How To Get A Health Care Plan In Virginia

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1 Direct Total PFY11 w/case Direct FREESTANDING FACILITIES ABINGDON HEALTH AND REHAB CENTER Not in CCC Demonstration $ $64.58 $26.06 $0.04 $0.08 $ AMELIA NURSING CENTER Central Virginia $91.34 $63.61 $16.67 $0.00 $0.02 $ ARCADIA NURSING CENTER Tidewater $78.32 $59.63 $15.50 $0.00 $0.04 $ AUGUSTA NURSING & REHAB CENTER Western - Charlottesville $87.12 $59.10 $15.90 $0.32 $0.03 $ AUTUMN CARE MADISON Western - Charlottesville $97.51 $66.02 $17.22 $0.00 $0.04 $ AUTUMN CARE OF CHESAPEAKE Tidewater $ $62.31 $27.07 $0.00 $0.10 $ AUTUMN CARE OF NORFOLK Tidewater $84.90 $62.40 $14.85 $0.00 $0.01 $ AUTUMN CARE SUFFOLK Tidewater $83.46 $63.26 $13.09 $0.00 $0.02 $ AUTUMN CARE-PORTSMOUTH Tidewater $91.65 $65.60 $12.08 $0.00 $0.03 $ AUTUMN OF ALTAVISTA Not in CCC Demonstration $75.46 $65.17 $13.38 $0.00 $0.01 $ AVANTE AT HARRISONBURG Western - Charlottesville $93.63 $64.94 $12.07 $0.00 $0.03 $ AVANTE AT LYNCHBURG Not in CCC Demonstration $99.08 $64.93 $14.51 $0.00 $0.01 $ AVANTE AT ROANOKE Roanoke $90.74 $66.41 $13.23 $0.00 $0.04 $ AVANTE AT WAYNESBORO Western - Charlottesville $88.12 $65.81 $12.63 $0.00 $0.03 $ BATTLEFIELD PARK CONV CTR Central Virginia $81.18 $62.73 $13.33 $0.00 $0.03 $ BEACON SHORES HEALTH CARE CTR Tidewater $78.79 $56.80 $12.81 $0.00 $0.00 $ BEDFORD COUNTY NURSING HOME Roanoke $ $66.88 $20.77 $0.00 $0.06 $ BERRY HILL NURSING HOME Not in CCC Demonstration $76.62 $55.12 $11.47 $0.00 $0.02 $ BETH SHOLOM - EASTERN VA Tidewater $96.27 $66.88 $14.29 $0.00 $0.02 $ BETH SHOLOM HOME - CENTRAL Central Virginia $ $66.71 $14.55 $0.00 $0.07 $ BIRMINGHAM GREEN Northern Virginia $ $80.22 $13.21 $1.23 $0.15 $ BLAND COUNTY N&R CTR (GEORGE KEGLEY) Not in CCC Demonstration $77.63 $72.48 $13.34 $0.00 $0.07 $ BLUE RIDGE NURSING CTR-STUART Roanoke $81.67 $60.40 $14.56 $1.18 $0.03 $ BRANDON OAKS Roanoke $98.26 $67.08 $20.89 $0.00 $0.00 $ BRIAN CENTER - FINCASTLE Roanoke $ $61.84 $13.16 $0.00 $0.04 $ BRIAN CENTER NURS CR ALLEGHANY Roanoke $82.49 $72.47 $17.62 $0.00 $0.01 $ BRIDGEWATER HOME Western - Charlottesville $ $66.71 $11.86 $0.99 $0.03 $ BROC LLC Roanoke $51.15 $57.43 $11.67 $0.00 $0.02 $ BURKE HEALTH CARE CENTER Northern Virginia $ $80.47 $19.31 $0.00 $0.01 $ CAMERON GLEN H&R CTR Northern Virginia $ $78.38 $30.36 $0.02 $0.05 $ CARDINAL NURSING & REHAB CTR,12/ Northern Virginia $ $66.49 $24.62 $0.00 $0.01 $ s Effective as of 07/01/2014

