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Supplemental Payment to Free-Standing Nursing Facilities SFY 2018 QTR2
Table of Contents
ACUITY AND TOTAL………………………………………………………………………...……………………………………………………………..1
EQUIVALENT DAILY RATE………………………………………………………………………………………………………………………………..2
MEDICAID OCCUPANCY…………………………………………..……………………………………………………………………………………..3
OCC MDS QUAL…………..…………………………………………..……………………………………………………………………………………..4
PROVIDER TAX RATE………………………………………………..…………………………………………..….……………………………………..5
QUALITY POINTS…………………………………….……………..…………………………………………………….……………..…………………..6
TAX CALCULATION……………………………………………..………………………………………...……………………….…..…………………..8
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Division of Health Care Financing and PolicyNevada Medicaid - Long Term Care Provider TaxNF Supplemental Payment Distribution Based on Facility Per Diem Rate Compared to Weighted Average Per Diem RateCalculation of Facility Monthly Supplemental Payment Base Quarter 4/1/2017 through 6/30/2017
Distribution Quarter 10/1/2017 through 12/31/2017
Facility Name Provider NPI Owner
Total Case Mix Adjusted Per
Diem Rate
SNF LTC Hospice
Medicaid Bed Days
Full Rate Total Amount
Per Diem + Supplemental Payment per
Bed Day
Budget Neutral Per Diem Rate
Per Bed Day Supplemental Payment for
Acuity
Quarterly Supplemental Payment for
Acuity
Quarterly Supplemental Payment OCC
MDS Q
Total Quarterly Supplemental
Payment
Monthly Supplemental
PaymentAdvanced Health Care of Las Vegas 1790091353 Advanced Health Care - 0 - - - - - - - - Advanced Health Care of Reno 1255708889 Advanced Health Care - - - - - - - - - - Advanced Health Care of Summerlin 1447684014 Advanced Health Care - 0 - - - - - - - - Canyon Vista Post Acute 1447660618 Plum HealthCare 256.28 4,736 1,213,742.08 179.33 127.18 52.15 246,984.75 158,829.70 405,814.45 135,271.48 CareMeridian LLC 1083707764 CareMeridian Negotiated Rate/Ineligible for Supplemental paymentsCareMeridian LLC - Buffalo 1558636993 CareMeridian Negotiated Rate/Ineligible for Supplemental paymentsCarson Nursing & Rehab 1750536322 Convenant 220.37 2,123 467,845.51 154.20 109.36 44.84 95,202.03 112,325.37 207,527.39 69,175.80 Lake Mead Health & Rehab (Clearview) 1831528538 Henderson Operating Company 228.98 17,373 3,978,069.54 160.23 113.63 46.60 809,498.61 895,467.55 1,704,966.16 568,322.05 College Park Rehab Ctr 1417044694 Fundamental Health Care 253.63 5,440 1,379,747.20 177.48 125.87 51.61 280,765.19 258,334.76 539,099.95 179,699.98 Delmar Gardens 1427043298 Delmar Gardens Enterprises 223.06 12,398 2,765,497.88 156.09 110.70 45.39 562,752.02 598,709.41 1,161,461.44 387,153.81 El Jen Convalescent 1992707806 James Toomey 222.18 9,715 2,158,478.70 155.47 110.26 45.21 439,229.50 523,284.83 962,514.33 320,838.11 Gardnerville Health and Rehabilitation Center 1083662514 EmpRes Healthcare 237.48 2,300 546,204.00 166.18 117.85 48.32 111,147.22 69,556.26 180,703.48 60,234.49 Mountain View Health and Rehabilitation Center 1144279472 EmpRes Healthcare 217.87 10,382 2,261,926.34 152.45 108.12 44.33 460,280.09 589,856.07 1,050,136.17 350,045.39 Pahrump Health and Rehabilitation Center 1568410884 EmpRes Healthcare 231.99 3,750 869,962.50 162.33 115.13 47.21 177,028.94 186,571.08 363,600.02 121,200.01 Gaye Haven ICF 1558497784 Sandra Manetas 209.99 1,353 284,116.47 146.94 104.21 42.73 57,814.95 130,958.68 188,773.63 62,924.54 Harmon Medical & Rehab 1598852774 Fundamental Health Care - - - - - - - - - - Hearthstone 1770521346 Fundamental Health Care 239.51 6,063 1,452,149.13 167.60 118.86 48.74 295,498.28 304,517.18 600,015.46 200,005.15 Highland Manor Elko 1396730347 RFMS, Inc 228.42 6,484 1,481,075.28 159.84 113.36 46.48 301,384.47 294,021.84 595,406.30 198,468.77 Highland Manor Fallon 1093701856 RFMS, Inc 229.93 4,425 1,017,440.25 160.89 114.10 46.79 207,039.23 176,511.32 383,550.56 127,850.19 Highland Manor Mesquite 1386642460 RFMS, Inc 218.23 3,371 735,653.33 152.71 108.30 44.41 149,698.32 169,546.61 319,244.94 106,414.98 Horizon Health Care (Desert Lane) 1447298088 Fundamental Health Care 246.91 5,800 1,432,078.00 172.78 122.53 