CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

015009 BURNS NURSING HOME, INC. 701 MONROE STREET NW RUSSELLVILLE AL 35653 (256) 332-4110 015012 HIGHLANDS HEALTH AND REHAB 380 WOODS COVE ROAD SCOTTSBORO AL 35768 (256) 218-3708 015014 EASTVIEW REHABILITATION & HEALTHCARE CENTER 7755 FOURTH AVENUE SOUTH BIRMINGHAM AL 35206 (205) 833-0146 015016 ATHENS HEALTH AND REHABILITATION LLC 611 WEST MARKET STREET ATHENS AL 35611 (256) 232-1620 015019 MERRY WOOD LODGE CARE AND REHABILITATION CENTER P O BOX 130 ELMORE AL 36025 (334) 567-8484 015023 HATLEY HEALTH CARE INC 300 MEDICAL CENTER DRIVE CLANTON AL 35045 (205) 755-4960 015024 SENIOR REHAB & RECOVERY AT LIMESTONE HEALTH FACILIITY 1600 WEST HOBBS STREET ATHENS AL 35611 (256) 232-3461 015027 WETUMPKA HEALTH AND REHABILITATION, LLC 1825 HOLTVILLE ROAD WETUMPKA AL 36092 (334) 567-5131 015028 KELLER LANDING 813 KELLER LANE TUSCUMBIA AL 35674 (256) 383-1535 015032 GOLDEN LIVING CENTER - FOLEY 1701 NORTH ALSTON STREET FOLEY AL 36535 (251) 943-2781 015034 HUNTER CREEK HEALTH AND REHABILITATION, LLC 600 34TH ST NORTHPORT AL 35473 (205) 339-5900 015035 WEST GATE VILLAGE 100 PINEVIEW AND THIRD P.O. BOX 49 BREWTON AL 36427 (251) 867-6077 015040 GOLDEN LIVING CENTER - MONTGOMERY 2020 NORTH COUNTRY CLUB DRIVE MONTGOMERY AL 36106 (334) 263-1643 015042 SUMTER HEALTH AND REHABILITATION, L L C 1505 EAST 4TH AVENUE YORK AL 36925 (205) 392-5281 015043 SOUTH HAVEN HEALTH AND REHABILITATION CENTER 1300 EAST SOUTH BOULEVARD MONTGOMERY AL 36116 (334) 288-0122 015044 CAREGIVERS OF PLEASANT GROVE, INC 700 FIRST AVENUE PLEASANT GROVE AL 35127 (205) 744-8120 015045 EAMC LANIER NURSING HOME 4800 48TH STREET VALLEY AL 36854 (334) 756-1401 015047 NORTHWAY HEALTH AND REHABILITATION, LLC 1424 NORTH 25TH STREET BIRMINGHAM AL 35234 (205) 328-5870 015049 EASTERN SHORE REHABILITATION AND HEALTH CENTER 101 VILLA DRIVE, P O BOX 1090 DAPHNE AL 36526 (251) 621-4200 015050 OAK TRACE CARE & REHABILITATION CENTER 325 SELMA ROAD BESSEMER AL 35020 (205) 428-9383 015063 GOLDEN LIVING CENTER - BOAZ 600 CORLEY AVENUE BOAZ AL 35957 (256) 593-8380 015066 TERRACE MANOR NURSING & REHABILITATION CENTER, INC 390 UNDERWOOD ROAD RUSSELLVILLE AL 35653 (256) 332-3826 015067 COTTAGE OF THE SHOALS 500 JOHN ALDRIDGE DRIVE TUSCUMBIA AL 35674 (256) 383-4541 015071 RUSSELLVILLE HEALTH CARE INC 705 NORTHEAST GANDY STREET RUSSELLVILLE AL 35653 (256) 332-3773 015073 HANCEVILLE NURSING & REHAB CENTER, INC 420 MAIN STREET NE HANCEVILLE AL 35077 (256) 352-6481 015075 SUMMERFORD NURSING HOME INC 4087 HIGHWAY 31 SOUTHWEST FALKVILLE AL 35622 (256) 784-5275 015084 PARK PLACE NURSING AND REHABILITATION CENTER, LLC 100 PARK PLACE SELMA AL 36701 (334) 872-3471 015089 EVERGREEN NURSING HOME 100 SANDERS DRIVE EVERGREEN AL 36401 (251) 578-3783 015097 SOUTH HEALTH AND REHABILITATION, LLC 1220 SOUTH 17TH STREET BIRMINGHAM AL 35205 (205) 933-2180 015098 ALLEN MEMORIAL HOME 735 SOUTH WASHINGTON AVENUE MOBILE AL 36603 (251) 433-2642 015100 CROWNE HEALTH CARE OF MOBILE 954 NAVCO ROAD MOBILE AL 36605 (251) 473-8684 015101 ALTOONA HEALTH & REHAB 6532 WALNUT GROVE ROAD ALTOONA AL 35952 (205) 589-6394 015103 ASHLAND PLACE HEALTH AND REHABILITATION, LLC 148 TUSCALOOSA ST MOBILE AL 36607 (251) 471-5431 015104 SOUTHLAND NURSING HOME 500 SHIVERS TERRACE MARION AL 36756 (334) 683-6141 015112 MAGNOLIA HAVEN HEALTH AND REHABILITATION CENTER 603 WRIGHT STREET TUSKEGEE AL 36083 (334) 727-4960 015120 NHC HEALTHCARE, ANNISTON 2300 COLEMAN RD ANNISTON AL 36207 (256) 831-5730 015123 WASHINGTON COUNTY NURSING HOME 14600 ST STEPHENS AVENUE CHATOM AL 36518 (251) 847-6412 015124 CLAY COUNTY NURSING HOME 83825 HIGHWAY 9 P O BOX 1270 ASHLAND AL 36251 (256) 354-2131 015126 TRAYLOR RETIREMENT COMMUNITY 1235 YANCEY STREET P O BOX 467 ROANOKE AL 36274 (334) 863-3500 015127 BROOKSHIRE HEALTHCARE CENTER 4320 JUDITH LANE HUNTSVILLE AL 35805 (256) 837-1730 015129 ATMORE NURSING CENTER 715 EAST LAUREL STREET ATMORE AL 36502 (251) 368-9121 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

015132 GOLDEN LIVING CENTER - OXFORD P O BOX 3408, 1130 SOUTH HALE STREET OXFORD AL 36203 (256) 831-0481 015133 MAGNOLIA RIDGE CARE AND REHABILITATION CENTER 420 DEAN LANE GARDENDALE AL 35071 (205) 631-8709 015135 JOHN KNOX MANOR INC I I 4401 NARROW LANE ROAD MONTGOMERY AL 36116 (334) 281-6336 015136 FALKVILLE HEALTH CARE CENTER 10 WEST 3RD STREET PO BOX 409 FALKVILLE AL 35622 (256) 784-5291 015137 ALICEVILLE MANOR NURSING HOME 703 17TH STREET NORTHWEST ALICEVILLE AL 35442 (205) 373-6307 015138 HENDRIX HEALTH AND REHABILITATION 1000 HIGHWAY 33 DOUBLE SPRINGS AL 35553 (205) 489-2136 015139 TALLASSEE HEALTH AND REHABILITATION, LLC 2639 GILMER AVENUE P O BOX 780277 TALLASSEE AL 36078 (334) 283-3975 015141 ARBOR WOODS HEALTH AND REHAB 515 2ND AVENUE NORTHWEST REFORM AL 35481 (205) 375-6379 015142 LINEVILLE HEALTH AND REHABILITATION, LLC 88073 HIGHWAY 9 LINEVILLE AL 36266 (256) 396-2104 015143 FOREST MANOR INC 2215 32ND STREET NORTHPORT AL 35476 (205) 339-5400 015145 GOLDEN LIVING CENTER - RIVERCHASE 2500 RIVERHAVEN DRIVE BIRMINGHAM AL 35244 (205) 987-0901 015147 GLENWOOD CENTER 211 ANA DRIVE FLORENCE AL 35630 (256) 766-8963 015148 GOLDEN LIVING CENTER - ARAB 235 THIRD STREET SE ARAB AL 35016 (256) 586-3111 015149 SOUTHERN CARE, LLC 251 SUNSET PLACE GUIN AL 35563 (205) 468-3331 015150 WIREGRASS REHABILITATION CENTER & NURSING HOME 1200 MAPLE AVENUE WEST GENEVA AL 36340 (334) 684-3655 015151 AZALEA GARDENS OF MOBILE 1758 SPRINGHILL AVE MOBILE AL 36607 (251) 479-0551 015152 EXTENDICARE HEALTH CENTER 950 SOUTH ST. ANDREWS STREET DOTHAN AL 36302 (334) 793-1177 015153 ARLINGTON REHABILITATION & HEALTHCARE CENTER 1020 TUSCALOOSA AVENUE, SW BIRMINGHAM AL 35211 (205) 788-6330 015155 RIDGEVIEW HEALTH SERVICES, INC 907 11TH STREET, NE JASPER AL 35504 (205) 221-9111 015156 CROWNE HEALTH CARE OF FT PAYNE 403 13TH STREET NORTHWEST FORT PAYNE AL 35967 (256) 845-5990 015157 HALEYVILLE HEALTH CARE CENTER 2201 11TH AVENUE HALEYVILLE AL 35565 (205) 486-9478 015158 PERRY COUNTY NURSING HOME 505 EAST LAFAYETTE STREET MARION AL 36756 (334) 683-9696 015159 GOLDEN LIVING CENTER - ONEONTA 215 VALLEY ROAD ONEONTA AL 35121 (205) 274-2365 015160 SYLACAUGA HEALTH AND REHAB SERVICES 1007 W FORT WILLIAMS ST SYLACAUGA AL 35150 (256) 245-7402 015162 TALLADEGA HEALTHCARE CENTER, INC 616 CHAFFEE STREET TALLADEGA AL 35160 (256) 362-4197 015163 ALBERTVILLE NURSING HOME 750 ALABAMA HIGHWAY 75 NORTH ALBERTVILLE AL 35950 (256) 878-1398 015164 WILLOW TRACE HEALTH AND REHABILITATION CENTER 1406 EAST PUSHMATAHA STREET BUTLER AL 36904 (205) 459-5506 015168 LITTLE SISTERS OF THE POOR SACRED HEART RESIDENCE 1655 MCGILL AVENUE MOBILE AL 36604 (251) 476-6335 015174 COOSA VALLEY HEALTH AND REHAB 513 PINEVIEW AVENUE GLENCOE AL 35905 (256) 492-5350 015177 WOODHAVEN MANOR NURSING HOME 105 WEST WINDSOR ST DEMOPOLIS AL 36732 (334) 289-2741 015180 GADSDEN HEALTH AND REHAB CENTER 1945 DAVIS DRIVE GADSDEN AL 35904 (256) 547-4938 015182 GEORGIANA HEALTH AND REHABILITATION, LLC 206 PALMER AVENUE GEORGIANA AL 36033 (334) 376-2267 015184 CLOVERDALE REHABILITATION AND NURSING CENTER 412 CLOVERDALE ROAD SCOTTSBORO AL 35768 (256) 259-1505 015186 GLEN HAVEN HEALTH AND REHABILITATION, LLC 2201 32ND STREET NORTHPORT AL 35476 (205) 339-5700 015187 MOUNDVILLE HEALTH AND REHABILITATION, LLC THIRD AVENUE P O BOX 607 MOUNDVILLE AL 35474 (205) 371-2252 015188 JACKSON HEALTH CARE FACILITY 2616 NORTH COLLEGE AVENUE JACKSON AL 36545 (251) 246-2476 015192 ARBOR SPRINGS HEALTH AND REHAB CENTER, LTD 1910 PEPPERELL PKWY OPELIKA AL 36801 (334) 749-1471 015193 CROWNE HEALTH CARE OF GREENVILLE 408 COUNTRY CLUB DRIVE GREENVILLE AL 36037 (334) 382-2693 015194 PIEDMONT HEALTH CARE CENTER 30 ROUNDTREE DRIVE PIEDMONT AL 36272 (256) 447-8258 015195 VILLAGE AT COOK SPRINGS SKILLED NURSING FACILITY 415 COOK SPRINGS PELL CITY AL 35125 (205) 338-2221 015197 LAFAYETTE EXTENDED CARE 805 HOSPITAL STREET SOUTHWEST LAFAYETTE AL 36862 (334) 864-8854 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

015200 CHEROKEE COUNTY HEALTH AND REHABILITATION CENTER 877 CEDAR BLUFF ROAD CENTRE AL 35960 (256) 927-5778 015201 GENERATIONS OF RED BAY, LLC 106 TENTH AVENUE NORTHWEST RED BAY AL 35582 (256) 356-4982 015202 MCGUFFEY HEALTH & REHABILITATION CENTER 2301 RAINBOW DRIVE GADSDEN AL 35999 (256) 543-3467 015204 GOODWATER HEALTHCARE CENTER 16 JONES HILL ROAD GOODWATER AL 35072 (256) 839-6711 015206 DECATUR HEALTH & REHAB CENTER 2326 MORGAN AVENUE SOUTHWEST DECATUR AL 35603 (256) 340-5765 015207 COLLINSVILLE HEALTHCARE & REHAB 685 NORTH VALLEY AVE COLLINSVILLE AL 35961 (256) 524-2117 015208 OZARK HEALTH AND REHABILITATION, LLC 312 BRYAN DRIVE OZARK AL 36360 (334) 774-2561 015209 GOLDEN LIVING CENTER - MEADOWOOD 820 GOLF COURSE ROAD BESSEMER AL 35020 (205) 425-5241 015210 OPP HEALTH AND REHABILITATION, LLC 115 PAULK AVENUE P O BOX 730 OPP AL 36467 (334) 493-4558 015212 SELF HEALTH CARE & REHAB CENTER INC 131 EAST CREST ROAD HUEYTOWN AL 35023 (205) 491-2411 015213 TROY HEALTH & REHABILITATION CENTER 515 ELBA HIGHWAY TROY AL 36079 (334) 566-0880 015216 OAKVIEW MANOR HEALTH CARE CENTER 929 MIXON SCHOOL ROAD OZARK AL 36360 (334) 774-2631 015217 BIRMINGHAM NURSING AND REHABILITATION CTR 1000 DUGAN AVENUE BIRMINGHAM AL 35214 (205) 798-8780 015220 THOMASVILLE HEALTHCARE AND REHABILITATION CENTER 1425 MOSLEY DRIVE THOMASVILLE AL 36784 (334) 636-5614 015222 FAIRHOPE HEALTH & REHAB 108 SOUTH CHURCH STREET FAIRHOPE AL 36532 (251) 928-2153 015223 NORTHSIDE HEALTH CARE 700 HUTCHINS AVENUE GADSDEN AL 35901 (256) 543-7101 015225 BARFIELD HEALTH CARE INC 22444 HIGHWAY 431 GUNTERSVILLE AL 35976 (256) 582-3112 015227 GENERATIONS OF VERNON, LLC 1050 CONVALESCENT ROAD VERNON AL 35592 (205) 695-9313 015228 CEDAR CREST 4490 VIRGINIA LOOP ROAD MONTGOMERY AL 36116 (334) 281-6826 015315 RIDGEWOOD HEALTH SERVICES, INC. 201 OAKHILL ROAD JASPER AL 35504 (205) 221-4862 015320 ENTERPRISE HEALTH & REHABILITATION CENTER 300 PLAZA DRIVE P O BOX 311227 ENTERPRISE AL 36331 (334) 347-9541 015321 SOUTH HAVEN HEALTH AND REHABILITATION, LLC 3141 OLD COLUMBIANA ROAD BIRMINGHAM AL 35226 (205) 822-1580 015322 ENGLEWOOD HEALTH CARE CENTER 2046 SOUTH ALABAMA AVE MONROEVILLE AL 36460 (251) 575-3285 015326 PARK MANOR HEALTH AND REHABILITATION, LLC 2201 MCFARLAND BOULEVARD NORTHPORT AL 35476 (205) 339-5300 015330 MARENGO NURSING HOME 608 NORTH MAIN STREET LINDEN AL 36748 (334) 295-8631 015331 PHENIX CITY HEALTH CARE, INC 3900 LAKEWOOD DRIVE PHENIX CITY AL 36867 (334) 298-8247 015336 LUVERNE HEALTH AND REHABILITATION, LLC 142 WEST THIRD STREET LUVERNE AL 36049 (334) 335-6528 015361 LAUDERDALE CHRISTIAN NURSING HOME 2019 COUNTY ROAD 394 KILLEN AL 35645 (256) 757-2103 015371 HERITAGE HEALTH CARE & REHAB INC 1101 SNOWS MILL AVENUE TUSCALOOSA AL 35406 (205) 759-5179 015372 REGENCY HEALTH CARE AND REHABILITATION CENTER 2004 MAX LUTHER DRIVE HUNTSVILLE AL 35810 (256) 852-9290 015378 MARSHALL MANOR NURSING HOME 3120 NORTH STREET GUNTERSVILLE AL 35976 (256) 582-6561 015381 WESTMINSTER VILLAGE 500 SPANISH FORT BLVD SPANISH FORT AL 36527 (251) 626-7007 015386 ADAMS NURSING HOME 1555 HILLABEE STREET ALEXANDER CITY AL 35010 (256) 329-0847 015388 EAST GLEN 53 MEDICAL PARK DRIVE EAST BIRMINGHAM AL 35235 (205) 833-1777 015390 CAPITOL HILL HEALTHCARE CENTER 520 SOUTH HULL STREET MONTGOMERY AL 36104 (334) 834-2920 015391 JACKSONVILLE HEALTH AND REHABILITATION, LLC 410 WILSON DRIVE SOUTHWEST JACKSONVILLE AL 36265 (256) 435-7704 015392 CYPRESS COVE CARE CENTER 200 ALABAMA AVENUE MUSCLE SHOALS AL 35661 (256) 381-4330 015393 CROWNE HEALTH CARE OF MONTGOMERY 1837 UPPER WETUMPKA ROAD MONTGOMERY AL 36107 (334) 264-8416 015396 COLONIAL HAVEN CARE & REHABILITATION CENTER 616 ARMORY STREET GREENSBORO AL 36744 (334) 624-3054 015397 WINDSOR HOUSE 4411 MCALLISTER DRIVE HUNTSVILLE AL 35805 (256) 837-8585 015398 MONROE MANOR HEALTH & REHABILITATION CENTER 236 WEST CLAIBORNE STREET MONROEVILLE AL 36460 (251) 575-2648 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

015400 MEADOWVIEW NURSING CENTER 7300 OLD HIGHWAY 78 EAST PELL CITY AL 35128 (205) 640-5212 015402 EL REPOSO NURSING FACILITY 260 MILNER CHAPEL ROAD FLORENCE AL 35634 (256) 757-2143 015404 GOLDEN LIVING CENTER - HUEYTOWN 190 BROOKLANE DRIVE HUEYTOWN AL 35023 (205) 491-2905 015407 HEALTH CARE INC P O BOX 130 ASHVILLE AL 35953 (205) 594-5148 015408 WALKER REHABILITATION CENTER, INC 350 NORTHEAST 4TH STREET P O BOX 30 CARBON HILL AL 35549 (205) 924-4404 015410 EAST ALABAMA MEDICAL CENTER SKILLED NURSING FACILITY 2000 PEPPERELL PARKWAY OPELIKA AL 36802 (334) 705-4181 015411 SHELBY RIDGE NURSING HOME 881 3RD STREET NORTHEAST ALABASTER AL 35007 (205) 620-8500 015413 LIGHTHOUSE REHABILITATION & HEALTHCARE CENTER 2911 EARL GOODWIN PARKWAY SELMA AL 36703 (334) 875-1868 015414 LAFAYETTE NURSING HOME 555 B STREET SW LAFAYETTE AL 36862 (334) 864-9371 015416 ANDALUSIA MANOR 670 MOORE RD ANDALUSIA AL 36420 (334) 222-4544 015417 OAKWOOD-NORTH BALDWIN'S CENTER FOR LIVING 2010 MEDICAL CENTER DRIVE BAY MINETTE AL 36507 (251) 349-3735 015419 HARTFORD HEALTH CARE 217 TORO ROAD HARTFORD AL 36344 (334) 588-3842 015420 CUMBERLAND HEALTH AND REHAB 47065 AL HIGHWAY 277 BRIDGEPORT AL 35740 (256) 437-7260 015422 TLC NURSING CENTER 212 ELLEN STREET ONEONTA AL 35121 (205) 625-3520 015424 ROANOKE REHABILITATION & HEALTHCARE CENTER 680 SEYMOUR DRIVE ROANOKE AL 36274 (334) 863-6151 015425 WESTSIDE TERRACE HEALTH & REHABILITATION CENTER 501 NORTH WOODBURN DRIVE DOTHAN AL 36303 (334) 794-1000 015426 CROWNE HEALTH CARE OF SPRINGHILL 3712 DAUPHIN ST MOBILE AL 36608 (251) 304-3013 015431 VALLEY VIEW HEALTH AND REHABILITATION, LLC 5968 WALL TRIANA HIGHWAY MADISON AL 35757 (256) 830-2316 015434 LYNWOOD NURSING HOME 4164 HALLS MILL ROAD MOBILE AL 36693 (251) 661-5404 015436 HILLVIEW TERRACE 100 PERRY HILL RD MONTGOMERY AL 36109 (334) 272-0171 015437 FOLSOM CENTER FOR REHABILITATION AND HEALTHCARE, T 401 ARNOLD STREET N.E. CULLMAN AL 35055 (256) 739-4409 015440 HUNTSVILLE HEALTH & REHABILITATION, LLC 4010 CHRIS DRIVE HUNTSVILLE AL 35802 (256) 883-8656 015442 ORCHARD REHABILITATION & HEALTHCARE CENTER 629 STATE HIGHWAY 21 SOUTH HAYNEVILLE AL 36040 (334) 548-5995 015443 ROBERTSDALE REHABILITATION & HEALTHCARE CTR 18700 U S HIGHWAY 90 ROBERTSDALE AL 36567 (251) 494-7191 015445 CHERRY HILL REHABILITATION & HEALTHCARE CENTER 1250 JEFF GERMANY PARKWAY BIRMINGHAM AL 35214 (205) 796-0214 015446 GREENBRIAR AT THE ALTAMONT SKILLED NURSING FACILITY 2831 HIGHLAND AVENUE SOUTH BIRMINGHAM AL 35205 (205) 323-2724 015448 SOUTH HAMPTON NURSING & REHABILITATION CENTER 213 WILSON MANN ROAD OWENS CROSS ROADS AL 35763 (256) 725-3400 015450 WILLOWBROOKE COURT AT MAGNOLIA TRACE ONE CROWN CIRCLE HUNTSVILLE AL 35802 (256) 650-5700 015451 FLORALA HEALTH AND REHABILITATION LLC 23621 GOLDENROD AVENUE FLORALA AL 36442 (334) 858-8585 015452 OAK PARK 1365 GATEWOOD DRIVE AUBURN AL 36830 (334) 826-7200 015453 COLUMBIANA HEALTH AND REHABILITATION, LLC 22969 HIGHWAY 25 COLUMBIANA AL 35051 (205) 669-1712 015455 MOUNT ROYAL TOWERS 300 ROYAL TOWER DRIVE BIRMINGHAM AL 35209 (205) 870-5666 015456 GULF COAST HEALTH AND REHABILITATION, LLC 8002 GRELOT ROAD MOBILE AL 36695 (251) 634-8002 015457 KIRKWOOD BY THE RIVER 3605 RATLIFF ROAD BIRMINGHAM AL 35210 (205) 956-2184 015459 GALLERIA WOODS SKILLED NURSING FACILITY 3850 GALLERIA WOODS DRIVE BIRMINGHAM AL 35244 (205) 985-7537 015461 LEGACY HEALTH AND REHABILITATION OF PLEASANT GROVE 30 7TH STREET PLEASANT GROVE AL 35127 (205) 744-8226 015464 ASPIRE PHYSICAL RECOVERY CENTER AT HOOVER, LLC 575 SOUTHLAND DRIVE HOOVER AL 35226 (205) 721-6200 025010 KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE 3100 TONGASS AVENUE KETCHIKAN AK 99901 (907) 225-5171 025015 WRANGELL MEDICAL CENTER LTC P.O. BOX 1081 WRANGELL AK 99929 (907) 874-7000 025018 PROVIDENCE TRANSITIONAL CARE CENTER 910 COMPASSION CIRCLE ANCHORAGE AK 99504 (907) 212-9100 025019 PETERSBURG MEDICAL CENTER LTC P.O. BOX 589 PETERSBURG AK 99833 (907) 772-4291 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

025020 DENALI CENTER 1510 19TH AVENUE FAIRBANKS AK 99701 (907) 458-5100 025021 HERITAGE PLACE 232 ROCKWELL AVENUE SOLDOTNA AK 99669 (907) 262-2545 025024 PROVIDENCE SEWARD MED & CARE CENTER LTC 2203 OAK STREET (P.O. BOX 430) SEWARD AK 99664 (907) 224-5241 025026 QUYANNA CARE CENTER 1100 GREG KRUSCHEK AVENUE (P.O. BOX 966) NOME AK 99762 (907) 443-3311 025027 WILDFLOWER COURT 2000 SALMON CREEK LANE JUNEAU AK 99801 (907) 463-8700 025028 CORDOVA COMMUNITY MED LTC P.O. BOX 160 CORDOVA AK 99574 (907) 424-8000 025031 SOUTH PENINSULA HOSPITAL LTC 4300 BARTLETT STREET HOMER AK 99603 (907) 235-0235 025034 PROVIDENCE VALDEZ MEDICAL CENTER 911 MEALS AVENUE VALDEZ AK 99686 (907) 834-1825 025035 UTUQQANAAT INAAT 436 MISSION STREET KOTZEBUE AK 99752 (907) 442-3321 025036 PROVIDENCE EXTENDED CARE 920 COMPASSION CIRCLE ANCHORAGE AK 99504 (907) 212-0259 035014 DESERT TERRACE HEALTHCARE CENTER 2509 NORTH 24TH STREET PHOENIX AZ 85008 (602) 273-1347 035016 HANDMAKER HOME FOR THE AGING 2221 NORTH ROSEMONT BOULEVARD TUCSON AZ 85712 (520) 881-2323 035059 HAVEN OF SCOTTSDALE 3293 NORTH DRINKWATER BOULEVARD SCOTTSDALE AZ 85251 (480) 947-7443 035062 DESERT HAVEN CARE CENTER 2645 EAST THOMAS ROAD PHOENIX AZ 85016 (602) 956-8000 035068 PUEBLO SPRINGS REHABILITATION CENTER 5545 EAST LEE STREET TUCSON AZ 85712 (520) 296-2306 035070 CASAS ADOBES POST ACUTE REHAB CENTER 1919 WEST MEDICAL STREET TUCSON AZ 85704 (520) 297-8311 035071 MISSION PALMS OF MESA HEALTH AND REHABILITATION CE 6458 EAST BROADWAY ROAD MESA AZ 85206 (480) 832-5160 035072 PHOENIX MOUNTAIN NURSING CTR 13232 NORTH TATUM BLVD PHOENIX AZ 85032 (602) 996-5200 035073 SANTA RITA NURSING & REHABILITATION CENTER 150 NORTH LA CANADA DRIVE GREEN VALLEY AZ 85614 (520) 625-0178 035074 THE HEALTH CARE CENTER AT FRIENDSHIP VILLAGE 2525 EAST SOUTHERN AVENUE TEMPE AZ 85282 (480) 831-3184 035076 OSBORN HEALTH AND REHABILITATION 3333 NORTH CIVIC CENTER PLAZA SCOTTSDALE AZ 85251 (480) 994-1333 035083 HERITAGE COURT POST ACUTE OF SCOTTSDALE 3339 NORTH DRINKWATER BOULEVARD SCOTTSDALE AZ 85251 (480) 949-5400 035084 PLAZA HEALTHCARE 1475 NORTH GRANITE REEF ROAD SCOTTSDALE AZ 85257 (480) 990-1904 035087 NORTH MOUNTAIN MEDICAL AND REHABILITATION CENTER 9155 NORTH THIRD STREET PHOENIX AZ 85020 (602) 944-1666 035088 CAMELBACK POST ACUTE AND REHABILITATION 4635 NORTH 14TH STREET PHOENIX AZ 85014 (602) 264-9039 035090 PUEBLO NORTE SENIOR LIVING COMMUNITY 7100 EAST MESCAL STREET SCOTTSDALE AZ 85254 (480) 948-5800 035091 HAVEN OF FLAGSTAFF, LLC 800 WEST UNIVERSITY AVENUE FLAGSTAFF AZ 86001 (928) 779-6931 035092 BELLA VITA HEALTH AND REHABILITATION CENTER 5125 NORTH 58TH AVE GLENDALE AZ 85301 (623) 931-5800 035093 HAVEN OF COTTONWOOD, LLC 197 SOUTH WILLARD STREET COTTONWOOD AZ 86326 (928) 634-5548 035094 KACHINA POINT REHABILITATION HOSPITAL, LLC 505 JACKS CANYON ROAD SEDONA AZ 86351 (928) 284-1000 035100 HAVASU NURSING CENTER 3576 KEARSAGE DRIVE LAKE HAVASU CITY AZ 86406 (928) 453-1500 035103 CITADEL POST ACUTE 5121 EAST BROADWAY ROAD MESA AZ 85206 (480) 832-5555 035110 SUN WEST CHOICE HEALTHCARE & REHAB 14002 WEST MEEKER BLVD SUN CITY WEST AZ 85375 (623) 584-6161 035111 LAKE PLEASANT POST ACUTE REHABILITATION CENTER 20625 NORTH LAKE PLEASANT ROAD PEORIA AZ 85382 (623) 566-0642 035112 APACHE JUNCTION HLTH CENTER 2012 WEST SOUTHERN AVE APACHE JUNCTION AZ 85120 (480) 983-0700 035116 THE REHABILITATION CENTER AT THE PALAZZO 6246 NORTH 19TH AVENUE PHOENIX AZ 85015 (602) 433-6300 035117 PAYSON CARE CENTER 107 EAST LONE PINE DRIVE PAYSON AZ 85541 (928) 474-6896 035121 BANNER BOSWELL REHABILITATION CENTER 10601 WEST SANTA FE DRIVE SUN CITY AZ 85351 (623) 832-7000 035126 LIFE CARE CENTER OF NORTH GLENDALE 13620 NORTH 55TH AVENUE GLENDALE AZ 85304 (602) 843-8433 035127 PRESCOTT NURSING AND REHABILITATION CENTER 864 DOUGHERTY STREET PRESCOTT AZ 86305 (928) 778-9667 035131 GRANITE CREEK HEALTH & REHABILITATION CENTER 1045 SCOTT DRIVE PRESCOTT AZ 86301 (928) 778-9603 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

035132 CORONADO HEALTHCARE CENTER 11411 NORTH 19TH AVE PHOENIX AZ 85029 (602) 256-7500 035133 LIFE CARE CENTER OF YUMA 2450 SOUTH 19TH AVENUE YUMA AZ 85364 (928) 344-0425 035135 MONTECITO POST ACUTE CARE AND REHABILITATION 51 SOUTH 48TH STREET MESA AZ 85206 (480) 832-8333 035137 LIFESTREAM AT COOK HEALTH CARE 11527 WEST PEORIA AVE YOUNGTOWN AZ 85363 (623) 933-4683 035139 HAVEN OF SHOW LOW, LLC 2401 EAST HUNT STREET SHOW LOW AZ 85901 (928) 537-5333 035141 HERITAGE HEALTH CARE CENTER 1300 SOUTH STREET GLOBE AZ 85501 (928) 425-3118 035143 LIFE CARE CENTER OF SCOTTSDALE 9494 EAST BECKER LANE SCOTTSDALE AZ 85260 (480) 860-6396 035144 PLAZA DEL RIO CARE CENTER 13215 NORTH 94TH DRIVE PEORIA AZ 85381 (623) 933-7722 035145 DEVON GABLES REHABILITATION CENTER 6150 EAST GRANT ROAD TUCSON AZ 85712 (520) 296-6181 035151 SABINO CANYON REHABILITATION & CARE CENTER 5830 EAST PIMA STREET TUCSON AZ 85712 (520) 722-5515 035152 YUMA NURSING CENTER 1850 WEST 25TH STREET YUMA AZ 85364 (928) 726-6700 035154 PROVIDENCE PLACE AT GLENCROFT 8641 NORTH 67TH AVE GLENDALE AZ 85302 (623) 939-9475 035157 NORTHERN COCHISE NURSING HOME 901 WEST REX ALLEN DRIVE WILLCOX AZ 85643 (520) 384-3541 035158 GOOD SAMARITAN SOCIETY-PRESCOTT VILLAGE 1030 SCOTT DRIVE PRESCOTT AZ 86301 (928) 778-2450 035159 HORIZON POST ACUTE AND REHABILITATION CENTER 4704 WEST DIANA AVENUE GLENDALE AZ 85302 (623) 247-3949 035164 DESERT BLOSSOM HEALTH & REHAB CENTER 60 SOUTH 58TH STREET MESA AZ 85206 (480) 832-3903 035165 HAVEN OF TUCSON LLC 3705 NORTH SWAN ROAD TUCSON AZ 85718 (520) 299-7088 035171 GOOD SAMARITAN SOCIETY-MESA GOOD SHEPHERD 5848 EAST UNIVERSITY DRIVE MESA AZ 85205 (480) 981-0098 035173 CHRISTIAN CARE NURSING CENTER 11812 NORTH 19TH AVE PHOENIX AZ 85029 (602) 861-3241 035174 PARK AVENUE HEALTH AND REHABILITATION CENTER 2001 NORTH PARK AVENUE TUCSON AZ 85719 (520) 882-6151 035175 MARAVILLA CARE CENTER 8825 SOUTH 7TH STREET PHOENIX AZ 85042 (602) 243-6121 035176 BEATITUDES CAMPUS 1712 WEST GLENDALE AVENUE PHOENIX AZ 85021 (602) 995-2611 035180 HAVEN OF DOUGLAS, LLC 1400 NORTH SAN ANTONIO DOUGLAS AZ 85607 (520) 364-7937 035183 GOOD SAMARITAN SOCIETY-PEORIA GOOD SHEPHERD 10323 WEST OLIVE AVENUE PEORIA AZ 85345 (623) 875-0100 035189 LA CANADA CARE CENTER 7970 NORTH LA CANADA DRIVE TUCSON AZ 85704 (520) 797-1191 035192 WEYRICH HCC OF WESTMINSTER VLG 12000 NORTH 90TH STREET SCOTTSDALE AZ 85260 (480) 451-2020 035196 MESA CHRISTIAN HEALTH AND REHABILITATION CENTER 255 WEST BROWN ROAD MESA AZ 85201 (480) 833-3988 035197 HAVEN OF YUMA 2470 SOUTH ARIZONA AVENUE YUMA AZ 85364 (928) 344-8541 035201 FORUM AT DESERT HARBOR, THE 13840 NORTH DESERT HARBOR DRIVE PEORIA AZ 85381 (623) 972-0995 035207 SPRINGDALE VILLAGE HEALTH CARE 7255 EAST BROADWAY ROAD MESA AZ 85208 (480) 981-8844 035217 SCOTTSDALE VILLAGE SQUARE 2620 NORTH 68TH STREET SCOTTSDALE AZ 85257 (480) 946-6571 035225 SUN CITY HEALTH AND REHABILITATION CENTER 9940 WEST UNION HILLS DRIVE SUN CITY AZ 85373 (623) 933-0022 035231 SIERRA WINDS 17300 NORTH 88TH AVE PEORIA AZ 85382 (623) 972-0212 035232 MOUNTAIN VIEW CARE CENTER 1313 WEST MAGEE ROAD TUCSON AZ 85704 (520) 797-2600 035233 HAVEN OF GLOBE 1100 MONROE STREET GLOBE AZ 85501 (928) 425-5721 035234 ARIZONA STATE VETERAN HOME-PHX 4141 NORTH S HERRERA WAY PHOENIX AZ 85012 (602) 248-1550 035241 SOUTH MOUNTAIN POST ACUTE 8008 S. JESSE OWENS PARKWAY PHOENIX AZ 85040 (602) 243-2780 035243 LIFESTREAM AT SUN RIDGE 12215 WEST BELL ROAD SURPRISE AZ 85374 (623) 583-5482 035244 GOOD SAMARITAN SOCIETY-PRESCOTT VALLEY 3380 NORTH WINDSONG DRIVE PRESCOTT VALLEY AZ 86314 (928) 775-0045 035245 SUNVIEW HEALTH & REHABILITATION CENTER 12207 NORTH 113TH AVENUE YOUNGTOWN AZ 85363 (623) 977-6532 035247 MARYLAND GARDENS CARE CENTER 31 WEST MARYLAND AVENUE PHOENIX AZ 85013 (602) 265-7484 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

035251 BROOKDALE NORTH CHANDLER 2555 NORTH PRICE ROAD CHANDLER AZ 85224 (480) 345-8500 035253 BROOKDALE SANTA CATALINA 7500 NORTH CALLE SIN ENVIDIA TUCSON AZ 85718 (520) 742-6242 035254 WINSLOW CAMPUS OF CARE 826 WEST DESMOND STREET WINSLOW AZ 86047 (928) 289-4678 035255 PALM VALLEY REHAB & CARE CTR 13575 WEST MCDOWELL ROAD GOODYEAR AZ 85338 (623) 536-9911 035256 FREEDOM PLAZA CARE CENTER 13714 NORTH PLAZA DEL RIO BLVD PEORIA AZ 85381 (623) 815-6100 035257 THE PEAKS, A SENIOR LIVING COMMUNITY 3150 NORTH WINDING BROOK ROAD EAST FLAGSTAFF AZ 86001 (928) 774-7106 035258 HACIENDA NURSING FACILITY 1402 EAST SOUTH MOUNTAIN AVENUE PHOENIX AZ 85040 (602) 243-4231 035259 THE GARDENS OF SCOTTSDALE 6001 EAST THOMAS ROAD SCOTTSDALE AZ 85251 (480) 941-2222 035260 FOUNTAIN VIEW VILLAGE 16455 EAST AVENUE OF THE FOUNTAINS FOUNTAIN HILLS AZ 85268 (480) 836-4800 035261 THE GARDENS OF SUN CITY 17225 NORTH BOSWELL BOULEVARD SUN CITY AZ 85373 (623) 933-2222 035262 THE LINGENFELTER CENTER 1099 SUNRISE AVENUE KINGMAN AZ 86401 (928) 718-4852 035264 SUN HEALTH LA LOMA CARE CENTER 14260 SOUTH DENNY BOULEVARD LITCHFIELD PARK AZ 85340 (623) 537-7400 035265 SUN HEALTH GRANDVIEW CARE CTR 14505 WEST GRANITE VALLEY DRIVE SUN CITY WEST AZ 85375 (623) 975-8100 035266 ADVANCED HEALTHCARE OF MESA 5755 EAST MAIN STREET MESA AZ 85205 (480) 214-2400 035267 THE RIVER GARDENS REHAB AND CARE CENTER 2150 SILVER CREEK ROAD BULLHEAD CITY AZ 86442 (928) 763-8700 035268 ADVANCE HEALTH CARE OF SCOTTSDALE 9846 NORTH 95TH STREET SCOTTSDALE AZ 85258 (480) 214-4200 035270 LA ESTANCIA NURSING AND REHABILITATION CENTER 15810 SOUTH 42ND STREET PHOENIX AZ 85048 (480) 759-0358 035272 VI AT GRAYHAWK, A VI AND PLAZA COMPANIES COMMUNITY 7501 EAST THOMPSON PEAK PARKWAY SCOTTSDALE AZ 85255 (480) 361-3200 035273 SPLENDIDO AT RANCHO VISTOSO 13500 NORTH RANCHO VISTOSO BLVD TUCSON AZ 85755 (520) 878-2600 035274 CAREMERIDIAN-PHOENIX 5301 EAST THOMAS ROAD PHOENIX AZ 85008 (602) 687-1100 035275 ADVANCED HEALTH CARE OF GLENDALE 16825 NORTH 63RD AVENUE GLENDALE AZ 85306 (602) 732-3400 035279 ACACIA HEALTH CENTER 4555 EAST MAYO BLVD PHOENIX AZ 85050 (480) 384-5600 035280 SANTE OF MESA 5358 EAST BASELINE ROAD MESA AZ 85206 (480) 699-9624 035281 VI AT SILVERSTONE, A VI AND PLAZA COMPANIES COMMUN 22605 NORTH 74TH STREET SCOTTSDALE AZ 85255 (480) 478-6200 035282 SANTE OF SURPRISE 14775 WEST YORKSHIRE DRIVE SURPRISE AZ 85374 (623) 594-5050 035283 SANTE OF CHANDLER 825 SOUTH 94TH STREET CHANDLER AZ 85224 (480) 361-6636 035284 ARIZONA STATE VETERAN HOME-TUCSON 555 EAST AJO WAY TUCSON AZ 85713 (520) 638-2150 035285 WELLSPRINGS CARE AND REHAB 3319 SOUTH MERCY ROAD GILBERT AZ 85297 (480) 729-6500 035286 SANTE OF NORTH SCOTTSDALE 17490 NORTH 93RD STREET SCOTTSDALE AZ 85255 (480) 588-5386 035287 HAVASU REGIONAL MEDICAL CENTER 1811 MESQUITE AVE LAKE HAVASU CITY AZ 86403 (928) 505-5793 045125 BUTTERFIELD TRAIL VILLAGE 1923 EAST JOYCE BLVD FAYETTEVILLE AR 72703 (479) 695-8065 045139 MCGEHEE HEALTH AND REHABILITATION CENTER 700 MARK DRIVE MCGEHEE AR 71654 (870) 222-5450 045145 WHITE RIVER MEDICAL CENTER RECUPERATION CENTER 1710 HARRISON STREET BATESVILLE AR 72501 (870) 262-1235 045146 HIGHLANDS OF MOUNTAIN VIEW THERAPY AND LIVING CENT 706 OAK GROVE ST MOUNTAIN VIEW AR 72560 (870) 269-5835 045147 BROOKRIDGE COVE REHABILITATION AND CARE CENTER 1000 BROOKRIDGE LANE MORRILTON AR 72110 (501) 354-4585 045148 CAVE CITY NURSING HOME, INC 442 TAYLOR CIRCLE CAVE CITY AR 72521 (870) 283-5313 045149 RIVER CHASE REHABILITATION AND CARE CENTER # 12 HOSPITAL DRIVE MORRILTON AR 72110 (501) 354-4647 045151 WALNUT RIDGE NURSING & REHABILITATION CENTER 1500 WEST MAIN WALNUT RIDGE AR 72476 (870) 886-9022 045153 INDIAN ROCK VILLAGE HEALTH CENTER 265 DAVE CREEK PARKWAY FAIRFIELD BAY AR 72088 (501) 884-3210 045155 ASH FLAT HEALTHCARE AND REHABILITATION CENTER 66 OZBIRN LANE ASH FLAT AR 72513 (870) 994-2341 045157 RIVER RIDGE REHABILITATION AND CARE CENTER 1100 EAST MARTIN DRIVE WYNNE AR 72396 (870) 238-4400 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

045158 SEVEN SPRINGS REHABILITATION AND HEALTH CENTER 1040 WEDDINGFORD RD HEBER SPRINGS AR 72543 (501) 362-8137 045163 PINE LANE THERAPY AND LIVING 1100 PINE TREE LANE MOUNTAIN HOME AR 72653 (870) 425-6316 045165 LINCOLN HEIGHTS HEALTHCARE 505 EAST VICTORY STAR CITY AR 71667 (870) 619-2139 045168 JOHNSON COUNTY HEALTH AND REHAB, LLC 1451 EAST POPLAR STREET CLARKSVILLE AR 72830 (479) 754-2052 045170 BELLE MEADE, A REHABILITATION AND GUEST CARE FACIL 1800 LINWOOD DRIVE PARAGOULD AR 72450 (870) 236-7104 045173 SILVER OAKS HEALTH AND REHABILITATION 1875 OLD WIRE ROAD CAMDEN AR 71701 (870) 836-6831 045176 THE WOODS OF MONTICELLO HEALTH AND REHABILITATION 1194 N CHESTER ST MONTICELLO AR 71655 (870) 367-6852 045177 CRESTPARK DEWITT, LLC 1325 LIBERTY DRIVE DE WITT AR 72042 (870) 946-3569 045178 GENERAL BAPTIST NURSING HOME OF PIGGOTT 450 SO NINTH ST PIGGOTT AR 72454 (870) 598-2291 045182 COURTYARD REHABILITATION AND HEALTH CENTER, LLC 2415 W HILLSBORO EL DORADO AR 71730 (870) 863-5034 045183 SALEM PLACE NURSING AND REHABILITATION CENTER, INC 2401 CHRISTINA LANE CONWAY AR 72034 (501) 327-4421 045187 THE GREEN HOUSE COTTAGES OF WENTWORTH PLACE 26 WARNOCK SPRINGS ROAD MAGNOLIA AR 71753 (870) 234-1361 045191 GOOD SAMARITAN SOCIETY - HOT SPRINGS VILLAGE 121 CORTEZ RD HOT SPRINGS VILLAGE AR 71909 (501) 922-2000 045195 BROADWAY HEALTH AND REHAB,LLC 800 WEST BROADWAY WEST MEMPHIS AR 72301 (870) 735-5174 045197 HARRISON REHABILITATION AND HEALTH CENTER 115 ORENDORFF AVENUE HARRISON AR 72601 (870) 741-3438 045199 HEARTLAND REHABILITATION AND CARE CENTER 19701 INTERSTATE 30 BENTON AR 72015 (501) 778-8200 045201 CHAPEL WOODS HEALTH AND REHABILITATION 1440 EAST CHURCH WARREN AR 71671 (870) 226-6766 045207 OUACHITA NURSING AND REHABILITATION CENTER 1411 COUNTRY CLUB ROAD CAMDEN AR 71701 (870) 836-4111 045208 CABOT HEALTH AND REHAB, LLC 200 NORTH PORT DRIVE CABOT AR 72023 (501) 843-6181 045209 THE CROSSING AT RIVERSIDE HEALTH AND REHABILITATIO 2500 EAST MOORE AVENUE SEARCY AR 72143 (501) 268-2324 045211 ARKANSAS NURSING AND REHABILITATION CENTER 2107 DUDLEY STREET TEXARKANA AR 71854 (870) 772-4427 045214 HUDSON MEMORIAL NURSING HOME 700 N. COLLEGE AVENUE EL DORADO AR 71730 (870) 863-8131 045216 TWIN RIVERS HEALTH AND REHABILITATION 3021 TWIN RIVERS DRIVE ARKADELPHIA AR 71923 (870) 246-6337 045217 WEST MEMPHIS HEALTH AND REHAB 610 SOUTH AVALON ST WEST MEMPHIS AR 72301 (870) 735-4543 045218 GASSVILLE THERAPY & LIVING 203 COTTER ROAD GASSVILLE AR 72635 (870) 435-2588 045219 CRESTPARK FORREST CITY, LLC 500 KITTEL RD FORREST CITY AR 72335 (870) 633-4260 045221 CRESTPARK HELENA, LLC 116 NOVEMBER DRIVE HELENA AR 72342 (870) 338-9886 045222 WOODRUFF COUNTY HEALTH CENTER 139 HIGHWAY 64 WEST MCCRORY AR 72101 (870) 731-2543 045227 PLEASANT MANOR NURSING & REHAB 950 HOMESTEAD ASHDOWN AR 71822 (870) 898-5001 045229 MENA MANOR 100 9TH STREET MENA AR 71953 (479) 394-2617 045232 HIGHLANDS OF STAMPS THERAPY AND LIVING CENTER 826 NORTH STREET STAMPS AR 71860 (870) 533-4444 045235 GARLAND NURSING AND REHABILITATION CENTER 610 CARPENTER DAM RD HOT SPRINGS AR 71901 (501) 262-2571 045236 DES ARC NURSING AND REHABILITATION CENTER 2216 WEST MAIN STREET DES ARC AR 72040 (870) 256-4194 045239 BELLE VIEW ESTATES REHABILITATION AND CARE CENTER 1052 OLD WARREN ROAD MONTICELLO AR 71655 (870) 367-0044 045241 BAILEY CREEK HEALTH & REHAB 1621 EAST 42ND ST TEXARKANA AR 71854 (870) 774-3581 045242 BRIGHTON RIDGE 235 HUNTSVILLE ROAD EUREKA SPRINGS AR 72632 (479) 253-7038 045243 THE PINES NURSING AND REHABILITATION CENTER 524 CARPENTER DAM ROAD HOT SPRINGS AR 71901 (501) 262-4124 045244 LITTLE RIVER NURSING & REHAB 162 HWY 32-2A ASHDOWN AR 71822 (870) 898-5101 045245 CONWAY HEALTHCARE AND REHABILITATION CENTER 2603 DAVE WARD DRIVE CONWAY AR 72032 (501) 329-2149 045246 PERRY COUNTY NURSING AND REHABILITATION CENTER 1321 SCENIC DRIVE PERRYVILLE AR 72126 (501) 889-2400 045247 STELLA MANOR NURSING AND REHABILITATION CENTER 400 NORTH VANCOUVER AVENUE RUSSELLVILLE AR 72801 (479) 968-4141 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

045248 SOUTHFORK RIVER THERAPY AND LIVING 624 HWY 62/412 WEST SALEM AR 72576 (870) 895-3817 045250 GOOD SAMARITAN SOCIETY - MOUNTAIN HOME 300 GOOD SAMARITAN DRIVE MOUNTAIN HOME AR 72653 (870) 425-2494 045256 SHERIDAN HEALTHCARE AND REHABILITATION CENTER 113 SOUTH BRIARWOOD DRIVE SHERIDAN AR 72150 (870) 942-2183 045266 MONTGOMERY COUNTY NURSING HOME 741 SOUTH DRIVE MOUNT IDA AR 71957 (870) 867-2156 045267 LEGACY HEALTH AND REHABILITATION CENTER 3310 NORTH 50TH STREET FORT SMITH AR 72904 (479) 783-3101 045269 GARDNER NURSING AND REHABILITATION 702 NO DREW ST STAR CITY AR 71667 (870) 628-4144 045270 ARBOR OAKS HEALTHCARE AND REHABILITATION CENTER 105 RUSSELLVILLE ROAD MALVERN AR 72104 (501) 332-5251 045271 OAK RIDGE NURSING HOME 501 HUDSON ST EL DORADO AR 71730 (870) 862-5511 045275 GRACE POINT, LLC 1700 EAST SHORT HILLSBORO EL DORADO AR 71730 (870) 862-5124 045280 TWIN LAKES THERAPY AND LIVING 6152 HIGHWAY 202 EAST FLIPPIN AR 72634 (870) 453-4603 045284 POCAHONTAS HEALTHCARE AND REHABILITATION CENTER 105 COUNTRY CLUB ROAD POCAHONTAS AR 72455 (870) 892-2523 045287 DE QUEEN THERAPY & LIVING CENTER, INC 322 WEST COLLIN RAYE DRIVE DE QUEEN AR 71832 (870) 642-3562 045290 DARDANELLE NURSING AND REHABILITATION CENTER,INC 2199 STATE HWY 7 NORTH DARDANELLE AR 72834 (479) 229-4884 045295 AUTUMN HILL, INC 500 HAMMOND AVENUE BERRYVILLE AR 72616 (870) 423-6966 045297 MANILA NURSING CENTER 814 NORTH DAVIS STREET MANILA AR 72442 (870) 561-3342 045301 OAK MANOR NURSING AND REHABILITATION CENTER INC 150 MORTON AVENUE BOONEVILLE AR 72927 (479) 675-3763 045302 INNISFREE HEALTH AND REHAB, LLC 301 SOUTH 24TH STREET ROGERS AR 72758 (479) 636-5545 045303 CRESTPARK STUTTGART, LLC 707 WEST 20TH STREET STUTTGART AR 72160 (870) 673-1657 045304 BEEBE RETIREMENT CENTER, INC. 709 MCAFEE LANE BEEBE AR 72012 (501) 882-3313 045306 HILLCREST CARE AND REHAB 1421 WEST SECOND ST NORTH PRESCOTT AR 71857 (870) 887-3811 045307 JEFFERSON REGIONAL MEDICAL CENTER 1600 WEST 40TH AVENUE PINE BLUFF AR 71603 (870) 541-7100 045308 HERITAGE LIVING CENTER 1175 MORNINGSIDE DRIVE CONWAY AR 72034 (501) 327-7642 045311 DAVIS EAST 6811 SOUTH HAZEL STREET PINE BLUFF AR 71603 (870) 535-1155 045312 MONETTE MANOR LLC 669 HWY 139 NORTH MONETTE AR 72447 (870) 486-5419 045315 LAKESIDE NURSING CENTER 1207 WILLOW RUN ROAD LAKE CITY AR 72437 (870) 237-8151 045318 CHAMBERS NURSING HOME CENTER, INC 1001 EAST PARK STREET CARLISLE AR 72024 (870) 552-7150 045321 LEXINGTON PLACE HEALTHCARE AND REHABILITATION, LLC 2911 BROWNS LANE JONESBORO AR 72401 (870) 935-8330 045322 PIONEER THERAPY AND LIVING 1506 EAST MAIN STREET MELBOURNE AR 72556 (870) 368-4377 045326 CRAWFORD HEALTHCARE & REHABILITATION CENTER 2010 MAIN STREET VAN BUREN AR 72956 (479) 474-6885 045327 RIDGECREST HEALTH AND REHABILITATION 5504 E JOHNSON AVE JONESBORO AR 72401 (870) 932-3271 045332 ARLINGTON COVE HEALTHCARE, LLC 333 MELODY DRIVE TRUMANN AR 72472 (870) 275-4068 045334 LINDLEY HEALTHCARE AND REHABILITATION CENTER 326 LINDLEY LANE NEWPORT AR 72112 (870) 523-6539 045338 QUAPAW CARE AND REHABILITATION CENTER LLC 138 BRIGHTON TERRACE HOT SPRINGS AR 71913 (501) 525-7140 045339 ATKINS NURSING AND REHABILITATION CENTER 605 NORTHWEST 7TH STREET ATKINS AR 72823 (479) 641-7100 045340 RUSSELLVILLE NURSING AND REHABILITATION CENTER 215 SOUTH PORTLAND AVENUE RUSSELLVILLE AR 72801 (479) 968-5256 045342 NASHVILLE NURSING AND REHAB, INC 810 NORTH 8TH ST NASHVILLE AR 71852 (870) 845-4600 045343 NURSING AND REHABILITATION CENTER AT GOOD SHEPHERD 3001 ALDERSGATE ROAD LITTLE ROCK AR 72205 (501) 217-9774 045350 COURTYARD GARDENS HEALTH AND REHABILITATION CENTER 2701 TWIN RIVERS DRIVE ARKADELPHIA AR 71923 (870) 246-5566 045352 EAGLECREST NURSING AND REHAB 916 HIGHWAY 62/412 ASH FLAT AR 72513 (870) 994-3040 045353 HIGHLAND COURT, A REHABILITATION AND RESIDENT CARE 942 NORTH HIGHWAY 65 MARSHALL AR 72650 (870) 448-3577 045356 SILOAM SPRINGS NURSING AND REHABILITATION CENTER 811 WEST ELGIN STREET SILOAM SPRINGS AR 72761 (479) 524-3128 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

045357 PREMIER HEALTH AND REHABILITATION CENTER 3600 RICHARDS ROAD NORTH LITTLE ROCK AR 72117 (501) 955-2108 045358 RICH MOUNTAIN NURSING AND REHABILITATION CENTER 306 HORNBECK MENA AR 71953 (479) 394-3511 045363 COVINGTON COURT HEALTH AND REHABILITATION CENTER 4500 OLD GREENWOOD RD FORT SMITH AR 72903 (479) 646-5700 045364 CHAPEL RIDGE HEALTH AND REHAB 4623 ROGERS AVENUE FORT SMITH AR 72903 (479) 452-1541 045366 HERITAGE SQUARE NURSING AND REHABILITATION CENTER, 710 NO RUDDLE BLYTHEVILLE AR 72316 (870) 763-3654 045367 WINDCREST HEALTH AND REHAB INC 2455 LOWELL ROAD SPRINGDALE AR 72764 (479) 756-9000 045369 MOUNTAIN MEADOWS HEALTH AND REHABILITATION 1680 BATESVILLE BOULEVARD BATESVILLE AR 72501 (870) 251-1112 045370 ALMA HEALTHCARE AND REHABILITATION CENTER 401 HEATHER LANE ALMA AR 72921 (479) 632-4343 045371 WESTWOOD HEALTH AND REHAB, INC 802 S WEST END STREET SPRINGDALE AR 72764 (479) 756-1600 045373 BRADFORD HOUSE NURSING AND REHAB, LLC 1202 S E 30TH STREET BENTONVILLE AR 72712 (479) 273-3430 045376 SHERWOOD NURSING & REHABILITATION CENTER, INC 245 INDIAN BAY DRIVE SHERWOOD AR 72120 (501) 834-9960 045380 ST ELIZABETH'S PLACE 3010 MIDDLEFIELD DRIVE JONESBORO AR 72401 (870) 802-0090 045381 GREENBRIER NURSING AND REHABILITATION CENTER #16 WILSON FARM ROAD GREENBRIER AR 72058 (501) 679-0860 045383 WALDRON NURSING CENTER INC 1369 WEST 6TH STREET WALDRON AR 72958 (479) 637-3171 045384 WOODBRIAR NURSING HOME 204 CATHERINE ST HARRISBURG AR 72432 (870) 578-2483 045387 BRIARWOOD NURSING AND REHABILITATION CENTER,INC 516 SOUTH RODNEY PARHAM ROAD LITTLE ROCK AR 72205 (501) 224-9000 045390 PLEASANT VALLEY NURSING & REHABILITATION 12111 HINSON RD LITTLE ROCK AR 72212 (501) 225-8888 045391 THREE RIVERS HEALTHCARE AND REHABILITATION 33904 HIGHWAY 63 E MARKED TREE AR 72365 (870) 358-2432 045392 SPRING CREEK HEALTH & REHAB 804 N 2ND ST CABOT AR 72023 (501) 843-3100 045393 ENCORE HEALTHCARE AND REHABILITATION 1820 WEST MOLINE STREET MALVERN AR 72104 (501) 337-9581 045394 RECTOR NURSING & REHAB 1023 HIGHWAY 119 RECTOR AR 72461 (870) 595-1040 045396 ST JOHNS PLACE OF ARKANSAS, LLC 1400 HWY 79/167 BYPASS FORDYCE AR 71742 (870) 352-2104 045398 NORTH HILLS LIFE CARE AND REHAB 27 E APPLEBY ROAD FAYETTEVILLE AR 72703 (479) 444-9000 045401 WHITE RIVER HEALTHCARE 1569 AR HIGHWAY 56 CALICO ROCK AR 72519 (870) 297-3719 045402 HIGHLAND HEALTHCARE & REHABILITATION CENTER 670 ROGERS ROAD BELLA VISTA AR 72715 (479) 876-1847 045403 GLENWOOD HEALTH AND REHABILITATION, LLC 615 MOUNTAIN VIEW ROAD GLENWOOD AR 71943 (870) 356-3953 045406 HIRAM SHADDOX GERIATRIC HEALTH AND REHAB 620 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 (870) 425-6203 045407 THE MAPLES AT HAR-BER MEADOWS 6456 LYNCH'S PRAIRIE COVE SPRINGDALE AR 72762 (479) 361-4669 045408 ALCOA PINES HEALTH AND REHABILITATION 3300 ALCOA ROAD BENTON AR 72015 (501) 315-1700 045409 PRAIRIE GROVE HEALTH AND REHABILITATION, LLC 621 SOUTH MOCK STREET PRAIRIE GROVE AR 72753 (479) 846-2169 045411 SUMMIT HEALTH AND REHAB CENTER 506 NORTH LONG AVENUE TAYLOR AR 71861 (870) 694-3781 045412 WILLOWBEND AT MARION 101 BROUGHAM AVENUE MARION AR 72364 (870) 739-3268 045413 METHODIST HEALTH AND REHAB 1915 SOUTH 74TH ST FORT SMITH AR 72903 (479) 452-1611 045414 OZARK HEALTH NURSING AND REHAB CENTER 2500 HIGHWAY 65 SOUTH CLINTON AR 72031 (501) 745-7000 045415 MURFREESBORO REHAB AND NURSING, INC 110 W 13TH STREET MURFREESBORO AR 71958 (870) 285-2186 045416 TIMBERLANE HEALTH AND REHABILITATION 2002 TIMBERWOOD ROAD EL DORADO AR 71730 (870) 863-8090 045417 ARKANSAS VETERANS HOME AT FAYETTEVILLE 1179 NORTH COLLEGE AVENUE FAYETTEVILLE AR 72703 (479) 444-7001 045418 OAKDALE NURSING FACILITY 101 CYNTHIA JUDSONIA AR 72081 (501) 268-2288 045419 ASHTON PLACE HEALTH AND REHAB, LLC 318 STROZIER LANE BARLING AR 72923 (479) 452-8181 045421 ASHLEY HEALTH AND REHABILITATION 2600 N 22ND STREET ROGERS AR 72756 (479) 899-6778 045422 THE LAKES AT MAUMELLE HEALTH AND REHABILITATION 103 ALEXANDRIA DRIVE MAUMELLE AR 72113 (501) 734-1400 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

045427 SHILOH NURSING AND REHAB, LLC 1092 WEST STULTZ ROAD SPRINGDALE AR 72764 (479) 750-3800 045430 CLA-CLIF NURSING AND REHAB CENTER, INC 1214 NORTH MAIN BRINKLEY AR 72021 (870) 734-3636 045433 CORNING THERAPY AND LIVING CENTER 831 NORTH MISSOURI CORNING AR 72422 (870) 857-3100 045434 KATHERINE'S PLACE AT WEDINGTON 4405 WEST PERSIMMON STREET FAYETTEVILLE AR 72704 (479) 444-6108 045435 JAMESTOWN NURSING AND REHAB, LLC 2001 HAMPTON PLACE ROGERS AR 72758 (479) 986-9945 045437 STONEGATE VILLA HEALTH AND REHABILITATION, LLC 118 JERRY SELBY DRIVE CROSSETT AR 71635 (870) 364-1534 045439 GOSNELL THERAPY AND LIVING 700 MOODY STREET GOSNELL AR 72315 (870) 532-5550 045440 OSCEOLA THERAPY AND LIVING 287 SOUTH COUNTRY CLUB ROAD OSCEOLA AR 72370 (870) 563-3201 045441 HILLCREST HOME 1111 MAPLEWOOD RD HARRISON AR 72601 (870) 741-5001 045443 RANDOLPH COUNTY NURSING HOME 500 CAMP ROAD POCAHONTAS AR 72455 (870) 892-5214 045445 LAKE HAMILTON HEALTH AND REHAB 120 PITTMAN ROAD HOT SPRINGS AR 71913 (501) 767-7530 045446 MADISON HEALTHCARE & REHABILITATION CENTER 2821 W DIXON RD LITTLE ROCK AR 72206 (501) 888-4200 045447 GREENHURST NURSING CENTER 226 SKYLER DRIVE CHARLESTON AR 72933 (479) 965-7373 045453 GREYSTONE NURSING AND REHAB, LLC 121 SPRING VALLEY ROAD CABOT AR 72023 (501) 605-1545 045454 MITCHELL'S NURSING HOME, INC 501 W 10TH DANVILLE AR 72833 (479) 495-2914 045455 HICKORY HEIGHTS HEALTH AND REHAB, LLC #3 CHENAL HEIGHTS DRIVE LITTLE ROCK AR 72223 (501) 830-2273 055001 REDLANDS HEALTHCARE CENTER 1620 WEST FERN AVENUE REDLANDS CA 92373 (909) 793-2609 055002 COUNTRY MANOR HEALTHCARE 11723 FENTON AVENUE LAKE VIEW TERRACE CA 91342 (818) 899-0251 055003 EUREKA REHABILITATION & WELLNESS CENTER, LP 2353 TWENTY-THIRD ST EUREKA CA 95501 (707) 445-3261 055008 EDGEMOOR HOSPITAL 655 PARK CENTER DRIVE SANTEE CA 92071 (619) 596-5500 055011 ACACIA PARK NURSING & REHAB CENTER 1611 SCENIC DRIVE MODESTO CA 95355 (209) 523-5667 055013 EISENBERG VILLAGE 18855 VICTORY BL RESEDA CA 91335 (818) 774-3000 055014 FAIRFIELD POST-ACUTE REHAB 1255 TRAVIS BLVD FAIRFIELD CA 94533 (707) 425-0623 055016 MOUNT SAN ANTONIO GARDENS 900 E. HARRISON AVE POMONA CA 91767 (909) 624-5061 055022 MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOS 2929 THERESA DR NEWBURY PARK CA 91320 (805) 498-3644 055028 LOS BANOS NURSING & REHABILITATION CENTER 931 IDAHO AVE. LOS BANOS CA 93635 (209) 826-0790 055034 MOTION PICTURE AND T.V. HOSP D/P SNF 23388 MULHOLLAND DR. WOODLAND HILLS CA 91364 (818) 876-1888 055036 MAPLE HEALTHCARE CENTER 2625 S. MAPLE AVE. LOS ANGELES CA 90011 (213) 747-6371 055039 GOOD SAMARITAN REHAB AND CARE CENTER 1630 N. EDISON STREET STOCKTON CA 95204 (209) 948-8762 055041 ROYAL CARE SKILLED NURSING CTR 2725 PACIFIC AVENUE LONG BEACH CA 90806 (562) 427-7493 055047 GOLDEN LIVINGCENTER - CHOWCHILLA 1010 VENTURA AVENUE CHOWCHILLA CA 93610 (559) 665-4826 055049 GRACE HEALTHCARE OF PLEASANT HILL 1625 OAK PARK BOULEVARD PLEASANT HILL CA 94523 (925) 935-5222 055056 PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP 126 N. SAN GABRIEL BLVD. SAN GABRIEL CA 91775 (626) 285-3131 055057 LAFAYETTE CARE CENTER 1010 1ST STREET LAFAYETTE CA 94549 (925) 284-1420 055064 COTTONWOOD CANYON HEALTHCARE CENTER 1391 MADISON AVENUE EL CAJON CA 92021 (619) 444-1107 055066 CALIF HOSP MED CTR L.A. DP SNF 1401 SOUTH GRAND AVE LOS ANGELES CA 90015 (213) 742-5606 055070 SEACREST CONVALESCENT HOSPITAL 1416 WEST 6TH STREET SAN PEDRO CA 90732 (310) 833-3526 055074 VILLA CORONADO D/P SNF 233 PROSPECT PLACE CORONADO CA 92118 (619) 435-6251 055077 COUNTRY VILLA BELMONT HEIGHTS 1730 GRAND AVE LONG BEACH CA 90804 (562) 597-8817 055079 MISSION VIEW HEALTH CENTER 1425 WOODSIDE DR SAN LUIS OBISPO CA 93401 (805) 543-0210 055084 RIVERBANK NURSING CENTER 2649 WEST TOPEKA AVENUE RIVERBANK CA 95367 (209) 869-2569 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