2 Direct Total PFY11 w/case Direct CARRINGTON PLACE - CHESAPEAKE Tidewater $90.85 $63.98 $12.06 $0.00 $0.05 $ CARRINGTON PLACE - TAPPAHANNOCK Central Virginia $75.73 $69.65 $18.58 $0.00 $0.06 $ CARRINGTON BOUTETOURT Roanoke $93.47 $66.64 $22.18 $0.00 $0.06 $ CARRINGTON PLACE OF WYTHEVILLE Roanoke $83.63 $57.20 $11.21 $0.00 $0.05 $ CEDARS (THE) NH Western - Charlottesville $ $67.08 $14.55 $0.00 $0.02 $ CHASE CITY NURSING & REHAB CTR Central Virginia $83.59 $56.01 $18.37 $0.03 $0.03 $ CHATHAM HEALTH AND REHABILITATION Not in CCC Demonstration $87.42 $55.70 $27.02 $0.00 $0.06 $ CHESTERFIELD HC - TYLER'S RETREAT Central Virginia $ $64.42 $27.03 $0.00 $0.04 $ COLISEUM PARK NURSING HOME Tidewater $93.73 $64.94 $13.31 $0.00 $0.02 $ COLONIAL HEIGHTS CC Central Virginia $85.88 $59.16 $15.18 $0.00 $0.02 $ COLONNADES HEALTH CENTER, THE Western - Charlottesville $85.95 $77.11 $13.09 $0.00 $0.00 $ COMMONWEALTH CARE H&R CTR Northern Virginia $ $80.47 $14.54 $0.03 $0.05 $ CONSULATE HEALTH - ASHLAND CONV CTR Central Virginia $88.20 $67.08 $11.80 $0.00 $0.02 $ CULPEPER BAPTIST RETIREMENT Northern Virginia $88.61 $77.11 $12.68 $0.00 $0.07 $ DINWIDDIE HEALTH & REHAB CENTER Central Virginia $94.49 $73.53 $26.92 $0.05 $0.04 $ DOGWOOD VILLAGE OF ORANGE COUNTY Western - Charlottesville $95.76 $64.55 $11.29 $0.02 $0.03 $ EDGEMONT CENTER, INC Roanoke $82.61 $74.93 $18.30 $0.02 $0.02 $ EMPORIA MANOR Central Virginia $79.85 $58.27 $14.19 $0.00 $0.03 $ ENVOY OF ALEXANDRIA Northern Virginia $ $75.18 $13.88 $0.00 $0.03 $ ENVOY OF FOREST HILLS Central Virginia $94.04 $62.26 $18.54 $0.00 $0.02 $ ENVOY OF FORK UNION Western - Charlottesville $77.50 $76.53 $12.91 $0.00 $0.07 $ ENVOY OF GOOCHLAND Central Virginia $93.84 $64.96 $14.08 $0.00 $0.03 $ ENVOY OF LAWRENCEVILLE Central Virginia $76.35 $59.29 $11.66 $0.00 $0.03 $ ENVOY OF STAUNTON Western - Charlottesville $79.02 $59.98 $11.47 $0.25 $0.04 $ ENVOY OF THORNTON HALL Tidewater $87.90 $74.20 $12.73 $0.00 $0.05 $ ENVOY OF WESTOVER HILLS Central Virginia $88.54 $60.54 $12.34 $0.00 $0.02 $ ENVOY OF WILLIAMSBURG Tidewater $95.93 $67.08 $17.08 $0.00 $0.04 $ ENVOY OF WINCHESTER Not in CCC Demonstration $87.18 $77.11 $13.40 $0.00 $0.02 $ ENVOY OF WOODBRIDGE Northern Virginia $ $69.34 $14.02 $0.00 $0.03 $ EVERGREEN HEALTH AND REHAB OF Not in CCC Demonstration $79.42 $63.07 $23.66 $0.26 $0.03 $ FAIRFAX NH Northern Virginia $ $80.47 $20.19 $0.00 $0.02 $ FAIRMONT CROSSING Not in CCC Demonstration $ $67.08 $17.92 $0.00 $0.01 $ s Effective as of 07/01/2014