50.24 291,414.00 211,454.08 502,868.08 167,622.69 Las Vegas - Flamingo 1336348606 Kindred Healthcare 240.40 309 74,283.60 168.22 119.30 48.92 15,115.99 85,330.55 100,446.55 33,482.18 Las Vegas - Spring Valley 1659787356 Kindred Healthcare 259.75 2,231 579,502.25 181.76 128.90 52.86 117,923.09 86,187.43 204,110.53 68,036.84 Las Vegas Post Acute & Rehabilitation 1003150954 Kindred Healthcare 232.42 2,819 655,191.98 162.64 115.34 47.30 133,325.22 147,828.73 281,153.95 93,717.98 Las Ventanas 1871674879 ABHOW - - - - Life Care Center Las Vegas 1407894314 Life Care Centers of America 240.69 10,617 2,555,405.73 168.42 119.44 48.98 520,000.31 474,752.88 994,753.19 331,584.40 Life Care Center South Las Vegas 1700837416 Life Care Centers of America 232.63 2,226 517,834.38 162.78 115.44 47.34 105,374.28 54,929.63 160,303.91 53,434.64 Life Care Center Reno 1821035247 Life Care Centers of America 236.66 1,817 430,011.22 165.60 117.44 48.16 87,503.12 96,282.98 183,786.10 61,262.03 Royal Springs Healthcare & Rehab 1023181146 HCR ManorCare 244.13 12,933 3,157,333.29 170.83 121.15 49.68 642,486.73 547,117.01 1,189,603.74 396,534.58 Manor Care Reno 1912949504 HCR ManorCare 219.50 6,308 1,384,606.00 153.59 108.93 44.67 281,753.91 222,535.44 504,289.34 168,096.45 Manor Care Wingfield Hills 1013143965 HCR ManorCare 239.10 3,251 777,314.10 167.31 118.66 48.65 158,175.89 93,145.09 251,320.98 83,773.66 Marquis Care Centennial Hills 1194045336 Marquis Care 249.38 7,990 1,992,546.20 174.50 123.76 50.75 405,463.85 433,669.85 839,133.69 279,711.23 Marquis Care Plaza Regency 1790785590 Marquis Care 252.54 10,965 2,769,101.10 176.71 125.33 51.39 563,485.24 551,323.66 1,114,808.90 371,602.97 Mission Pines 1184607632 Preferred Care West 230.70 12,430 2,867,601.00 161.43 114.49 46.95 583,529.02 868,102.07 1,451,631.09 483,877.03 Mountain View Boulder City 1205141033 Preferred Care West 222.91 7,001 1,560,592.91 155.98 110.62 45.36 317,565.54 405,258.42 722,823.96 240,941.32 North Las Vegas Care Center 1679660864 Fundamental Health Care 230.22 13,476 3,102,444.72 161.10 114.25 46.85 631,317.44 697,782.38 1,329,099.82 443,033.27 Ormsby Post Acute Rehab 1558319889 EmpRes Healthcare 230.66 4,907 1,131,848.62 161.40 114.47 46.94 230,320.23 211,318.89 441,639.11 147,213.04 Regent Care Center Reno 1770690877 Regent Management Services 230.00 7,050 1,621,500.00 160.94 114.14 46.80 329,959.54 356,672.26 686,631.79 228,877.26 Renown Skilled Nursing 1275503591 Renown Health System 228.11 4,075 929,548.25 159.62 113.20 46.42 189,154.06 142,611.48 331,765.55 110,588.52 Rosewood Rehabilitation Center 1407123417 The Ensign Group Inc 236.24 3,306 781,009.44 165.31 117.24 48.07 158,927.85 131,566.61 290,494.46 96,831.49 Silver Hills Health Care 1548300262 Convenant 236.81 5,561 1,316,900.41 165.71 117.52 48.19 267,976.47 179,191.23 447,167.70 149,055.90 Silver Ridge Health Care 1437299112 Convenant 254.52 7,988 2,033,105.76 178.10 126.31 51.79 413,717.32 379,171.08 792,888.40 264,296.13 Premier Health and Rehab 1760865745 Premier Health and Rehab, LP 219.81 4,343 954,634.83 153.81 109.08 44.73 194,258.94 188,809.91 383,068.85 127,689.62 Spanish Hills Wellness Suites 1528449998 Fundamental Health Care 258.51 3,297 852,307.47 180.89 128.29 52.60 173,436.31 70,039.54 243,475.85 81,158.62 St. Joseph's Transitional Rehab 1346289113 Skilled Healthcare 249.20 6,246 1,556,503.20 174.38 123.67 50.71 316,733.32 299,431.76 616,165.08 205,388.36 The Heights of Summerlin 1033295241 Skilled Healthcare 241.83 8,106 1,960,273.98 169.22 120.01 49.21 398,896.76 285,932.14 684,828.90 228,276.30 TLC Care Center 1154383412 TLC Holdings 236.36 12,239 2,892,810.04 165.39 117.30 48.10 588,658.81 578,918.24 1,167,577.05 389,192.35 Torrey Pines Rehabilitation Hospital 1558605402 Kindred Healthcare 238.58 5,607 1,337,718.06 166.95 118.40 48.55 272,212.66 278,525.92 550,738.59 183,579.53 Welbrook Centennial Hills 1215324884 Welbrook Senior Living - 0 - - - - - - - - White Pine Care Center 1750339131 Ely Skilled Care 214.70 2,679 575,181.30 150.24 106.55 43.69 117,043.82 153,673.43 270,717.25 90,239.08
