12/31/01 12/31/002MANORCARE HEALTHSVCS—GREEN TREE12/31/02 12/31/01 12/31/002MANORCARE HEALTHSVCS—HUNTINGDON 12/31/02 12/31/01 12/31/00VALLEY2MANORCARE HEALTHSVCS—KING OF PRUSSIA12/31/02 12/31/01 12/31/002MANORCARE HEALTHSVCS—LANSDALE12/31/02 12/31/01 12/31/002 MANORCARE HEALTH 12/31/02 12/31/01 12/31/00

SVCS—MCMURRAY2MANORCARE HEALTH06/30/03SVCS—MERCY FITZGERALD06/30/02 06/30/012MANORCARE HEALTHSVCS—MONROEVILLE12/31/02 12/31/01 12/31/002MANORCARE HEALTHSVCS—NORTH HILLS12/31/02 12/31/01 12/31/002MANORCARE HEALTHSVCS—POTTSTOWN12/31/02 12/31/01 12/31/002MANORCARE HEALTHSVCS—WHITEHALL 12/31/02 12/31/01 12/31/00BOROUGH2MANORCARE HEALTHSVCS—YARDLEY12/31/02 12/31/01 12/31/002MANORCARE HEALTHSVCS—YEADON12/31/02 12/31/01 12/31/002MAPLEWOOD MANORCENTER06/30/03 06/30/02 06/30/012MARIAN MANORCORPORATION06/30/03 06/30/02 06/30/012MASONIC VILLAGE ATSEWICKLEY12/31/02 12/31/01 12/31/002MOUNT MACRINA MANORNURSING HOME06/30/03 06/30/02 06/30/012MOUNTAINVIEW SPECIALTY12/31/02CARE CENTER12/31/01 12/31/002 OXFORD HEALTH CENTER 12/31/02 12/31/01 12/31/002PARK PLEASANT HEALTHCARE FACILITY06/30/03 06/30/02 06/30/012PASSAVANT RETIREMENTAND HEALTH CENTER06/30/03 06/30/02 06/30/012 PAUL’S RUN 12/31/02 12/31/01 12/31/002PEMBROOKE HEALTH ANDREHAB RESIDENCE06/30/03 06/30/02 06/30/012PENN CENTER FOR06/30/03REHABILITATION AND CARE06/30/02 06/30/012 PENNSBURG MANOR 12/31/02 12/31/01 12/31/002PHILADELPHIAPROTESTANT HOME12/31/02 12/31/01 12/31/002 PHOEBE RICHLAND HCC 06/30/03 06/30/02 06/30/012 PINE RUN HEALTH CENTER 06/30/03 06/30/02 06/30/01

2PLYMOUTH HOUSE NURSING12/31/02HOME, INC12/31/00 12/31/992PROSPECT PARK HEALTHAND REHAB RESIDENCE06/30/03 06/30/02 06/30/012 PROVIDENCE CARE CENTER 12/31/02 12/31/01 12/31/002 QUAKERTOWN CENTER 12/31/03 12/31/02 12/31/012REGINA COMMUNITYNURSING CENTER06/30/03 06/30/02 06/30/012RIDGE CREST NURSING AND06/30/03REHAB CENTER06/30/02 06/30/012 RITTENHOUSE PINE CENTER 06/30/03 06/30/02 06/30/012RIVER’S EDGE NURSINGAND REHAB CENTER12/31/02 12/31/01 12/31/002 RIVERSIDE CARE CENTER 12/31/02 12/31/01 12/31/002 ROCHESTER MANOR 12/31/02 12/31/01 12/31/002RYDAL PARK OFPHILADELPHIA PRSBYTR 12/31/02 12/31/01 12/31/00HOMES2 SACRED HEART MANOR 06/30/03 06/30/02 06/30/012 SAINT ANNE HOME 06/30/03 06/30/02 06/30/012SAINT IGNATIUS NURSINGHOME06/30/03 06/30/02 06/30/012SAINT JOHN NEUMANNNURSING HOME06/30/03 06/30/02 06/30/012 SAINT MARTHA MANOR 06/30/03 06/30/02 06/30/012 SAINT MARY’S MANOR 06/30/03 06/30/02 06/30/012 SANATOGA CENTER 06/30/03 06/30/02 06/30/012 SAUNDERS HOUSE 06/30/03 06/30/02 06/30/012 SENECA PLACE 06/30/03 06/30/02 06/30/012SHADYSIDE NURSING ANDREHAB CENTER06/30/03 06/30/02 06/30/012 SILVER LAKE CENTER 06/30/03 06/30/02 06/30/012 SILVER STREAM CENTER 06/30/03 06/30/02 06/30/012 SIMPSON HOUSE, INC 12/31/02 12/31/01 12/31/002 SOMERTON CENTER 06/30/03 06/30/02 06/30/012SOUTHMONT OFPRESBYTERIAN12/31/03 12/31/02 12/31/01SENIORCARE2SPRINGS AT THEFOUNTAINS, THE06/30/03 06/30/02 06/30/01

2ST. BARNABAS NURSINGHOME06/30/03 06/30/02 06/30/012 ST. MONICA MANOR 06/30/03 06/30/02 06/30/012STAPELEY INGERMANTOWN06/30/03 06/30/02 06/30/012STERLING HEALTH CAREAND REHAB CENTER06/30/03 06/30/02 06/30/012SUBURBAN WOODS HEALTH12/31/02AND REHAB CENTER12/31/01 12/31/002SUNNYVIEW HOME—BUTLER COUNTY HOME12/31/02 12/31/01 12/31/002SYCAMORE CREEK NURSING06/30/03CENTER06/30/02 06/30/012TANDEM HEALTH CARE OFCHESWICK06/30/03 06/30/02 06/30/012TEL HAI RETIREMENTCOMMUNITY06/30/03 06/30/02 06/30/012THE BELVEDERE CENTER,GENESIS HEALTHCARE12/31/02 12/31/01 12/31/002 TOWNE MANOR EAST 12/31/02 12/31/01 12/31/002 TUCKER HOUSE 06/30/03 06/30/02 06/30/012VALLEY MANOR NURSINGAND REHAB CENTER06/30/03 06/30/02 06/30/012VILLA SAINT JOSEPH OFBADEN INC.06/30/03 06/30/02 06/30/012 VINCENTIAN HOME 06/30/03 06/30/02 06/30/012 VINCENTIAN REGENCY 06/30/03 06/30/02 06/30/012WALLINGFORD NURSINGAND REHAB CENTER06/30/03 06/30/02 06/30/012WEST HAVEN NURSINGHOME06/30/03 06/30/02 06/30/012WEST HILLS HEALTH ANDREHAB CENTER06/30/03 06/30/02 06/30/012WESTWOOD NURSING ANDREHAB CENTER12/31/02 12/31/01 12/31/002WEXFORD HOUSE NURSINGCENTER06/30/03 06/30/02 06/30/012 WILLOW RIDGE CENTER 12/31/03 12/31/02 12/31/012 WILLOW TERRACE 06/30/03 06/30/02 06/30/012WILLOWS OFPRESBYTERIAN12/31/03 12/31/02 12/31/01