055085 GRACE HEALTHCARE OF MORAGA 348 RHEEM BOULEVARD MORAGA CA 94556 (925) 376-5995 055099 CREEKSIDE HEALTHCARE CENTER 1900 CHURCH LANE SAN PABLO CA 94806 (510) 235-5514 055104 SUNSET MANOR CONV HOSP 2720 NEVADA AVENUE EL MONTE CA 91733 (626) 443-9425 055107 BANCROFT CONVALESCENT HOSPITAL 1475 BANCROFT AVENUE SAN LEANDRO CA 94577 (510) 483-1680 055109 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ 675 24TH AVENUE SANTA CRUZ CA 95062 (831) 475-6323 055111 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER 5310 FOUNTAIN AVE LOS ANGELES CA 90029 (323) 461-9961 055114 ARBOR HILLS NURSING CENTER 7800 PARKWAY DRIVE LA MESA CA 91942 (619) 460-2330 055115 HOLLENBECK PALMS 573 S. BOYLE AVE. LOS ANGELES CA 90033 (213) 268-3655 055116 LINDA MAR CARE CENTER 751 SAN PEDRO TERRACE ROAD PACIFICA CA 94044 (650) 359-4800 055119 COUNTRY VILLA TERRACE NRSG CTR 6070 W. PICO BOULEVARD LOS ANGELES CA 90035 (323) 653-3980 055123 SANTA FE CONVALESCENT HOSPITAL 3294 SANTA FE AVENUE LONG BEACH CA 90810 (562) 424-0757 055126 CHINO VALLEY HEALTH CARE CENTE 2351 S TOWNE AVENUE POMONA CA 91766 (909) 628-1245 055129 GRAND TERRACE CARE CENTER 12000 MT VERNON AVENUE GRAND TERRACE CA 92313 (909) 825-5221 055135 MONTROSE HEALTHCARE CENTER 2123 VERDUGO BLVD. MONTROSE CA 91020 (818) 249-3925 055136 BERKLEY WEST CONV HOSP 1623 ARIZONA AVENUE SANTA MONICA CA 90404 (310) 829-4565 055139 SANTA TERESITA MANOR 819 BUENA VISTA ST. DUARTE CA 91010 (626) 932-3495 055141 RAMONA NURSING & REHABILITATION CENTER 11900 RAMONA BOULEVARD EL MONTE CA 91732 (626) 442-5721 055142 MAGNOLIA GARDENS 17922 SAN FERNANDO MISSION RD GRANADA HILLS CA 91344 (818) 360-1864 055147 MADERA REHABILITATION & NURSING CENTER 517 SOUTH A STREET MADERA CA 93638 (559) 673-9228 055150 WINDSOR MANOR REHABILITATION CENTER 3806 CLAYTON ROAD CONCORD CA 94521 (925) 689-2266 055153 MONTEBELLO CARE CENTER 1035 W BEVERLY BLVD MONTEBELLO CA 90640 (213) 724-1315 055156 ST PAULS TOWERS 100 BAY PLACE OAKLAND CA 94610 (510) 835-4700 055157 VIRGIL REHABILITATION & SKILLED NURSING CENTER 975 NORTH VIRGIL AVENUE LOS ANGELES CA 90029 (213) 665-8209 055160 COUNTRY VILLA PAVILION NURSING CENTER 5916 W. PICO BOULEVARD LOS ANGELES CA 90035 (323) 939-3184 055162 MONTEREY PARK CONV HOSP 416 N GARFIELD AVE MONTEREY PARK CA 91754 (626) 280-0280 055163 MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP 4585 N. FIGUEROA ST. LOS ANGELES CA 90065 (323) 223-3441 055168 SOCAL POST-ACUTE CARE 7931 S. SORENSON AVE. WHITTIER CA 90606 (562) 698-0451 055169 JEWISH HOME D/P SNF 302 SILVER AVE SAN FRANCISCO CA 94112 (415) 334-2500 055170 PICO RIVERA HEALTH CARE CENTER 9140 VERNER STREET PICO RIVERA CA 90660 (562) 948-1961 055173 FOLSOM CARE CENTER 510 MILL STREET FOLSOM CA 95630 (916) 985-3641 055175 KINDRED TRANSITIONAL CARE & REHABILITATION-LAWTON 1575 7TH AVENUE SAN FRANCISCO CA 94122 (415) 566-1200 055182 LEMON GROVE CARE AND REHABILITATION CENTER 8351 BROADWAY LEMON GROVE CA 91945 (619) 463-0294 055185 GARDEN CITY HEALTHCARE CENTER 1310 WEST GRANGER MODESTO CA 95350 (209) 524-4817 055187 GARDEN VIEW POST- ACUTE REHABILITATION 14475 GARDEN VIEW LANE BALDWIN PARK CA 91706 (626) 962-7095 055188 BROOKSIDE SKILLED NURSING HOSPITAL 2620 FLORES STREET SAN MATEO CA 94403 (650) 349-2161 055189 GREENFIELD CARE CENTER OF FAIRFIELD 1260 TRAVIS BLVD FAIRFIELD CA 94533 (707) 425-0669 055191 AVALON HEALTH CARE-MADERA 1700 HOWARD ROAD MADERA CA 93637 (559) 673-9278 055192 PROVIDENCE ST ELIZABETH CARE CENTER 10425 MAGNOLIA BLVD NORTH HOLLYWOOD CA 91601 (818) 980-3872 055202 EL MONTE CONVALESCENT HOSPITAL 4096 EASY STREET EL MONTE CA 91731 (626) 442-1500 055203 SUNNY VIEW CARE CENTER 1428 S. MARENGO AVE. ALHAMBRA CA 91803 (626) 576-1032 055204 OAKWOOD GARDENS CARE CENTER 3510 EAST SHIELDS FRESNO CA 93726 (559) 222-4807 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

055210 THE TERRACES AT LOS ALTOS HEALTH FACILITY 373 PINE LANE LOS ALTOS CA 94022 (650) 948-8291 055211 IDYLWOOD CARE CENTER 1002 W. FREMONT AVENUE SUNNYVALE CA 94087 (408) 739-2383 055212 KINDRED NURSING AND HEALTHCARE - LIVERMORE 76 FENTON STREET LIVERMORE CA 94550 (925) 443-1800 055213 VISTA COVE CARE CENTER AT RIALTO 1471 S RIVERSIDE RIALTO CA 92376 (909) 877-1361 055215 OAKLAND HEALTHCARE & WELLNESS CENTER 3030 WEBSTER STREET OAKLAND CA 94609 (510) 250-8000 055222 SPRINGS ROAD HEALTHCARE 1527 SPRINGS ROAD VALLEJO CA 94591 (707) 643-2793 055223 SAN JACINTO HEALTHCARE 275 NORTH SAN JACINTO STREET HEMET CA 92543 (951) 658-9441 055237 VICTORIA HEALTHCARE AND REHABILITATION CENTER 340 VICTORIA STREET COSTA MESA CA 92627 (949) 642-0387 055240 WATSONVILLE NURSING CENTER 535 AUTO CENTER DRIVE WATSONVILLE CA 95076 (831) 724-0875 055241 WILLOW PASS HEALTHCARE CENTER 3318 WILLOW PASS ROAD CONCORD CA 94519 (925) 689-9222 055242 FAIRMONT REHABILITATION HOSPITAL 950 S. FAIRMONT AVENUE LODI CA 95240 (209) 368-0693 055247 COUNTRY OAKS CARE CENTER 215 W PEARL ST POMONA CA 91768 (909) 622-1067 055249 MERCED NURSING & REHABILITATION CTR 510 WEST 26TH STREET MERCED CA 95340 (209) 723-2911 055252 ORANGE HEALTHCARE & WELLNESS CENTRE, LLC 920 WEST LA VETA STREET ORANGE CA 92868 (714) 633-3568 055256 LOMPOC VALLEY MEDICAL CTR COMP CARE CTR D/P SNF 216 N THIRD STREET LOMPOC CA 93436 (805) 736-3466 055259 MONROVIA CONVALESCENT HOSPITAL 1220 E. HUNTINGTON DRIVE DUARTE CA 91010 (626) 359-6618 055261 PILGRIM PLACE HSC 721 W HARRISON ST CLAREMONT CA 91711 (909) 399-5549 055262 LOMITA POST-ACUTE CARE CENTER 1955 W. LOMITA BLVD LOMITA CA 90717 (310) 325-1970 055268 GOLDEN LIVINGCENTER - LONDON HOUSE SONOMA 678 2ND STREET WEST SONOMA CA 95476 (707) 938-1096 055271 LA SIERRA CARE CENTER 2424 M STREET MERCED CA 95340 (209) 723-4224 055276 WINDSOR PARK CARE CENTER OF FREMONT 2400 PARKSIDE DRIVE FREMONT CA 94536 (510) 793-7222 055280 CENTRAL GARDENS 1355 ELLIS STREET SAN FRANCISCO CA 94115 (415) 567-2967 055282 POMONA VISTA CARE CENTER 651 N MAIN ST POMONA CA 91768 (909) 623-2481 055283 JOHN C. FREMONT HEALTHCARE DISTRICT DP/SNF 5189 HOSPITAL ROAD MARIPOSA CA 95338 (209) 966-3631 055286 KEARNY MESA CONVALESCENT AND NURSING HOME 7675 FAMILY CIRCLE DRIVE SAN DIEGO CA 92111 (858) 278-8121 055287 VALLEY PALMS CARE CENTER 13400 SHERMAN WAY N HOLLYWOOD CA 91605 (818) 983-0103 055288 AUTUMN HILLS HEALTH CARE CENTER 430 N.GLENDALE AVE GLENDALE CA 91206 (818) 246-5677 055289 WINE COUNTRY CARE CENTER 321 WEST TURNER ROAD LODI CA 95240 (209) 334-3760 055292 SHIELDS RICHMOND NURSING CENTER 1919 CUTTING BLVD RICHMOND CA 94804 (510) 233-8513 055296 APPLEWOOD CARE CENTER 1090 RIO LANE SACRAMENTO CA 95822 (916) 446-2506 055297 NORWALK MEADOWS NURSING CENTER 10625 LEFFINGWELL ROAD NORWALK CA 90650 (562) 864-2541 055298 FALLBROOK SKILLED NURSING 325 POTTER STREET FALLBROOK CA 92028 (760) 728-2330 055303 CANTERBURY WOODS 651 SINEX AVENUE PACIFIC GROVE CA 93950 (831) 373-3111 055304 GOLDEN LIVING CENTER - CHATEAU 1221 ROSEMARIE LANE STOCKTON CA 95207 (209) 477-2664 055305 SHERWOOD HEALTHCARE CENTER 4700 ELVAS AVE SACRAMENTO CA 95819 (916) 454-5752 055307 LANCASTER HEALTH CARE CENTER 1642 WEST AVENUE J LANCASTER CA 93534 (661) 942-8463 055308 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER 9461 BATEY AVENUE ELK GROVE CA 95624 (916) 685-9525 055310 RAFAEL CONVALESCENT HOSPITAL 234 N. SAN PEDRO RD SAN RAFAEL CA 94903 (415) 479-3450 055311 KATHERINE HEALTHCARE 315 ALAMEDA AVENUE SALINAS CA 93901 (831) 424-1878 055315 GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER 1949 GRANT ROAD MOUNTAIN VIEW CA 94040 (650) 968-2990 055316 MOUNTAIN VIEW HEALTHCARE CENTER 2530 SOLACE PLACE MOUNTAIN VIEW CA 94040 (650) 961-6161 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

055328 UNIVERSITY CARE CENTER 5602 UNIVERSITY AVE SAN DIEGO CA 92105 (619) 583-1993 055329 VILLA SERENA HEALTHCARE CENTER 723 E 9TH STREET LONG BEACH CA 90813 (562) 437-2797 055330 ADVANCED REHAB CENTER OF TUSTIN 2210 E. FIRST STREET SANTA ANA CA 92705 (714) 547-7091 055334 PACIFIC REHABILITATION & WELLNESS CENTER, LP 2211 HARRISON AVENUE EUREKA CA 95501 (707) 443-9767 055335 LA PALOMA HEALTHCARE CENTER 3232 THUNDER DRIVE OCEANSIDE CA 92056 (760) 724-2193 055338 HAYWARD CONVALESCENT HOSPITAL 1832 B STREET HAYWARD CA 94541 (510) 538-3866 055341 GEM TRANSITIONAL 716 SOUTH FAIR OAKS AVE PASADENA CA 91105 (626) 397-3322 055344 COUNTRY VILLA CLAREMONT HEALTH 590 S. INDIAN HILL BLVD. CLAREMONT CA 91711 (909) 624-4511 055353 SHORELINE HEALTHCARE CENTER 4029 EAST ANAHEIM STREET LONG BEACH CA 90804 (562) 494-4421 055354 FREDERICKA MANOR CARE CENTER 111 THIRD AVENUE CHULA VISTA CA 91910 (619) 427-2777 055356 PACIFIC GROVE CONVALESCENT HOSPITAL 200 LIGHTHOUSE AVENUE PACIFIC GROVE CA 93950 (831) 375-2695 055360 OAKPARK HEALTHCARE CENTER 9166 TUJUNGA CANYON BLVD TUJUNGA CA 91042 (818) 352-4426 055361 VISTA PACIFICA CONVALESCENT HOSPITAL 3662 PACIFIC AVENUE RIVERSIDE CA 92509 (951) 682-4833 055367 MONROVIA GARDENS HEALTHCARE CENTER 615 W. DUARTE RD. MONROVIA CA 91016 (626) 358-4547 055376 HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER 400 W. HUNTINTON DR. ARCADIA CA 91007 (626) 445-2421 055387 EDGEWATER SKILLED NURSING CENTER 2625 EAST FOURTH STREET LONG BEACH CA 90814 (562) 434-0974 055388 SAN JOSE HEALTHCARE & WELLNESS CENTER 75 N. 13TH STREET SAN JOSE CA 95112 (408) 295-2665 055394 CLAREMONT CARE CENTER 219 E. FOOTHILL BLVD POMONA CA 91768 (909) 593-1391 055401 MEADOWBROOK HEALTH CARE CENTER 461 E. JOHNSTON AVENUE HEMET CA 92543 (951) 658-6374 055402 WINDSOR EL CAMINO CARE CENTER 2540 CARMICHAEL WAY CARMICHAEL CA 95608 (916) 482-0465 055410 HACIENDA REHABILITATION & HEALTH CARE CENTER 361 E. GRANGEVILLE BLVD HANFORD CA 93230 (559) 582-9221 055412 ORCHARD POST ACUTE CARE 101 S ORCHARD AVE VACAVILLE CA 95688 (707) 448-6458 055417 SAYLOR LANE HEALTHCARE CENTER 3500 FOLSOM BOULEVARD SACRAMENTO CA 95816 (916) 457-6521 055423 MANNING GARDENS CARE CENTER, INC 2113 E. MANNING AVENUE FRESNO CA 93725 (559) 834-2586 055430 WHITTIER HILLS HEALTH CARE CTR 10426 BOGARDUS AVE WHITTIER CA 90603 (562) 947-7817 055434 WINDSOR GARDENS CARE CENTER OF HAYWARD 1628 B STREET HAYWARD CA 94541 (510) 582-4636 055435 OUR LADY OF FATIMA VILLA 20400 SARATOGA-LOS GATOS RD SARATOGA CA 95070 (408) 741-2950 055438 ALDERSON CONVALESCENT HOSPITAL 124 WALNUT STREET WOODLAND CA 95695 (530) 662-9161 055441 IVY CREEK HEALTHCARE & WELLNESS CENTRE 115 BRIDGE ST. SAN GABRIEL CA 91775 (626) 289-4439 055446 ROCK CREEK CARE CENTER 260 RACETRACK STREET AUBURN CA 95603 (530) 885-7051 055454 GOLDEN LIVINGCENTER-FOWLER 1306 EAST SUMNER AVENUE FOWLER CA 93625 (559) 834-2542 055457 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER 12627 STUDEBAKER ROAD NORWALK CA 90650 (562) 868-4767 055459 BUENA VISTA CARE CENTER 1440 S EUCLID AVENUE ANAHEIM CA 92802 (714) 535-7264 055462 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF 911 SUNSET DRIVE HOLLISTER CA 95023 (831) 637-5711 055464 TWO PALMS NURSING CENTER, INC 2637 E. WASHINTON BLVD PASADENA CA 91107 (626) 798-8991 055466 SEQUOIAS, THE 501 PORTOLA ROAD PORTOLA VALLEY CA 94028 (650) 851-1501 055473 NEW VISTA POST- ACUTE CARE CENTER 1516 SAWTELLE BLVD. LOS ANGELES CA 90025 (310) 477-5501 055475 MAIN WEST POSTACUTE CARE 812 WEST MAIN STREET TURLOCK CA 95380 (209) 667-2828 055480 THE CALIFORNIAN-PASADENA 120 BELLEFONTAINE STREET PASADENA CA 91105 (626) 793-5114 055481 VIENNA NURSING AND REHABILITATION CENTER 800 SO. HAM LANE LODI CA 95242 (209) 368-7141 055488 LA MESA HEALTHCARE CENTER 3780 MASSACHUSETTS AVENUE LA MESA CA 91941 (619) 465-1313 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

055491 OAK RIDGE HEALTHCARE CENTER 310 OAK RIDGE DRIVE ROSEVILLE CA 95661 (916) 782-3188 055493 MID-TOWN OAKS POST-ACUTE 2600 L STREET SACRAMENTO CA 95816 (916) 321-9440 055497 THE PINES AT PLACERVILLE HEALTHCARE CENTER 1040 MARSHALL WAY PLACERVILLE CA 95667 (530) 622-3400 055500 VALLE VISTA CONVALESCENT HOSPITAL 1025 W. SECOND AVENUE ESCONDIDO CA 92025 (760) 745-1842 055505 ARROYO VISTA NURSING CENTER 3022 45TH STREET SAN DIEGO CA 92105 (619) 283-5855 055510 GOLDEN LIVINGCENTER - REDDING 1836 GOLD STREET REDDING CA 96001 (530) 241-6756 055512 WOLF CREEK CARE CENTER 107 CATHERINE LANE GRASS VALLEY CA 95945 (530) 273-4447 055516 WINDSOR CHICO CARE CENTER 188 COHASSET LANE CHICO CA 95926 (530) 343-6084 055517 WOODLANDS HEALTHCARE CENTER 14966 TERRENO DE FLORES LANE LOS GATOS CA 95030 (408) 356-8136 055518 NEWPORT NURSING AND REHABILITATION CENTER 1555 SUPERIOR AVENUE NEWPORT BEACH CA 92663 (949) 646-7764 055519 DOWNEY CARE CENTER 13007 S. PARAMOUNT BLVD. DOWNEY CA 90242 (562) 923-9301 055523 GLENDALE POST ACUTE CENTER 250 N. VERDUGO ROAD GLENDALE CA 91206 (818) 244-1133 055525 CRENSHAW NURSING HOME 1900 S LONGWOOD AVE LOS ANGELES CA 90016 (323) 933-1560 055526 INGLEWOOD HEALTH CARE CENTER 100 S. HILLCREST BLVD INGLEWOOD CA 90301 (310) 677-9114 055534 HOME FOR JEWISH PARENTS 4000 CAMINO TASSAJARA DANVILLE CA 94506 (925) 648-2800 055539 ARTESIA CHRISTIAN HOME INC. 11614 E. 183RD ST ARTESIA CA 90701 (562) 865-5210 055540 SANTA MONICA HEALTH CARE CENTER 1320 20TH STREET SANTA MONICA CA 90404 (310) 829-4301 055542 MISSION CARE CENTER 8487 MAGNOLIA AVENUE RIVERSIDE CA 92504 (951) 688-2222 055544 ROYAL CREST HEALTH CARE 519 W. BADILLO ST. COVINA CA 91722 (626) 915-5621 055548 PASADENA PARK HEALTHCARE AND WELLNESS CENTER 2585 E. WASHINGTON BLVD. PASADENA CA 91107 (626) 463-4105 055559 BAY CREST CARE CENTER 3750 GARNET STREET TORRANCE CA 90503 (310) 371-2431 055562 HILLSIDE SENIOR CARE 38650 MISSION BOULEVARD FREMONT CA 94536 (510) 793-3000 055563 SANTA MARIA CARE CENTER 820 W COOK ST SANTA MARIA CA 93458 (805) 925-8877 055566 COASTAL VIEW HEALTHCARE CENTER 4904 TELEGRAPH RD VENTURA CA 93003 (805) 642-4101 055568 SIERRA VALLEY REHAB CENTER 301 WEST PUTNAM PORTERVILLE CA 93257 (559) 784-7375 055570 ST ELIZABETH HEALTHCARE CENTER 2800 N. HARBOR BLVD. FULLERTON CA 92835 (714) 871-9202 055573 KINGSBURG CENTER 1101 STROUD AVE KINGSBURG CA 93631 (559) 897-5881 055575 PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER 12072 TRASK AVE. GARDEN GROVE CA 92843 (714) 534-1942 055585 CAPISTRANO BEACH CARE CENTER 35410 DEL REY CAPISTRANO BEACH CA 92624 (949) 496-5786 055597 MAYWOOD ACRES HEALTHCARE 2641 SOUTH C ST OXNARD CA 93033 (805) 487-7840 055598 THE BRADLEY GARDENS 980 WEST SEVENTH STREET SAN JACINTO CA 92582 (951) 654-9347 055612 SHADOWBROOK HEALTH CARE 1 GILMORE LANE OROVILLE CA 95966 (530) 534-1353 055622 LA HABRA CONVALESCENT HOSPITAL 1233 WEST LA HABRA BOULEVARD LA HABRA CA 90631 (562) 691-0781 055626 HEALTHCARE CENTRE OF FRESNO 1665 M STREET FRESNO CA 93721 (559) 268-5361 055632 GROSSMONT POST ACUTE CARE 8787 CENTER DRIVE LA MESA CA 91942 (619) 460-4444 055635 BRANDEL MANOR 1801 N. OLIVE AVENUE TURLOCK CA 95382 (209) 410-7200 055640 SPRING HILL MANOR 355 JOERSCHKE DR GRASS VALLEY CA 95945 (530) 273-7247 055645 MISSION SKILLED NURSING & SUBACUTE CENTER 410 NORTH WINCHESTER BOULEVARD SANTA CLARA CA 95050 (408) 248-3736 055650 HIGHLAND CARE CENTER OF REDLANDS 700 EAST HIGHLAND AVENUE REDLANDS CA 92374 (909) 793-2678 055653 SOUTH COAST POST ACUTE 1030 W WARNER AVE SANTA ANA CA 92707 (714) 546-6450 055662 BETHANY HOME SOCIETY SAN JOAQUIN COUNTY 930 WEST MAIN STREET RIPON CA 95366 (209) 599-4221 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

055664 YORK HEALTHCARE & WELLNESS CENTRE 6071 YORK BLVD. LOS ANGELES CA 90042 (323) 254-3407 055670 BROADWAY MANOR CARE CENTER 605 WEST BROADWAY GLENDALE CA 91204 (818) 246-7174 055674 KNOTT AVENUE CARE CENTER 9021 KNOTT AVE BUENA PARK CA 90620 (714) 826-2330 055677 PITTSBURG SKILLED NURSING CENTER 535 SCHOOL STREET PITTSBURG CA 94565 (925) 432-3831 055684 THE CALIFORNIAN 2225 DE LA VINA ST SANTA BARBARA CA 93105 (805) 682-1355 055685 BRIGHTON PLACE SPRING VALLEY 9009 CAMPO ROAD SPRING VALLEY CA 91977 (619) 460-2711 055693 HEALTHCARE CENTER OF BELLA VISTA 933 EAST DEODAR STREET ONTARIO CA 91764 (909) 985-2731 055697 BUENA VENTURA POST ACUTE CARE CENTER 1016 S. RECORD ST. LOS ANGELES CA 90023 (323) 268-0106 055704 ANGELS NURSING HEALTH CENTER 415 S UNION AVENUE LOS ANGELES CA 90017 (213) 484-0784 055707 ONTARIO HEALTHCARE CENTER 1661 SOUTH EUCLID AVENUE ONTARIO CA 91762 (909) 984-6713 055708 LEGACY POST-ACUTE REHABILITATION 1335 N. WATERMAN AVENUE SAN BERNARDINO CA 92404 (909) 885-0268 055710 COUNTRY VILLA WILSHIRE CONVALESCENT CENTER 855 NORTH FAIRFAX AVENUE LOS ANGELES CA 90046 (323) 653-1521 055711 BRENTWOOD HEALTH CARE CENTER 1321 FRANKLIN STREET SANTA MONICA CA 90404 (310) 828-5596 055719 VENTURA POST ACUTE 4020 LOMA VISTA RD VENTURA CA 93003 (805) 642-4196 055733 VALLE VERDE HEALTH FACILITY 900 CALLE DE LOS AMIGOS SANTA BARBARA CA 93105 (805) 883-4000 055734 UKIAH POST ACUTE 1349 SOUTH DORA ST. UKIAH CA 95482 (707) 462-8864 055735 WINDSOR ELMHAVEN CARE CENTER 6940 PACIFIC AVENUE STOCKTON CA 95207 (209) 477-4817 055739 WINDSOR GARDENS REHABILITATION CENTER OF SALINAS 637 EAST ROMIE LANE SALINAS CA 93901 (831) 424-0687 055742 HARBOR VILLA CARE CENTER 861 S. HARBOR BLVD ANAHEIM CA 92805 (714) 635-8131 055744 ATLANTIC MEMORIAL HEALTHCARE CENTER 2750 ATLANTIC AVE. LONG BEACH CA 90806 (562) 424-8101 055755 SHARON CARE CENTER 8167 WEST THIRD ST. LOS ANGELES CA 90048 (323) 655-2023 055756 CLOVERDALE HEALTHCARE CENTER 300 CHERRY CREEK RD CLOVERDALE CA 95425 (707) 894-5201 055760 ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP 415 SOUTH GARFIELD ALHAMBRA CA 91801 (626) 282-3151 055761 ENCINITAS NURSING AND REHABILITATION CENTER 900 SANTA FE DRIVE ENCINITAS CA 92024 (760) 753-6423 055764 SHEA REHABILITATION HEALTHCARE 7716 S PICKERING AVENUE WHITTIER CA 90602 (562) 693-5240 055776 WESTVIEW HEALTHCARE CENTER 12225 SHALE RIDGE LANE AUBURN CA 95602 (530) 885-7511 055795 BRIGHTON PLACE SAN DIEGO 1350 N. EUCLID AVENUE SAN DIEGO CA 92105 (619) 263-2166 055797 GILROY HEALTHCARE AND REHABILITATION CENTER 8170 MURRAY AVENUE GILROY CA 95020 (408) 842-9311 055798 VASONA CREEK HEALTHCARE CENTER 16412 LOS GATOS BOULEVARD LOS GATOS CA 95032 (408) 356-2191 055799 GOLDEN LIVINGCENTER- REEDLEY 1090 EAST DINUBA AVENUE REEDLEY CA 93654 (559) 638-3577 055800 STONEBROOK HEALTH AND REHABILITATION 350 DE SOTO DRIVE LOS GATOS CA 95030 (408) 356-9151 055806 VILLA LAS PALMAS HEALTHCARE CENTER 622 SOUTH ANZA STREET EL CAJON CA 92020 (619) 442-0544 055809 ST ANTHONY CARE CENTER 553 SMALLEY AVENUE HAYWARD CA 94541 (510) 733-3877 055816 CHAPMAN CARE CENTER 12232 CHAPMAN AVE GARDEN GROVE CA 92840 (714) 971-5517 055817 MONTE VISTA HEALTHCARE CENTER 802 BUENA VISTA STREET DUARTE CA 91010 (626) 359-8141 055818 ROYAL GARDEN EXTENDED CARE HOS 2339 W. VALLEY BLVD. ALHAMBRA CA 91803 (626) 289-7809 055839 SAN LUIS CARE CENTER 709 N STREET NEWMAN CA 95360 (209) 862-2862 055846 THE TERRACES AT SAN JOAQUIN GARDENS VILLAGE 5551 N. FRESNO ST FRESNO CA 93710 (559) 430-8202 055848 KINDRED NURSING AND HEALTHCARE-VICTORIAN 2121 PINE STREET SAN FRANCISCO CA 94115 (415) 922-5085 055849 MODESTO POST ACUTE CENTER 159 E. ORANGEBURG AVENUE MODESTO CA 95350 (209) 526-2811 055854 GOLDEN LIVINGCENTER SANTA ROSA 4650 HOEN AVENUE SANTA ROSA CA 95405 (707) 546-0471 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

055855 ARDEN POST ACUTE REHAB 3400 ALTA ARDEN EXPRESSWAY SACRAMENTO CA 95825 (916) 481-5500 055858 GOLDEN LIVING CENTER - GALT 144 F STREET GALT CA 95632 (209) 745-1537 055866 PLUM TREE CARE CENTER 2580 SAMARITAN DRIVE SAN JOSE CA 95124 (408) 356-8181 055871 WINDSOR SKYLINE CARE CENTER 348 IRIS DRIVE SALINAS CA 93906 (831) 449-5496 055872 CITRUS NURSING CENTER 9440 CITRUS AVENUE FONTANA CA 92335 (909) 823-3481 055873 COMMUNITY CARE CENTER 8665 LA MESA BLVD. LA MESA CA 91942 (619) 465-0702 055874 HAYWARD HEALTHCARE & WELLNESS CENTER 1805 WEST STREET HAYWARD CA 94545 (510) 783-4811 055884 SAN TOMAS CONVALESCENT HOSPITAL 3580 PAYNE AVENUE SAN JOSE CA 95117 (408) 248-7100 055885 WINDSOR COUNTRY DRIVE CARE CENTER 2500 COUNTRY DRIVE FREMONT CA 94536 (510) 792-4242 055886 ROSEVILLE CARE CENTER 1161 CIRBY WAY ROSEVILLE CA 95661 (916) 782-1238 055888 HUNTINGTON VALLEY HEALTHCARE CENTER 8382 NEWMAN AVENUE HUNTINGTON BEACH CA 92647 (714) 842-5551 055892 BERKELEY PINES SKILLED NURSING CENTER 2223 ASHBY AVENUE BERKELEY CA 94705 (510) 649-6670 055894 BROADWAY BY THE SEA 2725 E. BROADWAY LONG BEACH CA 90803 (562) 434-4494 055906 RINALDI CONVALESCENT HOSPITAL 16553 RINALDI ST GRANADA HILLS CA 91344 (818) 360-1003 055910 COUNTRY MANOR LA MESA HEALTHCARE CENTER 5696 LAKE MURRAY BLVD LA MESA CA 91942 (619) 460-7871 055917 ST JUDE CARE CENTER 469 EAST NORTH STREET MANTECA CA 95336 (209) 823-1788 055918 BEL TOOREN VILLA CONVALESCENT 16910 WOODRUFF AVE. BELLFLOWER CA 90706 (562) 867-1761 055919 APPLE VALLEY POST-ACUTE REHAB 1035 GRAVENSTEIN HWY SOUTH SEBASTOPOL CA 95472 (707) 823-7675 055922 COURTYARD HEALTH CARE CENTER 1850 EAST 8TH STREET DAVIS CA 95616 (530) 756-1800 055935 CERES POSTACUTE CARE 1711 RICHLAND AVENUE CERES CA 95307 (209) 537-4581 055954 WINDSOR GARDENS CONV CENTER OF SAN DIEGO 220 EAST 24TH STREET NATIONAL CITY CA 91950 (619) 474-6741 055955 CALIFORNIA HOME FOR THE AGED 6720 E. KINGS CANYON FRESNO CA 93727 (559) 251-8414 055956 BRIARWOOD HEALTH CARE 5901 LEMON HILL AVE SACRAMENTO CA 95824 (916) 383-2741 055959 WATSONVILLE POST ACUTE CENTER 525 AUTO CENTER DRIVE WATSONVILLE CA 95076 (831) 724-7505 055960 VERDUGO VISTA HEALTH CARE CENTER 3050 MONTROSE AVE LA CRESCENTA CA 91214 (818) 957-0850 055963 KINDRED NURSING AND REHABILITATION-NINETEENTH AVE 2043 19TH AVENUE SAN FRANCISCO CA 94116 (415) 661-8787 055964 FRIENDSHIP MANOR NURSING & REHAB CENTER 902 SOUTH EUCLID AVENUE NATIONAL CITY CA 91950 (619) 791-7700 055968 ST. FRANCIS HEIGHTS CONVALESCENT HOSPITAL 35 ESCUELA DRIVE DALY CITY CA 94015 (650) 755-9515 055975 HILLCREST MANOR SANITARIUM 1889 NATIONAL CITY BLVD. NATIONAL CITY CA 91950 (619) 477-1176 055979 FRANCISCAN CONVALESCENT HOSPITAL 3169 M STREET MERCED CA 95348 (209) 722-6231 055983 COVENTRY COURT HEALTH CENTER 2040 S. EUCLID AVENUE ANAHEIM CA 92802 (714) 636-2800 055987 BROADWAY VILLA POST ACUTE 1250 BROADWAY SONOMA CA 95476 (707) 938-8406 055988 HY-LOND HEALTH CARE CENTER-MERCED 3170 M STREET MERCED CA 95340 (209) 723-1056 055989 HERITAGE MANOR 610 NORTH GARFIELD AVENUE MONTEREY PARK CA 91754 (626) 573-3141 055991 MISSION TERRACE CONVALESCENT HOSPITAL 623 W JUNIPERO ST SANTA BARBARA CA 93105 (805) 682-7443 055992 WEST COVINA HEALTHCARE CENTER 850 S. SUNKIST AVE. WEST COVINA CA 91790 (626) 962-3368 055995 WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH 260 E MARKET ST LONG BEACH CA 90805 (562) 428-4681 055996 GOLDEN LIVING CENTER - HY-LOND 3408 EAST SHIELDS AVENUE FRESNO CA 93726 (559) 227-4063 056007 PACIFIC CARE NURSING CENTER 3355 PACIFIC PLACE LONG BEACH CA 90806 (562) 595-4336 056008 GUARDIAN REHABILITATION HOSPITAL 533 S. FAIRFAX AVE LOS ANGELES CA 90036 (323) 931-1061 056014 BROOKFIELD HEALTHCARE CENTER 9300 TELEGRAPH ROAD DOWNEY CA 90240 (562) 869-2567 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

056017 LA JOLLA NURSING AND REHABILITATION CENTER 2552 TORREY PINES RD LA JOLLA CA 92037 (858) 453-5810 056021 LONE TREE CONVALESCENT HOSPITAL 4001 LONE TREE WAY ANTIOCH CA 94509 (925) 754-0470 056024 HIGHLAND PALMS HEALTHCARE CENTER 7534 PALM AVENUE HIGHLAND CA 92346 (909) 862-0611 056026 EMPRESS CARE CENTER, LLC 1299 S. BASCOM AVENUE SAN JOSE CA 95128 (408) 287-0616 056031 NEW VISTA NURSING AND REHABILITATION CENTER 8647 FENWICK STREET. SUNLAND CA 91040 (818) 352-1421 056037 PACIFIC HILLS MANOR 370 NOBLE COURT MORGAN HILL CA 95037 (408) 779-7346 056040 ESCONDIDO POST ACUTE REHAB 421 E MISSION AVE ESCONDIDO CA 92025 (760) 747-0430 056042 COUNTRY VILLA BAY VISTA HCC 5901 DOWNEY AVE LONG BEACH CA 90805 (562) 634-4693 056048 PACIFIC COAST MANOR 1935 WHARF ROAD CAPITOLA CA 95010 (831) 476-0770 056053 COUNTRY VILLA HACIENDA HEALTHCARE CENTER 1311 EAST DATE STREET SAN BERNARDINO CA 92404 (909) 882-3316 056055 CARMEL HILLS CARE CENTER 23795 W. R. HOLMAN HIGHWAY MONTEREY CA 93940 (831) 624-1875 056058 ALMADEN HEALTH AND REHABILITATION CENTER 2065 LOS GATOS-ALMADEN ROAD SAN JOSE CA 95124 (408) 377-9275 056063 INFINITY CARE OF EAST LOS ANGELES 101 S FICKETT STREET LOS ANGELES CA 90033 (323) 261-8108 056071 SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL 1400 GEARY BLVD SAN FRANCISCO CA 94109 (415) 922-9700 056072 PETALUMA POST-ACUTE REHABILITATION 1115 B STREET PETALUMA CA 94952 (707) 765-3030 056073 SACRAMENTO POST-ACUTE 5255 HEMLOCK STREET SACRAMENTO CA 95841 (916) 331-4590 056076 ANAHEIM TERRACE CARE CENTER 141 SOUTH KNOTT AVENUE ANAHEIM CA 92804 (714) 821-7310 056077 THE TAMALPAIS 501 VIA CASITAS GREENBRAE CA 94904 (415) 461-2300 056083 WOODS HEALTH SERVICES 2600 A STREET LA VERNE CA 91750 (909) 392-4388 056092 TOPANGA TERRACE 22125 ROSCOE BLVD CANOGA PARK CA 91304 (818) 883-7292 056095 DEVONSHIRE CARE CENTER 1350 EAST DEVONSHIRE AVENUE HEMET CA 92544 (951) 925-2571 056096 PIEDMONT GARDENS HEALTH FACILITY 110 41ST STREET OAKLAND CA 94611 (510) 654-7172 056098 COTTONWOOD HEALTH CARE CENTER 625 COTTONWOOD STREET WOODLAND CA 95695 (530) 662-9193 056100 GOLDEN LIVINGCENTER-SANGER 2550 9TH STREET SANGER CA 93657 (559) 875-6501 056101 ROSEWOOD POST ACUTE REHABILITATION 6041 FAIR OAKS BLVD CARMICHAEL CA 95608 (916) 483-8103 056103 CROWN BAY NURSING AND REHABILITATION CENTER 508 WESTLINE DRIVE ALAMEDA CA 94501 (510) 521-5765 056104 ROSE VILLA HEALTH CARE CENTER 9028 ROSE STREET BELLFLOWER CA 90706 (562) 925-4252 056105 BALBOA NURSING & REHABILITATION CENTER 3520 FOURTH AVENUE SAN DIEGO CA 92103 (619) 291-5270 056107 COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO 1676 MEDICAL CTR DR. SAN BERNARDINO CA 92411 (909) 887-6481 056109 WOODLAND SKILLED NURSING FACILITY 678 THIRD STREET WOODLAND CA 95695 (530) 662-9643 056113 ALEXANDRIA CARE CENTER 1515 N ALEXANDRIA AVE. LOS ANGELES CA 90027 (323) 660-1800 056115 IMPERIAL HEALTHCARE CENTER 11926 LA MIRADA BLVD LA MIRADA CA 90638 (562) 943-7156 056116 LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER 809 FREMONT AVENUE LOS ALTOS CA 94024 (650) 941-5255 056121 WASHINGTON CENTER 14766 WASHINGTON AVENUE SAN LEANDRO CA 94578 (510) 352-2211 056123 VILLA OAKS CONVALESCENT HOPITAL 1515 N.FAIR OAKS AVENUE PASADENA CA 91103 (626) 798-1111 056125 ALAMITOS BELMONT REHAB HOSPITA 3901 E FOURTH STREET LONG BEACH CA 90814 (562) 434-8421 056136 VILLA MESA CARE CENTER 867 E. 11TH STREET UPLAND CA 91786 (909) 985-1981 056137 PANORAMA MEADOWS NURSING CENTER, LP 14857 ROSCOE BOULEVARD PANORAMA CITY CA 91402 (818) 894-5707 056138 STOLLWOOD CONVALESCENT HOSPITAL 135 WOODLAND AVENUE WOODLAND CA 95695 (530) 662-9674 056139 ROSEVILLE POINT HEALTH & WELLNESS CENTER 600 SUNRISE AVENUE ROSEVILLE CA 95661 (916) 782-3131 056144 HUNTINGTON PARK NURSING CENTER 6425 MILES AVENUE HUNTINGTON PARK CA 90255 (213) 589-5941 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

056145 GARDEN GROVE CONVALESCENT HOSP 12882 SHACKELFORD LANE GARDEN GROVE CA 92841 (714) 638-9470 056148 CASITAS CARE CENTER 10626 BALBOA BLVD. GRANADA HILLS CA 91344 (818) 368-2802 056150 CATERED MANOR NURSING CENTER 4010 VIRGINIA RD. LONG BEACH CA 90807 (562) 426-0394 056151 GREENFIELD CARE CENTER OF FULLERTON, LLC 330 W. BASTANCHURY ROAD FULLERTON CA 92835 (714) 879-4511 056155 OAKDALE NURSING AND REHABILITATION CENTER 275 SOUTH OAK AVENUE OAKDALE CA 95361 (209) 848-4159 056157 EMERALD TERRACE CONV HOSPITAL 1154 S.ALVARADO ST LOS ANGELES CA 90006 (213) 385-1715 056158 COLLEGE OAK NURSING & REHABILITATION CENTER 4635 COLLEGE OAK DRIVE SACRAMENTO CA 95841 (916) 481-7434 056159 SHERMAN VILLAGE HCC 12750 RIVERSIDE DRIVE NORTH HOLLYWOOD CA 91607 (818) 766-6105 056162 EXTENDED CARE HOSPITAL OF RIVERSIDE 8171 MAGNOLIA AVENUE RIVERSIDE CA 92504 (951) 687-3842 056164 PACIFIC PALMS HEALTHCARE 1020 TERMINO AVENUE LONG BEACH CA 90804 (562) 433-6791 056166 PARAMOUNT MEADOWS NURSING CENTER 7039 ALONDRA BLVD PARAMOUNT CA 90723 (562) 531-0990 056167 CENTINELA SKILLED NURSING & WELLNESS CENTRE WEST 950 FLOWER STREET INGLEWOOD CA 90301 (310) 674-3216 056168 GRANADA HILLS CONVALESCENT 16123 CHATSWORTH AVE GRANADA HILLS CA 91344 (818) 891-1745 056170 EXCELL HEALTH CARE CENTER 3025 HIGH STREET OAKLAND CA 94619 (510) 261-5200 056174 MID-WILSHIRE HEALTH CARE CNTR 676 S. BONNIE BRAE STREET LOS ANGELES CA 90057 (213) 483-9921 056176 KINDRED NURSING AND REHABILITATION-GOLDEN GATE 2707 PINE STREET SAN FRANCISCO CA 94115 (415) 563-7600 056178 VALLEY CONVALESCENT HOSPITAL 919 FREEDOM BLVD WATSONVILLE CA 95076 (831) 722-3581 056180 LAKE BALBOA CARE CENTER 16955 VANOWEN STREET VAN NUYS CA 91406 (818) 343-0700 056185 LIFE CARE CENTER OF MENIFEE 27600 ENCANTO DRIVE SUN CITY CA 92586 (951) 679-6858 056186 CENTINELA GRAND INC 2225 NORTH PERRIS BOULEVARD PERRIS CA 92571 (951) 657-2135 056189 BELLA VISTA TRANSITIONAL CARE CENTER 3033 AUGUSTA ST SAN LUIS OBISPO CA 93401 (805) 544-5100 056190 CHANDLER CONVALESCENT HOSPITAL 525 SOUTH CENTRAL AVENUE GLENDALE CA 91204 (818) 240-1610 056192 HARBOR POST ACUTE CARE CENTER 21521 S. VERMONT AVENUE TORRANCE CA 90502 (310) 320-0961 056194 WINDSOR GARDENS CONVALESCENT HOSPITAL 915 S. CRENSHAW BLVD. LOS ANGELES CA 90019 (323) 937-5466 056200 OJAI VALLEY COMMUNITY HOSPITAL D/P SNF 1306 MARICOPA HWY OJAI CA 93023 (805) 646-2280 056201 BROADWAY HEALTHCARE CENTER 112 E. BROADWAY SAN GABRIEL CA 91776 (626) 285-2165 056203 KINDRED TRANSITIONAL CARE AND REHAB-TUNNELL CENTER 1359 PINE STREET SAN FRANCISCO CA 94109 (415) 673-8405 056205 PACIFICA NURSING AND REHAB CENTER 385 ESPLANADE AVENUE PACIFICA CA 94044 (650) 993-5576 056206 UNIVERSITY PARK HEALTHCARE CENTER 230 E ADAMS BLVD LOS ANGELES CA 90011 (213) 748-0491 056207 PACIFIC GARDENS NURSING & REHABILITATION CENTER 577 S. PEACH AVE. FRESNO CA 93727 (559) 251-8463 056212 WILLOW GLEN CENTER 1267 MERIDIAN AVENUE SAN JOSE CA 95125 (408) 265-4211 056213 TAMPICO TERRACE CARE CENTER 130 TAMPICO STREET WALNUT CREEK CA 94598 (925) 933-7970 056214 RAMONA REHABILITATION AND POST ACUTE CARE CENTER 485 W. JOHNSTON AVENUE HEMET CA 92543 (951) 652-0011 056215 NORTHBROOK HEALTHCARE CENTER 64 NORTHBROOK WAY WILLITS CA 95490 (707) 459-5592 056216 MANTECA CARE AND REHABILITATION CENTER 410 EASTWOOD AVE MANTECA CA 95336 (209) 239-1222 056218 BELL CONVALESCENT HOSPITAL 4900 E. FLORENCE AVE BELL CA 90201 (323) 560-2045 056220 BRIARCREST NURSING CENTER 5648 EAST GOTHAM STREET BELL GARDENS CA 90201 (562) 927-2641 056225 VALLEY HEALTHCARE CENTER 4840 E.TULARE AVENUE FRESNO CA 93727 (559) 251-7161 056228 WEST HAVEN HEALTHCARE 1495 WEST CAMERON AVE. WEST COVINA CA 91790 (626) 962-4461 056234 MARLORA POST ACUTE REHAB HOSP 3801 E ANAHEIM ST LONG BEACH CA 90804 (562) 494-3311 056243 WESTERN SLOPE HEALTH CENTER 3280 WASHINGTON STREET PLACERVILLE CA 95667 (530) 622-6842 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

056244 GRAND PARK CONVALESCENT HOSPITAL 2312 WEST 8TH STREET LOS ANGELES CA 90057 (213) 382-7315 056245 CALIFORNIA PACIFIC MEDICAL CTR- DAVIES CAMPUS HOSP 601 DUBOCE AVE SAN FRANCISCO CA 94117 (415) 600-6000 056250 SHERMAN OAKS HEALTH & REHAB 14401 HUSTON ST. SHERMAN OAKS CA 91423 (818) 986-7242 056259 SANTA ROSA CONVALESCENT HOSP 446 ARROWOOD DR SANTA ROSA CA 95407 (707) 528-2100 056260 KINDRED NURSING AND HEALTHCARE - BAYBERRY 1800 ADOBE STREET CONCORD CA 94520 (925) 825-1300 056266 GOLDEN LIVINGCENTER - HILLCREST 3672 NORTH FIRST STREET FRESNO CA 93726 (559) 227-5383 056267 WINDSOR GARDENS CONV CENTER OF HAWTHORNE 13922 CERISE AVENUE HAWTHORNE CA 90250 (310) 675-3304 056271 MISSION PALMS HEALTHCARE CENTER 240 HOSPITAL CIRCLE WESTMINSTER CA 92683 (714) 892-6686 056272 SAN FRANCISCO HEALTH CARE 1477 GROVE STREET SAN FRANCISCO CA 94117 (415) 563-0565 056279 SIERRA VIEW HOMES 1155 E. SPRINGFIELD AVENUE REEDLEY CA 93654 (559) 638-9226 056281 GOLDEN LIVINGCENTER COUNTRY VIEW ALZHEIMERS CARE 925 NORTH CORNELIA FRESNO CA 93706 (559) 275-4785 056283 BIXBY KNOLLS TOWERS HEALTH CARE & REHAB CENTER 3747 ATLANTIC AVENUE LONG BEACH CA 90807 (562) 426-6123 056288 HANFORD NURSING & REHABILITATION CENTER 1007 WEST LACEY BLVD HANFORD CA 93230 (559) 582-2871 056290 LOS GATOS MEADOWS GERIATRIC HOSPITAL 110 WOOD ROAD LOS GATOS CA 95030 (408) 354-0211 056293 ALCOTT REHABILITATION HOSPITAL 3551 WEST OLYMPIC BLVD. LOS ANGELES CA 90019 (323) 737-2000 056298 PARK CENTRAL CARE AND REHABILITATION CENTER 2100 PARKSIDE DRIVE FREMONT CA 94536 (510) 797-5300 056301 HY-LOND HEALTH CARE CENTER - MODESTO 1900 COFFEE ROAD MODESTO CA 95355 (209) 526-1775 056308 HERITAGE REHABILITATION CENTER 21414 S. VERMONT AVENUE TORRANCE CA 90502 (310) 320-8714 056311 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF 4636 FOUNTAIN AVENUE LOS ANGELES CA 90029 (323) 913-4830 056316 CAMELLIA GARDENS CARE CENTER 1920 N. FAIR OAKS AVENUE PASADENA CA 91103 (626) 798-6777 056317 GLENOAKS CONVALESCENT HOSPITAL 409 W. GLENOAKS BLVD. GLENDALE CA 91202 (818) 240-4300 056321 OLYMPIA CONVALESCENT HOSPITAL 1100 S. ALVARADO ST LOS ANGELES CA 90006 (213) 487-3000 056324 WINDSOR HAMPTON CARE CENTER 442 HAMPTON STREET STOCKTON CA 95204 (209) 466-0456 056325 GOLDEN LIVINGCENTER - FRESNO 2715 FRESNO STREET FRESNO CA 93721 (559) 486-4433 056327 KINDRED TRANSITIONAL CARE & REHAB - WALNUT CREEK 1224 ROSSMOOR PARKWAY WALNUT CREEK CA 94595 (925) 937-7450 056330 REO VISTA HEALTHCARE CENTER 6061 BANBURY ST. SAN DIEGO CA 92139 (619) 475-2211 056331 BEACON HEALTHCARE CENTER 919 N SUNSET AVE WEST COVINA CA 91790 (626) 962-4489 056333 MOUNTAIN VIEW CONV HOSP 13333 FENTON AVENUE SYLMAR CA 91342 (818) 367-1033 056337 PANORAMA GARDENS 9541 VAN NUYS BLVD. PANORAMA CITY CA 91402 (818) 893-6385 056338 GOLDEN LIVINGCENTER - CLOVIS 111 BARSTOW AVE. CLOVIS CA 93612 (559) 299-2591 056345 SAN LEANDRO HEALTHCARE CENTER 368 JUANA AVENUE SAN LEANDRO CA 94577 (510) 357-4015 056348 BAY VIEW REHABILITATION HOSPITAL, LLC 516 WILLOW STREET ALAMEDA CA 94501 (510) 521-5600 056353 ATTERDAG CARE CENTER 636 ATTERDAG ROAD SOLVANG CA 93463 (805) 688-5645 056360 ARBOR GLEN CARE CENTER 1033 E. ARROW HIGHWAY GLENDORA CA 91740 (626) 963-7531 056363 GRAND VALLEY HEALTH CARE CENTER 13524 SHERMAN WAY VAN NUYS CA 91405 (818) 786-3470 056364 SUMMERFIELD HEALTH CARE CENTER 1280 SUMMERFIELD RD SANTA ROSA CA 95405 (707) 539-1515 056365 CALIMESA POST ACUTE 13542 SECOND ST. YUCAIPA CA 92399 (909) 795-2421 056370 BETHESDA HOME 22427 MONTGOMERY ST. HAYWARD CA 94541 (510) 538-8300 056372 BROOKSIDE HEALTHCARE CENTER 105 TERRACINA BLVD. REDLANDS CA 92373 (909) 793-2271 056377 COUNTRY VILLA NORTH 3233 W. PICO BOULEVARD LOS ANGELES CA 90019 (323) 734-9122 056378 REGENCY OAKS POST ACUTE CARE CENTER 3850 E. ESTHER ST. LONG BEACH CA 90804 (562) 498-3368 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

056381 ANTIOCH CONVALESCENT HOSPITAL 1210 A STREET ANTIOCH CA 94509 (925) 757-8787 056382 THE GROVE POST-ACUTE CARE CENTER 14122 HUBBARD STREET SYLMAR CA 91342 (818) 361-0191 056388 PARADISE VALLEY HEALTH CARE 2575 E. EIGHTH ST. NATIONAL CITY CA 91950 (619) 470-6700 056391 GOLDEN EMPIRE NURSING & REHAB CENTER 121 DORSEY DRIVE GRASS VALLEY CA 95945 (530) 273-1316 056392 PLEASANTON NURSING AND REHABILITATION CENTER 300 NEAL STREET PLEASANTON CA 94566 (925) 462-2400 056399 KINDRED NURSING AND REHABILITATION-YGNACIO VALLEY 1449 YGNACIO VALLEY ROAD WALNUT CREEK CA 94598 (925) 939-5820 056401 MISSION HILLS POST ACUTE CARE 3680 REYNARD WAY SAN DIEGO CA 92103 (619) 297-4484 056407 ALL SAINTS HEALTHCARE SUBACUTE 11810 SATICOY STREET NORTH HOLLYWOOD CA 91605 (818) 982-4600 056410 WHITNEY OAKS CARE CENTER 3529 WALNUT AVENUE CARMICHAEL CA 95608 (916) 488-8601 056411 PARK VIEW POST ACUTE 3751 MONTGOMERY DR SANTA ROSA CA 95405 (707) 525-1250 056412 NORTHRIDGE CARE CENTER 7836 RESEDA BLVD RESEDA CA 91335 (818) 881-7414 056413 TEMPLE CITY HEALTHCARE 5101 TYLER AVENUE TEMPLE CITY CA 91780 (626) 443-3028 056415 LYNWOOD HEALTHCARE CENTER 3611 EAST IMPERIAL HIGHWAY LYNWOOD CA 90262 (310) 537-2500 056422 FREMONT HEALTHCARE CENTER 39022 PRESIDIO WAY FREMONT CA 94538 (510) 792-3743 056423 PROVIDENCE VALLEY CARE CENTER 661 WEST POPLAR PORTERVILLE CA 93257 (559) 784-8371 056426 DELANO REGIONAL MEDICAL CENTER 1401 GARCES HWY DELANO CA 93215 (661) 721-5591 056428 CALIFORNIA NURSING & REHABILITATION CENTER 2299 NORTH INDIAN CANYON DRIVE PALM SPRINGS CA 92262 (760) 325-2937 056430 NORTHGATE POSTACUTE CARE 40 PROFESSIONAL CENTER PARKWAY SAN RAFAEL CA 94903 (415) 479-1230 056431 INLAND VALLEY CARE AND REHABILITATION CENTER 250 W. ARTESIA STREET POMONA CA 91768 (909) 623-7100 056436 MEDICAL CENTER CONVALESCENT HOSPITAL 467 E GILBERT ST SAN BERNARDINO CA 92404 (909) 884-4781 056437 CYPRESS RIDGE CARE CENTER 1501 SKYLINE DRIVE MONTEREY CA 93940 (831) 373-3716 056438 FLOWER VILLA, INC 1480 S. LA CIENEGA BL LOS ANGELES CA 90035 (310) 652-3030 056443 GEORGE L MEE MEMORIAL HOSPITAL D/P SNF 300 CANAL STREET KING CITY CA 93930 (831) 385-6000 056444 COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR 9620 FREMONT AVENUE MONTCLAIR CA 91763 (909) 621-4751 056446 PARAMOUNT CONVALESCENT HOSP. 8558 EAST ROSECRANS AVENUE PARAMOUNT CA 90723 (562) 634-6877 056447 HAYWARD HILLS HEALTH CARE CENTER 1768 B STREET HAYWARD CA 94541 (510) 538-4424 056449 PROVIDENCE SAN FRANCISCO 5767 MISSION STREET SAN FRANCISCO CA 94112 (415) 584-3294 056451 WINDSOR CARE CENTER OF CHEVIOT HILLS 3533 MOTOR AVENUE LOS ANGELES CA 90034 (310) 836-8900 056457 GREENRIDGE SENIOR CARE 2150 PYRAMID DRIVE EL SOBRANTE CA 94803 (510) 758-9600 056458 GREENFIELD CARE CENTER OF SOUTH GATE 8455 STATE STREET SOUTH GATE CA 90280 (323) 564-7761 056463 GATEWAY CARE & REHABILITATION CENTER 26660 PATRICK AVENUE HAYWARD CA 94544 (510) 782-1845 056466 SIERRA VIEW CARE CENTER 14318 OHIO STREET BALDWIN PARK CA 91706 (626) 960-1971 056471 BAYPOINT HEALTHCARE CENTER 442 SUNSET BOULEVARD HAYWARD CA 94541 (510) 582-8311 056475 HILLTOP CARE CENTER 3269 D STREET HAYWARD CA 94541 (510) 537-6700 056476 WINDSOR ROSEWOOD CARE CENTER 1911 OAK PARK BOULEVARD PLEASANT HILL CA 94523 (925) 935-6630 056477 ALLIANCE NURSING & REHAB CTR 3825 N DURFEE AVE EL MONTE CA 91732 (626) 444-2535 056478 LIGHTHOUSE HEALTHCARE CENTER 2222 SANTA ANA BLVD. LOS ANGELES CA 90059 (323) 564-4461 056479 ALAMEDA COUNTY MEDICAL CENTER D/P SNF 15400 FOOTHILL BOULEVARD SAN LEANDRO CA 94578 (510) 895-4279 056483 SHERWOOD OAKS HEALTH CENTER 130 DANA STREET FORT BRAGG CA 95437 (707) 964-6333 056485 ARLINGTON GARDENS CARE CENTER 3688 NYE AVENUE RIVERSIDE CA 92505 (951) 351-2800 056489 SERRANO NORTH CONVALESCENT HOSPITAL 5401 FOUNTAIN AVE. LOS ANGELES CA 90029 (323) 465-2106 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

056495 CASA COLOMA HLTH CARE CENTER 10410 COLOMA RD RANCHO CORDOVA CA 95670 (916) 363-4843 056496 CARLSBAD BY THE SEA 2855 CARLSBAD BLVD CARLSBAD CA 92008 (760) 720-4580 056499 PROVIDENCE LITTLE CO OF MARY TRANSITIONAL CARE CTR 4320 MARICOPA STREET TORRANCE CA 90503 (310) 303-5905 065009 ST PAUL HEALTH CENTER 1667 ST PAUL STREET DENVER CO 80206 (303) 399-2040 065015 MOUNTAIN VISTA HEALTH CENTER 4800 TABOR STREET WHEAT RIDGE CO 80033 (303) 421-4161 065034 AMBERWOOD COURT REHABILITATION AND CARE COMMUNITY 4686 EAST ASBURY CIRCLE DENVER CO 80222 (303) 756-1566 065052 MESA VISTA OF BOULDER 2121 MESA DRIVE BOULDER CO 80304 (303) 442-4037 065077 ENGLEWOOD POST ACUTE AND REHABILITATION 3575 SOUTH WASHINGTON STREET ENGLEWOOD CO 80110 (303) 789-2265 065092 VILLA MANOR CARE CENTER 7950 WEST MISSISSIPPI AVENUE LAKEWOOD CO 80226 (303) 986-4511 065095 GOOD SAMARITAN SOCIETY - BONELL COMMUNITY 708 22ND STREET GREELEY CO 80631 (970) 352-6082 065097 MAPLETON CARE CENTER 115 INGALLS STREET LAKEWOOD CO 80226 (303) 237-1325 065110 MESA MANOR CENTER 2901 NORTH 12TH STREET GRAND JUNCTION CO 81506 (970) 243-7211 065113 CENTURA HEALTH-MEDALION HEALTH CENTER 1719 E BIJOU STREET COLORADO SPRINGS CO 80909 (719) 381-1000 065120 CLEAR CREEK CARE CENTER 7481 KNOX PLACE WESTMINSTER CO 80030 (303) 427-7101 065121 PAVILION AT VILLA PUEBLO, THE 855 HUNTER DRIVE PUEBLO CO 81001 (719) 545-5911 065124 HOLLY HEIGHTS CARE CENTER 6000 EAST ILIFF AVENUE DENVER CO 80222 (303) 757-5441 065129 NORTH SHORE HEALTH AND REHAB FACILITY 1365 WEST 29TH STREET LOVELAND CO 80538 (970) 667-6111 065139 GOOD SAMARITAN SOCIETY - LOVELAND VILLAGE 2101 SOUTH GARFIELD AVENUE LOVELAND CO 80537 (970) 669-3100 065142 LEMAY AVENUE HEALTH AND REHABILITATION FACILITY 4824 SOUTH LEMAY AVENUE FORT COLLINS CO 80525 (970) 482-1584 065144 GUNNISON VALLEY HEALTH SENIOR CARE CENTER 1500 W TOMICHI AVE GUNNISON CO 81230 (970) 641-0704 065163 EBEN EZER LUTHERAN CARE CENTER 122 HOSPITAL ROAD BRUSH CO 80723 (970) 842-2861 065170 SUNSET MANOR 2200 EDISON STREET BRUSH CO 80723 (970) 842-2825 065171 WESTLAKE CARE COMMUNITY 1655 EATON STREET LAKEWOOD CO 80214 (303) 238-5363 065176 SUMMIT REHABILITATION AND CARE COMMUNITY 500 GENEVA STREET AURORA CO 80010 (303) 364-9311 065181 VALLEY VIEW VILLA 815 FREMONT AVE FORT MORGAN CO 80701 (970) 867-8261 065183 CENTURA HEALTH PROGRESSIVE CARE CENTER 1338 PHAY AVENUE CANON CITY CO 81212 (719) 285-2540 065185 PROSPECT PARK LIVING CENTER 555 PROSPECT AVE ESTES PARK CO 80517 (970) 586-8103 065187 LINCOLN COMMUNITY HOSPITAL NURSING HOME 111 6TH STREET HUGO CO 80821 (719) 743-2421 065191 AUTUMN HEIGHTS HEALTH CARE CENTER 3131 SOUTH FEDERAL BOULEVARD DENVER CO 80236 (303) 761-0260 065195 SAN JUAN LIVING CENTER 1043 RIDGE STREET MONTROSE CO 81401 (970) 249-9683 065196 AVAMERE TRANSITIONAL CARE AND REHAB-MALLEY 401 MALLEY DRIVE NORTHGLENN CO 80233 (303) 452-4700 065198 GARDENS, THE 104 LOIS LANE COLORADO SPRINGS CO 80904 (719) 635-2569 065202 CEDARS HEALTHCARE CENTER 1599 INGALLS ST LAKEWOOD CO 80214 (303) 232-3551 065203 CHERRELYN HEALTHCARE CENTER 5555 SOUTH ELATI STREET LITTLETON CO 80120 (303) 798-8686 065206 ROWAN COMMUNITY, INC 4601 EAST ASBURY CIRCLE DENVER CO 80222 (303) 238-3838 065209 WESTERN HILLS HEALTH CARE CENTER 1625 CARR STREET LAKEWOOD CO 80214 (303) 232-6881 065211 FAIRACRES MANOR, INC. 1700 18TH AVENUE GREELEY CO 80631 (970) 353-3370 065212 CENTENNIAL HEALTH CARE CENTER 1637 29TH AVENUE PLACE GREELEY CO 80634 (970) 356-8181 065213 HEALTH CENTER AT FRANKLIN PARK 1535 PARK AVENUE DENVER CO 80218 (303) 832-9323 065223 BERKLEY MANOR CARE CENTER 735 SOUTH LOCUST STREET DENVER CO 80224 (303) 320-4377 065227 GOOD SAMARITAN SOCIETY - FORT COLLINS VILLAGE 508 WEST TRILBY ROAD FORT COLLINS CO 80525 (970) 226-4909 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

065230 JEWELL CARE CENTER OF DENVER 4450 EAST JEWELL AVENUE DENVER CO 80222 (303) 757-7438 065231 UNIVERSITY PARK CARE CENTER 945 DESERT FLOWER BOULEVARD PUEBLO CO 81001 (719) 545-5321 065233 HALLMARK NURSING CENTER 3701 WEST RADCLIFFE AVENUE DENVER CO 80236 (303) 794-6484 065234 EVERGREEN NURSING HOME 1991 CARROLL AVE ALAMOSA CO 81101 (719) 589-4951 065236 RIVERWALK POST ACUTE AND REHABILITATION 1610 SCRANTON AVENUE PUEBLO CO 81004 (719) 564-0550 065237 HERITAGE PARK CARE CENTER 1200 VILLAGE ROAD CARBONDALE CO 81623 (970) 963-1500 065239 SAN LUIS CARE CENTER 240 CRAFT DRIVE ALAMOSA CO 81101 (719) 589-9081 065240 AVAMERE TRANSITIONAL CARE AND REHABILITATION 2025 EAST EGBERT STREET BRIGHTON CO 80601 (303) 659-4580 065241 MANORCARE HEALTH SERVICES - DENVER 290 SOUTH MONACO PARKWAY DENVER CO 80224 (303) 355-2525 065242 BROOKSHIRE HOUSE REHABILITATION AND CARE COMMUNITY 4660 EAST ASBURY CIRCLE DENVER CO 80222 (303) 756-1546 065243 FOUR CORNERS HEALTH CARE CENTER 2911 JUNCTION STREET DURANGO CO 81301 (970) 247-2215 065245 COLUMBINE WEST HEALTH AND REHAB FACILITY 940 WORTHINGTON CIRCLE FORT COLLINS CO 80526 (970) 221-2273 065246 LAUREL MANOR CARE CENTER 920 SOUTH CHELTON ROAD COLORADO SPRINGS CO 80910 (719) 473-7780 065249 WILLOW TREE CARE CENTER 2050 SOUTH MAIN STREET DELTA CO 81416 (970) 874-9773 065250 SKYLINE RIDGE NURSING AND REHABILITATION CENTER 515 FAIRVIEW STREET CANON CITY CO 81212 (719) 275-0665 065251 PAONIA CARE AND REHABILITATION CENTER 1625 MEADOWBROOK BOULEVARD PAONIA CO 81428 (970) 527-4837 065254 SUNNY VISTA LIVING CENTER 2445 EAST CACHE LA POUDRE COLORADO SPRINGS CO 80909 (719) 471-8700 065255 BRIARWOOD HEALTH CARE CENTER 1440 VINE STREET DENVER CO 80206 (303) 399-0350 065256 HIGHLINE REHABILITATION AND CARE COMMUNITY 6060 EAST ILIFF AVENUE DENVER CO 80222 (303) 759-4221 065257 GOLDEN PEAKS CENTER 1005 EAST ELIZABETH STREET FORT COLLINS CO 80524 (970) 482-2525 065258 HORIZONS CARE CENTER 11411 HIGHWAY 65 ECKERT CO 81418 (970) 835-3113 065259 ORCHARD PARK HEALTH CARE CENTER 6005 SOUTH HOLLY STREET LITTLETON CO 80121 (303) 773-1000 065264 WALBRIDGE MEMORIAL CONVALESCENT WING 100 PIONEERS MEDICAL CENTER DRIVE MEEKER CO 81641 (970) 878-5047 065265 BERTHOUD LIVING CENTER 855 FRANKLIN AVENUE BERTHOUD CO 80513 (970) 532-2683 065266 GARDEN TERRACE ALZHEIMER'S CENTER OF EXCELLENCE 1600 SOUTH POTOMAC STREET AURORA CO 80012 (303) 750-8418 065267 MANORCARE HEALTH SERVICES - BOULDER 2800 PALO PARKWAY BOULDER CO 80301 (303) 440-9100 065269 LIFE CARE CENTER OF PUEBLO 2118 CHATALET LANE PUEBLO CO 81005 (719) 564-2000 065271 PARKVIEW MEDICAL CTR SKILLED NURSING FACILITY ECF 400 W 16TH STREET 3RD FLOOR PUEBLO CO 81003 (719) 584-4689 065272 SIERRA REHABILITATION AND CARE COMMUNITY 1432 DEPEW STREET LAKEWOOD CO 80214 (303) 238-1375 065273 CHRISTOPHER HOUSE REHABILITATION AND CARE COMMUNIT 6270 WEST 38TH AVENUE WHEAT RIDGE CO 80033 (303) 421-2272 065274 NORTH STAR REHABILITATION AND CARE COMMUNITY 3185 WEST ARKANSAS AVENUE DENVER CO 80219 (303) 922-1169 065276 LIFE CARE CENTER OF EVERGREEN 2987 BERGEN PEAK DRIVE EVERGREEN CO 80439 (303) 674-4500 065282 LIFE CARE CENTER OF LONGMONT 2451 PRATT STREET LONGMONT CO 80501 (303) 776-5000 065284 GRACE MANOR CARE CENTER 465 FIFTH STREET BURLINGTON CO 80807 (719) 346-7512 065286 EAGLE RIDGE AT GRAND VALLEY 2425 TELLER AVENUE GRAND JUNCTION CO 81501 (970) 243-3381 065291 MONTE VISTA ESTATES LLC 2277 EAST DRIVE MONTE VISTA CO 81144 (719) 852-5138 065292 REHABILITATION CENTER AT SANDALWOOD,THE 3835 HARLAN STREET WHEAT RIDGE CO 80033 (303) 422-1533 065294 LAMAR ESTATES LLC 205 SOUTH 10TH ST LAMAR CO 81052 (719) 336-3434 065296 CAMBRIDGE CARE CENTER 1685 EATON STREET LAKEWOOD CO 80214 (303) 232-4405 065297 ALLISON CARE CENTER 1660 ALLISON STREET LAKEWOOD CO 80214 (303) 232-7177 065298 HARMONY POINTE NURSING CENTER 1655 YARROW STREET LAKEWOOD CO 80214 (303) 238-1275 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