9,871.19 265,490 62,411,096.05 164.50 116.66 47.84 12,700,053.33 12,700,053.33 25,400,106.67 8,466,702.22 - - - - - - - -
Amount Available for Acuity Component 12,700,053.33 Full Rate Total Amount 62,411,096.05 Bed Days 265,490 Medicaid Bed Days 265,490
Weighted Avg Acuity Factor Per Bed Day 47.84 Full Rate Per Diem 235.08
Weighted Average Budget Neutral Per Diem 116.66 Budget Neutral Per Diem 116.66 Acuity Component Per Bed Day 47.84 Full Rate Per Diem 235.08
Per Diem Plus Supplemental Payment Per Bed Day 164.50 Budget Adjustment Factor 0.496258924
Per Diem Plus Supplemental Payment Per Bed Day 164.50 Full Rate Per Diem 235.08
Budget Adjustment Factor Supplemental Payment 0.699749235
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Nursing Facility RatesEquivalent Daily Rate Calculation
Provider Per Diem Total Sup Medicaid SP Per EquivalentFacility NPI Rate Payments Bed Days Day Daily Rate
Advanced Health Care of Las Vegas 1790091353 - Advanced Health Care of Reno 1255708889 - Advanced Health Care of Summerlin 1447684014 - Canyon Vista Post Acute 1447660618 127.18 405,814.45 4,736 85.69 212.87 CareMeridian LLC 1083707764 - CareMeridian LLC - Buffalo 1558636993 - Carson Nursing & Rehab 1750536322 109.36 207,527.39 2,123 97.75 207.11 Lake Mead Health & Rehab (Clearview) 1831528538 113.63 1,704,966.16 17,373 98.14 211.77 College Park Rehab Ctr 1417044694 125.87 539,099.95 5,440 99.10 224.97 Delmar Gardens 1427043298 110.70 1,161,461.44 12,398 93.68 204.38 El Jen Convalescent 1992707806 110.26 962,514.33 9,715 99.08 209.33 Gardnerville Health and Rehabilitation Center 1083662514 117.85 180,703.48 2,300 78.57 196.42 Mountain View Health and Rehabilitation Center 1144279472 108.12 1,050,136.17 10,382 101.15 209.27 Pahrump Health and Rehabilitation Center 1568410884 115.13 363,600.02 3,750 96.96 212.09 Gaye Haven ICF 1558497784 104.21 188,773.63 1,353 139.52 243.73 Harmon Medical & Rehab 1598852774 - Hearthstone 1770521346 118.86 600,015.46 6,063 98.96 217.82 Highland Manor Elko 1396730347 113.36 595,406.30 6,484 91.83 205.18 Highland Manor Fallon 1093701856 114.10 383,550.56 4,425 86.68 200.78 Highland Manor Mesquite 1386642460 108.30 319,244.94 3,371 94.70 203.00 Horizon Health Care (Desert Lane) 1447298088 122.53 502,868.08 5,800 86.70 209.23 Las Vegas - Flamingo 1336348606 119.30 100,446.55 309 325.07 444.37 Las Vegas - Spring Valley 1659787356 128.90 204,110.53 2,231 91.49 220.39 Las Vegas Post Acute & Rehabilitation 1003150954 115.34 281,153.95 2,819 99.74 215.08 Las Ventanas 1871674879 - Life Care Center Las Vegas 1407894314 119.44 994,753.19 10,617 93.69 213.14 Life Care Center South Las Vegas 1700837416 115.44 160,303.91 2,226 72.01 187.46 Life Care Center Reno 1821035247 117.44 183,786.10 1,817 101.15 218.59 Royal Springs Healthcare & Rehab 1023181146 121.15 1,189,603.74 12,933 91.98 213.13 Manor Care Reno 1912949504 108.93 504,289.34 6,308 79.94 188.87 Manor Care Wingfield Hills 1013143965 118.66 251,320.98 3,251 77.31 195.96 Marquis Care Centennial Hills 1194045336 123.76 839,133.69 7,990 105.02 228.78 Marquis Care Plaza Regency 1790785590 125.33 1,114,808.90 10,965 101.67 226.99 Mission Pines 1184607632 114.49 1,451,631.09 12,430 116.78 231.27 Mountain View Boulder City 1205141033 110.62 722,823.96 7,001 103.25 213.87 North Las Vegas Care Center 1679660864 114.25 1,329,099.82 13,476 98.63 212.88 Ormsby Post Acute Rehab 1558319889 114.47 441,639.11 4,907 90.00 204.47 Regent Care Center Reno 1770690877 114.14 686,631.79 7,050 97.39 211.53 Renown Skilled Nursing 1275503591 113.20 331,765.55 4,075 81.41 194.62 Rosewood Rehabilitation Center 1407123417 117.24 290,494.46 3,306 87.87 205.11 Silver Hills Health Care 1548300262 117.52 447,167.70 5,561 80.41 197.93 Silver Ridge Health Care 1437299112 126.31 792,888.40 7,988 99.26 225.57 Premier Health and Rehab 1760865745 109.08 383,068.85 4,343 88.20 197.29 Spanish Hills Wellness Suites 1528449998 128.29 243,475.85 3,297 73.85 202.14 St. Joseph's Transitional Rehab 1346289113 123.67 616,165.08 6,246 98.65 222.32 The Heights of Summerlin 1033295241 120.01 684,828.90 8,106 84.48 204.49 TLC Care Center 1154383412 117.30 1,167,577.05 12,239 95.40 212.69 Torrey Pines Rehabilitation Hospital 1558605402 118.40 550,738.59 5,607 98.22 216.62 Welbrook Centennial Hills 1215324884 - - 0White Pine Care Center 1750339131 106.55 270,717.25 2,679 101.05 207.60