3 Direct Total PFY11 w/case Direct FALLS RUN NURSING & REHABILITATION CTR Central Virginia $ $78.45 $29.48 $0.00 $0.02 $ FREDERICKSBURG HEALTH CARE Central Virginia $ $70.16 $14.69 $0.03 $0.02 $ FRIENDSHIP MANOR Roanoke $ $64.71 $19.32 $0.66 $0.02 $ GAINESVILLE HEALTH & REHAB Northern Virginia $ $72.11 $24.08 $0.03 $0.02 $ GLENBURNIE REHAB & NURSTING CTR Central Virginia $94.36 $67.08 $23.16 $0.00 $0.04 $ GOLDEN LIVING CTR - ALLEGHANY Not in CCC Demonstration $79.01 $58.15 $11.08 $0.09 $0.08 $ GOLDEN LIVING CTR - BAYSIDE POQUOSON Tidewater $86.90 $74.38 $14.47 $0.00 $0.01 $ GOLDEN LIVING CTR - BLUE RIDGE Not in CCC Demonstration $72.44 $60.25 $12.73 $0.00 $0.02 $ GOLDEN LIVING CTR - ELIZABETH ADAM CRUMP Central Virginia $94.04 $67.08 $17.59 $0.00 $0.02 $ GOLDEN LIVING CTR - FREDERICKSBURG Central Virginia $89.87 $66.52 $13.48 $0.00 $0.02 $ GOLDEN LIVING CTR - PORTSMOUTH Tidewater $82.45 $65.75 $13.82 $0.00 $0.02 $ GOLDEN LIVING CTR - ROSE HILL Not in CCC Demonstration $98.94 $80.47 $17.67 $0.00 $0.01 $ GOLDEN LIVING CTR, MARTINSVILLE Roanoke $73.32 $57.17 $12.66 $0.00 $0.02 $ GOLDEN LIVINGCENTER - PETERSBURG Central Virginia $80.12 $60.85 $13.90 $0.00 $0.04 $ GOODWIN HOUSE Northern Virginia $76.09 $80.03 $11.96 $0.00 $0.00 $ GOODWIN HOUSE WEST Northern Virginia $ $80.03 $14.51 $0.00 $0.01 $ GRACE HEALTHCARE ABINGDON Not in CCC Demonstration $75.93 $56.68 $16.28 $0.00 $0.03 $ GRAYSON NURSING AND REHAB CTR Not in CCC Demonstration $70.26 $53.34 $14.97 $0.00 $0.02 $ GREENSPRING VILLAGE INC Northern Virginia $ $80.47 $24.66 $0.00 $0.00 $ GREENSVILLE MANOR Central Virginia $77.94 $59.22 $22.57 $0.00 $0.05 $ HEALTH C/BRANDERMILL WOODS Central Virginia $ $76.87 $21.26 $0.00 $0.03 $ HERITAGE HALL- LEESBURG Northern Virginia $ $76.14 $14.25 $0.44 $0.01 $ HERITAGE HALL- VIRGINIA BEACH Tidewater $ $66.41 $13.10 $0.00 $0.03 $ HERITAGE HALL-BIG STONE GAP Not in CCC Demonstration $68.62 $52.78 $11.55 $0.43 $0.03 $ HERITAGE HALL-BLACKSBURG Roanoke $99.59 $53.80 $12.19 $0.00 $0.01 $ HERITAGE HALL-BLACKSTONE Central Virginia $74.55 $57.89 $11.75 $0.00 $0.02 $ HERITAGE HALL-BROOKNEAL Not in CCC Demonstration $70.25 $67.10 $12.26 $0.00 $0.03 $ HERITAGE HALL-CLINTWOOD Not in CCC Demonstration $56.58 $56.12 $11.37 $0.06 $0.02 $ HERITAGE HALL-DILLWYN Western - Charlottesville $81.54 $67.24 $10.79 $0.00 $0.02 $ HERITAGE HALL-FRONT ROYAL Not in CCC Demonstration $ $76.94 $13.69 $0.00 $0.03 $ HERITAGE HALL-GRUNDY Not in CCC Demonstration $79.01 $52.86 $10.96 $0.00 $0.02 $ HERITAGE HALL-KING GEORGE Central Virginia $98.54 $57.22 $12.87 $0.00 $0.02 $ s Effective as of 07/01/2014