065299 PARKVIEW CARE CENTER 3105 WEST ARKANSAS AVENUE DENVER CO 80219 (303) 936-3497 065302 REGENT PARK NURSING AND REHABILITATION 816 SOUTH INTEROCEAN AVENUE HOLYOKE CO 80734 (970) 854-2251 065305 LIBERTY HEIGHTS 12205 GUNSTOCK DRIVE COLORADO SPRINGS CO 80921 (719) 481-5007 065306 VALLEY INN, THE 211 3RD AVENUE MANCOS CO 81328 (970) 533-9031 065307 MANTEY HEIGHTS REHABILITATION AND CARE CENTER 2825 PATTERSON ROAD GRAND JUNCTION CO 81506 (970) 242-7356 065308 WHEATRIDGE MANOR CARE CENTER 2920 FENTON STREET WHEAT RIDGE CO 80214 (303) 238-0481 065309 WASHINGTON COUNTY NURSING HOME 676 W GREENHOUSE DRIVE AKRON CO 80720 (970) 345-2211 065311 UPTOWN HEALTH CARE CENTER 745 EAST 18TH AVENUE DENVER CO 80203 (303) 860-0500 065312 CROWLEY COUNTY NURSING CENTER 401 IDAHO AVENUE ORDWAY CO 81063 (719) 267-3561 065316 HILLCREST CARE CENTER 360 CANYON RIDGE DRIVE WRAY CO 80758 (970) 332-4856 065320 LITTLETON CARE AND REHABILITATION CENTER 5822 SOUTH LOWELL WAY LITTLETON CO 80123 (303) 798-2497 065321 ARVADA CARE AND REHABILITATION CENTER 6121 WEST 60TH AVENUE ARVADA CO 80003 (303) 420-4550 065323 DENVER NORTH CARE CENTER 2201 DOWNING STREET DENVER CO 80205 (303) 861-4825 065324 FRASIER MEADOWS HEALTH CARE CENTER 4950 THUNDERBIRD DRIVE BOULDER CO 80303 (303) 499-8412 065325 MOUNT ST FRANCIS NURSING CENTER 7550 ASSISI HEIGHTS COLORADO SPRINGS CO 80919 (719) 598-1336 065328 LONGMONT UNITED HOSPITAL T C U 1950 MOUNTAIN VIEW AVENUE LONGMONT CO 80501 (303) 651-5156 065330 COLORADO LUTHERAN HOME 7991 WEST 71ST AVENUE ARVADA CO 80004 (303) 403-3100 065331 LARCHWOOD INNS 2845 NORTH 15TH STREET GRAND JUNCTION CO 81506 (970) 245-0022 065332 LIFE CARE CENTER OF AURORA 14101 EAST EVANS AVENUE AURORA CO 80014 (303) 751-2000 065333 CRIPPLE CREEK CARE CENTER 700 NORTH A STREET CRIPPLE CREEK CO 80813 (719) 689-2931 065341 CASEY'S POND SENIOR LIVING LTC 2855 OWL HOOT TRAIL STEAMBOAT SPRINGS CO 80487 (970) 879-8855 065344 SUITES AT CLERMONT PARK CARE CENTER 2480 SOUTH CLERMONT STREET DENVER CO 80222 (303) 758-4528 065345 CHRISTIAN LVG COMMUNITIES SUITES AT SOMEREN GLEN 5000 EAST ARAPAHOE ROAD CENTENNIAL CO 80122 (303) 779-5000 065347 VALLEY VIEW HEALTH CARE CENTER INC 2120 NORTH 10TH STREET CANON CITY CO 81212 (719) 275-7569 065351 HOLLY NURSING CARE CENTER 320 NORTH 8TH STREET HOLLY CO 81047 (719) 537-6555 065355 SHARMAR VILLAGE CARE CENTER 1201 WEST ABRIENDO AVENUE PUEBLO CO 81004 (719) 544-1173 065358 LIFE CARE CENTER OF WESTMINSTER 7751 ZENOBIA COURT WESTMINSTER CO 80030 (303) 412-9121 065359 BENT COUNTY HEALTHCARE CENTER 810 THIRD STREET LAS ANIMAS CO 81054 (719) 456-1340 065360 FOWLER HEALTH CARE 221 2ND STREET FOWLER CO 81039 (719) 263-4234 065361 BROOKSIDE INN 1297 SOUTH PERRY STREET CASTLE ROCK CO 80104 (303) 688-2500 065362 BROOKDALE ROSLYN 2500 SOUTH ROSLYN STREET DENVER CO 80231 (303) 671-2500 065366 PINE RIDGE EXTENDED CARE CENTER 119 BASTILLE DRIVE PAGOSA SPRINGS CO 81147 (970) 731-4330 065367 VILLAGE CARE AND REHABILITATION CENTER, THE 9221 WADSWORTH PARKWAY WESTMINSTER CO 80021 (303) 403-2900 065368 LIFE CARE CENTER OF GREELEY 4800 25TH STREET GREELEY CO 80634 (970) 330-6400 065370 LIFE CARE CENTER OF LITTLETON 1500 WEST MINERAL AVENUE LITTLETON CO 80120 (303) 795-7300 065373 BROOKDALE BEAR CREEK 1685 SOUTH 21ST STREET COLORADO SPRINGS CO 80904 (719) 329-1774 065374 BROOKDALE GREEN MOUNTAIN 12791 W ALAMEDA PARKWAY LAKEWOOD CO 80228 (303) 237-5700 065376 BROOKDALE GREENWOOD VILLAGE 6450 SOUTH BOSTON STREET GREENWOOD VILLAGE CO 80111 (303) 224-9455 065377 CENTRE AVENUE HEALTH AND REHAB FACILITY, LLC 815 CENTRE AVENUE FORT COLLINS CO 80526 (970) 494-2140 065378 COTTONWOOD CARE CENTER 2311 EAST BRIDGE STREET BRIGHTON CO 80601 (303) 659-2253 065381 E DENE MOORE CARE CENTER 701 EAST 5TH STREET RIFLE CO 81650 (970) 625-1514 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

065382 BROOKDALE SKYLINE 2365 PATRIOT HEIGHTS COLORADO SPRINGS CO 80904 (719) 667-5360 065383 VISTA VIEW CARE CENTER 8451 PEARL STREET THORNTON CO 80229 (303) 286-5199 065384 SANDROCK RIDGE CARE AND REHAB 943 WEST 8TH DRIVE CRAIG CO 81625 (970) 826-4100 065386 COLORADO STATE VETERANS NURSING HOME-RIFLE 851 EAST 5TH STREET RIFLE CO 81650 (970) 625-0842 065387 FOREST STREET COMPASSIONATE CARE CENTER 3345 FOREST STREET DENVER CO 80207 (303) 393-7600 065388 ST ANDREWS VILLAGE-LTC 2670 SOUTH ABILENE STREET WEST AURORA CO 80014 (303) 695-9300 065390 CENTER AT CENTENNIAL, THE 3490 CENTENNIAL BOULEVARD COLORADO SPRINGS CO 80907 (719) 685-8888 065391 COLORADO VETERANS COMMUNITY LVG CTR AT HOMELAKE 3749 SHERMAN AVENUE MONTE VISTA CO 81144 (719) 852-5118 065392 BROOKDALE MOUNTAIN VIEW 8101 E MISSISSIPPI AVENUE DENVER CO 80247 (303) 337-3400 065393 ADVANCED HEALTH CARE OF AURORA 1800 SOUTH POTOMAC STREET AURORA CO 80012 (720) 213-1700 065394 BRUCE MCCANDLESS CO STATE VETERANS NURSING HOME 0903 MOORE DRIVE FLORENCE CO 81226 (719) 784-6331 065395 SUITES AT HOLLY CREEK CARE CENTER, THE 5590 E PEAKVIEW AVENUE CENTENNIAL CO 80121 (720) 266-5888 065397 GRACE POINTE CONTINUING CARE SR CAMPUS SKILLED NUR 1919 68TH AVENUE GREELEY CO 80634 (970) 304-1919 065398 VI AT HIGHLANDS RANCH SKILLED NURSING 9085 RANCH RIVER CIRCLE HIGHLANDS RANCH CO 80126 (720) 348-7900 065399 RIO GRANDE INN 39 CALLE MILLER LA JARA CO 81140 (719) 274-3311 065400 POWERBACK REHABILITATION LAKEWOOD 7395 WEST EASTMAN PLACE LAKEWOOD CO 80227 (303) 730-8000 065401 LIFE CARE CENTER OF STONEGATE 15720 GARDEN PLAZA DRIVE PARKER CO 80134 (303) 805-2085 065402 CAREMERIDIAN LLC 5945 SOUTH WRIGHT STREET LITTLETON CO 80127 (303) 390-3000 065403 CENTER AT LINCOLN LLC 12230 LIONESS WAY PARKER CO 80134 (720) 214-7777 065404 SLOAN'S LAKE REHABILITATION CENTER 1601 NORTH LOWELL BOULEVARD DENVER CO 80204 (303) 534-2211 065406 GARDENS ON QUAIL 6447 QUAIL STREET ARVADA CO 80004 (303) 456-1500 065407 ADVANCED HEALTH CARE OF COLORADO SPRINGS 55 SOUTH PARKSIDE DRIVE COLORADO SPRINGS CO 80910 (719) 418-4500 065408 LAKEWOOD VILLA 1625 SIMMS STREET LAKEWOOD CO 80215 (303) 238-8161 065409 CONTINUING CARE AT WIND CREST 3420 MILL VISTA RD HIGHLANDS RANCH CO 80129 (303) 876-8300 065410 COLUMBINE COMMONS HEALTH AND REHAB LLC 1475 MAIN ST WINDSOR CO 80550 (970) 449-5540 065411 COTTONWOOD INN REHAB AND EXTENDED CARE CENTER 450 PROSPECTOR AVE DURANGO CO 81301 (970) 828-1414 065412 GREEN HOUSE HOMES AT MIRASOL, THE 490 MIRASOL DRIVE LOVELAND CO 80537 (970) 342-2400 075013 CRESTFIELD REHABILITATION CENTER & FENWOOD MANOR 565 VERNON ST MANCHESTER CT 6040 (860) 643-5151 075028 CHESTERFIELDS HEALTH CARE CENTER 132 MAIN ST CHESTER CT 6412 (860) 526-5363 075031 GLEN HILL REHABILITATION & NURSING CENTER 1 GLEN HILL RD DANBURY CT 6810 (203) 744-2840 075034 CAROLTON CHRONIC & CONV HOSP, 400 MILL PLAIN RD FAIRFIELD CT 6430 (203) 255-3573 075047 HEWITT HEALTH & REHABILITATION CENTER, INC 45 MALTBY STREET SHELTON CT 6484 (203) 924-4671 075056 BLAIR MANOR 612 HAZARD AVE ENFIELD CT 6082 (860) 749-8388 075057 SKYVIEW CENTER 35 MARC DR WALLINGFORD CT 6492 (203) 265-0981 075059 BIRMINGHAM HEALTH CENTER 210 CHATFIELD ST DERBY CT 6418 (203) 735-7401 075061 CASSENA CARE AT STAMFORD 53 COURTLAND AVENUE STAMFORD CT 6902 (203) 351-8300 075063 AVERY NURSING HOME 705 NEW BRITAIN AVE HARTFORD CT 6106 (860) 527-9126 075064 MILFORD HEALTH CARE CENTER INC 195 PLATT ST MILFORD CT 6460 (203) 878-5958 075070 APPLE REHAB SAYBROOK 1775 BOSTON POST RD OLD SAYBROOK CT 6475 (860) 399-6216 075074 FILOSA, FOR NURSING & REHABILITATION 13 HAKIM ST DANBURY CT 6810 (203) 744-3366 075078 WESTVIEW NURSING CARE & REHAB 150 WARE RD DAYVILLE CT 6241 (860) 774-8574 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

075079 NORWICHTOWN REHABILITATION & C 93 WEST TOWN STREET NORWICH CT 6360 (860) 889-2614 075082 HUGHES HEALTH AND REHABILITATION 29 HIGHLAND ST WEST HARTFORD CT 6119 (860) 236-5623 075084 VILLA MARIA NURSING & REHAB COMMUNITY, INC 20 BABCOCK AVE PLAINFIELD CT 6374 (860) 564-3387 075085 ST MARY HOME 2021 ALBANY AVE WEST HARTFORD CT 6117 (860) 570-8200 075096 GROVE MANOR NURSING HOME, INC 145 GROVE ST WATERBURY CT 6710 (203) 753-7205 075102 MERIDIAN MANOR 1132 MERIDEN RD WATERBURY CT 6705 (203) 757-1228 075104 ASTORIA PARK 725 PARK AVE BRIDGEPORT CT 6604 (203) 366-3653 075106 MIDDLESEX HEALTH CARE CENTER 100 RANDOLPH RD MIDDLETOWN CT 6457 (860) 344-0353 075111 WOLCOTT HALL NURSING CTR 215 FOREST ST TORRINGTON CT 6790 (860) 482-8554 075117 WITHERELL, NATHANIEL 70 PARSONAGE RD GREENWICH CT 6830 (203) 618-4200 075135 MASONICARE HEALTH CENTER 22 MASONIC AVE PO BOX 70 WALLINGFORD CT 6492 (203) 679-5900 075144 APPLE REHAB GUILFORD 10 BOSTON POST RD GUILFORD CT 6437 (203) 453-3725 075146 MIDDLEBURY CONVALESCENT HOME 778 MIDDLEBURY RD MIDDLEBURY CT 6762 (203) 758-2471 075153 SMITH HOUSE SNF 88 ROCKRIMMON RD STAMFORD CT 6903 (203) 322-3428 075163 BISHOP WICKE HEALTH & REHAB CT 584 LONG HILL AVE SHELTON CT 6484 (203) 929-5321 075181 APPLE REHAB WATERTOWN 35 BUNKER HILL RD WATERTOWN CT 6795 (860) 274-5428 075192 MERIDEN CENTER 845 PADDOCK AVE MERIDEN CT 6450 (203) 238-2645 075195 PARKWAY PAVILION HEALTH AND REHABILITATION CENTER 1157 ENFIELD ST ENFIELD CT 6082 (860) 745-1641 075198 VILLAGE GREEN OF BRISTOL REHAB & HEALTH CENTER 23 FAIR STREET FORESTVILLE CT 6010 (860) 589-2923 075202 GEER NURSING AND REHABILITATIO 99 SOUTH CANAAN RD CANAAN CT 6018 (860) 824-5137 075204 TORRINGTON HEALTH & REHABILITATION CENTER 225 WYOMING AVE TORRINGTON CT 6790 (860) 482-8563 075205 WESTFIELD CARE & REHAB CENTER 65 WESTFIELD RD MERIDEN CT 6450 (203) 238-1291 075207 REGALCARE AT PROSPECT 25 ROYAL CREST DRIVE PROSPECT CT 6712 (203) 758-4431 075214 PORTLAND CARE & REHAB CENTER, 333 MAIN ST PORTLAND CT 6480 (860) 342-0370 075216 MCLEAN HEALTH CENTER 75 GREAT POND RD SIMSBURY CT 6070 (860) 658-3700 075221 PINES AT BRISTOL FOR NURSING & REHABILITATION, THE 61 BELLEVUE AVENUE BRISTOL CT 6010 (860) 589-1682 075222 CHESHIRE REGIONAL REHAB CENTER 745 HIGHLAND AVENUE CHESHIRE CT 6410 (203) 272-7285 075230 LEDGECREST HEALTH CARE 154 KENSINGTON RD KENSINGTON CT 6037 (860) 828-0583 075231 APPLE REHAB COLCHESTER 36 BROADWAY COLCHESTER CT 6415 (860) 537-4606 075232 COBALT LODGE HEALTH CARE & REH 29 MIDDLE HADDAM RD COBALT CT 6414 (860) 267-9034 075235 GUILFORD HOUSE, THE 109 WEST LAKE AVENUE GUILFORD CT 6437 (203) 488-9142 075236 NOBLE HORIZONS 17 COBBLE RD SALISBURY CT 6068 (860) 435-9851 075237 KIMBERLY HALL-SOUTH CENTER 1 EMERSON DRIVE WINDSOR CT 6095 (860) 688-6443 075238 MAPLE VIEW MANOR 856 MAPLE ST ROCKY HILL CT 6067 (860) 563-2861 075240 GLENDALE CENTER 4 HAZEL AVE NAUGATUCK CT 6770 (203) 723-1456 075241 RIVER GLEN HEALTH CARE CTR 162 SOUTH BRITAIN RD SOUTHBURY CT 6488 (203) 264-9600 075243 PIERCE MEM BAPTIST HOME 44 CANTERBURY ROAD BROOKLYN CT 6234 (860) 774-9050 075244 AVON HEALTH CENTER 652 WEST AVON RD AVON CT 6001 (860) 673-2521 075250 PARK PLACE HEALTH CENTER 5 GREENWOOD ST HARTFORD CT 6106 (860) 236-2901 075251 TOUCHPOINTS AT FARMINGTON SCOTT SWAMP RD FARMINGTON CT 6032 (860) 677-7707 075253 HARRINGTON COURT 59 HARRINGTON CT COLCHESTER CT 6415 (860) 537-2339 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

075258 DOUGLAS MANOR 103 NORTH RD WINDHAM CT 6280 (860) 423-4636 075261 REGENCY HOUSE NURSING AND REHABILITATION CENTER 181 E MAIN ST WALLINGFORD CT 6492 (203) 265-1661 075265 ELIM PARK BAPTIST HOME, INC 140 COOK HILL RD CHESHIRE CT 6410 (203) 272-3547 075267 CROSSINGS WEST HEALTH AND REHABILITATION CENTER 89 VIETS ST EXT NEW LONDON CT 6320 (860) 447-1471 075268 TRINITY HILL CARE CENTER 151 HILLSIDE AVE HARTFORD CT 6106 (860) 951-1060 075270 GROTON REGENCY CENTER 1145 POQUONNOCK RD GROTON CT 6340 (860) 446-9960 075271 MYSTIC HEALTHCARE & REHABILITATION CENTER, LLC 475 HIGH ST MYSTIC CT 6355 (860) 536-6070 075272 ST JOSEPH'S RESIDENCE 1365 ENFIELD ST ENFIELD CT 6082 (860) 741-0791 075275 GRIMES CENTER 1354 CHAPEL ST NEW HAVEN CT 6511 (203) 867-8300 075278 WEST HARTFORD HEALTH & REHABILITATION CENTER 130 LOOMIS DR WEST HARTFORD CT 6107 (860) 521-8700 075279 KIMBERLY HALL NORTH 1 EMERSON DR WINDSOR CT 6095 (860) 688-6443 075280 WESTPORT REHABILITATION COMPLEX 1 BURR ROAD WESTPORT CT 6880 (203) 226-4201 075282 WOLCOTT VIEW MANOR 50 BEACH RD WOLCOTT CT 6716 (203) 879-8066 075286 NEWINGTON RAPID RECOVERY REHAB CENTER 240 CHURCH ST NEWINGTON CT 6111 (860) 667-2256 075288 FAIRVIEW 235 LESTERTOWN RD GROTON CT 6340 (860) 445-7478 075290 WHITNEY CENTER 200 LEEDER HILL DR HAMDEN CT 6517 (203) 281-6745 075291 ALEXANDRIA MANOR 55 TUNXIS AVE BLOOMFIELD CT 6002 (860) 242-0703 075293 JEFFERSON HOUSE ONE JOHN STEWART DR NEWINGTON CT 6111 (860) 667-4453 075294 TALMADGE PARK HEALTHCARE 38 TALMADGE AVE EAST HAVEN CT 6512 (203) 469-2316 075296 BRANFORD HILLS HEALTHCARE CTR 189 ALPS RD BRANFORD CT 6405 (203) 481-6221 075299 CHELSEA PLACE CARE CENTER 25 LORRAINE ST HARTFORD CT 6105 (860) 233-8241 075301 CALEB HITCHCOCK HEALTH CARE CE 40 LOEFFLER RD BLOOMFIELD CT 6002 (860) 726-2000 075306 PILGRIM MANOR 52 MISSIONARY RD PO BOX 180 CROMWELL CT 6416 (860) 635-5511 075307 CHESTELM HEALTH CARE 534 TOWN ST MOODUS CT 6469 (860) 873-1455 075309 GREENWICH WOODS REHABILITATION 1165 KING STREET GREENWICH CT 6831 (203) 531-1335 075310 COLONIAL HEALTH & REHAB CENTER OF PLAINFIELD LLC 16 WINDSOR AVE PLAINFIELD CT 6374 (860) 564-4081 075312 WADSWORTH GLEN HEALTH CARE CEN 30 BOSTON RD MIDDLETOWN CT 6457 (860) 346-9299 075313 GLADEVIEW HEALTH CARE CENTER 60 BOSTON POST RD OLD SAYBROOK CT 6475 (860) 388-6696 075314 TOUCHPOINTS AT MANCHESTER 333 BIDWELL ST BOX 1296 MANCHESTER CT 6040 (860) 533-3086 075316 GLASTONBURY HEALTH CARE CENTER 1175 HEBRON AVE GLASTONBURY CT 6033 (860) 659-1905 075317 WILTON MEADOWS HEALTH CARE CEN 439 DANBURY RD RT 7 WILTON CT 6897 (203) 834-0199 075318 POMPERAUG WOODS HEALTH CENTER 80 HERITAGE RD SOUTHBURY CT 6488 (203) 262-6555 075319 LITCHFIELD WOODS HEALTH CARE C 255 ROBERTS ST TORRINGTON CT 6790 (860) 489-5801 075320 ST CAMILLUS REHABILITATION & NURSING CENTER 494 ELM ST STAMFORD CT 6902 (203) 325-0200 075321 ST JOSEPHS LIVING CENTER 14 CLUB RD WINDHAM CT 6280 (860) 456-1107 075322 ESSEX MEADOWS HEALTH CENTER 30 BOKUM RD ESSEX CT 6426 (860) 767-7201 075323 CAMBRIDGE HEALTH AND REHABILITATION CENTER 2428 EASTON TNPK FAIRFIELD CT 6825 (203) 372-0313 075324 BAYVIEW HEALTH CARE 301 ROPE FERRY RD WATERFORD CT 6385 (860) 444-1175 075325 MARY WADE HOME, INC 118 CLINTON AVE NEW HAVEN CT 6513 (203) 562-7222 075326 EVERGREEN HEALTH CARE CENTER 205 CHESTNUT HILL ROAD STAFFORD SPRINGS CT 6076 (860) 684-6341 075327 APPLE REHAB MYSTIC 28 BROADWAY MYSTIC CT 6355 (860) 536-9655 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

075328 WATROUS NURSING CENTER 9 NECK RD MADISON CT 6443 (203) 245-9483 075330 LUDLOWE CENTER FOR HEALTH & REHABILITATION, LLC 118 JEFFERSON STREET FAIRFIELD CT 6432 (203) 372-4501 075331 WILLOWS REHABILITATION & NURSING CENTER 225 AMITY RD WOODBRIDGE CT 6525 (203) 387-0076 075332 VALERIE MANOR 1360 TORRINGFORD ST TORRINGTON CT 6790 (860) 489-1008 075333 MANCHESTER MANOR 385 W CENTER ST MANCHESTER CT 6040 (860) 647-7828 075334 VERNON MANOR HEALTH CARE CENTER 180 REGAN ROAD VERNON CT 6066 (860) 871-0385 075335 BEECHWOOD 31 VAUXHALL ST NEW LONDON CT 6320 (860) 442-4363 075336 SOUTHINGTON CARE CENTER 45 MERIDEN AVE SOUTHINGTON CT 6489 (860) 621-9559 075338 GOVERNOR'S HOUSE REHABILITATION & NURSING CENTER 36 FIRETOWN RD SIMSBURY CT 6070 (860) 658-1018 075339 LORD CHAMBERLAIN NURSING & REHABILITATION CENTER 7003 MAIN STREET STRATFORD CT 6614 (203) 375-5894 075340 WATERTOWN CONVALARIUM, INC 560 WOODBURY ROAD WATERTOWN CT 6795 (860) 274-6748 075341 PENDLETON HEALTH & REHABILITATION CENTER 44 MARITIME DRIVE MYSTIC CT 6355 (860) 572-1700 075343 JEROME HOME 975 CORBIN AVENUE NEW BRITAIN CT 6052 (860) 229-3707 075345 APPLE REHAB COCCOMO 33 CONE AVE MERIDEN CT 6450 (203) 238-1606 075346 ROSE HAVEN, LTD 33 NORTH ST LITCHFIELD CT 6759 (860) 567-9475 075347 SUFFIELD HOUSE, THE 1 CANAL RD SUFFIELD CT 6078 (860) 668-6111 075349 COOK WILLOW CONVALESCENT HOSPI 81 HILLSIDE AVENUE PLYMOUTH CT 6782 (860) 283-8208 075352 CONNECTICUT BAPTIST HOMES, INC 292 THORPE AVENUE MERIDEN CT 6450 (203) 237-1206 075353 JEWISH SENIOR SERVICES 4200 PARK AVENUE BRIDGEPORT CT 6604 (203) 365-6400 075355 MASONICARE AT NEWTOWN, INC 139 TODDY HILL ROAD NEWTOWN CT 6470 (203) 426-5847 075356 NOTRE DAME CONVALESCENT HOME I 76 WEST ROCKS ROAD NORWALK CT 6851 (203) 847-5893 075358 BICKFORD HEALTH CARE CENTER 14 MAIN STREET WINDSOR LOCKS CT 6096 (860) 623-4351 075359 FRESH RIVER HEALTHCARE 96 PROSPECT HILL RD EAST WINDSOR CT 6088 (860) 623-9846 075361 WAVENY CARE CENTER 3 FARM ROAD NEW CANAAN CT 6840 (203) 594-5200 075362 EVERGREEN WOODS 88 NOTCH HILL ROAD NORTH BRANFORD CT 6471 (203) 483-3211 075365 CURTIS HOME - ST ELIZABETH CEN 380 CROWN STREET MERIDEN CT 6450 (203) 237-4338 075366 HAMDEN REHABILITATION & HEALTH CARE CENTER 1270 SHERMAN LANE HAMDEN CT 6514 (203) 281-7555 075367 MEADOWBROOK OF GRANBY 350 SALMON BROOK STREET GRANBY CT 6035 (860) 653-9888 075368 GARDNER HEIGHTS HEALTH CARE CENTER, INC 172 ROCKY REST ROAD SHELTON CT 6484 (203) 929-1481 075371 LUTHERAN HOME OF SOUTHBURY INC 990 NORTH MAIN STREET SOUTHBURY CT 6488 (203) 264-9135 075373 CHESHIRE HOUSE HEALTH CARE FAC 3396 E MAIN STREET WATERBURY CT 6705 (203) 754-2161 075374 MONSIGNOR BOJNOWSKI MANOR 50 PULASKI STREET NEW BRITAIN CT 6053 (860) 229-0336 075375 BRIDE BROOK HEALTH & REHABILITATION CENTER 23 LIBERTY WAY NIANTIC CT 6357 (860) 739-4007 075377 WEST RIVER REHAB CENTER 245 ORANGE AVENUE MILFORD CT 6460 (203) 876-5123 075378 ALZHEIMERS RESOURCE CENTER OF CONNECTICUT 1261 SOUTH MAIN STREET PLANTSVILLE CT 6479 (860) 628-9000 075379 SHARON HEALTH CARE CENTER 27 HOSPITAL HILL ROAD SHARON CT 6069 (860) 364-1002 075380 APPLE REHAB CROMWELL 156 BERLIN ROAD CROMWELL CT 6416 (860) 635-1010 075381 WATER'S EDGE CENTER FOR HEALTH & REHAB 111 CHURCH STREET MIDDLETOWN CT 6457 (860) 347-7286 075382 WOODLAKE AT TOLLAND 26 SHENIPSIT LAKE ROAD TOLLAND CT 6084 (860) 872-2999 075383 SEABURY RETIREMENT COMMUNITY 200 SEABURY DRIVE BLOOMFIELD CT 6002 (860) 286-0243 075384 MARLBOROUGH HEALTH CARE CENTER 85 STAGE HARBOR ROAD MARLBOROUGH CT 6447 (860) 295-9531 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

075386 SHADY KNOLL 41 SKOKORAT STREET SEYMOUR CT 6483 (203) 881-2555 075387 AUTUMN LAKE HEALTHCARE AT NORWALK 34 MIDROCKS DRIVE NORWALK CT 6851 (203) 847-9686 075388 APPLE REHAB AVON 220 SCOVILLE ROAD AVON CT 6001 (860) 673-3265 075389 APPLE REHAB LAUREL WOODS 451 NORTH HIGH STREET EAST HAVEN CT 6512 (203) 466-6850 075390 BEACON BROOK HEALTH CENTER 89 WIED DRIVE NAUGATUCK CT 6770 (203) 729-9889 075393 BEL AIR MANOR 256 NEW BRITAIN AVENUE NEWINGTON CT 6111 (860) 666-5689 075396 CHERRY BROOK HEALTH CARE CENTE 102 DYER AVENUE COLLINSVILLE CT 6022 (860) 693-7777 075402 MANSFIELD CENTER FOR NURSING AND REHABILITATION 100 WARREN CIRCLE MANSFIELD CT 6268 (860) 487-2300 075407 THE RESERVOIR 1 EMILY WAY WEST HARTFORD CT 6107 (860) 561-7022 075409 HOLY SPIRIT HEALTH CARE INC 72 CHURCH STREET PUTNAM CT 6260 (860) 928-0891 075410 AARON MANOR NURSING & REHABILITATION 3 SOUTH WIG HILL RD CHESTER CT 6412 (860) 526-5316 075411 MATULAITIS NURSING HOME 10 THURBER RD PUTNAM CT 6260 (860) 928-7976 075412 LORD CHAMBERLAIN MANOR 7003 MAIN STREET STRATFORD CT 6614 (203) 375-5894 075413 NORTHBRIDGE HEALTH CARE CENTER 2875 MAIN STREET BRIDGEPORT CT 6606 (203) 336-0232 075414 HANCOCK HALL 31 STAPLES ST DANBURY CT 6810 (203) 794-9466 075415 COUNTRYSIDE MANOR OF BRISTOL 1660 STAFFORD AVENUE BRISTOL CT 6010 (860) 583-8483 075416 CANDLEWOOD VALLEY HEALTH & REHABILITATION CENTER 30 PARK LANE EAST NEW MILFORD CT 6776 (860) 355-0971 075418 AUTUMN LAKE HEALTHCARE AT BUCKS HILL 2817 NORTH MAIN STREET WATERBURY CT 6704 (203) 757-0731 075419 AMBERWOODS OF FARMINGTON 416 COLT HIGHWAY FARMINGTON CT 6032 (860) 677-1671 075420 SUMMIT AT PLANTSVILLE, THE 261 SUMMIT ST PLANTSVILLE CT 6479 (860) 628-0364 075421 EDGEHILL HEALTH CENTER 122 PALMERS HILL RD STAMFORD CT 6902 (203) 323-2323 075423 DAVIS PLACE 111 WESTCOTT RD DANIELSON CT 6239 (860) 774-9540 075426 LOURDES HEALTH CARE CENTER, IN 345 BELDEN HILL ROAD WILTON CT 6897 (203) 762-3318 075429 MEADOW RIDGE 100 REDDING ROAD WEST REDDING CT 6896 (203) 544-1000 075431 TWIN MAPLES HEALTHCARE, INC 809 R NEW HAVEN ROAD DURHAM CT 6422 (860) 349-1041 075436 TOUCHPOINTS AT CHESTNUT 171 MAIN ST EAST WINDSOR CT 6088 (860) 292-5394 075437 AVALON HEALTH CARE CENTER AT STONERIDGE 186 JERRY BROWNE ROAD MYSTIC CT 6355 (860) 536-9700 075439 BRADLEY HOME & PAVILLION, THE 320 COLONY STREET MERIDEN CT 6450 (203) 235-5716 075440 SPRINGS AT WATERMARK 3030 PARK, THE 3030 PARK AVENUE BRIDGEPORT CT 6604 (203) 374-5611 085001 KENTMERE REHABILITATION AND HEALTHCARE CENTER 1900 LOVERING AVENUE WILMINGTON DE 19806 (302) 652-3311 085002 PARKVIEW NURSING 2801 W. 6TH STREET WILMINGTON DE 19805 (302) 655-6135 085003 WILLOWBROOKE COURT AT COUNTRY HOUSE 4830 KENNETT PIKE WILMINGTON DE 19807 (302) 654-5101 085004 BRANDYWINE NURSING & REHABILITATION CENTER 505 GREENBANK ROAD WILMINGTON DE 19808 (302) 998-0101 085009 WILLOWBROOKE COURT AT MANOR HOUSE 1001 MIDDLEFORD ROAD SEAFORD DE 19973 (302) 629-4593 085010 MILFORD CENTER 700 MARVEL ROAD MILFORD DE 19963 (302) 422-3303 085013 HILLSIDE CENTER 810 SOUTH BROOM STREET WILMINGTON DE 19805 (302) 652-1181 085015 SEAFORD CENTER 1100 NORMAN ESKRIDGE HIGHWAY SEAFORD DE 19973 (302) 629-3575 085017 WILLOWBROOKE COURT AT COKESBURY VILLAGE 726 LOVEVILLE ROAD HOCKESSIN DE 19707 (302) 234-4444 085019 COURTLAND MANOR 889 SOUTH LITTLE CREEK ROAD DOVER DE 19901 (302) 674-0566 085020 PINNACLE REHABILITATION & HEALTH CENTER 3034 SOUTH DUPONT HIGHWAY SMYRNA DE 19977 (302) 653-5085 085025 CHURCHMAN VILLAGE 4949 OGLETOWN-STANTON ROAD NEWARK DE 19713 (302) 998-6900 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

085026 STONEGATES 4031 KENNETT PIKE GREENVILLE DE 19807 (302) 658-6200 085027 SILVER LAKE CENTER 1080 SILVER LAKE BLVD DOVER DE 19904 (302) 734-5990 085029 HARRISON SENIOR LIVING OF GEORGETOWN, LLC 110 W. NORTH STREET GEORGETOWN DE 19947 (302) 856-4574 085032 WESTMINSTER VILLAGE HEALTH 1175 MCKEE ROAD DOVER DE 19904 (302) 674-8030 085035 DELAWARE HOSPITAL F/T CHRONICALLY ILL (DHCI) 100 SUNNYSIDE ROAD SMYRNA DE 19977 (302) 223-1500 085036 FORWOOD MANOR 1912 MARSH ROAD WILMINGTON DE 19810 (302) 529-1601 085037 ATLANTIC SHORES REHABILITATION & HEALTH CENTER 231 SOUTH WASHINGTON STREET MILLSBORO DE 19966 (302) 934-7300 085040 LOFLAND PARK CENTER 715 E. KING STREET SEAFORD DE 19973 (302) 628-3000 085042 BRACKENVILLE CENTER 100 ST. CLAIRE DRIVE HOCKESSIN DE 19707 (302) 234-5420 085043 MILTON & HATTIE KUTZ HOME 704 RIVER ROAD WILMINGTON DE 19809 (302) 764-7000 085047 GILPIN HALL 1101 GILPIN AVENUE WILMINGTON DE 19806 (302) 654-4486 085048 CADIA REHABILITATION CAPITOL 1225 WALKER ROAD DOVER DE 19904 (302) 734-1199 085050 CADIA REHABILITATION BROADMEADOW 500 SOUTH BROAD STREET MIDDLETOWN DE 19709 (302) 449-3400 085051 DELAWARE VETERANS HOME 100 DELAWARE VETERAN'S DRIVE MILFORD DE 19963 (302) 424-6000 085052 CADIA REHABILITATION RENAISSANCE 26002 JOHN J WILLIAMS HIGHWAY MILLSBORO DE 19966 (302) 947-4200 085053 CADBURY AT LEWES 17028 CADBURY CIRCLE LEWES DE 19958 (302) 645-6400 085054 CADIA REHABILITATION PIKE CREEK 3540 THREE LITTLE BAKERS BLVD WILMINGTON DE 19808 (302) 455-0808 085055 WESTON SENIOR LIVING CENTER AT HIGHFIELD 4800 LANCASTER PIKE WILMINGTON DE 19807 (302) 994-4434 085056 CADIA REHABILITATION SILVERSIDE 3322 SILVERSIDE ROAD WILMINGTON DE 19810 (302) 478-8889 095005 THE WASHINGTON HOME 3720 UPTON STREET NW WASHINGTON DC 20016 (202) 966-3720 095014 WASHINGTON CTR FOR AGING SVCS 2601 18TH STREET NE WASHINGTON DC 20018 (202) 541-6140 095020 STODDARD BAPTIST NURSING HOME 1818 NEWTON ST. NW WASHINGTON DC 20010 (202) 328-7400 095021 HEALTH & REHABILITATION CENTER AT THOMAS CIRCLE 1330 MASSACHUSETTS AVENUE NW WASHINGTON DC 20005 (202) 628-3844 095022 TRANSITIONS HEALTHCARE CAPITOL CITY 2425 25TH STREET SE WASHINGTON DC 20020 (202) 889-3600 095024 BRIDGEPOINT SUBACUTE AND REHABILITATION HADLEY 4601 MARTIN LUTHER KING JR AVENUE SW WASHINGTON DC 20032 (202) 279-3005 095025 LISNER LOUISE DICKSON HURTHOME 5425 WESTERN AVE NW WASHINGTON DC 20015 (202) 966-6667 095026 KNOLLWOOD HSC 6200 OREGON AVE NW WASHINGTON DC 20015 (202) 541-0150 095028 INGLESIDE AT ROCK CREEK 3050 MILITARY ROAD NW WASHINGTON DC 20015 (202) 363-8310 095030 SIBLEY MEM HOSP RENAISSANCE 5255 LOUGHBORO ROAD NW WASHINGTON DC 20016 (202) 537-4000 095031 BRINTON WOODS HEALTH & REHAB CENTER AT DUPONT CIRC 2131 O STREET NW WASHINGTON DC 20037 (202) 785-2577 095034 CARROLL MANOR NURSING & REHAB 725 BUCHANAN ST., NE WASHINGTON DC 20017 (202) 269-7221 095036 UNIQUE RESIDENTIAL CARE CENTER 901 FIRST STREET NW WASHINGTON DC 20001 (202) 535-2011 095038 FOREST HILLS OF DC 4901 CONNECTICUT AVENUE, NW WASHINGTON DC 20008 (202) 966-7623 105001 LAKE EUSTIS HEALTH AND REHABILITATION CENTER 411 W WOODWARD AVE EUSTIS FL 32726 (352) 357-3565 105005 CORAL GABLES NURSING AND REHABILITATION CENTER 7060 SW 8TH STREET MIAMI FL 33144 (305) 261-1363 105008 ARCH PLAZA NURSING & REHABILITATION CENTER 12505 NE 16TH AVE NORTH MIAMI FL 33161 (305) 891-1710 105009 GOLFCREST HEALTHCARE CENTER 600 NORTH 17TH AVE HOLLYWOOD FL 33020 (954) 927-2531 105016 RIVER GARDEN HEBREW HOME FOR THE AGED 11401 OLD SAINT AUGUSTINE RD JACKSONVILLE FL 32258 (904) 260-1818 105029 COMMUNITY CONVALESCENT CENTER 2202 W OAK AVE PLANT CITY FL 33563 (813) 754-3761 105039 REHABILITATION CENTER OF THE PALM BEACHES,THE 301 NORTHPOINTE PARKWAY WEST PALM BEACH FL 33407 (561) 712-1717 105045 BRADEN RIVER REHABILITATION CENTER LLC 2010 MANATEE AVE E BRADENTON FL 34208 (941) 747-3706 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

105047 JUPITER MEDICAL CENTER PAVILION INC 1230 SOUTH OLD DIXIE HWY JUPITER FL 33458 (561) 744-4444 105050 SHORE ACRES CARE CENTER 4500 INDIANAPOLIS ST NE SAINT PETERSBURG FL 33703 (727) 527-5801 105052 SEASIDE HEALTH AND REHABILITATION CENTER 324 WILDER BLVD DAYTONA BEACH FL 32114 (386) 252-2600 105071 BAYSIDE REHABILITATION AND HEALTH CENTER 811 JACKSON ST N SAINT PETERSBURG FL 33705 (727) 209-3600 105083 BROWARD NURSING & REHABILITATION CENTER 1330 S ANDREWS AVE FORT LAUDERDALE FL 33316 (954) 524-5587 105089 MANOR PINES CONVALESCENT CENTER 1701 NE 26TH ST FORT LAUDERDALE FL 33305 (954) 566-8353 105101 FOUNTAINS NURSING HOME INC, THE 3800 N FEDERAL HWY BOCA RATON FL 33431 (561) 395-7510 105117 SOUTH HERITAGE HEALTH & REHABILITATION CENTER 718 LAKEVIEW AVE S SAINT PETERSBURG FL 33705 (727) 894-5125 105120 KRYSTAL BAY NURSING AND REHABILITATION 16650 W DIXIE HWY NORTH MIAMI BEACH FL 33160 (305) 945-7447 105125 TERRACES OF LAKE WORTH REHABILITATION AND HEALTH C 1711 6TH AVENUE SOUTH LAKE WORTH FL 33460 (561) 586-0808 105128 MORTON PLANT REHABILITATION CENTER 400 CORBETT ST BELLEAIR FL 33756 (727) 462-7600 105132 LAKESIDE OAKS CARE CENTER 1061 VIRGINIA ST DUNEDIN FL 34698 (727) 733-4189 105135 RIVERWOOD CENTER 2802 PARENTAL HOME ROAD JACKSONVILLE FL 32216 (904) 721-0088 105138 SUMMER BROOK HEALTH CARE CENTER 5377 MONCRIEF ROAD JACKSONVILLE FL 32209 (904) 768-1506 105140 ACCENTIA HEALTH AND REHABILITATION CENTER OF TAMPA 1818 E FLETCHER AVE TAMPA FL 33612 (813) 971-2383 105145 PARKSIDE HEALTH AND REHABILITATION CENTER 451 S AMELIA AVE DELAND FL 32720 (386) 734-8614 105146 BOYNTON HEALTH CARE CENTER 7900 VENTURE CENTER WAY BOYNTON BEACH FL 33437 (561) 736-6000 105148 EMERALD SHORES HEALTH AND REHABILITATION 626 N TYNDALL PKWY CALLAWAY FL 32404 (850) 871-6363 105149 NORTH REHABILITATION CENTER 1301 16TH ST N SAINT PETERSBURG FL 33705 (727) 822-3171 105152 PANAMA CITY HEALTH AND REHABILITATION CENTER 924 W 13TH ST PANAMA CITY FL 32401 (850) 763-8463 105158 TALLAHASSEE MEMORIAL HOSPITAL EXTENDED CARE 1609 MEDICAL DR TALLAHASSEE FL 32308 (850) 431-5440 105159 GREENBRIAR REHABILITATION AND NURSING CENTER 210 21ST AVE W BRADENTON FL 34205 (941) 747-3786 105175 PLANTATION NURSING & REHABILITATION CENTER 4250 NW 5TH ST PLANTATION FL 33317 (954) 587-3296 105178 HERITAGE HEALTHCARE & REHABILITATION CENTER 777 9TH ST N NAPLES FL 33940 (239) 261-8126 105190 CRESTVIEW REHABILITATION CENTER, LLC 1849 FIRST AVENUE EAST CRESTVIEW FL 32539 (850) 682-5322 105196 THE LODGE HEALTH AND REHABILITATION CENTER 635 SE 17TH STREET OCALA FL 34471 (352) 629-7921 105202 APOLLO HEALTH AND REHABILITATION CENTER 1000 24TH ST N SAINT PETERSBURG FL 33713 (727) 323-4711 105205 MANOR OAKS NURSING & REHABILITATION CENTER 2121 E COMMERCIAL BLVD FORT LAUDERDALE FL 33308 (954) 771-8400 105207 WAVE CREST HEALTH AND REHABILITATION CENTER 1415 S HICKORY ST MELBOURNE FL 32901 (321) 723-1321 105210 W FRANK WELLS NURSING HOME 210 N 2ND ST MACCLENNY FL 32063 (904) 259-6168 105217 NORTH BEACH REHABILITATION CENTER 2201 NE 170TH STREET NORTH MIAMI BEACH FL 33160 (305) 945-1401 105219 BOCA RATON REHABILITATION CENTER 755 MEADOWS ROAD BOCA RATON FL 33486 (561) 391-5200 105229 SOUTH POINTE PLAZA REHABILITATION AND NURSING CENT 42 COLLINS AVENUE MIAMI BEACH FL 33139 (305) 672-1771 105232 VILLA MARIA NURSING CENTER 1050 NE 125TH STREET NORTH MIAMI FL 33161 (305) 891-8850 105237 WEST BROWARD REHABILITATION AND HEALTHCARE 7751 W BROWARD BLVD PLANTATION FL 33324 (954) 473-8040 105248 OAK MANOR HEALTHCARE & REHABILITATION CENTER 3500 OAK MANOR LANE LARGO FL 34641 (727) 581-9427 105251 ROCKLEDGE HEALTH AND REHABILITATION CENTER 587 BARTON BLVD ROCKLEDGE FL 32955 (321) 632-6300 105255 JOHN KNOX VILLAGE HEALTH CENTER-POMPANO BEACH 700 SW 4TH STREET POMPANO BEACH FL 33060 (954) 783-4001 105258 SEAVIEW NURSING AND REHABILITATION CENTER 2401 NE 2ND STREET POMPANO BEACH FL 33062 (954) 943-5100 105259 MEDICANA NURSING AND REHAB CENTER 1710 LAKE WORTH ROAD LAKE WORTH FL 33460 (561) 582-5331 105261 UNIVERSITY CENTER WEST 545 WEST EUCLID AVENUE DELAND FL 32720 (386) 734-9085 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

105265 EMERALD COAST CENTER 114 THIRD STREET SE FORT WALTON BEACH FL 32548 (850) 243-6134 105267 BAYSIDE HEALTH AND REHABILITATION CENTER 4343 LANGLEY AVENUE PENSACOLA FL 32504 (850) 477-4550 105268 LAKESIDE HEALTH CENTER 2501 N AUSTRALIAN AVENUE WEST PALM BEACH FL 33407 (561) 655-7780 105274 CLEARWATER CENTER 1270 TURNER ST CLEARWATER FL 33756 (727) 443-7639 105275 SOUTHERN PINES HEALTHCARE CENTER 6140 CONGRESS ST NEW PORT RICHEY FL 34653 (727) 842-8402 105277 STUART NURSING & RESTORATIVE CARE CENTER 1500 SE PALM BEACH RD STUART FL 34994 (772) 283-5887 105280 TARPON BAYOU CENTER 515 CHESAPEAKE DR TARPON SPRINGS FL 34689 (727) 934-4629 105285 BAY CENTER 1336 ST ANDREWS BLVD PANAMA CITY FL 32405 (850) 763-3911 105289 LIFE CARE CENTER OF PUNTA GORDA 450 SHREVE STREET PUNTA GORDA FL 33950 (941) 639-8771 105291 LIFE CARE CENTER OF MELBOURNE 606 E SHERIDAN RD MELBOURNE FL 32901 (321) 727-0984 105292 EAGLE LAKE NURSING AND REHAB CARE CENTER 1100 66TH ST N SAINT PETERSBURG FL 33710 (727) 345-9331 105293 EGRET COVE CENTER 550 62ND ST S SAINT PETERSBURG FL 33707 (727) 347-6151 105295 FORT WALTON REHABILITATION CENTER, LLC 1 LBJ SR DRIVE FORT WALTON BEACH FL 32547 (850) 863-2066 105296 CROSS POINTE CARE CENTER 440 PHIPPEN WAITERS ROAD DANIA BEACH FL 33004 (954) 927-0508 105297 BROOKSVILLE HEALTHCARE CENTER 1114 CHATMAN BLVD BROOKSVILLE FL 34601 (352) 796-6701 105298 FT LAUDERDALE HEALTH & REHABILITATION CENTER 2000 EAST COMMERCIAL BLVD FORT LAUDERDALE FL 33308 (954) 771-2300 105299 WHISPERING OAKS 1514 E CHELSEA ST TAMPA FL 33610 (813) 238-6406 105300 TERRACE AT HOBE SOUND, THE 9555 SE FEDERAL HWY HOBE SOUND FL 33455 (772) 546-5800 105301 VALENCIA HILLS HEALTH AND REHABILITATION CENTER 1350 SLEEPY HILL RD LAKELAND FL 33810 (863) 858-4402 105304 AVANTE AT LEESBURG, INC 2000 EDGEWOOD AVE LEESBURG FL 34748 (352) 787-3545 105307 MANOR CARE NURSING & REHABILITATION CENTER 2075 LOCH LOMOND DRIVE WINTER PARK FL 32792 (407) 628-5418 105308 AVANTE AT INVERNESS INC 304 S CITRUS AVE INVERNESS FL 34452 (352) 726-3141 105317 CRYSTAL RIVER HEALTH AND REHABILITATION CENTER 136 NORTHEAST 12TH AVENUE CRYSTAL RIVER FL 34429 (352) 795-5044 105319 SUN TERRACE HEALTH CARE CENTER 105 TRINITY LAKES DR SUN CITY CENTER FL 33573 (813) 634-3324 105320 HERITAGE PARK HEALTH AND REHABILITATION CENTER 37135 COLEMAN AVE DADE CITY FL 33525 (352) 567-8615 105321 OCALA HEALTH AND REHABILITATION CENTER 1201 SE 24TH RD OCALA FL 34471 (352) 732-2449 105326 CANTERBURY TOWERS INC 3501 BAYSHORE BLVD TAMPA FL 33629 (813) 837-1083 105327 CASA MORA REHABILITATION AND EXTENDED CARE 1902 59TH ST W BRADENTON FL 34209 (941) 761-1000 105328 SANTA ROSA HEALTH & REHABILITATION CENTER 5386 BROAD ST MILTON FL 32570 (850) 623-4661 105329 OCEANSIDE EXTENDED CARE CENTER 550 9TH STREET MIAMI BEACH FL 33139 (305) 531-3321 105331 AVENTURA PLAZA REHABILITATION & NURSING CENTER 1800 N E 168TH STREET NORTH MIAMI BEACH FL 33162 (305) 947-3445 105332 WINTER PARK CARE & REHABILITATION CENTER 2970 SCARLETT RD WINTER PARK FL 32792 (407) 671-8030 105333 AVANTE AT MT DORA, INC 3050 BROWN AVE MOUNT DORA FL 32757 (352) 383-4161 105335 ABBEY DELRAY 2105 SW 11TH COURT DELRAY BEACH FL 33445 (561) 454-1136 105336 PALMS REHABILITATION AND NURSING CENTER 3370 NW 47TH TERRACE LAUDERDALE LAKES FL 33319 (954) 733-0655 105342 REHAB & HEALTHCARE CENTER OF CAPE CORAL 2629 DEL PRADO BLVD CAPE CORAL FL 33904 (239) 574-4434 105343 HEATHER HILL HEALTHCARE CENTER 6630 KENTUCKY AVE NEW PORT RICHEY FL 34653 (727) 849-6939 105349 ALLIANCE HEALTH AND REHABILITATION CENTER 130 W ARMSTRONG AVENUE DELAND FL 32720 (386) 734-6401 105350 CROSS TERRACE REHABILITATION CENTER 1351 SAN CHRISTOPHER DR DUNEDIN FL 34698 (727) 736-1421 105351 JOHN KNOX VILLAGE MED CENTER 4100 E FLETCHER AVE TAMPA FL 33613 (813) 632-2455 105353 FLORIDA LIVING NURSING CENTER 3355 E SEMORAN BLVD APOPKA FL 32703 (407) 862-6263 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

105354 LAKELAND NURSING & REHABILITATION 1919 LAKELAND HILLS BLVD LAKELAND FL 33805 (863) 688-5612 105355 WILLOWBROOKE COURT AT ST ANDREWS 6152 N VERDE TRAIL BOCA RATON FL 33433 (561) 487-5200 105358 ST CATHERINE LABOURE MANOR, INC 1750 STOCKTON ST JACKSONVILLE FL 32204 (904) 308-4700 105360 TAMARAC REHABILITATION AND HEALTH CENTER 7901 NW 88TH AVENUE TAMARAC FL 33321 (954) 722-9330 105362 HARDEE MANOR HEALTHCARE CENTER 401 ORANGE PLACE WAUCHULA FL 33873 (863) 773-3231 105364 SEVEN HILLS HEALTH & REHABILITATION CENTER 3333 CAPITAL MEDICAL BLVD TALLAHASSEE FL 32308 (850) 877-4115 105365 LIFE CARE CENTER OF ALTAMONTE SPRINGS 989 ORIENTA AVE ALTAMONTE SPRINGS FL 32701 (407) 831-3446 105371 ST JOHNS NURSING CENTER 3075 NW 35TH AVE LAUDERDALE LAKES FL 33311 (954) 739-6233 105373 SUNSET POINT 1980 SUNSET POINT RD CLEARWATER FL 33765 (727) 443-1588 105374 MAJESTIC OAKS 901 VETERAN'S MEMORIAL PARKWAY ORANGE CITY FL 32763 (386) 775-2008 105377 LONGWOOD HEALTH AND REHABILITATION CENTER 1520 S GRANT ST LONGWOOD FL 32750 (407) 339-9200 105378 ST MARK VILLAGE 2655 NEBRASKA AVE PALM HARBOR FL 34684 (727) 785-2577 105379 OAKS OF KISSIMMEE HEALTH AND REHABILITATION CENTER 320 N MITCHELL ST KISSIMMEE FL 34741 (407) 847-7200 105382 LAUREL POINTE CARE AND REHABILITATION CENTER 703 S 29TH ST FORT PIERCE FL 34947 (772) 466-3322 105384 CALUSA HARBOUR 2525 FIRST ST FORT MYERS FL 33901 (239) 425-2241 105385 ROYAL OAK NURSING CENTER 37300 ROYAL OAK LANE DADE CITY FL 33525 (352) 567-3122 105389 HEARTLAND HEALTH CARE CENTER - NORTH SARASOTA 3250 12TH ST SARASOTA FL 34237 (941) 365-4185 105391 SEA BREEZE HEALTH CARE 1937 JENKS AVE PANAMA CITY FL 32401 (850) 769-7686 105393 BEAR CREEK NURSING CENTER 8041 STATE RD 52 HUDSON FL 34667 (727) 863-5488 105395 WESTWOOD NURSING & REHABILITATION CENTER 1001 MAR-WALT DRIVE FORT WALTON BEACH FL 32547 (850) 863-5174 105396 CHATEAU AT MOORINGS PARK, THE 130 MOORINGS PARK DRIVE NAPLES FL 34105 (239) 643-9133 105397 EVERGREEN WOODS 7045 EVERGREEN WOODS TRL SPRING HILL FL 34608 (352) 596-8371 105401 AYERS HEALTH AND REHABILITATION CENTER 606 NE 7TH ST TRENTON FL 32693 (352) 463-7101 105402 BRIDGEVIEW CENTER 350 S RIDGEWOOD AVENUE ORMOND BEACH FL 32174 (386) 677-4545 105404 WATERFORD, THE 601 UNIVERSE BLVD JUNO BEACH FL 33408 (561) 627-3800 105407 SPRINGWOOD CENTER 4602 NORTHGATE COURT SARASOTA FL 34234 (941) 355-2913 105408 TREASURE ISLE CARE CENTER 1735 N TREASURE DRIVE NORTH BAY VILLAGE FL 33141 (305) 865-2383 105410 PORT ST LUCIE NURSING AND RESTORATIVE CARE CENTER 7300 OLEANDER AVE PORT SAINT LUCIE FL 34952 (561) 466-4100 105411 ABBEY DELRAY SOUTH 1717 HOMEWOOD BLVD DELRAY BEACH FL 33445 (561) 454-5200 105412 SEMINOLE PAVILION REHABILITATION & NURSING SERVICE 10800 TEMPLE TERRACE SEMINOLE FL 33772 (727) 398-0123 105417 HABANA HEALTH CARE CENTER 2916 HABANA WAY TAMPA FL 33614 (813) 876-5141 105419 WEST BAY OF TAMPA 3865 TAMPA RD OLDSMAR FL 34677 (813) 855-4661 105422 SIGNATURE HEALTHCARE OF PINELLAS PARK 8701 49TH ST N PINELLAS PARK FL 33782 (727) 546-4661 105423 TERRACE OF JACKSONVILLE, THE 10680 OLD ST AUGUSTINE RD JACKSONVILLE FL 32257 (904) 268-4953 105429 FIRST COAST HEALTH & REHABILITATION CENTER 7723 JASPER AVENUE JACKSONVILLE FL 32211 (904) 725-8044 105430 REHABILITATION CENTER OF WINTER PARK, THE 1700 MONROE AVE MAITLAND FL 32751 (407) 647-2092 105431 COURTYARDS OF ORLANDO REHABILITATION AND HEALTH CE 1900 MERCY DRIVE ORLANDO FL 32808 (407) 299-5404 105432 RIVERSIDE CARE CENTER 899 NW 4TH STREET MIAMI FL 33128 (305) 326-1236 105435 BRIDGE AT BAY ST JOE, THE 220 NINTH STREET PORT SAINT JOE FL 32456 (850) 229-8244 105436 MANORCARE HEALTH SERVICES DUNEDIN 870 PATRICIA AVE DUNEDIN FL 34698 (727) 734-8861 105437 CYPRESS COVE CARE CENTER 700 SE 8TH AVE CRYSTAL RIVER FL 34429 (352) 795-8832 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

105438 ORCHARD RIDGE 4927 VOORHEES RD NEW PORT RICHEY FL 34653 (727) 848-3578 105439 LAKESIDE PAVILION 2900 12TH STREET N NAPLES FL 34103 (239) 261-2554 105441 SUNRISE HEALTH & REHABILITATION CENTER 4800 N NOB HILL RD SUNRISE FL 33351 (954) 577-3600 105444 WILLOWBROOKE COURT AT AZALEA TRACE 10100 HILLVIEW DR PENSACOLA FL 32514 (850) 478-5200 105449 MIAMI SHORES NURSING AND REHAB CENTER 9380 NW 7TH AVENUE MIAMI FL 33150 (305) 759-8711 105451 PENINSULA CARE AND REHABILITATION CENTER 900 BECKETT WAY TARPON SPRINGS FL 34689 (727) 934-0876 105452 ENGLEWOOD HEALTHCARE AND REHAB 1111 DRURY LN ENGLEWOOD FL 34224 (941) 474-9371 105454 MANORCARE HEALTH SERVICES SARASOTA 5511 SWIFT ROAD SARASOTA FL 34231 (941) 921-7462 105455 LAKE PLACID HEALTH AND REHABILITATION CENTER 125 TOMOKA BLVD S LAKE PLACID FL 33852 (863) 465-7200 105459 CONSULATE HEALTH CARE OF NEW PORT RICHEY 8417 OLD COUNTY RD 54 NEW PORT RICHEY FL 34653 (727) 376-1585 105462 CLEWISTON NURSING & REHABILITATION 301 SOUTH GLORIA ST CLEWISTON FL 33440 (863) 983-5123 105464 ANCHOR CARE AND REHABILITATION CENTER 1515 PORT MALABAR BLVD NE PALM BAY FL 32905 (321) 723-1235 105466 SIGNATURE HEALTHCARE OF PALM BEACH 4405 LAKEWOOD ROAD LAKE WORTH FL 33461 (561) 969-1400 105472 VILLAGE ON THE ISLE 910 TAMIAMI TRAIL SOUTH VENICE FL 34285 (941) 486-5420 105473 RIVER VALLEY REHABILITATION CENTER 17884 NE CROZIER ST BLOUNTSTOWN FL 32424 (850) 674-5464 105476 REGENTS PARK NURSING & REHABILITATION CENTER 6363 VERDE TRAIL BOCA RATON FL 33433 (561) 483-9282 105478 ADVANCED CARE CENTER 401 FAIRWOOD AVE CLEARWATER FL 33759 (727) 210-2600 105479 HEALTH CENTRAL PARK 411 NORTH DILLARD STREET WINTER GARDEN FL 34787 (407) 296-1600 105481 MANORCARE HEALTH SERVICES 375 NW 51ST STREET BOCA RATON FL 33431 (561) 997-8111 105484 OKEECHOBEE HEALTH CARE FACILITY 1646 HIGHWAY 441 N OKEECHOBEE FL 34972 (863) 763-2226 105485 HAMLIN PLACE 2180 HYPOLUXO ROAD LANTANA FL 33462 (561) 582-6711 105487 BAY BREEZE SENIOR LIVING AND REHABILITATION CENTER 3387 GULF BREEZE PARKWAY GULF BREEZE FL 32561 (850) 932-9257 105488 RIVERWOOD HEALTH & REHABILITATION CENTER 808 S COLLEY RD STARKE FL 32091 (904) 964-6220 105489 WILLOWBROOKE COURT AT EDGEWATER POINTE ESTATES 23305 BLUE WATER CIRCLE BOCA RATON FL 33433 (561) 368-5600 105491 SOUTH TAMPA HEALTH AND REHABILITATION CENTER 4610 S MANHATTAN AVE TAMPA FL 33611 (813) 839-5311 105492 CONSULATE HEALTH CARE OF WEST PALM BEACH 1626 DAVIS RD WEST PALM BEACH FL 33406 (561) 439-8897 105494 ROYAL PALM BEACH HEALTH AND REHABILITATION CENTER 600 BUSINESS PARK WAY ROYAL PALM BEACH FL 33411 (561) 798-3700 105496 MANORCARE HEALTH SERVICES BOYNTON BEACH 3001 SOUTH CONGRESS AVENUE BOYNTON BEACH FL 33426 (561) 737-5600 105498 SUSANNA WESLEY HEALTH CENTER 5300 W 16TH AVENUE HIALEAH FL 33012 (305) 556-3500 105499 MANORCARE AT LELY PALMS 6135 RATTLESNAKE HAMMOCK ROAD NAPLES FL 34113 (239) 775-7715 105502 NORTH DADE NURSING AND REHABILITATION CENTER 1255 NE 135TH STREET NORTH MIAMI FL 33161 (305) 891-6850 105503 PARK SUMMIT AT CORAL SPRINGS 8500 ROYAL PALM BLVD CORAL SPRINGS FL 33065 (954) 752-9500 105504 MARION AND BERNARD L SAMSON NURSING CENTER 255 59TH ST N SAINT PETERSBURG FL 33710 (727) 345-2775 105505 MARGATE HEALTH CARE CENTER 5951 COLONIAL DRIVE MARGATE FL 33063 (954) 979-6401 105508 EAST RIDGE RETIREMENT VILLAGE INC 19225 SW 87TH AVE CUTLER BAY FL 33157 (305) 238-2623 105509 SALERNO BAY MANOR 4801 SE COVE RD STUART FL 34997 (772) 286-9440 105510 UNITY HEALTH AND REHABILITATION CENTER 1404 NW 22ND STREET MIAMI FL 33142 (305) 325-1050 105511 HIALEAH SHORES NURSING AND REHAB CENTER 8785 NW 32ND AVENUE MIAMI FL 33147 (305) 691-5711 105513 CLARIDGE HOUSE NURSING & REHABILITATION CENTER 13900 NE 3RD COURT NORTH MIAMI FL 33161 (305) 893-2288 105514 DEBARY HEALTH AND REHABILITATION CENTER 60 N HWY 17/92 DEBARY FL 32713 (386) 668-4426 105515 SOLARIS HEALTHCARE PLANT CITY 701 N WILDER RD PLANT CITY FL 33566 (813) 752-3611 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

105518 QUALITY HEALTH OF ORANGE COUNTY 12751 W COLONIAL DRIVE WINTER GARDEN FL 34787 (407) 877-6636 105522 LEHIGH ACRES HEALTH AND REHABILITATION CENTER 1550 LEE BOULEVARD LEHIGH ACRES FL 33936 (239) 369-2194 105523 QUALITY HEALTH OF NORTH PORT 6940 OUTREACH WAY NORTH PORT FL 34287 (941) 426-8411 105524 PORT CHARLOTTE REHABILITATION CENTER 25325 RAMPART BLVD PORT CHARLOTTE FL 33948 (941) 629-7466 105525 WOODS OF MANATEE SPRINGS, THE 5627 9TH ST E BRADENTON FL 34203 (941) 753-8941 105526 BISHOPS GLEN RETIREMENT CENTER 900 LPGA BLVD HOLLY HILL FL 32117 (386) 226-9000 105528 TERRACE OF ST CLOUD, THE 3855 OLD CANOE CREEK ROAD SAINT CLOUD FL 34769 (407) 957-2280 105529 HERITAGE PARK CARE AND REHABILITATION CENTER 2302 59TH ST W BRADENTON FL 34209 (941) 792-8480 105530 VISTA MANOR 1550 JESS PARRISH CT TITUSVILLE FL 32796 (321) 269-2200 105532 ARCADIA HEALTH & REHABILITATION CENTER 10095 HILLVIEW ROAD PENSACOLA FL 32514 (850) 479-4000 105533 REGENTS PARK OF JACKSONVILLE 8700 A C SKINNER PARKWAY JACKSONVILLE FL 32256 (904) 642-7300 105537 SPRINGS AT BOCA CIEGA BAY 1255 PASADENA AVE S, SUITE C SOUTH PASADENA FL 33707 (727) 828-3500 105538 HARBOUR HEALTH CENTER 23013 WESTCHESTER BLVD PORT CHARLOTTE FL 33980 (941) 625-1220 105541 HOMESTEAD MANOR A PALACE COMMUNITY 1330 NW 1ST AVE HOMESTEAD FL 33030 (305) 248-0271 105544 SOLARIS HEALTHCARE BAYONET POINT 7210 BEACON WOODS DR HUDSON FL 34667 (727) 863-1521 105547 FLAGLER HEALTH AND REHABILITATION CENTER 300 DR CARTER BOULEVARD BUNNELL FL 32110 (386) 437-4168 105548 MOULTRIE CREEK NURSING AND REHAB CENTER 200 MARINER HEALTH WAY SAINT AUGUSTINE FL 32086 (904) 797-1800 105551 BAY VUE NURSING AND REHABILITATION CENTER 105 15TH ST E BRADENTON FL 34208 (941) 747-8681 105552 SANDY RIDGE HEALTH AND REHABILITATION 5360 GLOVER LANE MILTON FL 32570 (850) 626-9225 105553 CARROLLWOOD CARE CENTER 15002 HUTCHINSON RD TAMPA FL 33625 (813) 960-1969 105554 SIGNATURE HEALTHCARE CENTER OF WATERFORD 8333 W OKEECHOBEE ROAD HIALEAH GARDENS FL 33016 (305) 556-9900 105555 REHABILITATION CENTER AT JUPITER GARDENS LLC 17781 THELMA AVE JUPITER FL 33458 (561) 746-2998 105556 VILLAGE ON THE GREEN 500 VILLAGE PLACE LONGWOOD FL 32779 (407) 682-0230 105560 ST ANNES NURSING CENTER, ST ANNES RESIDENCE INC 11855 QUAIL ROOST DRIVE MIAMI FL 33177 (305) 252-4000 105561 SOLARIS HEALTHCARE PENSACOLA 8475 UNIVERSITY PARKWAY PENSACOLA FL 32514 (850) 474-1252 105562 PALM GARDEN OF OCALA 2700 SW 34TH ST OCALA FL 34474 (352) 854-6262 105563 CENTRE POINTE HEALTH AND REHAB CENTER 2255 CENTERVILLE ROAD TALLAHASSEE FL 32308 (850) 386-4054 105564 RIO PINAR HEALTH CARE 7950 LAKE UNDERHILL ROAD ORLANDO FL 32822 (407) 658-2046 105565 COASTAL HEALTH AND REHABILITATION CENTER 820 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32117 (386) 274-4575 105568 WINDSOR WOODS REHAB AND HEALTHCARE CENTER 13719 DALLAS DR HUDSON FL 34667 (727) 862-6795 105570 INDIGO MANOR 595 N WILLIAMSON BLVD DAYTONA BEACH FL 32114 (386) 257-4400 105571 PALM GARDEN OF GAINESVILLE 227 SW 62ND BLVD GAINESVILLE FL 32607 (352) 331-0601 105572 POMPANO HEALTH AND REHABILITATION CENTER 51 W SAMPLE ROAD POMPANO BEACH FL 33064 (954) 942-5530 105574 PALM GARDEN OF LARGO 10500 STARKEY RD LARGO FL 33777 (727) 397-8166 105575 PALMETTO REHABILITATION AND HEALTH CENTER 6750 WEST 22ND COURT HIALEAH FL 33016 (305) 512-4688 105577 PALM GARDEN OF ORLANDO 654 N ECONLOCKHATCHEE TRAIL ORLANDO FL 32825 (407) 273-6158 105578 HARBOR BEACH NURSING AND REHABILITATION CENTER 1615 MIAMI RD FORT LAUDERDALE FL 33316 (954) 523-5673 105579 EMERALD HEALTH CARE CENTER 1655 SE WALTON ROAD PORT SAINT LUCIE FL 34952 (772) 337-1333 105581 PALM GARDEN OF CLEARWATER 3480 MCMULLEN BOOTH RD CLEARWATER FL 33761 (727) 786-6697 105584 SARASOTA MEMORIAL NURSING AND REHABILITATION CENTE 5640 RAND BLVD SARASOTA FL 34238 (941) 917-4950 105587 COUNTRYSIDE REHAB AND HEALTHCARE CENTER 3825 COUNTRYSIDE BLVD N PALM HARBOR FL 34684 (727) 784-2848 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