216.22
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Provider Name% Medicaid Occupancy
Provider Name% Medicaid Occupancy
CareMeridian LLC 95.61% Advanced Health Care of Las Vegas 0.00%College Park Rehab Ctr 67.48% Advanced Health Care of Reno 0.00%Delmar Gardens 75.98% Advanced Health Care of Summerlin 0.00%El Jen Convalescent 81.36% Canyon Vista Post Acute 47.70%Gaye Haven ICF 93.18% CareMeridian LLC - Buffalo 41.68%Highland Manor Elko 67.49% Carson Nursing & Rehab 47.38%Highland Manor Fallon 68.04% Gardnerville Health and Rehabilitation Center 46.55%Lake Mead Health & Rehab 75.36% Harmon Medical & Rehab 0.00%Life Care Center Las Vegas 68.59% Hearthstone 60.30%Marquis Care Centennial Hills 82.57% Highland Manor Mesquite 60.08%Marquis Care Plaza Regency 77.83% Horizon Health Care 52.43%Mission Pines 100.00% Las Vegas - Flamingo 4.10%Mountain View Boulder City 96.59% Las Vegas - Spring Valley 28.39%Mountain View Health and Rehabilitation Center 88.88% Las Vegas Post Acute & Rehabilitation 42.85%North Las Vegas Care Center 86.80% Las Ventanas 0.00%Pahrump Health and Rehabilitation Center 67.20% Life Care Center Reno 17.86%Regent Care Center Reno 69.57% Life Care Center South Las Vegas 26.84%Royal Springs Healthcare & Rehab 67.80% Manor Care Reno 47.44%Silver Ridge Health Care 67.81% Manor Care Wingfield Hills 39.23%St. Joseph's Transitional Rehab 76.55% Ormsby Post Acute Rehab 51.17%TLC Care Center 76.00% Premier Health and Rehab 59.12%Torrey Pines Rehabilitation Hospital 71.06% Renown Skilled Nursing 54.93%White Pine Care Center 74.13% Rosewood Rehabilitation Center 45.56%
Silver Hills Health Care 44.75%Spanish Hills Wellness Suites 30.70%The Heights of Summerlin 50.88%Welbrook Centennial Hills 0.00%
65% or More Occupancy ($20.81) Below 65% Occupancy ($40.47)
Medicaid Occupancy - SFY 2018 Q2 Provider Tax Supplemental Payment Program
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Division of Health Care Financing and PolicyNevada Medicaid - Long Term Care Provider Tax Base Quarter 4/1/2017 through 6/30/2017NF Supplemental Payment Distribution Based on Occupancy, MDS Accuracy, and Quality Distribution Quarter 10/1/2017 through 12/31/2017
Total Amount Available 10,414,043.73 1,143,004.80 1,143,004.80 12,700,053.33
%
MDS Accuracy Modifier Facility Name
Provider NPI Owner
Waiver Facility
Total Occupied Bed Days
SNF LTC Hospice Medicaid Bed
DaysMedicare Bed Days
Other Bed Days
Medicaid Occupancy
ModifierMedicaid
Occupancy PointsCase Mix
Accuracy %
Case Mix Accuracy Modifier
Case Mix Points (Modifier *
Medicaid Bed Days)
Quality Points
Medicaid Occupancy
Spplmnt
Case Mix Accuracy Spplmnt Quality Spplmnt
Estimated Quarterly Payment
Advanced Health Care of Las Vegas 1790091353 Advanced Health Care No 3,439 - 3,363 76 NMP 0 0Advanced Health Care of Reno 1255708889 Advanced Health Care No 3,695 - 3,638.00 57.00 - - NMP 0 0 0 - - - - Advanced Health Care of Summerlin 1447684014 Advanced Health Care No 3,425 - 3,188 237 NMP 0 0Canyon Vista Post Acute 1447660618 Plum HealthCare No 9,929 4,736 4,740 453 47.70 225,900.86 84% 3 14,208 3 128,218.63 18,096.41 12,514.65 158,829.70
70% 1 CareMeridian LLC 1083707764 CareMeridian No 2,964 2,834 - 130 Negotiated Rate / Does Not Get Supplemental Payment71% 1 CareMeridian LLC - Buffalo 1558636993 CareMeridian No 1,749 729.00 - 1,020 IE 0 072% 1 Carson Nursing & Rehab 1750536322 Convenant No 4,481 2,123 1,647 711 47.38 100,583.11 94% 5 10,615 10 57,089.77 13,520.09 41,715.50 112,325.37 73% 1 Lake Mead Health & Rehab (Clearview) 1831528538 Henderson Operating Company Yes 23,053 17,373 3,544 2,136 75.36 1,309,248.81 91% 5 86,865 10 743,114.03 110,638.02 41,715.50 895,467.55 74% 1 College Park Rehab Ctr 1417044694 Fundamental Health Care Yes 8,062 5,440 2,453 169 67.48 367,075.17 82% 3 16,320 7 208,347.49 20,786.42 