SENIORCARE, THE2 WOODHAVEN CARE CENTER 12/31/02 12/31/01 12/31/00PG2Resident CareOther ResidentAdministrativeMedianRltd MedianMedian$84.87 $34.27 $17.72PG2Resident CareOther ResidentAdministrativePriceRltd PricePrice$99.30 $38.38 $18.43MedianPeerGroupProviderNameMost RecentCost ReportEnd DateSecondMost RecentCost ReportEnd DateThird MostRecentCost ReportEnd Date358TH STREETPRESBYTERIAN HOME, THE12/31/02 12/31/01 12/31/003 AMBLER REST CENTER 06/30/03 06/30/02 06/30/013 ARTMAN LUTHERAN HOME 06/30/03 06/30/02 06/30/013AUTUMN GROVE CARECENTER06/30/03 06/30/02 06/30/013 BARCLAY FRIENDS 12/31/02 12/31/01 12/31/003BEAVER ELDER CARE ANDREHAB CENTER12/31/02 06/30/01 06/30/003BELAIR HEALTH ANDREHABILITATION CENTER06/30/03 06/30/02 06/30/013 BELLE HAVEN 12/31/02 12/31/01 12/31/003BETHLEN HM OF THEHUNGARIAN RFRMD FED12/31/02 12/31/01 12/31/003BEVERLY HEALTHCARE—CANONSBURG12/31/02 12/31/01 12/31/003BEVERLY HEALTHCARE—OAKMONT12/31/02 12/31/01 12/31/003BEVERLY HEALTHCARE—ROSEMONT12/31/02 12/31/01 12/31/003BEVERLY HEALTHCARE—STENTON12/31/02 12/31/01 12/31/003 BRINTON MANOR 12/31/03 12/31/02 12/31/013BROOKSIDE HEALTHCAREAND REHAB CENTER12/31/02 06/30/00 06/30/98

3 CANTERBURY PLACE 12/31/02 12/31/01 12/31/003CARE CENTER AT MARTINSRUN, THE12/31/02 12/31/01 12/31/003CEDARS OF MONROEVILLE,12/31/02THE12/31/01 12/31/003CHANDLER HALL HEALTHSERVICES INC12/31/02 12/31/01 12/31/003 CHICORA MEDICAL CENTER 06/30/03 06/30/02 06/30/013CHRIST’S HOMERETIREMENT CENTER06/30/03 06/30/02 06/30/013 COLLINS HEALTH CENTER 12/31/02 12/31/01 12/31/003CONNER-WILLIAMSNURSING HOME06/30/03 06/30/02 06/30/013COVENTRY MANORNURSING HOME12/31/02 12/31/01 12/31/003 DOCK TERRACE 06/30/03 06/30/02 06/30/013DRESHER HILL HEALTHAND REHAB CENTER06/30/03 06/30/02 06/30/013EDGEHILL NURSING ANDREHAB CENTER06/30/03 06/30/02 06/30/013ELDERCREST NURSINGCENTER06/30/03 06/30/01 06/30/993 ELM TERRACE GARDENS 06/30/03 06/30/02 06/30/013EVERGREEN NURSINGCENTER12/31/02 12/31/01 12/31/003 FAIR WINDS MANOR 06/30/03 06/30/02 06/30/013FREDERICK MENNONITECOMMUNITY12/31/02 12/31/01 12/31/003FRIENDSHIP VILLAGE OFSOUTH HILLS12/31/02 12/31/01 12/31/003HARMON HOUSE CARECENTER12/31/02 12/31/01 12/31/003HAVENCREST NURSINGCENTER06/30/03 06/30/01 06/30/993HAVERFORD NURSING &REHABILITATION CTR06/30/03 06/30/02 06/30/013 HENRY CLAY VILLA 12/31/03 12/31/02 12/31/013 HERITAGE TOWERS 12/31/02 12/31/01 12/31/003HICKORY HOUSE NURSINGHOME12/31/02 12/31/01 12/31/003 HIGHLAND CENTER, 06/30/03 06/30/02 06/30/01

GENESIS ELDERCARENTWRK3 HOLY FAMILY HOME 12/31/02 12/31/01 12/31/003 HOPKINS CENTER 12/31/03 12/31/02 12/31/013 HORIZON SENIOR CARE 06/30/03 06/30/02 06/30/013 JEFFERSON HILLS MANOR 12/31/02 12/31/01 12/31/003 KADE NURSING HOME 12/31/02 12/31/01 12/31/003KEARSLEY LONG TERMCARE CENTER06/30/03 06/30/02 06/30/013 LAFAYETTE MANOR, INC 12/31/02 12/31/01 12/31/003LATROBE REGIONALHEALTH AND REHAB 06/30/03 06/30/01 06/30/99CENTER3 LAUREL RIDGE CENTER 06/30/03 06/30/02 06/30/013LAWSON NURSING HOME,INC.12/31/02 12/31/01 12/31/003LITTLE SISTERS OF THEPOOR12/31/02 12/31/01 12/31/003LOYALHANNA CARECENTER12/31/02 12/31/01 12/31/003LUTHERAN COMM AT06/30/03TELFORD HLTHCRE CTR INC06/30/02 06/30/013 MARWOOD REST HOME, INC 06/30/03 06/30/02 06/30/013 MARY J DREXEL HOME 12/31/02 12/31/01 12/31/003MASONIC EASTERN STARHOME EAST12/31/02 12/31/01 12/31/003MASONIC VILLAGE ATLAFAYETTE HILL12/31/02 12/31/01 12/31/003 MCMURRAY HILLS MANOR 06/30/03 06/30/02 06/30/013MEADOWCREST NURSINGCENTER06/30/03 06/30/01 06/30/993NAAMANS CREEK COUNTRY06/30/03MANOR06/30/02 06/30/013NORTH HILLS HEALTH AND06/30/03REHAB CENTER06/30/02 06/30/013OAK HILL NURSING ANDREHAB CENTER06/30/03 06/30/01 06/30/993 PENNYPACK CENTER 12/31/03 12/31/02 12/31/013PETER BECKERCOMMUNITY06/30/03 06/30/02 06/30/013 PICKERING MANOR HOME 06/30/03 06/30/02 06/30/01

