Subchapter K. EXCEPTIONAL PAYMENT FOR NURSING FACILITY ...

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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
Page 2: under specified terms to a nursing
Page 8 and 9: (iii) There is a change in state or
Page 10 and 11: (4) If a nursing facility appeals t
Page 12 and 13: RUG-III Group RUG-III RUG-III PA No
Page 14 and 15: 1MADLYN AND LEONARDABRAMSON CENTER0
Page 17 and 18: 2HEARTLAND HEALTH CARECENTER06/30/0
Page 19 and 20: 2PLYMOUTH HOUSE NURSING12/31/02HOME
Page 21 and 22: SENIORCARE, THE2 WOODHAVEN CARE CEN
Page 23: GENESIS ELDERCARENTWRK3 HOLY FAMILY
Page 27 and 28: 5 CORNWALL MANOR 12/31/02 12/31/01
Page 29 and 30: 5MOUNTAIN VIEW CARECENTER06/30/03 0
Page 31 and 32: NURSING CENTER-BETHLEHEM6CUMBERLAND
Page 33 and 34: 6 SWAIM HEALTH CENTER 12/31/02 12/3
Page 35 and 36: MedianProviderPeerNameGroupMost Rec
Page 37 and 38: 11EDISON MANOR NURSINGAND REHAB CEN
Page 39 and 40: PG11Resident CareOther ResidentAdmi
Page 41 and 42: 12OVERLOOK MEDICALCLINIC INC12/31/0
Page 43 and 44: SNU14 PINECREST MANOR 06/30/03 06/3
Page 45 and 46: Mifflin 414 415 0 1Montour 182 338

Subchapter K. EXCEPTIONAL PAYMENT FOR NURSING FACILITY ...

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