29,200.85 258,334.76 75% 1 Delmar Gardens 1427043298 Delmar Gardens Enterprises Yes 16,318 12,398 1,646 2,274 75.98 941,968.40 83% 3 37,194 4 534,650.04 47,373.17 16,686.20 598,709.41 76% 1 El Jen Convalescent 1992707806 James Toomey Yes 11,941 9,715 1,243 983 81.36 790,396.32 85% 3 29,145 9 448,619.54 37,121.34 37,543.95 523,284.83 77% 1 Gardnerville Health and Rehabilitation Center 1083662514 EmpRes Healthcare No 4,941 2,300 2,065 576 46.55 107,063.35 85% 3 6,900 0 60,767.88 8,788.38 - 69,556.26 78% 1 Mountain View Health and Rehabilitation Center 1144279472 EmpRes Healthcare Yes 11,681 10,382 736 563 88.88 922,745.69 91% 5 51,910 0 523,739.46 66,116.61 - 589,856.07 79% 1 Pahrump Health and Rehabilitation Center 1568410884 EmpRes Healthcare Yes 5,580 3,750 1,471 359 67.20 252,016.13 83% 3 11,250 7 143,041.35 14,328.87 29,200.85 186,571.08 80% 3 Gaye Haven ICF 1558497784 Sandra Manetas Yes 1,452 1,353 - 99 93.18 126,075.00 86% 3 4,059 13 71,558.67 5,169.86 54,230.15 130,958.68 81% 3 Harmon Medical & Rehab 1598852774 Fundamental Health Care No 42 - 37 5 NMP 0 0 - - - - 82% 3 Hearthstone 1770521346 Fundamental Health Care No 10,055 6,063 3,042 950 60.30 365,588.95 97% 5 30,315 14 207,503.93 38,611.54 58,401.71 304,517.18 83% 3 Highland Manor Elko 1396730347 RFMS, Inc Yes 9,607 6,484 1,136 1,987 67.49 437,621.07 81% 3 19,452 5 248,388.50 24,775.58 20,857.75 294,021.84 84% 3 Highland Manor Fallon 1093701856 RFMS, Inc Yes 6,504 4,425 843 1,236 68.04 301,055.12 74% 1 4,425 0 170,875.30 5,636.02 - 176,511.32 85% 3 Highland Manor Mesquite 1386642460 RFMS, Inc No 5,611 3,371 1,077 1,163 60.08 202,524.35 88% 3 10,113 10 114,950.40 12,880.70 41,715.50 169,546.61 86% 3 Horizon Health Care (Desert Lane) 1447298088 Fundamental Health Care No 11,062 5,800 3,781 1,481 52.43 304,104.14 86% 3 17,400 4 172,605.89 22,161.99 16,686.20 211,454.08 87% 3 Las Vegas - Flamingo 1336348606 Kindred Healthcare No 7,539 309 5,228 2,002 4.10 1,266.49 80% 3 927 20 718.85 1,180.70 83,431.01 85,330.55 88% 3 Las Vegas - Spring Valley 1659787356 Kindred Healthcare No 7,859 2,231 3,204 2,424 28.39 63,333.26 84% 3 6,693 10 35,947.20 8,524.73 41,715.50 86,187.43 89% 3 Las Vegas Post Acute & Rehabilitation 1003150954 Kindred Healthcare No 6,578 2,819 2,536 1,223 42.85 120,808.16 67% 0 0 19 68,569.27 - 79,259.46 147,828.73 90% 5 Las Ventanas 1871674879 ABHOW No 5,005 - 3,075 1,930 NMP 0 0 - - - - 91% 5 Life Care Center Las Vegas 1407894314 Life Care Centers of America Yes 15,479 10,617 3,400 1,462 68.59 728,216.87 86% 3 31,851 5 413,327.22 40,567.91 20,857.75 474,752.88 92% 5 Life Care Center South Las Vegas 1700837416 Life Care Centers of America No 8,294 2,226 5,596 472 26.84 59,742.90 87% 3 6,678 3 33,909.36 8,505.62 12,514.65 54,929.63 93% 5 Life Care Center Reno 1821035247 Life Care Centers of America No 10,171 1,817 6,739 1,615 17.86 32,459.83 85% 3 5,451 17 18,423.81 6,942.82 70,916.36 96,282.98 94% 5 Royal Springs Healthcare & Rehab 1023181146 HCR ManorCare Yes 19,075 12,933 2,936 3,206 67.80 876,867.57 86% 3 38,799 0 497,699.58 49,417.42 - 547,117.01 95% 5 Manor Care Reno 1912949504 HCR ManorCare No 13,297 6,308 4,776 2,213 47.44 299,246.93 90% 5 31,540 3 169,848.99 40,171.80 12,514.65 222,535.44 96% 5 Manor Care Wingfield Hills 1013143965 HCR ManorCare No 8,288 3,251 4,005 1,032 39.23 127,521.73 85% 3 9,753 2 72,379.81 12,422.18 8,343.10 93,145.09 97% 5 Marquis Care Centennial Hills 1194045336 Marquis Care Yes 9,677 7,990 1,316 371 82.57 659,709.62 90% 5 39,950 2 374,443.32 50,883.43 8,343.10 433,669.85 98% 5 Marquis Care Plaza Regency 1790785590 Marquis Care Yes 14,088 10,965 1,363 1,760 77.83 853,430.05 82% 3 32,895 6 484,396.73 41,897.63 25,029.30 551,323.66 99% 5 Mission Pines 1184607632 Preferred Care West Yes 12,430 12,430 - - 100.00 1,243,000.00 93% 5 62,150 20 705,511.99 79,159.07 83,431.01 868,102.07