3REDSTONE HIGHLANDSHEALTH CARE CENTER06/30/03 06/30/02 06/30/013REFORMED PRESBYTERIANHOME12/31/02 12/31/01 12/31/003 RICHBORO CARE CENTER 06/30/03 06/30/02 06/30/013ROCKHILL MENNONITECOMMUNITY06/30/03 06/30/02 06/30/013 SAINT JOSEPH VILLA 06/30/03 06/30/02 06/30/013 SAXONY HEALTH CENTER 12/31/02 12/31/01 12/31/003SCOTTDALE MANORREHABILITATION CENTER12/31/02 12/31/01 12/31/993 SHERWOOD OAKS 06/30/03 06/30/02 06/30/013 SKY VUE TERRACE 06/30/03 06/30/02 06/30/013SOUDERTON MENNONITEHOMES06/30/03 06/30/02 06/30/013SOUTH FAYETTE NURSINGCENTER06/30/03 06/30/02 06/30/013SOUTHWESTERN NURSINGCENTER06/30/03 06/30/02 06/30/013STATESMAN HEALTH ANDREHAB CENTER06/30/03 06/30/02 06/30/013TANDEM HEALTH CARE OFNORTH STRABANE12/31/023 TOWNE MANOR WEST 12/31/02 12/31/01 12/31/003UNITARIAN UNIVERSALISTHOUSE12/31/02 12/31/01 12/31/003VALENCIA WOODS AT STBARNABAS06/30/03 06/30/02 06/30/013 VINCENTIAN DE MARILLAC 06/30/03 06/30/02 06/30/013WASHINGTON HOSPTRANSITIONAL CARE UNIT06/30/03 06/30/02 06/30/013 WAYNE CENTER 06/30/03 06/30/02 06/30/013WILLIAM PENN CARECENTER12/31/02 12/31/01 12/31/003WILLOWBROOKE COURT AT12/31/02BRITTANY POINTE12/31/01 12/31/003 WYNCOTE CHURCH HOME 06/30/03 06/30/02 06/30/01PG3Resident CareOther ResidentAdministrativeMedianRltd MedianMedian$82.90 $35.63 $18.10PG3 Resident Care Other Resident Administrative

Price Rltd Price Price$96.99 $39.91 $18.82MedianPeerGroupProviderNameMost RecentCost ReportEnd DateSecondMost RecentCost ReportEnd DateThird MostRecentCost ReportEnd Date4ALLIED SERVICES SKILLED06/30/03NURSING CENTER06/30/02 06/30/014 BERKS HEIM 12/31/02 12/31/01 12/31/004BRETHREN HOMECOMMUNITY, THE06/30/03 06/30/02 06/30/014CAMBRIA COUNTY HOME—12/31/02LAUREL CREST REHAB12/31/01 12/31/004 CEDAR HAVEN 12/31/02 12/31/01 12/31/004CEDARBROOK NURSINGHOMES12/31/02 12/31/01 12/31/004CLAREMONT NRC OFCUMBERLAND COUNTY12/31/02 12/31/01 12/31/004COLONIAL MANORNURSING HOME12/31/02 12/31/01 12/31/004 CONESTOGA VIEW 12/31/02 12/31/01 12/31/004GRACEDALE—NORTHAMPTON COUNTY 12/31/02 12/31/01 12/31/00HOME4LACKAWANNA COUNTYHEALTH CARE CENTER12/31/02 12/31/01 12/31/004 MASONIC HOMES 12/31/02 12/31/01 12/31/004MOUNTAIN CITY NURSINGAND REHAB CENTER12/31/02 12/31/01 12/31/004MOUNTAIN VIEW MANORNRSG AND REHAB CTR12/31/02 12/31/01 12/31/004 PHOEBE HOME, INC 06/30/03 06/30/02 06/30/014PLEASANT ACRES NURSING12/31/02AND REHAB CENTER12/31/01 12/31/004PLEASANT RIDGE MANOREAST/WEST12/31/02 12/31/01 12/31/004SPRING CREEK REHAB AND12/31/02HEALTH CARE CTR12/31/01 12/31/00

44PG4PG4VALLEY CREST NURSINGHOMEWEST SHORE HEALTH ANDREHAB CENTERResident CareMedian12/31/02 12/31/01 12/31/0012/31/02 12/31/01 12/31/00Other ResidentRltd Median$99.29 $46.20 $16.81Resident CareOther ResidentPriceRltd Price$116.17 $51.74 $17.48AdministrativeMedianAdministrativePriceMedianPeerGroupProviderNameMost RecentCost ReportEnd DateSecondThird MostMostRecentRecentCost ReportCost ReportEnd DateEnd Date5 ABINGTON MANOR 12/31/03 12/31/02 12/31/015 BERKSHIRE CENTER 06/30/03 06/30/02 06/30/015BERWICK RETIREMENTVILLAGE NRSNG CTR II06/30/02 06/30/01 06/30/005BEVERLY HEALTHCARE—EAST MOUNTAIN12/31/02 12/31/01 12/31/005BEVERLY HEALTHCARE—READING12/31/02 12/31/01 12/31/005BEVERLY HEALTHCARE—SCRANTON12/31/02 12/31/01 12/31/005BEVERLY HEALTHCARE—TUNKHANNOCK12/31/02 12/31/01 12/31/005BEVERLY HEALTHCARE—WESTERN RESERVE12/31/02 12/31/01 12/31/005BEVERLY MANOR OFLANCASTER12/31/02 12/31/01 12/31/005BIRCHWOOD NURSING ANDREHAB CENTER12/31/02 12/31/01 12/31/005BLOOMSBURG HEALTH CARE06/30/03CENTER06/30/02 06/30/015 BRETHREN VILLAGE 06/30/03 06/30/02 06/30/015COLONIAL PARK CARECENTER12/31/02 12/31/01 12/31/00

5 CORNWALL MANOR 12/31/02 12/31/01 12/31/005 CORRY MANOR 12/31/03 12/31/02 12/31/015 EASTON NURSING CENTER 12/31/02 12/31/01 12/31/005ECC RETIREMENT VILLAGE—12/31/02ALBRIGHT CAMPUS12/31/01 12/31/005 EDINBORO MANOR 12/31/03 12/31/02 12/31/015 EPHRATA MANOR 12/31/02 12/31/01 12/31/005 FAIRMOUNT HOMES 06/30/03 06/30/02 06/30/015 FAIRVIEW MANOR 12/31/03 12/31/02 12/31/015 FELLOWSHIP MANOR 06/30/03 06/30/02 06/30/015 FREY VILLAGE 12/31/02 12/31/01 12/31/005 HAMILTON ARMS CENTER 06/30/03 06/30/02 06/30/015 HANOVER HALL 12/31/02 12/31/01 12/31/005HARRISON SENIOR LIVINGOF CHRISTIANA12/31/02 12/31/01 12/31/005HIGHLAND MANOR NURSING06/30/03AND CONVAL CENTER06/30/02 06/30/015 HOLY FAMILY MANOR 12/31/02 12/31/01 12/31/005HOMEWOOD AT PLUMCREEK12/31/02 12/31/01 12/31/005 IHS OF ERIE AT BAYSIDE 12/31/02 12/31/01 12/31/005JEWISH HOME OF EASTERNPENNSYLVANIA12/31/02 12/31/01 12/31/005JEWISH HOME OF GREATERHARRISBURG06/30/03 06/30/02 06/30/015 KINGSTON COMMONS 12/31/02 12/31/01 12/31/005 KUTZTOWN MANOR 06/30/03 06/30/02 06/30/015 LANCASHIRE HALL 12/31/02 12/31/01 12/31/005 LAUREL CENTER 12/31/03 12/31/02 12/31/015LEBANON VALLEYBRETHREN HOME12/31/02 12/31/01 12/31/005 LEHIGH CENTER 06/30/03 06/30/02 06/30/015LIBERTY NURSING ANDREHAB CENTER06/30/03 06/30/02 06/30/015LITTLE FLOWER MANOR OFDIOCESE SCRANTON12/31/02 12/31/01 12/31/005LUTHERAN HOME ATTOPTON12/31/02 12/31/01 12/31/005MAHONING VALLEYNURSING AND REHAB12/31/03 12/31/02 12/31/01

