provider rate component data report(nf) : effective date - … · 2020. 11. 17. · provider rate...

0001938 Noble 3-S 101.42 56.84 9.54 1.32 1.04

0010302 Fulton 2-L 117.13 61.15 10.17 0.00 1.56

0024637 Franklin 2-L 105.19 61.15 10.17 2.77 2.08

0025690 Cuyahoga 2-L 105.04 61.15 10.17 0.01 1.56

0025725 Wayne 3-S 106.71 56.84 9.54 0.00 2.08

0025761 Mahoning 2-S 112.43 63.85 10.79 0.00 1.56

0025789 Summit 2-S 93.70 63.85 10.79 0.05 1.56

0025850 Ashland 3-L 118.14 57.68 7.99 2.01 1.04

0030246 Cuyahoga 2-L 120.86 61.15 10.17 4.84 3.12

0030700 Adams 3-S 112.67 56.84 9.54 1.83 2.60

0030773 Cuyahoga 2-L 130.29 61.15 10.17 3.83 2.08

0034288 Hamilton 1-S 93.13 61.65 10.50 0.04 2.08

0034297 Franklin 2-L 97.72 61.15 10.17 0.04 1.04

0034322 Franklin 2-S 100.78 63.85 10.79 0.00 1.04

0034359 Geauga 2-S 121.96 63.85 10.79 3.07 3.64

0034395 Butler 1-L 100.94 58.99 11.11 0.03 2.08

0035527 Hamilton 1-S 127.96 61.65 10.50 0.00 1.56

0039514 Jefferson 3-S 93.00 56.84 9.54 0.76 2.08

0040226 Geauga 2-S 113.19 63.85 10.79 2.52 1.04

0040879 Summit 2-S 111.56 63.85 10.79 1.59 1.56

0041672 Hamilton 1-S 109.97 61.65 10.50 0.00 2.60

0050215 Cuyahoga 2-L 102.35 61.15 10.17 4.79 2.08

0050912 Athens 3-L 110.73 57.68 7.99 6.28 2.08

0052804 Geauga 2-L 114.78 61.15 10.17 1.59 1.56 216.8624 Heather Hill Care Communities 16.44 -1.79 0.00 12.96

195.19

23 Laurels Of Athens (The) 16.44 -1.79 0.00 12.75 212.16

22 Rae-Ann Westlake 16.44 -1.79 0.00 0.00

216.33

21 Marjorie P. Lee Community 16.44 -1.79 0.00 0.00 199.37

20 Wayside Farms, Inc. 16.44 -1.79 0.00 12.33

193.45

19 Ohman Family Living At Briar 16.44 -1.79 0.00 10.41 216.45

18 Catherine'S Care Center, Inc. 16.44 -1.79 0.00 16.58

203.10

17 Beechwood Home 16.44 -1.79 0.00 15.51 231.83

16 Mount Pleasant Retirement Village 16.44 -1.79 0.00 15.30

201.74

15 Ohman Family Living At Holly 16.44 -1.79 0.00 15.09 233.05

14 Wexner Heritage House 16.44 -1.79 0.00 10.63

194.59

13 Ohio Living Westminster-Thurber 16.44 -1.79 0.00 5.95 190.72

12 Llanfair Retirement Community 16.44 -1.79 0.00 12.54

211.31

11 Pleasantview Care Center 16.44 -1.79 0.00 13.81 235.98

10 Adams County Manor 16.44 -1.79 0.00 13.18

215.32

9 Broadview Multi-Care Center 16.44 -1.79 0.00 14.03 228.82

8 Good Shepherd Home (The) 16.44 -1.79 0.00 13.81

217.31

7 Ohio Living Rockynol 16.44 -1.79 0.00 10.84 195.44

6 Jewish Home For The Aged 16.44 -1.79 0.00 14.03

205.33

5 West View Healthy Living 16.44 -1.79 0.00 9.56 199.38

4 The Montefiore Home 16.44 -1.79 0.00 12.75

217.41

3 Monterey Care Center 16.44 -1.79 0.00 0.00 196.01

2 Fairlawn Haven 16.44 -1.79 0.00 12.75

Add-On

Total

Rate

1 Summit Acres Nursing Home 16.44 -1.79 0.00 9.99 194.80

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Provider Rate Component Data Report(NF) : Effective Date - 07/01/2020 (as of 11-24-2020)

Cnt

Provider

Number Provider Name County

Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate

0053847 Marion 2-L 107.29 61.15 10.17 1.36 3.12

11/24/2020

0054705 Cuyahoga 2-S 106.53 63.85 10.79 11.25 2.08

0055368 Ashtabula 2-S 114.17 63.85 10.79 3.28 2.60

0055381 Stark 2-S 104.72 63.85 10.79 0.02 2.08

0055407 Wyandot 3-L 102.74 57.68 7.99 0.02 1.56

0057594 Mahoning 2-L 131.50 61.15 10.17 3.03 2.08

0058723 Columbiana 3-S 102.60 56.84 9.54 1.64 0.52

0059208 Vinton 3-S 107.96 56.84 9.54 1.15 2.60

0059690 Medina 2-L 111.38 61.15 10.17 2.37 2.60

0060897 Fayette 2-L 105.17 61.15 10.17 3.69 2.08

0061413 Summit 2-S 112.18 63.85 10.79 1.68 1.56

0061439 Montgomery 2-S 103.92 63.85 10.79 3.17 3.12

0061666 Hancock 2-L 112.66 61.15 10.17 1.85 2.08

0064329 Warren 1-S 126.29 61.65 10.50 2.93 2.60

0064343 Highland 3-S 114.54 56.84 9.54 1.43 3.12

0064489 Cuyahoga 2-S 109.39 63.85 10.79 0.00 2.08

0067809 Athens 3-S 106.61 56.84 9.54 1.82 2.08

0067835 Morgan 3-S 111.53 56.84 9.54 1.78 2.08

0068593 Huron 3-S 97.66 56.84 9.54 1.73 2.08

0069349 Franklin 2-L 94.87 61.15 10.17 0.00 1.56

0069517 Ashland 3-S 102.23 56.84 9.54 1.18 2.60

0070062 Jefferson 3-S 118.60 56.84 9.54 2.74 3.12

204.89

46 Sienna Skilled Nursing And Rehabilitation, Inc. 16.44 -1.79 0.00 17.64 223.13

45 Crystal Care Center Of Ashland 16.44 -1.79 0.00 17.85

195.46

44 National Church Residences First Community Village 16.44 -1.79 0.00 0.00 182.40

43 The Willows At Willard 16.44 -1.79 0.00 12.96

199.40

42 Riverside Landing Nursing And Rehabilitation, Inc. 16.44 -1.79 0.00 10.20 206.62

41 Arcadia Valley Skilled Nursing & Rehabilitation, I 16.44 -1.79 0.00 7.86

215.21

40 Mount St. Joseph Rehab Center 16.44 -1.79 0.00 10.63 211.39

39 Crestwood Ridge Skilled Nursing And Rehabilitation 16.44 -1.79 0.00 15.09

209.79

38 Pine Ridge Skilled Nursing And Rehabilitation 16.44 -1.79 0.00 13.81 232.43

37 Fox Run Manor 16.44 -1.79 0.00 7.23

204.71

36 Astoria Health & Rehab Center 16.44 -1.79 0.00 17.00 216.50

35 Altercare Of Cuyahoga Falls Ctr For Rehab/Nur Care 16.44 -1.79 0.00 0.00

218.90

34 Court House Manor 16.44 -1.79 0.00 15.30 212.21

33 Willowood Care Center Of Brunswick, Inc. 16.44 -1.79 0.00 16.58

185.79

32 Maple Hills Skilled Nursing And Rehabilitation 16.44 -1.79 0.00 14.24 206.98

31 Valley Oaks Care Center 16.44 -1.79 0.00 0.00

193.57

30 Austinwoods Rehabilitation Health Care Center 16.44 -1.79 0.00 17.00 239.58

29 Fairhaven Community 16.44 -1.79 0.00 8.93

209.34

28 Chapel Hill Community 16.44 -1.79 0.00 14.45 210.56

27 Geneva Shores Skilled Nursing And Rehabilitation 16.44 -1.79 0.00 0.00

Add-On

Total

Rate

26 Oaks Of Brecksville 16.44 -1.79 0.00 8.93 218.08

Capital

Rate

Tax

Rate

Qlty

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Qlty

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Provider Rate Component Data Report(NF) : Effective Date - 07/01/2020

Cnt

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Print Date : Printed By: SCHLAJ

Provider Rate Component Data Report(NF) : Effective Date - 07/01/2020Print Time : 7:36:00 AM Page: 1 of 38