4 Direct Total PFY11 w/case Direct HERITAGE HALL-LAUREL MEADOWS Not in CCC Demonstration $77.95 $67.17 $14.15 $0.00 $0.01 $ HERITAGE HALL-LEXINGTON Roanoke $95.44 $74.62 $12.63 $0.00 $0.01 $ HERITAGE HALL-NASSAWADOX Tidewater $79.24 $58.27 $11.91 $0.00 $0.01 $ HERITAGE HALL-TAZEWELL Not in CCC Demonstration $78.69 $52.87 $11.63 $0.00 $0.02 $ HERITAGE HALL-WISE Not in CCC Demonstration $81.29 $58.47 $11.23 $0.00 $0.02 $ HIGHLAND RIDGE REHAB CENTER Roanoke $99.56 $66.10 $22.25 $0.01 $0.04 $ HOLLY MANOR NURSING HOME Central Virginia $98.00 $66.64 $20.98 $0.67 $0.04 $ HOPEWELL CC Central Virginia $99.95 $67.08 $13.84 $0.00 $0.01 $ ILIFF NURSING AND REHAB CENTER Northern Virginia $ $80.47 $23.82 $0.00 $0.12 $ JAMES RIVER CONVALESCENT CTR Tidewater $79.24 $55.90 $12.61 $0.05 $0.02 $ JAMES RIVER CONVALESCENT CTR Tidewater $79.24 $55.90 $13.36 $0.05 $0.02 $ KINDRED CARE -BAY POINTE VA BEACH Tidewater $ $63.52 $14.26 $0.00 $0.01 $ KINDRED-HARBOUR POINTE VANGUARD Tidewater $97.48 $67.08 $13.89 $0.00 $0.02 $ KINDRED-NANSEMOND POINTE Tidewater $ $65.34 $14.53 $0.00 $0.02 $ KINDRED-RIVER POINTE Tidewater $95.37 $60.85 $12.15 $0.00 $0.02 $ KINGS DAUGHTERS NRSING & REHAB Western - Charlottesville $78.84 $60.00 $16.35 $0.00 $0.03 $ KINGS GRANT RETIREMENT COMM Roanoke $ $77.11 $13.18 $0.00 $0.03 $ LANCASHIRE Central Virginia $70.04 $58.66 $18.19 $0.02 $0.02 $ LAURELS OF BON AIR Central Virginia $99.51 $60.56 $24.73 $0.00 $0.02 $ LAURELS OF CHARLOTTESVILLE Western - Charlottesville $98.41 $58.04 $20.34 $0.00 $0.04 $ LEE NURSING & REHAB CENTER Not in CCC Demonstration $80.46 $57.96 $16.50 $0.06 $0.02 $ LEEWOOD HEALTHCARE CENTER Northern Virginia $ $67.60 $17.33 $0.00 $0.03 $ LEXINGTON COURT Central Virginia $ $64.24 $22.16 $0.00 $0.04 $ LIFE CARE CTR-NEW MARKET Not in CCC Demonstration $87.57 $59.51 $17.75 $0.00 $0.06 $ LITTLE SISTERS OF THE POOR Central Virginia $ $77.11 $11.35 $0.00 $0.08 $ LOUISA HEALTH CARE CENTER Western - Charlottesville $92.76 $67.08 $12.60 $0.00 $0.04 $ LUCY CORR NH OF CHES CO Central Virginia $95.86 $54.52 $16.13 $1.28 $0.04 $ MANASSAS NURSING & REHAB CTR Northern Virginia $ $69.54 $24.06 $0.04 $0.02 $ MANOR CARE - ALEXANDRIA Northern Virginia $ $76.12 $15.27 $0.00 $0.04 $ MANOR CARE - STRATFORD HALL Central Virginia $94.47 $66.71 $14.73 $0.00 $0.02 $ MANOR CARE FAIR OAKS Northern Virginia $ $79.13 $20.19 $0.00 $0.01 $ MANOR CARE IMPERIAL Central Virginia $90.71 $66.88 $16.97 $0.00 $0.01 $ s Effective as of 07/01/2014

5 Direct Total PFY11 w/case Direct MANOR CARE OF ARLINGTON Northern Virginia $ $76.50 $15.87 $0.00 $0.01 $ MAPLE GROVE REHAB & HLTH CARE Not in CCC Demonstration $73.14 $72.31 $12.60 $0.00 $0.02 $ MARY WASHINGTON HEALTH CR CTR Central Virginia $85.81 $66.10 $19.69 $0.00 $0.02 $ MEADOWVIEW TERRACE Central Virginia $82.24 $64.58 $16.41 $0.00 $0.02 $ MEDICAL CARE CTR-LYNCHBURG Not in CCC Demonstration $82.40 $60.78 $12.94 $0.00 $0.02 $ MFA - APPOMATTOX HLTH CARE