CENTER5MANORCARE HEALTHSVCS—ALLENTOWN12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—BETHLEHEM I12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—BETHLEHEM II12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—CAMP HILL12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—CARLISLE12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—DALLASTOWN12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—EASTON12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—KINGSTON12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—KINGSTON COURT06/30/03 06/30/02 06/30/015MANORCARE HEALTHSVCS—LANCASTER12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—LAURELDALE12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—LEBANON12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—SINKING SPRING12/31/02 12/31/01 12/31/005MANORCARE HEALTHSVCS—WEST READING 12/31/02 12/31/01 12/31/00NORTH5MANORCARE HEALTHSVCS—YORK NORTH06/30/03 06/30/02 06/30/015MANORCARE HEALTHSVCS—YORK SOUTH06/30/03 06/30/02 06/30/015MAPLE FARM NURSINGCENTER06/30/03 06/30/02 06/30/015 MEADOWS NURSING CENTER 06/30/03 06/30/02 06/30/015 MENNONITE HOME, THE 06/30/03 06/30/02 06/30/015 MESSIAH VILLAGE 06/30/03 06/30/02 06/30/015 MIFFLIN CENTER 12/31/03 12/31/02 12/31/015 MORAVIAN MANOR 12/31/02 12/31/01 12/31/00

5MOUNTAIN VIEW CARECENTER06/30/03 06/30/02 06/30/015OLD ORCHARD HEALTHCARE CENTER12/31/025ORANGEVILLE NURSINGAND REHAB CENTER12/31/02 12/31/01 12/31/005PHOEBE BERKS HEALTHCARE CENTER, INC06/30/03 06/30/02 06/30/015PLEASANT VIEWRETIREMENT COMMUNITY12/31/03 12/31/02 12/31/015QUARRYVILLEPRESBYTERIAN HOME06/30/03 06/30/02 06/30/015 REST HAVEN—YORK 06/30/03 06/30/02 06/30/015 RIVERSTREET MANOR 12/31/03 12/31/02 12/31/015SAINT ANNE’S RETIREMENTCOMMUNITY06/30/03 06/30/02 06/30/015 SAINT MARY’S EAST 12/31/02 12/31/01 12/31/005SHIPPENSBURG HEALTHCARE CENTER12/31/02 12/31/01 12/31/005SLATE BELT NURSING ANDREHAB CENTER06/30/03 06/30/02 06/30/015SPRUCE MANOR NURSINGAND REHAB CENTER06/30/03 06/30/02 06/30/015SUMMIT HEALTH CARECENTER, INC12/31/02 12/31/01 12/31/005SUSQUEHANNA VALLEYNURSING AND REHAB CTR12/31/02 12/31/01 12/31/005TAYLOR NURSING ANDREHAB CENTER06/30/03 06/30/02 06/30/015THE MANOR AT PERRYVILLAGE12/31/02 12/31/01 12/31/005THE MANOR ATSUSQUEHANNA VILLAGE12/31/02 12/31/01 12/31/005THE PAVILION AT ST LUKEVILLAGE12/31/02 12/31/01 12/31/005TWINBROOK MEDICALCENTER06/30/03 06/30/02 06/30/015 VILLA TERESA 12/31/02 12/31/01 12/31/005WEATHERWOOD—CARBONCOUNTY NH & REHAB CTR12/31/02 12/31/01 12/31/005 WESLEY VILLAGE 12/31/02 12/31/01 12/31/00

PG5PG5Resident CareMedianOtherResident RltdMedian$79.60 $30.90 $15.90Resident CarePriceOtherResident RltdPrice$93.13 $34.61 $16.54AdministrativeMedianAdministrativePriceMedianPeerGroupProviderNameMost RecentCost ReportEnd DateSecond Third MostMost Recent RecentCost Report Cost ReportEnd Date End Date6ABINGTON CREST NURSINGAND REHAB CENTER06/30/03 06/30/02 06/30/016 AUDUBON VILLA 12/31/02 12/31/01 12/31/006BALANCED CAREBLOOMSBURG06/30/03 06/30/02 06/30/016 BALL PAVILION, THE 06/30/03 06/30/02 06/30/016BARBARA J. EGAN NURSING12/31/02AND REHAB CENTER12/31/01 12/31/006BETHANY VILLAGERETIREMENT CENTER12/31/02 12/31/01 12/31/006BEVERLY HEALTHCARE—BLUE RIDGE MOUNTAIN12/31/02 12/31/01 12/31/006BEVERLY HEALTHCARE—CAMP HILL12/31/02 12/31/01 12/31/006BEVERLY HEALTHCARE—ERIE12/31/02 12/31/01 12/31/006 BONHAM NURSING CENTER 12/31/02 12/31/01 12/31/006 BUTLER VALLEY MANOR 12/31/02 12/31/01 12/31/006CALVARY FELLOWSHIPHOMES, INC06/30/03 06/30/02 06/30/016CARBONDALE NURSINGHOME12/31/02 12/31/01 12/31/006CHAPEL POINTE ATCARLISLE12/31/02 12/31/01 12/31/006 CHURCH OF GOD HOME, INC 12/31/02 12/31/01 12/31/006 COUNTRY MEADOWS 12/31/02 12/31/01 12/31/00

NURSING CENTER-BETHLEHEM6CUMBERLAND CROSSINGSRETIREMENT COMM06/30/03 06/30/02 06/30/016 DAVIS MANOR 06/30/03 06/30/02 06/30/016 DENVER NURSING HOME 12/31/02 12/31/01 12/31/006DUNMORE HEALTH CARECENTER06/30/03 06/30/02 06/30/006ECC RETIREMENTVILLAGE—STONERIDGE 12/31/02 12/31/01 12/31/99CAMPUS6FOREST PARK HEALTHCENTER12/31/02 12/31/01 12/31/006 FOREST VIEW 06/30/03 06/30/02 06/30/016GREEN RIDGE HEALTH CARE12/31/02CENTER, LLC12/31/01 12/31/006GUARDIAN ELDER CARECENTER12/31/02 12/31/01 12/31/006 HAMPTON HOUSE 06/30/03 06/30/02 06/30/016 HERITAGE HOUSE 06/30/03 06/30/02 06/30/016 HOLY FAMILY RESIDENCE 12/31/02 12/31/01 12/31/006 HOMELAND CENTER 06/30/03 06/30/02 06/30/016 HOMESTEAD VILLAGE, INC 06/30/03 06/30/02 06/30/016 KEPLER HOME, INC, THE 12/31/02 12/31/01 12/31/006 KINKORA PYTHIAN HOME 06/30/03 06/30/02 06/30/016 LAKESIDE NURSING CENTER 12/31/02 12/31/01 12/31/006 LANDIS HOMES 06/30/03 06/30/02 06/30/016LAURELS HEALTH ANDREHAB AT KINGSTON06/30/03 06/30/02 06/30/016LAURELS HEALTH ANDREHAB AT MID VALLEY06/30/03 06/30/02 06/30/016LEBANON VALLEY HOMETHE12/31/02 12/31/01 12/31/006 LUTHER ACRES MANOR 12/31/02 12/31/01 12/31/006LUTHER CREST NURSINGFACILITY12/31/02 12/31/01 12/31/006LUTHERAN NRSG ANDREHAB CTR—SPRENKLE DR12/31/02 12/31/01 12/31/006MANCHESTERPRESBYTERIAN LODGE12/31/02 12/31/01 12/31/006 MANORCARE HEALTH 12/31/02 12/31/01 12/31/00