25 Marion Manor 16.44 -1.79 0.00 0.00 197.74

0070085 Belmont 3-S 90.55 56.84 9.54 1.39 1.56

0070103 Hamilton 1-L 132.17 58.99 11.11 0.51 2.08

0071275 Lake 2-S 108.07 63.85 10.79 2.10 3.12

0071310 Cuyahoga 2-S 111.64 63.85 10.79 3.86 2.60

11/24/2020

0072031 Fairfield 2-S 100.30 63.85 10.79 0.00 2.08

0072442 Lorain 2-L 115.37 61.15 10.17 3.93 2.08

0072991 Franklin 2-S 99.98 63.85 10.79 2.17 2.60

0072993 Allen 2-S 98.31 63.85 10.79 2.18 2.08

0073403 Summit 2-S 107.00 63.85 10.79 0.00 0.52

0073645 Hamilton 1-S 130.03 61.65 10.50 9.80 2.08

0073646 Summit 2-S 116.89 63.85 10.79 4.26 1.56

0075775 Franklin 2-L 100.20 61.15 10.17 4.44 2.60

0075815 Montgomery 2-L 114.79 61.15 10.17 5.35 1.56

0075825 Harrison 3-S 81.62 56.84 9.54 1.47 1.04

0076086 Guernsey 3-S 112.32 56.84 9.54 1.15 1.56

0076088 Belmont 3-S 90.81 56.84 9.54 1.00 2.08

0076197 Lucas 2-S 106.64 63.85 10.79 3.08 2.08

0076444 Stark 2-S 112.37 63.85 10.79 2.19 1.04

0076601 Columbiana 3-S 119.01 56.84 9.54 1.08 2.08

0076796 Allen 2-S 99.66 63.85 10.79 0.00 1.04

0077098 Portage 2-S 110.51 63.85 10.79 5.76 2.08

0077107 Clark 2-S 100.03 63.85 10.79 5.41 1.56 213.9368 Forest Glen Health Campus 16.44 -1.79 0.00 17.64

201.47

67 Woodlands Health And Rehabilitation Center 16.44 -1.79 0.00 13.60 221.24

66 Willow Ridge Of Mennonite Home Communities Of Ohio 16.44 -1.79 0.00 11.48

220.62

65 Circle Of Care 16.44 -1.79 0.00 0.00 203.20

64 Jackson Ridge Rehabilitation And Care Center 16.44 -1.79 0.00 15.73

174.92

63 The Lakes Of Monclova Health Campus 16.44 -1.79 0.00 0.00 201.09

62 Astoria Place Of Barnesville 16.44 -1.79 0.00 0.00

177.91

61 Astoria Place Of Cambridge 16.44 -1.79 0.00 0.00 196.06

60 Sunnyslope Nursing Home 16.44 -1.79 0.00 12.75

202.77

59 Oaks Of West Kettering (The) 16.44 -1.79 0.00 0.00 207.67

58 Scioto Community 16.44 -1.79 0.00 9.56

244.22

57 Heritage Of Hudson 16.44 -1.79 0.00 14.66 226.66

56 Covenant Village Of Green Township 16.44 -1.79 0.00 15.51

191.86

55 Concordia At Sumner 16.44 -1.79 0.00 10.63 207.44

54 Lost Creek Healthcare And Rehabilitation Center 16.44 -1.79 0.00 0.00

218.83

53 Eastland Healthcare & Rehabilitation Center 16.44 -1.79 0.00 11.26 205.30

52 Anchor Lodge Nursing Home 16.44 -1.79 0.00 11.48

Add-On

Total

Rate

51 Parkside At Wesley Ridge/Robert A Barnes Center 16.44 -1.79 0.00 12.75 204.42

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



218.52

50 Walton Manor Health Care Center 16.44 -1.79 0.00 16.58 223.97

49 Homestead Ii 16.44 -1.79 0.00 15.94

189.41

48 Lincoln Crawford Care Center 16.44 -1.79 10.14 15.94 245.59

47 Sienna Hills Nursing And Rehabilitation, Inc. 16.44 -1.79 0.00 14.88

0077230 Wood 2-S 110.99 63.85 10.79 1.78 2.08

0077293 Jefferson 3-S 98.17 56.84 9.54 2.25 2.08

0077576 Clark 2-S 115.44 63.85 10.79 3.72 2.08

0078544 Summit 2-S 104.66 63.85 10.79 4.47 3.12

0079825 Lucas 2-S 99.40 63.85 10.79 0.56 1.56

0080055 Medina 2-S 125.38 63.85 10.79 6.61 3.12

0083367 Carroll 3-S 99.35 56.84 9.54 1.04 1.56

11/24/2020

0087551 Montgomery 2-S 122.34 63.85 10.79 5.31 1.04

0088456 Summit 2-S 121.62 63.85 10.79 4.37 1.56

0088787 Montgomery 2-S 117.46 63.85 10.79 2.55 1.56

0088876 Huron 3-S 104.39 56.84 9.54 1.50 2.60

0090282 Franklin 2-S 121.17 63.85 10.79 3.35 2.08

0090507 Stark 2-S 93.57 63.85 10.79 0.93 1.56

0091495 Clermont 1-S 152.01 61.65 10.50 5.40 1.04

0091571 Fayette 2-S 93.47 63.85 10.79 0.27 2.60

0092820 Delaware 2-S 106.00 63.85 10.79 2.14 1.56

0093528 Fayette 2-S 111.75 63.85 10.79 1.45 2.08

0093677 Crawford 3-S 107.10 56.84 9.54 1.45 3.12

0093786 Muskingum 3-S 93.49 56.84 9.54 2.49 1.56

0093953 Cuyahoga 2-S 121.66 63.85 10.79 3.80 1.04

0094291 Muskingum 3-S 97.95 56.84 9.54 1.43 2.60

0094445 Wood 2-S 103.63 63.85 10.79 0.00 3.12

199.59

90 St. Clare Commons 16.44 -1.79 0.00 17.00 213.04

89 The Oaks At Bethesda 16.44 -1.79 0.00 16.58

191.96

88 Royal Oak Nursing & Rehabilitation Center 16.44 -1.79 0.00 15.30 231.09

87 The Oaks At Northpointe 16.44 -1.79 0.00 13.39

204.57

86 Signature Healthcare Of Galion 16.44 -1.79 0.00 14.24 206.94

85 Signature Healthcare Of Fayette County 16.44 -1.79 0.00 0.00

196.26

84 Wintersong Village 16.44 -1.79 0.00 9.35 208.34

83 Four Seasons Of Washington Nursing And Rehab 16.44 -1.79 0.00 10.63

185.35

82 The Atlantes 16.44 -1.79 0.00 0.00 245.25

81 Roselawn Gardens Nursing & Rehabilitation 16.44 -1.79 0.00 0.00

208.65

80 Forest Hills Center 16.44 -1.79 0.00 14.66 230.55

79 The Laurels Of New London 16.44 -1.79 0.00 19.13

216.84

78 The Laurels Of West Carrollton 16.44 -1.79 0.00 13.60 224.46

77 The Briarwood 16.44 -1.79 0.00 0.00

Add-On

Total

Rate

76 The Laurels Of Huber Heights 16.44 -1.79 0.00 11.48 229.46

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



234.39

75 Bowerston Hills 16.44 -1.79 0.00 15.94 198.92

74 Avenue At Medina 16.44 -1.79 0.00 9.99

213.23

73 Merit House Senior Community 16.44 -1.79 0.00 8.50 199.31

72 Bath Creek Estates 16.44 -1.79 0.00 11.69

192.67

71 Dayview Care Center 16.44 -1.79 0.00 14.88 225.41

70 Villa Vista Royale Llc 16.44 -1.79 0.00 9.14

69 Bowling Green Care Center 16.44 -1.79 0.00 14.03 218.17

0095766 Mahoning 2-S 91.83 63.85 10.79 1.62 2.60

0096322 Montgomery 2-S 94.17 63.85 10.79 4.22 2.60

0096324 Butler 1-S 105.20 61.65 10.50 3.67 1.56

0096325 Hamilton 1-S 101.74 61.65 10.50 2.10 1.04

0096419 Trumbull 2-S 100.34 63.85 10.79 1.45 3.12

0098672 Washington 3-S 107.91 56.84 9.54 1.44 2.60

0098759 Hamilton 1-L 102.97 58.99 11.11 6.29 2.08

0100320 Hamilton 1-S 93.93 61.65 10.50 6.43 1.04

0100325 Hamilton 1-S 89.77 61.65 10.50 1.68 2.08

0100666 Franklin 2-L 91.28 61.15 10.17 6.29 0.52

11/24/2020

0101855 Mercer 3-S 84.23 56.84 9.54 0.00 2.08

0105843 Clermont 1-S 112.62 61.65 10.50 2.38 3.12

0107272 Scioto 3-S 104.33 56.84 9.54 1.43 2.08

0107636 Scioto 3-S 101.49 56.84 9.54 1.43 2.08

0108006 Lake 2-L 109.61 61.15 10.17 2.29 2.08

0108292 Coshocton 3-S 90.90 56.84 9.54 1.22 3.12

0108312 Ross 2-L 114.07 61.15 10.17 1.39 3.12

0108606 Lucas 2-S 95.98 63.85 10.79 2.70 1.56

0108619 Cuyahoga 2-L 104.06 61.15 10.17 3.68 2.60

0110260 Franklin 2-S 96.96 63.85 10.79 1.96 2.08

0110265 Sandusky 2-S 101.56 63.85 10.79 1.96 1.56

0111742 Summit 2-L 109.68 61.15 10.17 0.16 1.56 209.70112 Heartland Of Twinsburg 16.44 -1.79 0.00 12.33

201.55

111 Elmwood Assisted Living And Skilled Nursing Of Fremont 16.44 -1.79 0.00 13.18 207.55

110 Otterbein New Albany 16.44 -1.79 0.00 11.26

203.13

109 Willow Park Convalescent Home 16.44 -1.79 0.00 15.94 212.25

108 Park Terrace Nursing And Rehabilitation Center 16.44 -1.79 0.00 13.60

176.27

107 Signature Healthcare Of Chillicothe 16.44 -1.79 0.00 15.94 220.49

106 Signature Healthcare Of Coshocton 16.44 -1.79 0.00 0.00

198.78

105 Continuing Healthcare Of Mentor 16.44 -1.79 0.00 13.39 213.34

104 Crystal Care Center Of Franklin Furnace 16.44 -1.79 0.00 12.75

220.01

103 Crystal Care Center Of Portsmouth 16.44 -1.79 0.00 11.05 199.92

102 Florentine Gardens 16.44 -1.79 0.00 15.09

Add-On

Total

Rate

101 Colonial Nursing Center Of Rockford 16.44 -1.79 0.00 0.00 167.34

Capital

Rate

Tax

Rate

Qlty

Add-

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Qlty

Deduc-

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Critical

Acc Fac

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189.68

100 Heartland Of Dublin 16.44 -1.79 0.00 11.26 195.32

99 Courtyard At Seasons 16.44 -1.79 0.00 9.35

205.87

98 Wellspring Health Center 16.44 -1.79 0.00 0.00 188.20

97 Lakeridge Villa Healthcare Center 16.44 -1.79 0.00 9.78

210.99

96 Muskingum Skilled Nursing & Rehabilitation 16.44 -1.79 0.00 17.43 210.41

95 Washington Square Healthcare Center 16.44 -1.79 0.00 16.79

204.46

94 Diversicare Of St. Theresa 16.44 -1.79 0.00 0.00 191.68

93 Diversicare Of Bradford Place 16.44 -1.79 0.00 7.23

198.73

92 Diversicare Of Siena Woods 16.44 -1.79 0.00 11.90 202.18

91 Park Center Health Care And Rehabilitation Center 16.44 -1.79 0.00 13.39

0112671 Darke 2-S 112.38 63.85 10.79 1.96 1.56

0113309 Columbiana 3-S 101.41 56.84 9.54 1.43 1.04

0114579 Putnam 3-S 96.47 56.84 9.54 1.43 2.60

0116557 Hamilton 1-S 113.02 61.65 10.50 2.04 1.04

0116558 Warren 1-S 99.69 61.65 10.50 2.04 2.08

0116753 Warren 1-S 143.05 61.65 10.50 2.04 1.04

0117319 Lorain 2-S 118.66 63.85 10.79 1.96 2.60

0118306 Montgomery 2-S 135.83 63.85 10.79 1.96 1.56

0118610 Clinton 1-S 117.08 61.65 10.50 2.04 2.60

0118752 Franklin 2-S 117.56 63.85 10.79 1.96 2.08

0118995 Summit 2-S 128.83 63.85 10.79 1.96 2.60

0119288 Montgomery 2-S 98.89 63.85 10.79 1.96 2.08

0119400 Columbiana 3-L 110.92 57.68 7.99 2.31 2.08

11/24/2020

0120210 Montgomery 2-L 95.74 61.15 10.17 0.05 2.08

0121029 Cuyahoga 2-S 105.01 63.85 10.79 1.96 2.08

0121557 Hamilton 1-S 134.26 61.65 10.50 2.04 3.12

0121731 Cuyahoga 2-L 102.70 61.15 10.17 2.16 2.08

0122500 Geauga 2-L 122.27 61.15 10.17 2.16 3.12

0124001 Hamilton 1-S 111.25 61.65 10.50 0.00 2.08

0124010 Defiance 3-L 102.71 57.68 7.99 1.73 2.60

0125181 Franklin 2-L 115.77 61.15 10.17 2.16 2.08

0127900 Summit 2-S 107.08 63.85 10.79 0.15 2.08

220.64

134 Village At St. Edward Nursing Care 16.44 -1.79 0.00 10.41 209.01

133 The Grand 16.44 -1.79 0.00 14.66

211.82

132 Laurels Of Defiance (The) 16.44 -1.79 0.00 12.11 199.47

131 Mt. Healthy Christian Home, Inc. 16.44 -1.79 0.00 11.69

205.24

130 Mapleview Country Villa 16.44 -1.79 0.00 15.94 229.46

129 Jennings Hall 16.44 -1.79 0.00 12.33

198.34

128 Liberty Nursing Center Of Colerain Inc 16.44 -1.79 0.00 17.64 243.86

127 Gateway Health Care Center 16.44 -1.79 0.00 0.00

Add-On

Total

Rate

126 Mary Scott Nursing Center 16.44 -1.79 0.00 0.00 183.84

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