105591 PALM GARDEN OF TAMPA 3612 E 138TH AVE TAMPA FL 33613 (813) 972-8775 105593 WILLOWBROOKE COURT AT INDIAN RIVER ESTATES 2440 CITRUS BLOSSOM CIR VERO BEACH FL 32966 (772) 562-8700 105596 REGENTS PARK AT AVENTURA 18905 NE 25TH AVE AVENTURA FL 33180 (305) 932-6360 105597 SURREY PLACE CARE CENTER 110 SE LEE AVE LIVE OAK FL 32064 (386) 364-5961 105598 HARBOURS EDGE 401 E LINTON BLVD DELRAY BEACH FL 33483 (561) 272-7979 105599 HEARTLAND OF ZEPHYRHILLS 38220 HENRY DR ZEPHYRHILLS FL 33540 (813) 788-7114 105601 GRAND BOULEVARD HEALTH AND REHABILITATION CENTER 138 SANDESTIN LANE MIRAMAR BEACH FL 32550 (850) 267-2887 105602 HAWTHORNE HEALTH AND REHAB OF OCALA 4100 SW 33RD AVE OCALA FL 34474 (352) 237-7776 105603 RIVIERA PALMS REHABILITATION CENTER 926 HABEN BLVD PALMETTO FL 34221 (941) 722-0553 105606 NORTHBROOK HEALTH AND REHABILITATION CENTER 575 LAMAR AVE BROOKSVILLE FL 34601 (352) 799-2226 105611 WOOD LAKE HEALTH AND REHABILITATION CENTER 6414 13TH RD S GREEN ACRES FL 33415 (561) 478-9900 105612 SILVERCREST HEALTH AND REHABILITATION CENTER 910 BROOKMEADE DRIVE CRESTVIEW FL 32539 (850) 682-1903 105616 CARRINGTON PLACE OF ST PETE 10501 ROOSEVELT BLVD N SAINT PETERSBURG FL 33716 (727) 577-3800 105618 REGENTS PARK OF WINTER PARK 558 N SEMORAN BLVD WINTER PARK FL 32792 (407) 679-1515 105620 HIGHLANDS LAKE CENTER 4240 LAKELAND HIGHLANDS RD LAKELAND FL 33813 (863) 646-8699 105621 NORTH CAMPUS REHABILITATION AND NURSING CENTER 700 N PALMETTO ST LEESBURG FL 34748 (352) 323-5500 105622 DEERFIELD BEACH HEALTH AND REHABILITATION CENTER 401 EAST SAMPLE ROAD POMPANO BEACH FL 33064 (954) 941-4100 105623 WEST GABLES HEALTH CARE CENTER 2525 SW 75TH AVENUE MIAMI FL 33155 (305) 265-9391 105624 BONIFAY NURSING AND REHAB CENTER 306 WEST BROCK AVENUE BONIFAY FL 32425 (850) 547-9289 105626 CHAUTAUQUA REHABILITATION AND NURSING CENTER 785 S 2ND STREET DEFUNIAK SPRINGS FL 32435 (850) 892-2176 105627 COURT AT PALM AIRE, THE 2701 N COURSE DR POMPANO BEACH FL 33069 (954) 975-8900 105628 REHABILITATION CENTER AT PARK PLACE 1717 W AVERY ST PENSACOLA FL 32501 (850) 434-2355 105629 SURREY PLACE HEALTHCARE AND REHABILITATION 5525 21ST AVE W BRADENTON FL 34209 (941) 795-0448 105630 VICAR'S LANDING NURSING HOME 1003 YORK ROAD PONTE VEDRA BEACH FL 32082 (904) 285-1055 105632 HARTS HARBOR HEALTH CARE CENTER 11565 HARTS RD JACKSONVILLE FL 32218 (904) 751-1834 105634 GLEN OAKS HEALTH AND REHABILITATION CENTER 1100 N PINE ST CLEARWATER FL 33756 (727) 442-7106 105635 MELBOURNE TERRACE REHABILITATION CENTER 251 FLORIDA AVE MELBOURNE FL 32901 (321) 725-3990 105636 BELLEAIR HEALTH CARE CENTER 1150 PONCE DE LEON BLVD CLEARWATER FL 33756 (727) 585-5491 105637 MARIANNA HEALTH AND REHABILITATION CENTER 4295 FIFTH AVENUE MARIANNA FL 32446 (850) 482-8091 105643 ISLAND LAKE CENTER 155 LANDOVER PLACE LONGWOOD FL 32750 (407) 830-7744 105645 BARTRAM CROSSING 6209 BROOKS BARTRAM DRIVE JACKSONVILLE FL 32258 (904) 824-3326 105650 BAYSHORE POINTE NURSING AND REHAB CENTER 3117 W GANDY BLVD TAMPA FL 33611 (813) 261-5500 105654 WESTCHESTER GARDENS REHABILITATION CARE CENTER 3301 N MCMULLEN BOOTH RD CLEARWATER FL 33761 (727) 785-8335 105657 DIAMOND RIDGE HEALTH AND REHABILITATION CENTER 2730 W MARC KNIGHTON CT LECANTO FL 34461 (352) 746-9500 105658 ZEPHYR HAVEN HEALTH & REHAB CENTER, INC 38250 A AVE ZEPHYRHILLS FL 33542 (813) 782-5508 105659 OASIS HEALTH AND REHABILITATION CENTER 1201 12TH AVENUE SOUTH LAKE WORTH FL 33460 (561) 586-7404 105660 MANOR AT CARPENTERS, THE 1001 CARPENTERS WAY LAKELAND FL 33809 (863) 858-3847 105662 SIGNATURE HEALTHCARE OF NORTH FLORIDA 1083 SANDERS AVENUE GRACEVILLE FL 32440 (850) 263-4447 105665 OAKTREE HEALTHCARE 650 REED CANAL RD SOUTH DAYTONA FL 32119 (386) 767-4831 105668 MEMORIAL MANOR 777 SOUTH DOUGLAS ROAD PEMBROKE PINES FL 33025 (954) 276-6200 105670 AVANTE AT ST CLOUD INC 1301 KANSAS AVE SAINT CLOUD FL 34769 (407) 892-5121 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

105671 AVANTE AT MELBOURNE INC 1420 SOUTH OAK STREET MELBOURNE FL 32901 (321) 723-3215 105672 GULF COAST VILLAGE 1333 SANTA BARBARA BLVD CAPE CORAL FL 33991 (239) 772-1333 105673 INDIAN RIVER CENTER 7201 GREENBORO DR WEST MELBOURNE FL 32904 (321) 727-0990 105679 REGENTS PARK OF SUNRISE 9711 W OAKLAND PARK BLVD SUNRISE FL 33351 (954) 572-4000 105683 OAKBROOK OF LABELLE 250 BROWARD AVE LABELLE FL 33935 (863) 675-1440 105685 MENORAH HOUSE 9945 CENTRAL PARK BLVD N BOCA RATON FL 33428 (561) 483-0498 105686 SPRINGTREE REHABILITATION & HEALTH CARE CENTER 4251 SPRINGTREE DRIVE SUNRISE FL 33351 (954) 572-4251 105688 BON SECOURS MARIA MANOR NURSING CARE CENTER 10300 4TH ST N SAINT PETERSBURG FL 33716 (727) 576-1025 105691 FORUM AT DEER CREEK 3001 DEER CREEK COUNTRY CLUB DEERFIELD BEACH FL 33442 (954) 698-6269 105692 HEARTLAND HEALTH CARE CENTER ORANGE PARK 570 WELLS RD ORANGE PARK FL 32073 (904) 264-3912 105694 SABAL PALMS HEALTH CARE CENTER 499 ALTERNATE KEENE RD NE LARGO FL 33771 (727) 586-4211 105696 WINDSOR HEALTH AND REHABILITATION CENTER 602 E LAURA ST STARKE FL 32091 (904) 964-3383 105697 EAST BAY REHABILITATION CENTER 4470 E BAY DR CLEARWATER FL 33764 (727) 530-7100 105700 MANORCARE HEALTH SERVICES CARROLLWOOD 3030 BEARSS AVE TAMPA FL 33618 (813) 968-8777 105701 SOLARIS HEALTHCARE MERRITT ISLAND 500 CROCKETT BLVD MERRITT ISLAND FL 32954 (321) 454-4035 105703 ARBOR TRAIL REHAB AND SKILLED NURSING CENTER 611 TURNER CAMP RD INVERNESS FL 34453 (352) 637-1130 105706 OCOEE HEALTH CARE CENTER 1556 MAGUIRE RD OCOEE FL 34761 (407) 877-2272 105708 MANORCARE HEALTH SERVICES PALM HARBOR 2851 TAMPA RD PALM HARBOR FL 34684 (727) 787-4777 105712 ALHAMBRA HEALTH AND REHABILITATION CENTER 7501 38TH AVE N SAINT PETERSBURG FL 33710 (727) 345-9307 105713 ALPINE HEALTH AND REHABILITATION CENTER 3456 21ST AVE S SAINT PETERSBURG FL 33711 (727) 327-1988 105714 CONCORDIA MANOR 321 13TH AVE N SAINT PETERSBURG FL 33701 (727) 822-3030 105715 HAMPTON COURT NURSING AND REHABILITATION CENTER 16100 NW 2ND AVENUE NORTH MIAMI BEACH FL 33169 (305) 354-8800 105717 TIMBERRIDGE NURSING & REHABILITATION CENTER 9848 SW 110TH ST OCALA FL 34481 (352) 854-8200 105719 PALACE AT KENDALL NURSING AND REHABILITATION CENTE 11215 SW 84TH STREET MIAMI FL 33173 (305) 271-2225 105720 MAYFLOWER HEALTHCARE CENTER 1620 MAYFLOWER COURT WINTER PARK FL 32792 (407) 672-1620 105721 CROSS CARE CENTER 5888 BLANDING BLVD JACKSONVILLE FL 32244 (904) 772-1220 105723 HEARTLAND HEALTH CARE CENTER FORT MYERS 1600 MATTHEW DRIVE FORT MYERS FL 33907 (239) 275-6067 105725 HOME ASSOCIATION, THE 1203 E 22ND AVE TAMPA FL 33605 (813) 229-6901 105727 WASHINGTON REHABILITATION AND NURSING CENTER 879 USERY ROAD CHIPLEY FL 32428 (850) 638-4654 105729 CHIPOLA HEALTH AND REHABILITATION CENTER 4294 3RD AVENUE MARIANNA FL 32446 (850) 526-3191 105731 COMMONS AT ORLANDO LUTHERAN TOWERS 210 LAKE AVENUE ORLANDO FL 32801 (407) 872-7088 105732 MEASE CONTINUING CARE 910 NEW YORK AVE DUNEDIN FL 34698 (727) 733-2113 105735 ORANGE CITY NURSING AND REHAB CENTER 2810 ENTERPRISE RD DEBARY FL 32713 (386) 668-8818 105736 PALM GARDEN OF SUN CITY 3850 UPPER CREEK DR SUN CITY CENTER FL 33573 (813) 633-2875 105737 MACCLENNY NURSING AND REHAB CENTER 755 S 5TH ST MACCLENNY FL 32063 (904) 259-4873 105743 FLEET LANDING ONE FLEET LANDING BLVD ATLANTIC BEACH FL 32233 (904) 246-9900 105744 SYLVAN HEALTH CENTER 2770 REGENCY OAKS BLVD CLEARWATER FL 33759 (727) 791-1500 105745 CYPRESS VILLAGE 4600 MIDDLETON PARK CIR E JACKSONVILLE FL 32224 (904) 223-6100 105747 ROSEWOOD HEALTHCARE AND REHABILITATION CENTER 3107 NORTH H STREET PENSACOLA FL 32501 (850) 430-0500 105751 SPECIALTY HEALTH AND REHABILITATION CENTER 6984 PINE FOREST ROAD PENSACOLA FL 32526 (850) 944-9997 105754 CONWAY LAKES HEALTH & REHABILITATION CENTER 5201 CURRY FORD ROAD ORLANDO FL 32812 (407) 384-8838 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

105758 STRATFORD COURT OF PALM HARBOR 45 KATHERINE BLVD PALM HARBOR FL 34684 (727) 787-1500 105761 SUNSET LAKE HEALTH AND REHABILITATION CENTER 832 SUNSET LAKE BOULEVARD VENICE FL 34292 (941) 492-5313 105762 HEARTLAND HEALTH CARE CENTER PROSPERITY OAKS 11375 PROSPERITY FARMS ROAD PALM BEACH GARDENS FL 33410 (561) 626-9702 105765 CROSS GARDENS CARE CENTER 190 NE 191ST STREET MIAMI FL 33161 (305) 651-9690 105769 SOLARIS HEALTHCARE LAKE CITY 560 SW MCFARLANE AVE LAKE CITY FL 32055 (386) 758-4777 105774 CROSSBREEZE CARE CENTER 1755 18TH ST SARASOTA FL 34230 (941) 955-4915 105775 GLENCOVE HEALTH AND REHABILITATION CENTER 1027 E HWY 98 PANAMA CITY FL 32401 (850) 872-1438 105776 PORT ORANGE NURSING AND REHAB CENTER 5600 VICTORIA GARDENS BLVD PORT ORANGE FL 32127 (386) 760-7773 105777 CROSSROADS, THE 206 W ORANGE ST DAVENPORT FL 33837 (863) 422-4961 105779 HEALTHPARK CARE CENTER 16131 ROSERUSH COURT FORT MYERS FL 33908 (239) 433-7344 105780 OAKS AT AVON 1010 US 27 N AVON PARK FL 33825 (863) 453-5200 105782 SUNBELT HEALTH & REHAB CENTER-APOPKA, INC 305 EAST OAK STREET APOPKA FL 32703 (407) 880-2266 105783 EAST ORLANDO HEALTH & REHAB CENTER INC 250 SOUTH CHICKASAW TRAIL ORLANDO FL 32825 (407) 380-3466 105784 MANOR AT BLUE WATER BAY, THE 1500 NORTH WHITE POINT ROAD NICEVILLE FL 32578 (850) 897-5592 105785 MARY LEE DEPUGH NURSING HOME ASSOCIATION INC 550 W MORSE BLVD WINTER PARK FL 32789 (407) 644-6634 105791 DELANEY PARK HEALTH AND REHABILITATION CENTER 215 ANNIE STREET ORLANDO FL 32806 (407) 841-4371 105792 LIFE CARE CENTER OF WINTER HAVEN 1510 CYPRESS GARDENS BLVD WINTER HAVEN FL 33884 (863) 318-8646 105793 ROYAL OAKS NURSING AND REHAB CENTER 2225 KNOX MCRAE DR TITUSVILLE FL 32780 (321) 267-0060 105796 EDGEWATER AT WATERMAN VILLAGE 300 BROOKFIELD AVE MOUNT DORA FL 32757 (352) 383-0051 105797 GUARDIAN CARE NURSING & REHABILITATION CENTER 2500 W CHURCH STREET ORLANDO FL 32805 (407) 295-5371 105801 JOSEPH L MORSE GERIATRIC CENTER INC 4847 FRED GLADSTONE DRIVE WEST PALM BEACH FL 33417 (561) 471-5111 105802 CROSS LANDINGS HEALTH AND REHABILITATION CENTER 1780 N JEFFERSON ST MONTICELLO FL 32344 (850) 997-2313 105803 HIALEAH NURSING AND REHABILITATION CENTER 190 W 28TH STREET HIALEAH FL 33010 (305) 885-2437 105805 CRESTWOOD NURSING CENTER 501 S PALM AVE PALATKA FL 32177 (386) 328-1472 105807 MADISON HEALTH AND REHABILITATION CENTER 2481 WEST US 90 MADISON FL 32340 (850) 973-4880 105808 LAKEWOOD NURSING CENTER 100 N LAKE ST CRESCENT CITY FL 32112 (386) 698-2222 105809 GOOD SAMARITAN CENTER 10676 MARVIN JONES BLVD LIVE OAK FL 32060 (386) 658-5550 105813 PARK RIDGE NURSING CENTER 730 COLLEGE STREET JACKSONVILLE FL 32204 (904) 358-6711 105816 SAMANTHA WILSON CARE CENTER 161A MARINE STREET SAINT AUGUSTINE FL 32084 (904) 829-3475 105817 PLYMOUTH HARBOR INCORPORATED 700 JOHN RINGLING BLVD SARASOTA FL 34236 (941) 365-2600 105820 UNIVERSITY CROSSING 6210 BEACH BLVD JACKSONVILLE FL 32216 (904) 737-6777 105821 TAYLOR CARE CENTER 6535 CHESTER AVENUE JACKSONVILLE FL 32217 (904) 731-8230 105823 ROHR HOME, THE 2120 MARSHALL EDWARDS DR BARTOW FL 33830 (863) 519-7579 105824 CROSSWINDS HEALTH AND REHABILITATION CENTER 13455 W US HWY 90 GREENVILLE FL 32331 (850) 948-4601 105825 SUWANNEE VALLEY NURSING CENTER 427 15TH AVENUE NORTHWEST JASPER FL 32052 (386) 792-1868 105826 EDGEWOOD NURSING CENTER 1771 EDGEWOOD AVE W JACKSONVILLE FL 32218 (904) 766-7436 105828 WATERS EDGE EXTENDED CARE 1500 SW CAPRI ST PALM CITY FL 34990 (772) 223-5863 105832 GARDENS OF PORT ST LUCIE, THE 1699 SE LYNGATE DRIVE PORT SAINT LUCIE FL 34952 (772) 335-9990 105833 ST ANTHONYS HOSPITAL 1200 7TH AVE N SAINT PETERSBURG FL 33705 (727) 825-1051 105834 CATHEDRAL GERONTOLOGY CENTER, INC 333 E ASHLEY ST JACKSONVILLE FL 32202 (904) 798-5300 105835 CROSSINGS, THE 4445 PINE FOREST DR LAKE WORTH FL 33463 (561) 965-5954 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

105837 BOYNTON BEACH REHABILITATION CENTER 9600 LAWRENCE RD BOYNTON BEACH FL 33436 (561) 740-4100 105838 EDWARD J HEALEY REHABILITATION AND NURSING CENTER 5101 WEST BLUE HERON BLVD RIVIERA BEACH FL 33418 (561) 842-6111 105839 TERRACE OF KISSIMMEE, THE 221 PARK PLACE BLVD KISSIMMEE FL 34741 (407) 935-0200 105840 EMORY L BENNETT MEMORIAL VETERANS NURSING HOME 1920 MASON AVENUE DAYTONA BEACH FL 32117 (386) 274-3460 105842 HEARTLAND HEALTH CARE & REHABILITATION CENTER 5401 SAWYER RD SARASOTA FL 34233 (941) 925-3427 105843 CONSULATE HEALTH CARE AT WEST ALTAMONTE 1099 WEST TOWN PARKWAY ALTAMONTE SPRINGS FL 32714 (407) 865-8000 105846 BAYA POINTE NURSING AND REHABILITATION CENTER 587 SE ERMINE AVE LAKE CITY FL 32025 (386) 752-7800 105849 WRIGHTS HEALTHCARE AND REHABILITATION CENTER 11300 110TH AVE N SEMINOLE FL 33778 (727) 391-9986 105851 STRATFORD COURT OF BOCA RATON 6343 VIA DE SONRISA DEL SUR BOCA RATON FL 33433 (561) 392-5940 105854 WESTMINSTER OAKS 4449 MEANDERING WAY TALLAHASSEE FL 32308 (850) 878-1136 105856 PREMIER PLACE AT THE GLENVIEW 100 GLENVIEW PLACE NAPLES FL 34108 (239) 591-0011 105858 CITRUS HEALTH AND REHABILITATION CENTER 701 MEDICAL COURT EAST INVERNESS FL 34452 (352) 860-0200 105859 SOLARIS HEALTHCARE CHARLOTTE HARBOR 4000 KINGS HWY PORT CHARLOTTE FL 33980 (941) 255-5855 105860 CENTURY HEALTH AND REHABILITATION CENTER 6020 INDUSTRIAL BLVD CENTURY FL 32535 (850) 256-1540 105862 DESTIN HEALTHCARE AND REHABILITATION CENTER 195 MATTIE M KELLY BLVD DESTIN FL 32550 (850) 654-4588 105864 PAGE REHABILITATION AND HEALTHCARE CENTER 2310 N AIRPORT ROAD FORT MYERS FL 33907 (239) 931-8401 105866 PLAZA WEST 912 AMERICAN EAGLE BLVD SUN CITY CENTER FL 33573 (813) 633-3066 105870 LIFE CARE CENTER OF CITRUS COUNTY 3325 W JERWAYNE LN LECANTO FL 34461 (352) 746-4434 105872 TUSKAWILLA NURSING AND REHAB CENTER 1024 WILLA SPRINGS DR WINTER SPRINGS FL 32708 (407) 699-5506 105879 WESTMINSTER WINTER PARK 1111 S LAKEMONT AVE WINTER PARK FL 32792 (407) 647-4083 105881 HAWTHORNE HEALTH AND REHAB OF BRANDON 851 WEST LUMSDEN RD BRANDON FL 33511 (813) 661-8998 105882 WINKLER COURT 3250 WINKLER AVENUE EXTENSION FORT MYERS FL 33916 (239) 939-4993 105886 SAVANNAH COVE 1301 W MAITLAND BLVD MAITLAND FL 32751 (407) 645-3990 105888 PLANTATION BAY REHABILITATION CENTER 4641 OLD CANOE CREEK ROAD SAINT CLOUD FL 34769 (407) 892-7344 105891 YBOR CITY HEALTHCARE AND REHABILITATION CENTER 1709 TALIAFERRO AVE TAMPA FL 33602 (813) 223-4623 105892 LAKE PARK OF MADISON 259 SW CAPTAIN BROWN RD MADISON FL 32340 (850) 973-8277 105901 WESTMINSTER WOODS ON JULINGTON CREEK 25 STATE ROAD 13 JACKSONVILLE FL 32259 (904) 287-7300 105904 ATLANTIC SHORES NURSING AND REHAB CENTER 4251 STACK BLVD MELBOURNE FL 32901 (321) 953-2219 105912 FLORIDA HOSPITAL NORTH PINELLAS 1395 S PINELLAS AVE TARPON SPRINGS FL 34689 (727) 942-5000 105915 SOLARIS HEALTHCARE DAYTONA 550 NATIONAL HEALTHCARE DRIVE DAYTONA BEACH FL 32114 (386) 257-6362 105919 WESTMINSTER COMMUNITIES OF BRADENTON WESTMINSTER 1700 21ST AVE W BRADENTON FL 34205 (941) 748-4161 105921 GARDENS COURT 3803 PGA BOULEVARD PALM BEACH GARDENS FL 33410 (561) 626-1125 105924 BLOUNTSTOWN HEALTH AND REHABILITATION CENTER 16690 SW CHIPOLA RD BLOUNTSTOWN FL 32424 (850) 674-4311 105928 LIFE CARE CENTER OF ORANGE PARK 2145 KINGSLEY AVE ORANGE PARK FL 32073 (904) 272-2424 105937 GOOD SAMARITAN SOCIETY-FLORIDA LUTHERAN 450 NORTH MCDONALD AVENUE DELAND FL 32724 (386) 738-0212 105939 PALMETTO SUB ACUTE CARE CENTER, INC 7600 SW 8TH STREET MIAMI FL 33144 (305) 261-2525 105949 FLORIDA PRESBYTERIAN HOMES INC 909 LAKESIDE AVE LAKELAND FL 33803 (863) 688-5521 105960 SOLARIS HEALTHCARE WINDERMERE 4875 CASON COVE DRIVE ORLANDO FL 32811 (407) 420-2090 105961 SHANDS JACKSONVILLE MEDICAL CENTER 580 W 8TH STREET JACKSONVILLE FL 32209 (904) 244-1812 105962 LIFE CARE CENTER AT WELLS CROSSING 355 CROSSING BLVD ORANGE PARK FL 32073 (904) 264-1950 105963 LAFAYETTE HEALTH CARE CENTER 512 W MAIN ST MAYO FL 32066 (386) 294-3300 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

105965 MANORCARE HEALTH SERVICES 1450 EAST VENICE AVENUE VENICE FL 34292 (941) 486-8088 105966 SHELL POINT NURSING PAVILION 15071 SHELL POINT BLVD FORT MYERS FL 33908 (239) 466-1111 105967 LAKE BENNETT HEALTH AND REHABILITATION 1091 KELTON AVE OCOEE FL 34761 (407) 523-0300 105968 VI AT LAKESIDE VILLAGE 2792 DONNELLY DRIVE LANTANA FL 33462 (561) 963-2100 105970 SIGNATURE HEALTHCARE AT THE COURTYARD 2600 FOREST GLEN TRAIL MARIANNA FL 32446 (850) 526-2000 105972 MARTIN NURSING AND RESTORATIVE CARE CENTER 6011 SE TOWER DR STUART FL 34997 (772) 223-8777 105974 LIFE CARE CENTER OF ORLANDO 3211 ROUSE ROAD ORLANDO FL 32817 (407) 281-1070 105975 COMMUNITY HEALTH AND REHABILITATION CENTER 3611 TRANSMITTER ROAD PANAMA CITY FL 32404 (850) 747-9688 105978 GULF SHORE REHABILITATION AND NURSING CENTER 6767 86TH AVE N PINELLAS PARK FL 33782 (727) 548-5566 105979 SOLARIS HEALTHCARE COCONUT CREEK 4125 WEST SAMPLE RD COCONUT CREEK FL 33073 (954) 968-8333 105980 LAKESIDE NURSING AND REHABILITATION CENTER 11411 ARMSDALE ROAD JACKSONVILLE FL 32218 (904) 714-3793 105983 CONSULATE HEALTH CARE OF SARASOTA 4783 FRUITVILLE ROAD SARASOTA FL 34232 (941) 378-8000 105985 PALMS REHABILITATION AND HEALTHCARE CENTER, THE 5405 BABCOCK ST NE PALM BAY FL 32905 (321) 722-0660 105986 ZEPHYRHILLS HEALTH & REHAB CENTER, INC 7350 DAIRY RD ZEPHYRHILLS FL 33540 (813) 788-4300 105987 HUNTERS CREEK NURSING AND REHAB CENTER 14155 TOWN LOOP BLVD ORLANDO FL 32837 (407) 541-2600 105999 LIFE CARE CENTER OF OCALA 2800 SW 41ST ST OCALA FL 34474 (352) 873-7570 106000 EVANS HEALTH CARE 3735 EVANS AVE FORT MYERS FL 33901 (239) 277-3977 106003 LADY LAKE SPECIALTY CARE CENTER 630 GRIFFIN AVENUE LADY LAKE FL 32159 (352) 750-6619 106005 MANORCARE HEALTH SERVICES 16200 JOG ROAD DELRAY BEACH FL 33446 (561) 638-0000 106006 BALDOMERO LOPEZ MEMORIAL VETERANS NURSING HOME 6919 PARKWAY BLVD LAND O LAKES FL 34639 (813) 558-5000 106009 CROSS CITY REHABILITATION & HEALTH CARE CENTER 583 NE 351 HWY CROSS CITY FL 32628 (352) 498-2005 106011 CONSULATE HEALTH CARE OF KISSIMMEE 2511 JOHN YOUNG PARKWAY NORTH KISSIMMEE FL 34741 (407) 931-3336 106013 CHATSWORTH AT PGA NATIONAL 347 HIATT DRIVE PALM BEACH GARDENS FL 33418 (561) 227-3200 106015 BRIGHTON GARDENS OF TAMPA 16702 NORTH DALE MABRY HWY TAMPA FL 33618 (813) 908-2333 106017 BRADENTON HEALTH CARE 6305 CORTEZ RD W BRADENTON FL 34210 (941) 761-3499 106019 LODGE AT CYPRESS COVE, THE 10500 CYPRESS COVE DR FORT MYERS FL 33908 (239) 415-5100 106020 MANORCARE HEALTH SERVICES 13881 EAGLE RIDGE DRIVE FORT MYERS FL 33912 (239) 561-7700 106021 PONCE PLAZA NURSING & REHABILITATION CENTER 335 SW 12 AVENUE MIAMI FL 33130 (305) 545-6695 106024 ADVENTIST CARE CENTERS-COURTLAND, INC 730 COURTLAND STREET ORLANDO FL 32804 (407) 975-3800 106025 LIFE CARE CENTER OF SARASOTA 8104 TUTTLE AVE SARASOTA FL 34243 (941) 360-6411 106028 SHOAL CREEK REHABILITATION CENTER 500 HOSPITAL DRIVE CRESTVIEW FL 32539 (850) 689-3146 106029 LAKE MARY HEALTH AND REHABILITATION CENTER 710 NORTH SUN DRIVE LAKE MARY FL 32746 (407) 805-3131 106030 WESTMINSTER TOWERS AND SHORES OF BRADENTON 1533 4TH AVE W BRADENTON FL 34205 (941) 747-1881 106031 VICTORIA NURSING & REHABILITATION CENTER, INC. 955 NW 3RD ST MIAMI FL 33128 (305) 548-4020 106033 ST PETERSBURG NURSING & REHABILITATION 521 69TH AVE N SAINT PETERSBURG FL 33702 (727) 526-7000 106034 JACKSON PLAZA NURSING & REHABILITATION CENTER 1861 NW 8TH AVENUE MIAMI FL 33136 (305) 347-3380 106035 INN AT SARASOTA BAY CLUB 1303 NORTH TAMIAMI TRAIL SARASOTA FL 34236 (941) 953-6949 106038 ALEXANDER NININGER STATE VETERANS NURSING HOME 8401 W CYPRESS DR PEMBROKE PINES FL 33025 (954) 985-4824 106040 LIFECARE ST. JOHNS, INC 230 TOWERVIEW DRIVE SAINT AUGUSTINE FL 32092 (904) 940-4801 106041 HARBOURWOOD HEALTH AND REHAB CENTER 549 SKY HARBOR DR CLEARWATER FL 33759 (727) 724-6800 106042 FREEDOM SQUARE REHABILITATION & NURSING SERVICES 10801 JOHNSON BLVD SEMINOLE FL 33772 (727) 398-0379 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

106043 RIVERCHASE HEALTH AND REHABILITATION CENTER 1017 STRONG RD QUINCY FL 32351 (850) 875-3711 106045 BRYNWOOD HEALTH AND REHABILITATION CENTER 1656 SOUTH JEFFERSON STREET MONTICELLO FL 32344 (850) 997-1800 106046 TERRACE HEALTH & REHABILITATION CENTER 7207 SW 24TH AVE GAINESVILLE FL 32608 (352) 333-0600 106047 LIFE CARE CENTER AT INVERRARY 4300 ROCK ISLAND ROAD LAUDERHILL FL 33319 (954) 485-6144 106048 PRUITTHEALTH - SANTA ROSA 5530 NORTHROP ROAD MILTON FL 32570 (850) 983-8888 106049 LIFE CARE CENTER OF NEW PORT RICHEY 7400 TROUBLE CREEK ROAD NEW PORT RICHEY FL 34653 (727) 375-2999 106050 LUTHERAN HAVEN NURSING HOME 1525 HAVEN DRIVE OVIEDO FL 32765 (407) 365-3456 106051 SOUTHERN OAKS CARE CENTER 600 WEST GREGORY STREET PENSACOLA FL 32502 (850) 437-3131 106052 HAVEN OF OUR LADY OF PEACE 1900 SUMMIT BOULEVARD PENSACOLA FL 32503 (850) 436-5900 106053 SUNNYSIDE NURSING HOME 5201 BAHIA VISTA STREET SARASOTA FL 34232 (941) 371-2729 106054 FINR III, LLC 1962 VANDOLAH RD WAUCHULA FL 33873 (863) 773-2857 106055 NORTHWEST FLORIDA COMMUNITY HOSPITAL (SNU) 1360 BRICKYARD RD CHIPLEY FL 32428 (850) 415-7400 106056 CLIFFORD CHESTER SIMS STATE VETERANS NURSING HOME 4419 TRAM ROAD PANAMA CITY FL 32404 (850) 747-5401 106057 LIFE CARE CENTER OF ESTERO 3850 WILLIAMS ROAD ESTERO FL 33928 (239) 495-4000 106059 DOUGLAS JACOBSON STATE VETERANS NURSING HOME 21281 GRAYTON TERRACE PORT CHARLOTTE FL 33954 (941) 613-0919 106060 LIFE CARE CENTER OF PALM BAY 175 VILLA NUEVA AVE PALM BAY FL 32907 (321) 952-1818 106062 BENTLEY CARE CENTER 875 RETREAT DRIVE NAPLES FL 34110 (239) 598-3191 106063 GLENRIDGE ON PALMER RANCH INC. 7333 SCOTLAND WAY SARASOTA FL 34238 (941) 552-3603 106064 LIFE CARE CENTER OF JACKSONVILLE 4813 LENOIR AVENUE JACKSONVILLE FL 32216 (904) 332-4546 106065 ISLE HEALTH & REHABILITATION CENTER 1125 FLEMING PLANTATION BLVD ORANGE PARK FL 32003 (904) 213-8338 106066 OAK HAMMOCK AT THE UNIVERSITY OF FLORIDA INC 2660 SW 53RD LN GAINESVILLE FL 32608 (352) 548-1142 106067 NURSING CENTER AT LA POSADA, THE 3600 MASTERPIECE WAY PALM BEACH GARDENS FL 33410 (561) 514-5000 106068 LAKEVIEW TERRACE SKILLED NURSING FACILITY 110 LODGE TERRACE DR ALTOONA FL 32702 (352) 669-2133 106069 GRACE HEALTHCARE OF LAKE WALES 730 N SCENIC HWY LAKE WALES FL 33853 (863) 676-1512 106072 VILLAGE PLACE HEALTH AND REHABILITATION CENTER 2370 HARBOR BLVD PORT CHARLOTTE FL 33952 (941) 624-5966 106073 LIFE CARE CENTER OF PENSACOLA 3291 EAST OLIVE RD PENSACOLA FL 32514 (850) 494-2527 106075 GRACE REHABILITATION CENTER OF VERO BEACH 2180 10TH AVENUE VERO BEACH FL 32960 (772) 567-5166 106076 VI AT AVENTURA 19333 WEST COUNTRY CLUB DRIVE AVENTURA FL 33180 (305) 692-4700 106077 MOOSEHAVEN 1701 PARK AVENUE ORANGE PARK FL 32073 (904) 278-1200 106079 TRINITY REGIONAL REHAB CENTER 2144 WELBILT BLVD TRINITY FL 34655 (727) 859-4100 106080 VILLA MARIA WEST SKILLED NURSING FACILITY 8850 NW 122 ST HIALEAH GARDENS FL 33018 (305) 351-7181 106081 ST JAMES HEALTH AND REHABILITATION CENTER 239 CROOKED RIVER ROAD CARRABELLE FL 32322 (850) 697-2020 106082 ST VINCENT'S MEDICAL CENTER SOUTHSIDE 4201 BELFORT RD JACKSONVILLE FL 32216 (904) 296-3832 106083 FREEDOM POINTE AT THE VILLAGES REHABILITATION AND 1460 EL CAMINO REAL DRIVE THE VILLAGES FL 32159 (352) 750-0866 106084 AVANTE AT OCALA, INC 2021 SW 1ST AVE OCALA FL 34474 (352) 732-0042 106085 BAY VILLAGE OF SARASOTA 8400 VAMO ROAD SARASOTA FL 34231 (941) 966-5611 106086 ASTORIA HEALTH AND REHABILITATION CENTER 701 OVERLOOK DR SE WINTER HAVEN FL 33884 (863) 318-5000 106088 CLYDE E LASSEN STATE VETERANS NURSING HOME 4650 STATE RD 16 SAINT AUGUSTINE FL 32092 (904) 940-2193 106089 KEY WEST HEALTH AND REHABILITATION CENTER 5860 W JUNIOR COLLEGE RD KEY WEST FL 33040 (305) 296-2459 106091 NUVISTA LIVING AT WELLINGTON GREEN 10330 NUVISTA AVENUE WELLINGTON FL 33414 (561) 795-3360 106093 NUVISTA LIVING AT HILLSBOROUGH LAKES 19091 N DALE MABRY HWY LUTZ FL 33548 (813) 751-0557 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

106094 RIVIERA HEALTH RESORT 6901 YUMURI STREET CORAL GABLES FL 33156 (305) 926-0960 106095 CLUB HEALTH AND REHABILITATION CENTER AT THE VILLA 16529 SE 86TH BELLE MEADE CIRCLE THE VILLAGES FL 32162 (352) 385-8200 106096 PAVILION FOR HEALTH CARE, THE ONE PAVILION PLACE PENNEY FARMS FL 32079 (904) 284-8578 106098 HAWTHORNE HEALTH AND REHAB OF SARASOTA 5381 DESOTO ROAD SARASOTA FL 34235 (941) 355-6111 106099 VILLAGES REHABILITATION AND NURSING CENTER (THE) 900 HIGHWAY 466 LADY LAKE FL 32159 (352) 430-0017 106100 UNIVERSITY PLAZA REHABILITATION AND NURSING CENTER 724 NW 19TH ST MIAMI FL 33136 (305) 917-0400 106103 GULFPORT REHABILITATION CENTER 1430 PASADENA AVE S PASADENA FL 33707 (727) 347-1257 106104 RENAISSANCE AT THE TERRACES 26475 SOUTH TAMIAMI TRAIL BONITA SPRINGS FL 34135 (239) 949-7555 115002 A.G. RHODES HOME WESLEY WOODS 1819 CLIFTON ROAD, N.E. ATLANTA GA 30329 (404) 315-0900 115012 GOLDEN LIVINGCENTER - DECATUR 2787 NORTH DECATUR ROAD DECATUR GA 30033 (404) 292-0626 115022 WILLIAM BREMAN JEWISH HOME, THE 3150 HOWELL MILL ROAD N.W. ATLANTA GA 30327 (404) 351-8410 115039 MILLER NURSING HOME 206 GRACE ST COLQUITT GA 39837 (229) 758-2500 115045 MAGNOLIA MANOR OF COLUMBUS NURSING CENTER - WEST 2000 WARM SPRINGS RD COLUMBUS GA 31904 (706) 324-2251 115099 HABERSHAM HOME HIGHWAY 441 NORTH, BOX 37 DEMOREST GA 30535 (706) 754-3113 115104 NHC HEALTHCARE ROSSVILLE 1425 MCFARLAND AVE ROSSVILLE GA 30741 (706) 861-0863 115106 EFFINGHAM CO EXTENDED CARE FAC 459 HIGHWAY 119 S SPRINGFIELD GA 31329 (912) 754-6451 115138 NEWNAN HEALTH AND REHABILITATION 244 EAST BROAD STREET NEWNAN GA 30263 (770) 253-7160 115144 RIVERDALE CENTER 315 UPPER RIVERDALE ROAD RIVERDALE GA 30274 (770) 991-1050 115147 KENTWOOD NURSING FACILITY 1227 WEST WHEELER PARKWAY AUGUSTA GA 30909 (706) 863-1188 115206 SIGNATURE HEALTHCARE OF MARIETTA 811 KENNESAW AVENUE MARIETTA GA 30060 (770) 422-2451 115246 MANOR CARE REHABILITATION CENTER - DECATUR 2722 NORTH DECATUR ROAD DECATUR GA 30033 (404) 296-5440 115258 WELLSTAR PAULDING NURSING CTR 600 WEST MEMORIAL DRIVE DALLAS GA 30132 (770) 445-4411 115262 APPLING NURSING AND REHABILITATION PAVILION 163 EAST TOLLISON STREET BAXLEY GA 31513 (912) 367-9841 115264 CALHOUN NURSING HOME 265 TURNER STREET EDISON GA 39846 (229) 835-2251 115265 SATILLA CARE CENTER 1600 RIVERSIDE AVE WAYCROSS GA 31501 (912) 283-1182 115270 GOLDEN LIVINGCENTER - DUNWOODY 5470 MERIDIAN MARK ROAD, BLDG E ATLANTA GA 30342 (404) 256-5131 115275 A.G. RHODES HOME, INC, THE 350 BOULVARD, S.E. ATLANTA GA 30312 (404) 688-6731 115277 FLORENCE HAND HOME 200 MEDICAL DRIVE LAGRANGE GA 30240 (706) 845-3252 115279 HIGH SHOALS HEALTH AND REHABILITATION 3450 NEW HIGH SHOALS RD HIGH SHOALS GA 30645 (706) 769-7738 115283 MANOR CARE REHABILITATION CENTER - MARIETTA 4360 JOHNSON FERRY PLACE MARIETTA GA 30068 (770) 971-5870 115288 PRUITTHEALTH - MACON 2255 ANTHONY ROAD MACON GA 31204 (478) 784-7900 115290 PLACE AT DEANS BRIDGE, THE 3235 DEANS BRIDGE ROAD AUGUSTA GA 30906 (706) 798-1430 115293 PLACE AT POOLER, THE 508 SOUTH ROGERS STREET POOLER GA 31322 (912) 748-6840 115294 STEVENS PARK HEALTH AND REHABILITATION CENTER, LLC 820 STEVENS CREEK ROAD AUGUSTA GA 30907 (706) 737-0350 115295 ZEBULON PARK HEALTH AND REHABILITATION 343 PLANTATION WAY MACON GA 31210 (478) 238-4000 115296 LENBROOK 3747 PEACHTREE ROAD, NE ATLANTA GA 30319 (404) 233-3000 115313 PRUITTHEALTH - BROOKHAVEN 3535 ASHTON WOODS DRIVE NE ATLANTA GA 30319 (770) 451-0236 115314 PRUITTHEALTH - AUSTELL 1700 MULKEY RD AUSTELL GA 30106 (770) 941-5750 115319 FIFTH AVENUE HEALTH CARE 505 NORTH FIFTH AVENUE ROME GA 30165 (706) 291-0521 115321 WARRENTON HEALTH AND REHAB 813 ATLANTA HIGHWAY WARRENTON GA 30828 (706) 465-3328 115322 GOLDEN LIVINGCENTER - BRIARWOOD 3888 LAVISTA ROAD TUCKER GA 30084 (770) 938-5740 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

115325 PRUITTHEALTH - WASHINGTON 112 HOSPITAL DRIVE WASHINGTON GA 30673 (706) 678-7804 115326 PRUITTHEALTH - MAGNOLIA MANOR 3003 VETERANS PARKWAY S MOULTRIE GA 31788 (229) 985-3422 115338 MIONA GERIATRIC & DEMENTIA CENTER 201 POPLAR STREET IDEAL GA 31041 (478) 949-2270 115339 PRUITTHEALTH - SAVANNAH 12825 WHITE BLUFF ROAD SAVANNAH GA 31419 (912) 927-9416 115340 CALHOUN HEALTH CARE CTR, INC 1387 HIGHWAY 41 NORTH CALHOUN GA 30701 (706) 629-1289 115341 RIDGEWOOD MANOR HEALTH AND REHABILITATION 1110 BURLEYSON DRIVE DALTON GA 30720 (706) 226-1021 115346 BOLINGREEN HEALTH AND REHABILITATION 529 BOLINGREEN DRIVE MACON GA 31210 (478) 477-1720 115348 ETOWAH LANDING 809 SOUTH BROAD ST ROME GA 30161 (706) 235-1337 115350 DELMAR GARDENS OF GWINNETT 3100 CLUB DRIVE LAWRENCEVILLE GA 30044 (770) 923-3100 115351 MUSCOGEE MANOR & REHABILITATION CTR 7150 MANOR ROAD COLUMBUS GA 31906 (706) 561-3218 115353 RIVERSIDE HEALTH AND REHABILITATION 101 OLD TALBOTTON RD THOMASTON GA 30286 (706) 647-8161 115357 OCONEE HEALTH AND REHABILITATION 107 RIDGEVIEW DR OCONEE GA 31067 (478) 552-7381 115358 TREUTLEN COUNTY HEALTH AND REHABILITATION 2249 COLLEGE STREET, NORTH SOPERTON GA 30457 (912) 529-4418 115363 GOLDEN LIVINGCENTER - ROME 1345 REDMOND ROAD ROME GA 30165 (706) 234-8281 115364 MONTEZUMA HEALTH CARE CENTER 506 SUMTER ST MONTEZUMA GA 31063 (478) 472-8168 115369 HERITAGE INN OF SANDERSVILLE HEALTH AND REHAB 652 FERNCREST DRIVE SANDERSVILLE GA 31082 (478) 552-3015 115373 PRUITTHEALTH - LAKEHAVEN 410 EAST NORTHSIDE DRIVE VALDOSTA GA 31602 (229) 242-7368 115374 WOOD DALE HEALTH AND REHABILITATION 1102 BURLEYSON ROAD DALTON GA 30720 (706) 226-1285 115376 SOUTHLAND HEALTHCARE AND REHAB CENTER 606 SIMMONS ST DUBLIN GA 31040 (478) 272-1666 115377 PRUITTHEALTH - VALDOSTA 2501 NORTH ASHLEY STREET VALDOSTA GA 31602 (229) 244-7368 115379 PRUITTHEALTH - MONROE 4796 HIGHWAY 42 NORTH FORSYTH GA 31029 (478) 994-5662 115382 SPARTA HEALTH AND REHABILITATION 11744 HIGHWAY 22 E SPARTA GA 31087 (706) 444-6057 115384 OAKS - CARROLLTON SKILLED NURSING, THE 921 OLD NEWNAN ROAD CARROLLTON GA 30117 (770) 834-3501 115387 OXLEY PARK HEALTH AND REHABILITATION 181 OXLEY DRIVE LYONS GA 30436 (912) 526-6336 115395 WINTHROP HEALTH AND REHABILITATION 12 CHATEAU DRIVE ROME GA 30161 (706) 235-1422 115397 PROVIDENCE OF SPARTA HEALTH AND REHAB 60 PROVIDENCE STREET, PO BOX 86 SPARTA GA 31087 (706) 444-5153 115401 PRUITTHEALTH - SPRING VALLEY 651 RHODES DRIVE ELBERTON GA 30635 (706) 283-3880 115403 QUINTON MEM HC & REHAB CENTER 1115 PROFESSIONAL BLVD DALTON GA 30720 (706) 226-4642 115404 LUMBER CITY NURSING & REHABILITATION CENTER 93 HIGHWAY 19 LUMBER CITY GA 31549 (912) 363-2484 115406 WRIGHTSVILLE NURSING HOME 608 WEST COURT STREET WRIGHTSVILLE GA 31096 (478) 864-2286 115409 PRUITTHEALTH - FORT OGLETHORPE 1067 BATTLEFIELD PARKWAY FORT OGLETHORPE GA 30742 (706) 861-5154 115410 OAKS - LIMESTONE, THE 2560 FLINTRIDGE ROAD GAINESVILLE GA 30501 (770) 536-3391 115414 HARBORVIEW HEALTH SYSTEMS JESUP 1090 W ORANGE ST JESUP GA 31545 (912) 427-6858 115418 PRUITTHEALTH - FORSYTH 521 CABINESS ROAD FORSYTH GA 31029 (478) 994-5671 115419 OAKS - ATHENS SKILLED NURSING, THE 490 KATHWOOD DR ATHENS GA 30607 (706) 355-7400 115428 OAKVIEW HEALTH AND REHABILITATION 960 HIGHLAND AVENUE SUMMERVILLE GA 30747 (706) 857-4761 115429 CORDELE HEALTH AND REHABILITATION 1106 NORTH 4TH STREET CORDELE GA 31015 (229) 273-1227 115431 HARALSON NSG & REHAB CENTER 315 FIELD STREET BREMEN GA 30110 (770) 537-4482 115436 CEDAR VALLEY NSG & REHAB CTR 225 PHILPOT STREET CEDARTOWN GA 30125 (770) 748-4116 115443 PINE KNOLL NURSING & REHAB CTR 156 PINE KNOLL DRIVE CARROLLTON GA 30117 (770) 832-8243 115447 HERITAGE INN OF BARNESVILLE HEALTH AND REHAB 946 VETERANS PARKWAY BARNESVILLE GA 30204 (770) 358-2485 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

115449 HART CARE CENTER 261 FAIRVIEW AVENUE HARTWELL GA 30643 (706) 376-7121 115452 PRUITTHEALTH - SHEPHERD HILLS 800 PATTERSON RD LA FAYETTE GA 30728 (706) 638-4112 115455 PRUITTHEALTH - TOOMSBORO 210 MAIN STREET TOOMSBORO GA 31090 (478) 933-5395 115460 SOUTHLAND HEALTH AND REHABILITATION 151 WISDOM ROAD PEACHTREE CITY GA 30269 (770) 631-9000 115461 TOWNSEND PARK HEALTH AND REHABILITATION 196 NORTH DIXIE AVENUE CARTERSVILLE GA 30120 (770) 387-0662 115463 WESTBURY HEALTH AND REHABILITATION CTR - MCDONOUGH 198 HAMPTON STREET MCDONOUGH GA 30253 (770) 957-9081 115466 GRAY HEALTH AND REHABILITATION 156 DOLLY STREET GRAY GA 31032 (478) 986-3151 115468 PRUITTHEALTH - BLUE RIDGE 99 OUIDA STREET BLUE RIDGE GA 30513 (706) 632-2271 115471 HEART OF GEORGIA NURSING HOME 815 LEGION DRIVE EASTMAN GA 31023 (404) 620-7659 115473 TRADITIONS HEALTH AND REHABILITATION 2816 EVANS MILL ROAD LITHONIA GA 30058 (770) 482-2961 115474 LYNN HAVEN HEALTH AND REHABILITATION 747 MONTICELLO HIGHWAY GRAY GA 31032 (478) 986-3196 115477 CHAPLINWOOD NURSING HOME 325 ALLEN MEMORIAL DRIVE SW MILLEDGEVILLE GA 31061 (478) 453-8514 115481 FOUR COUNTY HEALTH AND REHABILITATION 124 OVERBY DRIVE RICHLAND GA 31825 (229) 887-2021 115483 DAWSON HEALTH AND REHABILITATION 1159 GEORGIA AVE. S.E. DAWSON GA 39842 (229) 995-5016 115486 GOODWILL HEALTH AND REHAB 4373 HOUSTON AVE. MACON GA 31206 (478) 784-1500 115488 GREENE POINT HEALTH AND REHABILITATION 1321 WASHINGTON HIGHWAY UNION POINT GA 30669 (706) 486-2167 115490 PRESBYTERIAN VILLAGE 2000 EAST-WEST CONNECTOR AUSTELL GA 30106 (770) 819-7000 115491 PRUITTHEALTH - ASHBURN 441 INDUSTRIAL BLVD ASHBURN GA 31714 (229) 567-3473 115492 NHC HEALTHCARE FT OGLETHORPE 2403 BATTLEFIELD PKWY FORT OGLETHORPE GA 30742 (706) 866-7700 115495 PREMIER ESTATES OF DUBLIN, LLC 1634 TELFAIR STREET DUBLIN GA 31021 (478) 272-1133 115498 PRESBYTERIAN HOME, QUITMAN, IN 1901 WEST SCREVEN STREET QUITMAN GA 31643 (229) 263-6100 115501 GOLDEN LIVINGCENTER - THOMASVILLE 930 SOUTH BROAD ST. THOMASVILLE GA 31792 (229) 226-9322 115502 GRANDVIEW HEALTH CARE CENTER 618 GENNETT DRIVE JASPER GA 30143 (706) 692-6323 115503 JESUP HEALTH AND REHAB 3100 SAVANNAH HIGHWAY JESUP GA 31545 (912) 427-6873 115506 PRUITTHEALTH - FAIRBURN 7560 BUTNER ROAD FAIRBURN GA 30213 (770) 306-7878 115507 TAYLOR COUNTY HEALTH AND REHABILITATION 165 SOUTH BROAD STREET BUTLER GA 31006 (478) 862-2220 115508 BRIAN CENTER HEALTH & REHABILITATION/CANTON 150 HOSPITAL CIRCLE N.W. CANTON GA 30114 (770) 479-5649 115509 PRUITTHEALTH - ATHENS HERITAGE 960 HAWTHORNE AVENUE ATHENS GA 30606 (706) 549-1613 115513 TWIN OAKS CONVALESCENT CENTER 301 S0UTH BAKER STREET ALMA GA 31510 (912) 632-7293 115515 ROSS MEMORIAL HEALTH CARE CTR 1780 OLD HIGHWAY 41 KENNESAW GA 30152 (770) 427-7256 115521 A.G. RHODES HOME, INC - COBB 900 WYLIE ROAD MARIETTA GA 30067 (770) 427-8727 115522 ORCHARD HEALTH AND REHABILITATION 1321 PULASKI SCHOOL ROAD PULASKI GA 30451 (912) 685-5072 115524 BRANDON WILDE PAVILION 4275 OWENS ROAD EVANS GA 30809 (706) 868-9800 115528 AVALON HEALTH AND REHABILITATION 120 SPRING STREET NEWNAN GA 30263 (770) 253-1475 115529 PRUITTHEALTH - GRIFFIN 619 NORTHSIDE DRIVE GRIFFIN GA 30223 (770) 228-4517 115532 SOCIAL CIRCLE NSG & REHAB CTR 671 NORTH CHEROKEE ROAD SOCIAL CIRCLE GA 30025 (770) 464-2019 115533 PRUITTHEALTH - SWAINSBORO 856 HIGHWAY 1 SOUTH SWAINSBORO GA 30401 (478) 237-7022 115534 AZALEALAND NURSING HOME 2040 COLONIAL DRIVE SAVANNAH GA 31406 (912) 354-2752 115538 POWDER SPRINGS TRANSITIONAL CARE AND REHAB 3460 POWDER SPRINGS ROAD POWDER SPRINGS GA 30127 (770) 439-9199 115542 SADIE G. MAYS HEALTH & REHABILITATION CENTER 1821 ANDERSON AVENUE NW ATLANTA GA 30314 (404) 794-2477 115543 MAPLE RIDGE HEALTH CARE CENTER 22 MAPLE RIDGE DRIVE S.E. CARTERSVILLE GA 30120 (770) 606-8800 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

115546 SAVANNAH SQUARE HEALTH CENTER ONE SAVANNAH SQUARE DRIVE SAVANNAH GA 31406 (912) 927-7550 115550 LILLIAN G CARTER HEALTH AND REHABILITATION 225 HOSPITAL STREET PLAINS GA 31780 (229) 824-7796 115551 CUMMING NURSING CENTER 2775 CASTLEBERRY ROAD CUMMING GA 30041 (770) 781-2300 115554 GRACEMORE NURSING AND REHAB 2708 LEE STREET BRUNSWICK GA 31520 (912) 265-6771 115559 FRIENDSHIP HEALTH AND REHAB 161 FRIENDSHIP ROAD CLEVELAND GA 30528 (706) 865-3131 115562 PRUITTHEALTH - HOLLY HILL 413 PENDLETON PLACE VALDOSTA GA 31602 (229) 244-6968 115566 RIVER TOWNE CENTER 5131 WARM SPRINGS RD COLUMBUS GA 31909 (706) 561-1371 115571 CARTERSVILLE HEIGHTS 78 OPAL STREET CARTERSVILLE GA 30120 (770) 382-6120 115573 CHRISTIAN CITY REHABILITATION CENTER 7300 LESTER ROAD UNION CITY GA 30291 (770) 964-3301 115576 OAK VIEW HOME, INC 119 OAKVIEW STREET WAVERLY HALL GA 31831 (706) 582-2117 115577 ALTAMAHA HEALTHCARE CENTER 1311 WEST CHERRY STREET JESUP GA 31545 (912) 427-7792 115578 GREEN ACRES HEALTH AND REHABILITATION 313 ALLEN MEMORIAL DRIVE,SW MILLEDGEVILLE GA 31061 (478) 453-9437 115579 HEALTHCARE AT COLLEGE PARK, LLC 1765 TEMPLE AVENUE COLLEGE PARK GA 30337 (404) 767-8609 115584 GORDON HEALTH AND REHABILITATION 1280 MAULDIN ROAD NE CALHOUN GA 30703 (706) 625-0044 115585 LEGACY TRANSITIONAL CARE & REHABILITATION 460 AUBURN AVENUE N.E. ATLANTA GA 30312 (404) 523-1613 115587 SOUTHERN TRADITIONS 144 DEPOT STREET BUCHANAN GA 30113 (770) 646-5512 115588 PRUITTHEALTH - COVINGTON 4148 CARROLL STREET COVINGTON GA 30015 (770) 786-0427 115593 BAYVIEW NURSING HOME 12884 CLEVELAND STREET WEST NAHUNTA GA 31553 (912) 462-6044 115595 EATONTON HEALTH AND REHABILITATION 125 SPARTA HIGHWAY 16 EAST EATONTON GA 31024 (706) 485-8573 115598 CAMELLIA HEALTH & REHABILITATION 700 EAST LONG STREET CLAXTON GA 30417 (912) 739-2245 115599 MAGNOLIA MANOR OF MARION COUNTY 349 GENEVA ROAD BUENA VISTA GA 31803 (229) 649-7100 115603 WARM SPRINGS MEDICAL CENTER NURSING HOME 5995 SPRING STREET WARM SPRINGS GA 31830 (706) 655-3331 115608 PRUITTHEALTH - OCILLA 209 WEST HUDSON STREET OCILLA GA 31774 (229) 468-9431 115610 CANDLER SKILLED NURSING UNIT 5353 REYNOLDS STREET SAVANNAH GA 31405 (912) 819-6262 115611 SHADY ACRES HEALTH AND REHABILITATION 1310 WEST GORDON STREET DOUGLAS GA 31533 (912) 384-7811 115613 GIBSON HEALTH AND REHABILITATION 434 BEALL SPRINGS ROAD GIBSON GA 30810 (706) 598-3201 115614 LEE COUNTY HEALTH AND REHABILITATION 214 MAIN STREET LEESBURG GA 31763 (229) 759-9236 115615 BAPTIST VILLAGE, INC. 2650 CARSWELL AVE WAYCROSS GA 31502 (912) 283-7050 115616 PRUITTHEALTH - FRANKLIN 360 SOUTH RIVER ROAD FRANKLIN GA 30217 (706) 675-6674 115617 PRUITTHEALTH - FITZGERALD 185 BOWEN'S MILL HIGHWAY FITZGERALD GA 31750 (229) 423-4361 115627 OAKS NURSING HOME, INC, THE 777 NURSING HOME ROAD MARSHALLVILLE GA 31057 (478) 967-2223 115629 PRUITTHEALTH - SYLVESTER 104 MONK STREET SYLVESTER GA 31791 (229) 776-5541 115631 PRUITTHEALTH - GRANDVIEW 165 WINSTON DRIVE ATHENS GA 30607 (706) 549-6013 115633 SAVANNAH BEACH HEALTH AND REHAB 26 VAN HORNE STREET TYBEE ISLAND GA 31328 (912) 786-4511 115638 CARROLLTON MANOR, INCORPORATED 2455 OAK GROVE CHURCH ROAD CARROLLTON GA 30117 (770) 834-1737 115640 ST JOSEPH'S TRANSITIONAL CARE UNIT 11705 MERCY BOULEVARD SAVANNAH GA 31419 (912) 819-2105 115641 RIVERVIEW HEALTH & REHAB CTR 6711 LAROCHE AVENUE SAVANNAH GA 31406 (912) 354-8225 115642 AZALEA HEALTH AND REHABILITATION 300 CEDAR ROAD METTER GA 30439 (912) 685-5734 115645 GWINNETT EXTENDED CARE CENTER 650 PROFESSIONAL DRIVE LAWRENCEVILLE GA 30046 (678) 312-3000 115649 OCONEE REG MC SKILLED NSG UNIT 821 NORTH COBB ST MILLEDGEVILLE GA 31061 (478) 454-3649 115652 CHERRY BLOSSOM HEALTH AND REHABILITATION 3520 KENNETH DRIVE MACON GA 31206 (478) 781-7553 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

115658 PRUITTHEALTH - GREENVILLE 99 HILLHAVEN RD. GREENVILLE GA 30222 (706) 672-4241 115659 LIFE CARE CTR OF LAWRENCEVILLE 210 COLLINS INDUSTRIAL WAY LAWRENCEVILLE GA 30045 (678) 442-0777 115660 GOLDEN LIVINGCENTER - KENNESTONE 613 ROSELANE STREET MARIETTA GA 30064 (770) 792-9800 115663 REGENCY PARK HEALTH AND REHABILITATION 1212 BROADRICK DRIVE DALTON GA 30720 (706) 270-8008 115665 COASTAL MANOR 128 COASTAL MANOR DRIVE SE LUDOWICI GA 31316 (912) 545-3392 115667 COBBLESTONE REHABILITATION AND HEALTHCARE CTR, LLC 101 COBBLESTONE TRACE, SE MOULTRIE GA 31768 (229) 985-3637 115668 PRUITTHEALTH - SUNRISE 2709 S MAIN STREET MOULTRIE GA 31768 (229) 985-7173 115670 ROCKDALE HEALTHCARE CENTER 1510 RENIASSANCE DRIVE CONYERS GA 30012 (770) 483-4480 115671 SCOTT HEALTH & REHABILITATION 12 SMITH LANE ADRIAN GA 31002 (478) 668-3225 115673 LAUREL PARK AT HENRY MED CTR 1050 HOSPITAL DRIVE STOCKBRIDGE GA 30281 (678) 604-1600 115674 WESTMINSTER COMMONS 560 ST CHARLES AVE, NE ATLANTA GA 30308 (404) 874-2233 115675 RETREAT, THE 898 COLLEGE ST MONTICELLO GA 31064 (706) 468-8826 115676 REHABILITATION CENTER OF SOUTH GEORGIA 2002 TIFT AVENUE NORTH TIFTON GA 31794 (229) 382-7342 115680 CARLYLE PLACE 5300 ZEBULON ROAD MACON GA 31210 (478) 405-4500 115681 PRUITTHEALTH - OLD CAPITOL 310 HIGHWAY #1 BYPASS LOUISVILLE GA 30434 (478) 625-3741 115682 BUDD TERRACE AT WESLEY WOODS 1833 CLIFTON ROAD, NE ATLANTA GA 30329 (404) 728-6500 115683 GILMER NURSING HOME 1362 SOUTH MAIN STREET ELLIJAY GA 30540 (706) 276-4741 115684 SENIOR CARE CENTER - ST MARYS 805 DILWORTH STREET SAINT MARYS GA 31558 (912) 882-4281 115685 HEARDMONT NURSING HOME 1043 LONGSTREET ROAD ELBERTON GA 30635 (706) 283-5429 115687 WILLOWBROOKE COURT AT LANIER VILLAGE ESTATES 4145 MISTY MORNING WAY GAINESVILLE GA 30506 (678) 450-3005 115690 D SCOTT HUDGENS CENTER FOR SKILLED NURSING, THE 3500 ANNANDALE LANE SUWANEE GA 30024 (770) 932-3472 115694 PARK SPRINGS HEALTH CENTER 500 SPRINGHOUSE CIRCLE STONE MOUNTAIN GA 30087 (678) 684-3800 115695 UNION COUNTY NURSING HOME 164 NURSING HOME CIRCLE BLAIRSVILLE GA 30512 (706) 745-4948 115696 FORT GAINES HEALTH AND REHAB 101 HARTFORD ROAD, WEST FORT GAINES GA 39851 (229) 768-2521 115697 FOUNTAINVIEW CTR FOR ALZHEIMER 2631 NORTH DRUID HILLS ROAD N E ATLANTA GA 30329 (404) 325-7994 115700 PRUITTHEALTH - BETHANY 466 SOUTH GRAY STREET MILLEN GA 30442 (478) 982-2531 115702 WASHINGTON CO EXTENDED CARE FA 610 SPARTA ROAD SANDERSVILLE GA 31082 (478) 240-2065 115703 GLENWOOD HEALTHCARE 41 NORTH 5TH AVENUE GLENWOOD GA 30428 (912) 523-5102 115704 EMANUEL COUNTY NURSING HOME 117 KITE ROAD SWAINSBORO GA 30401 (478) 289-1334 115705 OAKS - BETHANY SKILLED NURSING, THE 1305 EAST NORTH STREET VIDALIA GA 30475 (912) 537-7922 115708 CHURCH HOME REHABILITATION AND HEALTHCARE 2470 HWY 41 N FORT VALLEY GA 31030 (478) 987-1239 115709 TWIN FOUNTAINS HOME 1400 HOGANSVILLE ROAD LAGRANGE GA 30240 (706) 882-0121 115711 MEMORIAL MANOR NURSING HOME 1500 EAST SHOTWELL STREET BAINBRIDGE GA 39819 (229) 246-3500 115715 OAKS HEALTH CTR AT THE MARSHES OF SKIDAWAY ISLAND 95 SKIDAWAY ISLAND PARK ROAD SAVANNAH GA 31411 (912) 598-5030 115716 SPRING HARBOR AT GREEN ISLAND 200 SPRING HARBOR DRIVE COLUMBUS GA 31904 (706) 576-6027 115717 RELIABLE HEALTH & REHAB AT LAKEWOOD 1980 ARROW STREET, SW ATLANTA GA 30310 (404) 755-4080 115719 PRUITTHEALTH - ROME 2 THREE MILE ROAD NE ROME GA 30165 (706) 236-6002 115720 EVERGREEN HEALTH & REHABILITATION CENTER 139 MORAN LAKE ROAD, NE ROME GA 30161 (706) 378-3383 115721 SENIOR CARE CENTER - BRUNSWICK 2611 WILDWOOD DRIVE BRUNSWICK GA 31520 (912) 265-8528 115722 ANSLEY PARK HEALTH AND REHABILITATION 450 NEWNAN LAKES BLVD NEWNAN GA 30263 (770) 400-8000 115723 SALUDE - THE ART OF RECOVERY 601 NORTH HOLT PARKWAY SUWANEE GA 30024 (770) 904-3222 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

125002 HILO MEDICAL CENTER 1190 WAIANUENUE AVENUE HILO HI 96720 (808) 932-3000 125003 KULA HOSPITAL 100 KEOKEA PLACE KULA HI 96790 (808) 878-1221 125004 GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER 3-3420 KUHIO HIGHWAY, SUITE 300 LIHUE HI 96766 (808) 245-1802 125005 ISLAND NURSING HOME 1205 ALEXANDER STREET HONOLULU HI 96826 (808) 946-5027 125007 HALE MAKUA - KAHULUI 472 KAULANA STREET KAHULUI HI 96732 (808) 877-2761 125010 LEAHI HOSPITAL 3675 KILAUEA AVENUE HONOLULU HI 96816 (808) 733-8000 125011 HALE NANI REHABILITATION AND NURSING CENTER 1677 PENSACOLA STREET HONOLULU HI 96822 (808) 537-3371 125013 MAUNALANI NURSING AND REHABILITATION CENTER 5113 MAUNALANI CIRCLE HONOLULU HI 96816 (808) 732-0771 125014 ARCADIA RETIREMENT RESIDENCE 1434 PUNAHOU STREET HONOLULU HI 96822 (808) 941-0941 125015 WAHIAWA GENERAL HOSPITAL 128 LEHUA STREET WAHIAWA HI 96786 (808) 621-8411 125020 AVALON CARE CENTER - HONOLULU, LLC 1930 KAMEHAMEHA IV RD HONOLULU HI 96819 (808) 847-4834 125021 KAUAI VETERANS MEMORIAL HOSPITAL PO BOX 337 WAIMEA HI 96796 (808) 338-9431 125026 KUAKINI GERIATRIC CARE, INC 347 NORTH KUAKINI STREET HONOLULU HI 96817 (808) 547-9357 125028 KAU HOSPITAL 1 KAMANI STREET PAHALA HI 96777 (808) 932-4200 125029 SAMUEL MAHELONA MEMORIAL HOSPITAL 4800 KAWAIHAU ROAD KAPAA HI 96746 (808) 822-4961 125030 KAHUKU MEDICAL CENTER 56-117 PUALALEA STREET KAHUKU HI 96731 (808) 293-9221 125031 KOHALA HOSPITAL 54-383 HOSPITAL ROAD KAPAAU HI 96755 (808) 889-6211 125032 HALE HO'OLA HAMAKUA 45-547 PLUMERIA STREET HONOKAA HI 96727 (808) 932-4100 125033 HARRY AND JEANETTE WEINBERG CARE CENTER 45-090 NAMOKU ST KANEOHE HI 96744 (808) 247-1670 125038 ALOHA NURSING & REHAB CENTRE 45-545 KAMEHAMEHA HIGHWAY KANEOHE HI 96744 (808) 247-2220 125040 LIFE CARE CENTER OF HILO 944 WEST KAWAILANI STREET HILO HI 96720 (808) 959-9151 125042 OAHU CARE FACILITY 1808 SOUTH BERETANIA STREET HONOLULU HI 96826 (808) 973-1900 125045 HALE ANUENUE RESTORATIVE CARE 1333 WAIANUENUE AVENUE HILO HI 96720 (808) 961-6644 125047 HALE OLA KINO 1314 KALAKAUA AVENUE, 2ND FLOOR HONOLULU HI 96826 (808) 983-4444 125048 ANN PEARL NURSING FACILITY 45-181 WAIKALUA ROAD KANEOHE HI 96744 (808) 247-8558 125050 HALE MALAMALAMA 6163 SUMMER STREET HONOLULU HI 96821 (808) 396-0537 125051 KA PUNAWAI OLA 91-575 FARRINGTON HIGHWAY KAPOLEI HI 96707 (808) 674-9262 125052 LIFE CARE CENTER OF KONA 78-6957 KAMEHAMEHA III ROAD KAILUA KONA HI 96740 (808) 322-2790 125055 HI'OLANI CARE CENTER AT KAHALA NUI 4389 MALIA STREET HONOLULU HI 96821 (808) 218-7052 125056 HALE MAKUA HEALTH SERVICES 1540 LOWER MAIN STREET WAILUKU HI 96793 (808) 243-1722 125057 KULANA MALAMA 91-1360 KARAYAN STREET EWA BEACH HI 96706 (808) 681-1203 125058 YUKIO OKUTSU STATE VETERANS HOME 1180 WAIANUENUE AVENUE HILO HI 96720 (808) 961-1500 125059 PALOLO CHINESE HOME 2459 10TH AVENUE HONOLULU HI 96816 (808) 737-2555 125060 KFH - MALAMA 'OHANA NURSING AND REHAB CENTER 3288 MOANALUA ROAD HONOLULU HI 96819 (808) 432-7737 125061 KAUAI CARE CENTER 9611 WAENA ROAD WAIMEA HI 96796 (808) 338-1681 125063 15 CRAIGSIDE 15 CRAIGSIDE PLACE HONOLULU HI 96817 (808) 523-7000 135004 BOUNDARY COUNTY NURSING HOME 6640 KANIKSU STREET BONNERS FERRY ID 83805 (208) 267-3141 135006 ST LUKE'S ELMORE LONG TERM CARE 895 NORTH 6TH EAST MOUNTAIN HOME ID 83647 (208) 587-8401 135007 BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION 98 POPLAR STREET BLACKFOOT ID 83221 (208) 785-4101 135010 KINDRED NURSING AND REHABILITATION - WEISER 331 EAST PARK STREET WEISER ID 83672 (208) 549-2416 135014 KINDRED NURSING AND REHABILITATION - CALDWELL 210 CLEVELAND BOULEVARD CALDWELL ID 83605 (208) 459-1522 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