SVCS—ELIZABETHTOWN6MARY ELLENCONVALESCENT HOME, INC06/30/03 06/30/02 06/30/016MERCY CENTER NURSINGUNIT, INC12/31/02 12/31/01 12/31/006 MIDDLETOWN HOME, THE 12/31/03 12/31/02 12/31/016MILFORD SENIOR CARE AND12/31/02REHAB CENTER12/31/01 12/31/006 MILLCREEK MANOR 06/30/03 06/30/02 06/30/016 MILLVILLE HEALTH CENTER 12/31/02 12/31/01 12/31/006MISERICORDIACONVALESCENT HOME12/31/02 12/31/01 12/31/006MORAVIAN SPRINGSHEALTH CENTER06/30/03 06/30/02 06/30/016 MOSSER NURSING HOME 06/30/03 06/30/02 06/30/016MOUNT HOPE DUNKARDBRETHREN CHURCH HOME06/30/03 06/30/02 06/30/016MOUNTAIN REST NURSINGHOME06/30/03 06/30/02 06/30/016NIPPLE CONVALESCENTHOME12/31/02 12/31/01 12/31/006 NORMANDIE RIDGE 12/31/02 12/31/01 12/31/006OSPREY RIDGEHEALTHCARE AND REHAB 06/30/03 06/30/02 06/30/01CENTER6 PALMYRA NURSING HOME 12/31/02 12/31/01 12/31/006PRAXIS ALZHEIMER’SFACILITY12/31/02 12/31/01 12/31/006 PRESBYTERIAN LODGE 12/31/02 12/31/01 12/31/006RHEEMS NURSING ANDREHABILITATION CENTER12/31/02 12/31/01 12/31/006SAINT MARY’S VILLANURSING HOME, INC12/31/02 12/31/01 12/31/006SARAH A REED RETIREMENT06/30/03CENTER, THE06/30/02 06/30/016SARAH A TODD MEMORIALHOME12/31/02 12/31/01 12/31/006 SMITH HEALTH CARE, LTD 06/30/03 06/30/02 06/30/016 SPANG CREST MANOR 12/31/02 12/31/01 12/31/006STONEBRIDGE HEALTH AND12/31/03REHAB CENTER12/31/01 12/31/00

6 SWAIM HEALTH CENTER 12/31/02 12/31/01 12/31/006THE MANOR AT ST LUKEVILLAGE12/31/02 12/31/01 12/31/006 THORNWALD HOME 12/31/02 12/31/01 12/31/006 TWIN OAKS NURSING HOME 12/31/02 12/31/01 12/31/006UNITED CHRISTIAN CHURCH12/31/03HOME12/31/02 12/31/016UNITED ZION RETIREMENTCOMMUNITY12/31/03 12/31/02 12/31/016VILLAGE AT LUTHERSQUARE12/31/02 12/31/01 12/31/006 VILLAGE VISTA MANOR 12/31/01 12/31/00 12/31/986 WESTMINSTER VILLAGE 12/31/02 12/31/01 12/31/006WYOMISSING NURSING AND12/31/02REHAB CENTER12/31/01 12/31/006ZERBE SISTERS NURSINGCENTER, INC.06/30/03 06/30/02 06/30/01PG6PG6Resident CareMedianOtherResident RltdMedian$81.25 $35.00 $16.77Resident CarePriceOtherResident RltdPrice$95.06 $39.20 $17.44AdministrativeMedianAdministrativePriceMedianPeerGroupProviderNameMost RecentCost ReportEnd DateSecond Third MostMost Recent RecentCost Report Cost ReportEnd Date End Date8ALTOONA CENTER FORNURSING CARE12/31/02 12/31/01 12/31/008 ARBUTUS PARK MANOR 06/30/03 06/30/02 06/30/018BEVERLY HEALTHCARE—HILLVIEW12/31/02 12/31/01 12/31/008 CENTRE CREST HOME 12/31/02 12/31/01 12/31/008CHURCH OF THE BRETHREN06/30/03HOME06/30/02 06/30/01

8 GARVEY MANOR 12/31/02 12/31/01 12/31/008HOMEWOOD ATMARTINSBURG PA INC12/31/02 12/31/01 12/31/008LAUREL WOOD CARECENTER12/31/02 12/31/01 12/31/008MANORCARE HEALTHSVCS—JERSEY SHORE12/31/02 12/31/01 12/31/008MANORCARE HEALTHSVCS—WILLIAMSPORT 12/31/02 12/31/01 12/31/00NORTH8MEADOW VIEW NURSINGCENTER06/30/03 06/30/02 06/30/018 MORRISONS COVE HOME 12/31/02 12/31/01 12/31/008 ORCHARD MANOR, INC 06/30/03 06/30/02 06/30/018 ROSE VIEW CENTER 06/30/03 06/30/02 06/30/018 SAINT PAUL HOMES 12/31/02 12/31/01 12/31/008SIEMONS’ LAKEVIEWMANOR ESTATE06/30/03 06/30/02 06/30/018SYCAMORE MANORHEALTH CENTER12/31/02 12/31/01 12/31/008THE HEARTHSIDE, ANURSING AND REHAB12/31/03 12/31/02 12/31/018 VALLEY VIEW HOME 12/31/02 12/31/01 12/31/008VALLEY VIEW NURSINGCENTER12/31/02 12/31/01 12/31/008WHITE CLIFF NURSINGHOME12/31/02 12/31/01 12/31/008 WILLIAMSPORT HOME, THE 12/31/02 12/31/01 12/31/008WINDY HILL VILLAGE OFPRESBYTERIAN HOMES12/31/03 12/31/02 12/31/018 WOODLAND PLACE 12/31/02 12/31/01 12/31/00PG8Resident CareOther ResidentAdministrativeMedianRltd MedianMedian$76.98 $35.10 $13.97PG8Resident CareOther ResidentAdministrativePriceRltd PricePrice$90.07 $39.31 $14.53