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Critical

Acc Fac

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Qlty

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Rate

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Rate



207.31

125 Calcutta Health Care Center 16.44 -1.79 0.00 13.81 209.44

124 Garden Court Nursing And Rehabilitation Center 16.44 -1.79 0.00 15.09

218.54

123 Green Village Skilled Nursing & Rehabilitation Ltd 16.44 -1.79 0.00 15.51 238.19

122 Otterbein Gahanna Skilled Nursing And Rehab 16.44 -1.79 0.00 7.65

228.64

121 Oprs Communities Dba Cape May Retirement Village 16.44 -1.79 0.00 11.05 219.57

120 Dunbar Health & Rehab Center 16.44 -1.79 0.00 0.00

244.83

119 The Woods On French Creek Nursing & Rehabilitation Center 16.44 -1.79 0.00 17.00 229.51

118 Cedarview Care Center 16.44 -1.79 0.00 11.90

211.19

117 Cedars Of Lebanon Care Center 16.44 -1.79 0.00 15.09 205.70

116 Harrison Pavilion Care Center 16.44 -1.79 0.00 8.29

193.20

115 The Meadows Of Ottawa 16.44 -1.79 0.00 14.45 195.98

114 The Orchards Of East Liverpool 16.44 -1.79 0.00 8.29

113 Village Green Health Campus 16.44 -1.79 0.00 12.54 217.73

0128067 Sandusky 2-S 119.16 63.85 10.79 1.96 2.08

0128069 Lucas 2-S 117.97 63.85 10.79 1.96 2.08

0128381 Hamilton 1-L 117.30 58.99 11.11 2.38 2.08

0129140 Warren 1-S 114.33 61.65 10.50 0.00 2.08

0130959 Greene 2-L 104.27 61.15 10.17 2.16 1.56

0131020 Ross 2-S 103.56 63.85 10.79 0.88 1.56

0132262 Cuyahoga 2-S 119.08 63.85 10.79 1.96 2.08

0133768 Portage 2-S 130.83 63.85 10.79 1.96 2.60

0135497 Madison 2-S 110.97 63.85 10.79 1.96 1.56

0135641 Lucas 2-S 124.53 63.85 10.79 1.96 1.04

0135646 Gallia 3-S 99.27 56.84 9.54 1.43 1.56

0135650 Clermont 1-L 130.79 58.99 11.11 2.38 1.04

0135655 Richland 3-S 100.26 56.84 9.54 1.43 1.56

0135656 Monroe 3-S 95.88 56.84 9.54 1.43 2.08

0135661 Washington 3-L 102.46 57.68 7.99 1.43 1.56

0135674 Clark 2-S 144.15 63.85 10.79 1.96 2.60

11/24/2020

0135677 Lucas 2-S 116.06 63.85 10.79 1.96 1.56

0135689 Delaware 2-S 107.14 63.85 10.79 1.96 1.56

0135693 Fairfield 2-S 113.88 63.85 10.79 1.96 0.52

0135880 Washington 3-S 92.42 56.84 9.54 1.43 3.12

0135886 Carroll 3-S 99.88 56.84 9.54 1.43 3.64

0135892 Summit 2-S 102.13 63.85 10.79 1.96 2.60 205.33156 Arbors At Fairlawn 16.44 -1.79 0.00 9.35

189.48

155 Arbors At Minerva 16.44 -1.79 0.00 12.75 198.73

154 Harmar Place 16.44 -1.79 0.00 11.48

212.49

153 Arbors At Carroll 16.44 -1.79 0.00 12.11 217.76

152 Arbors At Delaware 16.44 -1.79 0.00 12.54

Add-On

Total

Rate

151 Arbors At Sylvania 16.44 -1.79 0.00 10.84 219.71

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



194.70

150 Arbors At Springfield 16.44 -1.79 0.00 0.00 238.00

149 Arbors At Marietta 16.44 -1.79 0.00 8.93

198.31

148 Arbors At Woodsfield 16.44 -1.79 0.00 15.51 195.93

147 Arbors At Mifflin 16.44 -1.79 0.00 14.03

197.32

146 Arbors At Milford 16.44 -1.79 0.00 8.93 227.89

145 Arbors At Gallipolis 16.44 -1.79 0.00 14.03

216.96

144 Arbors At Oregon 16.44 -1.79 0.00 0.00 216.82

143 London Health & Rehab Center 16.44 -1.79 0.00 13.18

224.95

142 Avenue At Aurora 16.44 -1.79 0.00 15.73 240.41

141 Eastbrook Healthcare Center 16.44 -1.79 0.00 12.54

202.67

140 Valley View Alzheimer'S Care Center 16.44 -1.79 0.00 9.56 204.85

139 Village At The Greene 16.44 -1.79 0.00 8.71

222.45

138 Mason Health Care Center 16.44 -1.79 0.00 6.38 209.59

137 Sanctuary Pointe Nursing & Rehab Center 16.44 -1.79 0.00 15.94

212.49

136 Astoria Place Of Waterville Llc 16.44 -1.79 0.00 13.18 224.48

135 Astoria Place Of Clyde Llc 16.44 -1.79 0.00 0.00

0135895 Meigs 3-S 95.07 56.84 9.54 1.43 2.08

0135904 Madison 2-S 106.64 63.85 10.79 1.96 1.56

0135907 Summit 2-L 104.34 61.15 10.17 2.16 2.08

0135913 Portage 2-S 99.78 63.85 10.79 1.96 1.56

0135982 Cuyahoga 2-L 102.98 61.15 10.17 4.61 1.56

0136507 Erie 3-S 94.74 56.84 9.54 0.21 2.08

0138671 Butler 1-L 128.38 58.99 11.11 2.38 1.04

0139693 Gallia 3-S 99.42 56.84 9.54 0.05 1.04

0140920 Lucas 2-S 110.61 63.85 10.79 1.96 2.08

0141167 Trumbull 2-S 112.95 63.85 10.79 1.96 1.04

0141168 Trumbull 2-S 114.29 63.85 10.79 1.96 2.08

0141341 Erie 3-S 104.67 56.84 9.54 1.43 0.52

0142869 Medina 2-S 122.98 63.85 10.79 1.96 1.04

0142884 Medina 2-S 107.27 63.85 10.79 1.96 2.60

0143263 Portage 2-L 121.82 61.15 10.17 2.16 3.64

0143287 Cuyahoga 2-S 113.58 63.85 10.79 1.96 1.56

0143550 Summit 2-S 113.26 63.85 10.79 1.96 1.56

0145091 Ashland 3-S 115.90 56.84 9.54 1.43 2.60

0145822 Clermont 1-S 127.36 61.65 10.50 2.04 2.08

11/24/2020

0147479 Pickaway 2-S 111.34 63.85 10.79 1.82 2.08

0147488 Van Wert 3-S 107.05 56.84 9.54 1.68 1.56

0149527 Lucas 2-L 103.52 61.15 10.17 2.16 1.04

200.25

178 Promedica Skilled Nursing And Rehabilitation (Sylvania) 16.44 -1.79 0.00 0.00 192.69

177 Vancrest Health Care Center 16.44 -1.79 0.00 8.93

Add-On

Total

Rate

176 Pickaway Manor Care Center, Inc. 16.44 -1.79 0.00 16.79 221.32

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



214.99

175 Otterbein Union Township 16.44 -1.79 0.00 13.60 231.88

174 Brethren Care Village Health Care Center 16.44 -1.79 0.00 14.03

219.99

173 Altercare Transitional Care Of The Western Reserve, Inc. 16.44 -1.79 0.00 13.18 219.25

172 Highland Pointe Health & Rehabilitation Center 16.44 -1.79 0.00 13.60

215.36

171 Longmeadow Care Center 16.44 -1.79 0.00 18.28 231.87

170 Sanctuary Medina Llc 16.44 -1.79 0.00 14.24

203.38

169 Sanctuary Wadsworth Llc 16.44 -1.79 0.00 0.00 215.27

168 Concord Care And Rehabilitation Center 16.44 -1.79 0.00 15.73

205.24

167 Meadowbrook Manor 16.44 -1.79 0.00 13.60 221.22

166 Concord Care Center Of Cortland 16.44 -1.79 0.00 0.00

188.34

165 Concord Care Center Of Toledo 16.44 -1.79 0.00 19.13 223.07

164 Holzer Senior Care Center 16.44 -1.79 0.00 6.80

188.47

163 Arlington Pointe 16.44 -1.79 0.00 13.60 230.15

162 Parkvue Health Care Center 16.44 -1.79 0.00 10.41

204.28

161 Slovene Home For The Aged 16.44 -1.79 0.00 4.46 199.58

160 Arbors At Streetsboro 16.44 -1.79 0.00 11.69

212.84

159 Arbors At Stow 16.44 -1.79 0.00 13.60 208.15

158 Arbors West 16.44 -1.79 0.00 13.39

157 Arbors At Pomeroy 16.44 -1.79 0.00 7.23 186.84

0151618 Cuyahoga 2-L 115.19 61.15 10.17 2.16 1.04

0152730 Hamilton 1-S 100.37 61.65 10.50 0.00 2.08

0153828 Hamilton 1-L 124.51 58.99 11.11 0.00 1.04

0154340 Erie 3-S 88.89 56.84 9.54 1.43 1.56

0154366 Trumbull 2-L 122.24 61.15 10.17 2.16 1.56

0154447 Mahoning 2-S 112.80 63.85 10.79 1.96 3.12

0154459 Columbiana 3-S 120.30 56.84 9.54 1.43 2.60

0154464 Trumbull 2-L 105.91 61.15 10.17 2.16 2.08

0155262 Cuyahoga 2-S 113.56 63.85 10.79 1.96 2.08

0157513 Lawrence 3-S 103.59 56.84 9.54 1.43 1.56

0157521 Hardin 3-S 112.59 56.84 9.54 1.43 2.08

0157781 Hamilton 1-S 115.75 61.65 10.50 2.04 1.56

0158887 Lorain 2-L 118.26 61.15 10.17 1.84 1.04

0160229 Franklin 2-S 114.43 63.85 10.79 1.96 2.08

0160396 Clermont 1-S 109.58 61.65 10.50 0.00 1.04

0161766 Butler 1-S 116.91 61.65 10.50 2.82 2.08

0163033 Lawrence 3-S 93.34 56.84 9.54 1.43 1.04

0163324 Medina 2-S 119.13 63.85 10.79 1.96 1.56

0163338 Franklin 2-S 103.16 63.85 10.79 1.96 2.08

0163748 Montgomery 2-S 106.42 63.85 10.79 1.96 1.04

0163908 Washington 3-S 118.54 56.84 9.54 1.43 2.60

0164049 Lorain 2-S 113.27 63.85 10.79 2.47 1.04

11/24/2020

Add-On

Total

Rate

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



209.55

200 The Villa Camillus Inc 16.44 -1.79 0.00 16.58 222.65

199 Belpre Landing Nursing & Rehabilitation 16.44 -1.79 0.00 5.95

205.84

198 Sanctuary At Wilmington Place 16.44 -1.79 0.00 11.26 209.97

197 The Santuary At Tuttle Crossing 16.44 -1.79 0.00 9.35

187.04

196 Samaritan Care Center 16.44 -1.79 0.00 0.00 211.94

195 Sanctuary At Ohio Valley 16.44 -1.79 0.00 10.20

202.52

194 Woodland Country Manor 16.44 -1.79 0.00 8.93 217.54

193 Otterbein Loveland 16.44 -1.79 0.00 5.10

216.67

192 Meadow Grove Transitional Care 16.44 -1.79 0.00 12.54 220.30

191 Amherst Manor, Inc. 16.44 -1.79 0.00 9.56

204.57

190 Scarlet Oaks Nursing And Rehabilitation Center Llc 16.44 -1.79 0.00 11.48 217.63

189 Vancrest Of Ada 16.44 -1.79 0.00 7.44

220.70

188 Crystal Care Of Coal Grove 16.44 -1.79 0.00 12.11 199.72

187 Seven Hills Health & Rehab Center 16.44 -1.79 0.00 13.81

213.86

186 Continuing Healthcare At The Ridge 16.44 -1.79 0.00 11.90 208.02

185 Continuing Healthcare Of Lisbon 16.44 -1.79 0.00 8.50

223.19

184 Continuing Healthcare Of Boardman 16.44 -1.79 0.00 0.00 207.17

183 Autumn Hills Care Center 16.44 -1.79 0.00 11.26

210.30

182 Continuing Healthcare Of Milan 16.44 -1.79 0.00 16.58 189.49

181 Daniel Drake Center For Post-Acute Care 16.44 -1.79 0.00 0.00

220.09

180 Judson Care Center 16.44 -1.79 0.00 15.94 205.19

179 O'Neill Healthcare-Fairview Park 16.44 -1.79 0.00 15.73

0166580 Franklin 2-S 111.34 63.85 10.79 1.96 1.04

0167037 Knox 2-L 108.77 61.15 10.17 1.38 2.60

0167747 Adams 3-S 118.76 56.84 9.54 1.43 1.56

0168919 Lorain 2-L 116.53 61.15 10.17 2.16 2.08

0168954 Henry 3-S 111.14 56.84 9.54 1.43 2.60

0169879 Cuyahoga 2-L 120.96 61.15 10.17 2.16 2.08

0172790 Cuyahoga 2-S 126.70 63.85 10.79 2.13 2.08

0172923 Jackson 3-S 96.61 56.84 9.54 0.03 1.04

0172950 Wood 2-S 102.11 63.85 10.79 0.00 1.04

0175153 Cuyahoga 2-L 121.26 61.15 10.17 5.34 2.08

0178127 Lake 2-S 110.63 63.85 10.79 1.96 1.56

0180181 Vinton 3-S 88.03 56.84 9.54 1.43 1.04

0180576 Portage 2-S 112.18 63.85 10.79 3.67 2.60

0180594 Holmes 3-L 96.75 57.68 7.99 2.19 2.60

0184947 Jefferson 3-S 105.73 56.84 9.54 2.02 2.08

0185352 Sandusky 2-L 135.41 61.15 10.17 2.16 0.52

0187757 Scioto 3-L 111.35 57.68 7.99 1.52 1.56

0187906 Stark 2-S 96.85 63.85 10.79 1.96 2.08

0190776 Trumbull 2-S 98.88 63.85 10.79 1.96 2.08

