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Commonwealth of Kentucky

Department for Medicaid Services Prepared by Myers and Stauffer LC, January 26, 2015

Facility

Final

Medicaid

Rate

% of Rate for

Bed Reserve

Days

Arbor Place of Clinton $168.20 50%

Auburn Health Care $159.31 50%

Baptist Convalescent Center, Inc. $189.26 50%

Baptist Health La Grange $189.36 50%

Barbourville Health & Rehabilitation Center $197.89 75%

Barren County Health Care Center $163.51 75%

Beaver Dam Nursing & Rehab Ctr, Inc. $179.00 75%

Belle Meade Home NF $166.89 50%

Berea Health Care Center $188.77 50%

Bluegrass Care & Rehabilitation Center $207.98 50%

Bourbon Heights, Inc. $175.62 75%

Bowling Green Nursing & Rehabilitation Center $182.83 50%

Boyd Nursing & Rehab Center $201.42 75%

Bracken Co Nursing & Rehabilitation Center $186.00 50%

Bradford Heights Health & Rehab Center, Inc $198.48 50%

Bradford Square Care and Rehabilitation Center $167.42 75%

Brandenburg Nursing and Rehabilitation Center $172.79 50%

Breckinridge Memorial Hospital, HB $161.66 50%

Breckinridge Place $186.04 50%

Bridge Point Care and Rehabilitation Center $212.65 75%

Brighton Cornerstone Health Care $155.67 50%

Brownsboro Hills Nursing Home $196.60 50%

Cal Turner Rehab and Specialty Care $168.10 75%

Calvert City Convalescent Center, Inc. $162.98 50%

Cambridge Place Group, LLC $203.14 50%

Campbellsville Nursing and Rehabilitation Center $185.78 50%

Carmel Home $185.62 75%

Carmel Manor $203.62 75%

Carter Nursing & Rehabilitation Center $209.09 75%

Cedar Ridge Health Campus $163.88 50%

Cedars of Lebanon Nursing Center $158.46 50%

Charleston Health Care Center $169.93 50%

Christian Care Center of Kuttawa $167.03 50%

Christian Care Center of Lancaster $165.36 75%

Christian Health Center - West, Inc. $180.28 50%

Christian Health Center of Bowling Green $168.10 75%

Christian Health Center of Corbin $168.66 50%

Christian Health Center of Hopkinsville $192.95 50%

Christian Health Center of Louisville $191.89 50%

Christian Heights Nursing and Rehabilitation Center $200.70 50%

January 1, 2015 Rates

Prepared by Myers and Stauffer LC, 01/26/2015 Medicaid Rate 1 of 7

Commonwealth of Kentucky

Department for Medicaid Services Prepared by Myers and Stauffer LC, January 26, 2015