100% 5 Mountain View Boulder City 1205141033 Preferred Care West Yes 7,248 7,001 147 100 96.59 676,241.74 78% 1 7,001 3 383,826.75 8,917.02 12,514.65 405,258.42 North Las Vegas Care Center 1679660864 Fundamental Health Care Yes 15,525 13,476 1,006 1,043 86.80 1,169,742.84 77% 1 13,476 4 663,932.10 17,164.08 16,686.20 697,782.38 Ormsby Post Acute Rehab 1558319889 EmpRes Healthcare No 9,590 4,907 3,893 790 51.17 251,080.80 86% 3 14,721 12 142,510.47 18,749.81 50,058.60 211,318.89 Regent Care Center Reno 1770690877 Regent Management Services Yes 10,133 7,050 501 2,582 69.57 490,501.33 95% 5 35,250 8 278,402.71 44,897.14 33,372.40 356,672.26 Renown Skilled Nursing 1275503591 Renown Health System No 7,419 4,075 1,566 1,778 54.93 223,825.65 83% 3 12,225 0 127,040.77 15,570.71 - 142,611.48 Rosewood Rehabilitation Center 1407123417 The Ensign Group Inc No 7,257 3,306 2,354 1,597 45.56 150,608.19 98% 5 16,530 6 85,483.41 21,053.89 25,029.30 131,566.61 Silver Hills Health Care 1548300262 Convenant No 12,426 5,561 5,385 1,480 44.75 248,871.08 88% 3 16,683 4 141,256.26 21,248.77 16,686.20 179,191.23 Silver Ridge Health Care 1437299112 Convenant Yes 11,780 7,988 2,723 1,069 67.81 541,665.06 90% 5 39,940 5 307,442.63 50,870.69 20,857.75 379,171.08 Premier Health and Rehab 1760865745 Premier Health and Rehab, LP No 7,346 4,343 2,524 479 59.12 256,760.81 74% 1 4,343 9 145,734.38 5,531.58 37,543.95 188,809.91 Spanish Hills Wellness Suites 1528449998 Fundamental Health Care No 10,741 3,297 5,286 2,158 30.70 101,202.95 84% 3 9,891 0 57,441.59 12,597.95 - 70,039.54 St. Joseph's Transitional Rehab 1346289113 Skilled Healthcare Yes 8,159 6,246 1,318 595 76.55 478,153.16 83% 3 18,738 1 271,394.03 23,866.17 4,171.55 299,431.76 The Heights of Summerlin 1033295241 Skilled Healthcare No 15,931 8,106 7,093 732 50.88 412,448.91 85% 3 24,318 5 234,101.09 30,973.30 20,857.75 285,932.14 TLC Care Center 1154383412 TLC Holdings Yes 16,103 12,239 2,300 1,564 76.00 930,218.72 86% 3 36,717 1 527,981.06 46,765.63 4,171.55 578,918.24 Torrey Pines Rehabilitation Hospital 1558605402 Kindred Healthcare Yes 7,891 5,607 2,166 118 71.06 398,408.93 96% 5 28,035 4 226,132.16 35,707.56 16,686.20 278,525.92 Welbrook Centennial Hills 1215324884 Welbrook Senior Living No 2,123 0 2,122 1 NMP 0 0 0White Pine Care Center 1750339131 Ely Skilled Care Yes 3,614 2,679 661 274 74.13 198,589.96 70% 1 2,679 9 112,717.29 3,412.18 37,543.95 153,673.43
446,657 269,053 124,869 52,735 2,558.52 18,347,890.00 -84% 897,405 274 10,414,043.73 1,143,005 1,143,005 12,700,053265,490 - - - - -
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Modifier Lookup
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Medicaid Occupancy of 65% or Higher
Medicaid Occupancy of 65%
or lower
Q1 (July 2017 - September 2017) $20.55 $40.57Q2 (October 2017 - December 2017) $20.81 $40.47Q3 (January 2018 - March 2018)Q4 (April 2018 - June 2018)
SFY 2018 Provider Tax Rates
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Nevada Division of Health Care Financing and PolicyNevada MedicaidProvider Tax Quality Measures
High-Risk Pressure
Ulcers
Falls with Major Injury
Urinary Tract Infection
Need for Help with ADLs has
Increased SFFCMI All
Residents
High-Risk Pressure
Ulcers
Falls with Major Injury
Urinary Tract Infection
Need for Help with ADLs has
IncreasedTotal Quality
PointsNevada Average 8% 2% 3% 15% 1.1444National Average 6% 4% 4% 15%Advanced Health Care of Las Vegas 8% 2% 3% 15% 0.0000 0Advanced Health Care of Reno 8% 2% 3% 15% 0.0000 0Advanced Health Care of Summerlin 8% 2% 3% 15% 0.0000 0Canyon Vista Post Acute 11% 2% 2% 13% 1.3181 1 2 3CareMeridian LLC 8% 2% 3% 15% 1.6194 0CareMeridian LLC - Buffalo 8% 2% 3% 15% 1.4024 0Carson Nursing & Rehab 0% 3% 9% 13% 1.1618 8 2 10Lake Mead Health & Rehab (Clearview) 4% 2% 0% 12% 1.1345 4 3 3 10College Park Rehab Ctr 7% 0% 1% 13% 1.4403 1 2 2 2 7Delmar Gardens 5% 6% 2% 17% 0.9872 3 1 4El Jen Convalescent 6% 4% 7% 8% 1.0471 2 7 9Gardnerville Health and Rehabilitation Center 13% 3% 9% 32% 1.1909 0Mountain View Health and Rehabilitation Center 8% 2% 3% 16% 0.9520 0Pahrump Health and Rehabilitation Center 3% 6% 15% 13% 1.1244 5 2 7Gaye Haven ICF 0% 0% 0% 43% 0.8928 8 2 3 13Harmon Medical & Rehab 8% 2% 3% 15% 0.0000 0Hearthstone 3% 0% 1% 10% 1.3049 5 2 2 5 14Highland Manor Elko 10% 2% 1% 12% 1.0717 2 3 5Highland Manor Fallon 8% 4% 6% 28% Y 0.9933 0Highland Manor Mesquite 3% 0% 2% 13% 0.9961 5 2 1 2 10Horizon Health Care (Desert Lane) 7% 1% 1% 20% 1.3157 1 1 2 4Las Vegas - Flamingo 22% 0% 0% 0% 1.6342 2 3 15 20Las Vegas - Spring Valley 20% 6% 0% 8% 1.4309 3 7 10Las Vegas Post Acute & Rehabilitation 2% 0% 6% 4% 1.1874 6 2 11 19Las Ventanas 8% 2% 3% 15% 0.0000 0Life Care Center Las Vegas 4% 2% 2% 15% 1.1455 4 1 5Life Care Center South Las Vegas 13% 3% 0% 21% 1.3648 3 3Life Care Center Reno 17% 0% 0% 3% 1.4272 2 3 12 17Royal Springs Healthcare & Rehab 13% 2% 3% 15% 1.2797 0