0190993 Tuscarawas 3-S 97.92 56.84 9.54 1.43 3.12

0192560 Butler 1-S 88.03 61.65 10.50 0.00 1.56

0194196 Warren 1-S 100.61 61.65 10.50 0.00 2.08

0195314 Knox 2-S 187.52 63.85 10.79 1.96 2.08

0195461 Logan 3-S 96.46 56.84 9.54 1.43 2.08

0195706 Champaign 2-S 107.19 63.85 10.79 1.96 1.56

11/24/2020Print Date : Printed By: SCHLAJ


189.29

225 Urbana Health & Rehab Center 16.44 -1.79 0.00 5.10 205.10

224 Indian Lake Rehabilitation Center 16.44 -1.79 0.00 8.29

202.03

223 Centerburg Respiratory And Specialty Rehab Center 16.44 -1.79 0.00 1.70 282.55

222 Quaker Heights Care Community 16.44 -1.79 0.00 12.54

192.64

221 Jamestowne Rehabilitation 16.44 -1.79 0.00 0.00 176.39

220 Park Village Hc Np Llc 16.44 -1.79 0.00 9.14

206.12

219 White Oak Manor 16.44 -1.79 0.00 9.78 201.99

218 Sprenger Health Care Of Massillon Snf Inc 16.44 -1.79 0.00 15.94

224.06

217 Dba Best Care Nursing And Rehabilitation Center 16.44 -1.79 0.00 0.00 194.75

216 Eden Springs Nursing And Rehabilitation West 16.44 -1.79 0.00 0.00

198.86

215 Lancia Villa Royale 16.44 -1.79 0.00 11.90 202.76

214 Sycamore Run Nursing & Rehabilitation Center 16.44 -1.79 0.00 17.00

171.53

213 Kensington At Anna Maria 16.44 -1.79 0.00 11.26 219.00

212 Hamden Health Care Ventures, Inc. 16.44 -1.79 0.00 0.00

229.31

211 Concord Village Skilled Nursing & Rehabilitation 16.44 -1.79 0.00 11.26 214.70

210 Cedarwood Plaza 16.44 -1.79 0.00 14.66

187.85

209 Wood Haven Health Care Senior Living And Rehabilitation 16.44 -1.79 0.00 0.00 192.44

208 Jenkins Care Community 16.44 -1.79 0.00 9.14

219.67

207 Hillside Plaza 16.44 -1.79 0.00 14.66 234.86

206 Westlake Rehab And Nursing Center 16.44 -1.79 0.00 8.50

220.98

205 Northcrest Rehab And Nursing Center 16.44 -1.79 0.00 11.48 207.68

204 Avon Place 16.44 -1.79 0.00 14.24

198.72

203 Monarch Meadows Nursing And Rehabilitation 16.44 -1.79 0.00 14.66 217.44

202 Country Court 16.44 -1.79 0.00 0.00

201 West Park Care Center 16.44 -1.79 0.00 12.96 216.59

0196685 Fairfield 2-S 114.35 63.85 10.79 3.23 3.12

0198307 Hancock 2-S 95.91 63.85 10.79 0.09 2.60

0198312 Lucas 2-S 114.26 63.85 10.79 1.96 1.04

0198857 Sandusky 2-S 103.73 63.85 10.79 1.96 2.08

0201077 Belmont 3-S 121.44 56.84 9.54 1.43 2.08

0201104 Hamilton 1-L 116.30 58.99 11.11 2.38 1.04

0201401 Cuyahoga 2-L 119.34 61.15 10.17 2.16 1.04

0201868 Franklin 2-L 129.19 61.15 10.17 2.16 2.60

0201870 Union 2-S 117.33 63.85 10.79 1.96 2.60

0201877 Fairfield 2-S 107.06 63.85 10.79 1.96 1.04

0201879 Preble 2-S 115.48 63.85 10.79 1.96 2.60

0204489 Lucas 2-L 101.97 61.15 10.17 2.16 2.60

0204960 Franklin 2-S 82.08 63.85 10.79 0.00 1.56

0208120 Allen 2-L 148.42 61.15 10.17 2.16 2.08

0209932 Mahoning 2-S 106.91 63.85 10.79 0.00 3.12

0209934 Brown 1-L 126.45 58.99 11.11 2.38 1.56

0213298 Hamilton 1-S 111.26 61.65 10.50 2.04 2.08

0213983 Lake 2-L 118.47 61.15 10.17 2.16 2.08

0214397 Mahoning 2-L 105.92 61.15 10.17 0.22 1.56

0214921 Ashtabula 2-S 121.66 63.85 10.79 1.96 1.56

0215086 Ashtabula 2-S 124.20 63.85 10.79 1.96 1.56

0215350 Trumbull 2-S 104.47 63.85 10.79 0.00 2.60

0219838 Cuyahoga 2-S 106.80 63.85 10.79 0.00 2.08

0226376 Lake 2-S 109.36 63.85 10.79 1.96 1.04 216.95249 Mentor Ridge Health And Rehabilitation 16.44 -1.79 0.00 15.30

209.11

248 Welsh Home (The) 16.44 -1.79 0.00 15.51 213.68

247 Shepherd Of The Valley-Niles 16.44 -1.79 0.00 12.75

222.76

246 Lake Pointe Rehabilitation & Nursing Center 16.44 -1.79 0.00 0.00 217.01

245 Eagle Pointe Skilled Nursing & Rehab 16.44 -1.79 0.00 8.29

220.79

244 Assumption Village (The) 16.44 -1.79 0.00 8.29 201.96

243 Cardinal Woods Skilled Nursing & Rehab Center 16.44 -1.79 0.00 12.11

229.80

242 Blue Ash Care Center 16.44 -1.79 0.00 12.75 214.93

241 Ohio Valley Manor Nursing And Rehabilitation 16.44 -1.79 0.00 14.66

238.63

240 Shepherd Of The Valley Poland 16.44 -1.79 0.00 15.73 215.05

239 Liberty Retirement Community Of Lima Inc 16.44 -1.79 0.00 0.00

204.39

238 Wesley Glen 16.44 -1.79 0.00 0.00 172.93

237 Spring Meadow Nursing & Rehabilitation Centre, Llc 16.44 -1.79 0.00 11.69

199.35

236 Maple Gardens Rehabilitation And Nursing Center 16.44 -1.79 0.00 14.24 223.57

235 Country Lane Gardens Rehabilitation And Nursing Center 16.44 -1.79 0.00 0.00

234.16

234 Prestige Gardens Rehabilitation And Nursing Center 16.44 -1.79 0.00 0.00 211.18

233 Capital City Gardens Rehabilitation And Nursing Center 16.44 -1.79 0.00 14.24

220.41

232 Rocky River Gardens Rehabilitation And Nursing Center 16.44 -1.79 0.00 14.88 223.39

231 Mt. Airy Gardens Rehabilitation And Nursing Center 16.44 -1.79 0.00 15.94

210.66

230 Rolling Hills Rehabilitation And Care Center Llc 16.44 -1.79 0.00 0.00 205.98

229 Valley View Health Campus 16.44 -1.79 0.00 13.60

199.79

228 The Lakes Of Sylvania 16.44 -1.79 0.00 0.00 206.55

227 Good Samaritan Society-Arlington 16.44 -1.79 0.00 11.90

Add-On

Total

Rate

226 Main Street Terrace Care Center 16.44 -1.79 0.00 14.88 224.87

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate

0228088 Auglaize 3-S 110.63 56.84 9.54 0.00 1.56

11/24/2020

0228463 Summit 2-S 125.01 63.85 10.79 1.96 1.04

0228640 Allen 2-S 111.24 63.85 10.79 0.00 2.08

0229882 Lawrence 3-L 109.09 57.68 7.99 1.43 2.08

0234428 Hamilton 1-L 113.56 58.99 11.11 1.61 3.64

0234459 Union 2-S 102.54 63.85 10.79 1.96 0.52

0234954 Knox 2-S 112.40 63.85 10.79 1.96 3.12

0235466 Stark 2-L 111.52 61.15 10.17 2.16 2.08

0235701 Summit 2-L 110.75 61.15 10.17 2.16 2.60

0235751 Franklin 2-S 119.22 63.85 10.79 1.96 1.56

0235771 Ross 2-L 106.63 61.15 10.17 2.16 1.56

0235952 Hamilton 1-L 101.81 58.99 11.11 2.38 1.56

0236872 Cuyahoga 2-S 122.36 63.85 10.79 1.96 1.56

0237836 Ashtabula 2-L 117.77 61.15 10.17 0.00 1.56

0241166 Cuyahoga 2-S 120.73 63.85 10.79 1.96 1.56

0243735 Richland 3-S 114.11 56.84 9.54 1.43 2.60

0243831 Stark 2-S 116.19 63.85 10.79 1.96 1.56

0243837 Crawford 3-S 112.76 56.84 9.54 1.43 1.04

0243851 Cuyahoga 2-S 124.66 63.85 10.79 1.96 1.04

0243863 Summit 2-S 118.54 63.85 10.79 1.96 1.04

0243899 Franklin 2-S 116.50 63.85 10.79 1.96 1.56

0243951 Knox 2-S 122.36 63.85 10.79 1.96 0.52

216.96

271 Whispering Hills Rehabilitation And Nursing Center 16.44 -1.79 0.00 4.89 219.02

270 Buckeye Terrace Rehabilitation And Nursing Center 16.44 -1.79 0.00 7.65

216.95

269 The Pinnacle Rehabilitation And Nursing Center 16.44 -1.79 0.00 11.90 222.73

268 The Pavilion Rehabilitation And Nursing Center 16.44 -1.79 0.00 0.00

223.66

267 Crestline Rehabilitation And Nursing Center 16.44 -1.79 0.00 10.41 206.67

266 Legends Care Rehabilitation And Nursing Center 16.44 -1.79 0.00 14.66

224.59

265 Country Meadow Rehabilitation And Nursing Center 16.44 -1.79 0.00 13.60 212.77

264 Landerbrook Transitional Care 16.44 -1.79 0.00 11.05

215.17

263 Ashtabula County Nursing Home 16.44 -1.79 0.00 13.39 218.69

262 The Laurels Of Chagrin Falls 16.44 -1.79 0.00 0.00

204.82

261 Montgomery Care Center 16.44 -1.79 0.00 12.75 203.25

260 Westmoreland Place 16.44 -1.79 0.00 8.50

210.83

259 Continuing Healthcare Of Gahanna 16.44 -1.79 0.00 11.05 223.08

258 Continuing Healthcare Of Cuyahoga Falls 16.44 -1.79 0.00 9.35

212.72

257 Glenwood Care And Rehabilitation 16.44 -1.79 0.00 0.00 201.73

256 Mount Vernon Health And Rehabilitation Center 16.44 -1.79 0.00 5.95

221.20

255 Milcrest Nursing Center 16.44 -1.79 0.00 7.01 201.32

254 Clifton Care Center, Inc. 16.44 -1.79 0.00 17.64

209.84

253 Harbor Healthcare Of Ironton 16.44 -1.79 0.00 11.69 204.61

252 Mennonite Memorial Home 16.44 -1.79 0.00 7.23

Add-On

Total

Rate

251 Avenue At Macedonia 16.44 -1.79 0.00 0.00 217.30

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

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Rate

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Rate



250 Otterbein-Cridersville 16.44 -1.79 0.00 12.96 206.18

0244304 Lucas 2-S 100.29 63.85 10.79 1.96 1.04

0245052 Cuyahoga 2-L 112.22 61.15 10.17 2.16 0.52

0245084 Licking 2-L 102.68 61.15 10.17 2.16 1.04

0245097 Cuyahoga 2-L 106.74 61.15 10.17 2.16 0.52

11/24/2020

0245111 Marion 2-S 108.12 63.85 10.79 1.96 2.08

0245119 Lake 2-S 100.21 63.85 10.79 1.96 1.04

0245436 Highland 3-S 105.78 56.84 9.54 1.43 2.08

0245442 Hardin 3-L 101.45 57.68 7.99 1.43 1.04

0245564 Scioto 3-S 101.39 56.84 9.54 1.43 2.60

0245565 Medina 2-S 114.23 63.85 10.79 1.96 1.04

0245568 Scioto 3-S 106.23 56.84 9.54 1.43 1.04

0245571 Sandusky 2-S 120.03 63.85 10.79 1.96 1.56

0245823 Pike 3-S 97.01 56.84 9.54 1.43 2.08

0246036 Lucas 2-S 108.45 63.85 10.79 1.96 1.04

0246372 Jackson 3-S 103.58 56.84 9.54 1.43 1.56

0248212 Lake 2-S 116.37 63.85 10.79 1.96 2.08

0249193 Cuyahoga 2-S 103.43 63.85 10.79 1.96 1.04

0250097 Mahoning 2-S 118.89 63.85 10.79 1.96 1.04

0257028 Franklin 2-S 119.26 63.85 10.79 1.96 1.04

0257029 Lucas 2-L 122.52 61.15 10.17 3.49 2.60

0257045 Hamilton 1-L 122.30 58.99 11.11 2.38 1.56

0257117 Clark 2-S 114.21 63.85 10.79 1.96 1.56 207.02293 Wooded Glen 16.44 -1.79 0.00 0.00

214.58

292 Harmony Court Rehab And Nursing 16.44 -1.79 0.00 11.48 222.47

291 Orchard Villa 16.44 -1.79 0.00 0.00

215.43

290 Canal Winchester Care Center 16.44 -1.79 0.00 10.63 222.18

289 Windsor House At Canfield 16.44 -1.79 0.00 4.25

220.96

288 Rae-Ann Nursing Center 16.44 -1.79 0.00 0.00 195.72

287 Grand River Health & Rehab Center 16.44 -1.79 0.00 11.26

213.49

286 Edgewood Manor Of Wellston 16.44 -1.79 0.00 12.75 200.35

285 Ridgewood Manor 16.44 -1.79 0.00 12.75

212.84

284 Piketon Nursing Center 16.44 -1.79 0.00 8.50 190.05

283 Parkview Care Center 16.44 -1.79 0.00 0.00

219.91

282 Edgewood Manor Of Lucasville I 16.44 -1.79 0.00 13.81 203.54

281 Brunswick Pointe Transitional Care 16.44 -1.79 0.00 13.39