Facility

Final

Medicaid

Rate

% of Rate for

Bed Reserve

Days

January 1, 2015 Rates

Christopher East Healthcare Center $183.48 50%

Clark Regional Medical Center $182.82 50%

Clinton Co Care & Rehabilitation Center $181.22 50%

Clinton-Hickman County ICF $159.85 50%

Colonial Health & Rehab Center $169.81 50%

Colonial Manor Rehabilitation & Nursing Center $166.92 50%

Corbin Health & Rehabilitation Center $184.33 75%

Countryside Care and Rehabilitation Center $176.64 50%

Covington's Convalescent Center $169.32 50%

Creekwood Place Nursing & Rehab Center, Inc. $175.48 50%

Crestview Care and Rehabilitation Center $173.99 50%

Crittenden Co. Health & Rehab Center $178.05 50%

Cumberland Nursing and Rehabilitation Center $185.84 75%

Cumberland Valley Manor $171.61 75%

Danville Centre for Health & Rehabilitation $164.81 50%

Dawson Springs Health and Rehabilitation Ctr. $156.55 50%

Diversicare of Seneca Place $183.24 50%

DJ Letcher Manor LLC $167.76 50%

Dover Manor, Inc. $175.30 50%

Edgemont Healthcare $161.93 50%

Edgewood Estates $162.73 75%

Edmondson Care and Rehabilitation Center $171.33 50%

Elizabethtown Nursing & Rehabilitation Center $182.48 50%

Elliott Nursing and Rehab Center $172.24 75%

Episcopal Church Home $173.88 50%

Essex Nursing and Rehabilitation Center $189.29 50%

Fair Oaks Health Systems $166.70 75%

Florence Park Care Center $209.79 50%

Fordsville Nursing and Rehabilitation Center $176.68 50%

Fountain Circle Care and Rehabilitation $206.53 50%

Franciscan Healthcare Center $197.26 50%

Franklin-Simpson Nursing and Rehabilitation Center $171.26 50%

Friendship Health & Rehab, LLC $197.43 50%

Gallatin Health Care $197.81 50%

Georgetown Manor Health Care Center $178.32 50%

Glasgow Health & Rehab Center $163.49 50%

Glenview Health Care Facility $147.86 50%

Golden LivingCenter-Camelot $195.55 75%

Golden LivingCenter-Frankfort $172.48 50%

Prepared by Myers and Stauffer LC, 01/26/2015 Medicaid Rate 2 of 7

Commonwealth of Kentucky

Department for Medicaid Services Prepared by Myers and Stauffer LC, January 26, 2015

Facility

Final

Medicaid

Rate

% of Rate for

Bed Reserve

Days

January 1, 2015 Rates

Golden LivingCenter-Green Hill $168.33 50%

Golden LivingCenter-Hillcreek $208.47 50%

Golden LivingCenter-Mt. Holly $202.59 50%

Golden LivingCenter-St Matthews $191.44 50%

Golden LivingCenter-Stanford $174.48 50%

Golden LivingCenter-Vanceburg $171.50 75%

Good Samaritan Center $190.85 50%

Good Shepherd Community Nursing Center $170.08 50%

Grand Haven Nursing Home $159.27 75%

Grant Manor Care and Rehabilitation Center $218.28 75%

Grayson Manor $173.48 50%

Green Acres Healthcare, Inc. $160.89 50%

Green Meadows Health Care Center, Inc $184.72 50%

Green Valley Health & Rehab Center $165.03 50%

Greenwood Nursing and Rehabilitation Center $171.49 75%

Hardinsburg Nursing and Rehabilitation Center $176.19 75%

Harlan Health & Rehabilitation Center $180.02 75%

Harrodsburg Health & Rehabilitation Center $164.26 50%

Hart County Health Care Center $167.50 50%

Haws Memorial Nursing & Rehabilitation Center $169.18 50%

Hazard Health & Rehabilitation Center $183.61 75%

Hearthstone Place $157.58 50%

Heartland Villa Care and Rehabilitation Center $184.79 75%

Helmwood Healthcare Center $184.79 50%

Henderson Nursing and Rehabilitation Center $213.01 50%

Heritage Hall Health & Rehabilitation Center $165.92 50%

Heritage Manor Healthcare Center $172.46 50%

Hermitage Care & Rehabilitation Center $219.59 50%

Hicks Golden Years Nursing Home $171.03 75%

Highlands Health and Rehabilitation Center $191.91 50%

Highlandspring of Ft Thomas $191.24 50%

Hillcrest Health & Rehabilitation Center $185.61 75%

Hillside Villa Care and Rehabilitation Ctr. $176.63 50%

Homestead Nursing Center Lexington $190.78 75%

Homestead Nursing Center New Castle $164.75 50%

Hopkins Care and Rehabilitation Center $171.76 75%

Hurstbourne Care Center at Stony Brook $215.77 50%

Hyden Health & Rehabilitation Center $192.24 75%

Irvine Nursing & Rehabilitation Center $179.06 50%

Prepared by Myers and Stauffer LC, 01/26/2015 Medicaid Rate 3 of 7

Commonwealth of Kentucky

Department for Medicaid Services Prepared by Myers and Stauffer LC, January 26, 2015

