Subchapter K. EXCEPTIONAL PAYMENT FOR NURSING FACILITY ...

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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
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 and 24: GENESIS ELDERCARENTWRK3 HOLY FAMILY
Page 25 and 26: Price Rltd Price Price$96.99 $39.91
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: 11EDISON MANOR NURSINGAND REHAB CEN
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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