184.24

280 Edgewood Manor Of Lucasville Ii 16.44 -1.79 0.00 15.09 201.54

279 Kenton Nursing & Rehabilitation Center 16.44 -1.79 0.00 0.00

202.06

278 Edgewood Manor Of Greenfield 16.44 -1.79 0.00 10.41 200.73

277 Lakemed Care And Rehabilitation 16.44 -1.79 0.00 9.56

Add-On

Total

Rate

276 Community Care And Rehabilitation 16.44 -1.79 0.00 11.90 213.35

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

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Ancillary/

Support

Rate



205.88

275 Stratford Care And Rehabilitation 16.44 -1.79 0.00 0.00 195.39

274 Newark Care And Rehabilitation 16.44 -1.79 0.00 14.03

192.58

273 The Greens Care And Rehabilitation 16.44 -1.79 0.00 0.00 200.87

272 Addison Heights Health And Rehabilitation Center 16.44 -1.79 0.00 0.00

0257125 Lucas 2-S 98.42 63.85 10.79 1.96 1.56

0257180 Hamilton 1-S 116.86 61.65 10.50 2.04 2.60

0258073 Williams 3-S 100.74 56.84 9.54 0.00 3.64

0259829 Allen 2-S 118.22 63.85 10.79 1.96 1.56

0259856 Jefferson 3-S 99.06 56.84 9.54 1.43 2.08

0259883 Licking 2-S 111.96 63.85 10.79 1.96 1.56

0259960 Licking 2-S 107.70 63.85 10.79 1.96 2.08

11/24/2020

0259968 Perry 3-S 98.70 56.84 9.54 1.43 1.56

0259975 Perry 3-S 102.59 56.84 9.54 1.43 3.12

0259993 Muskingum 3-S 101.86 56.84 9.54 1.43 1.56

0262067 Trumbull 2-S 125.93 63.85 10.79 1.96 3.12

0262114 Hamilton 1-S 114.60 61.65 10.50 2.04 2.08

0262293 Stark 2-S 124.34 63.85 10.79 1.96 2.60

0262323 Summit 2-L 115.98 61.15 10.17 2.16 1.56

0262401 Auglaize 3-S 101.59 56.84 9.54 1.43 2.08

0262446 Columbiana 3-S 116.96 56.84 9.54 1.43 1.04

0262661 Williams 3-S 113.49 56.84 9.54 1.43 2.08

0262714 Jefferson 3-S 105.36 56.84 9.54 1.43 1.04

0262762 Mahoning 2-S 118.68 63.85 10.79 1.96 2.08

0263087 Mahoning 2-S 128.12 63.85 10.79 1.96 1.56

0263159 Columbiana 3-S 109.94 56.84 9.54 1.43 2.08

0263279 Wayne 3-S 107.99 56.84 9.54 1.43 2.08

207.44

315 Avenue At Wooster 16.44 -1.79 0.00 9.56 202.09

314 Salem West Healthcare Center 16.44 -1.79 0.00 12.96

227.31

313 Canfield Healthcare Center 16.44 -1.79 0.00 17.21 238.14

312 Austintown Healthcare Center 16.44 -1.79 0.00 15.30

212.69

311 Dixon Healthcare Center 16.44 -1.79 0.00 13.81 202.67

310 Evergreen Healthcare Center 16.44 -1.79 0.00 14.66

186.13

309 Salem North Healthcare Center 16.44 -1.79 0.00 0.00 200.46

308 Grande Lake Healthcare Center 16.44 -1.79 0.00 0.00

229.67

307 The Colony Healthcare Center 16.44 -1.79 0.00 15.51 221.18

306 The Pines Healthcare Center 16.44 -1.79 0.00 11.48

234.96

305 Wexford Care Center 16.44 -1.79 0.00 17.21 222.73

304 Addison Healthcare Center 16.44 -1.79 0.00 14.66

198.16

303 Altercare Zanesville, Inc 16.44 -1.79 0.00 0.00 185.88

302 Altercare Thornville, Inc. 16.44 -1.79 0.00 9.99

Add-On

Total

Rate

301 Altercare Somerset, Inc. 16.44 -1.79 0.00 0.00 182.72

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



204.77

300 Altercare Newark North, Inc. 16.44 -1.79 0.00 7.86 208.89

299 Altercare Newark South, Inc. 16.44 -1.79 0.00 0.00

211.03

298 Altercare Adena, Inc. 16.44 -1.79 0.00 0.00 183.60

297 The Meadows Of Delphos 16.44 -1.79 0.00 0.00

232.73

296 Williams County Hillside Country Living 16.44 -1.79 0.00 15.51 200.92

295 Woods Edge Rehab And Nursing 16.44 -1.79 9.55 14.88

294 Whitehouse Country Manor 16.44 -1.79 0.00 12.96 204.19

0265424 Auglaize 3-S 101.92 56.84 9.54 1.43 2.60

0265425 Greene 2-S 108.95 63.85 10.79 1.96 1.56

0265426 Greene 2-S 104.62 63.85 10.79 1.96 2.08

0270111 Shelby 3-L 89.85 57.68 7.99 0.00 1.56

0272990 Cuyahoga 2-L 117.77 61.15 10.17 2.16 2.60

0273052 Portage 2-S 115.66 63.85 10.79 1.96 3.12

0273070 Cuyahoga 2-L 110.65 61.15 10.17 2.16 2.60

0273085 Cuyahoga 2-L 114.68 61.15 10.17 2.16 2.08

0273090 Cuyahoga 2-L 104.57 61.15 10.17 2.16 1.56

0274804 Knox 2-S 99.22 63.85 10.79 0.00 1.04

11/24/2020

0277382 Hamilton 1-L 113.88 58.99 11.11 2.38 1.56

0277592 Paulding 3-S 114.57 56.84 9.54 1.43 2.60

0278542 Cuyahoga 2-L 102.33 61.15 10.17 0.00 2.60

0279832 Cuyahoga 2-S 109.27 63.85 10.79 1.96 2.08

0283333 Lucas 2-L 89.89 61.15 10.17 2.16 1.56

0283378 Huron 3-S 107.30 56.84 9.54 1.43 2.08

0283787 Stark 2-L 112.13 61.15 10.17 2.46 2.08

0283946 Greene 2-S 109.29 63.85 10.79 1.96 0.52

0284228 Montgomery 2-L 108.82 61.15 10.17 2.16 1.04

0284367 Greene 2-S 113.21 63.85 10.79 1.96 2.08

0285530 Clermont 1-S 100.76 61.65 10.50 2.04 0.52

0285999 Hamilton 1-S 119.69 61.65 10.50 2.04 1.04 209.57337 Fountains Transitional Care Center 16.44 -1.79 0.00 0.00

206.54

336 The Glen 16.44 -1.79 0.00 0.00 190.12

335 Jamestown Place Health And Rehab 16.44 -1.79 0.00 0.00

201.06

334 Englewood Health And Rehab 16.44 -1.79 0.00 0.00 197.99

333 Beavercreek Health And Rehab 16.44 -1.79 0.00 0.00

206.50

332 Laurels Of Massillon (The) 16.44 -1.79 0.00 9.99 212.63

331 Willard Healthcare 16.44 -1.79 0.00 14.66

214.50

330 Toledo Healthcare 16.44 -1.79 0.00 14.24 193.82

329 Shaker Gardens Nursing And Rehabilitation Center 16.44 -1.79 0.00 11.90

208.98

328 Eliza Jennings Home (The) 16.44 -1.79 0.00 11.69 202.59

327 Vancrest Of Payne 16.44 -1.79 0.00 9.35

Add-On

Total

Rate

326 Wexford Place 16.44 -1.79 0.00 14.66 217.23

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



217.19

325 Ohio Eastern Star Health Care Center (The) 16.44 -1.79 0.00 9.14 198.69

324 Cityview Healthcare And Rehabilitation 16.44 -1.79 8.90 14.03

214.34

323 Suburban Healthcare And Rehabilitation 16.44 -1.79 0.00 15.09 219.98

322 Candlewood Healthcare And Rehabilitation 16.44 -1.79 0.00 12.96

220.40

321 Kent Healthcare And Rehabilitation 16.44 -1.79 0.00 17.21 227.24

320 Aristocrat Berea Healthcare And Rehabilitation 16.44 -1.79 0.00 11.90

197.95

319 Fair Haven/Shelby County Home 16.44 -1.79 0.00 14.66 186.39

318 Hospitality Healthcare Llc 16.44 -1.79 0.00 0.00

200.58

317 Harmony Center For Rehabilitation And Healing 16.44 -1.79 0.00 0.00 201.76

316 Heritage Center For Rehabilitation And Specialty 16.44 -1.79 0.00 13.60

0286012 Greene 2-S 164.70 63.85 10.79 1.96 1.04

0287326 Allen 2-S 106.29 63.85 10.79 1.96 1.56

0287576 Montgomery 2-L 107.33 61.15 10.17 2.16 1.56

0287598 Warren 1-L 111.33 58.99 11.11 2.38 1.56

0288016 Scioto 3-S 112.18 56.84 9.54 1.43 1.56

0288043 Greene 2-S 111.15 63.85 10.79 1.96 1.04

0288489 Ashtabula 2-L 112.17 61.15 10.17 2.16 3.12

0289153 Pike 3-L 123.68 57.68 7.99 1.43 1.04

0289551 Summit 2-L 92.11 61.15 10.17 2.16 3.12

0289749 Holmes 3-S 88.67 56.84 9.54 1.43 2.60

0289982 Ashtabula 2-S 125.49 63.85 10.79 1.96 1.56

0289997 Cuyahoga 2-S 94.55 63.85 10.79 1.96 2.60

0291303 Holmes 3-L 93.06 57.68 7.99 0.99 2.60

11/24/2020

0292159 Guernsey 3-S 108.22 56.84 9.54 1.43 1.04

0292321 Coshocton 3-S 101.75 56.84 9.54 1.43 2.08

0292331 Franklin 2-L 106.70 61.15 10.17 2.16 1.04

0292352 Butler 1-L 112.82 58.99 11.11 2.38 1.04

0292821 Butler 1-S 109.76 61.65 10.50 2.04 0.52

0292917 Clermont 1-L 112.42 58.99 11.11 2.38 1.56

0294954 Licking 2-L 122.55 61.15 10.17 2.16 1.56

0295508 Franklin 2-L 109.13 61.15 10.17 2.16 1.56

0297513 Mahoning 2-L 126.52 61.15 10.17 2.16 1.56

211.78

359 Beeghly Oaks Center For Rehabilitation And Healing 16.44 -1.79 0.00 0.00 216.21

358 The Laurels Of Walden Park 16.44 -1.79 0.00 12.96

214.29

357 The Laurels Of Heath 16.44 -1.79 0.00 7.23 219.47

356 The Laurels Of Milford 16.44 -1.79 0.00 13.18

207.79

355 The Laurels Of Hamilton 16.44 -1.79 0.00 15.51 214.63

354 The Laurels Of Middletown 16.44 -1.79 0.00 6.80

199.68

353 The Laurels Of Gahanna 16.44 -1.79 0.00 4.46 200.33

352 Altercare Coshocton, Inc. 16.44 -1.79 0.00 13.39

Add-On

Total

Rate

351 Altercare Cambridge, Inc. 16.44 -1.79 0.00 0.00 191.72

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



197.96

350 Scenic Pointe Nursing And Rehabilitation Center 16.44 -1.79 0.00 19.13 196.10

349 North Park Care Center 16.44 -1.79 0.00 9.56

190.94

348 Pine Grove Healthcare Center 16.44 -1.79 0.00 14.03 232.33

347 Oakpointe Nursing & Rehabilitation 16.44 -1.79 0.00 17.21

206.47

346 Hickory Ridge Nursing & Rehabilitation Center 16.44 -1.79 0.00 13.60 196.96

345 The Pavilion At Piketon 16.44 -1.79 0.00 0.00

217.47

344 Carington Park 16.44 -1.79 0.00 17.64 221.06

343 Xenia Health And Rehab 16.44 -1.79 0.00 14.03

211.50

342 Portsmouth Health And Rehab 16.44 -1.79 0.00 5.74 201.94

341 Cedar Village Senior Living 16.44 -1.79 0.00 11.48

206.33

340 Centerville Health And Rehab 16.44 -1.79 0.00 0.00 197.02

339 The Springs Of Lima 16.44 -1.79 0.00 7.23

338 Bellbrook Health And Rehab 16.44 -1.79 0.00 0.00 256.99

0297550 Mahoning 2-S 125.02 63.85 10.79 1.96 1.56

0297807 Ashland 3-S 96.62 56.84 9.54 1.75 2.60

0298083 Hamilton 1-S 88.66 61.65 10.50 2.04 0.52

0298735 Stark 2-S 105.70 63.85 10.79 0.00 2.60

0298958 Hamilton 1-S 109.34 61.65 10.50 2.04 1.56

0301054 Summit 2-S 91.05 63.85 10.79 1.96 0.52

0301726 Summit 2-S 123.81 63.85 10.79 1.96 2.08

0303083 Clermont 1-S 115.27 61.65 10.50 2.04 1.56

0303741 Cuyahoga 2-S 103.82 63.85 10.79 1.96 0.52

0306768 Hamilton 1-S 98.76 61.65 10.50 2.04 1.56

0307140 Hamilton 1-S 112.02 61.65 10.50 2.04 2.08

0307318 Sandusky 2-S 119.22 63.85 10.79 1.96 1.56

0311221 Montgomery 2-S 108.32 63.85 10.79 1.96 1.04

0313363 Montgomery 2-L 121.79 61.15 10.17 2.16 2.08

0315243 Darke 2-L 110.15 61.15 10.17 2.16 1.56

0315261 Clark 2-L 112.18 61.15 10.17 2.16 1.56

11/24/2020

0316293 Lucas 2-S 102.28 63.85 10.79 1.96 3.12

0316563 Wayne 3-S 97.43 56.84 9.54 0.00 3.12

0316715 Brown 1-L 128.66 58.99 11.11 2.38 1.56

0316720 Greene 2-S 105.52 63.85 10.79 1.96 1.56

0316721 Ottawa 2-S 110.01 63.85 10.79 1.96 2.08

0318435 Hamilton 1-L 126.33 58.99 11.11 2.38 2.08 223.83381 Clovernook Healthcare And Rehabilitation Center 16.44 -1.79 0.00 8.29