MedianProviderPeerNameGroupMost RecentCost ReportEnd DateSecondMostRecentCost ReportEnd DateThird MostRecentCost ReportEnd Date9BEVERLY HEALTHCARE—HAIDA12/31/02 12/31/01 12/31/009BEVERLY HEALTHCARE—MEYERSDALE12/31/02 12/31/01 12/31/009BEVERLY HEALTHCARE—RICHLAND12/31/02 12/31/01 12/31/009 CLEPPER MANOR 12/31/02 12/31/01 12/31/009COUNTRYSIDE CONVALHOME LTD PARTNERSHIP06/30/03 06/30/02 06/30/019 EPWORTH MANOR 12/31/02 12/31/01 12/31/009GOOD SAMARITAN NSGCARE CTR—JOHNSTOWN06/30/03 06/30/02 06/30/019 GROVE MANOR 06/30/03 06/30/02 06/30/019HOSPITALITY CARE CENTEROF HERMITAGE INC12/31/02 12/31/01 12/31/009 JOHN XXIII HOME 12/31/02 12/31/01 12/31/009 LAUREL VIEW VILLAGE 06/30/03 06/30/02 06/30/019LUTHERAN HOME ATHOLLIDAYSBURG, THE12/31/02 12/31/01 12/31/009LUTHERAN HOME ATJOHNSTOWN, THE12/31/02 12/31/01 12/31/009MANORCARE HEALTHSVCS—WILLIAMSPORT 12/31/02 12/31/01 12/31/00SOUTH9 MORAN’S HOME, INC 12/31/02 12/31/01 12/31/009NUGENT CONVALESCENTHOME12/31/02 12/31/01 12/31/009PRESBYTERIAN HOME OFGREATER JOHNSTOWN12/31/02 12/31/01 12/31/009PRESBYTERIAN HOMES—PRESBYTERY—12/31/03 12/31/02 12/31/01HUNTINGDON9THE PATRIOT, A CHOICECOMMUNITY12/31/02 12/31/01 12/31/009 TRINITY LIVING CENTER 06/30/03 06/30/02 06/30/00PG9Resident CareMedianOtherResident RltdAdministrativeMedian

PG9Median$65.13 $32.36 $13.96Resident CarePriceOtherResident RltdPrice$76.20 $36.24 $14.52AdministrativePriceMedianPeerGroupProviderNameMost RecentCost ReportEnd DateSecond Third MostMost Recent RecentCost Report Cost ReportEnd Date End Date11ARMSTRONG COUNTYHEALTH CENTER12/31/02 12/31/01 12/31/0011BEACON RIDGE, A CHOICECOMMUNITY12/31/02 12/31/01 12/31/0011BEVERLY HEALTHCARE—SHIPPENVILLE12/31/02 12/31/01 12/31/0011BEVERLY HEALTHCARE—STROUD12/31/02 12/31/01 12/31/0011BEVERLY HEALTHCARE—WILLIAM PENN12/31/02 12/31/01 12/31/0011BRADFORD COUNTYMANOR12/31/02 12/31/01 12/31/0011 BRADFORD MANOR 12/31/03 12/31/02 12/31/0111BRIGHTEN AT JULIARIBAUDO12/31/02 12/31/01 12/31/0011BROAD ACRES HEALTH AND12/31/03REHAB CENTER12/31/02 12/31/01BROAD MOUNTAIN11 NURSING AND REHAB 06/30/03 06/30/02 06/30/01CENTER11 CHRIST THE KING MANOR 06/30/03 06/30/02 06/30/0111CLARVIEW NURSING ANDREHAB CENTER12/31/03 12/31/02 12/31/0111COMMUNITIES AT INDIANHAVEN12/31/02 12/31/01 12/31/0011CRAWFORD COUNTY CARECENTER12/31/02 12/31/01 12/31/0011 DUBOIS NURSING HOME 06/30/03 06/30/02 06/30/01

11EDISON MANOR NURSINGAND REHAB CENTER06/30/03 06/30/02 06/30/0111 ELK HAVEN NURSING HOME 06/30/03 06/30/02 06/30/0111ELLEN MEMORIAL HEALTHCARE CENTER06/30/03 06/30/02 06/30/0111FALLING SPRING NURSINGAND REHAB CENTER12/31/02 12/31/01 12/31/0011FOREST CITY NURSING AND06/30/03REHAB CENTER06/30/02 06/30/0111GOLDEN HILL NURSINGHOME, INC06/30/03 06/30/02 06/30/0111GRANDVIEW HEALTHHOMES, INC06/30/03 06/30/02 06/30/0111GREEN ACRES—ADAMS12/31/02COUNTY NSG & REHAB CTR12/31/01 12/31/0011 GREEN HOME, INC, THE 06/30/03 06/30/02 06/30/0111 HERITAGE NURSING HOME 06/30/03 06/30/02 06/30/0111HIGHLANDS CARE CENTER,THE12/31/02 12/31/01 12/31/9911HOMETOWN NURSING ANDREHAB CENTER12/31/03 12/31/02 12/31/0111JEFFERSON MANOR HEALTH06/30/03CENTER06/30/02 06/30/0111 JULIA POUND CARE CENTER 12/31/02 12/31/01 12/31/0011 KITTANNING CARE CENTER 12/31/02 12/31/01 12/31/0011KRAMM HEALTHCARECENTER, INC06/30/03 06/30/02 06/30/0111KRAMM NURSING HOME,INC06/30/03 06/30/02 06/30/0111MANORCARE HEALTHSVCS—CHAMBERSBURG12/31/02 12/31/01 12/31/0011MANORCARE HEALTHSVCS—POTTSVILLE12/31/02 12/31/01 12/31/0011MANORCARE HEALTHSVCS—SUNBURY12/31/02 12/31/01 12/31/0011 MENNO—HAVEN, INC. 12/31/02 12/31/01 12/31/0011MOUNT CARMEL NURSINGAND REHAB CENTER12/31/03 12/31/02 12/31/0111 MOUNTAIN LAUREL NRC 06/30/03 06/30/02 06/30/0111 NOTTINGHAM VILLAGE 12/31/02 12/31/01 12/31/0011 OHESSON MANOR 12/31/02 12/31/01 12/31/00

11OIL CITY PRESBYTERIANHOME12/31/02 12/31/01 12/31/0011 ORWIGSBURG CENTER 06/30/03 06/30/02 06/30/0111 PENNKNOLL VILLAGE 12/31/02 12/31/01 12/31/0011PLEASANT VALLEY MANOR,12/31/02INC12/31/01 12/31/0011QUINCY UNITEDMETHODIST HOME12/31/02 12/31/01 12/31/0011 REST HAVEN 12/31/02 12/31/01 12/31/0011RIDGEVIEW ELDER CAREREHAB CENTER12/31/02 12/31/01 12/31/9811 RIVERWOODS 12/31/02 12/31/01 12/31/0011 ROLLING FIELDS, INC 12/31/02 12/31/01 12/31/0011 ROLLING MEADOWS 06/30/03 06/30/02 06/30/0111ROUSE WARREN COUNTYHOME12/31/02 12/31/01 12/31/0011 SCHUYLKILL CENTER 06/30/03 06/30/02 06/30/0111 SENA-KEAN MANOR 12/31/02 12/31/01 12/31/0011 SETON MANOR INC 06/30/03 06/30/02 06/30/0111SHENANDOAH MANORNURSING CENTER12/31/03 12/31/02 12/31/0111SUGAR CREEK STATIONSKILLED NSG & REHAB12/31/02 12/31/01 12/31/0011 SUSQUE VIEW HOME, INC 12/31/02 12/31/01 12/31/0011 SWEDEN VALLEY MANOR 12/31/03 12/31/02 12/31/0111THE MANOR AT PENNVILLAGE12/31/02 12/31/01 12/31/0011TREMONT HEALTH ANDREHABILITATION CENTER06/30/03 06/30/02 06/30/0111 VALLEY VIEW HAVEN, INC 12/31/02 12/31/01 12/31/0011 WARREN MANOR 12/31/03 12/31/02 12/31/0111WAYNE WOODLANDSMANOR06/30/03 06/30/02 06/30/0111WESBURY UNITEDMETHODIST COMMUNITY12/31/02 12/31/01 12/31/0011WOODLAND RETIREMENTCENTER12/31/03 12/31/02 12/31/01PG11Resident CareOther ResidentAdministrativeMedianRltd MedianMedian$70.88 $31.85 $14.30