135018 MONTE VISTA HILLS HEALTHCARE CENTER 1071 RENEE AVENUE POCATELLO ID 83201 (208) 233-1411 135019 KINDRED NURSING AND REHABILITATION - NAMPA 404 NORTH HORTON STREET NAMPA ID 83651 (208) 466-9292 135020 RIVER'S EDGE REHABILITATION & LIVING CENTER 714 NORTH BUTTE AVENUE EMMETT ID 83617 (208) 365-4425 135021 KINDRED TRANSITIONAL CARE AND REHAB - LEWISTON 3315 8TH STREET LEWISTON ID 83501 (208) 743-9543 135048 CLEARWATER HEALTH & REHABILITATION 1204 SHRIVER ROAD OROFINO ID 83544 (208) 476-4568 135051 KINDRED NURSING AND REHABILITATION - CANYON WEST 2814 SOUTH INDIANA AVENUE CALDWELL ID 83605 (208) 459-0808 135052 COEUR D'ALENE HEALTH CARE & REHABILITATION CENTER 2514 NORTH SEVENTH STREET COEUR D'ALENE ID 83814 (208) 664-8128 135053 IVY COURT 2200 IRONWOOD PLACE COEUR D'ALENE ID 83814 (208) 667-6486 135055 VALLEY VISTA CARE CENTER OF SANDPOINT 220 SOUTH DIVISION SANDPOINT ID 83864 (208) 265-4514 135056 LINCOLN COUNTY CARE CENTER 511 EAST FOURTH STREET SHOSHONE ID 83352 (208) 886-2228 135058 GOOD SAMARITAN SOCIETY - SILVER WOOD VILLAGE 405 WEST SEVENTH STREET SILVERTON ID 83867 (208) 556-1147 135059 FRANKLIN COUNTY TRANSITIONAL CARE 44 NORTH FIRST EAST PRESTON ID 83263 (208) 852-0137 135060 CARIBOU MEMORIAL LIVING CTR 300 SOUTH THIRD WEST SODA SPRINGS ID 83276 (208) 547-3341 135062 ONEIDA COUNTY HOSPITAL & LONG TERM CARE FACILITY 150 NORTH 200 WEST MALAD ID 83252 (208) 766-2231 135064 COUNTRYSIDE CARE & REHABILITATION 1224 EIGHTH STREET RUPERT ID 83350 (208) 436-0481 135065 KINDRED NURSING AND REHABILITATION-MOUNTAIN VALLEY 601 WEST CAMERON AVENUE KELLOGG ID 83837 (208) 784-1283 135066 POWER COUNTY NURSING HOME 510 ROOSEVELT STREET (83211-1362) AMERICAN FALLS ID 83211 (208) 226-3200 135067 GOOD SAMARITAN SOCIETY - MOSCOW VILLAGE 640 NORTH EISENHOWER STREET MOSCOW ID 83843 (208) 882-6560 135068 PARKE VIEW REHABILITATION & CARE CENTER 2303 PARKE AVENUE BURLEY ID 83318 (208) 677-3073 135070 BEAR LAKE MEMORIAL SKILLED NURSING FACILITY 164 SOUTH FIFTH STREET MONTPELIER ID 83254 (208) 847-1630 135076 MIDLAND REHABILITATION AND HEALTHCARE CENTER 46 NORTH MIDLAND BOULEVARD NAMPA ID 83651 (208) 466-7803 135077 AVAMERE TRANSITIONAL CARE & REHAB - BOISE 1001 SOUTH HILTON STREET BOISE ID 83705 (208) 345-4464 135080 GRANGEVILLE HEALTH & REHABILITATION CENTER 410 EAST NORTH SECOND STREET GRANGEVILLE ID 83530 (208) 983-1131 135085 GOOD SAMARITAN SOCIETY - BOISE VILLAGE 3115 SYCAMORE DRIVE BOISE ID 83703 (208) 343-7726 135087 OWYHEE HEALTH & REHABILITATION CENTER 108 WEST OWYHEE HOMEDALE ID 83628 (208) 337-3168 135089 DESERT VIEW CARE CENTER OF BUHL 820 SPRAGUE AVENUE BUHL ID 83316 (208) 543-6401 135090 SHAW MOUNTAIN OF CASCADIA 909 RESERVE STREET BOISE ID 83712 (208) 343-7717 135091 LIFE CARE CENTER OF IDAHO FALLS 2725 EAST 17TH STREET IDAHO FALLS ID 83406 (208) 529-4567 135093 KINDRED NURSING AND REHABILITATION - ASPEN PARK 420 ROWE STREET MOSCOW ID 83843 (208) 882-4576 135095 CHERRY RIDGE CENTER 501 WEST IDAHO BOULEVARD EMMETT ID 83617 (208) 365-3597 135097 ASHTON MEMORIAL LIVING CENTER 700 NORTH SECOND STREET ASHTON ID 83420 (208) 652-7461 135098 VALLEY VIEW NURSING & REHABILITATION 1140 NORTH ALLUMBAUGH STREET BOISE ID 83704 (208) 854-8500 135102 SUNNY RIDGE 2609 SUNNYBROOK DRIVE NAMPA ID 83686 (208) 467-7298 135103 PRESTIGE CARE & REHABILITATION - THE ORCHARDS 1014 BURRELL AVENUE LEWISTON ID 83501 (208) 743-4558 135105 REXBURG CARE & REHABILITATION CENTER 660 SOUTH SECOND STREET WEST REXBURG ID 83440 (208) 356-0220 135111 SYRINGA CHALET NURSING FACILITY 700 EAST ALICE STREET (83221-4925) BLACKFOOT ID 83221 (208) 785-1200 135113 BRIDGEVIEW ESTATES 1828 BRIDGEVIEW BOULEVARD TWIN FALLS ID 83301 (208) 736-3933 135114 ST LUKE'S REHAB - ELKS SUB ACUTE REHAB UNIT 600 NORTH ROBBINS ROAD BOISE ID 83702 (208) 489-4444 135115 EASTERN IDAHO REGIONAL MEDICAL CENTER - TCU 3100 CHANNING WAY, 83404-7533 IDAHO FALLS ID 83403 (208) 529-7690 135116 ROYAL PLAZA HEALTH & REHABILITATION 2870 JUNIPER DRIVE LEWISTON ID 83501 (208) 746-2855 135119 SAINT ALPHONSUS TRANSITIONAL REHABILITATION UNIT 1055 NORTH CURTIS ROAD BOISE ID 83706 (208) 367-2660 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

135122 LIFE CARE CENTER OF COEUR D'ALENE 500 WEST AQUA AVENUE COEUR D ALENE ID 83815 (208) 762-1122 135123 LIFE CARE CENTER OF TREASURE VALLEY 502 NORTH KIMBALL PLACE BOISE ID 83704 (208) 377-1900 135127 LIFE CARE CENTER OF SANDPOINT 1125 NORTH DIVISION STREET SANDPOINT ID 83864 (208) 265-9299 135128 LIFE CARE CENTER OF LEWISTON 325 WARNER DRIVE LEWISTON ID 83501 (208) 798-8500 135129 DISCOVERY CARE CENTER 600 SHANAFELT STREET SALMON ID 83467 (208) 756-8391 135130 ASPEN TRANSITIONAL REHABILITATION 2867 EAST COPPER POINT DRIVE MERIDIAN ID 83642 (208) 401-9100 135131 IDAHO STATE VETERANS HOME - BOISE 320 COLLINS ROAD, 83702-4519 BOISE ID 83707 (208) 334-5000 135132 IDAHO STATE VETERANS HOME - POCATELLO 1957 ALVIN RICKEN DRIVE POCATELLO ID 83201 (208) 236-6340 135133 IDAHO STATE VETERANS HOME - LEWISTON 821 21ST AVENUE LEWISTON ID 83501 (208) 799-3422 135134 BENNETT HILLS CENTER 1220 MONTANA STREET GOODING ID 83330 (208) 934-5601 135136 QUINN MEADOWS REHABILITATION & CARE CENTER 1033 WEST QUINN ROAD POCATELLO ID 83202 (208) 637-8888 135137 PROMONTORY POINT REHABILITATION 3909 SOUTH 25TH EAST AMMON ID 83406 (208) 528-4000 135139 RIVERVIEW REHABILITATION 3550 WEST AMERICANA TERRACE BOISE ID 83706 (208) 615-4940 145000 WASHINGTON CHRISTIAN VILLAGE 1201 NEWCASTLE WASHINGTON IL 61571 (309) 444-3161 145004 CITADEL CARE CENTER-ELGIN 180 SOUTH STATE STREET ELGIN IL 60123 (847) 742-3110 145008 DUQUOIN NURSING AND REHAB 514 EAST JACKSON ST DU QUOIN IL 62832 (618) 542-4731 145011 GROVE OF EVANSTON L & R, THE 500 ASBURY STREET EVANSTON IL 60202 (847) 316-3320 145012 HEARTLAND OF GALESBURG 280 EAST LOSEY STREET GALESBURG IL 61401 (309) 343-2166 145016 HERITAGE HEALTH-BLOOMINGTON 700 EAST WALNUT BLOOMINGTON IL 61701 (309) 827-8004 145024 PINECREST MANOR 414 SOUTH WESLEY AVENUE MOUNT MORRIS IL 61054 (815) 734-4103 145026 WESTMINSTER PLACE 3200 GRANT STREET EVANSTON IL 60201 (847) 492-4800 145031 HEARTLAND OF NORMAL 510 BROADWAY NORMAL IL 61761 (309) 452-4406 145044 HERITAGE HEALTH-PERU 1301 21ST STREET PERU IL 61354 (815) 223-4901 145045 MANORCARE OF NAPERVILLE 200 MARTIN AVENUE NAPERVILLE IL 60540 (630) 355-4111 145050 DU PAGE CONVALESCENT CENTER 400 N COUNTY FARM RD PO BOX708 WHEATON IL 60187 (630) 665-6400 145058 HERITAGE HEALTH-CHILLICOTHE 1028 HILLCREST DRIVE CHILLICOTHE IL 61523 (309) 274-2194 145062 HERITAGE HEALTH-STREATOR 1525 EAST MAIN STREET STREATOR IL 61364 (815) 672-4516 145087 MANORCARE OF OAK LAWN WEST 6300 WEST 95TH STREET OAK LAWN IL 60453 (708) 599-8800 145102 MEMORIAL CARE CENTER 4315 MEMORIAL DRIVE BELLEVILLE IL 62226 (618) 257-5060 145111 ELMHURST EXTENDED CARE CENTER 200 EAST LAKE STREET ELMHURST IL 60126 (630) 516-5000 145121 EUNICE C SMITH NURSING HOME 1251 COLLEGE AVENUE ALTON IL 62002 (618) 463-7330 145122 DOBSON PLAZA 120 DODGE AVENUE EVANSTON IL 60202 (847) 869-7744 145126 ALDEN LINCOLN REHAB & H C CTR 504 WEST WELLINGTON AVENUE CHICAGO IL 60657 (773) 281-6200 145151 HERITAGE HEALTH-MENDOTA 1201 FIRST AVENUE MENDOTA IL 61342 (815) 539-6745 145171 GLEN OAKS NRSG & REHAB CTR 270 SKOKIE HIGHWAY NORTHBROOK IL 60062 (847) 498-9320 145180 APERION CARE CHICAGO HEIGHTS 490 WEST 16TH PLACE CHICAGO HEIGHTS IL 60411 (708) 481-4444 145183 COLONIAL MANOR 620 WARRINGTON AVENUE DANVILLE IL 61832 (217) 446-0660 145197 APERION CARE OAK LAWN 9401 SOUTH RIDGELAND AVENUE OAK LAWN IL 60453 (708) 599-6700 145198 BELLA TERRA MORTON GROVE 8425 WAUKEGAN ROAD MORTON GROVE IL 60053 (847) 965-8100 145199 MANORCARE OF ARLINGTON HEIGHTS 715 WEST CENTRAL ROAD ARLINGTON HTS IL 60005 (847) 392-2020 145213 WYNSCAPE HEALTH & REHAB 2180 MANCHESTER ROAD WHEATON IL 60187 (630) 665-4330 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

145216 LAKE FOREST HOSPITAL SNU 660 NORTH WESTMORELAND ROAD LAKE FOREST IL 60045 (847) 234-5600 145219 BURGESS SQUARE HEALTHCARE CTR 5801 SOUTH CASS AVENUE WESTMONT IL 60559 (630) 971-2645 145225 ST JOHN HOSPITAL LTC UNIT 800 EAST CARPENTER, 11TH FLOOR SPRINGFIELD IL 62702 (217) 544-6464 145229 HERITAGE HEALTH-SPRINGFIELD 900 NORTH RUTLEDGE SPRINGFIELD IL 62702 (217) 789-0930 145235 LAKEFRONT NURSING & REHAB CTR 7618 NORTH SHERIDAN ROAD CHICAGO IL 60626 (773) 743-7711 145243 NORTH LOGAN HEALTHCARE CENTER 801 NORTH LOGAN AVENUE DANVILLE IL 61832 (217) 443-3106 145256 LAKELAND REHAB & HEALTHCARE CENTER 800 WEST TEMPLE STREET EFFINGHAM IL 62401 (217) 342-2171 145259 ALDEN PARK STRATHMOOR 5668 STRATHMOOR DRIVE ROCKFORD IL 61107 (815) 229-5200 145261 PINE ACRES REHAB & LIVING CTR 1212 SOUTH SECOND STREET DEKALB IL 60115 (815) 758-8151 145267 HERITAGE HEALTH-PANA 1000 EAST SIXTH STREET ROAD PANA IL 62557 (217) 562-2174 145268 GLENVIEW TERRACE NURSING CTR 1511 GREENWOOD ROAD GLENVIEW IL 60025 (847) 729-9090 145271 HERITAGE HEALTH-LITCHFIELD 628 SOUTH ILLINOIS STREET LITCHFIELD IL 62056 (217) 324-2153 145273 JACKSONVILLE SKILLED NURSING & REHAB 1517 WEST WALNUT STREET JACKSONVILLE IL 62650 (217) 243-6451 145285 BUCKINGHAM PAVILION 2625 WEST TOUHY AVENUE CHICAGO IL 60645 (773) 973-5333 145286 HERITAGE HEALTH-STAUNTON 215 WEST PENNSYLVANIA AVENUE STAUNTON IL 62088 (618) 635-5577 145309 RED BUD REGIONAL CARE 350 WEST SOUTH 1ST STREET RED BUD IL 62278 (618) 282-3891 145312 NORTHWOODS CARE CENTRE 2250 PEARL STREET BELVIDERE IL 61008 (815) 544-0358 145314 OSF ST ANTHONY'S HEALTH CENTER SNF 915 E 5TH STREET ALTON IL 62002 (618) 465-2571 145323 CARRIER MILLS NURSING & REHAB CENTER 6789 US RT 45, P O BOX 68 CARRIER MILLS IL 62917 (618) 994-2323 145324 PRESENCE RESURRECTION N & R 1001 NORTH GREENWOOD AVENUE PARK RIDGE IL 60068 (847) 692-5600 145329 NORRIDGE GARDENS 7001 WEST CULLOM NORRIDGE IL 60634 (708) 457-0700 145337 SYMPHONY OF BRONZEVILLE 3400 SOUTH INDIANA CHICAGO IL 60616 (312) 842-5000 145338 MANORCARE OF WESTMONT 512 EAST OGDEN AVENUE WESTMONT IL 60559 (630) 323-4400 145341 FRIENDSHIP VILLAGE-SCHAUMBURG 350 WEST SCHAUMBURG ROAD SCHAUMBURG IL 60194 (847) 884-5000 145344 LIBERTYVILLE MANOR EXT CARE 610 PETERSON ROAD LIBERTYVILLE IL 60048 (847) 367-6100 145350 MANORCARE OF ROLLING MEADOWS 4225 KIRCHOFF ROAD ROLLING MEADOWS IL 60008 (847) 397-2400 145358 COMMUNITY NURSING & REHAB CTR 1136 NORTH MILL STREET NAPERVILLE IL 60563 (630) 355-3300 145367 HERITAGE HEALTH-GILLESPIE 7588 STAUNTON ROAD GILLESPIE IL 62033 (217) 839-2171 145370 SULLIVAN REHAB & HLTH CARE CTR 11 HAWTHORNE LANE SULLIVAN IL 61951 (217) 728-4327 145372 SYMPHONY OF JOLIET 306 NORTH LARKIN AVENUE JOLIET IL 60435 (815) 744-5560 145376 OAKVIEW HTS CONT C & REHAB CTR R R 4 1320 WEST 9TH STREET MOUNT CARMEL IL 62863 (618) 263-4337 145379 ALDEN VALLEY RIDGE REHAB & HCC 275 EAST ARMY TRAIL ROAD BLOOMINGDALE IL 60108 (630) 893-9616 145381 CLARK-LINDSEY VILLAGE 101 WEST WINDSOR ROAD URBANA IL 61801 (217) 344-2144 145382 LEE MANOR 1301 LEE STREET DES PLAINES IL 60018 (847) 635-4000 145384 EDEN VILLAGE CARE CENTER 400 SOUTH STATION ROAD GLEN CARBON IL 62034 (618) 288-5014 145386 SOUTHGATE HEALTH CARE CENTER 900 EAST NINTH STREET, PO BOX 843 METROPOLIS IL 62960 (618) 524-2683 145400 WESTMINSTER VILLAGE 2025 EAST LINCOLN STREET BLOOMINGTON IL 61701 (309) 663-6474 145404 FARMINGTON COUNTRY MANOR 701 SOUTH MAIN STREET FARMINGTON IL 61531 (309) 245-2408 145405 BRIA OF WESTMONT 6501 SOUTH CASS WESTMONT IL 60559 (630) 960-2026 145406 RANDOLPH COUNTY CARE CENTER 312 WEST BELMONT SPARTA IL 62286 (618) 443-4351 145409 COVENANT HLTH CR CTR-BATAVIA 831 NORTH BATAVIA AVENUE BATAVIA IL 60510 (630) 879-4300 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

145410 BREESE NURSING HOME 1155 NORTH FIRST STREET BREESE IL 62230 (618) 526-4521 145411 PRAIRIE ROSE HEALTH CARE CTR 900 SOUTH CHESTNUT PANA IL 62557 (217) 562-3996 145415 ELSTON NURSING & REHAB CENTRE 4340 NORTH KEYSTONE CHICAGO IL 60641 (773) 545-8700 145416 HEARTLAND MANOR NURSING CENTER 410 NORTHWEST THIRD CASEY IL 62420 (217) 932-4081 145417 UNITED METHODIST VILLAGE, THE 1616 CEDAR LAWRENCEVILLE IL 62439 (618) 943-3347 145422 FAIR HAVENS CHRISTIAN HOME 1790 SOUTH FAIRVIEW AVENUE DECATUR IL 62521 (217) 429-2551 145426 OTTAWA PAVILION 800 EAST CENTER STREET OTTAWA IL 61350 (815) 434-7144 145430 CHRISTIAN NURSING HOME 1507 7TH STREET LINCOLN IL 62656 (217) 732-2189 145431 SELECT POST ACUTE CARE 700 NORTH MAIN STREET EUREKA IL 61530 (309) 467-2337 145433 PRESENCE PINE VIEW CARE CENTER 611 ALLEN LANE ST CHARLES IL 60174 (630) 377-2211 145436 APOSTOLIC CHRISTIAN RESTMOR 1500 PARKSIDE AVENUE MORTON IL 61550 (309) 284-1400 145437 COLONIAL HLTHCARE & REHAB CTR 515 BUREAU VALLEY PARKWAY PRINCETON IL 61356 (815) 875-3347 145441 SHELBYVILLE MANOR 1111 WEST NORTH 12TH STREET SHELBYVILLE IL 62565 (217) 774-2111 145443 ROLLING HILLS MANOR 3615 16TH STREET ZION IL 60099 (847) 746-8382 145445 OAK HILL 623 HAMACHER STREET WATERLOO IL 62298 (618) 939-3488 145447 HERITAGE HEALTH-ELGIN 355 RAYMOND STREET ELGIN IL 60120 (847) 697-6636 145449 ILLINOIS KNIGHTS TEMPLAR HOME 450 FULTON STREET P O BOX 49 PAXTON IL 60957 (217) 379-2116 145452 HERITAGE HEALTH-DWIGHT 300 EAST MAZON AVENUE DWIGHT IL 60420 (815) 584-1240 145453 ALDEN TERRACE OF MCHENRY REHAB 803 ROYAL DRIVE MCHENRY IL 60050 (815) 344-2600 145458 OAKBROOK HEALTHCARE CENTRE 2013 MIDWEST ROAD OAK BROOK IL 60521 (630) 495-0220 145464 HAMMOND-HENRY DISTRICT HSP 600 NORTH COLLEGE AVENUE GENESEO IL 61254 (309) 944-6431 145468 CAMBRIDGE NURSING & REHAB CENTER 9615 NORTH KNOX AVENUE SKOKIE IL 60076 (847) 679-4161 145469 PARIS HEALTH CARE CENTER 1011 NORTH MAIN STREET PARIS IL 61944 (217) 465-5376 145470 HERITAGE HEALTH-HOOPESTON 423 NORTH DIXIE HIGHWAY HOOPESTON IL 60942 (217) 283-8247 145471 MONTEBELLO HEALTHCARE CENTER 1599 KEOKUK STREET HAMILTON IL 62341 (217) 847-3931 145473 SYMPHONY OF ORCHARD VALLEY 2330 WEST GALENA BOULEVARD AURORA IL 60506 (630) 896-4686 145476 OREGON LIVING AND REHABILITATION CENTER 811 SOUTH 10TH STREET OREGON IL 61061 (815) 732-7994 145479 ATRIUM HEALTH CARE CENTER 1425 WEST ESTES AVENUE CHICAGO IL 60626 (773) 973-4780 145482 SHERIDAN SHORES CR & REHAB CTR 5838 NORTH SHERIDAN ROAD CHICAGO IL 60660 (773) 769-2230 145483 MONTGOMERY NURSING & REHAB CTR 9086 IL ROUTE 127, P O BOX 309 HILLSBORO IL 62049 (217) 532-6126 145489 PIPER CITY REHAB & LIVING CENTER 600 MAPLE STREET PIPER CITY IL 60959 (815) 686-2277 145495 MEDINA NURSING CENTER 402 SOUTH CENTER STREET DURAND IL 61024 (815) 248-2151 145499 FAYETTE COUNTY HOSPITAL 650 W TAYLOR ST VANDALIA IL 62471 (618) 283-1231 145502 TAYLORVILLE CARE CENTER 600 SOUTH HOUSTON TAYLORVILLE IL 62568 (217) 824-9636 145510 SYMPHONY OF LINCOLN PARK 1366 WEST FULLERTON AVENUE CHICAGO IL 60614 (773) 248-9300 145514 EFFINGHAM REHAB & HEALTH CARE CTR 1610 NORTH LAKEWOOD DRIVE EFFINGHAM IL 62401 (217) 347-7781 145518 MAR KA NURSING HOME 201 SOUTH 10TH STREET MASCOUTAH IL 62258 (618) 566-8000 145519 WHITE HALL NURSING & REHAB CENTER 620 WEST BRIDGEPORT WHITE HALL IL 62092 (217) 374-2144 145522 BEACON HILL 2400 SOUTH FINLEY ROAD LOMBARD IL 60148 (630) 620-5850 145523 APERION CARE AMBOY 15 WEST WASSON ROAD AMBOY IL 61310 (815) 857-2550 145524 HEARTLAND OF RIVERVIEW 500 CENTENNIAL DRIVE EAST PEORIA IL 61611 (309) 694-9865 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

145526 GOTTLIEB MEMORIAL HOSPITAL 701 WEST NORTH AVENUE MELROSE PARK IL 60160 (708) 450-4908 145527 COVENANT HLTH CR CTR-NORTHBRK 2155 PFINGSTEN ROAD NORTHBROOK IL 60062 (847) 480-6350 145532 BIRCHWOOD PLAZA 1426 WEST BIRCHWOOD CHICAGO IL 60626 (773) 274-4405 145536 PRESENCE OUR LADY OF VICTORY 20 BRIARCLIFF LANE BOURBONNAIS IL 60914 (815) 937-2022 145539 TAYLORVILLE MEMORIAL HOSPITAL TCU 201 EAST PLEASANT TAYLORVILLE IL 62568 (217) 824-3331 145541 SAINTS MARY & ELIZABETH MEDICAL CENTER 1431 NORTH CLAREMONT AVENUE CHICAGO IL 60622 (312) 633-5896 145546 HERITAGE HEALTH-MOUNT ZION 1225 WOODLAND DRIVE MOUNT ZION IL 62549 (217) 864-2356 145547 DEKALB COUNTY REHAB & NURSING 2600 NORTH ANNIE GLIDDEN ROAD DEKALB IL 60115 (815) 758-2477 145548 COMMUNITY FIRST MEDICAL CENTER 5645 WEST ADDISON STREET CHICAGO IL 60634 (773) 282-7000 145552 FAIRFIELD MEMORIAL HOSPITAL NORTH WEST 11TH STREET FAIRFIELD IL 62837 (618) 842-2611 145557 ALDEN ESTATES OF BARRINGTON 1420 SOUTH BARRINGTON ROAD BARRINGTON IL 60010 (847) 382-6664 145562 GATEWAY REGIONAL MED CTR SNF 2100 MADISON AVENUE GRANITE CITY IL 62040 (618) 798-3175 145563 PRESENCE ST ANNE CENTER 4405 HIGHCREST ROAD ROCKFORD IL 61107 (815) 229-1999 145564 TRINITY MEDICAL CENTER - WEST 2701 - 17TH STREET ROCK ISLAND IL 61201 (309) 779-3131 145566 ALTON MEM HSP HATCH SK N W ONE MEMORIAL DRIVE ALTON IL 62002 (618) 463-7140 145568 ST JOSEPH HOSPITAL-CHICAGO 2900 NORTH LAKE SHORE DRIVE CHICAGO IL 60657 (773) 665-3000 145572 GRAHAM HOSPITAL 210 WEST WALNUT STREET CANTON IL 61520 (309) 647-5240 145573 SWEDISH COVENANT HOSPITAL 5145 NORTH CALIFORNIA CHICAGO IL 60625 (773) 878-8200 145579 PROCTOR COM HSP SK N CENTER 5409 NORTH KNOXVILLE AVENUE PEORIA IL 61614 (309) 691-1000 145580 RICHLAND MEMORIAL HSP SK N FAC 800 EAST LOCUST OLNEY IL 62450 (618) 395-2131 145582 ALDEN ESTATES OF NAPERVILLE 1525 SOUTH OXFORD LANE NAPERVILLE IL 60565 (630) 983-0300 145583 RUSH OAK PARK HSP SKILLED CARE UNIT 520 SOUTH MAPLE AVENUE OAK PARK IL 60304 (708) 660-6662 145590 ST JOSEPH'S MEDICAL CENTER 2200 EAST WASHINGTON STREET BLOOMINGTON IL 61701 (309) 662-3311 145591 WESLEY PLACE 1415 WEST FOSTER AVENUE CHICAGO IL 60640 (773) 769-5500 145593 MANORCARE OF LIBERTYVILLE 1500 SOUTH MILWAUKEE AVENUE LIBERTYVILLE IL 60048 (847) 816-3200 145596 SNYDER VILLAGE 1200 EAST PARTRIDGE METAMORA IL 61548 (309) 367-4300 145598 SEMINARY MANOR 2345 NORTH SEMINARY STREET GALESBURG IL 61401 (309) 344-1300 145599 ADVOCATE SOUTH SUBURBAN HOSPITAL-SNF 17800 SOUTH KEDZIE AVENUE HAZEL CREST IL 60429 (708) 213-3166 145600 HEARTLAND OF CANTON 2081 NORTH MAIN STREET CANTON IL 61520 (309) 647-6135 145601 AVISTON COUNTRYSIDE MANOR 450 WEST 1ST STREET AVISTON IL 62216 (618) 228-7615 145604 HEARTLAND OF HENRY 1650 INDIAN TOWN ROAD HENRY IL 61537 (309) 364-3905 145606 WINDSOR PARK MANOR 110 WINDSOR PARK DRIVE CAROL STREAM IL 60188 (630) 510-5200 145607 MANORCARE OF PALOS HEIGHTS EAST 7850 WEST COLLEGE DRIVE PALOS HEIGHTS IL 60463 (708) 361-6990 145609 HILLSIDE REHAB & CARE CENTER 1308 GAME FARM ROAD YORKVILLE IL 60560 (630) 553-5811 145611 ST JAMES WELLNESS REHAB VILLAS 1251 EAST RICHTON ROAD CRETE IL 60417 (708) 672-6700 145612 SPRINGS AT CRYSTAL LAKE, THE 1000 EAST BRIGHTON LANE CRYSTAL LAKE IL 60012 (815) 477-6569 145614 CHATEAU NRSG & REHAB CENTER 7050 MADISON STREET WILLOWBROOK IL 60521 (630) 323-6380 145615 REGENCY CARE OF STERLING 612 WEST ST MARY'S STREET STERLING IL 61081 (815) 626-9020 145616 MASON CITY AREA NURSING HOME 520 NORTH PRICE AVENUE MASON CITY IL 62664 (217) 482-5022 145619 ROSEWOOD CARE CENTER OF GALESBURG 1250 WEST CARL SANDBURG DRIVE GALESBURG IL 61401 (309) 344-5400 145621 PAVILION OF WAUKEGAN 2217 WASHINGTON STREET WAUKEGAN IL 60085 (847) 244-4100 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

145628 EVERGREEN NURSING & REHAB CENTER 1115 NORTH WENTHE EFFINGHAM IL 62401 (217) 347-7121 145630 AVANTI WELLNESS & REHAB 6840 WEST TOUHY AVENUE NILES IL 60714 (847) 647-6400 145634 ASTORIA PLACE LIVING & REHAB 6300 NORTH CALIFORNIA AVENUE CHICAGO IL 60659 (773) 973-1900 145637 ST JOSEPH VILLAGE OF CHICAGO 4021 WEST BELMONT CHICAGO IL 60641 (773) 328-5500 145639 CHICAGO RIDGE NURSING CENTER 10602 SOUTHWEST HIGHWAY CHICAGO RIDGE IL 60415 (708) 448-1540 145640 CHURCH CREEK 1200 WEST CENTRAL ROAD ARLINGTON HTS IL 60005 (847) 506-3200 145643 BLESSING HOSPITAL SNU BROADWAY AT 11TH STREET QUINCY IL 62301 (217) 223-8400 145646 ROSEWOOD CARE CENTER OF EAST PEORIA 900 CENTENNIAL DRIVE EAST PEORIA IL 61611 (309) 699-5400 145647 ROSEWOOD CARE CENTER OF PEORIA 1500 WEST NORTHMOOR ROAD PEORIA IL 61614 (309) 691-2200 145649 ODIN HEALTH CARE CENTER 300 GREEN STREET ODIN IL 62870 (618) 775-6444 145651 ROSEWOOD CARE CENTER OF ALTON 3490 HUMBERT ROAD ALTON IL 62002 (618) 465-2626 145652 VALLEY HI NURSING HOME 2406 HARTLAND ROAD WOODSTOCK IL 60098 (815) 338-0312 145654 LAKEVIEW REHAB & NURSING CENTER 735 WEST DIVERSEY CHICAGO IL 60614 (773) 348-4055 145657 PROVIDENCE DOWNERS GROVE 3450 SARATOGA AVENUE DOWNERS GROVE IL 60515 (630) 969-2900 145659 WATERFORD NURSING & REHAB, THE 7445 N. SHERIDAN ROAD CHICAGO IL 60626 (773) 338-3300 145663 ELMWOOD TERRACE HEALTHCARE CTR 1017 WEST GALENA BOULEVARD AURORA IL 60506 (630) 897-3100 145664 WESTSIDE REHAB & CARE CENTER 601 NORTH COLUMBIA WEST FRANKFORT IL 62896 (618) 932-2109 145666 CENTRALIA MANOR 1910 EAST MCCORD RTE 161 EAST CENTRALIA IL 62801 (618) 533-1200 145667 AVANTARA PARK RIDGE 1601 NORTH WESTERN AVENUE PARK RIDGE IL 60068 (847) 825-5531 145669 GLENLAKE TERRACE NURSING & REH 2222 WEST 14TH STREET WAUKEGAN IL 60085 (847) 249-2400 145671 VILLA AT SOUTH HOLLAND, THE 16300 WAUSAU STREET SOUTH HOLLAND IL 60473 (708) 596-5500 145673 APOSTOLIC CHRISTIAN HOME OF EUREKA 610 CRUGER EUREKA IL 61530 (309) 467-2311 145678 LEXINGTON OF SCHAUMBURG 675 SOUTH ROSELLE ROAD SCHAUMBURG IL 60193 (847) 352-5500 145679 CARLTON AT THE LAKE, THE 725 WEST MONTROSE AVENUE CHICAGO IL 60613 (773) 929-1700 145680 ROSEWOOD CARE CENTER OF MOLINE 7300 34TH AVENUE MOLINE IL 61265 (309) 792-5940 145683 ABINGTON OF GLENVIEW NURSING 3901 GLENVIEW ROAD GLENVIEW IL 60025 (847) 729-0000 145685 MOUNT VERNON COUNTRYSIDE MANOR 606 EAST IL HWY 15 MOUNT VERNON IL 62864 (618) 242-1800 145689 MANORCARE OF ELK GROVE VILLAGE 1920 NERGE ROAD ELK GROVE VILLAGE IL 60007 (847) 301-0550 145690 GALESBURG COTTAGE HOSPITAL SKILLED NSG UNIT 695 NORTH KELLOG STREET GALESBURG IL 61401 (309) 345-4309 145691 HALLMARK HOUSE NURSING CENTER 2501 ALLENTOWN ROAD PEKIN IL 61554 (309) 347-3121 145692 FLORA REHAB & HEALTH CARE CTR 232 GIVEN STREET FLORA IL 62839 (618) 662-8381 145694 ROSEWOOD CARE CENTER OF JOLIET 3401 HENNEPIN DRIVE JOLIET IL 60435 (815) 436-5900 145696 NILES NSG & REHAB CTR 9777 GREENWOOD NILES IL 60714 (847) 967-7000 145697 KNOX COUNTY NURSING HOME 800 NORTH MARKET STREET KNOXVILLE IL 61448 (309) 289-2338 145699 SHERMAN WEST COURT 1950 LARKIN AVENUE ELGIN IL 60123 (847) 742-7070 145700 LEXINGTON OF CHICAGO RIDGE 10300 SOUTHWEST HIGHWAY CHICAGO RIDGE IL 60415 (708) 425-1100 145701 LEXINGTON OF STREAMWOOD 815 EAST IRVING PARK ROAD STREAMWOOD IL 60107 (630) 837-5300 145702 FAIR OAKS REHAB & HEALTHCARE 1515 BLACKHAWK BOULEVARD SOUTH BELOIT IL 61080 (815) 389-3911 145703 ILLINI RESTORATIVE CARE 1455 HOSPITAL ROAD SILVIS IL 61282 (309) 792-7614 145704 APOSTOLIC CHRISTIAN HOME 1102 WEST RANDOLPH ROANOKE IL 61561 (309) 923-2071 145706 WHITEHALL NORTH, THE 300 WAUKEGAN ROAD DEERFIELD IL 60015 (847) 945-4600 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

145708 COUNTRY HEALTH 2304 C R 3000 N GIFFORD IL 61847 (217) 568-7362 145710 MEADOWBROOK MANOR 431 WEST REMINGTON BOULEVARD BOLINGBROOK IL 60440 (630) 759-1112 145711 LEXINGTON OF ELMHURST 420 WEST BUTTERFIELD ROAD ELMHURST IL 60126 (630) 832-2300 145717 INTEGRITY HC OF COLUMBIA 253 BRADINGTON DRIVE COLUMBIA IL 62236 (618) 281-6800 145719 SYMPHONY OF LINCOLN 2202 NORTH KICKAPOO STREET LINCOLN IL 62656 (217) 735-1538 145721 VILLA HEALTH CARE EAST 100 MARIAN PARKWAY PO BOX 109 SHERMAN IL 62684 (217) 744-2299 145722 UNITED METHODIST VILLAGE, NORTH CAMPUS 2101 JAMES STREET LAWRENCEVILLE IL 62439 (618) 943-3444 145724 ADDOLORATA VILLA 555 MCHENRY ROAD WHEELING IL 60090 (847) 537-2900 145728 MANOR COURT OF MARYVILLE 6955 STATE ROUTE 162 MARYVILLE IL 62062 (618) 288-5999 145729 CARLYLE HEALTHCARE CENTER 501 CLINTON STREET CARLYLE IL 62231 (618) 594-3112 145731 PRESENCE SAINT BENEDICT N & R 6930 WEST TOUHY AVENUE NILES IL 60714 (847) 647-0003 145732 HERITAGE HEALTH-NORMAL 509 NORTH ADELAIDE NORMAL IL 61761 (309) 452-7468 145737 LEXINGTON OF LAGRANGE 4735 WILLOW SPRINGS ROAD LA GRANGE IL 60525 (708) 352-6900 145739 LUTHERAN HOME FOR THE AGED 800 WEST OAKTON STREET ARLINGTON HTS IL 60004 (847) 253-3710 145741 PRESENCE MARYHAVEN NSG & REHAB 1700 EAST LAKE AVENUE GLENVIEW IL 60025 (847) 729-1300 145743 WEST SUBURBAN HOSPITAL MED CTR 3 ERIE COURT OAK PARK IL 60302 (708) 763-6018 145744 HERITAGE HEALTH-MINONK 201 LOCUST STREET MINONK IL 61760 (309) 432-2557 145748 MONTGOMERY PLACE 5550 SOUTH SHORE DRIVE CHICAGO IL 60637 (773) 753-4100 145759 ROSICLARE REHAB & HCC 55 FERRELL ROAD, PO BOX 220 ROSICLARE IL 62982 (618) 285-6613 145761 LAKEWOOD NRSG & REHAB CENTER 14716 S EASTERN AVENUE PLAINFIELD IL 60544 (815) 436-3400 145765 PARK VIEW REHAB CENTER 5888 NORTH RIDGE CHICAGO IL 60660 (773) 769-2626 145767 ST PAUL'S HOUSE & HLTH CR CTR 3800 NORTH CALIFORNIA AVENUE CHICAGO IL 60618 (773) 478-4222 145769 FRIENDSHIP SKILLED NSG & REHAB 826 NORTH HIGH CARLINVILLE IL 62626 (217) 854-9606 145770 GOOD SAMARITAN SOCIETY - MOUNT CARROLL 1006 NORTH LOWDEN P.O. BOX 111 MOUNT CARROLL IL 61053 (815) 244-7715 145771 RIVER BLUFF NURSING HOME 4401 NORTH MAIN STREET ROCKFORD IL 61103 (815) 921-9200 145772 ODD FELLOW-REBEKAH HOME 201 LAFAYETTE AVENUE EAST MATTOON IL 61938 (217) 235-5449 145773 GOOD SAMARITAN HOME 2130 HARRISON STREET QUINCY IL 62301 (217) 223-8717 145774 HAVANA HEALTH CARE CENTER 609 NORTH HARPHAM STREET HAVANA IL 62644 (309) 543-6121 145775 HARMONY NURSING & REHAB CENTER 3919 WEST FOSTER AVENUE CHICAGO IL 60625 (773) 588-9500 145776 MOSAIC OF BEACON,THE 4538 NORTH BEACON CHICAGO IL 60640 (773) 275-7200 145779 PARK VILLA NRSG & REHAB CENTER 12550 SOUTH RIDGELAND AVENUE PALOS HEIGHTS IL 60463 (708) 597-9300 145783 SUNRISE SKILLED NURSING & REHAB 333 SOUTH WRIGHTSMAN STREET VIRDEN IL 62690 (217) 965-4821 145785 TERRACE ON THE PARK 901 NORTH TENTH STREET MASCOUTAH IL 62258 (618) 566-2183 145786 LINCOLNWOOD PLACE 7000 NORTH MCCORMICK BLVD. LINCOLNWOOD IL 60645 (847) 673-7166 145789 GOOD SAMARITAN SOCIETY - GENESEO VILLAGE 704 SOUTH ILLINOIS STREET GENESEO IL 61254 (309) 944-6424 145791 FIRESIDE HOUSE OF CENTRALIA 1030 MARTIN LUTHER KING BLVD CENTRALIA IL 62801 (618) 532-1833 145793 RENAISSANCE CARE CENTER 1675 EAST ASH STREET CANTON IL 61520 (309) 647-5631 145794 FAIRVIEW HAVEN 605 NORTH 4TH STREET FAIRBURY IL 61739 (815) 692-2572 145796 BALMORAL HOME 2055 WEST BALMORAL AVENUE CHICAGO IL 60625 (773) 561-8661 145801 PLEASANT VIEW LUTHER HOME 505 COLLEGE AVENUE OTTAWA IL 61350 (815) 434-1130 145803 SYMPHONY EVANSTON HEALTHCARE 820 FOSTER STREET EVANSTON IL 60201 (847) 492-7700 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

145804 OAK TRACE 250 VILLAGE DRIVE DOWNERS GROVE IL 60516 (630) 769-6200 145806 WARREN PARK HEALTH & LIVING CTR 6700 NORTH DAMEN AVENUE CHICAGO IL 60645 (773) 465-5000 145811 HEIGHTS HLTHCARE & REHAB CTR 1629 GARDNER LANE PEORIA HEIGHTS IL 61614 (309) 685-1545 145813 METROPOLIS REHAB & HCC 2299 METROPOLIS STREET METROPOLIS IL 62960 (618) 524-2634 145816 LEXINGTON OF LAKE ZURICH 900 SOUTH RAND ROAD LAKE ZURICH IL 60047 (847) 726-1200 145819 SYMPHONY OF BUFFALO GROVE 150 NORTH WEILAND ROAD BUFFALO GROVE IL 60089 (847) 465-0200 145820 HERITAGE HEALTH-MOUNT STERLING 435 CAMDEN ROAD MOUNT STERLING IL 62353 (217) 773-3377 145821 ROSEWOOD CARE CENTER OF ELGIN 2355 ROYAL BOULEVARD ELGIN IL 60123 (847) 888-9585 145827 BRITISH HOME, THE 8700 WEST 31ST STREET BROOKFIELD IL 60513 (708) 485-0135 145830 WOOD GLEN NURSING & REHAB CTR 30 WEST 300 NORTH AVENUE WEST CHICAGO IL 60185 (630) 876-8100 145832 RIDGEVIEW REHAB & NURSING CENTER 6450 NORTH RIDGE BLVD CHICAGO IL 60626 (773) 743-8700 145834 GENERATIONS AT COLUMBUS PARK 901 SOUTH AUSTIN CHICAGO IL 60644 (773) 287-5959 145836 SHELBYVILLE REHAB & HLTH C CTR 2116 SOUTH 3RD DACEY DRIVE SHELBYVILLE IL 62565 (217) 774-2128 145838 PETERSON PARK HEALTH CARE CTR 6141 NORTH PULASKI ROAD CHICAGO IL 60646 (773) 478-2000 145839 PARK RIDGE CARE CENTER 665 BUSSE HIGHWAY PARK RIDGE IL 60068 (847) 825-5517 145840 TABOR HILLS HEALTH CARE FAC 1347 CRYSTAL COURT NAPERVILLE IL 60563 (630) 778-6677 145842 FLANAGAN REHABILITATION & HEALTHCARE CENTER 201 EAST FALCON HIGHWAY FLANAGAN IL 61740 (815) 796-2267 145843 MILLER HEALTH CARE CENTER 1601 BUTTERFIELD TRAIL KANKAKEE IL 60901 (815) 936-6500 145846 ROSEWOOD CARE CENTER OF EDWARDSVILLE 6277 CENTER GROVE ROAD EDWARDSVILLE IL 62025 (618) 659-0605 145848 MAC NEAL MEMORIAL HOSPITAL 3249 SOUTH OAK PARK AVENUE BERWYN IL 60402 (708) 783-9100 145851 EASTSIDE HEALTH & REHAB CENTER 1400 EAST WASHINGTON STREET PITTSFIELD IL 62363 (217) 285-4491 145852 BROOKDALE PROSPECT HEIGHTS 700 EAST EUCLID AVENUE PROSPECT HEIGHTS IL 60070 (847) 797-2700 145853 CENTRAL BAPTIST VILLAGE 4747 NORTH CANFIELD AVENUE NORRIDGE IL 60656 (708) 583-8500 145857 APERION CARE ST ELMO 221 EAST CUMBERLAND ST ELMO IL 62458 (618) 829-5581 145858 ELMWOOD NURSING & REHAB CENTER 152 WILMA DRIVE MARYVILLE IL 62062 (618) 344-7750 145860 GROVE OF SKOKIE, THE 9000 LA VERGNE AVENUE SKOKIE IL 60077 (847) 679-2322 145862 HILLTOP SKILLED NURSING AND REHABILITATION 910 WEST POLK STREET CHARLESTON IL 61920 (217) 345-7066 145867 FAIRMONT CARE CENTRE 5061 NORTH PULASKI ROAD CHICAGO IL 60630 (773) 604-8112 145869 ALDEN ESTATES OF SKOKIE 4626 OLD ORCHARD ROAD SKOKIE IL 60076 (847) 676-4800 145872 ALDEN LONG GROVE REHAB &HC CTR 2308 OLD HICKS ROAD LONG GROVE IL 60047 (847) 438-8275 145875 GROVE AT LINCOLN PARK, THE 2732 NORTH HAMPDEN COURT CHICAGO IL 60614 (773) 248-6000 145877 APERION CARE DOLTON 14325 SOUTH BLACKSTONE DOLTON IL 60419 (708) 849-5000 145878 ST PATRICK'S RESIDENCE 1400 BROOKDALE ROAD NAPERVILLE IL 60563 (630) 416-6565 145880 HILLVIEW HEALTH CARE CENTER 512 NORTH 11TH STREET VIENNA IL 62995 (618) 658-2951 145887 WAUCONDA HEALTHCARE AND REHAB 176 THOMAS COURT WAUCONDA IL 60084 (847) 526-5551 145888 ALDEN ESTATES OF NORTHMOOR 5831 NORTH NORTHWEST HIGHWAY CHICAGO IL 60631 (773) 775-8080 145890 ELDORADO REHAB AND HEALTHCARE 1001 A JEFFERSON STREET ELDORADO IL 62930 (618) 273-3353 145891 ROSEWOOD CARE CENTER OF ROCKFORD 1660 SOUTH MULFORD ROCKFORD IL 61108 (815) 397-8700 145892 SUNNY HILL NURSING HOME OF WILL COUNTY 421 DORIS AVENUE JOLIET IL 60433 (815) 727-8710 145895 STEPHENSON NURSING CENTER 2946 SOUTH WALNUT ROAD FREEPORT IL 61032 (815) 235-6173 145903 VANDALIA REHAB & HEALTH CARE C 1500 WEST ST LOUIS AVENUE VANDALIA IL 62471 (618) 283-4262 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

145904 SMITH VILLAGE 2320 WEST 113TH PLACE CHICAGO IL 60643 (773) 474-7300 145905 JONESBORO REHAB & HCC ROUTE 127, PO BOX B JONESBORO IL 62952 (618) 833-7093 145907 ALDEN ESTATES OF EVANSTON 2520 GROSS POINT ROAD EVANSTON IL 60201 (847) 328-6000 145909 HELIA HEALTHCARE OF GREENVILLE 400 EAST HILLVIEW AVENUE GREENVILLE IL 62246 (618) 664-1622 145910 CALHOUN NURSING & REHAB CENTER #1 MYRTLE LANE HARDIN IL 62047 (618) 576-2278 145911 HERITAGE HEALTH-GIBSON CITY 620 EAST FIRST STREET GIBSON CITY IL 60936 (217) 784-4257 145917 FAIR OAKS HEALTH CARE CENTER 471 TERRA COTTA AVENUE CRYSTAL LAKE IL 60014 (815) 455-0550 145920 GOOD SAMARITAN SOCIETY - PROPHETS RIVERVIEW 310 MOSHER DRIVE PROPHETSTOWN IL 61277 (815) 537-5175 145921 HITZ MEMORIAL HOME 201 BELLE STREET, P O BOX 79 ALHAMBRA IL 62001 (618) 488-2355 145922 INTEGRITY HC OF COBDEN 430 SOUTH FRONT STREET COBDEN IL 62920 (618) 893-4214 145923 WARREN BARR NORTH SHORE 2773 SKOKIE VALLEY ROAD HIGHLAND PARK IL 60035 (847) 266-9266 145930 GOOD SAMARITAN - PONTIAC 15335 US HIGHWAY 66 PONTIAC IL 61764 (815) 844-5121 145931 LIEBERMAN CENTER FOR HEALTH & REHAB 9700 GROSS POINT ROAD SKOKIE IL 60076 (847) 674-7120 145932 CITADEL CARE CENTER-WILMETTE 432 POPLAR DRIVE WILMETTE IL 60091 (847) 216-5000 145933 APOSTOLIC CHRISTIAN SKYLINES 7023 NORTH EAST SKYLINE DRIVE PEORIA IL 61614 (309) 691-8091 145936 APERION CARE HIGHWOOD 50 PLEASANT AVENUE HIGHWOOD IL 60040 (847) 432-9142 145942 OAK LAWN RESPIRATORY & REHAB 9525 SOUTH MAYFIELD OAK LAWN IL 60453 (708) 636-7000 145944 PRESENCE MCAULEY MANOR 400 WEST SULLIVAN ROAD AURORA IL 60506 (630) 859-3700 145945 IMBODEN CREEK LIVING CENTER 180 WEST IMBODEN DECATUR IL 62521 (217) 422-6464 145949 HILLCREST HOME 14688 ILLINOIS HIGHWAY 82 GENESEO IL 61254 (309) 944-2147 145951 PASSAVANT AREA HOSPITAL 1600 W WALNUT STREET JACKSONVILLE IL 62650 (217) 245-9541 145952 HERITAGE HEALTH-BEARDSTOWN 8306 ST LUKES DRIVE BEARDSTOWN IL 62618 (217) 323-9454 145953 PRAIRIEVIEW LUTHERAN HOME P O BOX 4, 403 NORTH FOURTH STREET DANFORTH IL 60930 (815) 269-2970 145956 PRESENCE VILLA SCALABRINI N&R 480 NORTH WOLF ROAD NORTHLAKE IL 60164 (708) 562-0040 145958 BETHANY REHAB & HCC 3298 RESOURCE PARKWAY DEKALB IL 60115 (815) 756-5526 145960 PRESENCE RESURRECTION LIFE CTR 7370 WEST TALCOTT AVENUE CHICAGO IL 60631 (773) 594-7400 145964 MCLEANSBORO REHAB & HLTH C CTR 405 WEST CARPENTER MCLEANSBORO IL 62859 (618) 643-3728 145965 MCKINLEY COURT 500 WEST MCKINLEY AVENUE DECATUR IL 62526 (217) 875-0020 145966 SCHWAB REHABILITATION CTR SNU 1401 S. CALIFORNIA AVENUE CHICAGO IL 60608 (773) 522-2010 145969 APERION CARE FOREST PARK 8200 WEST ROOSEVELT ROAD FOREST PARK IL 60130 (708) 488-9850 145970 VILLA AT WINDSOR PARK 2649 EAST 75TH ST CHICAGO IL 60649 (773) 356-9300 145971 ROSEWOOD CARE CENTER NORTHBROOK 4101 LAKE COOK ROAD NORTHBROOK IL 60062 (847) 562-1770 145972 PRESENCE COR MARIAE CENTER 3330 MARIA LINDEN DRIVE ROCKFORD IL 61114 (815) 877-7416 145974 NORWOOD CROSSING 6016 NORTH NINA AVENUE CHICAGO IL 60631 (773) 631-4856 145979 GIBSON COMMUNITY HSP ANNEX 430 EAST 19TH GIBSON CITY IL 60936 (217) 784-2566 145980 ROSEWOOD CARE CENTER OF ST CHARLES 850 DUNHAM RD ST CHARLES IL 60174 (630) 443-4400 145982 MANORCARE OF NORTHBROOK 3300 MILWAUKEE AVE. NORTHBROOK IL 60062 (847) 795-9700 145983 SYMPHONY AT 87TH STREET 2940 WEST 87TH STREET CHICAGO IL 60652 (773) 434-8787 145984 ALDEN NORTH SHORE REHAB & HCC 5050 WEST TOUHY AVENUE SKOKIE IL 60077 (847) 679-6100 145985 UNIVERSITY NURSING & REHABILITATION UNIVERSITY DRIVE EDWARDSVILLE IL 62025 (618) 656-1081 145986 LAKE FOREST PLACE 1100 PEMBRIDGE DRIVE LAKE FOREST IL 60045 (847) 604-6701 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

145988 SAUK VALLEY SENIOR LIVING 1000 DIXON AVENUE ROCK FALLS IL 61071 (815) 625-8510 145989 PARKER NURSING & REHAB CENTER 516 WEST FRECH STREET STREATOR IL 61364 (815) 672-2600 145990 MAPLE CREST CARE CENTRE 4452 SQUAW PRAIRIE ROAD BELVIDERE IL 61008 (815) 547-6377 145993 COULTERVILLE REHAB & HCC 13138 STATE ROUTE 13 COULTERVILLE IL 62237 (618) 758-2256 145994 ROSEWOOD CARE CENTER OF INVERNESS 1800 COLONIAL PARKWAY INVERNESS IL 60067 (847) 776-4700 145996 OAKRIDGE HEALTHCARE CENTER 323 OAKRIDGE AVENUE HILLSIDE IL 60162 (708) 547-6595 145998 ALDEN DES PLAINES REHAB & HC 1221 EAST GOLF ROAD DES PLAINES IL 60016 (847) 768-1300 145999 GROSSE POINTE MANOR 6601 WEST TOUHY AVENUE NILES IL 60714 (847) 647-9875 146001 APERION CARE INTERNATIONAL 4815 SOUTH WESTERN AVE CHICAGO IL 60609 (773) 927-4200 146003 SYMPHONY OF DECATUR 2530 NORTH MONROE STREET DECATUR IL 62526 (217) 875-0920 146007 MOORINGS OF ARLINGTON HEIGHTS 761 OLD BARN LANE ARLINGTON HTS IL 60005 (847) 364-2435 146008 ALDEN OF WATERFORD 2021 RANDI DRIVE AURORA IL 60505 (630) 851-7266 146009 SELFHELP HOME OF CHICAGO 908 WEST ARGYLE STREET CHICAGO IL 60640 (773) 271-0300 146010 PONTIAC HEALTHCARE AND REHAB 300 WEST LOWELL PONTIAC IL 61764 (815) 842-1181 146011 ROBINGS MANOR RHC 502 NORTH MAIN BRIGHTON IL 62012 (618) 372-3232 146014 MERCY HARVARD HOSPITAL CARE CENTER 901 SOUTH GRANT P O BOX 850 HARVARD IL 60033 (815) 943-2967 146015 HEARTHSTONE MANOR 920 N SEMINARY AVE P O BOX 520 WOODSTOCK IL 60098 (815) 338-1749 146017 ILLINI HERITAGE REHAB & HC 1315B CURT DRIVE CHAMPAIGN IL 61820 (217) 352-5707 146019 WABASH CHRISTIAN RETIREMENT 216 COLLEGE BOULEVARD CARMI IL 62821 (618) 382-4644 146020 ROSEVILLE REHAB & HEALTH CARE 145 S CHAMBERLAIN ST, BOX 770 ROSEVILLE IL 61473 (309) 426-2134 146021 NATURE TRAIL HEALTH CARE CENTER 1001 SOUTH 34TH STREET MOUNT VERNON IL 62864 (618) 242-5700 146023 ARTHUR HOME, THE 423 EBERHARDT DRIVE ARTHUR IL 61911 (217) 543-2103 146025 CLINTON MANOR LIVING CENTER 111 EAST ILLINOIS STREET NEW BADEN IL 62265 (618) 588-4924 146028 WARREN BARR LINCOLNSHIRE 150 JAMESTOWN LANE LINCOLNSHIRE IL 60069 (847) 883-9000 146029 FRANCISCAN VILLAGE 1270 FRANCISCAN DRIVE LEMONT IL 60439 (630) 243-3406 146030 HEARTLAND CHRISTIAN VILLAGE 101 TROWBRIDGE ROAD NEOGA IL 62447 (217) 895-2665 146031 GREEK AMERICAN REHAB CARE CTR 220 N FIRST STREET WHEELING IL 60090 (847) 459-8700 146032 FAIRVIEW NURSING CENTER 602 EAST JACKSON DU QUOIN IL 62832 (618) 542-3441 146033 ELMS, THE 1212 MADELYN AVENUE MACOMB IL 61455 (309) 837-5482 146034 SYMPHONY AT THE TILLERS 4390 ROUTE 71 OSWEGO IL 60543 (630) 554-1001 146035 NORTH ADAMS HOME 2259 EAST 1100TH STREET MENDON IL 62351 (217) 936-2137 146037 PLEASANT MEADOWS SENIOR LIVING P O BOX 375 400 W WASHINGTON CHRISMAN IL 61924 (217) 269-2396 146042 H & J VONDERLIETH LVG CTR, THE 1120 NORTH TOPPER DRIVE MOUNT PULASKI IL 62548 (217) 792-3218 146043 FRIENDSHIP MANOR HEALTH CARE 485 SOUTH FRIENDSHIP DRIVE NASHVILLE IL 62263 (618) 327-3041 146045 HELIA HEALTHCARE OF ENERGY 210 EAST COLLEGE, PO BOX 519 ENERGY IL 62933 (618) 942-7014 146046 BURNSIDES COMMUNITY HEALTH CTR 410 NORTH SECOND STREET MARSHALL IL 62441 (217) 826-2358 146048 MEADOW MANOR SKILLED NURSING & REHAB 800 MCADAM DR TAYLORVILLE IL 62568 (217) 824-2277 146049 IROQUOIS RESIDENT HOME, THE 200 FAIRMAN AVENUE WATSEKA IL 60970 (815) 432-7768 146050 ARCOLA HEALTH CARE CENTER 422 EAST FOURTH STREET ARCOLA IL 61910 (217) 268-3022 146051 BARRY COMMUNITY CARE CENTER 1313 PRATT STREET BARRY IL 62312 (217) 335-2326 146054 INTEGRITY HC OF RIDGWAY 900 WEST RACE STREET RIDGWAY IL 62979 (618) 272-8831 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

146056 PRESENCE HERITAGE VILLAGE 901 NORTH ENTRANCE AVENUE KANKAKEE IL 60901 (815) 939-4506 146057 MONMOUTH NURSING HOME 117 SOUTH I STREET MONMOUTH IL 61462 (309) 734-3811 146058 APERION CARE EVANSTON 1300 OAK AVENUE EVANSTON IL 60201 (847) 869-1300 146059 HERITAGE HEALTH-JACKSONVILLE 873 GROVE STREET JACKSONVILLE IL 62650 (217) 479-3400 146060 FAITH CARE CENTER 100 FAITH DRIVE HIGHLAND IL 62249 (618) 654-4600 146061 BROOKDALE PLAZA LISLE SNF 1800 ROBIN LANE LISLE IL 60532 (630) 353-5519 146063 HERITAGE HEALTH - WALNUT 308 SOUTH SECOND STREET WALNUT IL 61376 (815) 379-2131 146066 ALPINE FIRESIDE HEALTH CENTER 3650 NORTH ALPINE ROAD ROCKFORD IL 61114 (815) 877-7408 146068 SUNNY ACRES NURSING HOME 19130 SUNNY ACRES ROAD PETERSBURG IL 62675 (217) 632-2334 146069 EAST BANK CENTER, LLC 6131 PARK RIDGE ROAD LOVES PARK IL 61111 (815) 633-6810 146070 TWIN WILLOWS NURSING CENTER 1600 NORTH BROADWAY, PO BOX 370 SALEM IL 62881 (618) 548-0542 146072 MENDOTA LUTHERAN HOME 500 6TH STREET MENDOTA IL 61342 (815) 539-7439 146075 GRANITE NURSING & REHABILITATION 3500 CENTURY DRIVE GRANITE CITY IL 62040 (618) 877-2700 146078 PERSHING GARDENS HEALTHCARE CENTER 3900 SOUTH OAK PARK AVENUE STICKNEY IL 60402 (708) 484-7543 146082 FRANKFORT HEALTHCARE & REHAB CENTER 2500 EAST ST. LOUIS STREET WEST FRANKFORT IL 62896 (618) 932-3236 146083 MANOR COURT OF PRINCETON 140 NORTH SIXTH STREET PRINCETON IL 61356 (815) 875-6600 146085 A MERKLE C KNIPPRATH N H 1190 E 2900 NORTH ROAD CLIFTON IL 60927 (815) 694-2306 146086 TUSCOLA HEALTH CARE CENTER 1203 EGYPTIAN TRAIL TUSCOLA IL 61953 (217) 253-4791 146090 HAWTHORNE INN OF DANVILLE 3222 INDEPENDENCE DRIVE DANVILLE IL 61832 (217) 431-1600 146092 INTEGRITY HC OF HERRIN 1900 NORTH PARK AVENUE HERRIN IL 62948 (618) 942-2525 146094 BROOKDALE BURR RIDGE 6801 HIGHGROVE BOULEVARD BURR RIDGE IL 60521 (630) 920-2900 146095 EVENGLOW LODGE 215 EAST WASHINGTON PONTIAC IL 61764 (815) 842-4613 146096 RIDGEVIEW CARE CENTER 413 RIDGE LANE OBLONG IL 62449 (618) 592-4228 146097 EL PASO HEALTH CARE CENTER 850 EAST SECOND STREET EL PASO IL 61738 (309) 527-2700 146099 FRIENDSHIP MANOR 1209 21ST AVENUE ROCK ISLAND IL 61201 (309) 786-9667 146100 WALKER NURSING HOME 530 EAST BEARDSTOWN STREET VIRGINIA IL 62691 (217) 452-3218 146101 WILLOWS HEALTH CENTER 4054 ALBRIGHT LANE ROCKFORD IL 61103 (815) 316-1500 146102 MANOR COURT OF FREEPORT 2170 WEST NAVAJO DRIVE FREEPORT IL 61032 (815) 233-2400 146103 HENDERSON COUNTY RET CENTER 604 OAKWOOD DRIVE STRONGHURST IL 61480 (309) 924-1123 146104 FARMER CITY REHAB & HEALTHCARE 404 BROOKVIEW DRIVE FARMER CITY IL 61842 (309) 928-2118 146105 OAK CREST 2944 GREENWOOD ACRES DRIVE DEKALB IL 60115 (815) 756-8461 146106 SCOTT COUNTY NURSING CENTER RURAL ROUTE 2 WINCHESTER IL 62694 (217) 742-3101 146107 VI AT THE GLEN 2401 INDIGO LANE GLENVIEW IL 60026 (847) 904-4700 146108 MANOR COURT OF PEORIA 6900 NORTH STALWORTH PEORIA IL 61615 (309) 693-1400 146110 SMITH CROSSING 10501 EMILIE LANE ORLAND PARK IL 60467 (708) 326-2300 146111 GOLDEN GOOD SHEPHERD HOME 101 PRAIRIE MILLS ROAD GOLDEN IL 62339 (217) 696-4421 146112 RIVER NORTH OF BRADLEY H & R 650 NORTH KINZIE BRADLEY IL 60915 (815) 933-1666 146113 CUMBERLAND REHAB & HEALTH CC 300 NORTH MARIETTA STREET GREENUP IL 62428 (217) 923-3186 146116 LA SALLE COUNTY NURSING HOME 1380 NORTH 27TH ROAD OTTAWA IL 61350 (815) 433-0476 146118 PRAIRIEVIEW AT THE GARLANDS 6000 GARLANDS LANE BARRINGTON IL 60010 (847) 852-3500 146120 LA HARPE DAVIER HLTH CARE CENTER 101 NORTH B STREET LA HARPE IL 61450 (217) 659-3222 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

146123 ST JOSEPH NURSING HOME 401 9TH STREET LACON IL 61540 (309) 246-2175 146125 ASSISI HEALTHCARE OF CLARE OAKS 829 CARILLON DRIVE BARTLETT IL 60103 (630) 483-3905 146126 OUR LADY OF ANGELS RET HOME 1201 WYOMING AVENUE JOLIET IL 60435 (815) 725-6631 146127 FLORENCE NURSING HOME 546 EAST GRANT HIGHWAY MARENGO IL 60152 (815) 568-8322 146128 PLYMOUTH PLACE 315 NORTH LA GRANGE ROAD LA GRANGE PARK IL 60526 (708) 482-6668 146129 MARIANJOY REHABILITATION HOSPITAL-SNF 26 W 171 ROOSEVELT ROAD WHEATON IL 60187 (630) 909-8030 146130 HILLCREST RETIREMENT VILLAGE 1740 NORTH CIRCUIT DRIVE ROUND LAKE BEACH IL 60073 (847) 546-5300 146131 CISNE REHABILITATION & HEALTH CENTER WATKINS STREET, P O BOX 370 CISNE IL 62823 (618) 673-2177 146134 SALINE CARE CENTER 120 SOUTH LAND STREET, PO BOX 468 HARRISBURG IL 62946 (618) 252-7405 146135 PLEASANT HILL VILLAGE 1010 WEST NORTH STREET GIRARD IL 62640 (217) 627-2181 146136 RADFORD GREEN 960 AUDUBON WAY LINCOLNSHIRE IL 60069 (847) 876-2401 146138 GENESIS SENIOR LIVING, ALEDO 309 N W 9TH AVENUE ALEDO IL 61231 (309) 582-5361 146140 GALENA STAUSS NURSING HOME 215 SUMMIT STREET GALENA IL 61036 (815) 776-7254 146141 TERRACES AT THE CLARE 55 EAST PEARSON CHICAGO IL 60611 (312) 951-5690 146142 MERIDIAN VILLAGE CARE CENTER 27 AUERBACH PLACE GLEN CARBON IL 62034 (618) 288-3700 146143 SYMPHONY OF HANOVER PARK 2000 WEST LAKE STREET HANOVER PARK IL 60133 (312) 914-0128 146144 STONEBRIDGE SENIOR LIVING CENTER 902 SOUTH MCLEANSBORO BENTON IL 62812 (618) 439-4501 146145 MATHER, THE 425 DAVIS STREET EVANSTON IL 60201 (847) 492-7500 146146 HAMILTON MEMORIAL REHAB & HCC 609 SOUTH MARSHALL MCLEANSBORO IL 62859 (618) 643-2325 146148 HICKORY POINT CHRISTIAN VILLAGE 565 WEST MARION AVENUE FORSYTH IL 62535 (217) 872-1122 146149 WESTWOOD MANOR, THE 2444 WEST TOUHY AVENUE CHICAGO IL 60645 (773) 274-7705 146150 CRAWFORD MEMORIAL HOSPITAL LTC 1000 NORTH ALLEN ROBINSON IL 62454 (618) 546-2569 146153 ALDEN ESTATES OF SHOREWOOD 710 W BLACK ROAD SHOREWOOD IL 60404 (815) 230-8700 146154 CONCORDIA VILLAGE CARE CENTER 4101 WEST ILES AVENUE SPRINGFIELD IL 62711 (217) 793-9429 146155 PARK PLACE CHRISTIAN COMMUNITY 1150 EUCLID AVENUE ELMHURST IL 60126 (630) 936-4100 146156 ENFIELD REHAB & HEALTH CARE CT 408 NORTH WILSON STREET ENFIELD IL 62835 (618) 963-2331 146158 HARBOR CREST HOME 817 17TH STREET FULTON IL 61252 (815) 589-3411 146159 TERRACE NURSING HOME,THE 1615 SUNSET AVENUE WAUKEGAN IL 60087 (847) 244-6700 146160 BRIDGE CARE SUITES 3089 OLD JACKSONVILLE ROAD SPRINGFIELD IL 62704 (217) 787-0000 146161 SOUTHVIEW MANOR NURSING CENTER 3311 S. MICHIGAN AVE. CHICAGO IL 60616 (312) 326-9101 146165 ADMIRAL AT THE LAKE, THE 933 WEST FOSTER AVENUE CHICAGO IL 60640 (773) 654-5121 146166 GREENFIELDS OF GENEVA 0N801 FRIENDSHIP WAY GENEVA IL 60134 (630) 578-6500 146167 FOSTER HEALTH & REHAB CENTER 2840 WEST FOSTER AVENUE CHICAGO IL 60625 (773) 561-2040 146168 WINFIELD WOODS HEALTHCARE CTR 28 WEST 141 LIBERTY STREET WINFIELD IL 60190 (630) 668-9696 146169 ARBOUR HEALTH CARE CENTER 1512 WEST FARGO CHICAGO IL 60626 (773) 465-7751 146172 SPRING CREEK NRSG & REHAB CTR 777 DRAPER AVENUE JOLIET IL 60432 (815) 727-4794 146173 SPRINGS AT MONARCH LANDING, THE 2308 NORTH ROUTE 59 NAPERVILLE IL 60563 (630) 300-1300 146174 MERCY CIRCLE 3659 WEST 99TH STREET CHICAGO IL 60655 (773) 253-3600 146175 PINCKNEYVILLE NURSING & REHAB 708 VIRGINIA COURT PINCKNEYVILLE IL 62274 (618) 357-2493 146176 GLEN SAINT ANDREW LIVING COMM 7000 NORTH NEWARK NILES IL 60714 (847) 647-8332 155001 HOOVERWOOD 7001 HOOVER RD INDIANAPOLIS IN 46260 (317) 251-2261 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