CTR Not in CCC Demonstration $85.16 $77.11 $12.18 $0.00 $0.03 $ MFA - BAYSIDE HEALTH CARE CTR Tidewater $97.74 $77.11 $14.01 $0.00 $0.01 $ MFA - BEAUFONT HEALTH CARE CTR Central Virginia $94.18 $67.08 $19.51 $0.00 $0.03 $ MFA - BOWLING GREEN HC Central Virginia $98.53 $67.08 $14.52 $0.00 $0.02 $ MFA - CAMELOT HALL-LYNCHBURG Not in CCC Demonstration $85.73 $62.06 $13.54 $0.13 $0.02 $ MFA - CAMELOT HALL-SALEM Roanoke $83.86 $64.96 $13.20 $0.27 $0.02 $ MFA - CAMELOT HEALTH & REHAB Western - Charlottesville $ $65.68 $11.58 $0.00 $0.02 $ MFA - CHARLOTTESVILLE HEALTH & REHAB Western - Charlottesville $98.65 $67.08 $14.02 $0.00 $0.02 $ MFA - CHERRYDALE HCC Northern Virginia $ $77.36 $13.27 $0.00 $0.02 $ MFA - CHESAPEAKE HCC Tidewater $85.41 $65.81 $13.07 $0.00 $0.01 $ MFA - COURTLAND HCC Central Virginia $87.58 $64.95 $13.57 $0.00 $0.03 $ MFA - CULPEPER HEALTH CARE Northern Virginia $97.62 $62.22 $13.30 $0.00 $0.04 $ MFA - FRANKLIN HC CTR Roanoke $96.81 $67.08 $14.57 $0.00 $0.02 $ MFA - GRETNA HEALTH CARE CTR Not in CCC Demonstration $95.46 $67.08 $13.74 $0.00 $0.01 $ MFA - HANOVER HEALTH CARE Central Virginia $ $67.08 $18.88 $0.00 $0.01 $ MFA - HENRICO HEALTH CARE Central Virginia $93.37 $67.08 $12.89 $0.00 $0.02 $ MFA - LOVINGSTON HEALTH CARE Western - Charlottesville $92.70 $77.11 $12.68 $0.00 $0.01 $ MFA - NORFOLK HC CTR Tidewater $95.25 $60.83 $14.49 $0.00 $0.03 $ MFA - PARHAM HC & REHAB Central Virginia $96.26 $65.00 $12.59 $0.00 $0.03 $ MFA - PINEY FOREST HCC Not in CCC Demonstration $86.96 $66.55 $12.06 $0.00 $0.02 $ MFA - PULASKI HEALTH CARE Roanoke $98.55 $66.95 $12.29 $0.00 $0.02 $ MFA - RALEIGH COURT HC CTR Roanoke $91.89 $67.08 $16.15 $0.00 $0.02 $ MFA - REGENCY HEALTH CARE CTR Tidewater $97.94 $77.11 $13.63 $0.00 $0.03 $ MFA - RIVERSIDE HEALTH CARE Not in CCC Demonstration $95.28 $65.43 $11.31 $0.00 $0.01 $ MFA - SPRINGTREE HLTH CARE CTR Roanoke $94.66 $67.08 $20.88 $0.00 $0.01 $ MFA - STANLEYTOWN HEALTH CARE Roanoke $94.84 $64.95 $14.00 $0.00 $0.01 $ MFA - VIRGINIA BEACH HC&REHAB Tidewater $98.79 $61.81 $12.64 $0.00 $0.03 $ s Effective as of 07/01/2014

6 Direct Total PFY11 w/case Direct MFA - WAVERLY HEALTH CARE CTR Central Virginia $91.59 $67.08 $12.93 $0.00 $0.02 $ MFA-BERKSHIRE Roanoke $93.73 $65.21 $12.34 $0.00 $0.02 $ MIZPAH HEALTH CARE CENTER Central Virginia $62.08 $66.26 $13.34 $0.00 $0.05 $ MONTVUE NURSING HOME Not in CCC Demonstration $71.54 $59.16 $12.89 $0.37 $0.01 $ MOUNT VERNON NURSING CENTER Northern Virginia $ $77.40 $14.06 $0.00 $0.01 $ MOUNTAIN VIEW NH Western - Charlottesville $93.95 $77.11 $21.69 $0.94 $0.02 $ NEWPORT NEWS BAPT RETIREM'T Tidewater $ $62.10 $16.75 $0.00 $0.01 $ NEWPORT NEWS NURSING & REHAB Tidewater $97.86 $64.06 $18.78 $0.00 $0.03 $ NHC - BRISTOL HEALTH CARE Not in CCC Demonstration $94.11 $64.95 $13.22 $0.19 $0.03 $ NORTHAMPTON CONV CTR Tidewater $70.78 $64.17 $22.52 $0.03 $0.01 $ NRV-KROONTJE HEALTH CARE CTR Roanoke $93.85 $76.68 $17.06 $0.00 $0.02 $ OAK LEA NH Western - Charlottesville $ $66.70 $16.82 $0.00 $0.00 $ OAK SPRINGS OF WARRENTON Northern Virginia $97.35 $80.47 $13.32 $0.00 $0.06 $ OUR LADY OF HOPE Central Virginia $94.78 $76.87 $14.98 $0.00 $0.02 $ OUR LADY OF PEACE, INC Western - Charlottesville $98.09 $73.52 $13.02 $0.00 $0.04 $ OUR LADY OF PERPETUAL HELP Tidewater $88.53 $75.10 $15.48 $0.00 $0.07 $ OUR LADY OF THE VALLEY Roanoke $94.79 $63.82 $14.24 $0.00 $0.04 $ PHEASANT RIDGE NH Roanoke $95.76 $61.48 $17.92 $0.00 $0.02 $ POTOMAC NURSING CENTER Northern Virginia $ $73.40 $14.28 $0.00 $0.01 $ RADFORD NURSING & REHAB (NRV) Roanoke $ $61.14 $22.86 $0.05 $0.01 $ RICHFIELD NC Roanoke $ $66.71 $15.81 $0.41 $0.02 $ RIDGECREST MANOR NH Not in CCC Demonstration $97.62 $58.69 $10.30 $0.00 $0.02 $ RIVER VIEW ON THE APPOMATTOX Central Virginia $ $63.20 $22.00 $0.04 $0.03 $ RIVERSIDE CC - MATHEWS Tidewater $79.99 $75.47 $13.37 $0.67 $0.00 $ RIVERSIDE CC - SALUDA Central Virginia $86.85 $69.81 $11.99 $0.67 $0.00 $ RIVERSIDE CC - SMITHFIELD Tidewater $82.50 $59.41 $15.99 $0.41 $0.00 $ RIVERSIDE CC NEWPORT NEWS Tidewater $94.86 $67.08 $17.10 $0.46 $0.00 $ RIVERSIDE CONV. CENTER-HAMPTON Tidewater $91.08 $66.72 $13.71 $0.00 $0.00 $ RIVERSIDE CONV. CTR-WEST POINT Central Virginia $88.57 $73.69 $15.09 $0.65 $0.00 $ RIVERVIEW NURSING HOME (now HH Rich Creek ) Roanoke $ $66.71 $14.49 $0.38 $0.02 $ ROMAN EAGLE NH Not in CCC Demonstration $ $64.15 $10.88 $0.00 $0.00 $ SENTARA - PORTSMOUTH Tidewater $86.70 $61.60 $14.01 $0.00 $0.01 $ s Effective as of 07/01/2014

7 Direct Total PFY11 w/case Direct SENTARA NURSING CENTER VAB Tidewater $ $67.08 $17.03 $0.00 $0.02 $ SENTARA NURSING CENTER-HAMPTON Tidewater $ $67.08 $18.43 $0.00 $0.02 $ SENTARA NURSING CTR-CHESAPEAKE Tidewater $87.77 $65.44 $12.84 $0.00 $0.03 $ SENTARA-NORFOLK Tidewater $ $63.75 $13.51 $0.00 $0.02 $ SHENANDOAH NURSING HOME Western - Charlottesville $87.94 $64.43 $11.73 $0.00 $0.02 $ SHENANDOAH VALLEY Roanoke $87.85 $64.06 $12.86 $0.00 $0.01 $ SHORE LIFECARE, INC Tidewater $92.49 $64.96 $11.54 $0.00 $0.00 $ SKYLINE TERRACE Not in CCC Demonstration $81.76 $63.70 $14.98 $0.22 $0.02 $ SLEEPY HOLLOW Northern Virginia $ $71.79 $17.79 $0.00 $0.01 $ SNYDER NH Roanoke $95.32 $75.86 $18.63 $0.00 $0.01 $ SOUTH ROANOKE NURSING HOME Roanoke $82.22 $60.38 $13.24 $0.00 $0.00 $ STRATFORD HEALTHCARE CENTER Not in CCC Demonstration $95.39 $70.04 $15.67 $0.00 $0.00 $ SUMMIT HEALTH & REHABILITATION Not in CCC Demonstration $ $67.08 $21.03 $0.00 $0.01 $ SUMMIT SQUARE RETIREMENT HOME Western - Charlottesville $86.45 $77.11 $14.93 $0.00 $0.03 $ SUNNYSIDE PRES. HOME Western - Charlottesville $92.84 $67.08 $12.74 $0.00 $0.03 $ WOODSTOCK Not in CCC Demonstration $82.99 $61.82 $18.86 $0.00 $0.01 $ TANDEM HEALTH CARE AT WINDSOR Tidewater $78.29 $56.37 $17.88 $0.00 $0.02 $ TANDEM NORFOLK (Consulate Norfolk ) Tidewater $77.97 $58.91 $17.93 $0.00 $0.02 $ TANDEM HEALTHCARE AT FLOYD Roanoke $70.66 $61.17 $12.28 $0.00 $0.02 $ TANDEM WILLIAMSBURG Tidewater $ $66.37 $19.14 $0.00 $0.03 $ THE CARRINGTON Not in CCC Demonstration $91.10 $59.71 $14.99 $0.00 $0.03 $ THE FOUNTAINS AT WASHINGTON HOUSE Northern Virginia $ $80.47 $31.31 $0.00 $0.01 $ THE JEFFERSON Northern Virginia $64.40 $80.47 $15.98 $0.00 $0.00 $ THE KENDAL AT LEXINGTON Roanoke $95.90 $77.11 $18.90 $0.00 $0.04 $ THE LAURELS OF UNIVERSITY PARK Central Virginia $95.87 $62.73 $12.89 $0.00 $0.04 $ THE ORCHARD AKA RIVERSIDE - WARSAW Central Virginia $78.91 $60.38 $15.87 $0.00 $0.00 $ THE SPRINGS NURSING CENTER Roanoke $88.10 $64.70 $11.64 $0.00 $0.02 $ TRINITY MISSION-CHARLOTTESVILLE Western - Charlottesville $92.69 $63.86 $12.48 $0.26 $0.07 $ TRINITY MISSION-FARMVILLE Central Virginia $87.42 $66.64 $11.09 $0.42 $0.10 $ TRINITY MISSION-HILLSVILLE Not in CCC Demonstration $79.09 $74.27 $11.61 $0.29 $0.10 $ TRINITY MISSION-ROCKY MOUNT Roanoke $84.15 $60.17 $11.93 $1.53 $0.09 $ VALLEY HEALTH CARE Not in CCC Demonstration $66.12 $54.06 $12.15 $0.00 $0.01 $ s Effective as of 07/01/2014

8 Direct Total PFY11 w/case Direct VIRGINIA HOME Central Virginia $ $67.08 $10.51 $0.00 $0.02 $ WADDELL NH Not in CCC Demonstration $88.13 $59.14 $10.70 $0.00 $0.02 $ WALTER REED CONVALESCENT CTR Tidewater $78.94 $58.23 $13.48 $0.04 $0.02 $ WARRENTON OVERLOOK HLTH&REHAB/ /Fauquier H & R Northern Virginia $ $80.03 $17.80 $0.16 $0.03 $ WAYLAND NURSING & REHAB Not in CCC Demonstration $74.66 $64.35 $19.61 $0.00 $0.02 $ WESTMINSTER AT LAKE RIDGE Northern Virginia $ $80.47 $20.14 $0.00 $0.00 $ WESTMINSTER CANT. WINCHESTER Not in CCC Demonstration $50.80 $77.11 $11.90 $0.00 $0.01 $ WESTMINSTER CANT/RAPP Central Virginia $74.20 $76.66 $17.97 $0.00 $0.02 $ WESTMINSTER CANT-LYNCH Not in CCC Demonstration $94.64 $66.71 $12.40 $0.00 $0.00 $ WESTMINSTER CANT-RICH Central Virginia $ $66.71 $16.22 $0.00 $0.00 $ WESTMINSTER CANT-VA B Tidewater $ $66.71 $16.61 $0.00 $0.00 $ WESTPORT CONVALESCENT CENTER Central Virginia $96.75 $63.30 $15.95 $0.00 $0.02 $ WESTWOOD NURSING CENTER Not in CCC Demonstration $ $66.64 $13.54 $0.00 $0.01 $ WILLOW CREEK HEALTHCARE CENTER Central Virginia $88.35 $60.03 $14.83 $0.00 $0.02 $ WINDEMERE AT VIRGINIA BEACH Tidewater $97.40 $67.08 $19.35 $0.00 $0.01 $ WOODBINE REHAB HCC Northern Virginia $ $71.54 $14.33 $0.00 $0.02 $ WOODLANDS, THE Not in CCC Demonstration $77.30 $64.03 $12.55 $0.02 $0.02 $ WOODMONT NURSING HOME Central Virginia $ $80.01 $21.24 $0.00 $0.03 $ WOODVIEW NURSING HOME Not in CCC Demonstration $75.22 $64.58 $12.55 $0.00 $0.01 $ YORK CONV CTR Tidewater $71.78 $62.72 $21.91 $0.02 $0.02 $ HOSPITAL BASED FACILITIES OAKWOOD HEALTH AND REHAB Roanoke $96.15 $66.71 $11.79 $0.00 $0.01 $ BON SECOURS TRANS. CARE DEPAUL Tidewater $ $76.68 $ $0.00 $0.00 $ CLINCH VALLEY MEDICAL CTR Not in CCC Demonstration $47.80 $76.48 $28.31 $0.00 $0.00 $ COMMUNITY MEMORIAL Central Virginia $ $64.75 $18.17 $0.00 $0.01 $ FRANCIS MARION MANOR Not in CCC Demonstration $85.69 $64.75 $40.81 $0.00 $0.00 $ HALIFAX REGIONAL HOSPITAL-NF Not in CCC Demonstration $ $76.68 $51.53 $0.00 $0.00 $ LAKE TAYLOR Tidewater $ $66.88 $18.07 $0.00 $0.02 $ LOUDOUN LONG TERM CARE Northern Virginia $ $80.47 $66.42 $1.07 $0.01 $ MARYVIEW HOSPITAL NF Tidewater $98.03 $66.71 $20.17 $0.00 $0.00 $ SOUTHHAMPTON MEMORIAL Roanoke $85.94 $67.08 $22.52 $0.00 $0.00 $ s Effective as of 07/01/2014

9 Direct Total PFY11 w/case Direct SOUTHSIDE REGIONAL Central Virginia $53.42 $76.66 $53.33 $0.00 $0.00 $ ST FRANCIS NURSING CENTER Tidewater $91.73 $66.71 $30.79 $0.00 $0.00 $ VIRGINIA BAPTIST Not in CCC Demonstration $ $67.08 $22.74 $0.00 $0.01 $ WARREN MEMORIAL HOSPITAL Not in CCC Demonstration $ $80.47 $25.17 $4.92 $0.00 $ WELLMONT MT. VIEW REGIONAL Not in CCC Demonstration $97.20 $76.87 $50.50 $0.00 $0.00 $ NEW FACILITIES AUTUMN CARE OF MECHANICSVILLE Central Virginia $98.67 $65.60 $30.42 $0.00 $0.00 $ GRACE HEALTH AND REHAB OF GREENE COUNTY Western - Charlottesville $91.59 $63.83 $16.72 $0.00 $0.22 $ KEMPSVILLE HEALTH & REHAB CENTER Tidewater $ $74.60 $13.70 $0.04 $0.00 $ LIBERTY RIDGE HLTH & REHABILITATION CTR Not in CCC Demonstration $ $65.60 $29.04 $0.43 $0.00 $ NOVA HEALTH AND REHAB Not in CCC Demonstration $ $65.60 $16.12 $0.29 $0.00 $ *Direct and indirect rates for the first transition year from a cost-based system to a price-based system are 25% new price-based rates and 75% old cost-based rates. Facilities placed in service after June 30, 2013 or new facilities without a settled cost report as of the beginning of the fiscal year use 100% of the price-based rate. 1 effective October 1, 2014, FRV mid-year adjustment. s Effective as of 07/01/2014