PG11Resident CareOther ResidentAdministrativePriceRltd PricePrice$82.93 $35.67 $14.87MedianPeerGroupProviderNameMost RecentCost ReportEnd DateSecond Third MostMost Recent RecentCost Report Cost ReportEnd Date End Date12 AVALON NURSING CENTER 06/30/03 06/30/02 06/30/0012BEVERLY HEALTHCARE—CAMBRIDGE SPRINGS12/31/02 12/31/01 12/31/0012BEVERLY HEALTHCARE—CLARION12/31/02 12/31/01 12/31/0012BEVERLY HEALTHCARE—GETTYSBURG12/31/02 12/31/01 12/31/0012BEVERLY HEALTHCARE—KINZUA VALLEY12/31/02 12/31/01 12/31/0012BEVERLY HEALTHCARE—MEADVILLE12/31/02 12/31/01 12/31/0012BEVERLY HEALTHCARE—MOUNTAIN VIEW12/31/02 12/31/01 12/31/0012BEVERLY HEALTHCARE—OIL CITY12/31/02 12/31/01 12/31/0012BEVERLY HEALTHCARE—TITUSVILLE12/31/02 12/31/01 12/31/0012BEVERLY HEALTHCARE—WARREN12/31/02 12/31/01 12/31/0012BEVERLY HEALTHCARE—WAYNESBURG12/31/02 12/31/01 12/31/0012BEVERLY HEALTHCARE—YORK TERRACE12/31/02 12/31/01 12/31/0012BRADFORD ECUMENICALHOME, INC12/31/02 12/31/01 12/31/0012BROOKLINE MANOR ANDREHABILITATIVE SRVCS12/31/02 12/31/01 12/31/0012BROOKMONT HEALTHCARE06/30/03CENTER LLC06/30/02 06/30/0112BUFFALO VALLEYLUTHERAN VILLAGE12/31/02 12/31/01 12/31/00

12 CARING PLACE, THE 06/30/03 06/30/02 06/30/0112CARLETON SENIOR CAREAND REHAB CENTER12/31/02 12/31/01 12/31/9912DARWAY ELDER CAREREHABILITATION CENTER06/30/03 06/30/02 06/30/0112 DONAHOE MANOR 06/30/03 06/30/02 06/30/0112DR ARTHUR CLIFTONMCKINLEY HEALTH 06/30/03 06/30/02 06/30/01CENTER12EMMANUEL CENTER FORNURSING AND REHAB12/31/02 12/31/01 12/31/0012FRIENDLY NURSINGHOME—PITMAN06/30/03 06/30/02 06/30/0112GETTYSBURG LUTHERANNURSING REHAB12/31/02 12/31/01 12/31/0012GUY AND MARY FELTMANOR, INC06/30/03 06/30/02 06/30/0112HAVEN CONVALESCENTHOME, INC12/31/02 12/31/01 12/31/0012 HIGHLAND VIEW 06/30/03 06/30/02 06/30/0112HUNTINGDON NURSINGAND REHAB CENTER06/30/03 06/30/02 06/30/0112 JAMESON CARE CENTER 12/31/03 12/31/02 12/31/0112LAKEVIEW SENIOR CAREAND LIVING CENTER12/31/02 12/31/01 12/31/9912LAUREL CARE NURSINGAND REHAB CENTER12/31/02 12/31/01 06/30/0012LOCUST GROVERETIREMENT VILLAGE12/31/02 12/31/01 12/31/0012LUTHERAN HOME AT KANE,12/31/02THE12/31/01 12/31/0012 MALTA HOME 12/31/02 12/31/01 12/31/0012MANSION NURSING ANDCONVALESCENT HOME12/31/02 12/31/01 12/31/0012MEADOW VIEW SENIORLIVING CENTER12/31/02 12/31/01 12/31/9812MEDA NIPPLECONVALESCENT HOME12/31/02 12/31/01 12/31/0012MENNO-HAVEN PENN HALL,12/31/02INC12/31/01 12/31/0012 MULBERRY SQUARE 12/31/02 12/31/01 12/31/98

12OVERLOOK MEDICALCLINIC INC12/31/02 12/31/01 12/31/0012 PAVILION AT BRMC 06/30/03 06/30/02 06/30/0112 ROLLING HILLS MANOR 06/30/03 06/30/02 06/30/0112 SAYRE HOUSE, INC 06/30/03 06/30/02 06/30/0112 SCENERY HILL MANOR 12/31/02 12/31/01 12/31/0012SHENANGO PRESBYTERIAN12/31/03HOME12/31/02 12/31/0112SHEPHERD’S CHOICE OFGETTYSBURG, THE12/31/02 12/31/01 12/31/0012 SHOOK HOME, THE 12/31/02 12/31/01 12/31/0012SILVER OAKS NURSINGCENTER12/31/02 12/31/01 12/31/0012SNYDER MEMORIALHEALTH CARE CENTER12/31/02 12/31/01 12/31/0012 SUGAR CREEK REST 06/30/03 06/30/02 06/30/0112TRINITY MISSION HEALTHAND REHAB12/31/01 12/31/00 12/31/9912WESTMINSTER WOODS ATHUNTINGDON12/31/03 12/31/02 12/31/0112 ZENDT HOME, THE 06/30/03 06/30/02 06/30/01PG12PG12Resident CareMedianOther ResidentRltd MedianAdministrativeMedian$64.08 $31.25 $13.50Resident CareOther ResidentAdministrativePriceRltd PricePrice$74.97 $35.00 $14.04MedianPeerGroupProviderNameMost RecentCost ReportEnd DateSecond MostRecentCost ReportEnd DateThird MostRecentCost ReportEnd DateFOX SUBACUTE AT1312/31/02CLARA BURKE13 FOX SUBACUTE CENTER 12/31/02 12/31/01 12/31/00GOOD SHEPHERD HOME1306/30/03 06/30/02 06/30/01LTC FACILITY, INC13 GOOD SHEPHERD HOME- 06/30/03 06/30/02 06/30/01