155003 MASON HEALTH CARE CENTER 900 PROVIDENT DRIVE WARSAW IN 46580 (574) 371-2500 155006 MILLER'S MERRY MANOR 1900 N ALBER ST WABASH IN 46992 (260) 563-7427 155019 GARDEN VILLA - BLOOMINGTON 1100 S CURRY PK BLOOMINGTON IN 47403 (812) 339-1657 155026 GREENWOOD VILLAGE SOUTH 295 VILLAGE LANE GREENWOOD IN 46143 (317) 859-4444 155029 COMMUNITY NURSING AND REHABILITATION CENTER 5600 E 16TH ST INDIANAPOLIS IN 46218 (317) 356-0911 155038 WATERS EDGE VILLAGE 2200 WEST WHITE RIVER BLVD MUNCIE IN 47303 (765) 289-3341 155039 MILLER'S MERRY MANOR 317 BLAIR PIKE PERU IN 46970 (765) 473-4426 155041 NORTHWEST MANOR HEALTH CARE CENTER 6440 W 34TH ST INDIANAPOLIS IN 46224 (317) 293-4930 155049 MILLER'S MERRY MANOR 1630 S COUNTY FARM RD WARSAW IN 46580 (574) 267-8196 155053 MILLERS MERRY MANOR 612 E 11TH ST RUSHVILLE IN 46173 (765) 932-4127 155059 MILLER'S MERRY MANOR 1500 GRANT ST HUNTINGTON IN 46750 (260) 356-5713 155061 WOODLAND HILLS CARE CENTER 403 BIELBY RD LAWRENCEBURG IN 47025 (812) 537-1132 155066 EDGEWATER WOODS 1809 N MADISON AVE ANDERSON IN 46011 (765) 644-0903 155070 GREEN VALLEY CARE CENTER 3118 GREEN VALLEY RD NEW ALBANY IN 47150 (812) 945-2341 155072 BEECH GROVE MEADOWS 2002 ALBANY ST BEECH GROVE IN 46107 (317) 783-2911 155073 PILGRIM MANOR 222 PARKVIEW ST PLYMOUTH IN 46563 (574) 936-9943 155089 HERITAGE HOUSE OF NEW CASTLE 1023 N 20TH ST NEW CASTLE IN 47362 (765) 529-9694 155093 GIBSON GENERAL HOSPITAL-SNF 1808 SHERMAN DR PRINCETON IN 47670 (812) 385-9288 155094 ST MARY HEALTHCARE CENTER 2201 CASON ST LAFAYETTE IN 47904 (765) 447-4102 155095 HERITAGE PARK 2001 HOBSON RD FORT WAYNE IN 46805 (260) 484-9557 155100 GARDEN VILLA - BEDFORD 2111 NORTON LN BEDFORD IN 47421 (812) 277-3730 155102 MILLER'S MERRY MANOR 635 OAKHILL AVE PLYMOUTH IN 46563 (574) 936-9981 155104 HERITAGE CENTER 1201 W BUENA VISTA RD EVANSVILLE IN 47710 (812) 429-0700 155106 RIVERWALK VILLAGE 295 WESTFIELD RD NOBLESVILLE IN 46060 (317) 773-3760 155115 CARDINAL NURSING AND REHABILITATION CENTER 1121 E LASALLE AVE SOUTH BEND IN 46617 (574) 287-6501 155118 MILLER'S MERRY MANOR 787 N DETROIT ST LAGRANGE IN 46761 (260) 463-2172 155121 ROSEWALK VILLAGE AT LAFAYETTE 1903 UNION ST LAFAYETTE IN 47904 (765) 447-9431 155124 VERMILLION CONVALESCENT CENTER 1705 S MAIN ST CLINTON IN 47842 (765) 832-3573 155126 SPRINGS VALLEY MEADOWS 457 S SR 145 FRENCH LICK IN 47432 (812) 936-9991 155128 MILLER'S AT OAK POINTE 411 N WOLF RD COLUMBIA CITY IN 46725 (260) 248-8141 155135 WESTVIEW NURSING AND REHABILITATION CENTER 1510 CLINIC DR BEDFORD IN 47421 (812) 279-4494 155136 GOLDEN LIVING CENTER-FOUNTAINVIEW TERRACE 1900 ANDREW AVE LA PORTE IN 46350 (219) 362-7014 155138 GOLDEN LIVING CENTER-INDIANAPOLIS 2860 CHURCHMAN AVE INDIANAPOLIS IN 46203 (317) 787-3451 155139 NORTH WOODS VILLAGE 2233 W JEFFERSON ST KOKOMO IN 46901 (765) 457-9175 155143 MEADOWS MANOR NORTH 3150 N SEVENTH ST TERRE HAUTE IN 47804 (812) 466-5217 155148 NORTH PARK NURSING CENTER 650 FAIRWAY DR EVANSVILLE IN 47710 (812) 425-5243 155150 MILLER'S MERRY MANOR 640 W ELLSWORTH ST COLUMBIA CITY IN 46725 (260) 248-8101 155153 HEALTHWIN 20531 DARDEN RD SOUTH BEND IN 46637 (574) 272-0100 155157 GOLDEN LIVING CENTER-RICHMOND 1042 OAK DR RICHMOND IN 47374 (765) 966-7788 155159 SUMMIT CITY NURSING AND REHABILITATION 2940 N CLINTON ST FORT WAYNE IN 46805 (260) 484-0602 155160 STONEBROOKE REHABILITATION CENTER 990 N 16TH ST NEW CASTLE IN 47362 (765) 529-0230 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

155162 AUTUMN RIDGE REHABILITATION CENTRE 600 WASHINGTON AVE WABASH IN 46992 (260) 563-8402 155167 WESTMINSTER VILLAGE NORTH 11050 PRESBYTERIAN DR INDIANAPOLIS IN 46236 (317) 823-6841 155170 WESTMINSTER VILLAGE MUNCIE INC 5801 W BETHEL AVE MUNCIE IN 47304 (765) 288-2155 155171 FRANKLIN MEADOWS 1285 W JEFFERSON ST FRANKLIN IN 46131 (317) 736-9113 155173 MILLER'S MERRY MANOR 505 N BRADNER AVE MARION IN 46952 (765) 662-3981 155176 GLENBROOK REHABILITATION & SKILLED NURSING CENTER 3811 PARNELL AVE FORT WAYNE IN 46805 (260) 482-4651 155177 WESTMINSTER VILLAGE - WEST LAFAYETTE 2741 N SALISBURY ST WEST LAFAYETTE IN 47906 (765) 463-7546 155191 WESTMINSTER HEALTH CARE CENTER 2210 GREENTREE N CLARKSVILLE IN 47129 (812) 282-5911 155193 KINDRED TRANSITIONAL CARE AND REHAB-GREENWOOD 377 WESTRIDGE BLVD GREENWOOD IN 46142 (317) 888-4948 155197 SANCTUARY AT ST PAULS 3602 S IRONWOOD DR SOUTH BEND IN 46614 (574) 284-9000 155199 MAPLE PARK VILLAGE 776 N UNION ST WESTFIELD IN 46074 (317) 896-2515 155200 UNIVERSITY NURSING CENTER 1564 S UNIVERSITY BLVD UPLAND IN 46989 (765) 998-2761 155203 HILLCREST VILLAGE 203 SPARKS AVE JEFFERSONVILLE IN 47130 (812) 283-7918 155206 BROWNSBURG HEALTH CARE CENTER 1010 HORNADAY RD BROWNSBURG IN 46112 (317) 852-3123 155207 NEW HAVEN CENTER 1201 DALY DR NEW HAVEN IN 46774 (260) 749-0413 155210 HERITAGE HOUSE OF GREENSBURG 410 PARK RD GREENSBURG IN 47240 (812) 663-7543 155219 SIGNATURE HEALTHCARE OF SOUTH BEND 52654 N IRONWOOD RD SOUTH BEND IN 46635 (574) 277-8710 155221 WESTMINSTER VILLAGE HEALTH & REHAB 1120 E DAVIS DR TERRE HAUTE IN 47802 (812) 232-7533 155223 WATERS OF COVINGTON, THE 1600 E LIBERTY ST COVINGTON IN 47932 (765) 793-4818 155226 NORTH CAPITOL NURSING & REHABILITATION CENTER 2010 N CAPITOL AVE INDIANAPOLIS IN 46202 (317) 924-5821 155228 HERITAGE HOUSE OF RICHMOND 2070 CHESTER BLVD RICHMOND IN 47374 (765) 962-3543 155231 RANDOLPH NURSING HOME 701 S OAK ST WINCHESTER IN 47394 (765) 584-2201 155235 MILLER'S MERRY MANOR 200 26TH ST LOGANSPORT IN 46947 (574) 722-4006 155236 AVON HEALTH & REHABILITATION CENTER 4171 FOREST POINTE CIRCLE AVON IN 46123 (317) 745-5184 155237 BETHANY VILLAGE 3518 S SHELBY ST INDIANAPOLIS IN 46227 (317) 783-4042 155240 LYONS HEALTH AND LIVING CENTER 2417 S COUNTY ROAD 800 W LYONS IN 47443 (812) 659-1440 155241 FOREST CREEK VILLAGE 525 E THOMPSON RD INDIANAPOLIS IN 46227 (317) 787-8253 155242 SIGNATURE HEALTHCARE OF MUNCIE 4301 N WALNUT ST MUNCIE IN 47303 (765) 282-0053 155243 SIGNATURE HEALTHCARE OF LAFAYETTE 300 WINDY HILL DR LAFAYETTE IN 47905 (765) 477-7791 155247 MANORCARE HEALTH SERVICES 8549 S MADISON AVE INDIANAPOLIS IN 46227 (317) 881-9164 155252 GOLDEN LIVING CENTER-WOODLANDS 4088 FRAME RD NEWBURGH IN 47630 (812) 853-9567 155253 MEADOWOOD HEALTH PAVILION 2455 TAMARACK TR BLOOMINGTON IN 47408 (812) 336-7060 155258 COUNTRYSIDE MANOR HEALTH & LIVING COMMUNITY 205 MARINE DR ANDERSON IN 46016 (765) 649-4558 155261 WILLIAMSBURG HEALTH CARE 1609 LAFAYETTE RD CRAWFORDSVILLE IN 47933 (765) 364-0363 155262 MILLER'S MERRY MANOR 505 W WOLFE ST SULLIVAN IN 47882 (812) 268-6361 155263 LOOGOOTEE NURSING CENTER 12802 E US HWY 50 LOOGOOTEE IN 47553 (812) 295-2101 155264 GOLDEN LIVING CENTER-GOLDEN RULE 2330 STRAIGHT LINE PIKE RICHMOND IN 47374 (765) 966-7681 155265 KINDRED TRANSITIONAL CARE AND REHAB-WEDGEWOOD 101 POTTERS LN CLARKSVILLE IN 47129 (812) 948-0808 155267 LAKE POINTE VILLAGE 545 W MOONGLO RD SCOTTSBURG IN 47170 (812) 752-3499 155269 EAST LAKE NURSING & REHABILITATION CENTER 1900 JEANWOOD DR ELKHART IN 46514 (574) 264-1133 155270 CORE OF DALE 510 W MEDCALF ROAD DALE IN 47523 (812) 937-7073 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

155271 MILLER'S SENIOR LIVING COMMUNITY 8400 CLEARVISTA PL INDIANAPOLIS IN 46256 (317) 845-0464 155272 KINDRED TRANSITIONAL CARE & REHAB-ALLISON POINTE 5226 E 82ND ST INDIANAPOLIS IN 46250 (317) 842-6668 155282 GOOD SAMARITAN SOCIETY NORTHWOOD RETIREMENT COMM 2515 NEWTON ST JASPER IN 47547 (812) 482-1722 155283 WINTERSONG VILLAGE 1005 S EDGEWOOD DR KNOX IN 46534 (574) 772-5826 155286 AVALON VILLAGE 200 KINGSTON CIR LIGONIER IN 46767 (260) 894-7131 155287 RENSSELAER CARE CENTER 1309 E GRACE ST RENSSELAER IN 47978 (219) 866-4181 155290 ST ELIZABETH HEALTHCARE CENTER 701 ARMORY RD DELPHI IN 46923 (765) 564-6380 155291 EAGLE VALLEY MEADOWS 3017 VALLEY FARMS RD INDIANAPOLIS IN 46214 (317) 293-2555 155292 AMERICAN VILLAGE 2026 E 54TH ST INDIANAPOLIS IN 46220 (317) 253-6950 155294 FORUM AT THE CROSSING 8505 WOODFIELD CROSSING BLVD INDIANAPOLIS IN 46240 (317) 466-2020 155299 MILLER'S MERRY MANOR 5909 LUTE RD PORTAGE IN 46368 (219) 763-2273 155303 GOOD SAMARITAN SOCIETY SHAKAMAK RETIREMENT COMM 800 E OHIO ST JASONVILLE IN 47438 (812) 665-2226 155304 WATERS OF NEW CASTLE, THE 1000 N 16TH ST NEW CASTLE IN 47362 (765) 521-1420 155305 SKILLED CARING CENTER OF MEMORIAL HOSPITAL 800 W NINTH ST JASPER IN 47546 (812) 482-0674 155312 KINDRED TRANSITIONAL CARE AND REHAB-INDIAN CREEK 240 BEECHMONT DR CORYDON IN 47112 (812) 738-8127 155319 CLINTON GARDENS 375 S 11TH ST CLINTON IN 47842 (765) 832-2491 155321 MILLER'S MERRY MANOR 5544 E STATE BLVD FORT WAYNE IN 46815 (260) 749-9506 155322 RENAISSANCE VILLAGE 6050 S CR 800 E 92 FORT WAYNE IN 46814 (260) 625-3545 155324 MITCHELL MANOR 24 TEKE BURTON DR MITCHELL IN 47446 (812) 849-2221 155325 MEADOW VIEW HEALTH AND REHABILITATION 900 ANSON ST SALEM IN 47167 (812) 883-4681 155327 UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY 1380 E COUNTY LINE RD S INDIANAPOLIS IN 46227 (317) 885-7050 155329 ROSEWALK VILLAGE 1302 N LESLEY AVE INDIANAPOLIS IN 46219 (317) 353-8061 155330 SALEM CROSSING 200 CONNIE AVE SALEM IN 47167 (812) 883-1877 155331 LIFE CARE CENTER OF VALPARAISO 3405 N CAMPBELL RD VALPARAISO IN 46385 (219) 462-1023 155332 HERITAGE HOUSE REHABILITATION & HEALTH CARE CENTER 281 S COUNTY ROAD 200 EAST CONNERSVILLE IN 47331 (765) 825-2148 155342 MOUNT VERNON NURSING AND REHABILITATION 1415 COUNTRY CLUB RD MOUNT VERNON IN 47620 (812) 838-6554 155343 LIFE CARE CENTER OF LAGRANGE 0770 N 075 E LAGRANGE IN 46761 (260) 463-7445 155344 LIFE CARE CENTER OF MICHIGAN CITY 802 US HWY 20 E MICHIGAN CITY IN 46360 (219) 872-7251 155348 PARKVIEW CARE CENTER 2819 N ST JOSEPH AVE EVANSVILLE IN 47720 (812) 424-2941 155349 SAINT ANNE HOME 1900 RANDALLIA DR FORT WAYNE IN 46805 (260) 484-5555 155353 HICKORY CREEK AT GREENSBURG 1620 N LINCOLN ST GREENSBURG IN 47240 (812) 663-7503 155354 NEWBURGH HEALTH CARE 10466 POLLACK AVE NEWBURGH IN 47630 (812) 853-2931 155356 TRANSITIONAL CARE UNIT OF ST JOSEPH 700 BROADWAY TRANSITIONAL CARE UNIT FORT WAYNE IN 46802 (260) 425-3940 155357 RAWLINS HOUSE HEALTH & LIVING COMMUNITY 300 J H WALKER DR PENDLETON IN 46064 (765) 778-7501 155358 MEADOWS MANOR EAST 3300 POPLAR ST TERRE HAUTE IN 47803 (812) 235-6281 155361 AMBER MANOR CARE CENTER 801 E ILLINOIS ST PETERSBURG IN 47567 (812) 354-3001 155363 WILLOWDALE VILLAGE 404 W WILLOW RD DALE IN 47523 (812) 937-4489 155364 BYRON HEALTH CENTER 12101 LIMA RD FORT WAYNE IN 46818 (260) 637-3166 155368 TODD-DICKEY NURSING AND REHABILITATION 712 W 2ND ST LEAVENWORTH IN 47137 (812) 739-2292 155370 NEW HARMONIE HEALTHCARE CENTER 251 HIGHWAY 66 NEW HARMONY IN 47631 (812) 682-4104 155373 BLUFFTON REGIONAL MEDICAL CENTER CARE CENTER 303 S MAIN ST BLUFFTON IN 46714 (260) 824-3210 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

155375 GOLDEN LIVING CENTER-PETERSBURG 309 W PIKE AVE PETERSBURG IN 47567 (812) 354-8833 155377 SEYMOUR CROSSING 707 S JACKSON PARK DR SEYMOUR IN 47274 (812) 522-2416 155383 WASHINGTON HEALTHCARE CENTER 8201 W WASHINGTON ST INDIANAPOLIS IN 46231 (317) 244-6848 155384 GOLDEN LIVING CENTER-LINCOLN HILLS 402 19TH STREET TELL CITY IN 47586 (812) 547-3427 155385 CAMELOT CARE CENTER 1555 COMMERCE ST LOGANSPORT IN 46947 (574) 753-0404 155386 LAURELS OF DEKALB 520 W LIBERTY ST BUTLER IN 46721 (260) 868-2164 155387 CAROLETON MANOR 2500 IOWA AVE CONNERSVILLE IN 47331 (765) 825-7514 155389 WESTPARK A WATERS COMMUNITY 1316 N TIBBS AVE INDIANAPOLIS IN 46222 (317) 634-8330 155392 HICKORY CREEK AT KENDALLVILLE 1433 S MAIN STREET KENDALLVILLE IN 46755 (260) 347-3612 155401 BEN HUR HEALTH AND REHABILITATION 1375 S GRANT AVE CRAWFORDSVILLE IN 47933 (765) 362-0905 155402 HERITAGE HEALTHCARE 3401 SOLDIERS HOME RD WEST LAFAYETTE IN 47906 (765) 463-1541 155412 GREENWOOD HEALTH AND LIVING COMMUNITY 937 FRY RD GREENWOOD IN 46142 (317) 881-3535 155417 HICKORY CREEK AT SCOTTSBURG 1100 N GARDNER AVE SCOTTSBURG IN 47170 (812) 752-5065 155419 HICKORY CREEK AT CRAWFORDSVILLE 817 N WHITLOCK AVE CRAWFORDSVILLE IN 47933 (765) 362-8590 155424 HICKORY CREEK AT COLUMBUS 5480 E 25TH STREET COLUMBUS IN 47203 (812) 372-6136 155426 SIGNATURE HEALTHCARE OF TERRE HAUTE 3500 MAPLE AVE TERRE HAUTE IN 47804 (812) 238-1555 155427 HICKORY CREEK AT MADISON 1945 CRAGMONT ST MADISON IN 47250 (812) 273-4696 155430 HICKORY CREEK AT ROCHESTER 340 E 18TH STREET ROCHESTER IN 46975 (574) 223-5100 155432 ALBANY HEALTH CARE & REHABILITATION CENTER 910 W WALNUT ST ALBANY IN 47320 (765) 789-4423 155434 HICKORY CREEK AT CONNERSVILLE 2600 N GRAND AVE CONNERSVILLE IN 47331 (765) 825-9771 155436 HICKORY CREEK AT WINAMAC 515 E 13TH ST WINAMAC IN 46996 (574) 946-6143 155442 HICKORY CREEK AT FRANKLIN 580 LEMLEY STREET FRANKLIN IN 46131 (317) 736-8214 155448 LOWELL HEALTHCARE 710 MICHIGAN ST LOWELL IN 46356 (219) 696-7791 155449 NORTHERN LAKES NURSING AND REHABILITATION CENTER 516 N WILLIAMS ST ANGOLA IN 46703 (260) 665-9467 155455 WESLEYAN HEALTH CARE CENTER 729 W 35TH ST MARION IN 46953 (765) 674-3371 155461 PRAIRIE VILLAGE NURSING AND REHABILITATION 801 S SR 57 WASHINGTON IN 47501 (812) 254-4516 155462 SWISS VILLA NURSING AND REHABILITATION 1023 W MAIN ST VEVAY IN 47043 (812) 427-2803 155468 BRECKENRIDGE HEALTH & REHABILITATION 325 W NORTHWOOD DR SULLIVAN IN 47882 (812) 268-3351 155471 FOUR SEASONS RETIREMENT CENTER 1901 TAYLOR RD COLUMBUS IN 47203 (812) 372-8481 155472 HOOSIER VILLAGE 9875 CHERRYLEAF DR INDIANAPOLIS IN 46268 (317) 873-3349 155474 SIGNATURE HEALTHCARE OF BREMEN 316 WOODIES LN BREMEN IN 46506 (574) 546-3494 155475 TOWNE HOUSE RETIREMENT COMMUNITY 2209 ST JOE CENTER RD FORT WAYNE IN 46825 (260) 483-3116 155477 LANE HOUSE 1000 LANE AVE CRAWFORDSVILLE IN 47933 (765) 362-0007 155479 KINGSTON CARE CENTER OF FORT WAYNE 1010 W WASHINGTON CENTER RD FORT WAYNE IN 46825 (260) 489-2552 155480 BROOKVILLE HEALTHCARE CENTER 11049 STATE ROAD 101 BROOKVILLE IN 47012 (765) 647-2527 155481 ARBOR TRACE HEALTH & LIVING COMMUNITY 3701 HODGIN RD RICHMOND IN 47374 (765) 939-3701 155482 KENDALLVILLE MANOR 1802 E DOWLING ST KENDALLVILLE IN 46755 (260) 347-4374 155487 BROWN COUNTY HEALTH AND LIVING COMMUNITY 55 E WILLOW ST NASHVILLE IN 47448 (812) 988-6666 155489 PARKER HEALTH CARE & REHABILITATION CENTER 359 RANDOLPH ST PARKER CITY IN 47368 (765) 468-8280 155490 AMBASSADOR HEALTHCARE 705 E MAIN ST CENTERVILLE IN 47330 (765) 855-3424 155493 SCENIC HILLS CARE CENTER 311 E FIRST ST FERDINAND IN 47532 (812) 367-2299 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

155501 SIGNATURE HEALTHCARE OF BLUFFTON 1529 W LANCASTER ST BLUFFTON IN 46714 (260) 824-4320 155502 TRANSCENDENT HEALTHCARE OF OWENSVILLE HWY 165 W PO BOX 369 OWENSVILLE IN 47665 (812) 729-7901 155503 EXCEPTIONAL LIVING CENTER OF BRAZIL 501 S MURPHY AVE BRAZIL IN 47834 (812) 446-2636 155505 ROBIN RUN HEALTH CENTER 6370 ROBIN RUN W INDIANAPOLIS IN 46268 (317) 298-6255 155506 SANCTUARY AT HOLY CROSS--INDIANA 17475 DUGDALE DR SOUTH BEND IN 46635 (574) 247-7500 155510 CENTURY VILLA HEALTH CARE 705 N MERIDIAN ST GREENTOWN IN 46936 (765) 628-3377 155511 TERRE HAUTE NURSING AND REHABILITATION CENTER 830 S 6TH ST TERRE HAUTE IN 47807 (812) 232-7102 155512 PRESENCE SACRED HEART HOME 515 N MAIN ST AVILLA IN 46710 (260) 897-2841 155516 PARKVIEW MEMORIAL HOSPITAL-CCC 2200 RANDALLIA DR FORT WAYNE IN 46805 (260) 373-6524 155519 GENTLECARE OF VINCENNES 1202 S 16TH ST VINCENNES IN 47591 (812) 882-8292 155520 BRAUN'S NURSING HOME 909 FIRST AVE EVANSVILLE IN 47710 (812) 423-6214 155521 ALEXANDRIA CARE CENTER 1912 S PARK AVE ALEXANDRIA IN 46001 (765) 724-4478 155524 HEALTH CENTER AT GLENBURN HOME 618 W GLENBURN ROAD LINTON IN 47441 (812) 847-2221 155525 SHADY NOOK CARE CENTER 36 VALLEY DR LAWRENCEBURG IN 47025 (812) 537-0930 155526 PERSIMMON RIDGE REHABILITATION CENTRE 200 N PARK ST PORTLAND IN 47371 (260) 726-9355 155527 PINEKNOLL REHABILITATION CENTRE 160 N MIDDLE SCHOOL RD WINCHESTER IN 47394 (765) 584-5084 155531 OAKBROOK VILLAGE 850 ASH ST HUNTINGTON IN 46750 (260) 358-0047 155539 BERTHA D GARTEN KETCHAM MEMORIAL CENTER 601 E RACE ST ODON IN 47562 (812) 636-4920 155542 CLOVERLEAF OF KNIGHTSVILLE 9325 N CRAWFORD ST KNIGHTSVILLE IN 47857 (812) 446-2309 155543 HICKORY CREEK AT HUNTINGTON 1425 GRANT ST HUNTINGTON IN 46750 (260) 356-4867 155546 BETHEL POINTE HEALTH AND REHAB 3400 W COMMUNITY DR MUNCIE IN 47304 (765) 289-2273 155549 WILLOWBEND LIVING CENTER 7524 E JACKSON ST MUNCIE IN 47302 (765) 747-7820 155551 ROLLING MEADOWS HEALTH CARE CENTER 604 RENNAKER ST LA FONTAINE IN 46940 (765) 662-9350 155557 MILLER'S MERRY MANOR 1651 N CAMPBELL ST INDIANAPOLIS IN 46218 (317) 357-8040 155561 GOOD SAMARITAN HOME & REHABILITATIVE CENTER 231 N JACKSON ST OAKLAND CITY IN 47660 (812) 749-4774 155564 MILLER'S MERRY MANOR 259 W HARRISON ST MOORESVILLE IN 46158 (317) 831-6272 155565 HICKORY CREEK AT SUNSET 1109 S INDIANA STREET GREENCASTLE IN 46135 (765) 653-3143 155568 WILLIAMSPORT NURSING AND REHABILITATION 200 SHORT ST WILLIAMSPORT IN 47993 (765) 762-6111 155570 PLEASANT VIEW LODGE 7476 W LANE RD MC CORDSVILLE IN 46055 (317) 335-2159 155571 MILLER'S MERRY MANOR 11563 W 300 S DUNKIRK IN 47336 (765) 768-7537 155573 MILLER'S MERRY MANOR 981 BEECHWOOD AVE MIDDLETOWN IN 47356 (765) 354-2278 155574 MILLER'S MERRY MANOR 500 WALKERTON TR WALKERTON IN 46574 (574) 586-3133 155576 MILLER'S MERRY MANOR 0548 S 100 W HARTFORD CITY IN 47348 (765) 348-1072 155578 MILLER'S MERRY MANOR 220 E DUNN RD NEW CARLISLE IN 46552 (574) 654-7244 155579 MILLER'S MERRY MANOR 7440 N 825 E HOPE IN 47246 (812) 546-4416 155581 MILLER'S MERRY MANOR 500 E PICKWICK DR SYRACUSE IN 46567 (574) 457-4401 155582 MILLER'S MERRY MANOR 300 N WASHINGTON ST WAKARUSA IN 46573 (574) 862-4511 155583 MILLER'S MERRY MANOR 1367 S RANDOLPH ST GARRETT IN 46738 (260) 357-5174 155587 SUMMERFIELD HEALTH CARE 34 S MAIN ST CLOVERDALE IN 46120 (765) 795-4260 155589 MILLER'S MERRY MANOR 730 SCHOOL ST CULVER IN 46511 (574) 842-3337 155593 INDIANA MASONIC HOME HEALTH CENTER 690 S STATE ST FRANKLIN IN 46131 (317) 736-6141 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

155596 LAKELAND SKILLED NURSING AND REHABILITATION 500 N WILLIAMS ST ANGOLA IN 46703 (260) 665-2161 155600 MULBERRY HEALTH & REHABILITATION CENTER 502 W JACKSON ST MULBERRY IN 46058 (765) 296-2911 155604 SAINT ANTHONY REHAB AND NURSING CENTER 1205 N 14TH ST LAFAYETTE IN 47904 (765) 423-4861 155605 GRANDVIEW HEALTH & REHABILITATION CENTER 1959 E COLUMBUS ST MARTINSVILLE IN 46151 (765) 342-7114 155606 WESTSIDE RETIREMENT VILLAGE 8616 W 10TH ST INDIANAPOLIS IN 46234 (317) 209-2800 155607 BETHEL MANOR 6015 KRATZVILLE RD EVANSVILLE IN 47710 (812) 425-8182 155611 HOOSIER CHRISTIAN VILLAGE 621 S SUGAR ST BROWNSTOWN IN 47220 (812) 358-2504 155614 LINCOLN HILLS OF NEW ALBANY 326 COUNTRY CLUB DRIVE NEW ALBANY IN 47150 (812) 948-1311 155617 MILLER'S MERRY MANOR 524 ANDERSON RD CHESTERFIELD IN 46017 (765) 378-0213 155620 ZIONSVILLE MEADOWS 675 S FORD RD ZIONSVILLE IN 46077 (317) 873-5205 155627 MILLER'S MERRY MANOR 1720 ALBER ST WABASH IN 46992 (260) 563-4112 155630 FLATROCK RIVER LODGE 904 E 11TH ST RUSHVILLE IN 46173 (765) 932-2974 155631 WHITE RIVER LODGE 3710 KENNY SIMPSON LN BEDFORD IN 47421 (812) 275-7006 155635 GRACE VILLAGE HEALTH CARE FACILITY 337 GRACE VILLAGE DR WINONA LAKE IN 46590 (574) 372-6100 155636 HARRISON TERRACE 1924 WELLESLEY BLVD INDIANAPOLIS IN 46219 (317) 353-6270 155637 CROWN POINT CHRISTIAN VILLAGE 6685 E 117TH AVE CROWN POINT IN 46307 (219) 662-0642 155649 MCCORMICK'S CREEK REHABILITATION & SKILLED NURSING 210 STATE HWY 43 SPENCER IN 47460 (812) 829-3444 155651 HOMEVIEW CENTER OF FRANKLIN 651 SOUTH STATE STREET FRANKLIN IN 46131 (317) 736-6414 155654 ENGLEWOOD HEALTH & REHABILITATION CENTER 2237 ENGLE RD FORT WAYNE IN 46809 (260) 747-2353 155655 PEABODY RETIREMENT COMMUNITY 400 W SEVENTH ST NORTH MANCHESTER IN 46962 (260) 982-8616 155656 CANTERBURY NURSING AND REHABILITATION CENTER 2827 NORTHGATE BLVD FORT WAYNE IN 46835 (260) 492-1400 155658 WESLEY MANOR HEALTH CENTER 1555 N MAIN ST FRANKFORT IN 46041 (765) 659-1811 155659 KINDRED TRANSITIONAL CARE AND REHAB-SELLERSBURG 7823 OLD HWY # 60 SELLERSBURG IN 47172 (812) 246-4272 155660 PULASKI HEALTH CARE CENTER 624 E 13TH ST WINAMAC IN 46996 (574) 946-3394 155662 NURSING CARE AT HARTSFIELD VILLAGE 503 OTIS R BOWEN DR MUNSTER IN 46321 (219) 934-0590 155664 KINDRED TRANSITIONAL CARE AND REHAB- EAGLE CREEK 4102 SHORE DR INDIANAPOLIS IN 46254 (317) 347-9051 155667 OAK GROVE CHRISTIAN RETIREMENT VILLAGE 221 W DIVISION ST DEMOTTE IN 46310 (219) 987-7005 155668 DIVERSICARE OF PROVIDENCE 4915 CHARLESTOWN RD NEW ALBANY IN 47150 (812) 945-5221 155669 RIVERVIEW TCU 395 WESTFIELD RD TCU NOBLESVILLE IN 46060 (317) 770-2870 155671 OAKWOOD HEALTH CAMPUS 1143 23RD ST TELL CITY IN 47586 (812) 547-2333 155672 HAMILTON GROVE 31869 CHICAGO TR NEW CARLISLE IN 46552 (574) 654-2200 155673 MARKLE HEALTH & REHABILITATION 170 N TRACY ST MARKLE IN 46770 (260) 758-2131 155674 ST CHARLES HEALTH CAMPUS 3150 ST CHARLES ST JASPER IN 47546 (812) 634-6570 155675 MORNING BREEZE RETIREMENT COMMUNITY AND HEALTHCARE 950 N LAKEVIEW DR GREENSBURG IN 47240 (812) 662-7778 155676 MILNER COMMUNITY HEALTH CARE 370 E MAIN ST ROSSVILLE IN 46065 (765) 379-2112 155677 BELL TRACE HEALTH AND LIVING CENTER 725 BELL TRACE CIR BLOOMINGTON IN 47408 (812) 323-2858 155678 WATERFORD PLACE HEALTH CAMPUS 800 ST JOSEPH DR KOKOMO IN 46901 (765) 236-1239 155679 BETHLEHEM WOODS NURSING AND REHABILITATION 4430 ELSDALE DR FORT WAYNE IN 46835 (260) 485-8157 155680 HOMEWOOD HEALTH CAMPUS 2494 N LEBANON ST LEBANON IN 46052 (765) 482-2076 155681 AUTUMN WOODS HEALTH CAMPUS 2911 GREEN VALLEY RD NEW ALBANY IN 47150 (812) 941-9893 155682 WOODMONT HEALTH CAMPUS 1325 ROCKPORT RD BOONVILLE IN 47601 (812) 897-4114 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

155683 B & B CHRISTIAN HEALTHCARE CENTER 3208 N SHERMAN DR INDIANAPOLIS IN 46218 (317) 543-0681 155684 SOUTHFIELD VILLAGE 6450 MIAMI CIR SOUTH BEND IN 46614 (574) 231-1000 155688 FREELANDVILLE COMMUNITY HOME 310 W CARLISLE ST, PO BOX 288 FREELANDVILLE IN 47535 (812) 328-2134 155691 MORRISTOWN MANOR 868 S WASHINGTON ST MORRISTOWN IN 46161 (765) 763-6012 155692 HERITAGE OF HUNTINGTON 1180 W 500 N HUNTINGTON IN 46750 (260) 355-2750 155693 SILVER OAKS HEALTH CAMPUS 2011 CHAPA STREET COLUMBUS IN 47203 (812) 373-0787 155694 BETZ NURSING HOME 116 BETZ RD AUBURN IN 46706 (260) 925-3814 155695 RIVERSIDE VILLAGE 1400 W FRANKLIN ST ELKHART IN 46516 (574) 522-2020 155696 BRIDGEPOINTE HEALTH CAMPUS 1900 COLLEGE AVE VINCENNES IN 47591 (812) 886-9870 155697 CLARK REHABILITATION AND SKILLED NURSING CENTER 517 N LITTLE LEAGUE BLVD CLARKSVILLE IN 47129 (812) 282-8406 155698 BETHANY POINTE HEALTH CAMPUS 1707 BETHANY RD ANDERSON IN 46012 (765) 622-1211 155699 BRIDGEWATER REHABILITATION CENTRE 715 N MILL ST HARTFORD CITY IN 47348 (765) 348-2273 155700 CATHERINE KASPER HOME 9601 S UNION RD DONALDSON IN 46513 (574) 935-1742 155701 CHRISTIAN CARE RETIREMENT COMMUNITY 720 E DUSTMAN RD BLUFFTON IN 46714 (260) 565-3000 155703 BROOKSIDE VILLAGE INC 1111 CHURCH AVE JASPER IN 47546 (812) 634-7750 155704 WALDRON HEALTH AND REHAB CENTER 505 N MAIN ST WALDRON IN 46182 (765) 525-4371 155705 HERITAGE POINTE 801 N HUNTINGTON AVE WARREN IN 46792 (260) 375-2201 155707 SWISS VILLAGE 1350 W MAIN ST BERNE IN 46711 (260) 589-3173 155710 CHASE CENTER 2 CHASE PARK LOGANSPORT IN 46947 (574) 753-4137 155712 COVERED BRIDGE HEALTH CAMPUS 1675 W TIPTON ST SEYMOUR IN 47274 (812) 523-6405 155715 LUTHERAN COMMUNITY HOME 111 W CHURCH AVE SEYMOUR IN 47274 (812) 522-5927 155719 GEORGE ADE MEMORIAL HEALTH CARE CENTER 3623 E SR 16 BROOK IN 47922 (219) 275-2531 155723 RIVER POINTE HEALTH CAMPUS 3001 GALAXY DR EVANSVILLE IN 47715 (812) 475-2822 155724 WOODBRIDGE HEALTH CAMPUS 602 WOODBRIDGE AVE LOGANSPORT IN 46947 (574) 753-3223 155726 RIVER TERRACE HEALTH CARE CENTER 400 CAYLOR BLVD BLUFFTON IN 46714 (260) 824-8940 155727 STONEBRIDGE HEALTH CAMPUS 3100 SHAWNEE DR S BEDFORD IN 47421 (812) 278-8195 155728 MANDERLEY HEALTH CARE CENTER 806 S BUCKEYE ST OSGOOD IN 47037 (812) 689-4143 155729 ADAMS HERITAGE 12011 WHITTERN RD MONROEVILLE IN 46773 (260) 623-6440 155730 RIPLEY CROSSING 1200 WHITLATCH WAY MILAN IN 47031 (812) 654-2231 155733 COLONIAL NURSING HOME 119 N INDIANA AVE CROWN POINT IN 46307 (219) 663-2532 155734 THORNTON TERRACE HEALTH CAMPUS 188 THORNTON RD HANOVER IN 47243 (812) 866-8396 155736 MILL POND HEALTH CAMPUS 1014 MILL POND LN GREENCASTLE IN 46135 (765) 653-4397 155740 TIMBERCREST CHURCH OF THE BRETHREN HOME 2201 EAST ST NORTH MANCHESTER IN 46962 (260) 982-2118 155742 ST ANDREWS HEALTH CAMPUS 1400 LAMMERS PIKE BATESVILLE IN 47006 (812) 934-5090 155744 LUTHERAN LIFE VILLAGES 351 N ALLEN CHAPEL RD KENDALLVILLE IN 46755 (260) 347-2256 155745 HOLY CROSS VILLAGE AT NOTRE DAME INC PO BOX 303 NOTRE DAME IN 46556 (574) 287-1838 155746 PARKVIEW HAVEN 101 CONSTITUTION DR FRANCESVILLE IN 47946 (219) 567-9149 155747 ADAMS WOODCREST 1300 MERCER AVE DECATUR IN 46733 (260) 724-3311 155751 MEADOW LAKES 200 MEADOW LAKE DR MOORESVILLE IN 46158 (317) 834-1791 155753 HAMPTON OAKS HEALTH CAMPUS 966 N WILSON RD SCOTTSBURG IN 47170 (812) 752-2694 155754 HUBBARD HILL ESTATES INC 28070 CR 24 ELKHART IN 46517 (574) 295-6260 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

155756 COVENTRY MEADOWS 7843 W JEFFERSON BLVD FORT WAYNE IN 46804 (260) 432-4848 155757 ROSEGATE VILLAGE 7510 ROSEGATE DR INDIANAPOLIS IN 46237 (317) 889-9300 155758 ASBURY TOWERS HEALTH CARE CENTER 102 W POPLAR ST GREENCASTLE IN 46135 (765) 653-5148 155759 GLEN OAKS HEALTH CAMPUS 601 W CR 200 S NEW CASTLE IN 47362 (765) 529-5796 155761 BROWNSBURG MEADOWS 2 E TILDEN BROWNSBURG IN 46112 (317) 852-8585 155762 FOREST PARK HEALTH CAMPUS 2401 S L ST RICHMOND IN 47374 (765) 966-5705 155763 NORTH RIDGE VILLAGE NURSING & REHAB CENTER 600 TRAIL RIDGE RD ALBION IN 46701 (260) 636-1000 155764 SPRING MILL HEALTH CAMPUS 101 W 87TH AVE MERRILLVILLE IN 46410 (219) 756-0744

155765 SOUTHERN INDIANA REHAB HOSPITAL-PCU 3104 BLACKISTON BLVD PROGRESSIVE CARE UNIT NEW ALBANY IN 47150 (812) 941-8300

155766 MAPLE MANOR CHRISTIAN HOME INC 643 W UTICA ST SELLERSBURG IN 47172 (812) 246-4866 155768 EVANSVILLE PROTESTANT HOME INC 3701 WASHINGTON AVE EVANSVILLE IN 47714 (812) 476-3360 155769 MORRISON WOODS HEALTH CAMPUS 4100 N MORRISON RD MUNCIE IN 47304 (765) 286-9066 155770 VILLAS OF GUERIN WOODS 1002 SISTER BARBARA WAY GEORGETOWN IN 47122 (812) 951-1878 155771 FRANKLIN UNITED METHODIST COMMUNITY RES & COM CARE 1070 W JEFFERSON ST FRANKLIN IN 46131 (317) 736-7185 155772 COBBLESTONE CROSSINGS HEALTH CAMPUS 1850 E HOWARD WAYNE DR TERRE HAUTE IN 47802 (812) 232-0406 155773 TERRACE AT SOLARBRON THE 1701 MCDOWELL RD EVANSVILLE IN 47712 (812) 985-0055 155774 MILLER'S MERRY MANOR 1101 MICHIGAN AVE LOGANSPORT IN 46947 (574) 725-3000 155775 CUMBERLAND POINTE HEALTH CAMPUS 1051 CUMBERLAND AVE WEST LAFAYETTE IN 47906 (765) 463-2571 155776 SPRINGHILL VILLAGE 1001 E SPRINGHILL DR TERRE HAUTE IN 47802 (812) 299-6300 155777 CREASY SPRINGS HEALTH CAMPUS 1750 S CREASY LN LAFAYETTE IN 47905 (765) 447-6600 155782 WHITE OAK HEALTH CAMPUS 814 S 6TH ST MONTICELLO IN 47960 (574) 583-0324 155783 GREENLEAF HEALTH CAMPUS 1201 E BEARDSLEY ELKHART IN 46514 (574) 206-0086 155785 WEST RIVER HEALTH CAMPUS 714 S EICKHOFF RD EVANSVILLE IN 47712 (812) 985-9878 155786 ALLISONVILLE MEADOWS 10312 ALLISONVILLE RD FISHERS IN 46038 (317) 841-8777 155787 INDIANA VETERANS HOME 3851 N RIVER RD WEST LAFAYETTE IN 47906 (765) 463-1502 155788 GREENWOOD MEADOWS 1200 N SR 135 GREENWOOD IN 46142 (317) 300-2200 155790 KINDRED TRANSITIONAL CARE AND REHAB-BRIDGEWATER 14751 CAREY RD CARMEL IN 46033 (317) 575-2208 155793 HAMILTON TRACE OF FISHERS 11851 CUMBERLAND RD FISHERS IN 46037 (317) 813-4444 155794 STRATFORD RETIREMENT LLC 2460 GLEBE ST CARMEL IN 46032 (317) 733-9560 155796 CEDARS THE 14409 SUNRISE CT LEO IN 46765 (260) 627-2191 155797 ASPEN PLACE HEALTH CAMPUS 2320 N MONTGOMERY ROAD GREENSBURG IN 47240 (812) 527-2222 155798 ASHTON CREEK HEALTH AND REHABILITATION CENTER 4111 PARK PLACE DRIVE FORT WAYNE IN 46845 (260) 373-2111 155800 LUTHERAN LIFE VILLAGES 9802 COLDWATER ROAD FORT WAYNE IN 46825 (260) 469-0600 155801 TRANSCENDENT HEALTHCARE OF BOONVILLE - NORTH 305 E NORTH ST BOONVILLE IN 47601 (812) 897-2810 155802 PROVIDENCE HEALTH CARE CENTER 1 SISTERS OF PROVIDENCE SAINT MARY OF THE WO IN 47876 (812) 535-1050 155804 SPRENGER HEALTH CARE OF MISHAWAKA 60257 BODNAR BLVD MISHAWAKA IN 46544 (574) 222-1234 155806 WELLBROOKE OF WABASH 20 JOHN KISSINGER DRIVE WABASH IN 46992 (260) 274-0444 155807 RURAL HEALTH CARE CENTER 1747 N RURAL ST INDIANAPOLIS IN 46218 (317) 635-1355 155808 WELLBROOKE OF WESTFIELD 937 E 186TH STREET WESTFIELD IN 46074 (317) 804-8044 155809 GREY STONE HEALTH & REHABILITATION CENTER 10445 DUPONT OAKS BLVD FORT WAYNE IN 46845 (260) 471-4770 155812 WELLBROOKE OF CRAWFORDSVILLE 517 CONCORD ROAD CRAWFORDSVILLE IN 47933 (765) 362-9122 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

155813 VILLAGES AT HISTORIC SILVERCREST THE 1809 OLD VINCENNES ROAD NEW ALBANY IN 47150 (812) 542-6720 155817 BARRINGTON OF CARMEL, THE 1335 S GUILFORD ROAD CARMEL IN 46032 (317) 706-6760 155818 HEARTHSTONE HEALTH CAMPUS 3043 NORTH LINTEL DRIVE BLOOMINGTON IN 47404 (812) 333-7622 155819 WELLBROOKE OF KOKOMO 2200 SOUTH DIXON ROAD KOKOMO IN 46902 (765) 455-4443 155820 UNIVERSITY NURSING AND REHABILITATION CENTER 1236 LINCOLN AVE EVANSVILLE IN 47714 (812) 464-3607 155821 ASPEN TRACE HEALTH AND LIVING COMMUNITY 3154 S STATE ROAD 135 GREENWOOD IN 46143 (317) 535-3344 155823 KINDRED TRANS CARE AND REHAB - SOUTHPOINTE 4904 WAR ADMIRAL DRIVE INDIANAPOLIS IN 46237 (317) 885-3333 155824 WELLBROOKE OF SOUTH BEND 52565 STATE ROAD 933 SOUTH BEND IN 46637 (574) 247-7044 155825 ST AUGUSTINE HOME FOR THE AGED 2345 W 86TH ST INDIANAPOLIS IN 46260 (317) 415-5767 155826 EVERGREEN CROSSING AND THE LOFTS 5404 GEORGETOWN ROAD INDIANAPOLIS IN 46254 (317) 291-5404 165006 IOWA JEWISH SENIOR LIFE CENTER 900 POLK BOULEVARD DES MOINES IA 50312 (515) 255-5433 165017 MANORCARE HEALTH SERVICES 1940 FIRST AVENUE NE CEDAR RAPIDS IA 52402 (319) 364-5151 165019 CHAUTAUQUA GUEST HOME #2 602 ELEVENTH STREET CHARLES CITY IA 50616 (641) 228-2353 165030 OAKNOLL RETIREMENT RESIDENCE 1 OAKNOLL CT IOWA CITY IA 52240 (319) 351-1720 165046 MERCY MEDICAL CENTER 701 TENTH STREET SE CEDAR RAPIDS IA 52403 (319) 398-6103 165049 RIDGECREST VILLAGE 4130 NORTHWEST BOULEVARD DAVENPORT IA 52806 (563) 391-3430 165081 FRIENDSHIP VILLAGE RETIREMENT 600 PARK LANE WATERLOO IA 50702 (319) 291-8100 165082 SHADY OAKS CARE CENTER 1409 WEST MAIN STREET LAKE CITY IA 51449 (712) 464-3106 165104 MANORCARE HEALTH SERVICES 901 WEST THIRD STREET DUBUQUE IA 52001 (563) 556-1161 165110 GREAT RIVER KLEIN CENTER 1221 S GEAR STREET WEST BURLINGTON IA 52655 (319) 768-1000 165116 MERCY MEDICAL CENTER-DUBUQUE 250 MERCY DRIVE DUBUQUE IA 52001 (563) 589-8000 165119 MERCY LIVING CENTER SOUTH 638 SOUTH BLUFF BOULEVARD CLINTON IA 52732 (563) 244-3924 165130 IOWA LUTHERAN HOSPITAL 700 EAST UNIVERSITY DES MOINES IA 50316 (515) 263-5134 165135 STRAWBERRY POINT LUTHERAN HOME 313 ELKADER STREET STRAWBERRY POINT IA 52076 (563) 933-6037 165136 MERCY HOSPITAL 500 EAST MARKET STREET IOWA CITY IA 52240 (319) 339-0300 165146 KAHL HOME FOR THE AGED & INFIRMED 6701 JERSEY RIDGE ROAD DAVENPORT IA 52807 (563) 324-1621 165157 ROYALE MEADOWS CARE CENTER 1400 7TH AVENUE SE SIOUX CENTER IA 51250 (712) 722-8305 165158 WESTRIDGE QUALITY CARE & REHAB 600 MANOR DRIVE CLARINDA IA 51632 (712) 542-5161 165163 ON WITH LIFE 715 SW ANKENY ROAD ANKENY IA 50023 (515) 965-1339 165167 THE VILLAGE 1203 NORTH E STREET INDIANOLA IA 50125 (515) 961-7458 165169 GOOD SAMARITAN SOCIETY - DAVENPORT 700 WAVERLY ROAD DAVENPORT IA 52804 (563) 324-1651 165172 BRIARWOOD HEALTHCARE CENTER 605 GREENWOOD DRIVE IOWA CITY IA 52246 (319) 338-7912 165173 OSAGE REHAB AND HEALTH CARE CENTER 830 SOUTH FIFTH STREET OSAGE IA 50461 (641) 732-5520 165175 GENESIS SENIOR LIVING CENTER 5608 SW NINTH STREET DES MOINES IA 50315 (515) 285-3070 165176 MERCY LIVING PLUS 201 EIGHTH AVENUE SE OELWEIN IA 50662 (319) 283-6000 165177 COMMUNITY MEMORIAL HEALTH CENTER 231 NORTH EIGHTH AVENUE WEST HARTLEY IA 51346 (712) 728-2428 165178 AASE HAUGEN HOME FOUR OHIO STREET DECORAH IA 52101 (563) 382-3603 165179 NORWALK NURSING AND REHABILITATION CENTER 921 SUNSET DRIVE NORWALK IA 50211 (515) 981-0604 165180 ODEBOLT SPECIALTY CARE 801 SOUTH DES MOINES STREET ODEBOLT IA 51458 (712) 668-4867 165183 MERCY HEALTH SERVICES- IOWA CORP 910 NORTH EISENHOWER AVENUE MASON CITY IA 50401 (641) 422-5647 165185 RED OAK HEALTHCARE COMMUNITY 1600 SUMMIT STREET RED OAK IA 51566 (712) 623-5156 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

165189 GOOD SAMARITAN SOCIETY - VILLISCA 202 NORTH CENTRAL AVENUE VILLISCA IA 50864 (712) 826-9592 165190 GOOD SAMARITAN SOCIETY - ALGONA 412 WEST KENNEDY STREET ALGONA IA 50511 (515) 295-2414 165192 GOOD SAMARITAN SOCIETY - ESTHERVILLE 1646 FIFTH AVENUE NORTH ESTHERVILLE IA 51334 (712) 362-3522 165193 DUNLAP SPECIALTY CARE 1403 HARRISON ROAD DUNLAP IA 51529 (712) 643-2121 165196 GRANDVIEW HEALTH CARE CENTER 508 2ND STREET NE DAYTON IA 50530 (515) 547-2288 165199 CRESTON SPECIALTY CARE 1001 COTTONWOOD DRIVE CRESTON IA 50801 (641) 782-8511 165205 GOOD SAMARITAN SOCIETY - LEMARS 1140 LINCOLN STREET NE LE MARS IA 51031 (712) 546-4101 165206 MORNINGSIDE HEALTHCARE COMMUNITY 600 MORNINGSIDE AVENUE IDA GROVE IA 51445 (952) 873-7977 165209 SOUTHRIDGE SPECIALTY CARE 309 WEST MERLE HIBBS BOULEVARD MARSHALLTOWN IA 50158 (641) 752-4553 165210 GOOD SAMARITAN SOCIETY - SAINT ANSGAR 701 EAST FOURTH STREET SAINT ANSGAR IA 50472 (641) 713-4912 165213 GOOD SAMARITAN SOCIETY - FOREST CITY 606 SOUTH SEVENTH STREET FOREST CITY IA 50436 (641) 585-2232 165214 LANTERN PARK SPECIALTY CARE 2200 OAKDALE ROAD CORALVILLE IA 52241 (319) 351-8440 165215 LYON SPECIALTY CARE 1010 SOUTH UNION ROCK RAPIDS IA 51246 (712) 472-3748 165216 PELLA REGIONAL HEALTH CENTER 404 JEFFERSON PELLA IA 50219 (641) 628-3150 165217 CARING ACRES NURSING & REHAB CENTER 1000 HILLCREST DRIVE ANITA IA 50020 (712) 762-3219 165219 LAURENS CARE CENTER 304 EAST VETERANS ROAD LAURENS IA 50554 (712) 845-4915 165220 PRAIRIE RIDGE CARE & REHABILIT 608 PRAIRIE STREET MEDIAPOLIS IA 52637 (319) 394-3991 165222 CORYDON SPECIALTY CARE 745 EAST SOUTH STREET CORYDON IA 50060 (641) 872-1590 165223 RIDGEWOOD SPECIALTY CARE 1977 ALBIA ROAD OTTUMWA IA 52501 (641) 683-3111 165224 MOUNT AYR HEALTH CARE CENTER 1504 EAST SOUTH STREET MOUNT AYR IA 50854 (641) 464-3204 165225 CENTERVILLE SPECIALTY CARE 1208 EAST CROSS STREET CENTERVILLE IA 52544 (641) 856-8651 165226 MANLY SPECIALTY CARE 601 E SOUTH STREET MANLY IA 50456 (641) 454-2223 165228 DUBUQUE SPECIALTY CARE 2935 KAUFMANN AVENUE DUBUQUE IA 52001 (563) 556-0673 165231 REGENCY PARK NURSING & REHAB CENTER OF CARROLL 500 EAST VALLEY DRIVE CARROLL IA 51401 (712) 792-9281 165232 FRIENDSHIP HOME ASSOCIATION 714 DIVISION AUDUBON IA 50025 (712) 563-2651 165235 LENOX CARE CENTER 111 EAST VAN BUREN LENOX IA 50851 (641) 333-2226 165236 GOOD SAMARITAN SOCIETY - MANSON 1402 MAIN STREET MANSON IA 50563 (712) 469-3908 165237 GOOD SAMARITAN SOCIETY - FONTANELLE 326 SUMMERSET BOX 38 FONTANELLE IA 50846 (641) 745-4191 165239 GOOD SAMARITAN SOCIETY - POSTVILLE 400 HARDIN DRIVE POSTVILLE IA 52162 (563) 864-7425 165240 GOOD SAMARITAN SOCIETY - WAUKON 21 EAST MAIN STREET WAUKON IA 52172 (563) 568-3447 165243 CHAUTAUQUA GUEST HOME #3 302 NINTH STREET CHARLES CITY IA 50616 (641) 228-5351 165245 HILLCREST HEALTH CARE CENTER 2121 AVENUE L HAWARDEN IA 51023 (712) 551-1074 165247 GOOD SAMARITAN SOCIETY - GEORGE 324 FIRST AVENUE NORTH GEORGE IA 51237 (712) 475-3391 165249 GOOD SAMARITAN SOCIETY - NEWELL 415 WEST HIGHWAY 7 NEWELL IA 50568 (712) 272-3327 165254 OAKVIEW, INC. 511 EAST CENTER CONRAD IA 50621 (641) 366-2212 165259 THORNTON MANOR 1329 MAIN STREET LANSING IA 52151 (563) 538-4236 165261 MILL-POND 1201 SE MILL POND COURT ANKENY IA 50021 (515) 964-2273 165263 MECHANICSVILLE SPECIALTY CARE 104 EAST FOURTH STREET BOX 430 MECHANICSVILLE IA 52306 (563) 432-7235 165265 QHC FORT DODGE VILLA , LLC 2721 10TH AVENUE NORTH FORT DODGE IA 50501 (515) 576-7525 165266 HOLY SPIRIT RETIREMENT HOME 1701 WEST 25TH STREET SIOUX CITY IA 51103 (712) 252-2726 165267 MAPLE HEIGHTS 2 SUNRISE AVENUE MAPLETON IA 51034 (712) 881-1680 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

165269 CLEARVIEW HOME 406 WEST WASHINGTON MOUNT AYR IA 50854 (641) 464-2240 165271 WESTWOOD SPECIALTY CARE 4201 FIELDCREST DRIVE SIOUX CITY IA 51104 (712) 258-0135 165274 NORTHERN MAHASKA SPECIALTY CARE 2401 CRESTVIEW DRIVE OSKALOOSA IA 52577 (641) 673-3000 165275 CREST HAVEN CARE CENTRE 1000 EAST HOWARD CRESTON IA 50801 (641) 782-5012 165278 LIVING CENTER WEST 1050 4TH AVENUE SE CEDAR RAPIDS IA 52403 (319) 366-8714 165279 MONTICELLO NURSING & REHAB CEN 500 PINEHAVEN DRIVE MONTICELLO IA 52310 (319) 465-5415 165281 ON WITH LIFE AT GLENWOOD 714 SOUTH LACEY SUITE 100 GLENWOOD IA 51534 (712) 525-1294 165282 VALLEY VIEW SPECIALTY CARE 2313 15TH AVENUE ELDORA IA 50627 (641) 858-5422 165283 FELLOWSHIP VILLAGE 300 EAST JEFFERSON INWOOD IA 51240 (712) 753-4663 165284 SUNNY KNOLL CARE CENTRE 135 WARNER STREET ROCKWELL CITY IA 50579 (712) 297-8918 165287 CRESTVIEW SPECIALTY CARE 451 WEST ORANGE STREET WEST BRANCH IA 52358 (319) 643-2551 165288 ATLANTIC SPECIALTY CARE 1300 EAST 19TH STREET ATLANTIC IA 50022 (712) 243-3952 165290 NORTH CREST LIVING CENTER 34 NORTHCREST DRIVE COUNCIL BLUFFS IA 51503 (712) 328-2333 165291 FRIENDSHIP HAVEN, INC 420 SOUTH KENYON ROAD FORT DODGE IA 50501 (515) 573-2121 165293 SOUTHERN HILLS SPECIALITY CARE 444 NORTH WEST VIEW DRIVE OSCEOLA IA 50213 (641) 342-6061 165295 MONTEZUMA SPECIALTY CARE 316 MEADOW LANE DRIVE PO BOX 790 MONTEZUMA IA 50171 (641) 623-5497 165297 NEW HAMPTON NURSING & REHAB CE 703 SOUTH FOURTH AVENUE NEW HAMPTON IA 50659 (641) 394-4153 165298 PINNACLE SPECIALTY CARE 1223 PRAIRIE ROAD CEDAR FALLS IA 50613 (319) 268-0489 165300 LAPORTE CITY SPECIALTY CARE 1100 HWY 218 N LA PORTE CITY IA 50651 (319) 342-2125 165301 GREAT RIVER CARE CENTER 1400 WEST MAIN MC GREGOR IA 52157 (563) 873-3527 165303 ABCM REHAB CENTERS OF INDEPENDENCE WEST CAMPUS 1610 THIRD STREET NE INDEPENDENCE IA 50644 (319) 334-6039 165307 COUNTRY VIEW 1410 WEST DUNKERTON ROAD WATERLOO IA 50703 (319) 291-2509 165309 SHELL ROCK SENIOR LIVING 920 NORTH CHERRY STREET SHELL ROCK IA 50670 (319) 885-4341 165311 PLYMOUTH MANOR CARE CENTER 954 7TH AVENUE SE LE MARS IA 51031 (712) 546-7831 165312 FONDA SPECIALTY CARE 607 QUEEN STREET FONDA IA 50540 (712) 288-4441 165314 LAMONI SPECIALTY CARE 215 SOUTH OAK STREET LAMONI IA 50140 (641) 784-3388 165316 ELDORA SPECIALTY CARE 1510 22ND STREET ELDORA IA 50627 (641) 939-3491 165318 COLONIAL MANOR OF AMANA 3207 220TH TRAIL AMANA IA 52203 (319) 622-3131 165322 COTTAGE GROVE PLACE - THE CLUB 2115 FIRST AVENUE SE CEDAR RAPIDS IA 52402 (319) 363-2420 165323 CORRECTIONVILLE SPECIALTY CARE 1116 EAST HIGHWAY 20 CORRECTIONVILLE IA 51016 (712) 372-4466 165325 MANOR HOUSE CARE CENTER 1212 SOUTH STUART STREET SIGOURNEY IA 52591 (641) 622-2142 165326 BLOOMFIELD CARE CENTER 800 NORTH DAVIS STREET BLOOMFIELD IA 52537 (641) 664-2699 165327 SUNRISE TERRACE NURSING & REHABILITATION CENTER 706 WEST CENTRAL AVENUE WINFIELD IA 52659 (319) 257-3303 165329 KINGSLEY SPECIALTY CARE 305 WEST THIRD BOX 10 KINGSLEY IA 51028 (712) 378-2400 165330 CHEROKEE SPECIALTY CARE 1011 NORTH ROOSEVELT CHEROKEE IA 51012 (712) 225-5189 165331 MORNING SUN CARE CENTER 200 WASHINGTON MORNING SUN IA 52640 (319) 868-7751 165332 STANTON CARE CENTER 213 HALLAND AVENUE, PO BOX 430 STANTON IA 51573 (712) 829-2727 165333 HALLMARK CARE CENTER 215 HIGHWAY 30 WEST MOUNT VERNON IA 52314 (319) 895-8891 165334 GUTTENBERG CARE CENTER 1315 ACRE STREET GUTTENBERG IA 52052 (563) 252-2281 165335 HUBBARD CARE CENTER 403 SOUTH STATE STREET HUBBARD IA 50122 (641) 864-3264 165336 REHABILITATION CENTER OF ALLISON 900 7TH STREET WEST ALLISON IA 50602 (319) 267-2791 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

165337 ABCM REHAB CENTERS OF INDEPENDENCE EAST CAMPUS 1700 THIRD STREET NE INDEPENDENCE IA 50644 (319) 334-7015 165338 NORTHGATE CARE CENTER 960 4TH STREET NW WAUKON IA 52172 (563) 568-3493 165339 DUMONT WELLNESS CENTER 921 THIRD STREET DUMONT IA 50625 (641) 857-3401 165340 GRANDVIEW HEALTHCARE CENTER 800 FIFTH STREET SE OELWEIN IA 50662 (319) 283-1908 165341 OELWEIN HEALTH CARE CENTER 600 SEVENTH STREET SE OELWEIN IA 50662 (319) 283-2794 165342 WILLOW DALE WELLNESS VILLAGE 404 FIRST STREET BATTLE CREEK IA 51006 (712) 365-4332 165343 PARK VIEW REHABILITATION CENTER 601 PARK AVENUE SAC CITY IA 50583 (712) 662-3818 165346 MAPLE MANOR VILLAGE 345 PARROTT ST APLINGTON IA 50604 (319) 347-2309 165347 NORA SPRINGS CARE CENTER 907 W CONGRESS NORA SPRINGS IA 50458 (641) 749-5331 165349 BELLE PLAINE SPECIALTY CARE 1505 SUNSET DRIVE BELLE PLAINE IA 52208 (319) 444-2500 165351 GRISWOLD REHABILITATION & HEALTH CARE CENTER 106 HARRISON ST GRISWOLD IA 51535 (712) 778-2534 165352 EMMETSBURG CARE CENTER 2405 21ST STREET EMMETSBURG IA 50536 (712) 852-4266 165353 VALLEY VUE CARE CENTER 108 SECOND AVE BOX 200 ARMSTRONG IA 50514 (712) 864-3567 165354 REHABILITATION CENTER OF HAMPTON 700 SECOND STREET SE HAMPTON IA 50441 (641) 456-4701 165355 KEOTA HEALTH CARE CENTER 204 NORTH KEOKUK WASHINGTON ROAD KEOTA IA 52248 (641) 636-3400 165356 VALLEY VIEW COMMUNITY 108 SOUTH HIGH STREET GREENE IA 50636 (641) 823-4531 165357 ROSE VISTA HOME, INC. 1109 NORMAL STREET WOODBINE IA 51579 (712) 647-2010 165358 THOMAS REST HAVEN 217 MAIN STREET COON RAPIDS IA 50058 (712) 999-2253 165359 METHODIST MANOR RETIREMENT COM 1206 WEST FOURTH STREET STORM LAKE IA 50588 (712) 732-1120 165361 ROLLING GREEN VILLAGE CARE CEN 100 SIXTH STREET NEVADA IA 50201 (515) 382-6556 165362 CLARION WELLNESS AND REHABILITATION CENTER 110 13TH AVENUE SW CLARION IA 50525 (515) 532-2893 165363 WESTVIEW CARE CENTER 445 EIGHTH AVENUE SW BRITT IA 50423 (641) 843-3835 165364 CONCORD CARE CENTER 490 WEST LYON STREET GARNER IA 50438 (641) 923-2677 165366 LAKE MILLS CARE CENTER 406 SOUTH TENTH AVENUE EAST LAKE MILLS IA 50450 (641) 592-4900 165367 HERITAGE CARE AND REHABILITATION CENTER 501 SOUTH KENTUCKY AVE MASON CITY IA 50401 (641) 423-2121 165369 WESTVIEW OF INDIANOLA CARE CENTER 1900 WEST THIRD PLACE INDIANOLA IA 50125 (515) 961-3189 165371 MANILLA MANOR 146 N 5TH ST MANILLA IA 51454 (712) 654-6812 165372 ELM CREST RETIREMENT COMMUNITY 2104 12TH STREET HARLAN IA 51537 (712) 755-5174 165373 LONGVIEW HOME, INC 1010 LONGVIEW ROAD MISSOURI VALLEY IA 51555 (712) 642-2264 165374 MILL VALLEY CARE CENTER 1201 PARK STREET BELLEVUE IA 52031 (563) 872-5521 165375 ANAMOSA CARE CENTER 1209 EAST THIRD STREET ANAMOSA IA 52205 (319) 462-4356 165376 RIVERVIEW MANOR 17990 SPENCER ROAD PO BOX 503 PLEASANT VALLEY IA 52767 (563) 332-4600 165377 WHEATLAND MANOR 316 EAST LINCOLNWAY WHEATLAND IA 52777 (563) 374-1295 165379 EDGEWOOD CONVALESCENT HOME 513 BELL STREET EDGEWOOD IA 52042 (563) 928-6461 165380 REHABILITATION CENTER OF BELMOND 1107 SEVENTH STREET NE BELMOND IA 50421 (641) 444-3915 165381 SIGOURNEY HEALTH CARE 900 SOUTH STONE STREET SIGOURNEY IA 52591 (641) 622-2971 165383 GREENFIELD REHABILITATION & HEALTH CARE CENTER 615 SE KENT STREET GREENFIELD IA 50849 (641) 743-6131 165384 SHEFFIELD CARE CENTER 100 BENNETT DRIVE SHEFFIELD IA 50475 (641) 892-4691 165385 GRANDVIEW HEIGHTS INC 910 EAST OLIVE MARSHALLTOWN IA 50158 (641) 752-4581 165386 COLONIAL MANOR OF ELMA 407 9TH STREET ELMA IA 50628 (641) 393-2134 165388 LONE TREE HEALTH CARE CENTER 501 EAST PIONEER ROAD LONE TREE IA 52755 (319) 629-4255 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

165389 LIVING CENTER EAST 1220 FIFTH AVENUE SE CEDAR RAPIDS IA 52403 (319) 366-8701 165390 STATE CENTER SPECIALTY CARE 702 THIRD STREET NW STATE CENTER IA 50247 (641) 483-2812 165391 ELKADER CARE CENTER 116 REIMER STREET SW ELKADER IA 52043 (563) 245-1620 165394 HERITAGE CARE CENTER 2320 WASHINGTON AVENUE IOWA FALLS IA 50126 (641) 648-4250 165395 DANVILLE CARE CENTER 401 S BIRCH STREET DANVILLE IA 52623 (319) 392-4259 165396 RIVER HILLS VILLAGE IN KEOKUK 20 VILLAGE CIRCLE KEOKUK IA 52632 (319) 524-5772 165397 HEARTLAND CARE CENTER 604 EAST FENTON MARCUS IA 51035 (712) 376-2500 165401 SIBLEY SPECIALTY CARE 700 NINTH AVENUE NORTH SIBLEY IA 51249 (712) 754-3629 165402 HAWKEYE CARE CENTER MILFORD 1600 13TH STREET MILFORD IA 51351 (712) 338-4742 165403 HAWKEYE CARE CENTER SIOUX RAPIDS 702 BLAKE STREET SIOUX RAPIDS IA 50585 (712) 283-2302 165404 NEW LONDON SPECIALTY CARE 100 CARE CENTER CIRCLE STREET NEW LONDON IA 52645 (319) 367-5753 165406 ROCKWELL COMMUNITY NURSING HOM 707 ELM STREET ROCKWELL IA 50469 (641) 822-3203 165408 HAWKEYE CARE CENTER BANCROFT 546 EAST RAMSEY STREET BANCROFT IA 50517 (515) 885-2463 165411 SOUTHFIELD WELLNESS COMMUNITY 2416 SOUTH DES MOINES STREET WEBSTER CITY IA 50595 (515) 832-3881 165412 EXIRA CARE CENTER 409 SOUTH CARTHAGE EXIRA IA 50076 (712) 268-5393 165413 PLEASANT VIEW HOME 410 SPRUCE STREET ALBERT CITY IA 50510 (712) 843-2237 165416 AFTON CARE CENTER 508 WEST PEARL AFTON IA 50830 (641) 347-8416 165418 SIMPSON MEMORIAL HOME 1000 NORTH MILLER STREET WEST LIBERTY IA 52776 (319) 627-4775 165420 ACCURA HEALTHCARE OF NEWTON WEST, LLC 2130 WEST 18TH STREET SOUTH NEWTON IA 50208 (641) 791-1127 165421 ACCURA HEALTHCARE OF NEWTON EAST, LLC 1743 SOUTH EIGHTH AVENUE EAST NEWTON IA 50208 (641) 792-5680 165424 BETHANY LIFE 212 LAFAYETTE STREET STORY CITY IA 50248 (515) 733-4325 165425 ACCURA HEALTHCARE OF CHEROKEE, LLC 921 RIVERVIEW DRIVE CHEROKEE IA 51012 (712) 225-5724 165428 CAREAGE HILLS REHABILITATION AND HEALTHCARE 725 NORTH SECOND STREET CHEROKEE IA 51012 (712) 225-2561 165431 TITONKA CARE CENTER 312 FIRST AVENUE NW TITONKA IA 50480 (515) 928-2600 165433 FAITH LUTHERAN HOME 914 DAVIDSON DRIVE OSAGE IA 50461 (641) 732-5511 165437 MAPLE CREST MANOR 100 BOLGER DRIVE FAYETTE IA 52142 (563) 425-3336 165438 STACYVILLE COMMUNITY NURSING HOME 413 SOUTH BROAD STREET STACYVILLE IA 50476 (641) 710-2215 165439 BLAIR HOUSE 1212 INDIAN HILLS DRIVE BURLINGTON IA 52601 (319) 752-4100 165440 WINSLOW HOUSE CARE CENTER 3456 INDIAN CREEK ROAD MARION IA 52302 (319) 377-8296 165441 SUNNY VIEW CARE CENTER 410 N W ASH DRIVE ANKENY IA 50023 (515) 964-1101 165442 WOODLAND TERRACE 1922 FIFTH AVENUE NW WAVERLY IA 50677 (319) 352-4540 165444 WEST BEND HEALTH AND REHABILITATION 203 FOURTH STREET NW WEST BEND IA 50597 (515) 887-4071 165445 LAKE PARK CARE CENTER 1304 SOUTH MARKET LAKE PARK IA 51347 (712) 832-3691 165446 WESTBROOK ACRES 605 GARFIELD STREET GLADBROOK IA 50635 (641) 473-2016 165450 PREMIER ESTATES OF TOLEDO 403 GRANDVIEW DRIVE TOLEDO IA 52342 (641) 484-5080 165451 HAWKEYE CARE CENTER MARSHALLTOWN 2401 SOUTH SECOND STREET MARSHALLTOWN IA 50158 (641) 752-1553 165452 WAPELLO SPECIALTY CARE 601 HIGHWAY 61 SOUTH WAPELLO IA 52653 (319) 523-2001 165456 ENGLISH VALLEY NURSING CARE CENTER 150 WEST WASHINGTON ST- PO BOX 430 NORTH ENGLISH IA 52316 (319) 664-3256 165457 CLEARVIEW HOME 202 NORTH JEFFERSON CLEARFIELD IA 50840 (641) 336-2333 165461 POCAHONTAS MANOR 700 NW SEVENTH STREET POCAHONTAS IA 50574 (712) 335-3386 165462 SUNNY HILL CARE CENTER 1708 HARDING STREET TAMA IA 52339 (641) 484-4061 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