213.21

380 Edgewood Manor Rehabilitation 16.44 -1.79 0.00 16.15 219.49

379 Wright Rehabilitation And Helthcare Center 16.44 -1.79 0.00 14.88

196.67

378 Villa Georgetown Rehabilitation And Healthcare Center 16.44 -1.79 0.00 12.33 229.68

377 Apostolic Christian Home, Inc. 16.44 -1.79 0.00 15.09

Add-On

Total

Rate

376 Continuing Healthcare Of Toledo 16.44 -1.79 0.00 11.90 208.55

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



213.65

375 Villa Springfield 16.44 -1.79 0.00 14.66 216.53

374 Versailles Rehabilitation And Healthcare Center 16.44 -1.79 0.00 13.81

200.61

373 Social Row Transitional Care 16.44 -1.79 0.00 13.60 225.60

372 Gem City Nursing And Hebabilitation Center 16.44 -1.79 0.00 0.00

216.33

371 Countryside Manor Nursing & Rehabilitation Center 16.44 -1.79 0.00 6.80 218.83

370 Carecore At The Meadows 16.44 -1.79 0.00 13.39

208.77

369 Garden Park Health Care Center 16.44 -1.79 8.65 9.78 207.59

368 O'Neill Healthcare North Olmsted 16.44 -1.79 0.00 13.18

217.14

367 Siena Gardens Rehabilitation & Transitional Care 16.44 -1.79 0.00 0.00 205.67

366 Blue Stream Rehab And Nursing 16.44 -1.79 0.00 0.00

211.64

365 Regency Care Of Copley 16.44 -1.79 0.00 6.80 189.62

364 Astoria Place Of Silverton Llc 16.44 -1.79 0.00 11.90

196.79

363 Saint Joseph Care Center 16.44 -1.79 0.00 6.38 203.97

362 Astoria Place Of Cincinnati Llc 16.44 -1.79 8.14 10.63

236.11

361 Colonial Manor Health Care Center, Inc. 16.44 -1.79 0.00 10.41 192.41

360 Oasis Center For Rehabilitation And Healing 16.44 -1.79 0.00 18.28

0318856 Erie 3-L 107.06 57.68 7.99 0.00 2.60

0320499 Huron 3-L 105.57 57.68 7.99 1.43 0.52

0321655 Stark 2-S 108.41 63.85 10.79 3.31 2.08

0321664 Geauga 2-S 120.16 63.85 10.79 2.54 2.60

0321691 Butler 1-L 97.44 58.99 11.11 0.00 2.60

0323733 Lorain 2-S 113.71 63.85 10.79 2.73 2.08

0324096 Montgomery 2-L 95.54 61.15 10.17 2.16 2.60

0325624 Wyandot 3-S 103.69 56.84 9.54 0.00 1.56

0325709 Lucas 2-S 127.27 63.85 10.79 1.96 1.04

0325832 Summit 2-S 111.48 63.85 10.79 1.96 1.56

0325992 Shelby 3-S 89.40 56.84 9.54 1.43 2.60

0326066 Hamilton 1-S 110.38 61.65 10.50 2.04 1.56

0326090 Butler 1-S 109.58 61.65 10.50 2.04 1.04

0326201 Champaign 2-S 80.98 63.85 10.79 1.96 2.08

0326471 Medina 2-L 96.26 61.15 10.17 2.16 0.52

0326880 Miami 2-S 112.71 63.85 10.79 1.96 1.04

0326897 Highland 3-S 107.54 56.84 9.54 1.43 3.12

0326928 Clark 2-S 110.19 63.85 10.79 1.96 1.56

0326934 Shelby 3-S 114.03 56.84 9.54 1.43 2.08

11/24/2020

0327591 Clermont 1-S 112.45 61.65 10.50 2.04 1.56

0327603 Brown 1-S 106.17 61.65 10.50 2.04 1.56

0328496 Auglaize 3-S 99.45 56.84 9.54 1.43 2.08

207.62

403 Auglaize Acres 16.44 -1.79 0.00 0.00 183.99

402 Locust Ridge Healthcare Llc 16.44 -1.79 0.00 11.05

Add-On

Total

Rate

401 Sunrise Nursing Healthcare Llc 16.44 -1.79 0.00 7.65 210.50

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



203.00

400 Pavilion Care Center 16.44 -1.79 0.00 0.00 198.57

399 Eaglewood Care Center 16.44 -1.79 0.00 0.00

205.00

398 Greenfield Snf, Inc 16.44 -1.79 0.00 0.00 193.12

397 Covington Care Center 16.44 -1.79 0.00 0.00

191.95

396 Meadowview Health & Rehabilitation Center 16.44 -1.79 0.00 13.18 198.09

395 Spring Meadows 16.44 -1.79 0.00 17.64

219.06

394 Glen Meadows 16.44 -1.79 0.00 12.33 211.79

393 Residence At Salem Woods 16.44 -1.79 0.00 18.28

213.64

392 Sidney Care Center 16.44 -1.79 0.00 17.00 191.46

391 Canterbury Of Twinsburg 16.44 -1.79 0.00 9.35

186.28

390 Advanced Healthcare Center 16.44 -1.79 0.00 13.18 232.74

389 Wyandot County Skilled Nursing And Rehabilitation Center 16.44 -1.79 0.00 0.00

220.99

388 Crossroads Rehabilitation & Nursing 16.44 -1.79 0.00 17.00 203.27

387 Autumn Aegis Nursing Home 16.44 -1.79 0.00 13.18

228.19

386 Butler County Care Facility 16.44 -1.79 0.00 0.00 184.79

385 Ohman Family Living At Blossom 16.44 -1.79 0.00 13.60

201.87

384 Brewster Parke, Inc. 16.44 -1.79 0.00 7.65 210.74

383 Gaymont Care And Rehabilitation 16.44 -1.79 0.00 14.03

382 Meadows At Osborn Park (The) 16.44 -1.79 0.00 12.75 202.73

0329164 Summit 2-L 115.31 61.15 10.17 2.16 1.56

0329165 Stark 2-L 114.40 61.15 10.17 2.16 1.04

0329167 Logan 3-S 104.96 56.84 9.54 1.43 1.56

0329169 Cuyahoga 2-L 112.70 61.15 10.17 2.16 1.56

0329172 Darke 2-S 115.98 63.85 10.79 1.96 0.52

0329179 Lucas 2-L 110.59 61.15 10.17 2.16 1.04

0329233 Jackson 3-S 105.85 56.84 9.54 1.43 1.56

0329242 Hamilton 1-L 110.95 58.99 11.11 2.38 2.60

0329333 Cuyahoga 2-L 113.21 61.15 10.17 2.16 0.52

0329349 Cuyahoga 2-L 110.21 61.15 10.17 2.16 1.56

0329378 Lucas 2-L 116.15 61.15 10.17 2.16 1.56

0329754 Miami 2-S 115.22 63.85 10.79 1.96 1.56

0329774 Scioto 3-L 116.19 57.68 7.99 1.43 0.52

0329781 Lucas 2-L 126.48 61.15 10.17 2.16 1.04

0329809 Fulton 2-S 121.24 63.85 10.79 1.96 1.56

0329814 Butler 1-L 120.53 58.99 11.11 2.38 0.52

0330268 Muskingum 3-L 99.33 57.68 7.99 1.43 1.04

0330279 Muskingum 3-S 105.55 56.84 9.54 1.43 1.56

0330624 Muskingum 3-S 96.53 56.84 9.54 1.43 1.04

0330746 Belmont 3-S 95.68 56.84 9.54 1.43 2.08

0330775 Belmont 3-S 109.70 56.84 9.54 1.43 1.04

0330804 Muskingum 3-S 95.10 56.84 9.54 1.43 1.04

11/24/2020

Add-On

Total

Rate

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



206.16

425 Continuing Healthcare At Willow Haven 16.44 -1.79 0.00 0.00 178.60

424 Continuing Healthcare Of Shadyside 16.44 -1.79 0.00 12.96

180.03

423 Continuing Healthcare At Forest Hill 16.44 -1.79 0.00 13.18 193.40

422 Continuing Healthcare At Cedar Hill 16.44 -1.79 0.00 0.00

193.81

421 Continuing Healthcare At Beckett House 16.44 -1.79 0.00 0.00 189.57

420 Continuing Healthcare At Adams Lane 16.44 -1.79 0.00 11.69

214.05

419 Woodridge Healthcare Llc 16.44 -1.79 0.00 0.00 208.18

418 Indian Meadows 16.44 -1.79 0.00 0.00

198.46

417 Waterville Healthcare Llc 16.44 -1.79 0.00 0.00 215.65

416 Rosemount Pavilion 16.44 -1.79 0.00 0.00

205.84

415 Piqua Health And Rehab Center 16.44 -1.79 0.00 0.00 208.03

414 Oregon Healthcare Llc 16.44 -1.79 0.00 0.00

201.86

413 Lenox Ridge Nursing And Rehab 16.44 -1.79 0.00 0.00 199.90

412 Mayfield Heights Healthcare Llc 16.44 -1.79 0.00 0.00

196.03

411 Madeira Village Nursing And Rehab 16.44 -1.79 0.00 0.00 200.68

410 Oakwood Community Health Center 16.44 -1.79 0.00 6.16

207.75

409 Glass City Health And Rehab 16.44 -1.79 0.00 0.00 199.76

408 Greenville Health And Rehab Center 16.44 -1.79 0.00 0.00

188.98

407 Euclid Beach Healthcare Llc 16.44 -1.79 0.00 0.00 202.39

406 Belle Springs Nursing And Rehab 16.44 -1.79 0.00 0.00

211.80

405 Belden Village Healthcare Llc 16.44 -1.79 0.00 0.00 203.57

404 Highland Square Nursing And Rehabilitation 16.44 -1.79 0.00 6.80

0331135 Fairfield 2-L 137.32 61.15 10.17 2.20 1.56

0331277 Lucas 2-S 112.59 63.85 10.79 1.96 1.91

0332672 Cuyahoga 2-S 109.23 63.85 10.79 1.96 2.08

0332680 Summit 2-S 106.78 63.85 10.79 1.96 1.56

0333751 Cuyahoga 2-L 113.50 61.15 10.17 2.16 1.91

0333756 Fulton 2-S 107.91 63.85 10.79 1.96 1.91

0333763 Miami 2-L 109.85 61.15 10.17 2.16 1.91

0334395 Cuyahoga 2-L 112.83 61.15 10.17 2.16 1.91

0335695 Lorain 2-L 112.27 61.15 10.17 3.12 2.08

0335721 Clark 2-L 118.72 61.15 10.17 2.16 2.08

0337285 Seneca 2-L 102.67 61.15 10.17 2.16 1.91

0338701 Franklin 2-S 107.91 63.85 10.79 1.96 1.91

0339735 Hamilton 1-L 97.27 58.99 11.11 0.00 2.60

0340710 Licking 2-S 103.41 63.85 10.79 1.96 1.91

0340877 Cuyahoga 2-S 107.13 63.85 10.79 1.96 1.91

0341584 Franklin 2-L 104.45 61.15 10.17 2.16 1.91

0342025 Greene 2-S 99.22 63.85 10.79 0.00 1.04

0342090 Wayne 3-S 98.62 56.84 9.54 1.43 1.91

0345237 Stark 2-S 101.38 63.85 10.79 0.00 2.60

0345979 Geauga 2-S 118.21 63.85 10.79 1.81 2.60

0346030 Mahoning 2-S 91.53 63.85 10.79 0.00 3.64

0346478 Stark 2-S 107.61 63.85 10.79 1.36 3.12

0346496 Miami 2-L 114.27 61.15 10.17 0.00 1.04

0348145 Cuyahoga 2-S 95.28 63.85 10.79 3.38 1.56

11/24/2020

201.20



449 Rae-Ann Suburban 16.44 -1.79 0.00 11.69

216.04

448 Koester Pavilion 16.44 -1.79 0.00 15.09 216.37

447 Country Lawn Center For Rehabilitation And Nursing Care, Inc. 16.44 -1.79 0.00 14.66

225.09

446 Shepherd Of The Valley-Boardman 16.44 -1.79 0.00 0.00 184.46

445 Burton Health Care Center 16.44 -1.79 0.00 13.18

182.99

444 Canton Christian Home, Inc. 16.44 -1.79 0.00 6.80 200.07

443 Accord Care Community-Orrville 16.44 -1.79 0.00 0.00

194.49

442 Greenewood Manor 16.44 -1.79 0.00 0.00 189.55

441 Majestic Care Of Whitehall Llc 16.44 -1.79 0.00 0.00

196.57

440 Avenue At Broadview Heights 16.44 -1.79 0.00 0.00 200.29

439 Flint Ridge Nursing & Rehabilitation Center 16.44 -1.79 0.00 0.00

201.07

438 Maple Knoll Village 16.44 -1.79 0.00 8.50 193.12

437 Wesley Woods At New Albany 16.44 -1.79 0.00 0.00

221.04

436 St. Francis Senior Ministries 16.44 -1.79 0.00 0.00 192.71

435 Allen View Healthcare Center 16.44 -1.79 0.00 12.11

202.87

434 Avon Oaks Nursing Home 16.44 -1.79 0.00 6.16 209.60

433 Westbrook Place Rehabilitation And Nursing Center 16.44 -1.79 0.00 0.00

201.07

432 Troy Rehabilitation And Healthcare Center 16.44 -1.79 0.00 0.00 199.89

431 Swanton Valley Rehabilitation And Healthcare Center 16.44 -1.79 0.00 0.00

199.59

430 The Heights Rehabilitation And Healthcare Center 16.44 -1.79 0.00 0.00 203.54

429 Windsong Nursing & Rehab 16.44 -1.79 0.00 0.00

205.75

428 Sunrise Pointe Nursing & Rehab 16.44 -1.79 0.00 0.00 202.56

427 The Gardens Of St. Francis 16.44 -1.79 0.00 0.00

426 Crestview Rehabilitation And Skilled Nursing Services 16.44 -1.79 0.00 0.00 227.05

0349742 Logan 3-S 90.53 56.84 9.54 0.00 3.12

0350806 Huron 3-L 122.43 57.68 7.99 1.43 1.91

0352998 Tuscarawas 3-S 93.81 56.84 9.54 1.88 1.04

0353192 Franklin 2-L 111.97 61.15 10.17 2.16 1.91

0355553 Lucas 2-S 98.08 63.85 10.79 1.96 1.91

0356264 Allen 2-S 91.43 63.85 10.79 1.96 1.91

0357762 Hamilton 1-S 97.11 61.65 10.50 2.04 1.91

0358163 Lucas 2-S 97.22 63.85 10.79 1.96 1.91

0358343 Pickaway 2-S 108.26 63.85 10.79 1.96 1.91

0358527 Hamilton 1-S 109.09 61.65 10.50 0.00 2.60

0358530 Fairfield 2-S 111.08 63.85 10.79 1.96 1.91

0358562 Marion 2-S 113.11 63.85 10.79 1.96 1.91

0359638 Cuyahoga 2-S 88.34 63.85 10.79 1.96 1.91

0361041 Delaware 2-S 126.87 63.85 10.79 1.96 1.91

0362746 Williams 3-L 104.97 57.68 7.99 1.43 1.91

0362787 Defiance 3-S 93.85 56.84 9.54 1.43 1.91

0362812 Montgomery 2-L 103.53 61.15 10.17 2.16 1.91

0362824 Perry 3-L 95.47 57.68 7.99 1.43 1.91

0362831 Lucas 2-S 101.74 63.85 10.79 1.96 1.91

0362836 Wood 2-S 110.00 63.85 10.79 1.96 1.91

0363613 Auglaize 3-S 99.06 56.84 9.54 1.43 1.91

0364369 Cuyahoga 2-S 90.67 63.85 10.79 5.78 2.08

0366778 Hamilton 1-L 119.91 58.99 11.11 2.63 2.08

0367697 Tuscarawas 3-S 85.00 56.84 9.54 1.93 2.60 180.12473 Riverside Manor Nursing And Care Center 16.44 -1.79 0.00 9.56