Facility

Final

Medicaid

Rate

% of Rate for

Bed Reserve

Days

January 1, 2015 Rates

Jackson Manor $188.66 50%

James B. Haggin Memorial Hospital, HB $153.59 50%

Jefferson Manor $181.11 50%

Johnson Mathers Nursing Home, HB $161.25 50%

Kensington Manor Care and Rehabilitation Center $177.93 50%

Kenwood Health and Rehabilitation Center $217.20 50%

Kindred Nursing and Rehabilitation-Bashford $183.01 75%

Kindred Nursing and Rehabilitation-Maple $174.48 75%

Kingsbrook Lifecare Center $206.24 50%

Klondike Care and Rehabilitation Center $203.02 50%

Knott County Nursing Home $186.05 75%

Lake Way Nursing and Rehabilitation Center $167.50 50%

Laurel Creek Health Care Center $171.92 50%

Laurel Heights Home for the Elderly $194.56 75%

Lee County Care and Rehabilitation Center $189.27 50%

Lexington Country Place $176.55 50%

Liberty Care and Rehabilitation Center $177.10 75%

Life Care Center of Bardstown $195.23 50%

Life Care Center of LaCenter $172.09 50%

Life Care Center of Morehead $157.95 75%

Loretto Motherhouse Infirmary $145.66 75%

Madison Health and Rehabilitation Center $208.99 50%

Madonna Manor, Inc $187.13 50%

Magnolia Village Care and Rehabilitation Center $175.97 75%

Martin County Healthcare Facility $170.08 50%

Masonic Home of Louisville $187.24 50%

Masonic Home of Shelbyville $176.65 50%

Mayfair Manor $201.25 50%

Maysville Nursing and Rehabilitation Center $163.20 50%

McCracken Nursing and Rehabilitation Center $178.48 50%

McCreary Health & Rehabilitation Center $182.12 50%

Meadowview Health & Rehab Center $194.48 50%

Mercy Sacred Heart, Inc. $180.43 50%

Metcalfe Health Care Center $164.00 75%

Middlesboro Nursing and Rehabilitation Facility $184.06 75%

Mills Health & Rehab Center $174.61 50%

Monroe Health & Rehab Center $170.40 50%

Morganfield Nursing and Rehabilitation Center $183.47 75%

Morgantown Care & Rehab Center $179.17 75%

Prepared by Myers and Stauffer LC, 01/26/2015 Medicaid Rate 4 of 7

Commonwealth of Kentucky

Department for Medicaid Services Prepared by Myers and Stauffer LC, January 26, 2015

Facility

Final

Medicaid

Rate

% of Rate for

Bed Reserve

Days

January 1, 2015 Rates

Mountain Manor of Paintsville $183.08 50%

Mountain View Health Care Center $162.73 50%

Mountain View Nursing & Rehabilitation Center $162.19 50%

Muhlenberg Community Hospital, HB $171.63 50%

Nazareth Home, Inc. $195.21 75%

NHC Healthcare Glasgow $158.11 50%

NHC Healthcare Madisonville $159.65 50%

Nim Henson Geriatric Center $152.74 50%

North Hardin Health & Rehab Center $169.01 50%

Northpoint Lexington Healthcare Center $197.99 75%

Oakmont Manor $219.45 50%

Oakview Nursing & Rehabilitation Center $177.86 50%

Owensboro Place Care and Rehabilitation Ctr. $209.49 50%

Owenton Manor Care and Rehabilitation Center $175.15 50%

Owsley County Health Care Center $162.02 50%

Paducah Care and Rehabilitation Center $174.76 50%

Park Terrace Health Campus $195.72 50%

Parkview Nursing and Rehab Ctr. Paducah $162.88 50%

Parkview Nursing and Rehab Ctr. Pikeville $181.27 50%

Parkway Medical Center $208.91 50%

Pine Meadows Health Care LLC $189.44 50%

Pineville Community Hospital, HB $197.54 50%

Pioneer Trace Nursing Home $159.64 50%

Prestonsburg Health Care Center $190.92 50%

Princeton Health & Rehab Center, Inc $166.28 50%

Professional Care Health & Rehab Center $169.56 50%

Providence Pavilion $202.42 50%

Redbanks Colonial Terrace, Inc. $167.61 50%

Redbanks Nursing Home $204.34 50%

Regency Care and Rehabilitation Center $200.64 50%

Regis Woods Care and Rehabilitation Center $203.40 50%

Richmond Place Rehab & Health Center $207.76 50%

Ridgeway Nursing & Rehabilitation Facility $162.62 50%

Ridgewood Terrace Health and Rehab. Center $175.52 75%

River Valley Nursing Home $172.05 75%

River's Bend Retirement Community $166.12 50%

River's Edge Nursing & Rehabilitation Center $199.46 50%

Riverside Care and Rehabilitation $167.42 75%

Riverview Health Care Center $201.92 50%

Prepared by Myers and Stauffer LC, 01/26/2015 Medicaid Rate 5 of 7

Commonwealth of Kentucky

Department for Medicaid Services Prepared by Myers and Stauffer LC, January 26, 2015