165465 NEWALDAYA LIFESCAPES 7511 UNIVERSITY AVENUE CEDAR FALLS IA 50613 (319) 268-0401 165467 KANAWHA COMMUNITY HOME, INC. 130 WEST SIXTH STREET KANAWHA IA 50447 (641) 762-3302 165470 PLEASANTVIEW HOME 811 THIRD STREET KALONA IA 52247 (319) 656-2421 165471 STONEHILL CARE CENTER 3485 WINDSOR AVENUE DUBUQUE IA 52001 (563) 557-7180 165472 SCENIC MANOR 1409 FREMONT STREET IOWA FALLS IA 50126 (641) 648-4671 165475 WELLINGTON PLACE 2479 RIVER ROAD DECORAH IA 52101 (563) 382-9691 165478 ARBOR COURT 701 EAST MAPLELEAF DRIVE MOUNT PLEASANT IA 52641 (319) 385-1400 165479 CALVIN COMMUNITY 4210 HICKMAN ROAD DES MOINES IA 50310 (515) 277-6141 165480 ST FRANCIS MANOR 2021 FOURTH AVENUE GRINNELL IA 50112 (641) 236-7592 165481 MAYFLOWER HOME 616 BROAD STREET GRINNELL IA 50112 (641) 236-6151 165482 UNITED PRESBYTERIAN HOME 1203 EAST WASHINGTON STREET WASHINGTON IA 52353 (319) 653-5473 165483 HALCYON HOUSE 1015 SOUTH IOWA AVENUE WASHINGTON IA 52353 (319) 653-7264 165484 ST LUKE LUTHERAN HOME 1301 SAINT LUKE DRIVE SPENCER IA 51301 (712) 262-5931 165485 LUTHERAN RETIREMENT HOME 701 NINTH STREET NORTH NORTHWOOD IA 50459 (641) 324-1712 165486 RUTHVEN COMMUNITY CARE CENTER 2701 MITCHELL STREET BOX 0 RUTHVEN IA 51358 (712) 837-5411 165488 TWILIGHT ACRES 600 WEST 6TH STREET WALL LAKE IA 51466 (712) 664-2488 165489 GOLDENROD MANOR 225 WEST LAPERLA DRIVE CLARINDA IA 51632 (712) 542-5621 165490 HAWKEYE CARE CENTER CRESCO 701 VERNON ROAD SW CRESCO IA 52136 (563) 547-3580 165491 EVANS MEMORIAL HOME 1010 NORTH ELM STREET CRESCO IA 52136 (563) 547-2364 165492 LAKESIDE LUTHERAN HOME 301 NORTH LAWLER STREET EMMETSBURG IA 50536 (712) 852-4060 165494 TRIPOLI NURSING & REHAB 604 THIRD STREET SW TRIPOLI IA 50676 (319) 882-4269 165495 CLARKSVILLE SKILLED NURSING & REHAB CENTER 115 NORTH HILTON ST CLARKSVILLE IA 50619 (319) 278-4900 165500 ROTARY SENIOR LIVING 500 SOUTH BLAINE AVENUE EAGLE GROVE IA 50533 (515) 448-5124 165502 HILLCREST HOME 915 WEST FIRST STREET SUMNER IA 50674 (563) 578-8591 165503 GOOD NEIGHBOR HOME 105 MCCARREN DRIVE MANCHESTER IA 52057 (563) 927-3907 165504 ALGONA MANOR CARE CENTER 2221 EAST MCGREGOR STREET ALGONA IA 50511 (515) 295-3505 165506 QHC WINTERSET SOUTH, LLC 715 SOUTH SECOND AVENUE WINTERSET IA 50273 (515) 462-4040 165507 VALLEY VIEW VILLAGE 2555C GUTHRIE AVENUE DES MOINES IA 50317 (515) 265-2571 165508 MARTIN HEALTH CENTER, INC 420 EAST 11TH STREET CEDAR FALLS IA 50613 (319) 277-2141 165509 THE ALVERNO HEALTH CARE CENTER 849 13TH AVENUE NORTH CLINTON IA 52732 (563) 242-1521 165510 DAVENPORT LUTHERAN HOME 1130 W 53RD STREET DAVENPORT IA 52806 (563) 391-5342 165511 LINN MANOR CARE CENTER 1140 ELIM DRIVE MARION IA 52302 (319) 377-4611 165512 MERCY LIVING CENTER NORTH 600 14TH AVENUE NORTH CLINTON IA 52732 (563) 244-5555 165513 LUTHER MANOR RETIREMENT HOME 3131 HILLCREST ROAD DUBUQUE IA 52001 (563) 588-1413 165514 RAMSEY VILLAGE 1611 27TH STREET DES MOINES IA 50310 (515) 274-3612 165515 SUNNYCREST NURSING CENTER 401 CRISMAN STREET DYSART IA 52224 (319) 476-2400 165521 NELSON MANOR 1500 FIRST AVENUE EAST NEWTON IA 50208 (641) 792-1443 165522 PARKVIEW MANOR CARE CENTER 1009 THIRD STREET REINBECK IA 50669 (319) 345-6811 165527 PATTY ELWOOD CENTER 21668 80TH STREET CRESCO IA 52136 (563) 547-2398 165529 ELM HEIGHTS CARE CENTER 1203 SOUTH ELM STREET SHENANDOAH IA 51601 (712) 246-4627 165532 EVENTIDE LUTHERAN HOME FOR THE 114 SOUTH 20TH STREET DENISON IA 51442 (712) 263-3114 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

165534 QHC HUMBOLDT SOUTH, LLC 800 13TH STREET SOUTH HUMBOLDT IA 50548 (515) 332-4104 165536 I O O F HOME AND COMMUNITY THERAPY CENTER 1037 19TH STREET SW MASON CITY IA 50401 (641) 423-0428 165538 PRAIRIE RIDGE CARE CENTER 1005 7TH STREET NE ORANGE CITY IA 51041 (712) 707-6000 165540 COUNTRYSIDE HEALTH CARE CENTER 6120 MORNINGSIDE AVENUE SIOUX CITY IA 51106 (712) 276-3000 165541 RICEVILLE FAMILY CARE AND THERAPY CENTER 915 WOODLAND AVENUE RICEVILLE IA 50466 (641) 985-2606 165547 PARKVIEW HOME 102 NORTH JACKSON STREET WAYLAND IA 52654 (319) 256-3525 165548 ARBOR SPRINGS OF WEST DES MOINES L L C 7951 E P TRUE PARKWAY WEST DES MOINES IA 50266 (515) 223-1135 165549 VISTA WOODS CARE CENTER THREE PENNSYLVANIA PLACE OTTUMWA IA 52501 (641) 683-3372 165550 SOLON NURSING CARE CENTER 523 EAST FIFTH STREET SOLON IA 52333 (319) 624-3492 165552 THE VINTON LUTHERAN HOME 1301 SECOND AVENUE SOUTH VINTON IA 52349 (319) 472-4751 165553 IOWA MASONIC HEALTH FACILITIES 2500 GRANT STREET BETTENDORF IA 52722 (563) 359-9171 165554 COUNTRY VIEW MANOR INC 100 CEDAR LANE SIBLEY IA 51249 (712) 754-2568 165555 ADEL ACRES 1919 GREENE STREET ADEL IA 50003 (515) 993-4511 165556 SUNNYCREST MANOR 2375 ROOSEVELT STREET DUBUQUE IA 52001 (563) 583-1781 165558 BOONE COUNTY HOSPITAL 1015 UNION STREET BOONE IA 50036 (515) 432-3140 165561 HERITAGE HOUSE 1200 BROOKRIDGE CIRCLE ATLANTIC IA 50022 (712) 243-1850 165562 MONROE CARE CENTER 120 NORTH THIRTEENTH STREET ALBIA IA 52531 (641) 932-2125 165565 HAWKEYE CARE CENTER DUBUQUE 4885 ASBURY ROAD DUBUQUE IA 52002 (563) 583-6447 165566 HIGHLAND RIDGE CARE CENTER, LLC 102 HIGHLAND CIRCLE WILLIAMSBURG IA 52361 (319) 668-3800 165567 WEST RIDGE CARE CENTER 3131 F AVENUE NW CEDAR RAPIDS IA 52405 (319) 390-3367 165568 SHADY REST CARE CENTER 701 NORTH JOHNSON STREET NW CASCADE IA 52033 (563) 852-3277 165569 WEST POINT CARE CENTER INC 607 6TH STREET PO BOX 398 WEST POINT IA 52656 (319) 837-6117 165570 CRYSTAL HEIGHTS CARE CENTER 1514 HIGH AVENUE WEST OSKALOOSA IA 52577 (641) 673-7032 165572 BURLINGTON CARE CENTER 2610 SOUTH FIFTH STREET BURLINGTON IA 52601 (319) 753-2841 165574 PRAIRIE VIEW HOME 610 EASTERN STREET SANBORN IA 51248 (712) 930-3228 165575 MANORCARE HEALTH SERVICES-UTICA RIDGE 3800 COMMERCE BLVD DAVENPORT IA 52807 (563) 344-2000 165576 OSSIAN SENIOR HOSPICE 114 FISHER STREET OSSIAN IA 52161 (563) 532-9440 165577 GREEN HILLS HEALTH CARE CENTER 2200 HAMILTON DRIVE AMES IA 50014 (515) 296-5000 165579 MAQUOKETA CARE CENTER 1202 GERMAN STREET MAQUOKETA IA 52060 (563) 652-5195 165580 URBANDALE HEALTH CARE CENTER 4614 NW 84TH STREET URBANDALE IA 50322 (515) 270-6838 165584 BETHANY HOME 1005 LINCOLN AVENUE DUBUQUE IA 52001 (563) 556-5233 165586 TIMELY MISSION NURSING HOME 109 MISSION DRIVE BUFFALO CENTER IA 50424 (641) 562-2494 165587 NORTHBROOK MANOR 6420 COUNCIL STREET NE CEDAR RAPIDS IA 52402 (319) 393-1447 165589 OSKALOOSA CARE CENTER 605 HIGHWAY 432 OSKALOOSA IA 52577 (641) 676-3414 165590 CLARENCE NURSING HOME 402 2ND AVENUE CLARENCE IA 52216 (563) 452-3262 165591 SPURGEON MANOR 1204 LINDEN STREET DALLAS CENTER IA 50063 (515) 992-3735 165592 PLEASANT MANOR CARE CENTER 413 NORTH BROADWAY STREET MOUNT PLEASANT IA 52641 (319) 385-8095 165593 SCOTTISH RITE PARK INC 2909 WOODLAND AVENUE DES MOINES IA 50312 (515) 274-4614 165594 BROOKLYN COMMUNITY ESTATES 406 NORTH STREET BROOKLYN IA 52211 (641) 522-9263 165595 AKRON CARE CENTER, INC 121 SOUTH STREET AKRON IA 51001 (712) 568-2422 165597 EDGEWATER, A WESLEYLIFE COMMUNITY 9225 CASCADE AVENUE WEST DES MOINES IA 50266 (515) 978-2400 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

165598 JEFFERSON PLACE 413 JEFFERSON STREET PELLA IA 50219 (641) 620-4250 165599 CEDAR MANOR NURSING HOME 1200 MULBERRY STREET TIPTON IA 52772 (563) 886-2133 165601 MANORCARE HEALTH SERVICES -WEST DES MOINES 5010 GRAND RIDGE DRIVE WEST DES MOINES IA 50265 (515) 222-5991 165602 SUNNY BROOK LIVING CARE CENTER 400 HIGHLAND STREET FAIRFIELD IA 52556 (641) 469-2140 165603 DENVER SUNSET HOME 235 NORTH MILL STREET DENVER IA 50622 (319) 984-5372 165604 KEYSTONE NURSING CARE CENTER INC 250 FIFTH STREET KEYSTONE IA 52249 (319) 442-3234 165605 KENNYBROOK VILLAGE 200 SW BROOKSIDE DRIVE GRIMES IA 50111 (515) 369-3900 165607 THE COTTAGES 1742 MAIN STREET PELLA IA 50219 (641) 628-1244 165609 NEWTON VILLAGE HEALTH CARE CENTER 114 N 5TH AVENUE W NEWTON IA 50208 (641) 792-0115 165610 PRAIRIE VISTA VILLAGE 2785 1ST AVENUE S ALTOONA IA 50009 (515) 967-8700 165611 WILTON RETIREMENT COMMUNITY 307 OVESEN DRIVE WILTON IA 52778 (563) 732-5067 175044 BREWSTER HEALTH CENTER 1001 SW 29TH ST TOPEKA KS 66611 (785) 267-1666 175070 MEDICALODGES PITTSBURG 2520 S ROUSE ST PITTSBURG KS 66762 (620) 231-0300 175077 LIFE CARE CENTER OF OSAWATOMIE 1615 PARKER AVE OSAWATOMIE KS 66064 (913) 755-4165 175116 SUMNER REGIONAL MEDICAL CENTER SNF 1323 N A ST WELLINGTON KS 67152 (620) 326-7451 175118 KANSAS MASONIC HOME 402 SOUTH MARTINSON WICHITA KS 67213 (316) 269-7500 175122 DELMAR GARDENS OF LENEXA 9701 MONROVIA STREET LENEXA KS 66215 (913) 492-1130 175123 TRINITY NURSING & REHABILITATION CENTER INC 9700 W 62ND STREET MERRIAM KS 66203 (913) 384-0800 175124 LAKEPOINT NURSING & REHAB CENTER OF EL DORADO 1313 S HIGH STREET EL DORADO KS 67042 (316) 321-4140 175126 VALLEY VIEW SENIOR LIFE 1417 W ASH ST JUNCTION CITY KS 66441 (785) 762-2162 175141 MEDICALODGES ATCHISON 1637 RILEY ST ATCHISON KS 66002 (913) 367-6066 175146 HUTCHINSON REGIONAL MEDICAL CENTER INC (SNU) 1701 E 23RD AVE HUTCHINSON KS 67502 (620) 665-2000 175151 LAWRENCE MEMORIAL HOSPITAL SNF 325 MAINE ST LAWRENCE KS 66044 (785) 749-6470 175154 LEXINGTON PARK NURSING & POST ACUTE CENTER 1031 FLEMING COURT TOPEKA KS 66604 (785) 440-0500 175158 GARDEN TERRACE AT OVERLAND PARK 7541 SWITZER ROAD OVERLAND PARK KS 66214 (913) 631-2273 175159 PROVIDENCE PLACE 8909 PARALLEL PKY KANSAS CITY KS 66112 (913) 596-4200 175163 SOUTHWEST MEDICAL CENTER SNF 315 W 15TH STREET LIBERAL KS 67905 (620) 629-6291 175165 ROLLING HILLS HEALTH CENTER 2400 SW URISH RD TOPEKA KS 66614 (785) 273-5001 175169 COFFEYVILLE REGIONAL MEDICAL CENTER SNF 1400 W 4TH STREET, PO BOX 850 COFFEYVILLE KS 67337 (620) 252-1100 175171 MCCRITE PLAZA HEALTH CENTER 1610 SW 37TH ST TOPEKA KS 66611 (785) 267-2960 175172 MANORCARE HEALTH SERVICES - TOPEKA 2515 SW WANAMAKER ROAD TOPEKA KS 66614 (785) 271-6808 175173 HOLIDAY RESORT 2700 W 30TH ST EMPORIA KS 66801 (620) 343-9285 175174 MEADOWLARK HILLS 2121 MEADOWLARK RD MANHATTAN KS 66502 (785) 537-4610 175176 INDIAN CREEK HEALTHCARE CENTER 6515 W 103RD ST OVERLAND PARK KS 66212 (913) 642-5545 175181 LARKSFIELD PLACE 2828 N. GOVERNEOUR WICHITA KS 67226 (316) 636-1111 175183 VILLA ST JOSEPH 11901 ROSEWOOD OVERLAND PARK KS 66209 (913) 345-1745 175184 PINNACLE PARK NURSING & REHAB CENTER 2936 GEORGIA AVENUE SALINA KS 67401 (785) 825-6954 175187 OVERLAND PARK NURSING & REHAB CENTER INC 6501 W 75TH ST OVERLAND PARK KS 66204 (913) 383-9866 175189 THE FORUM AT OVERLAND PARK 3501 W 95TH ST OVERLAND PARK KS 66206 (913) 648-4980 175191 STONEYBROOK RETIREMENT COMMUNITY 2025 LITTLE KITTEN AVE MANHATTAN KS 66503 (785) 776-0065 175200 KENWOOD VIEW HEALTH AND REHABILITATION CENTER 900 ELMHURST BLVD SALINA KS 67401 (785) 825-5471 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

175201 GOLDEN LIVINGCENTER - DOWNS 1218 KANSAS STREET DOWNS KS 67437 (785) 454-3321 175210 GOOD SAMARITAN SOCIETY - PARSONS 709 LEAWOOD AVENUE PARSONS KS 67357 (620) 421-1110 175214 DIVERSICARE OF CHANUTE 530 W 14TH STREET CHANUTE KS 66720 (620) 431-4940 175216 WATHENA HEALTHCARE & REHABILITATION CENTER 2112 HIGHWAY 36 WATHENA KS 66090 (785) 989-3141 175219 GOLDEN LIVINGCENTER - KAW RIVER 750 BLAKE STREET EDWARDSVILLE KS 66111 (913) 422-5832 175223 GOLDEN LIVINGCENTER - CHASE COUNTY 612 WALNUT, PO BOX 589 COTTONWOOD FALLS KS 66845 (620) 273-6360 175224 MORAN MANOR 3940 US HWY 54 MORAN KS 66755 (620) 237-4300 175226 WINDSOR PLACE AT IOLA LLC 600 E GARFIELD ST IOLA KS 66749 (620) 365-3183 175232 PLEASANT VALLEY MANOR 623 E ELM PO BOX 40 SEDAN KS 67361 (620) 725-3153 175233 GALENA NURSING & REHAB CENTER 1220 E 8TH STREET GALENA KS 66739 (620) 783-1383 175235 DIVERSICARE OF LARNED 1114 W 11TH STREET LARNED KS 67550 (620) 285-6914 175237 MEDICALODGES COFFEYVILLE 720 W 1ST ST COFFEYVILLE KS 67337 (620) 251-3705 175239 DIVERSICARE OF COUNCIL GROVE 400 SUNSET DRIVE COUNCIL GROVE KS 66846 (620) 767-5172 175240 PROMISE SKILLED NURSING FACILITY OF OVERLAND PARK, 6505 W 103RD STREET OVERLAND PARK KS 66212 (913) 649-5110 175241 SABETHA MANOR 1441 OREGON ST SABETHA KS 66534 (785) 284-3411 175242 LAKEVIEW VILLAGE 13840 W 91ST TERRACE LENEXA KS 66215 (913) 888-1900 175243 MEDICALODGES GARDNER 223 BEDFORD ST GARDNER KS 66030 (913) 856-6520 175244 MEMORIAL HOSPITAL LTCU (VILLAGE MANOR) 705 N BRADY ST ABILENE KS 67410 (785) 263-1431 175245 GOLDEN LIVINGCENTER - EDWARDSVILLE 751 BLAKE STREET EDWARDSVILLE KS 66111 (913) 441-1900 175248 KENSINGTON OPERATOR, LLC 613 N MAIN KENSINGTON KS 66951 (785) 476-2623 175254 DIVERSICARE OF SEDGWICK 712 N MONROE AVENUE, BOX 49 SEDGWICK KS 67135 (316) 772-5185 175255 PLAZA WEST REGIONAL HEALTH CENTER 1570 SW WESTPORT DR TOPEKA KS 66604 (785) 271-6700 175256 OSAGE NURSING & REHABILITATION CENTER 1017 MAIN ST OSAGE CITY KS 66523 (785) 528-3138 175257 SHARON LANE HEALTH SERVICES 10315 JOHNSON DR SHAWNEE KS 66203 (913) 631-8200 175258 MEDICALODGES FORT SCOTT 915 S HORTON PO BOX 510 FORT SCOTT KS 66701 (620) 223-0210 175264 MEDICALODGES COLUMBUS 101 LEE AVE COLUMBUS KS 66725 (620) 429-2134 175272 GOLDEN LIVINGCENTER - WAKEFIELD 509 GROVE STREET WAKEFIELD KS 67487 (785) 461-5417 175275 MEDICALODGES KINSLEY 620 WINCHESTER AVE KINSLEY KS 67547 (620) 659-2156 175276 NORTH POINT SKILLED NURSING CENTER 908 N PEARL ST PAOLA KS 66071 (913) 294-4308 175277 BRANDON WOODS AT ALVAMAR 1501 INVERNESS DRIVE LAWRENCE KS 66047 (785) 838-8000 175287 EUREKA NURSING CENTER 1020 N SCHOOL STREET EUREKA KS 67045 (620) 583-7418 175290 WINDSOR PLACE LLC 2921 W 1ST STREET COFFEYVILLE KS 67337 (620) 251-5190 175292 MEDICALODGES DOUGLASS 619 S HIGHWAY 77 DOUGLASS KS 67039 (316) 747-2157 175294 MEDICALODGES GODDARD 501 EASY ST GODDARD KS 67052 (316) 794-8635 175295 SMITH CENTER OPERATOR, LLC 117 W 1ST STREET #369 SMITH CENTER KS 66967 (785) 282-6696 175297 TOPEKA PRESBYTERIAN MANOR 4712 SW 6TH AVE TOPEKA KS 66606 (785) 272-6510 175298 BIG BLUE HEALTHCARE, INC 7850 FREEMAN AVENUE KANSAS CITY KS 66112 (913) 334-3666 175299 STERLING PRESBYTERIAN MANOR 204 W WASHINGTON ST STERLING KS 67579 (620) 278-3651 175300 SALINA PRESBYTERIAN MANOR 2601 E CRAWFORD ST SALINA KS 67401 (785) 825-1366 175301 WICHITA PRESBYTERIAN MANOR 4700 W 13TH ST N WICHITA KS 67212 (316) 942-7456 175302 NEWTON PRESBYTERIAN MANOR 1200 E 7TH ST NEWTON KS 67114 (316) 283-5400 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

175303 PARSONS PRESBYTERIAN MANOR 3501 DIRR AVE PARSONS KS 67357 (620) 421-1450 175304 EMPORIA PRESBYTERIAN MANOR 2300 INDUSTRIAL ROAD EMPORIA KS 66801 (620) 343-2613 175305 LAWRENCE PRESBYTERIAN MANOR 1429 KASOLD DR LAWRENCE KS 66049 (785) 841-4262 175306 MANOR OF THE PLAINS 200 CAMPUS DR DODGE CITY KS 67801 (620) 225-1928 175309 ARKANSAS CITY PRESBYTERIAN MANOR 1711 N 4TH STREET ARKANSAS CITY KS 67005 (620) 442-8700 175310 CLAY CENTER PRESBYTERIAN MANOR 924 8TH STREET CLAY CENTER KS 67432 (785) 632-5646 175313 MEDICALODGES ARKANSAS CITY 203 E OSAGE AVE ARKANSAS CITY KS 67005 (620) 442-9300 175322 GOOD SAMARITAN SOCIETY - HAYS 2700 CANAL BLVD HAYS KS 67601 (785) 625-7331 175323 VILLAGE VILLA PO BOX 346 NORTONVILLE KS 66060 (913) 886-6400 175327 WINFIELD SENIOR LIVING COMMUNITY 1320 WHEAT RD WINFIELD KS 67156 (620) 221-4660 175328 GOOD SAMARITAN SOCIETY - ELLIS 1101 SPRUCE STREET ELLIS KS 67637 (785) 726-3101 175335 CHERRYVALE NURSING AND REHABILITATION CENTER 1001 W MAIN STREET, PO BOX 366 CHERRYVALE KS 67335 (620) 336-2102 175336 GOOD SAMARITAN SOCIETY - LYONS 1311 S DOUGLAS AVENUE LYONS KS 67554 (620) 257-5163 175337 GOLDEN LIVINGCENTER - WELLINGTON 102 W BOTKIN STREET WELLINGTON KS 67152 (620) 326-7437 175340 ALDERSGATE VILLAGE 3220 SW ALBRIGHT DRIVE TOPEKA KS 66614 (785) 478-9440 175343 CLARIDGE COURT 8101 MISSION ROAD PRAIRIE VILLAGE KS 66208 (913) 383-2085 175354 WOODHAVEN CARE CENTER 510 W 7TH ST ELLINWOOD KS 67526 (620) 564-2337 175355 EVERGREEN COMMUNITY OF JOHNSON COUNTY 11875 S SUNSET DRIVE, SUITE 100 OLATHE KS 66061 (913) 477-8227 175356 GOOD SAMARITAN SOCIETY - DECATUR COUNTY 108 E ASH STREET OBERLIN KS 67749 (785) 475-2245 175359 GOOD SAMARITAN SOCIETY - VALLEY VISTA 2011 GRANDVIEW DRIVE WAMEGO KS 66547 (785) 456-9482 175366 GOOD SAMARITAN SOCIETY - ATWOOD 650 LAKE ROAD #216 ATWOOD KS 67730 (785) 626-9015 175373 LIFE CARE CENTER OF BURLINGTON 601 CROSS ST BURLINGTON KS 66839 (620) 364-2117 175374 EASTRIDGE 604 1ST STREET CENTRALIA KS 66415 (785) 857-3388 175376 APOSTOLIC CHRISTIAN HOME 511 PARAMOUNT STREET SABETHA KS 66534 (785) 284-3471 175379 MENNONITE FRIENDSHIP COMMUNITIES INC 600 W BLANCHARD AVE SOUTH HUTCHINSON KS 67505 (620) 663-7175 175380 THE CEDARS 1021 CEDARS DRIVE MCPHERSON KS 67460 (620) 241-0919 175383 WESLEY TOWERS INC 700 MONTEREY PL HUTCHINSON KS 67502 (620) 663-9175 175385 ASBURY PARK 200 SW 14TH NEWTON KS 67114 (316) 283-4770 175386 SCHOWALTER VILLA 200 W CEDAR PO BOX 5000 HESSTON KS 67062 (620) 327-0400 175387 PARKSIDE HOMES 200 WILLOW RD HILLSBORO KS 67063 (620) 947-2301 175396 CHETOPA MANOR 814 WALNUT STREET, PO BOX 167 CHETOPA KS 67336 (620) 236-7248 175397 ROSSVILLE HEALTHCARE & REHAB CENTER 600 PERRY ROSSVILLE KS 66533 (785) 584-6104 175399 CHENEY GOLDEN AGE HOME 724 N MAIN PO BOX 370 CHENEY KS 67025 (316) 540-3691 175402 BETHEL HEALTH CARE CENTRE 3000 IVY DR NORTH NEWTON KS 67117 (316) 284-2900 175403 BETHESDA HOME 408 E MAIN PO BOX 37 GOESSEL KS 67053 (620) 367-2291 175405 RAY E DILLON LIVING CENTER 1901 E 23RD AVE HUTCHINSON KS 67502 (316) 665-2170 175406 PLEASANT VIEW HOME 108 N WALNUT PO BOX 249 INMAN KS 67546 (620) 585-6411 175409 PARKVIEW CARE CENTER 811 N 1ST ST OSBORNE KS 67473 (785) 346-2114 175412 HIGHLAND HEALTHCARE & REHAB CTR 402 SOUTH AVENUE PO BOX 117 HIGHLAND KS 66035 (785) 442-3217 175413 MEDICALODGES PAOLA 501 ASSEMBLY LANE PAOLA KS 66071 (913) 294-3345 175414 PINE VILLAGE 86 TWENTY-SECOND AVE MOUNDRIDGE KS 67107 (620) 345-2901 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

175415 ELMHAVEN EAST 1400 S 15TH STREET PARSONS KS 67357 (620) 421-1430 175417 FRANKFORT COMMUNITY CARE HOME 510 N WALNUT STREET FRANKFORT KS 66427 (785) 292-4442 175419 LINCOLN PARK MANOR INC 922 N 5TH ST LINCOLN KS 67455 (785) 524-4428 175423 HOLIDAY RESORT OF SALINA 2825 RESORT DR SALINA KS 67401 (785) 825-2201 175424 LAKEPOINT NURSING CENTER 901 LAKEPOINT DRIVE AUGUSTA KS 67010 (316) 775-6333 175425 GOLDEN LIVINGCENTER - SPRINGHILL 251 E WILSON AVENUE SPRING HILL KS 66083 (913) 592-3100 175426 CRESTVIEW NURSING & RESIDENTIAL LIVING 808 N 8TH STREET SENECA KS 66538 (785) 336-2156 175429 THE HOMESTEAD HEALTH & REHAB CENTER 2308 N 3RD PO BOX 955 GARDEN CITY KS 67846 (620) 276-7643 175433 PARKVIEW HEIGHTS 101 N PINE STREET GARNETT KS 66032 (785) 448-2434 175434 OSWEGO OPERATOR, LLC 1104 OHIO STREET OSWEGO KS 67356 (620) 795-4429 175435 MEDICALODGES JACKSON COUNTY 1121 W 7TH ST HOLTON KS 66436 (785) 364-3164 175439 LIFE CARE CENTER OF SENECA 512 COMMUNITY DR SENECA KS 66538 (785) 336-3528 175440 MEDICALODGES GIRARD 511 N WESTERN AVE GIRARD KS 66743 (620) 724-8288 175441 VILLAGE SHALOM INC 5500 WEST 123RD ST OVERLAND PARK KS 66209 (913) 317-2600 175444 RICHMOND HEALTHCARE & REHAB CENTER 340 E SOUTH STREET RICHMOND KS 66080 (785) 835-6135 175445 PIONEER RIDGE RETIREMENT COMMUNITY 4851 HARVARD LAWRENCE KS 66049 (785) 749-2000 175446 HALSTEAD HEALTH AND REHABILITATION CENTER 915 MCNAIR HALSTEAD KS 67056 (316) 835-3535 175448 ABERDEEN VILLAGE 17500 W 119TH STREET OLATHE KS 66061 (913) 599-6100 175450 ML-OP OXFORD, LLC 200 S OHIO OXFORD KS 67119 (620) 455-2214 175451 WHEAT STATE MANOR 601 S MAIN ST WHITEWATER KS 67154 (316) 799-2181 175454 CLEARWATER NURSING & REHABILITATION CENTER 620 E WOOD STREET CLEARWATER KS 67026 (620) 584-2271 175455 GOLDEN LIVINGCENTER - ESKRIDGE 505 N. MAIN STREET ESKRIDGE KS 66423 (785) 449-2294 175459 WHEATRIDGE PARK CARE CENTER 1501 S HOLLY DR LIBERAL KS 67901 (620) 624-0130 175466 LAKEPOINT RETIREMENT & REHAB CENTER OF WICHITA 1315 N WEST STREET WICHITA KS 67203 (316) 943-1295 175468 PRAIRIE MISSION RETIREMENT VILLAGE 242 CARROLL ST SAINT PAUL KS 66771 (620) 449-2400 175470 QUAKER HILL MANOR 8675 SE 72ND TERRACE BAXTER SPRINGS KS 66713 (620) 848-3797 175471 WESTY COMMUNITY CARE HOME 105 N HIGHWAY 99 WESTMORELAND KS 66549 (785) 457-2801 175472 HILLSIDE VILLAGE OF DE SOTO 33600 WEST 85TH STREET DE SOTO KS 66018 (913) 583-1266 175473 THE NICOL HOME 303 E BUFFALO ST GLASCO KS 67445 (785) 568-2251 175474 CHAPMAN VALLEY MANOR PO BOX 219 1009 N MARSHALL CHAPMAN KS 67431 (785) 922-6525 175477 LEONARDVILLE NURSING HOME 409 W BARTON LEONARDVILLE KS 66449 (785) 293-5244 175478 BROOKDALE ROSEHILL 12802 JOHNSON DRIVE SHAWNEE KS 66216 (913) 962-7600 175481 MOUNT HOPE NURSING CENTER 704 E MAIN ST MOUNT HOPE KS 67108 (316) 667-2431 175484 SALEM HOME 704 S ASH HILLSBORO KS 67063 (620) 947-1429 175487 HOMESTEAD HEALTH CENTER 2133 S ELIZABETH ST WICHITA KS 67213 (316) 262-4473 175490 LEGACY AT HERINGTON 2 E ASH ST HERINGTON KS 67449 (785) 258-2283 175494 LINN COMMUNITY NURSING HOME 612 THIRD ST LINN KS 66953 (785) 348-5551 175496 PRATT REHABILITATION AND RESIDENCE CENTER 227 SOUTH HOWARD STREET PRATT KS 67124 (620) 672-3424 175497 RIVERVIEW ESTATES 202 S WASHINGTON ST MARQUETTE KS 67464 (785) 546-2211 175499 BRIGHTON GARDENS OF PRAIRIE VILLAGE 7105 MISSION ROAD PRAIRIE VILLAGE KS 66208 (913) 262-1611 175500 HILL TOP HOUSE 505 W ELM PO BOX 248 BUCKLIN KS 67834 (620) 826-3202 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

175501 FAMILY HEALTH & REHABILITATION CENTER 639 S MAIZE COURT WICHITA KS 67209 (316) 425-5600 175502 MEDICALODGES EUDORA 1415 MAPLE EUDORA KS 66025 (785) 542-2176 175503 THE PLAZA HEALTH SERVICES AT SANTA MARTA 13875 W 115TH TERRACE OLATHE KS 66062 (913) 906-0990 175505 MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU 400 W 8TH ST BELOIT KS 67420 (785) 738-9590 175506 ANDBE HOME, INC 201 W CRANE STREET NORTON KS 67654 (785) 877-2601 175507 BETHANY HOME ASSOCIATION 321 N CHESTNUT STREET LINDSBORG KS 67456 (785) 227-2334 175508 MAPLE HEIGHTS NURSING & REHABILITATION CENTER RR 2 E IOWA ST HIAWATHA KS 66434 (785) 742-7465 175509 SANDSTONE HEIGHTS 440 STATE ST BOX 50A LITTLE RIVER KS 67457 (620) 897-6266 175513 KANSAS SOLDIERS HOME 200 CUSTER FORT DODGE KS 67801 (620) 227-2121 175514 DERBY HEALTH & REHABILITATION, LLC 731 KLEIN CIRCLE DERBY KS 67037 (316) 719-2400 175516 KANSAS VETERANS HOME 1220 WORLD WAR II MEMORIAL DR WINFIELD KS 67156 (620) 221-9479 175517 BROOKDALE OVERLAND PARK 12000 LAMAR OVERLAND PARK KS 66209 (913) 663-2888 175518 REPUBLIC COUNTY HOSPITAL LTCU 2420 G STREET BELLEVILLE KS 66935 (785) 527-2254 175521 THE WHEATLANDS HEALTH CARE CENTER 750 W WASHINGTON ST KINGMAN KS 67068 (620) 532-5801 175525 PARK LANE NURSING HOME 210 E PARK LANE SCOTT CITY KS 67871 (620) 872-5871 175526 FOWLER RESIDENTIAL CARE 401 E 6TH, PO BOX 20 FOWLER KS 67844 (620) 646-5215 175527 REGENT PARK REHABILITATION AND HEALTHCARE 10604 EAST 13TH ST WICHITA KS 67206 (316) 337-5450 175528 BETHEL HOME 300 S AZTEC ST MONTEZUMA KS 67867 (620) 846-2241 175529 LEISURE HOMESTEAD AT ST JOHN 402 N SANTA FE AVE ST JOHN KS 67576 (620) 549-3541 175530 LEISURE HOMESTEAD AT STAFFORD 405 GRAND AVE STAFFORD KS 67578 (620) 234-5208 175531 ATCHISON SENIOR VILLAGE 1419 N 6TH STREET ATCHISON KS 66002 (913) 367-1905 175533 TWIN OAKS HEALTH AND REHAB 757 W EISENHOWER RD LANSING KS 66043 (913) 534-8336 175534 CARITAS CENTER, INC 1400 S SHERIDEN ST WICHITA KS 67213 (316) 942-2201 175537 HAYS MEDICAL CENTER LTCU 2220 SW CANTERBURY DRIVE HAYS KS 67601 (785) 623-5000 175539 VIA CHRISTI VILLAGE RIDGE 3636 NORTH RIDGE RD BLDG 400 WICHITA KS 67205 (316) 462-7502 175540 NOTTINGHAM HEALTH AND REHABILITATION 14200 W 134TH PLACE OLATHE KS 66062 (913) 322-3111 175541 TALLGRASS CREEK, INC 13760 METCALF AVENUE OVERLAND PARK KS 66223 (913) 945-2350 175542 ADVANCED HEALTH CARE OF OVERLAND PARK 4700 INDIAN CREEK PARKWAY OVERLAND PARK KS 66207 (913) 890-8400 175543 VIA CHRISTI VILLAGE MCLEAN, INC 777 N MCLEAN BLVD WICHITA KS 67203 (316) 942-7000 185006 MORGANTOWN CARE & REHABILITATION CENTER 201 SOUTH WARREN STREET MORGANTOWN KY 42261 (270) 526-3368 185008 OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL LTC 440 HOPKINSVILLE STREET GREENVILLE KY 42345 (270) 338-8433 185012 HILLSIDE CENTER 1500 PRIDE AVENUE MADISONVILLE KY 42431 (270) 821-1813 185029 CHRISTIAN HEALTH CENTER 920 SOUTH FOURTH STREET LOUISVILLE KY 40203 (502) 583-6533 185042 THE GRANDVIEW NURSING & REHABILITATION FACILITY 640 WATER TOWER BYPASS CAMPBELLSVILLE KY 42719 (270) 465-4321 185048 COLONIAL CENTER 2365 NASHVILLE ROAD BOWLING GREEN KY 42101 (270) 842-1641 185052 SIGNATURE HEALTHCARE AT SUMMIT MANOR REHAB & WELLN 400 BOMAR HEIGHTS COLUMBIA KY 42728 (270) 384-2153 185061 KENWOOD HEALTH AND REHABILITATION CENTER 130 MEADOWLARK DRIVE RICHMOND KY 40475 (859) 623-9472 185069 MAYFAIR MANOR 3300 TATES CREEK ROAD LEXINGTON KY 40502 (859) 266-2126 185096 GEORGETOWN MANOR 900 GAGEL AVENUE LOUISVILLE KY 40216 (502) 368-5827 185103 THE TERRACE NURSING & REHABILITATION CENTER 1043 BROOKLYN BOULEVARD BEREA KY 40403 (859) 228-0551 185118 SIGNATURE HEALTHCARE OF ELIZABETHTOWN 1117 WOODLAND DRIVE ELIZABETHTOWN KY 42701 (270) 769-2363 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

185120 SIGNATURE HEALTHCARE AT HILLCREST 3740 OLD HARTFORD RD OWENSBORO KY 42303 (270) 684-7259 185125 HILLCREST HEALTH & REHABILITATION CENTER 1245 AMERICAN GREETING ROAD CORBIN KY 40701 (606) 528-8917 185127 DANVILLE CENTRE FOR HEALTH AND REHABILITATION 642 NORTH THIRD STREET DANVILLE KY 40422 (859) 236-3972 185131 THE JORDAN CENTER 270 E CLAYTON LANE LOUISA KY 41230 (606) 638-4586 185132 FRANCISCAN HEALTH CARE CENTER 3625 FERN VALLEY ROAD LOUISVILLE KY 40219 (502) 964-3381 185137 WESTMINSTER TERRACE 2116 BUECHEL BANK ROAD LOUISVILLE KY 40218 (502) 499-9383 185138 NAZARETH HOME 2000 NEWBURG ROAD LOUISVILLE KY 40205 (502) 459-9681 185141 SIGNATURE HEALTHCARE OF GEORGETOWN 102 POCAHONTAS TRAIL GEORGETOWN KY 40324 (502) 863-3696 185145 CEDAR RIDGE HEALTH CAMPUS 1217 US HIGHWAY 62 E CYNTHIANA KY 41031 (859) 234-2702 185147 CHRISTIAN HEALTH CENTER 200 STERLING DRIVE HOPKINSVILLE KY 42240 (270) 885-1166 185148 WILLIAMSBURG HEALTH AND REHABILITATION CENTER 287 N ELEVENTH STREET WILLIAMSBURG KY 40769 (606) 549-4321 185149 BARDSTOWN HEALTHCARE AND REHABILITATION CENTER 120 LIFE CARE WAY BARDSTOWN KY 40004 (502) 348-4220 185150 KNOTT COUNTY HEALTH & REHABILITATION CENTER 388 PERKINS MADDEN ROAD HINDMAN KY 41822 (606) 785-5011 185151 RIVERVIEW HEALTH CARE CENTER 79 SPARROW LANE PRESTONSBURG KY 41653 (606) 886-9178 185154 HOME OF THE INNOCENTS 1100 EAST MARKET STREET LOUISVILLE KY 40206 (502) 596-1000 185157 ROCKCASTLE REGIONAL HOSPITAL AND RESPIRATORY CARE 145 NEWCOMB AVENUE MOUNT VERNON KY 40456 (606) 256-2195 185159 GOLDEN LIVINGCENTER - FRANKFORT 117 OLD SOLDIERS LANE FRANKFORT KY 40601 (502) 875-7272 185160 LEXINGTON COUNTRY PLACE 700 MASON HEADLEY ROAD LEXINGTON KY 40504 (859) 276-1083 185164 BARBOURVILLE HEALTH AND REHABILITATION CENTER 65 MINTON HICKORY FARM ROAD BARBOURVILLE KY 40906 (606) 546-5136 185168 SIGNATURE HEALTHCARE OF MONROE COUNTY REHAB & WELL 706 NORTH MAGNOLIA STREET TOMPKINSVILLE KY 42167 (270) 487-6135 185169 SIGNATURE HEALTHCARE AT JEFFERSON MANOR REHAB & WE 1801 LYNN WAY LOUISVILLE KY 40222 (502) 426-4513 185172 WILLIAMSON ARH 260 HOSPITAL DRIVE SOUTH WILLIAMSON KY 41503 (606) 237-1725 185175 TREYTON OAK TOWERS 211 WEST OAK STREET LOUISVILLE KY 40203 (502) 589-3211 185178 PROVIDENCE LOUISVILLE EAST POST ACUTE 4200 BROWNS LANE LOUISVILLE KY 40220 (502) 459-8900 185182 PINEVILLE COMMUNITY HOSPITAL 850 RIVERVIEW AVENUE PINEVILLE KY 40977 (606) 337-3051 185183 HELMWOOD HEALTHCARE CENTER 106 DIECKS DRIVE ELIZABETHTOWN KY 42701 (270) 737-2738 185187 GREENWOOD NURSING & REHABILITATION CENTER 5079 SCOTTSVILLE RD. BOWLING GREEN KY 42104 (270) 782-1125 185190 BAPTIST HEALTH LA GRANGE 1025 NEW MOODY LANE LA GRANGE KY 40031 (502) 222-5388 185193 HYDEN HEALTH & REHABILITATION CENTER 21040 US HWY 421 SOUTH HYDEN KY 41749 (606) 672-2940 185194 THE FORUM AT BROOKSIDE 200 BROOKSIDE DRIVE LOUISVILLE KY 40243 (502) 245-3048 185197 NORTHPOINT/LEXINGTON HEALTHCARE CENTER 1500 TRENT BOULEVARD LEXINGTON KY 40515 (859) 272-2273 185200 LETCHER MANOR 73 PIEDMONT DRIVE WHITESBURG KY 41858 (606) 633-1434 185201 SIGNATURE HEALTHCARE AT TANBARK REHAB & WELLNESS C 1121 TANBARK ROAD LEXINGTON KY 40515 (859) 273-7377 185208 CARMEL MANOR 100 CARMEL MANOR ROAD FORT THOMAS KY 41075 (859) 781-5111 185209 RIVERSIDE CARE & REHABILITATION CENTER 190 EAST HWY. 136 CALHOUN KY 42327 (270) 273-3783 185210 THE WILLOWS AT HARRODSBURG 464 LINDEN AVENUE HARRODSBURG KY 40330 (859) 734-2953 185211 SIGNATURE HEALTHCARE OF MCCREARY COUNTY REHAB & WE 58 CAL HILL ROAD PINE KNOT KY 42635 (606) 354-3155 185213 WOLFE COUNTY HEALTH & REHABILITATION CENTER 850 HWY 191 CAMPTON KY 41301 (606) 668-3216 185215 PROVIDENCE PINE MEADOWS 1608 HILL RISE DRIVE LEXINGTON KY 40504 (859) 254-2402 185217 METCALFE HEALTH CARE CENTER 701 SKYLINE DRIVE EDMONTON KY 42129 (270) 432-2921 185218 SOMERSET NURSING AND REHABILITATION FACILITY 106 GOVER STREET SOMERSET KY 42502 (606) 679-8331 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

185222 GOOD SHEPHERD COMMUNITY NURSING CENTER 60 PHILLIPS BRANCH ROAD PHELPS KY 41553 (606) 456-8725 185225 ROSEDALE GREEN 4250 GLENN AVENUE COVINGTON KY 41015 (859) 431-2244 185226 CARMEL HOME 2501 OLD HARTFORD RD. OWENSBORO KY 42303 (270) 683-0227 185227 SUPERIOR CARE HOME 100 MARSHALL COURT PADUCAH KY 42001 (270) 442-6884 185228 WESTERN STATE NURSING FACILITY 2400 RUSSELLVILLE ROAD HOPKINSVILLE KY 42240 (270) 889-6025 185229 DIVERSICARE OF GLASGOW 300 WESTWOOD STREET GLASGOW KY 42141 (270) 651-9131 185232 CHRISTIAN HEALTH CENTER 116 SOUTH COMMONWEALTH AVENUE CORBIN KY 40701 (606) 258-2500 185237 SIGNATURE HEALTHCARE OF CHEROKEE PARK 2100 MILLVALE ROAD LOUISVILLE KY 40205 (502) 451-0990 185240 MIDDLESBORO NURSING AND REHABILITATION FACILITY 235 NEW WILSON LANE MIDDLESBORO KY 40965 (606) 248-0925 185241 MADONNA MANOR 2344 AMSTERDAM ROAD VILLA HILLS KY 41017 (859) 341-3981 185242 WINDSOR CARE CENTER 125 STERLING WAY MOUNT STERLING KY 40353 (859) 498-3343 185248 SAYRE CHRISTIAN VILLAGE NURSING HOME 3775 BELLEAU WOOD DRIVE LEXINGTON KY 40517 (859) 271-9000 185250 OAKMONT MANOR 1100 GRANDVIEW DRIVE FLATWOODS KY 41139 (606) 836-3187 185253 CARTER NURSING & REHABILITATION CENTER 250 MCDAVID BLVD GRAYSON KY 41143 (606) 474-7835 185258 LAKE WAY NURSING AND REHABILITATION CENTER 2607 MAIN STREET HWY 641 SOUTH BENTON KY 42025 (270) 527-3296 185259 RIVERS EDGE NURSING AND REHABILITATION CENTER 6301 BASS ROAD PROSPECT KY 40059 (502) 228-8359 185260 LITTLE SISTERS OF THE POOR 15 AUDUBON PLAZA DRIVE LOUISVILLE KY 40217 (502) 636-2300 185262 MADISON HEALTH AND REHABILITATION CENTER 131 MEADOWLARK DRIVE RICHMOND KY 40475 (859) 623-3564 185263 DAWSON SPRINGS HEALTH AND REHABILITATION CENTER 213 WATER STREET DAWSON SPRINGS KY 42408 (270) 797-2025 185271 GLENVIEW HEALTH CARE FACILITY 1002 GLENVIEW DR. GLASGOW KY 42141 (270) 651-8332 185273 OWSLEY COUNTY HEALTH CARE CENTER, INC HIGHWAY 11, 20 COUNTRY BARN ROAD BOONEVILLE KY 41314 (606) 593-6302 185274 WEST LIBERTY NURSING & REHABILITATION CENTER 774 LIBERTY ROAD WEST LIBERTY KY 41472 (606) 743-3846 185276 LORETTO MOTHERHOUSE INFIRMARY 515 NERINX ROAD NERINX KY 40049 (270) 865-5811 185282 SOUTH SHORE NURSING & REHABILITATION CENTER JAMES E. HANNAH DRIVE SOUTH SHORE KY 41175 (606) 932-3127 185285 BRECKINRIDGE MEMORIAL NURSING FACILITY 1011 OLD HIGHWAY 60 HARDINSBURG KY 40143 (270) 756-7000 185286 FAIR OAKS HEALTH SYSTEMS, LLC 1 SPARKS AVENUE JAMESTOWN KY 42629 (270) 343-2101 185288 ESSEX NURSING AND REHABILITATION CENTER 9600 LAMBORNE BOULEVARD LOUISVILLE KY 40272 (502) 935-7284 185291 REDBANKS COLONIAL TERRACE 142 ROGER POWELL RD SEBREE KY 42455 (270) 835-2533 185294 KINDRED NURSING AND REHABILITATION-MAPLE 515 GREENE DRIVE GREENVILLE KY 42345 (270) 338-5400 185297 SANSBURY CARE CENTER 2625 BARDSTOWN ROAD SAINT CATHARINE KY 40061 (859) 336-3974 185298 HICKS GOLDEN YEARS NURSING HOME 1901 WEST HIGHWAY 90 BYPASS MONTICELLO KY 42633 (606) 348-6034 185306 RIDGEWOOD TERRACE NURSING HOME 425 ISLAND FORD ROAD MADISONVILLE KY 42431 (270) 825-0166 185310 EPISCOPAL CHURCH HOME 7504 WESTPORT ROAD LOUISVILLE KY 40222 (502) 736-7800 185315 CLINTON COUNTY CARE & REHABILITATION CENTER 404 NORTH WASHINGTON STREET ALBANY KY 42602 (606) 387-6623 185317 DIVERSICARE OF GREENVILLE 521 GREENE DR. GREENVILLE KY 42345 (270) 338-1523 185318 CHRISTIAN CARE CENTER OF KUTTAWA, LLC 1253 LAKE BARKLEY DRIVE KUTTAWA KY 42055 (270) 388-2291 185322 ROSE MANOR HEALTH CARE 3057 NORTH CLEVELAND ROAD LEXINGTON KY 40516 (859) 299-4117 185325 CAL TURNER REHAB AND SPECIALTY CARE 456 BURNLEY RD. SCOTTSVILLE KY 42164 (270) 622-2800 185326 CLINTON-HICKMAN COUNTY NURSING FACILITY 366 S. WASHINGTON ST. CLINTON KY 42031 (270) 653-2461 185327 SIGNATURE HEALTHCARE OF SPENCER COUNTY 625 TAYLORSVILLE RD TAYLORSVILLE KY 40071 (502) 477-8838 185328 ST ELIZABETH FT THOMAS SNF 85 NORTH GRAND AVENUE FORT THOMAS KY 41075 (859) 572-3530 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

185329 MORGANFIELD NURSING & REHABILITATION CENTER 509 NORTH CARRIER ST. MORGANFIELD KY 42437 (270) 389-3513 185330 CAMPBELLSVILLE NURSING AND REHABILITATION CENTER 1980 OLD GREENSBURG ROAD CAMPBELLSVILLE KY 42718 (270) 465-3506 185332 GRAND HAVEN NURSING HOME 105 RODGERS PARK CYNTHIANA KY 41031 (859) 234-2050 185334 BEAVER DAM NURSING & REHAB CENTER, INC 1595 US HWY 231 S. BEAVER DAM KY 42320 (270) 274-9646 185335 SIGNATURE HEALTHCARE OF SOUTH LOUISVILLE 1120 CRISTLAND ROAD LOUISVILLE KY 40214 (502) 367-0104 185339 IRVINE NURSING AND REHABILITATION CENTER 411 BERTHA WALLACE DRIVE IRVINE KY 40336 (606) 723-5153 185340 SIGNATURE HEALTHCARE OF GLASGOW REHAB & WELLNESS C 220 WESTWOOD ST. GLASGOW KY 42141 (270) 651-3499 185341 GREEN ACRES HEALTH CARE 402 W. FARTHING STREET MAYFIELD KY 42066 (270) 247-6477 185344 BRACKEN COUNTY NURSING & REHABILITATION CENTER 5269 ASBURY ROAD AUGUSTA KY 41002 (606) 756-2156 185346 HERMITAGE CARE AND REHABILITATION CENTER 1614 PARRISH AVE, WEST OWENSBORO KY 42301 (270) 684-4559 185349 SIGNATURE HEALTHCARE AT JEFFERSON PLACE REHAB & WE 1705 HERR LANE LOUISVILLE KY 40222 (502) 426-5600 185355 RIVER VALLEY NURSING HOME 305 TAYLOR STREET #402 BUTLER KY 41006 (859) 472-2217 185358 SIGNATURE HEALTHCARE OF TRIMBLE COUNTY 50 SHEPHERD LANE BEDFORD KY 40006 (502) 255-3244 185359 ROBERTSON COUNTY HEALTH CARE FACILITY 1030 KENTONTOWN ROAD, P O BOX 170 MOUNT OLIVET KY 41064 (606) 724-5020 185360 PROVIDENCE GALLATIN 499 CENTER STREET WARSAW KY 41095 (859) 567-4548 185361 KINDRED HOSPITAL - LOUISVILLE 1313 ST. ANTHONY PLACE LOUISVILLE KY 40205 (502) 627-1589 185362 PROVIDENCE NEW CASTLE 50 ADAMS STREET NEW CASTLE KY 40050 (502) 845-2861 185363 GLASGOW STATE NURSING FACILITY 207 STATE AVENUE GLASGOW KY 42141 (270) 651-2151 185378 MASONIC HOME OF SHELBYVILLE 711 FRANKFORT ROAD SHELBYVILLE KY 40066 (502) 633-3486 185379 MARTIN COUNTY HEALTH CARE FACILITY 62 MAUDE ROAD INEZ KY 41224 (606) 298-0091 185382 COUNTRYSIDE CENTER 47 MARGO AVENUE BARDWELL KY 42023 (270) 628-5424 185383 HIGHLANDSPRING OF FT THOMAS 960 HIGHLAND AVENUE FORT THOMAS KY 41075 (859) 572-0660 185384 BEREA HEALTH CARE CENTER 601 RICHMOND ROAD BEREA KY 40403 (859) 986-4710 185387 T J SAMSON COMMUNITY HOSPITAL 1301 N RACE ST GLASGOW KY 42141 (270) 651-4444 185392 WOODLAND OAKS 1820 OAKVIEW ROAD ASHLAND KY 41101 (606) 325-5200 185394 ST ELIZABETH FLORENCE SNF 4900 HOUSTON ROAD FLORENCE KY 41042 (859) 212-4302 185395 BAPTIST HEALTH TRANSITIONAL CARE 900 HOSPITAL DRIVE MADISONVILLE KY 42431 (270) 825-5201 185396 THE TRANSITIONAL CARE CENTER OF OWENSBORO 1201 PLEASANT VALLEY ROAD OWENSBORO KY 42303 (270) 688-2000 185399 HEARTLAND VILLA CENTER 8005 US HWY 60 WEST LEWISPORT KY 42351 (270) 295-6756 185405 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER 217 SOUTH THIRD STREET DANVILLE KY 40422 (859) 239-2336 185407 LAKE CUMBERLAND REGIONAL HOSPITAL SCU 305 LANGDON STREET SOMERSET KY 42502 (606) 678-3307 185408 LIBERTY CARE AND REHABILITATION CENTER 616 S WALLACE WILKINSON BLVD LIBERTY KY 42539 (606) 787-6889 185409 CRESTVIEW CENTER 1871 MIDLAND TRAIL SHELBYVILLE KY 40065 (502) 633-2454 185410 RIVER'S BEND RETIREMENT COMMUNITY 300 BEECH ST. KUTTAWA KY 42055 (270) 388-2868 185415 ELLIOTT NURSING AND REHABILITATION CENTER RT 32 EAST, HOWARD CREEK RD SANDY HOOK KY 41171 (606) 738-9400 185416 BAPTIST HEALTH PADUCAH 2501 KENTUCKY AVENUE PADUCAH KY 42003 (270) 575-2100 185418 BOYD NURSING & REHABILITATION CENTER 12100 PRINCELAND SPUR ASHLAND KY 41102 (606) 928-2963 185419 CHRISTIAN HEALTH CENTER 1800 WESTEN AVENUE BOWLING GREEN KY 42104 (270) 796-6643 185420 KNOX COUNTY HOSPITAL 80 HOSPITAL DRIVE BARBOURVILLE KY 40906 (606) 546-4175 185422 FLAGET MEMORIAL HOSPITAL NF 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 (502) 350-5000 185427 NURSING FACILITY OF HARDIN MEMORIAL HOSPITAL 913 N. DIXIE AVE. ELIZABETHTOWN KY 42701 (270) 706-1206 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

185430 ST CLAIRE MEDICAL CENTER 222 MEDICAL CIRCLE MOREHEAD KY 40351 (606) 783-6650 185433 TRI-CITIES NURSING & REHABILITATION CENTER 19101 US HIGHWAY 119 NORTH CUMBERLAND KY 40823 (606) 589-5421 185434 THE HERITAGE 192 BACON CREEK ROAD CORBIN KY 40702 (606) 526-1900 185435 MAGNOLIA VILLAGE 1381 CAMPBELL LANE BOWLING GREEN KY 42104 (270) 843-0587 185436 WELLINGTON PARC OF OWENSBORO 2885 NEW HARTFORD RD OWENSBORO KY 42303 (270) 685-2374 185437 THE VILLAGE OF LEBANON II, LLC 105 VILLAGE WAY LEBANON KY 40033 (270) 692-9000 185442 SACRED HEART HOME OF LOUISVILLE 2120 PAYNE STREET LOUISVILLE KY 40206 (502) 895-9425 185443 KENSINGTON CENTER 225 SAINT JOHN ROAD ELIZABETHTOWN KY 42701 (270) 769-3314 185449 KINGSBROOK LIFECARE CENTER 2500 STATE ROUTE 5 ASHLAND KY 41102 (606) 324-1414 185451 TELFORD TERRACE 1025 ROBERT L TELFORD DRIVE RICHMOND KY 40475 (859) 626-5200 185455 OAKLAWN HEALTH & REHABILITATION CENTER 300 SHELBY STATION DRIVE LOUISVILLE KY 40245 (502) 254-0009 185462 PARK TERRACE HEALTH CAMPUS 9700 STONESTREET ROAD LOUISVILLE KY 40272 (502) 995-6600 185463 BROOKDALE RICHMOND PLACE SNF 2770 PALUMBO DRIVE LEXINGTON KY 40509 (859) 269-6308 185465 BRECKINRIDGE PLACE 170 SYKES BOULEVARD MORGANFIELD KY 42437 (270) 389-1133 185466 WESTPORT PLACE HEALTH CAMPUS 4247 WESTPORT ROAD LOUISVILLE KY 40207 (502) 893-3033 185467 CARDINAL HILL SKILLED REHABILITATION UNIT 2050 VERSAILLES ROAD LEXINGTON KY 40504 (859) 254-5701 185469 CLINTON PLACE 106 PADGETT DRIVE CLINTON KY 42031 (270) 653-5558 185470 THE WILLOWS AT HAMBURG 2531 OLD ROSEBUD ROAD LEXINGTON KY 40509 (859) 543-0337 185472 JOSEPH EDDIE BALLARD WESTERN KENTUCKY VETERANS CEN 926 VETERANS DRIVE HANSON KY 42413 (270) 322-9087 185474 THE WILLOWS AT CITATION 1376 SILVER SPRINGS DRIVE LEXINGTON KY 40511 (859) 277-0320 185475 EASTERN STATE HOSPITAL LONG TERM-ACQUIRED BRAIN 1350 BULL LEA ROAD LEXINGTON KY 40511 (859) 246-8000 185476 COLDSPRING TRANSITIONAL CARE CENTER 300 PLAZA DRIVE COLD SPRING KY 41076 (859) 441-4600 185477 SIGNATURE HEALTHCARE AT STS MARY & ELIZABETH HOSPI 1850 BLUEGRASS AVENUE, UNIT 3C LOUISVILLE KY 40215 (502) 361-6000 195149 JOHN J HAINKEL JR HOME AND REHABILITATION CENTER 612 HENRY CLAY AVENUE NEW ORLEANS LA 70118 (504) 896-5900 195156 WILLOW WOOD AT WOLDENBERG VILLAGE 3701 BEHRMAN PLACE NEW ORLEANS LA 70114 (504) 367-5640 195159 ST FRANCIS MEDICAL CENTER SNF 309 JACKSON STREET MONROE LA 71210 (318) 966-4962 195180 OCHSNER FOUNDATION HOSP SNF 1221 S CLEARVIEW PARKWAY NEW ORLEANS LA 70121 (504) 736-4949 195185 TERREBONNE GENERAL MED CTR SNF 8166 MAIN STREET HOUMA LA 70360 (985) 873-4141 195199 EAST JEFFERSON HOSPITAL SNF 4200 HOUMA BLVD METAIRIE LA 70002 (504) 503-4306 195201 OAKS OF HOUMA (THE) 400 MONARCH DRIVE HOUMA LA 70364 (985) 876-5692 195204 JO ELLEN SMITH CONVALESCENT CENTER 4502 GENERAL MEYER AVENUE NEW ORLEANS LA 70131 (504) 361-7923 195210 WYNHOVEN HEALTH CARE CENTER 1050 MEDICAL CENTER MARRERO LA 70072 (504) 347-0777 195213 COURTYARD OF NATCHITOCHES 708 KEYSER AVENUE NATCHITOCHES LA 71457 (318) 214-4361 195221 ORMOND NURSING & CARE CENTER 22 PLANTATION ROAD DESTREHAN LA 70047 (985) 764-1793 195248 GARDEN PARK NURSING & REHAB CTR, LLC 9111 LINWOOD AVENUE SHREVEPORT LA 71106 (318) 688-0961 195257 PLANTATION MANOR NURSING AND REHAB CENTER, LLC 6340 HIGHWAY 4 WINNSBORO LA 71295 (318) 435-2225 195258 GRACE NURSING HOME 1181 HWY 19 SLAUGHTER LA 70777 (225) 306-0030 195265 HAVEN NURSING CENTER 7726 US HWY. 165 COLUMBIA LA 71418 (318) 649-9800 195269 NORTHERN LOUISIANA MEDICAL CENTER 401 E VAUGHN AVENUE RUSTON LA 71270 (318) 254-2415 195275 AUDUBON HEALTH AND REHAB 2110 AUDUBON AVENUE THIBODAUX LA 70301 (985) 446-3109 195278 METAIRIE HEALTH CARE CENTER 6401 RIVERSIDE DRIVE METAIRIE LA 70003 (504) 885-8611 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

195279 HERITAGE MANOR OF MANDEVILLE 1820 W. CAUSEWAY APPROACH MANDEVILLE LA 70471 (985) 626-4798 195302 GUEST HOUSE OF SLIDELL 1051 ROBERT BLVD SLIDELL LA 70458 (985) 643-5630 195309 BAYSIDE HEALTHCARE CENTER 3201 WALL BLVD GRETNA LA 70056 (504) 393-1515 195310 MANY HEALTHCARE NORTH 120 NATCHITOCHES HWY 6 EAST MANY LA 71449 (318) 256-9233 195313 ST AGNES HEALTHCARE AND REHAB CENTER 606 LATIOLAIS ROAD BREAUX BRIDGE LA 70517 (337) 332-4808 195318 SENIOR VILLAGE NURSING & REHABILITATION CENTER 315 HARRY GUILBEAU ROAD OPELOUSAS LA 70570 (337) 948-4486 195319 THIBODAUX HEALTHCARE CENTER 1300 LAFOURCHE DRIVE THIBODAUX LA 70301 (985) 446-1332 195321 HERITAGE MANOR OF OPELOUSAS 7941 I-49 SOUTH SERVICE ROAD OPELOUSAS LA 70570 (337) 942-7588 195323 HERITAGE MANOR OF BOSSIER 2575 AIRLINE DRIVE BOSSIER CITY LA 71111 (318) 746-7466 195325 VIVIAN HEALTHCARE CENTER 912 SOUTH PECAN STREET VIVIAN LA 71082 (318) 375-2203 195327 GONZALES HEALTHCARE CENTER 905 WEST CORNERVIEW ROAD GONZALES LA 70737 (225) 644-5358 195328 NEW IBERIA MANOR NORTH 1803 JANE STREET NEW IBERIA LA 70563 (337) 365-2466 195336 MARRERO HEALTHCARE CENTER 5301 AUGUST AVENUE MARRERO LA 70072 (504) 341-3658 195342 PELICAN POINTE HEALTHCARE AND REHABILITATION 405 MILTON ROAD MAURICE LA 70555 (337) 893-4449 195346 WILLOW RIDGE NURSING AND REHAB CENTER 660 FACTORY OUTLET DRIVE ARCADIA LA 71001 (318) 263-2025 195348 LACOMBE NURSING CENTER 28119 HWY 190 LACOMBE LA 70445 (985) 882-5417 195353 CARRINGTON PLACE OF SPRINGHILL 215 FIRST STREET N E SPRINGHILL LA 71075 (318) 539-3527 195356 GOOD SAMARITAN REHABILITATION AND NURSING CTR 4021 CADILLAC STREET NEW ORLEANS LA 70122 (504) 246-7900 195361 BATON ROUGE HEALTH CARE CENTER 5550 THOMAS ROAD BATON ROUGE LA 70811 (225) 774-2141 195362 ZACHARY MANOR NURSING AND REHABILITATION CENTER 6161 MAIN STREET ZACHARY LA 70791 (225) 654-6893 195363 WHISPERING PINES COMMUNITY CARE CENTER 309 S LOUISIANA ST PLAIN DEALING LA 71064 (318) 326-4259 195369 OUR LADY OF PROMPT SUCCOR NURSING FACILITY 954 E PRUDHOMME LANE OPELOUSAS LA 70570 (337) 948-3634 195376 GRAND COVE NURSING & REHABILITATION CENTER 1525 W MCNEESE ST. LAKE CHARLES LA 70605 (337) 474-6000 195382 STERLING PLACE 3888 NORTH BLVD. BATON ROUGE LA 70806 (225) 344-3551 195385 J. MICHAEL MORROW MEMORIAL NURSING HOME 883 MAIN STREET ARNAUDVILLE LA 70512 (337) 754-7703 195389 BATON ROUGE HERITAGE HOUSE I I 1335 WOODDALE BLVD. BATON ROUGE LA 70806 (225) 924-2851 195401 ASCENSION OAKS NURSING & REHABILITATION CENTER 711 W. CORNERVIEW ROAD GONZALES LA 70737 (225) 644-6581 195404 HARMONY HOUSE NURSING & REHAB CTR, INC 1825 LAUREL ST. SHREVEPORT LA 71103 (318) 424-5251 195405 NATCHITOCHES COMMUNITY CARE CENTER 720 KEYSER AVENUE NATCHITOCHES LA 71457 (318) 352-8296 195406 MAGNOLIA MANOR NURSING AND REHAB CTR, LLC 1411 CLAIBORNE AVENUE SHREVEPORT LA 71103 (318) 868-4421 195408 HERITAGE MANOR SOUTH 9712 MANSFIELD ROAD SHREVEPORT LA 71118 (318) 687-2080 195410 ST JAMES PLACE NURSING CARE CENTER 333 LEE DRIVE BATON ROUGE LA 70808 (225) 490-3252 195424 LEXINGTON HOUSE 16 HEYMAN LANE ALEXANDRIA LA 71303 (318) 442-4364 195426 ENCORE HEALTHCARE AND REHABILITATION CENTER (THE) 19110 CROWLEY-EUNICE HWY CROWLEY LA 70526 (337) 783-5533 195431 HOLLY HILL HOUSE 100 KINGSTON ROAD SULPHUR LA 70663 (337) 625-5843 195437 ST MARGARET'S DAUGHTERS HOME 3525 BIENVILLE ST NEW ORLEANS LA 70119 (504) 279-6414 195442 VERMILION HEALTH CARE CENTER 14008 CHENEAU ROAD KAPLAN LA 70548 (337) 643-1949 195445 COLONIAL NURSING HOME 426 NORTH WASHINGTON STREET MARKSVILLE LA 71351 (318) 253-4556 195446 LAKEVIEW MANOR NURSING HOME 400 HOSPITAL ROAD NEW ROADS LA 70760 (225) 638-4404 195449 LAFOURCHE HOME FOR AGED & INFIRM 1002 TIGER DRIVE THIBODAUX LA 70301 (985) 447-2205 195451 MERRYVILLE REHABILITATION 900 BRYAN STREET MERRYVILLE LA 70653 (337) 825-6181 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