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Manor Care Reno 7% 4% 9% 13% 1.1176 1 2 3Manor Care Wingfield Hills 13% 2% 2% 14% 1.2080 1 1 2Marquis Care Centennial Hills 10% 2% 1% 17% 1.2430 2 2Marquis Care Plaza Regency 14% 1% 1% 12% 1.3172 1 2 3 6Mission Pines 0% 1% 0% 7% 1.0763 8 1 3 8 20Mountain View Boulder City 5% 4% 5% 32% 1.0657 3 3North Las Vegas Care Center 7% 5% 6% 12% 1.1450 1 3 4Ormsby Post Acute Rehab 5% 2% 5% 6% 1.1607 3 9 12Regent Care Center Reno 3% 4% 0% 20% 1.0277 5 3 8Renown Skilled Nursing 18% 2% 3% 16% 1.1841 0Rosewood Rehabilitation Center 9% 3% 2% 10% 1.2870 1 5 6Silver Hills Health Care 10% 0% 1% 17% 1.2287 2 2 4Silver Ridge Health Care 12% 0% 0% 16% 1.3935 2 3 5Premier Health and Rehab 4% 0% 0% 18% 0.9971 4 2 3 9Spanish Hills Wellness Suites 13% 3% 7% 24% 1.3362 0St. Joseph's Transitional Rehab 28% 1% 7% 25% 1.4066 1 1The Heights of Summerlin 5% 4% 1% 28% 1.2274 3 2 5TLC Care Center 9% 6% 2% 18% 1.1329 1 1Torrey Pines Rehabilitation Hospital 22% 1% 0% 18% 1.2248 1 3 4Welbrook Centennial Hills 8% 2% 3% 15% 0.0000 0White Pine Care Center 4% 0% 0% 16% 0.9789 4 2 3 9
441% 109% 146% 788% 53.1807 84 27 59 104 274
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Division of Health Care Financing and Policy For the Quarter 10/1/2017 through 12/31/2017Nevada Medicaid - Long Term Care Provider Tax Reported Actual Net Revenues 4/1/2017 through 6/30/2017
Facility Name Provider NPI Owner Month 1 Month 2 Month 3 Total Provider Tax Contribution State ContributionAdvanced Health Care of Las Vegas 1790091353 Advanced Health Care 774,858.92 800,918.92 762,735.11 2,338,512.95 Advanced Health Care of Reno 1255708889 Advanced Health Care 708,389.31 724,999.81 681,144.10 2,114,533.22 Advanced Health Care of Summerlin 1447684014 Advanced Health Care 299,917.30 273,841.36 227,967.71 801,726.37 Canyon Vista Post Acute 1447660618 Plum HealthCare 1,138,697.61 1,112,104.51 1,031,655.23 3,282,457.35 Total Net Patient Service Revenues 146,456,844.00 $0.00 State Dollars/Bed DayCareMeridian LLC 1083707764 CareMeridian 736,743.03 741,478.72 713,625.43 2,191,847.18 CareMeridian LLC - Buffalo 1558636993 CareMeridian 415,585.02 348,932.82 435,334.48 1,199,852.32 Tax Rate 6.0% 266,219 Medicaid Bed DaysCarson Nursing & Rehab 1750536322 Convenant 537,942.00 509,215.00 535,987.00 1,583,144.00 Total LTC Provider Tax 8,787,411 $0.00 Total State Share Available
Lake Mead Health & Rehab (Clearview) 1831528538 Henderson Operating Company 2,359,025.14 2,368,985.55 2,320,994.46 7,049,005.15 minus 1% Admin Fee (87,874.11) College Park Rehab Ctr 1417044694 Fundamental Health Care 1,133,106.00 1,145,181.00 1,051,063.00 3,329,350.00 Total Available for Supplemental Pmts 8,699,536.53
Delmar Gardens 1427043298 Delmar Gardens Enterprises 1,458,749.00 1,488,623.00 1,511,951.00 4,459,323.00 El Jen Convalescent 1992707806 James Toomey 955,287.00 1,063,743.00 1,027,500.00 3,046,530.00 Total State Share 8,699,536.53 25,400,106.67 Total Supplemental Payments