BETHLEHEM13 INGLIS HOUSE 06/30/03 06/30/02 06/30/0113MARGARET E. MOULHOME06/30/03 06/30/02 06/30/01PG13Resident CareOther ResidentAdministrativeMedianRltd MedianMedian$138.57 $68.23 $42.94PG13Resident CareOther ResidentAdministrativePriceRltd PricePrice$162.13 $76.42 $44.66MedianPeerGroupProviderNameMost RecentCost ReportEnd DateSecond MostRecentCost ReportEnd DateThird MostRecentCost ReportEnd Date14ASHLAND REGIONAL LONG06/30/03TERM CARE CENTER06/30/01 06/30/0014BARNES-KASSON COUNTYHOSPITAL SNF06/30/03 06/30/02 06/30/0114BERWICK RETIREMENTVILLAGE NRSNG CTR I06/30/02 06/30/01 06/30/0014BUCKTAIL MEDICALCENTER06/30/03 06/30/02 06/30/0114CHARLES COLE MEMORIAL06/30/03HOSPITAL ECF06/30/02 06/30/0114FULTON COUNTY MEDICAL06/30/03CENTER LTCU06/30/02 06/30/01GNADEN HUETTEN14 NURSING AND CONVAL 06/30/03 06/30/02 06/30/01CENTER14JAMESON HOSPITAL TCU—SOUTH06/30/02 06/30/01 06/30/0014LOCK HAVEN HOSPITALE.C.U.06/30/02 06/30/01 06/30/0014MEMORIAL HOSPITAL INCSNU06/30/03 06/30/02 06/30/0114MOSES TAYLOR HOSPITALS.N.F.06/30/03 06/30/02 06/30/0114 MUNCY VALLEY HOSPITAL 06/30/03 06/30/02 06/30/01

SNU14 PINECREST MANOR 06/30/03 06/30/02 06/30/0114 PINNACLE HEALTH ECF HB 06/30/03 06/30/02 06/30/0114PINNACLE HEALTH SNU—SEIDLE06/30/03 06/30/02 06/30/0114SOMERSET HOSPITALCENTER FOR HEALTH06/30/03 06/30/02 06/30/0114ST LUKE’S MINERS06/30/03MEMORIAL GERIATRIC CTR06/30/02 06/30/0114SUNBURY COMMUNITYHOSPITAL SNF06/30/03 06/30/02 06/30/0114 WILLOWCREST 06/30/03 06/30/02 06/30/01PG14Resident CareOther ResidentAdministrativeMedianRltd MedianMedian$94.45 $45.09 $20.65PG14Resident CarePriceOther ResidentRltd Price$110.51 $50.50 $21.48SourceAdministrativePriceThe provisions of this Appendix B adopted January 19, 1996, effective for servicesrendered from January 1, 1996, through June 30, 1996, 26 Pa.B. 262; amended October25, 1996, effective for services rendered from July 1, 1996 to June 30, 1997, 26 Pa.B.5159; amended July 28, 2000, effective for services for the period July 1, 2000, throughJune 30, 2001, 30 Pa.B. 3858; amended September 13, 2002, effective July 1, 2001,through June 30, 2002, 32 Pa.B. 4536; amended December 23, 2004, effective July 1,2004, 34 Pa.B. 6789; amended March 17, 2006, effective July 1, 2005. Immediatelypreceding text appears at serial pages (309072) to (309098).APPENDIX CNursing Home Bed Need Projection Through Year 2000Projected INH Beds HB/SNF BedsNursing Licensed/ Licensed/Home Bed Approved Approved (Shortage)/HPA/County Need 03/31/97 03/31/97 Surplus

Bucks 3,209 3,840 81 712Chester 2,306 2,517 63 274Delaware 4,188 5,184 119 1,115Montgomery 5,526 6,825 126 1,425Philadelphia 11,839 9,783 424 (1,632)HPA I Total 27,068 28,149 813 1,894Berks 2,806 2,887 93 174Carbon 526 441 0 (85)Lehigh 2,309 2,915 92 698Monroe 825 481 23 (321)Northampton 1,882 2,006 0 124HPA II Total 8,348 8,730 208 590Lackawanna 2,007 2,271 52 316Luzerne 3,074 3,170 31 127Pike 349 200 0 (149)Schuylkill 1,428 1,678 0 250Wayne 437 431 0 (6)Wyoming 214 214 0 0HPA III Total 7,509 7,964 83 538Adams 629 933 0 304Cumberland 1,449 2,204 0 755Dauphin 1,841 2,136 18 313Franklin 945 1,029 18 102Lancaster 3,163 4,327 66 1,230Lebanon 898 1,348 19 469Perry 267 304 0 37York 2,492 2,421 0 (71)HPA IV Total 11,684 14,702 121 3,139Centre 622 673 35 86Clearfield 720 711 29 20Clinton 317 329 0 12Columbia 493 574 0 81Jefferson 446 484 14 52Juniata 186 230 0 44Lycoming 928 1,162 0 234

Mifflin 414 415 0 1Montour 182 338 30 186Northumberland 867 1,088 15 236Snyder 263 241 0 (22)Tioga 348 268 0 (80)Union 286 410 28 152HPA V Total 6,072 6,923 151 1,002Allegheny 11,010 8,897 610 (1,503)Armstrong 712 424 25 (263)Beaver 1,487 1,309 50 (128)Butler 1,192 1,645 19 472Fayette 1,258 694 59 (505)Greene 370 242 20 (108)Indiana 609 594 18 3Lawrence 849 914 92 157Washington 1,743 1,380 60 (303)Westmoreland 3,062 2,520 125 (417)HPA VI Total 22,292 18,619 1,078 (2,595)Cameron 53 40 0 (13)Clarion 333 365 10 42Crawford 685 875 32 222Elk 297 258 0 (39)Erie 1,896 2,148 49 301Forest 48 100 0 52McKean 416 598 0 182Mercer 1,028 1,122 98 192Potter 156 176 0 20Venango 431 584 16 169Warren 349 467 16 134HPA VII Total 5,692 6,733 221 1,262Bradford 511 465 0 (46)Sullivan 72 190 0 118Susquehanna 359 261 0 (98)HPA VIII Total 942 916 0 (26)Bedford 406 205 0 (201)

Blair 1,106 1,187 17 98Cambria 1,376 1,258 39 (79)Fulton 101 57 0 (44)Huntingdon 333 302 0 (31)Somerset 640 709 18 87Nursing Home Bed Need Projection Through Year 2000Projected INH Beds HB/SNF BedsNursingLicensed/ Licensed/Home Bed Approved Approved(Shortage)/HPA/County Need 03/31/97 03/31/97 SurplusHPA IX Total 3,962 3,718 74 (170)State Total 93,569 96,454 2,749 5,634SourceThe provisions of this § 1187.21a adopted January 9, 1998, effective January 12, 1998,28 Pa.B. 138.No part of the information on this site may be reproduced for profit or sold for profit.This material has been drawn directly from the official Pennsylvania Code full text database. Due to the limitations of HTML or differences indisplay capabilities of different browsers, this version may differ slightly from the official printed version.