187.82

472 Meadowbrook Care Center 16.44 -1.79 0.00 15.30 224.67

471 Fairfax Health Care Center 16.44 -1.79 0.00 0.00

203.16

470 Vancrest Of St. Marys 16.44 -1.79 0.00 0.00 183.43

469 Skld Perrysburf 16.44 -1.79 0.00 0.00

179.13

468 Skld Point Place 16.44 -1.79 0.00 0.00 194.90

467 Skld New Lexington 16.44 -1.79 0.00 0.00

178.22

466 Skld New Lebanon 16.44 -1.79 0.00 0.00 193.57

465 Skld Defiance 16.44 -1.79 0.00 0.00

220.03

464 Skld Bryan 16.44 -1.79 0.00 0.00 188.63

463 Capri Gardens 16.44 -1.79 0.00 0.00

206.27

462 Regency Care Of Larchwood 16.44 -1.79 0.00 0.00 181.50

461 Presidential Post Acute 16.44 -1.79 0.00 0.00

209.33

460 Buckeye Care And Rehabilitation 16.44 -1.79 0.00 0.00 204.24

459 Archbishop Leibold Home For The Aged 16.44 -1.79 0.00 10.84

190.38

458 Circleville Post Acute 16.44 -1.79 0.00 0.00 201.42

457 Divine Rehabilitation And Nursing At Sylvania 16.44 -1.79 0.00 0.00

184.59

456 Bridgetown Nursing & Rehabilitation Centre 16.44 -1.79 0.00 0.00 187.86

455 Carecore At Lima, Llc 16.44 -1.79 0.00 0.00

202.01

454 Promedica Goerlich Memory Care Center (Syvania) 16.44 -1.79 0.00 0.00 191.24

453 Majestic Care Of Columbus Llc 16.44 -1.79 0.00 0.00

206.09

452 Park Village Health Care Center 16.44 -1.79 0.00 8.50 186.26

451 Twilight Gardens Nursing & Rehabilitation 16.44 -1.79 0.00 0.00

Add-On

Total

Rate

450 Green Hills Center 16.44 -1.79 0.00 13.60 188.28

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate

0371963 Butler 1-L 121.63 58.99 11.11 2.38 1.91

11/24/2020

0371987 Hamilton 1-L 117.61 58.99 11.11 2.38 1.91

0372003 Hamilton 1-S 106.67 61.65 10.50 2.04 1.91

0372009 Hamilton 1-S 107.34 61.65 10.50 2.04 1.91

0372087 Butler 1-S 125.92 61.65 10.50 2.04 1.91

0372168 Hamilton 1-S 121.63 61.65 10.50 2.04 1.91

0372176 Hamilton 1-L 144.49 58.99 11.11 2.38 1.91

0372311 Hamilton 1-L 128.95 58.99 11.11 2.38 1.91

0373459 Fairfield 2-S 107.91 63.85 10.79 1.96 1.91

0374161 Cuyahoga 2-L 117.43 61.15 10.17 3.16 3.12

0374303 Franklin 2-S 105.11 63.85 10.79 2.38 2.08

0374413 Hamilton 1-L 102.62 58.99 11.11 2.38 1.91

0375202 Seneca 2-S 107.91 63.85 10.79 1.96 1.91

0375964 Cuyahoga 2-S 120.72 63.85 10.79 4.52 1.56

0376649 Franklin 2-S 107.91 63.85 10.79 1.96 1.91

0378550 Morrow 2-S 106.63 63.85 10.79 1.19 2.60

0379522 Butler 1-L 127.94 58.99 11.11 2.47 2.60

0379880 Fulton 2-S 93.49 63.85 10.79 0.00 3.12

0380104 Montgomery 2-L 126.55 61.15 10.17 2.16 1.91

0380546 Lake 2-L 113.71 61.15 10.17 2.16 1.91

0380799 Tuscarawas 3-S 119.66 56.84 9.54 1.43 1.91

0383428 Franklin 2-S 109.36 63.85 10.79 1.52 2.60

204.03

495 Friendship Village Health Center 16.44 -1.79 0.00 10.84 213.61

494 New Dawn Rehabilitation And Healthcare Center 16.44 -1.79 0.00 0.00

216.59

493 Kirtland Rehabilitation And Care 16.44 -1.79 0.00 0.00 203.75

492 Sycamore Glen Health Care 16.44 -1.79 0.00 0.00

228.60

491 Fulton Manor Nursing And Rehabilitation Center 16.44 -1.79 0.00 11.90 197.80

490 Tri-County Extended Care Center 16.44 -1.79 0.00 10.84

201.07

489 Morrow Manor 16.44 -1.79 0.00 17.85 217.56

488 Smith'S Mill Health Campus 16.44 -1.79 0.00 0.00

201.07

487 Enniscourt Nursing Care 16.44 -1.79 0.00 14.24 230.33

486 The Willows At Tiffin 16.44 -1.79 0.00 0.00

217.14

485 The Chateau At Mountain Crest Nursing & Rehab 16.44 -1.79 0.00 0.00 191.66

484 Scioto Pointe 16.44 -1.79 0.00 18.28

201.07

483 Franklin Plaza Extended Care 16.44 -1.79 0.00 15.09 224.77

482 Violet Springs Health Campus 16.44 -1.79 0.00 0.00

233.53

481 Burlington House Rehab & Alzheimer'S Care Center 16.44 -1.79 0.00 0.00 217.99

480 Three Rivers Healthcare Center 16.44 -1.79 0.00 0.00

216.67

479 Brookside Healthcare Center 16.44 -1.79 0.00 0.00 212.38

478 Oxford Healthcare Center 16.44 -1.79 0.00 0.00

197.42

477 Highlands Post Acute 16.44 -1.79 0.00 0.00 198.09

476 Norwood Towers Post Acute 16.44 -1.79 0.00 0.00

Add-On

Total

Rate

475 Delhi Post Acute 16.44 -1.79 0.00 0.00 206.65

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



474 Willow Knoll Post Acute And Senior Living 16.44 -1.79 0.00 0.00 210.67

0383498 Wood 2-S 107.91 63.85 10.79 1.96 1.91

0386336 Putnam 3-S 107.77 56.84 9.54 0.00 2.08

0387693 Richland 3-S 96.18 56.84 9.54 1.65 2.08

0388404 Summit 2-S 107.91 63.85 10.79 1.96 1.91

11/24/2020

0388892 Mahoning 2-L 107.91 61.15 10.17 2.16 1.91

0389112 Cuyahoga 2-S 107.91 63.85 10.79 1.96 1.91

0389537 Summit 2-L 107.91 61.15 10.17 2.16 1.91

0390905 Monroe 3-S 99.06 56.84 9.54 1.43 1.91

0391562 Greene 2-S 117.03 63.85 10.79 0.02 1.04

0391571 Trumbull 2-L 102.70 61.15 10.17 0.04 2.60

0391580 Franklin 2-S 96.73 63.85 10.79 3.12 1.56

0393293 Trumbull 2-L 117.35 61.15 10.17 1.58 2.08

0394634 Guernsey 3-S 99.06 56.84 9.54 1.43 1.91

0394776 Fairfield 2-S 107.91 63.85 10.79 1.96 1.91

0394799 Hocking 3-L 99.06 57.68 7.99 1.43 1.91

0394829 Franklin 2-L 107.91 61.15 10.17 2.16 1.91

0394834 Warren 1-S 111.60 61.65 10.50 2.04 1.91

0394835 Franklin 2-S 107.91 63.85 10.79 1.96 1.91

0396218 Knox 2-S 111.45 63.85 10.79 1.41 2.08

0396339 Franklin 2-S 107.91 63.85 10.79 1.96 1.91

0397815 Hardin 3-S 95.96 56.84 9.54 0.00 1.56

0398642 Lorain 2-L 107.91 61.15 10.17 2.16 1.91 197.95517 Avenue At North Ridgeville 16.44 -1.79 0.00 0.00

201.07

516 Hardin Hills Health Center 16.44 -1.79 0.00 8.93 187.48

515 Bella Terrace Rehab And Nursing Center 16.44 -1.79 0.00 0.00

201.07

514 Country Club Retirement Center 16.44 -1.79 0.00 14.66 218.89

513 Woodview Care And Rehabilitation 16.44 -1.79 0.00 0.00

197.95

512 Lebanon Care And Rehabilitation 16.44 -1.79 0.00 0.00 202.35

511 Winchester Care And Rehabilitation 16.44 -1.79 0.00 0.00

201.07

510 Logan Care And Rehabilitation 16.44 -1.79 0.00 0.00 182.72

509 Pickerington Care And Rehabilitation 16.44 -1.79 0.00 0.00

215.48

508 Cambridge Care And Rehabilitation 16.44 -1.79 0.00 0.00 183.43

507 Liberty Health Care Center, Inc. 16.44 -1.79 0.00 8.50

191.31

506 Mayfair Village Nursing Care Center 16.44 -1.79 0.00 8.93 199.63

505 Community Skilled Health Care Centre 16.44 -1.79 0.00 0.00

183.43

504 Trinity Community At Beavercreek 16.44 -1.79 0.00 5.95 213.33

503 Monroe County Care Center 16.44 -1.79 0.00 0.00

201.07

502 Divine Rehabilitation And Nursing At Canal Pointe 16.44 -1.79 0.00 0.00 197.95

501 Village Of The Falls 16.44 -1.79 0.00 0.00

Add-On

Total

Rate

500 Park Vista Nursing & Rehab By Mcare Health 16.44 -1.79 0.00 0.00 197.95

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



191.78

499 Hudson Elms Nursing Center 16.44 -1.79 0.00 0.00 201.07

498 Crystal Care Center Of Mansfield 16.44 -1.79 0.00 10.84

201.07

497 Hilty Memorial Home 16.44 -1.79 0.00 12.96 203.84

496 Heritage Corner Nursing Home 16.44 -1.79 0.00 0.00

0399104 Washington 3-S 99.06 56.84 9.54 1.43 1.91

0399228 Summit 2-S 107.91 63.85 10.79 1.96 1.91

0400828 Tuscarawas 3-S 102.05 56.84 9.54 1.29 1.04

0401083 Trumbull 2-S 107.91 63.85 10.79 1.96 1.91

0402287 Trumbull 2-L 107.91 61.15 10.17 2.16 1.91

0403932 Sandusky 2-S 96.66 63.85 10.79 0.00 2.08

0403950 Stark 2-S 108.61 63.85 10.79 1.59 3.12

11/24/2020

0404226 Franklin 2-L 101.78 61.15 10.17 0.00 1.04

0406392 Hamilton 1-S 111.60 61.65 10.50 2.04 1.91

0406484 Montgomery 2-L 100.84 61.15 10.17 1.87 2.60

0406804 Ashtabula 2-S 104.87 63.85 10.79 1.80 3.12

0406813 Hamilton 1-L 118.29 58.99 11.11 1.98 2.60

0408065 Cuyahoga 2-S 107.91 63.85 10.79 1.96 1.91

0408839 Pickaway 2-S 114.61 63.85 10.79 1.53 1.56