Facility

Final

Medicaid

Rate

% of Rate for

Bed Reserve

Days

January 1, 2015 Rates

Robertson Manor LLC $164.20 50%

Rockcastle Health and Rehabilitation Center, Inc $187.97 50%

Rockford Manor $195.60 50%

Rose Manor $159.77 75%

Rosedale Manor $190.15 50%

Royal Manor, Inc. $194.73 50%

Salem Springlake Health & Rehab Center $180.05 50%

Salyersville Nursing and Rehabilitation Center $188.07 50%

Sansbury Care Center, Inc. $155.55 75%

Sayre Christian Village Nursing Home $202.06 50%

Shady Lawn Nursing and Rehabilitation Center $171.76 50%

Signature Healthcare at Glenview $204.18 50%

Signature HealthCARE at Hillcrest $206.55 50%

Signature HealthCARE of Bowling Green $166.15 50%

Signature HealthCARE of Cherokee Park $212.69 50%

Signature HealthCARE of East Louisville $211.13 50%

Signature HealthCARE of Elizabethtown $168.89 50%

Signature HealthCARE of Georgetown $197.41 50%

Signature HealthCARE of Pikeville $191.79 50%

Signature HealthCARE of South Louisville $208.55 50%

Signature HealthCARE of Spencer County $179.26 75%

Signature HealthCARE of Trimble County $180.19 50%

Somerset Nursing and Rehabilitation $164.61 50%

Somerwoods Nursing and Rehabilitation Center $176.84 50%

South Shore Nursing & Rehab Center $205.75 50%

Spring Creek Health Care $164.06 50%

Spring View Health & Rehab Center $168.90 75%

Springfield Nursing and Rehabilitation Center $173.90 50%

Springhurst Health and Rehab $186.00 50%

St. Joseph's Home for the Aged $172.30 75%

Stanton Nursing and Rehabilitation Center $178.48 50%

Summerfield Health & Rehabilitation Center $193.90 50%

Summit Manor Health & Rehabilitation Center $162.56 50%

Sunrise Manor Nursing Home $186.81 50%

Superior Care Home, Inc. $187.79 50%

The Forum at Brookside $168.92 50%

The Grandview $179.38 50%

The Heritage $181.34 75%

The Jordan Center $166.14 50%

Prepared by Myers and Stauffer LC, 01/26/2015 Medicaid Rate 6 of 7

Commonwealth of Kentucky

Department for Medicaid Services Prepared by Myers and Stauffer LC, January 26, 2015

Facility

Final

Medicaid

Rate

% of Rate for

Bed Reserve

Days

January 1, 2015 Rates

The Richwood $199.89 50%

The Terrace Nursing & Rehabilitation Ctr. $200.01 75%

The Village of Lebanon II $157.42 50%

The Willows at Citation $254.29 50%

The Willows at Hamburg $201.39 50%

Tradewater Health and Rehabilitation Center $169.64 50%

Treyton Oak Towers $206.36 50%

Tri-Cities Nursing and Rehabilitation Center $170.93 50%

Twin Rivers Nursing and Rehabilitation Center $204.14 50%

Village Care Center $191.56 50%

Villaspring Of Erlanger $203.01 50%

Wellington Parc of Owensboro $180.22 75%

Wesley Manor Nursing Center $181.61 75%

West Liberty Nursing & Rehabilitation Ctr. $174.23 50%

Westminster Terrace Center $193.15 50%

Williamsburg Health and Rehabilitation Center $193.94 75%

Williamson ARH, HB $178.63 50%

Windsor Care Center $164.69 50%

Wolfe County Health & Rehabilitation Center $189.19 75%

Woodcrest Nursing and Rehabilitation Center $220.96 50%

Woodland Oaks $197.52 75%

Wurtland Nursing & Rehabilitation Center $186.42 50%

Prepared by Myers and Stauffer LC, 01/26/2015 Medicaid Rate 7 of 7