Gardnerville Health and Rehabilitation Center 1083662514 EmpRes Healthcare 591,560.41 615,948.37 610,064.30 1,817,573.08 Mountain View Health and Rehabilitation Center 1144279472 EmpRes Healthcare 953,377.90 979,331.16 955,599.42 2,888,308.48 SMAPPahrump Health and Rehabilitation Center 1568410884 EmpRes Healthcare 590,753.42 707,155.35 580,979.26 1,878,888.03 State Share 34.25% Units Per UnitGaye Haven ICF 1558497784 Sandra Manetas 82,124.46 72,120.14 73,655.03 227,899.63 Medicaid Occupancy Component 3,566,809.98 10,414,043.73 18,347,890 0.57 Harmon Medical & Rehab 1598852774 Fundamental Health Care - 16,200.00 9,000.00 25,200.00 Case Mix Accuracy Component 391,479.14 1,143,004.80 897,405 1.27 Hearthstone 1770521346 Fundamental Health Care 1,114,599.00 1,219,007.00 1,163,698.00 3,497,304.00 Quality Component 391,479.14 1,143,004.80 274 4,171.55 Highland Manor Elko 1396730347 RFMS, Inc 600,629.19 594,121.53 551,116.57 1,745,867.29 Acuity Component 4,349,768.27 12,700,053.33 Highland Manor Fallon 1093701856 RFMS, Inc 477,898.15 464,742.73 325,845.42 1,268,486.30 8,699,536.53 25,400,106.67 Highland Manor Mesquite 1386642460 RFMS, Inc 403,351.36 364,811.77 454,086.39 1,222,249.52 - - Horizon Health Care (Desert Lane) 1447298088 Fundamental Health Care 1,141,051.00 1,155,345.00 1,139,408.00 3,435,804.00 Las Vegas - Flamingo 1336348606 Kindred Healthcare 1,533,512.55 1,543,572.16 1,636,671.76 4,713,756.47 Las Vegas - Spring Valley 1659787356 Kindred Healthcare 1,128,473.54 1,080,704.37 1,134,366.50 3,343,544.41 Med Occupancy Accuracy QualityLas Vegas Post Acute & Rehabilitation 1003150954 Kindred Healthcare 319,178.00 352,381.00 342,281.00 1,013,840.00 % of Supplemental Payment 82.0% 9.0% 9.0%Las Ventanas 1871674879 ABHOW 932,551.00 773,901.00 851,296.00 2,557,748.00 Life Care Center Las Vegas 1407894314 Life Care Centers of America 1,530,946.00 1,609,346.00 1,529,380.00 4,669,672.00 Taxable Bed Days 321,788Life Care Center South Las Vegas 1700837416 Life Care Centers of America 1,253,061.00 1,293,985.00 1,314,156.00 3,861,202.00 Life Care Center Reno 1821035247 Life Care Centers of America 1,877,431.00 1,853,258.00 1,751,751.00 5,482,440.00 Royal Springs Healthcare & Rehab 1023181146 HCR ManorCare 1,819,455.89 1,851,561.30 1,893,480.29 5,564,497.48 Manor Care Reno 1912949504 HCR ManorCare 1,446,495.00 1,327,112.00 1,307,157.00 4,080,764.00 Manor Care Wingfield Hills 1013143965 HCR ManorCare 918,056.00 1,020,576.00 919,376.00 2,858,008.00 Marquis Care Centennial Hills 1194045336 Marquis Care 889,437.77 953,266.34 955,434.30 2,798,138.41 Marquis Care Plaza Regency 1790785590 Marquis Care 1,458,177.54 1,548,755.42 1,577,133.70 4,584,066.66 Mission Pines 1184607632 Preferred Care West 936,017.00 1,000,038.00 969,482.00 2,905,537.00 Mountain View Boulder City 1205141033 Preferred Care West 616,485.00 623,038.00 613,477.00 1,853,000.00 North Las Vegas Care Center 1679660864 Fundamental Health Care 1,298,055.00 1,350,895.00 1,310,939.00 3,959,889.00 Ormsby Post Acute Rehab 1558319889 EmpRes Healthcare 1,107,958.82 1,121,921.22 1,135,649.93 3,365,529.97 Regent Care Center Reno 1770690877 Regent Management Services 864,074.00 850,736.00 798,833.00 2,513,643.00 Renown Skilled Nursing 1275503591 Renown Health System 1,502,274.82 604,611.00 534,212.00 2,641,097.82 Rosewood Rehabilitation Center 1407123417 The Ensign Group Inc 823,734.67 770,539.47 821,344.04 2,415,618.18 Silver Hills Health Care 1548300262 Convenant 1,475,233.00 1,463,183.00 1,463,352.00 4,401,768.00 Silver Ridge Health Care 1437299112 Convenant 1,563,218.00 1,606,084.00 1,533,779.00 4,703,081.00 Premier Health and Rehab 1760865745 Premier Health and Rehab, LP 757,205.78 788,328.32 818,056.64 2,363,590.74 Spanish Hills Wellness Suites 1528449998 Fundamental Health Care 1,278,792.00 1,354,931.00 1,111,092.00 3,744,815.00 St. Joseph's Transitional Rehab 1346289113 Skilled Healthcare 1,009,046.63 942,623.48 923,448.28 2,875,118.39 The Heights of Summerlin 1033295241 Skilled Healthcare 1,907,394.93 1,879,803.26 1,842,603.33 5,629,801.52 TLC Care Center 1154383412 TLC Holdings 1,498,904.00 1,687,531.00 1,551,673.00 4,738,108.00 Torrey Pines Rehabilitation Hospital 1558605402 Kindred Healthcare 509,601.00 487,194.00 511,814.00 1,508,609.00 Welbrook Centennial Hills 1215324884 Welbrook Senior Living 455,587.26 407,585.47 431,719.32 1,294,892.05 White Pine Care Center 1750339131 Ely Skilled Care 210,321.09 205,336.09 195,549.19 611,206.37
49,394,324 49,119,604 47,942,917 146,456,844 - - - (1.00)
(1.00)
Net Revenues Patient Services
Supplemental Payment Component
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