0409609 Putnam 3-S 99.96 56.84 9.54 0.79 0.00

0409645 Defiance 3-S 106.63 56.84 9.54 1.22 0.00

0409671 Franklin 2-S 114.41 63.85 10.79 3.88 0.00

0409693 Auglaize 3-S 113.50 56.84 9.54 1.27 0.00

0409710 Richland 3-S 109.87 56.84 9.54 2.24 0.00

0409729 Franklin 2-S 116.61 63.85 10.79 3.88 0.00

0409786 Mercer 3-S 122.77 56.84 9.54 1.25 0.00

0409797 Mercer 3-S 122.13 56.84 9.54 2.29 0.00

206.61

539 The Gardens At St. Henry 17.25 0.00 0.00 0.00 208.05

538 The Gardens At Celina 16.21 0.00 0.00 0.00

194.18

537 Convalarium At Indian Run 16.73 0.00 0.00 0.00 211.86

536 Oak Grove Manor 15.69 0.00 0.00 0.00

209.14

535 Cridersville Nursing Home 16.73 0.00 0.00 0.00 197.88

534 Columbus Alzheimers 16.21 0.00 0.00 0.00

183.34

533 Brookview Healthcare Center 15.69 0.00 0.00 0.00 189.92

532 Autumn Court 16.21 0.00 0.00 0.00

201.07

531 Logan Elm Health Care 16.44 -1.79 0.00 8.71 215.70

530 Richmond Heights Place-A Continuum Of Care Community 16.44 -1.79 0.00 0.00

212.47

529 Mt. Washington Care Center 16.44 -1.79 0.00 10.41 218.03

528 Rae Ann Geneva 16.44 -1.79 0.00 13.39

202.35

527 Brookhaven Nursing And Rehabilitation Center 16.44 -1.79 0.00 9.78 201.06

526 Cottingham Retirement Community 16.44 -1.79 0.00 0.00

Add-On

Total

Rate

525 Columbus Colony For Elderly Care 16.44 -1.79 0.00 14.03 202.82

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



188.03

524 Altercare Of Louisville Ctr For Rehab & Nsg Care 16.44 -1.79 0.00 14.24 216.85

523 Bethesda Care Center 16.44 -1.79 0.00 0.00

201.07

522 Warren Nursing & Rehab 16.44 -1.79 0.00 0.00 197.95

521 Shepherd Of The Valley-Liberty 16.44 -1.79 0.00 0.00

201.07

520 Country Club Center I 16.44 -1.79 0.00 9.78 195.19

519 Timberland Ridge Nursing & Rehabilitation 16.44 -1.79 0.00 0.00

518 Waterview Pointe Nursing & Rehabilitation 16.44 -1.79 0.00 0.00 183.43

0409812 Lucas 2-S 113.32 63.85 10.79 3.25 0.00

0409817 Stark 2-S 117.45 63.85 10.79 1.81 0.00

0409825 Paulding 3-S 114.32 56.84 9.54 3.01 0.00

0413725 Seneca 2-S 86.32 63.85 10.79 0.08 2.60

0415394 Cuyahoga 2-S 112.31 63.85 10.79 2.98 1.04

0416722 Mahoning 2-L 118.56 61.15 10.17 1.79 1.56

0420904 Clermont 1-S 104.76 61.65 10.50 0.00 2.60

0423769 Cuyahoga 2-L 112.55 61.15 10.17 0.00 2.60

0424044 Mahoning 2-S 108.87 63.85 10.79 2.76 1.56

0430028 Carroll 3-S 96.25 56.84 9.54 1.33 3.12

11/24/2020

0433883 Cuyahoga 2-S 98.15 63.85 10.79 0.00 2.60

0438931 Greene 2-S 92.31 63.85 10.79 0.00 3.12

0455387 Trumbull 2-S 110.10 63.85 10.79 1.09 1.04

0459276 Lorain 2-S 118.92 63.85 10.79 1.75 2.60

0463903 Franklin 2-S 99.87 63.85 10.79 0.83 2.60

0479218 Mahoning 2-L 106.31 61.15 10.17 0.01 2.08

0489243 Lake 2-L 104.24 61.15 10.17 0.02 3.12

0493434 Hamilton 1-L 99.36 58.99 11.11 0.35 2.08

0520896 Wayne 3-S 95.00 56.84 9.54 0.00 2.60

0564125 Holmes 3-S 100.22 56.84 9.54 1.84 2.60

0571322 Ashtabula 2-S 121.46 63.85 10.79 1.66 2.60

0572376 Lorain 2-L 109.40 61.15 10.17 1.88 2.08 199.33561 Northridge Health Center 16.44 -1.79 0.00 0.00

198.02

560 Country Club Retirement Center 16.44 -1.79 0.00 7.86 222.87

559 Majora Lane Center For Rehabilitation And Nursing Care, Inc. 16.44 -1.79 0.00 12.33

186.54

558 Wayne County Care Center 16.44 -1.79 0.00 9.35 187.98

557 Twin Towers 16.44 -1.79 0.00 0.00

206.48

556 Ohio Living Breckenridge Village 16.44 -1.79 0.00 11.90 205.25

555 Crandall Medical Center 16.44 -1.79 0.00 12.11

224.46

554 Friendship Village Of Dublin Health Center 16.44 -1.79 0.00 14.88 207.47

553 Elms Retirement Village, Inc. 16.44 -1.79 0.00 11.90

197.05

552 O'Brien Memorial Health Care Center 16.44 -1.79 0.00 0.00 201.52

551 Friends Extended Care Center 16.44 -1.79 0.00 12.33

Add-On

Total

Rate

550 Judson Park 16.44 -1.79 0.00 10.63 200.67

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



202.48

549 Carroll Healthcare Center, Inc. 16.44 -1.79 0.00 14.88 196.61

548 Guardian Health Care Center 16.44 -1.79 0.00 0.00

206.49

547 Altenheim (The) 16.44 -1.79 0.00 13.18 214.30

546 Sem Haven Health & Residential Care Center 16.44 -1.79 0.00 12.33

216.46

545 Omni Manor Health Care Center 16.44 -1.79 0.00 0.00 207.88

544 Algart Health Care, Inc. 16.44 -1.79 0.00 10.84

199.92

543 Autumnwood Care Center 16.44 -1.79 0.00 15.09 193.38

542 The Gardens At Paulding 16.21 0.00 0.00 0.00

207.94

541 Mccrea Manor Nursing & Rehabilitation Center 16.21 0.00 0.00 0.00 210.11

540 Heatherdowns Rehabilitation & Residential Center 16.73 0.00 0.00 0.00

0574196 Stark 2-S 118.25 63.85 10.79 2.15 2.60

0575524 Lucas 2-S 109.80 63.85 10.79 0.02 2.60

0580689 Stark 2-S 101.72 63.85 10.79 1.39 2.08

0580698 Summit 2-S 100.51 63.85 10.79 2.18 3.12

0585264 Champaign 2-S 104.06 63.85 10.79 0.00 1.04

0597939 Delaware 2-S 109.66 63.85 10.79 3.43 2.60

0609292 Huron 3-S 81.35 56.84 9.54 0.00 2.08

0610093 Wood 2-S 110.41 63.85 10.79 0.00 0.52

0612822 Cuyahoga 2-L 102.65 61.15 10.17 0.11 1.56

0619352 Franklin 2-S 108.02 63.85 10.79 0.00 2.08

0627558 Lorain 2-L 111.32 61.15 10.17 1.81 2.08

0640051 Belmont 3-S 104.43 56.84 9.54 1.94 1.56

0640739 Trumbull 2-S 117.51 63.85 10.79 1.71 2.08

11/24/2020

0663947 Wayne 3-S 110.85 56.84 9.54 1.66 2.08

0668264 Trumbull 2-S 114.02 63.85 10.79 2.25 3.12

0680071 Hamilton 1-S 107.42 61.65 10.50 0.00 2.60

0682702 Cuyahoga 2-L 125.16 61.15 10.17 4.96 2.08

0684255 Montgomery 2-L 108.24 61.15 10.17 0.00 2.08

0689143 Scioto 3-S 97.80 56.84 9.54 0.61 2.60

0690060 Cuyahoga 2-S 106.43 63.85 10.79 4.81 2.08

0720385 Mahoning 2-L 123.12 61.15 10.17 1.82 2.08

0730043 Montgomery 2-S 120.95 63.85 10.79 2.64 2.60

225.10

583 Grafton Oaks Nursing Center 16.44 -1.79 0.00 15.51 230.99

582 St. Mary'S Alzheimer'S Center 16.44 -1.79 0.00 12.11

193.09

581 Accord Care Community Middleburg Heights 16.44 -1.79 0.00 7.65 210.26

580 Hill View Health Care Facility 16.44 -1.79 0.00 11.05

227.52

579 Bethany Village 16.44 -1.79 0.00 12.75 209.04

578 Pleasant Lake Villa 16.44 -1.79 0.00 9.35

223.56

577 St. Margaret Hall 16.44 -1.79 0.00 12.96 209.78

576 Gillette Nursing Home 16.44 -1.79 0.00 14.88

Add-On

Total

Rate

575 Doylestown Health Care Center 16.44 -1.79 0.00 0.00 195.62

Capital

Rate

Tax

Rate

Qlty

Add-

On

Qlty

Deduc-

tion

Critical

Acc Fac

Add-On

Qlty

Incen

Rate


Cnt

Provider


Ancillary/

Support

Peer Group

Direct

Rate

Ancillary/

Support

Rate



201.71

574 Laurie Ann Nursing Home 16.44 -1.79 0.00 0.00 210.59

573 Country Club Retirement Center Iv 16.44 -1.79 0.00 12.75

212.57

572 O'Neill Healthcare North Ridgeville 16.44 -1.79 0.00 16.15 217.33

571 Worthington Christian Village, Inc. 16.44 -1.79 0.00 13.18

210.00

570 Eliza Bryant Village 16.44 -1.79 8.70 12.33 211.32

569 Otterbein-Portage Valley 16.44 -1.79 0.00 9.78

220.28

568 Norwalk Memorial Home 16.44 -1.79 0.00 9.14 173.60

567 Delaware Court 16.44 -1.79 0.00 15.30

210.61

566 Mercy Mcauley Center 16.44 -1.79 0.00 0.00 194.39

565 Stow Glen Health Care Center 16.44 -1.79 0.00 15.51

213.19

564 Meadow Wind Health Care Center, Inc. 16.44 -1.79 0.00 0.00 194.48

563 Sunset House 16.44 -1.79 0.00 11.48

562 Bel-Air Care Center 16.44 -1.79 0.00 13.81 226.10

0740041 Meigs 3-L 93.31 57.68 7.99 1.10 2.08

0750012 Jefferson 3-S 84.21 56.84 9.54 0.00 1.56

0760109 Cuyahoga 2-S 103.24 63.85 10.79 4.66 3.12

0770116 Pike 3-S 95.00 56.84 9.54 0.00 3.12

0770241 Lucas 2-L 102.21 61.

provider rate component data report(nf) : effective date - … · 2020. 11. 17. · provider rate...

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