195458 GUEYDAN MEMORIAL GUEST HOME 1201 THIRD ST GUEYDAN LA 70542 (337) 536-6584 195463 FOREST HAVEN NURSING & REHAB CTR, LLC 171 THRASHER DRIVE JONESBORO LA 71251 (318) 259-2729 195467 ST MARTIN DE PORRES MULTI-CARE CENTER 200 TEAL ST. LAKE CHARLES LA 70615 (337) 439-5761 195471 JEFFERSON MANOR NURSING AND RE 9919 JEFFERSON HWY. BATON ROUGE LA 70809 (225) 293-1434 195473 GUEST HOUSE (THE) 10145 FLORIDA BLVD. BATON ROUGE LA 70815 (225) 272-0111 195477 FLANNERY OAKS GUEST HOUSE 1642 N. FLANNERY ROAD BATON ROUGE LA 70815 (225) 275-6393 195481 RIVERBEND NURSING AND REHABILITATION CENTER, INC 13735 HIGHWAY 23 BELLE CHASSE LA 70037 (504) 656-0068 195485 HERITAGE MANOR OF HOUMA 1701 POLK ST. HOUMA LA 70360 (985) 851-2307 195486 HERITAGE MANOR OF STRATMORE NURSING & REHAB CTR 530 STRATMORE DRIVE SHREVEPORT LA 71115 (318) 524-2022 195487 LANDMARK OF ACADIANA 1710 SMEDE HWY SAINT MARTINVILLE LA 70582 (337) 394-6044 195490 FOREST MANOR NURSING AND REHABILITATION CENTER 1330 OCHSNER BOULEVARD COVINGTON LA 70433 (985) 892-6900 195493 KINDER RETIREMENT AND REHABILITATION CENTER 13938 HWY 165 KINDER LA 70648 (337) 738-5671 195498 HERITAGE MANOR OF NAPOLEONVILLE 252 HWY. 402 NAPOLEONVILLE LA 70390 (985) 369-6011 195502 RIVER OAKS RETIREMENT MANOR 2500 E. SIMCOE STREET LAFAYETTE LA 70501 (337) 233-7115 195504 PLANTATION OAKS NURSING & REHABILITATION CENTER 110 MAPLE STREET WISNER LA 71378 (318) 724-7493 195506 TOLEDO RETIREMENT AND REHABILITATION CENTER 1009 N OBRIE STREET ZWOLLE LA 71486 (318) 645-2800 195507 HERITAGE MANOR OF VILLE PLATTE 2020 W. MAIN STREET VILLE PLATTE LA 70586 (337) 363-5532 195508 ST FRANCISVILLE COUNTRY MANOR, LLC 15243 HWY 10 EAST SAINT FRANCISVILLE LA 70775 (225) 635-3346 195509 OUR LADY OF WISDOM HEALTH CARE CENTER 5600 GENERAL DEGAULLE DR NEW ORLEANS LA 70131 (504) 394-5991 195512 COLONIAL CARE RETIREMENT CENTER 14686 OLD HAMMOND HWY. BATON ROUGE LA 70816 (225) 272-9339 195513 BRADFORD REHABILITATION CENTER (THE) 3050 BAIRD ROAD SHREVEPORT LA 71118 (318) 688-1010 195515 S C C OF SHREVEPORT MANOR REHABILITATION CENTER 3302 MANSFIELD ROAD SHREVEPORT LA 71103 (318) 222-9482 195518 HERITAGE NURSING CENTER 1745 BAILEY AVENUE HAYNESVILLE LA 71038 (318) 624-1166 195519 SOUTHERN HILLS HEALTHCARE AND REHABILITATION 9105 BAIRD ROAD SHREVEPORT LA 71118 (318) 688-6691 195524 GOLDEN AGE NURSING HOME 26739 HWY. 1032 DENHAM SPRINGS LA 70726 (225) 665-5544 195526 HERITAGE HEALTHCARE - HAMMOND 800 SOUTH OAK ST. HAMMOND LA 70403 (985) 345-7210 195527 CARE CENTER OF DEQUINCY (THE) 602 NORTH DIVISION DEQUINCY LA 70633 (337) 786-2466 195533 VILLAGE HEALTH CARE AT THE GLEN 403 E. FLOURNOY LUCAS SHREVEPORT LA 71115 (318) 213-3500 195535 DERIDDER RETIREMENT & REHABILITATION CENTER 1420 BLANKENSHIP DR DERIDDER LA 70634 (337) 463-9022 195536 COLONIAL OAKS LIVING CENTER 4312 ITHACA STREET METAIRIE LA 70006 (504) 887-6414 195537 CARE CENTER THE 11188 FLORIDA BLVD BATON ROUGE LA 70815 (225) 275-7570 195539 MANSFIELD NURSING CENTER 1725 MCARTHUR DRIVE MANSFIELD LA 71052 (318) 872-9911 195543 KENTWOOD MANOR NURSING HOME 921 AVE G KENTWOOD LA 70444 (985) 229-2112 195545 CLAIBORNE REHABILITATION 6942 HIGHWAY 79 HOMER LA 71040 (318) 927-3586 195546 BAYOU CHATEAU NURSING CTR 16232 HWY. 1 SIMMESPORT LA 71369 (318) 941-2294 195550 CAMELOT BROOKSIDE 3330 FRONTAGE ROAD JENNINGS LA 70546 (337) 824-2466 195551 GUEST HOUSE NURSING AND REHABILITATION 109 MCCLENDON CHURCH ROAD WEST MONROE LA 71292 (318) 387-3900 195555 SABINE RETIREMENT AND REHAB CENTER 965 FISHER ROAD MANY LA 71449 (318) 590-0200 195556 DESOTO RETIREMENT & REHAB CTR, INC 635 SCHLEY STREET MANSFIELD LA 71052 (318) 872-0276 195559 HESSMER NURSING HOME 3707 HWY 114 HESSMER LA 71341 (318) 563-4246 195560 SUMMIT (THE) 2200 MEMORIAL DRIVE ALEXANDRIA LA 71301 (318) 445-4300 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

195561 NORTHRIDGE CARE CENTER 3612 BAKER BLVD BAKER LA 70714 (225) 778-0573 195562 GREEN MEADOW HAVEN 1110 RINGGOLD AVENUE COUSHATTA LA 71019 (318) 932-5202 195563 SOUTHWIND NURSING & REHABILITATION CENTER 804 CROWLEY-RAYNE HWY CROWLEY LA 70526 (337) 783-2740 195564 ACADIA ST. LANDRY GUEST HOUSE 830 S. BROADWAY CHURCH POINT LA 70525 (337) 684-6316 195565 BETHANY MHS HEALTH CARE CENTER 406 ST JULIEN STREET LAFAYETTE LA 70506 (337) 234-2459 195566 OLLIE STEELE BURDEN MANOR 4250 ESSEN LANE BATON ROUGE LA 70809 (225) 926-0091 195568 WYATT MANOR NURSING AND REHAB CTR, INC 4659 HIGHWAY 505 JONESBORO LA 71251 (318) 259-3290 195571 OLD JEFFERSON COMMUNITY CARE CENTER 8340 BARINGER FOREMAN ROAD. BATON ROUGE LA 70817 (225) 753-3203 195572 LESLIE LAKES RETIREMENT CENTER 1355 SIXTH STREET ARCADIA LA 71001 (318) 263-9581 195573 MAGNOLIA ESTATES 1511 DULLES DRIVE LAFAYETTE LA 70506 (337) 216-0950 195575 OAK HAVEN COMMUNITY CARE CENTER 1515 HIGHWAY 107 CENTER POINT LA 71323 (318) 253-4601 195577 PRAIRIE MANOR NURSING HOME 1050 EDWIN ELLIOTT DRIVE PINE PRAIRIE LA 70576 (337) 599-2031 195579 PRESBYTERIAN VILLAGE OF HOMER 3700 HWY. 79 SOUTH HOMER LA 71040 (318) 927-6133 195583 BROADWAY NURSING AND REHABILITATION CTR (THE) 7534 HIGHWAY 1 LOCKPORT LA 70374 (985) 532-1011 195589 CHATEAU DE NOTRE DAME 2832 BURDETTE STREET NEW ORLEANS LA 70125 (504) 866-2741 195590 ST CLARE MANOR 7435 BISHOP OTT DRIVE BATON ROUGE LA 70806 (225) 216-3604 195593 LAGNIAPPE HEALTHCARE 1408 SUMMERLIN LANE BASTROP LA 71220 (318) 281-5188 195594 S C C OF PILGRIM MANOR REHABILITATION CENTER 1524 DOCTORS DRIVE BOSSIER CITY LA 71111 (318) 742-1623 195596 MARY GOSS NURSING HOME 3300 WHITE STREET MONROE LA 71203 (318) 323-9013 195597 LIVE OAK 600 EAST FLOURNOY LUCAS ROAD SHREVEPORT LA 71115 (318) 212-2000 195598 OAK WOODS HOME FOR THE ELDERLY 1400 DAVENPORT AVENUE MER ROUGE LA 71261 (318) 647-3691 195600 MATTHEWS MEMORIAL HEALTH CARE CENTER 5100 JACKSON STREET EXT. ALEXANDRIA LA 71303 (318) 445-5215 195601 HIGH HOPE CARE CENTER 475 HIGH HOPE ROAD SULPHUR LA 70663 (337) 527-8140 195604 S C C OF COLONIAL OAKS REHABILITATION CENTER 4921 MEDICAL DRIVE BOSSIER CITY LA 71112 (318) 742-5420 195608 SOUTHWEST LOUISIANA WAR VETERANS HOME 1610 EVANGELINE HIGHWAY JENNINGS LA 70546 (337) 824-2829 195610 ST HELENA PARISH NURSING HOME 32 NORTH 2ND STREET GREENSBURG LA 70441 (225) 222-4102 195614 COVENANT HOME 5919 MAGAZINE STREET NEW ORLEANS LA 70115 (504) 897-6216 195619 SAVOY CARE CENTER 906 CHERRY STREET MAMOU LA 70554 (337) 468-0347 195620 POINTE COUPEE HEALTHCARE 1820 FALSE RIVER ROAD NEW ROADS LA 70760 (225) 638-4431 195621 SAGE REHABILITATION HOSPITAL SNF 8000 SUMMA AVENUE BATON ROUGE LA 70809 (225) 819-0703 195622 WILLIS-KNIGHTON EXTENDED CARE CENTER 2550 KINGS HIGHWAY SHREVEPORT LA 71103 (318) 212-4000 195623 NORTHWEST LOUISIANA WAR VETERANS HOME 3130 ARTHUR RAY TEAGUE PARKWAY BOSSIER CITY LA 71112 (318) 741-2763 195625 SOUTHEAST LOUISIANA WAR VETERANS HOME 4080 W AIRLINE HWY RESERVE LA 70084 (985) 479-4080 195628 NORTHEAST LA WAR VETERANS HOME 6700 HIGHWAY 165 NORTH MONROE LA 71211 (318) 362-4206 195629 LOUISIANA WAR VETERANS HOME 4739 HIGHWAY 10 JACKSON LA 70748 (225) 342-8998 195632 LAFON NURSING FACILITY OF THE HOLY FAMILY 6900 CHEF MENTEUR HWY NEW ORLEANS LA 70126 (504) 241-6285 195634 CORNERSTONE VILLAGE SOUTH, INC 103 W. MARTIAL AVENUE LAFAYETTE LA 70508 (337) 981-5335 195635 NORTH POINT HEALTHCARE CENTER 4100 NORTH BLVD BATON ROUGE LA 70806 (225) 387-6704 195636 GUARDIAN HEALTHCARE AND REHABILITATION 1401 COUNTRY CLUB ROAD LAKE CHARLES LA 70605 (337) 480-1550 195637 REGENCY HOUSE OF ALEXANDRIA 5131 MASONIC DRIVE ALEXANDRIA LA 71301 (318) 445-8343 205006 MONTELLO MANOR 540 COLLEGE ST LEWISTON ME 4240 (207) 783-2039 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

205012 THE NEWTON CTR FOR REHAB & NUR 35 JULY STREET SANFORD ME 4073 (207) 490-7600 205018 TAMC - AROOSTOOK MEDICAL CENTER PO BOX 410 MARS HILL ME 4758 (207) 768-4915 205051 THE GARDENS 30 COMMUNITY DRIVE CAMDEN ME 4843 (207) 921-6100 205053 ST MARY'S D'YOUVILLE PAVILION 102 CAMPUS AVE LEWISTON ME 4240 (207) 777-4200 205054 MAINEGENERAL REHAB & LONG TERM CARE - GRAY BIRCH 37 GRAY BIRCH DRIVE AUGUSTA ME 4330 (207) 621-7100 205060 CEDAR RIDGE CENTER 23 CEDAR RIDGE DRIVE SKOWHEGAN ME 4976 (207) 474-9686 205062 BREWER CENTER FOR HEALTH & REHABILITATION, LLC 74 PARKWAY SOUTH BREWER ME 4412 (207) 989-7300 205063 CLOVER MANOR 440 MINOT AVE AUBURN ME 4210 (207) 784-3573 205064 ROSS MANOR 758 BROADWAY BANGOR ME 4401 (207) 941-8400 205065 RIVER RIDGE CENTER 3 BRAZIER LANE KENNEBUNK ME 4043 (207) 985-3030 205066 FRYEBURG HEALTH CARE CENTER 70 FAIRVIEW DRIVE FRYEBURG ME 4037 (207) 935-3351 205067 COVE'S EDGE 26 SCHOONER STREET DAMARISCOTTA ME 4543 (207) 563-4608 205068 SPRINGBROOK CENTER 300 SPRING ST WESTBROOK ME 4092 (207) 856-1230 205070 PINE POINT CENTER 67 PINE POINT RD SCARBOROUGH ME 4074 (207) 883-2468 205073 BRIDGTON HEALTH CARE CENTER 186 PORTLAND ROAD BRIDGTON ME 4009 (207) 647-8821 205074 SEASIDE REHAB & HEALTH CARE 850 BAXTER BOULEVARD PORTLAND ME 4103 (207) 774-7878 205075 ISLAND NURSING HOME & CARE CTR 587 NORTH DEER ISLE RD DEER ISLE ME 4627 (207) 348-2351 205076 MARKET SQUARE HEALTH CARE CENTER, LLC 3 MARKET SQUARE SOUTH PARIS ME 4281 (207) 743-7086 205077 AUGUSTA CENTER FOR HEALTH & REHABILITATION, LLC 188 EASTERN AVE AUGUSTA ME 4330 (207) 622-3121 205078 WINSHIP GREEN CENTER FOR HEALTH & REHAB, LLC 51 WINSHIP ST BATH ME 4530 (207) 443-9772 205079 BRENTWOOD CENTER FOR HEALTH & REHABILITATION, LLC 370 PORTLAND ST YARMOUTH ME 4096 (207) 846-9021 205082 GREENWOOD CENTER 1142 MAIN ST SANFORD ME 4073 (207) 324-2273 205085 HORIZONS LIVING AND REHAB CENTER 29 MAURICE DRIVE BRUNSWICK ME 4011 (207) 725-7495 205086 VARNEY CROSSING NURSING CARE CENTER 47 ELM ST NORTH BERWICK ME 3906 (207) 676-2242 205090 BORDERVIEW REHAB & LIVING CTR 208 STATE STREET VAN BUREN ME 4785 (207) 868-5211 205091 OAK GROVE CENTER 27 COOL ST WATERVILLE ME 4901 (207) 873-0721 205095 KENNEBUNK CENTER FOR HEALTH & REHABILITATION, LLC 158 ROSS RD KENNEBUNK ME 4043 (207) 985-7141 205097 NORWAY CENTER FOR HEALTH & REHABILITATION, LLC 29 MARION AVE NORWAY ME 4268 (207) 743-7075 205098 HAWTHORNE HOUSE 6 OLD COUNTY RD FREEPORT ME 4032 (207) 865-4782 205099 RUMFORD COMMUNITY HOME 11 JOHN F KENNEDY LANE RUMFORD ME 4276 (207) 364-7863 205100 PRESQUE ISLE REHAB AND NURSING CENTER 162 ACADEMY ST PRESQUE ISLE ME 4769 (207) 764-0145 205101 PINNACLE HEALTH AND REHAB 26 PLEASANT ST CANTON ME 4221 (207) 597-2510 205103 SEAL ROCK HEALTH CARE 88 HARBOR DRIVE SACO ME 4072 (207) 283-3646 205105 WESTGATE CENTER FOR REHAB & ALZHEIMERS CARE 750 UNION ST BANGOR ME 4401 (207) 942-7336 205108 ST ANDRE HEALTH CARE FACILITY 407 POOL ST BIDDEFORD ME 4005 (207) 282-5171 205109 MARSHALL HEALTH CARE AND REHAB 16 BEAL STREET MACHIAS ME 4654 (207) 255-3387 205111 COUNTRY MANOR NURSING HOME 132 MAIN STREET COOPERS MILLS ME 4341 (207) 549-7471 205112 FALMOUTH BY THE SEA 191 FORESIDE RD FALMOUTH ME 4105 (207) 781-4714 205113 COLONIAL HEALTH CARE 36 WORKMAN TERRACE STREET LINCOLN ME 4457 (207) 794-6534 205116 STILLWATER HEALTH CARE 335 STILLWATER AVE BANGOR ME 4401 (207) 947-1111 205117 CARIBOU REHAB AND NURSING CENTER 10 BERNADETTE ST CARIBOU ME 4736 (207) 498-3102 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

205120 MOUNT ST JOSEPH NURSING HOME 7 HIGHWOOD ST WATERVILLE ME 4901 (207) 873-0705 205121 SOUTH PORTLAND NURSING HOME 42 ANTHOINE ST SO PORTLAND ME 4106 (207) 799-8561 205123 COURTLAND REHAB & LIVING CENTER 42 BUCKSPORT RD ELLSWORTH ME 4605 (207) 667-9036 205124 KNOX CENTER FOR LONG TERM CARE 6 WHITE STREET ROCKLAND ME 4841 (207) 921-6800 205125 LEDGEVIEW LIVING CENTER 141 BETHEL ROAD WEST PARIS ME 4289 (207) 674-2250 205126 MAINE VETERANS HOME - AUGUSTA 310 CONY ROAD AUGUSTA ME 4330 (207) 622-2454 205127 MAINE VETERANS HOME - SCARBOROUGH 290 US RT 1 SCARBOROUGH ME 4074 (207) 883-7184 205128 MAPLECREST REHAB & LIVING CENTER 174 MAIN ST MADISON ME 4950 (207) 696-8225 205129 MERCY HOME PO BOX 228 EAGLE LAKE ME 4739 (207) 444-5152 205131 EDGEWOOD REHAB & LIVING CTR 221 Fairbanks Rd FARMINGTON ME 4938 (207) 778-3386 205132 DURGIN PINES 9 LEWIS RD KITTERY ME 3904 (207) 439-9800 205133 HERITAGE REHAB & LIVING CTR 457 OLD LEWISTON RD WINTHROP ME 4364 (207) 377-9965 205134 ST JOSEPH'S REHABILITATION AND RESIDENCE 1133 WASHINGTON AVE PORTLAND ME 4103 (207) 797-0600 205136 SOUTHRIDGE REHAB & LIVING CTR 10 MAY ST BIDDEFORD ME 4005 (207) 282-4138 205137 LEDGEWOOD MANOR 200 ROUTE 115, PO BOX 760 WINDHAM ME 4062 (207) 892-2261 205138 LAKEWOOD A CONTINUING CARE CENTER 220 KENNEDY MEMORIAL DR WATERVILLE ME 4901 (207) 873-5125 205139 MAINEGENERAL REHAB & LONG TERM CARE - GLENRIDGE 40 GLENRIDGE DRIVE AUGUSTA ME 4330 (207) 626-2600 205140 THE COMMONS AT TALL PINES 34 MARTIN LANE BELFAST ME 4915 (207) 338-4117 205143 CUMMINGS HEALTH CARE FACILITY 5 CROCKER STREET HOWLAND ME 4448 (207) 732-4121 205146 EASTPORT MEMORIAL NURSING HOME 23 BOYNTON STREET EASTPORT ME 4631 (207) 853-2531 205149 KATAHDIN NURSING HOME 22 WALNUT STREET MILLINOCKET ME 4462 (207) 723-4711 205151 MAINE VETERANS HOME - CARIBOU 163 VAN BUREN RD SUITE 2 CARIBOU ME 4736 (207) 498-6074 205157 COASTAL MANOR 20 WEST MAIN STREET YARMOUTH ME 4096 (207) 846-5013 205158 GREGORY WING OF ST ANDREWS VILLAGE 145 EMERY LANE BOOTHBAY HARBOR ME 4538 (207) 633-6996 205159 SEDGEWOOD COMMONS 22 NORTHBROOK DR FALMOUTH ME 4105 (207) 781-5775 205162 EVERGREEN MANOR 328 NORTH ST SACO ME 4072 (207) 282-5161 205163 MID COAST SENIOR HEALTH CENTER 58 BARIBEAU DRIVE BRUNSWICK ME 4011 (207) 373-3600 205164 JACKMAN REGIONAL HEALTH CENTER 376 MAIN STREET JACKMAN ME 4945 (207) 668-2691 205165 SOMERSET REHABILITATION & LIVING CENTER 43 OWENS ST BINGHAM ME 4920 (207) 672-4041 205166 GORHAM HOUSE 50 NEW PORTLAND RD GORHAM ME 4038 (207) 839-5757 205168 ORCHARD PARK REHAB & LIVING 107 ORCHARD ST FARMINGTON ME 4938 (207) 778-4416 205169 WINTHROP MANOR LONG TERM CARE & REHAB CTR 96 ROUTE 133 WINTHROP ME 4364 (207) 377-8184 205170 ODD FELLOWS & REBEKAHS' HOME OF MAINE 85 CARON LANE AUBURN ME 4210 (207) 786-4616 205172 SUNRISE CARE FACILITY 11 OCEAN ST JONESPORT ME 4649 (207) 497-2363 205174 SANFIELD REHAB & LIVING CENTER 95 MAIN STREET HARTLAND ME 4943 (207) 938-2616 205176 FOREST HILL MANOR 25 BOLDUC AVE FORT KENT ME 4743 (207) 834-3915 205181 MOUNTAIN HEIGHTS HEALTH CARE 83 HOULTON ROAD PATTEN ME 4765 (207) 528-2200 205184 MAINE VETERANS HOME - SO PARIS 477 HIGH ST SOUTH PARIS ME 4281 (207) 743-6300 205185 MAINE VETERANS HOME - BANGOR 44 HOGAN RD BANGOR ME 4401 (207) 942-2333 205187 PIPER SHORES 15 PIPER ROAD SCARBOROUGH ME 4074 (207) 883-8700 215005 BAY RIDGE HEALTH CARE CENTER 900 VAN BUREN STREET ANNAPOLIS MD 21403 (410) 267-8653 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

215007 WICOMICO NURSING HOME P.O. BOX 2378 900 BOOTH ST SALISBURY MD 21802 (410) 742-8896 215013 ST. MARY'S NURSING CENTER INC 21585 PEABODY STREET LEONARDTOWN MD 20650 (301) 475-8000 215014 ARCOLA HEALTH AND REHABILITATION CENTER 901 ARCOLA AVENUE SILVER SPRING MD 20902 (301) 649-2400 215017 LONGVIEW HEALTHCARE CENTER, LLC 3332 MAIN STREET MANCHESTER MD 21102 (410) 239-7139 215020 FORESTVILLE HEALTH & REHABILITATION CENTER 7420 MARLBORO PIKE FORESTVILLE MD 20747 (301) 736-0240 215024 MANOR CARE HEALTH SERVICES - HYATTSVILLE 6500 RIGGS ROAD HYATTSVILLE MD 20783 (301) 559-0300 215026 POTOMAC VALLEY NSG & WELLNESS 1235 POTOMAC VALLEY ROAD ROCKVILLE MD 20850 (301) 762-0700 215029 MANOR CARE HEALTH SERVICES - CHEVY CHASE 8700 JONES MILL ROAD CHEVY CHASE MD 20815 (301) 657-8686 215033 LEVINDALE HEBREW GER CTR & HSP 2434 W. BELVEDERE AVENUE BALTIMORE MD 21215 (410) 466-8700 215039 CITIZENS CARE CENTER 415 S. MARKET STREET HAVRE DE GRACE MD 21078 (410) 939-5500 215048 MANOR CARE HEALTH SERVICES - WHEATON 11901 GEORGIA AVENUE WHEATON MD 20902 (301) 942-2500 215054 MANORCARE HEALTH SERVICES -TOWSON 509 EAST JOPPA ROAD TOWSON MD 21286 (410) 828-9494 215060 WOODSIDE CENTER 9101 SECOND AVENUE SILVER SPRING MD 20910 (301) 588-5544 215064 MANORCARE HEALTH SYSTEM - ADELPHI 1801 METZEROTT ROAD ADELPHI MD 20783 (301) 434-0500 215065 BEL PRE HEALTH & REHABILITATION CENTER 2601 BEL PRE ROAD SILVER SPRING MD 20906 (301) 598-6000 215067 SALISBURY CENTER 200 CIVIC AVENUE SALISBURY MD 21804 (410) 749-1466 215071 HEBREW HOME OF GREATER WASHINGTON 6121 MONTROSE ROAD ROCKVILLE MD 20852 (301) 770-8310 215073 THE LIONS CENTER FOR REHAB AND EXT CARE 901 SETON DRIVE EXTENSION CUMBERLAND MD 21502 (301) 722-6272 215081 PERRING PARKWAY CENTER 1801 WENTWORTH ROAD BALTIMORE MD 21234 (410) 661-5717 215083 CAROLINE NURSING AND REHABILITATION CENTER, LLC 520 KERR AVENUE DENTON MD 21629 (410) 479-2130 215088 HAMMONDS LANE CENTER 613 HAMMONDS LANE BROOKLYN PARK MD 21225 (410) 636-3400 215092 COLLINGSWOOD NSG. & REHAB. CEN 299 HURLEY AVENUE ROCKVILLE MD 20850 (301) 762-8900 215095 MANORCARE HEALTH SERVICES - BETHESDA 6530 DEMOCRACY BOULEVARD BETHESDA MD 20817 (301) 530-9000 215096 MULTI-MEDICAL CENTER 7700 YORK ROAD TOWSON MD 21204 (410) 821-5500 215099 WILSON HEALTH CARE CENTER 301 RUSSELL AVENUE GAITHERSBURG MD 20877 (301) 330-3000 215106 SAGEPOINT NURSING AND REHABILITATION CENTER 10200 LAPLATA ROAD LAPLATA MD 20646 (301) 934-1900 215107 ROCKVILLE NURSING HOME 303 ADCLARE ROAD ROCKVILLE MD 20850 (301) 279-9000 215108 DOCTORS COMMUNITY REHABILITATION AND PATIENT CARE 6710 MALLERY DRIVE LANHAM MD 20706 (301) 552-2000 215112 LORIEN HEALTH SYSTEMS - COLUMBIA 6334 CEDAR LANE COLUMBIA MD 21044 (410) 531-5300 215113 RAVENWOOD NURSING CARE CENTER 1183 LUTHER DRIVE HAGERSTOWN MD 21740 (301) 790-1000 215114 CORSICA HILLS CENTER 205 ARMSTRONG AVENUE P.O. BOX 50 CENTREVILLE MD 21617 (410) 758-2323 215117 STELLA MARIS, INC. 2300 DULANEY VALLEY RD TIMONIUM MD 21093 (410) 252-4500 215118 FUTURE CARE OLD COURT 5412 OLD COURT ROAD RANDALLSTOWN MD 21133 (410) 922-3200 215120 CROFTON CONVALESCENT CENTER 2131 DAVIDSONVILLE ROAD CROFTON MD 21114 (410) 721-1000 215123 BROADMEAD 13801 YORK ROAD COCKEYSVILLE MD 21030 (443) 578-8020 215125 NATIONAL LUTHERAN HOME 9701 VEIRS DRIVE ROCKVILLE MD 20850 (301) 424-9574 215126 BERLIN NURSING AND REHABILITATION CENTER 9715 HEALTHWAY DRIVE, PO BOX 799 BERLIN MD 21811 (410) 641-4400 215130 FAIRHAVEN, INC. 7200 THIRD AVENUE SYKESVILLE MD 21784 (410) 795-8800 215132 DEER'S HEAD CENTER P.O. BOX 2018 SALISBURY MD 21802 (410) 543-4000 215137 BAYLEIGH CHASE INC 501 DUTCHMAN'S LANE EASTON MD 21601 (410) 822-8888 215138 MARLEY NECK HEALTH AND REHABILITATION CENTER 7575 E. HOWARD ROAD GLEN BURNIE MD 21060 (410) 768-8200 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

215141 PATUXENT RIVER HEALTH AND REHABILITATION CENTER 14200 LAUREL PARK DRIVE LAUREL MD 20707 (301) 953-7980 215142 CHESAPEAKE SHORES 21412 GREAT MILLS ROAD LEXINGTON PARK MD 20653 (301) 863-7244 215143 SEVERNA PARK CENTER 310 GENESIS WAY SEVERNA PARK MD 21146 (410) 544-4220 215145 ST THOMAS MORE MEDICAL COMPLEX 4922 LASALLE ROAD HYATTSVILLE MD 20782 (301) 864-2333 215146 FORT WASHINGTON HEALTH & REHABILITATION CENTER 12021 LIVINGSTON ROAD FORT WASHINGTON MD 20744 (301) 292-0300 215147 FUTURE CARE NORTHPOINT 1046 OLD NORTH POINT ROAD BALTIMORE MD 21224 (410) 282-0100 215148 WAUGH CHAPEL CENTER 1221 WAUGH CHAPEL ROAD GAMBRILLS MD 21054 (410) 923-2020 215151 LAPLATA CENTER 1 MAGNOLIA DRIVE LAPLATA MD 20646 (301) 870-3125 215154 ROLAND PARK PLACE 830 W 40 STREET BALTIMORE MD 21211 (410) 243-5800 215161 CHARLOTTE HALL VETERANS HOME 29449 CHARLOTTE HALL ROAD CHARLOTTE HALL MD 20622 (301) 884-8171 215171 MANORCARE HEALTH SERVICES - POTOMAC 10714 POTOMAC TENNIS LANE POTOMAC MD 20854 (301) 299-2273 215174 GINGER COVE 4000 RIVER CRESCENT DRIVE ANNAPOLIS MD 21401 (410) 266-7300 215176 FUTURE CARE CANTON HARBOR 1300 S. ELLWOOD AVENUE BALTIMORE MD 21224 (410) 342-6644 215177 CHERRY LANE 9001 CHERRY LANE LAUREL MD 20708 (301) 498-8558 215178 FREDERICK VILLA NURSING & REHAB CENTER 711 ACADEMY ROAD CATONSVILLE MD 21228 (410) 788-3300 215180 COLLINGTON EPISCOPAL LIFE CARE 10450 LOTTSFORD ROAD MITCHELLVILLE MD 20721 (301) 925-9610 215181 OAKWOOD CARE CENTER 1300 WINDLASS DRIVE BALTIMORE MD 21220 (410) 687-1383 215183 FAYETTE HEALTH AND REHABILITATION CENTER 1217 WEST FAYETTE STREET BALTIMORE MD 21223 (410) 727-3947 215188 CALVERT COUNTY NURSING CTR. 85 HOSPITAL ROAD PRINCE FREDERICK MD 20678 (410) 535-2300 215189 CALVERT MANOR HEALTH CARE CENT 1881 TELEGRAPH ROAD RISING SUN MD 21911 (410) 658-6555 215191 SIGNATURE HEALTHCARE AT MALLARD BAY 520 GLENBURN AVENUE CAMBRIDGE MD 21613 (410) 228-9191 215192 FUTURE CARE CHERRYWOOD 12020 REISTERSTOWN ROAD REISTERSTOWN MD 21136 (410) 833-3801 215193 AUGSBURG LUTHERAN HOME 6811 CAMPFIELD ROAD BALTIMORE MD 21207 (410) 486-4573 215194 FOREST HILL HEALTH AND REHABILITATION CENTER 109 FOREST VALLEY DRIVE FOREST HILL MD 21050 (410) 838-0101 215197 FOX CHASE REHAB & NURSING CENTER 2015 EAST-WEST HIGHWAY SILVER SPRING MD 20910 (301) 587-2400 215199 VINDOBONA NURSING AND REHABILITATION CENTER 6012 JEFFERSON BLVD BRADDOCK HEIGHTS MD 21714 (301) 371-7160 215200 BROOKE GROVE REHAB. & NSG CTR 18131 SLADE SCHOOL ROAD SANDY SPRING MD 20860 (301) 924-5176 215207 LOCHEARN NURSING HOME, LLC 4800 SETON DRIVE BALTIMORE MD 21215 (410) 358-3410 215211 FRIENDS NURSING HOME 17340 QUAKER LANE SANDY SPRING MD 20860 (301) 924-4900 215212 HILLHAVEN NURSING CENTER 3210 POWDER MILL ROAD ADELPHI MD 20783 (301) 937-3939 215215 AUTUMN LAKE HEALTHCARE AT ALICE MANOR 2095 ROCKROSE AVENUE BALTIMORE MD 21211 (410) 889-9700 215216 DENNETT ROAD MANOR 1113 MARY DRIVE OAKLAND MD 21550 (301) 334-8700 215217 NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE 200 EAST 16TH STREET FREDERICK MD 21701 (301) 662-8700 215219 FUTURE CARE IRVINGTON 22 SOUTH ATHOL AVENUE BALTIMORE MD 21229 (410) 947-3052 215221 CHESAPEAKE WOODS CENTER 525 GLENBURN AVENUE CAMBRIDGE MD 21613 (410) 221-1400 215223 CHARLESTOWN COMMUNITY INC 709 MAIDEN CHOICE LANE CATONSVILLE MD 21228 (410) 247-9700 215224 MANORCARE HEALTH SERVICES -SILVER SPRING 2501 MUSGROVE ROAD SILVER SPRING MD 20904 (301) 890-5552 215225 HOMEWOOD AT WILLIAMSPORT MD 16505 VIRGINIA AVENUE WILLIAMSPORT MD 21795 (301) 582-1628 215226 POWERBACK REHABILITATION 515 BRIGHTFIELD ROAD LUTHERVILLE MD 21093 (410) 296-1990 215227 RIDGEWAY MANOR NURSING & REHABILITATION CENTER 5743 EDMONDSON AVENUE CATONSVILLE MD 21228 (410) 747-5250 215228 ALTHEA WOODLAND NURSING HOME 1000 DALEVIEW DRIVE SILVER SPRING MD 20901 (301) 434-2646 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

215229 NORTH OAKS 725 MOUNT WILSON LANE BALTIMORE MD 21208 (410) 484-7300 215230 ALLEGANY HEALTH NURSING AND REHAB 730 FURNACE STREET CUMBERLAND MD 21502 (301) 777-5941 215232 OAKLAND NURSING & REHABILITATION CENTER 706 EAST ALDER STREET OAKLAND MD 21550 (301) 334-2319 215233 LORIEN HEALTH SYSTEMS - RIVERSIDE 1123 BELCAMP RD BELCAMP MD 21017 (410) 575-6400 215234 CARRIAGE HILL BETHESDA 5215 CEDAR LANE BETHESDA MD 20814 (301) 897-5500 215235 HERON POINT OF CHESTERTOWN 501 CAMPUS AVENUE CHESTERTOWN MD 21620 (410) 778-7300 215241 GSNH OPERATOR, LLC 1601 E. BELVEDERE AVENUE BALTIMORE MD 21239 (410) 532-5600 215245 HOMEWOOD AT CRUMLAND FARMS 7407 WILLOW ROAD FREDERICK MD 21702 (301) 644-5600 215246 BEDFORD COURT HEALTHCARE CENT. 3701 INTERNATIONAL DRIVE SILVER SPRING MD 20906 (301) 598-2900 215247 BRINTON WOODS NURSING & REHABILITATION CENTER 1442 BUCKHORN ROAD SYKESVILLE MD 21784 (410) 795-2737 215249 FUTURE CARE HOMEWOOD 2700 N. CHARLES ST. BALTIMORE MD 21218 (410) 554-6300 215255 CHESTNUT GRN HLTH CTR BLAKEHUR 1055 WEST JOPPA ROAD TOWSON MD 21204 (410) 296-2900 215258 SPA CREEK CENTER 35 MILKSHAKE LANE ANNAPOLIS MD 21403 (410) 269-5100 215259 PICKERSGILL RETIREMENT COMMUNITY 615 CHESTNUT AVE TOWSON MD 21204 (410) 825-7423 215261 FRANKLIN WOODS CENTER 9200 FRANKLIN SQUARE DRIVE BALTIMORE MD 21237 (410) 391-2600 215262 UNIVERSITY OF MARYLAND SHORE NURSING AND REHAB 200 MORGNEC ROAD CHESTERTOWN MD 21620 (410) 778-4550 215265 COPPER RIDGE 710 OBRECHT ROAD SYKESVILLE MD 21784 (410) 795-8808 215266 GLEN BURNIE HEALTH AND REHABILITATION CENTER 7355 FURNACE BRANCH ROAD EAST GLEN BURNIE MD 21060 (410) 766-3460 215268 PLEASANT VIEW NSG HOME 4101 OLD NATIONAL PIKE MOUNT AIRY MD 21771 (301) 829-0800 215270 SOLOMONS NURSING CENTER 13325 DOWELL RD, P.O. BOX 1509 SOLOMONS MD 20688 (410) 326-0077 215271 FUTURE CARE SANDTOWN-WINCHESTER 1000 N. GILMORE STREET BALTIMORE MD 21217 (410) 669-2750 215273 WALDORF CENTER 4140 OLD WASHINGTON HIGHWAY WALDORF MD 20602 (301) 645-2813 215277 WEST MD HEALTH SYST FROSTBURG NRSG AND REHAB CTR 48 TARN TERRACE FROSTBURG MD 21532 (301) 689-1391 215278 GLEN MEADOWS RETIREMENT COM. 11630 GLEN ARM ROAD GLEN ARM MD 21057 (410) 592-5310 215280 TRANSITIONAL CARE AT GOOD SAMARITAN 5601 LOCH RAVEN BOULEVARD BALTIMORE MD 21239 (443) 444-4070 215283 TRANSITIONAL CARE SERVICES AT MERCY MEDICAL CENTER 301 ST. PAUL PLACE BALTIMORE MD 21202 (410) 332-9287 215287 MAPLEWOOD PARK PLACE 9707 OLD GEORGETOWN ROAD BETHESDA MD 20814 (301) 530-0500 215289 CALVERT MEMORIAL HOSPITAL TRANSITIONAL CARE UNIT 100 HOSPITAL ROAD PRINCE FREDERICK MD 20678 (410) 535-4000 215291 NORTHWEST HOSP. CTR. SUB. UNIT 5401 OLD COURT ROAD RANDALLSTOWN MD 21133 (410) 521-2200 215297 SOUTH RIVER HEALTH AND REHABILITATION CENTER 144 WASHINGTON ROAD EDGEWATER MD 21037 (410) 956-5000 215300 MARIA HEALTH CARE CENTER, INC. 6401 N. CHARLES STREET BALTIMORE MD 21212 (410) 377-7774 215304 ASBURY SOLOMONS ISLAND 11750 ASBURY CIRCLE SOLOMONS MD 20688 (410) 394-3000 215307 EGLE NURSING HOME 57 JACKSON STREET LONACONING MD 21539 (301) 463-5451 215308 OAK CREST VILLAGE 8800 WALTHER BOULEVARD PARKVILLE MD 21234 (410) 882-3248 215310 GARRETT COUNTY SUBACUTE UNIT 251 NORTH FOURTH STREET OAKLAND MD 21550 (301) 533-4000 215312 BEL AIR HEALTH AND REHABILITATION CENTER 410 EAST MCPHAIL ROAD BEL AIR MD 21014 (410) 879-1120 215313 GLADE VALLEY CENTER 56 WEST FREDERICK STREET WALKERSVILLE MD 21793 (301) 898-4300 215314 GREATER BALTIMORE MEDICAL CENTER SUB ACUTE UNIT 6701 NORTH CHARLES STREET BALTIMORE MD 21204 (443) 849-2094 215320 BRIGHTON GARDEN TUCKERMAN LANE 5550 TUCKERMAN LANE NORTH BETHESDA MD 20852 (301) 897-8566 215321 JULIA MANOR NURSING AND REHABILITATION CENTER 333 MILL STREET HAGERSTOWN MD 21740 (301) 665-8700 215323 CRESCENT CITIES CENTER 4409 EAST WEST HIGHWAY RIVERDALE MD 20737 (301) 699-2000 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

215324 FUTURE CARE CHARLES VILLAGE, LLC 2327 N. CHARLES ST BALTIMORE MD 21218 (410) 889-8500 215328 FUTURE CARE PINEVIEW 9106 PINEVIEW LANE CLINTON MD 20735 (410) 880-4353 215329 BUCKINGHAM'S CHOICE 3200 BAKER CIRCLE ADAMSTOWN MD 21710 (301) 644-1636 215330 BRINTON WOODS POST ACUTE CARE CENTER 5009 FRANKFORD AVENUE BALTIMORE MD 21206 (410) 325-4000 215331 MANOR CARE HEALTH SERVICES - LARGO 600 LARGO ROAD GLENARDEN MD 20774 (301) 350-5555 215335 LORIEN HEALTH SYSTEMS MT AIRY 705 MIDWAY AVENUE MOUNT AIRY MD 21771 (301) 829-6050 215336 GOLDEN LIVINGCENTER-HAGERSTOWN 750 DUAL HIGHWAY HAGERSTOWN MD 21740 (301) 797-4020 215337 FAHRNEY-KEEDY MEMORIAL HOME 8507 MAPLEVILLE ROAD BOONSBORO MD 21713 (301) 733-6284 215338 OAKVIEW REHABILITATION AND NURSING CENTER 2700 BARKER STREET SILVER SPRING MD 20910 (301) 565-0300 215341 LORIEN NSG & REHAB CTR BELAIR 1909 EMORTON ROAD BEL AIR MD 21015 (410) 803-1400 215343 RIDERWOOD VILLAGE 3160 GRACEFIELD ROAD SILVER SPRING MD 20904 (301) 572-8420 215344 VANTAGE HOUSE 5400 VANTAGE POINT RD. COLUMBIA MD 21044 (410) 964-5454 215345 THE ARBOR 7101 BAY FRONT DRIVE ANNAPOLIS MD 21403 (410) 268-9222 215348 LORIEN TANEYTOWN, INC 100 ANTRIM BLVD TANEYTOWN MD 21787 (410) 756-6400 215351 LORIEN MAYS CHAPEL 12230 ROUND WOOD ROAD TIMONIUM MD 21093 (410) 252-0880 215352 COFFMAN NURSING HOME 1304 PENNSYLVANIA AVE HAGERSTOWN MD 21742 (301) 733-2914 215353 INGLESIDE AT KING FARM 701 KING FARM BOULEVARD ROCKVILLE MD 20850 (240) 499-9015 215354 LITTLE SISTERS OF THE POOR 601 MAIDEN CHOICE LANE BALTIMORE MD 21228 (410) 744-9367 215355 ENCORE AT TURF VALLEY 11150 RESORT ROAD ELLICOTT CITY MD 21042 (410) 461-7070 215356 THE GREEN HOUSE AT STADIUM PLACE 1010 EAST 33RD STREET BALTIMORE MD 21218 (410) 646-6580 215358 MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER 7503 SURRATTS ROAD CLINTON MD 20735 (301) 868-8000 215359 LORIEN BULLE ROCK 1501 BLENHEIM FARM LANE HAVRE DE GRACE MD 21078 (410) 939-9300 215360 MARYLAND BAPTIST AGED HOME 2801 RAYNER AVENUE BALTIMORE MD 21216 (410) 945-7650 215361 MARYLAND MASONIC HOMES 300 INTERNATIONAL CIRCLE COCKEYSVILLE MD 21030 (410) 527-1111 225002 HOLDEN REHABILITATION & NURSING CENTER 32 MAYO ROAD HOLDEN MA 1520 (508) 829-4327 225007 WINGATE AT MELROSE 15 GREEN STREET MELROSE MA 2176 (781) 665-3950 225014 SPAULDING NURSING & THERAPY CENTER - WEST ROXBURY 1245 CENTRE STREET WEST ROXBURY MA 2132 (617) 325-5400 225016 KNOLLWOOD NURSING CENTER 87 BRIARWOOD CIRCLE WORCESTER MA 1606 (508) 853-6910 225036 BRAEMOOR HEALTH CENTER 34 NORTH PEARL STREET BROCKTON MA 2301 (508) 586-3696 225048 PILGRIM REHABILITATION & SKILLED NURSING CENTER 96 FOREST STREET PEABODY MA 1960 (978) 532-0303 225049 PINE KNOLL NURSING CENTER 30 WATERTOWN STREET LEXINGTON MA 2420 (781) 862-8151 225054 JOHN SCOTT HOUSE NURSING & REHABILITATION CENTER 233 MIDDLE STREET BRAINTREE MA 2184 (781) 843-1860 225058 ROYAL BRAINTREE NURSING AND REHABILITATION CENTER 95 COMMERCIAL STREET BRAINTREE MA 2184 (781) 848-3678 225059 COLONIAL REHABILITATION AND NURSING CENTER 125 BROAD STREET WEYMOUTH MA 2188 (781) 337-3121 225080 RIVERCREST LONG TERM CARE DEACONESS ROAD W CONCORD MA 1742 (978) 369-5151 225110 SOLDIERS HOME IN MASSACHUSETTS 91 CREST AVENUE CHELSEA MA 2150 (617) 884-5660 225117 ROYAL OF FAIRHAVEN NURSING CENTER 184 MAIN STREET FAIRHAVEN MA 2719 (508) 997-3193 225137 GOLDEN LIVING CENTER-DEXTER HOUSE 120 MAIN STREET MALDEN MA 2148 (781) 324-5600 225147 SAUGUS CENTER 266 LINCOLN AVENUE SAUGUS MA 1906 (781) 233-6830 225173 JEWISH HEALTHCARE CENTER 629 SALISBURY STREET WORCESTER MA 1609 (508) 798-8653 225179 KATHLEEN DANIEL NURSING AND REHABILITATION 485 FRANKLIN STREET FRAMINGHAM MA 1702 (508) 872-8801 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

225184 WEBSTER PARK REHABILITATION AND HEALTHCARE CENTER 56 WEBSTER STREET ROCKLAND MA 2370 (781) 871-0555 225191 LIFE CARE CENTER OF ACTON ONE GREAT ROAD ACTON MA 1720 (978) 263-9101 225196 GARDNER REHABILITATION AND NURSING CENTER 59 EASTWOOD CIRCLE GARDNER MA 1440 (978) 632-8776 225201 SHERRILL HOUSE 135 SOUTH HUNTINGTON AVENUE BOSTON MA 2130 (617) 731-2400 225207 PLYMOUTH REHABILITATION & HEALTH CARE CENTER 123 SOUTH STREET PLYMOUTH MA 2360 (508) 746-4343 225208 CHARLWELL HOUSE 305 WALPOLE STREET NORWOOD MA 2062 (781) 762-7700 225210 RIVER TERRACE REHABILITATION AND HEALTHCARE CTR 1675 NORTH MAIN STREET LANCASTER MA 1523 (978) 365-4537 225211 ELLIS NURSING HOME (THE) 135 ELLIS AVENUE NORWOOD MA 2062 (781) 762-6880 225213 EXCEL CENTER FOR NURSING AND REHAB AT LEXINGTON 840 EMERSON GARDENS ROAD LEXINGTON MA 2420 (781) 861-8630 225215 SOUTHSHORE HEALTH CARE CENTER 115 NORTH AVENUE ROCKLAND MA 2370 (781) 878-3308 225222 NEWTON WELLESLEY CENTER FOR ALZHEIMER'S CARE 694 WORCESTER RD WELLESLEY FMS MA 2181 (781) 237-6400 225225 SOUTHEAST HEALTH CARE CENTER 184 LINCOLN STREET NORTH EASTON MA 2356 (508) 238-7053 225229 MAPLEWOOD CENTER 6 MORRILL PLACE AMESBURY MA 1913 (978) 388-3500 225232 HOLYOKE HEALTHCARE CENTER 282 CABOT STREET HOLYOKE MA 1040 (413) 538-7470 225233 BRANDON WOODS OF DARTMOUTH 567 DARTMOUTH STREET SOUTH DARTMOUTH MA 2748 (508) 997-7787 225236 CARE ONE AT HOLYOKE 260 EASTHAMPTON ROAD HOLYOKE MA 1040 (413) 538-9733 225239 GOLDEN LIVING CENTER-ATTLEBORO 27 GEORGE STREET ATTLEBORO MA 2703 (508) 226-1650 225244 TRANSITIONAL CARE UNIT AT SPAULDING HOSP NORTH SHO DOVE AVENUE SALEM MA 1970 (978) 745-9000 225248 BEAUMONT REHAB & SKILLED NURSING CTR - NORTHBRIDGE 85 BEAUMONT DRIVE NORTHBRIDGE MA 1534 (508) 234-9771 225249 WILLIMANSETT CENTER EAST 11 ST ANTHONY STREET CHICOPEE MA 1013 (413) 536-2540 225250 FAIRVIEW COMMONS NURSING & REHABILITATION CENTER CHRISTIAN HILL ROAD GREAT BARRINGTON MA 1230 (413) 528-4560 225254 QUEEN ANNE NURSING HOME, INC 50 RECREATION PARK DRIVE HINGHAM MA 2043 (781) 749-4982 225256 WILLIMANSETT CENTER WEST 546 CHICOPEE STREET CHICOPEE MA 1013 (413) 536-2540 225257 CARE ONE AT NORTHAMPTON 548 ELM STREET NORTHAMPTON MA 1060 (413) 586-3150 225259 WEST ACRES REHABILITATION & NURSING CENTER 804 PLEASANT STREET BROCKTON MA 2301 (508) 583-6000 225260 BLAIRE HOUSE OF MILFORD 20 CLAFLIN STREET MILFORD MA 1757 (508) 473-1272 225266 ELIZABETH SETON 125 OAKLAND STREET WELLESLEY MA 2481 (781) 237-2161 225268 CARE ONE AT NEWTON 2101 WASHINGTON STREET NEWTON MA 2462 (617) 969-4660 225269 LOOMIS HOUSE NURSING CENTER 298 JARVIS AVENUE HOLYOKE MA 1040 (413) 538-7551 225271 PORT HEALTHCARE CENTER HALE & LOW STREETS NEWBURYPORT MA 1950 (978) 462-7373 225272 BEAR HILL NURSING CENTER AT WAKEFIELD ENTER 11 NORTH STREET STONEHAM MA 2180 (781) 438-8515 225273 CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR 100 OLD BILLERICA ROAD BEDFORD MA 1730 (781) 275-8700 225279 BAYPATH AT DUXBURY NURSING & REHABILITATION CTR 308 KINGSTOWN WAY DUXBURY MA 2332 (781) 585-5561 225281 SKILLED NURSING FACILITY AT NORTH HILL (THE) 865 CENTRAL AVENUE NEEDHAM MA 2492 (781) 444-9910 225282 LIFE CARE CENTER OF THE SOUTH SHORE 309 DRIFTWAY BOX 830 SCITUATE MA 2066 (781) 545-1370 225284 GOLDEN LIVING CENTER-PLYMOUTH 19 OBERY STREET PLYMOUTH MA 2360 (508) 747-4790 225288 CARE ONE AT LEXINGTON 178 LOWELL STREET LEXINGTON MA 2420 (781) 862-7400 225290 HANNAH DUSTON HEALTHCARE CENTER 126 MONUMENT STREET HAVERHILL MA 1832 (978) 373-1747 225294 ACADEMY MANOR 89 MORTON STREET ANDOVER MA 1810 (978) 475-0944 225296 QUABBIN VALLEY HEALTHCARE 821 DANIEL SHAYS HIGHWAY ATHOL MA 1331 (978) 249-3717 225297 LIGHTHOUSE NURSING CARE CENTER 204 PROCTOR AVENUE REVERE MA 2151 (781) 286-3100 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

225298 NORTHWOOD REHABILITATION & HEALTHCARE CENTER 1010 VARNUM AVENUE LOWELL MA 1854 (978) 458-8773 225299 CARE ONE AT REDSTONE 135 BENTON DRIVE EAST LONGMEADOW MA 1028 (413) 525-3336 225303 WINGATE AT EAST LONGMEADOW REHAB & SKILLED NUR RES 32 CHESTNUT STREET EAST LONGMEADOW MA 1028 (413) 525-1893 225306 MT GREYLOCK EXTENDED CARE FACILITY 1000 NORTH STREET PITTSFIELD MA 1201 (413) 499-7186 225309 LEDGEWOOD REHABILITATION & SKILLED NURSING CENTER 87 HERRICK STREET BEVERLY MA 1915 (978) 921-1392 225312 ST CAMILLUS HEALTH CENTER 447 HILL STREET WHITINSVILLE MA 1588 (508) 234-7306 225317 FALL RIVER JEWISH HOME, INC 538 ROBESON STREET FALL RIVER MA 2720 (508) 679-6172 225321 GOLDEN LIVING CENTER-DEDHAM 1007 EAST STREET DEDHAM MA 2026 (781) 329-1520 225323 CARE ONE AT PEABODY 199 ANDOVER STREET PEABODY MA 1960 (978) 531-0772 225328 OAKS, THE 4525 ACUSHNET AVENUE NEW BEDFORD MA 2745 (508) 998-7807 225330 LIBERTY COMMONS 390 ORLEANS ROAD NORTH CHATHAM MA 2650 (508) 945-4611 225331 EAST LONGMEADOW SKILLED NURSING CENTER 305 MAPLE STREET EAST LONGMEADOW MA 1028 (413) 525-6361 225332 COUNTRY CENTER FOR HEALTH & REHABILITATION 180 LOW STREET NEWBURYPORT MA 1950 (978) 465-5361 225333 CEDAR VIEW REHABILITATION AND HEALTHCARE CENTER 480 JACKSON STREET METHUEN MA 1844 (978) 686-3906 225334 OAKDALE REHABILITATION & SKILLED NURSING CENTER 76 NORTH MAIN STREET WEST BOYLSTON MA 1583 (508) 835-6076 225335 BUCKLEY-GREENFIELD HEALTHCARE CENTER 95 LAUREL STREET GREENFIELD MA 1301 (413) 774-3143 225337 CAPE HERITAGE REHABILITATION & HEALTH CARE CENTER 37 ROUTE 6A SANDWICH MA 2563 (508) 888-8222 225339 MEDFORD REHABILITATION AND NURSING CENTER 300 WINTHROP STREET MEDFORD MA 2155 (781) 396-4400 225341 WILLIAMSTOWN COMMONS NURSING & REHAB 25 ADAMS ROAD WILLIAMSTOWN MA 1267 (413) 458-2111 225342 NORTH ADAMS COMMONS NURSING & REHABILITATION CENTE 175 FRANKLIN STREET NORTH ADAMS MA 1247 (413) 664-4041 225344 ABBOTT HOUSE NURSING HOME 28 ESSEX STREET LYNN MA 1902 (781) 595-5500 225348 BOURNE MANOR EXTENDED CARE FACILITY 146 MAC ARTHUR BOULEVARD BOURNE MA 2532 (508) 759-8880 225352 RENAISSANCE MANOR ON CABOT 279 CABOT STREET HOLYOKE MA 1040 (413) 536-3435 225356 CARE ONE AT RANDOLPH 49 THOMAS PATTEN DRIVE RANDOLPH MA 2368 (781) 961-1160 225357 WINCHESTER NURSING CENTER, INC 223 SWANTON STREET WINCHESTER MA 1890 (781) 729-9595 225361 QUABOAG REHABILITATION & SKILLED CARE FACILITY 47 EAST MAIN STREET WEST BROOKFIELD MA 1585 (508) 867-7716 225363 LINDA MANOR EXTENDED CARE FACILITY 349 HAYDENVILLE ROAD LEEDS MA 1053 (413) 586-7700 225366 HATHAWAY MANOR EXTENDED CARE 863 HATHAWAY ROAD NEW BEDFORD MA 2740 (508) 996-6763 225367 BROOKHAVEN AT LEXINGTON 1010 WALTHAM STREET LEXINGTON MA 2421 (781) 863-9660 225369 JML CARE CENTER INC 184 TER HEUN DRIVE FALMOUTH MA 2540 (508) 457-4621 225374 MAYFLOWER PLACE NURSING & REHABILITATION CENTER 579 BUCK ISLAND ROAD WEST YARMOUTH MA 2673 (508) 957-7007 225376 PENACOOK PLACE, INC 150 WATER STREET HAVERHILL MA 1830 (978) 374-0707 225378 NEVILLE CENTER AT FRESH POND FOR NURSING & REHAB 640 CONCORD AVENUE CAMBRIDGE MA 2138 (617) 497-0600 225379 LUTHERAN REHABILITATION & SKILLED CARE CENTER 26 HARVARD STREET WORCESTER MA 1609 (508) 754-8877 225383 WESTFIELD GARDENS NURSING AND REHAB 37 FEEDING HILLS ROAD WESTFIELD MA 1085 (413) 568-2341 225385 CHRISTOPHER HOUSE OF WORCESTER 10 MARY SCANO DRIVE WORCESTER MA 1605 (508) 754-3800 225387 ALDEN COURT NURSING & REHAB CENTER 389 ALDEN ROAD FAIRHAVEN MA 2719 (508) 991-8600 225394 WOBURN NURSING CENTER, INC 18 FRANCES STREET WOBURN MA 1801 (781) 933-8175 225398 DEVEREUX HOUSE SKILLED NURSING AND REHABILITATION 39 LAFAYETTE STREET MARBLEHEAD MA 1945 (781) 631-6120 225401 LAKEVIEW HOUSE SKLD NRSG AND RESIDENTIAL CARE FAC 87 SHATTUCK STREET HAVERHILL MA 1830 (978) 372-1081 225402 CLIFTON REHABILITATION NURSING CENTER 500 WILBUR AVENUE SOMERSET MA 2725 (508) 675-7589 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

225403 COLEMAN HOUSE 112 WEST MAIN STREET NORTHBOROUGH MA 1532 (508) 351-9355 225404 WINGATE AT HAVERHILL REHAB & SKILLED NURSING RESID 190 NORTH AVENUE HAVERHILL MA 1830 (978) 372-7700 225405 ISLAND TERRACE NURSING HOME 57 LONG POINT ROAD, BOX 1237 LAKEVILLE MA 2347 (508) 947-0151 225408 MARISTHILL NURSING & REHABILITATION CENTER 66 NEWTON STREET WALTHAM MA 2453 (781) 893-0240 225409 NEVINS NURSING & REHABILITATION CENTER TEN INGALLS COURT METHUEN MA 1844 (978) 682-7611 225411 LAFAYETTE REHABILITATION & SKILLED NURSING FACILIT 25 LAFAYETTE STREET MARBLEHEAD MA 1945 (781) 631-4535 225414 ST JOSEPH MANOR HEALTH CARE INC 215 THATCHER STREET BROCKTON MA 2302 (508) 583-5834 225415 MARIAN MANOR 130 DORCHESTER AVENUE BOSTON MA 2127 (617) 268-3333 225417 ARMENIAN NURSING & REHABILITATION CENTER 431 POND STREET BOSTON MA 2130 (617) 522-2600 225418 HELLENIC NURSING & REHABILITATION CENTER 601 SHERMAN STREET CANTON MA 2021 (781) 828-7450 225419 BELMONT MANOR NURSING HOME, IN 34 AGASSIZ AVENUE BELMONT MA 2478 (617) 489-1200 225420 CENTER FOR EXTENDED CARE AT AMHERST 150 UNIVERSITY DRIVE AMHERST MA 1002 (413) 256-8185 225425 WATERTOWN HEALTH CENTER 59 COOLIDGE HILL ROAD WATERTOWN MA 2472 (617) 924-1130 225426 WINGATE AT BREWSTER 873 HARWICH ROAD BREWSTER MA 2631 (508) 896-7046 225429 STONEHEDGE HEALTH CARE CENTER 5 REDLANDS ROAD W ROXBURY MA 2132 (617) 327-6325 225430 ST PATRICK'S MANOR 863 CENTRAL STREET FRAMINGHAM MA 1701 (508) 879-8000 225431 WINGATE AT READING REHAB & SKILLED NURS RESID 1364 MAIN STREET READING MA 1867 (781) 942-1210 225432 WEST REVERE HEALTH CENTER 133 SALEM STREET REVERE MA 2151 (781) 322-4861 225433 ABERJONA NURSING CENTER, INC 184 SWANTON STREET WINCHESTER MA 1890 (781) 729-9370 225434 BOSTON HOME, INC (THE) 2049 DORCHESTER AVENUE BOSTON MA 2124 (617) 825-3905 225435 COLONY CENTER FOR HEALTH & REHABILITATION 277 WASHINGTON STREET ABINGTON MA 2351 (781) 871-0200 225436 BOSTONIAN NURSING CARE & REHABILITATION CTR, THE 337 NEPONSET AVENUE DORCHESTER MA 2122 (617) 265-2350 225437 BRIARWOOD REHABILITATION & HEALTHCARE CENTER 150 LINCOLN STREET NEEDHAM MA 2492 (781) 449-4040 225438 ST FRANCIS REHABILITATION & NURSING CENTER 101 PLANTATION STREET WORCESTER MA 1604 (508) 755-8605 225439 ODD FELLOWS HOME OF MASSACHUSETTS 104 RANDOLPH ROAD WORCESTER MA 1606 (508) 853-6687 225440 MEADOW GREEN NURSING AND REHABILITATION CENTER 45 WOBURN STREET WALTHAM MA 2453 (781) 899-8600 225443 BLAIRE HOUSE OF WORCESTER 116 HOUGHTON STREET WORCESTER MA 1604 (508) 791-5543 225445 KINDRED NURSING AND REHABILITATION-BRAINTREE 1102 WASHINGTON STREET BRAINTREE MA 2184 (781) 848-3100 225448 CATHOLIC MEMORIAL HOME 2446 HIGHLAND AVENUE FALL RIVER MA 2720 (508) 679-0011 225449 HATHORNE HILL 14 KIRKBRIDE DRIVE DANVERS MA 1923 (978) 774-6955 225451 CHELSEA JEWISH NURSING HOME 17 LAFAYETTE AVENUE CHELSEA MA 2150 (617) 884-6766 225453 CRAWFORD SKILLED NURSING AND REHABILITATION CENTER 273 OAK GROVE AVENUE FALL RIVER MA 2723 (508) 679-4866 225455 CRANEVILLE PLACE REHABILITATION & SKILLED CARE CT 265 MAIN STREET DALTON MA 1226 (413) 684-3212 225458 FAIRHAVEN HEALTHCARE CENTER 476 VARNUM AVENUE LOWELL MA 1854 (978) 458-3388 225459 ROYAL NURSING CENTER, LLC 545 MAIN STREET FALMOUTH MA 2540 (508) 548-3800 225463 COUNTRYSIDE HEALTH CARE OF MILFORD COUNTRYSIDE DRIVE MILFORD MA 1757 (508) 473-0435 225465 HALLMARK CARE AND REHABILITATION CENTER LLC 1123 ROCKDALE AVENUE NEW BEDFORD MA 2740 (508) 997-7448 225469 LAUREL RIDGE REHAB AND SKILLED CARE CENTER 174 FOREST HILLS STREET BOSTON MA 2130 (617) 522-1550 225470 JEANNE JUGAN RESIDENCE 186 HIGHLAND AVENUE SOMERVILLE MA 2143 (617) 776-4420 225472 JEFFREY & SUSAN BRUDNICK CENTER FOR LIVING 240 LYNNFIELD STREET PEABODY MA 1960 (781) 598-5310 225474 LONGMEADOW OF TAUNTON 68 DEAN STREET - REAR TAUNTON MA 2780 (508) 824-1467 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

225475 MADONNA MANOR NURSING HOME 85 NORTH WASHINGTON STREET NORTH ATTLEBORO MA 2760 (508) 699-2740 225476 MAPLES REHABILITATION & NURSING CENTER 90 TAUNTON STREET WRENTHAM MA 2093 (508) 384-7977 225480 MOUNT SAINT VINCENT CARE CENTER 35 HOLY FAMILY ROAD HOLYOKE MA 1040 (413) 532-3246 225481 NEW BEDFORD JEWISH CONVALESCENT HOME, INC 200 HAWTHORN STREET NEW BEDFORD MA 2740 (508) 997-9314 225482 ROYAL NORWELL NURSING & REHABILITATION CENTER LLC 329 WASHINGTON STREET NORWELL MA 2061 (781) 659-4901 225483 BROOKSIDE REHABILITATION AND HEALTHCARE CENTER 11 PONTIAC AVENUE WEBSTER MA 1570 (508) 943-3889 225485 OUR LADY'S HAVEN 71 CENTER STREET FAIRHAVEN MA 2719 (508) 999-4561 225486 PRESENTATION REHAB AND SKILLED CARE CENTER 10 BELLAMY STREET BOSTON MA 2135 (617) 782-8113 225489 WINGATE AT BELVIDERE REHAB & SKILLED NURSING RES 500 WENTWORTH AVENUE LOWELL MA 1852 (978) 458-1271 225490 SANDALWOOD CENTER 3 PINE STREET OXFORD MA 1540 (508) 987-8417 225491 SHREWSBURY NURSING & REHABILITATION CENTER 40 JULIO DRIVE SHREWSBURY MA 1545 (508) 845-6786 225493 ST JOSEPH REHAB & NURSING CARE CENTER 321 CENTRE STREET DORCHESTER MA 2122 (617) 825-6320 225494 SUNNY ACRES NURSING HOME 254 BILLERICA ROAD CHELMSFORD MA 1824 (978) 256-0231 225495 TIMBERLYN HEIGHTS NURSING AND REHABILITATION 320 MAPLE AVENUE GREAT BARRINGTON MA 1230 (413) 528-2650 225497 VERO HEALTH & REHAB, PARKWAY 1190 VFW PARKWAY BOSTON MA 2132 (617) 325-1688 225503 PAVILION , THE 876 FALMOUTH ROAD HYANNIS MA 2601 (508) 775-6663 225504 CARE ONE AT WILMINGTON 750 WOBURN STREET WILMINGTON MA 1887 (978) 988-0888 225505 WOOD MILL CENTER 800 ESSEX STREET LAWRENCE MA 1841 (978) 686-2994 225509 CARE ONE AT BROOKLINE 99 PARK STREET BROOKLINE MA 2146 (617) 731-1050 225510 PRESCOTT HOUSE 140 PRESCOTT STREET NORTH ANDOVER MA 1845 (978) 685-8086 225513 BEAUMONT REHAB & SKILLED NURSING CTR - NORTHBORO 238 WEST MAIN STREET NORTHBOROUGH MA 1532 (508) 393-2368 225514 SOUTH COVE MANOR NURSING & REHABILITATION CENTER 288 WASHINGTON STREET QUINCY MA 2169 (617) 423-0590 225515 D'YOUVILLE SENIOR CARE 981 VARNUM AVENUE LOWELL MA 1854 (978) 454-5681 225518 SIPPICAN HEALTHCARE CENTER 15 MILL STREET MARION MA 2738 (508) 748-3830 225522 JOHN ADAMS HEALTHCARE CENTER 211 FRANKLIN STREET QUINCY MA 2169 (617) 479-0837 225523 GLEN RIDGE NURSING CARE CENTER 120 MURRAY STREET MEDFORD MA 2155 (781) 391-0800 225525 WINGATE AT HARWICH 111 HEADWATERS DRIVE HARWICH MA 2645 (508) 430-1717 225527 FARREN CARE CENTER 340 MOTAGUE CITY ROAD TURNERS FALLS MA 1376 (413) 774-3111 225528 CLARK HOUSE NURSING CENTER AT FOX HILL 30 LONGWOOD DRIVE WESTWOOD MA 2090 (781) 326-5652 225529 LIFE CARE CENTER OF THE NORTH SHORE 111 BIRCH STREET LYNN MA 1902 (781) 592-9667 225532 VERO HEALTH & REHAB OF MATTAPAN 405 RIVER STREET MATTAPAN MA 2126 (617) 296-5585 225533 WACHUSETT MANOR 32 HOSPITAL HILL ROAD GARDNER MA 1440 (978) 632-5477 225535 BETHANY SKILLED NURSING FACILITY 97 BETHANY ROAD FRAMINGHAM MA 1701 (508) 872-6750 225536 KINDRED TRANSITIONAL CARE & REHAB-HARRINGTON 160 MAIN STREET WALPOLE MA 2081 (508) 660-3080 225537 TOWN AND COUNTRY HEALTH CARE CENTER 259 BALDWIN STREET LOWELL MA 1851 (978) 454-5438 225538 ROYAL CAPE COD NURSING & REHABILITATION CENTER 8 LEWIS POINT ROAD BUZZARDS BAY MA 2532 (508) 759-5752 225539 CHICOPEE GARDENS REHABILITATION AND CARE CENTER 44 NEW LOMBARD ROAD CHICOPEE MA 1020 (413) 592-7738 225540 GERMAN CENTER FOR EXTENDED CARE 2222 CENTRE STREET BOSTON MA 2132 (617) 325-1230 225541 CARLYLE HOUSE 342 WINTER STREET FRAMINGHAM MA 1701 (508) 879-6100 225543 LIFE CARE CENTER OF WILBRAHAM 2399 BOSTON ROAD WILBRAHAM MA 1095 (413) 596-3111 225544 WINGATE AT SILVER LAKE REHAB & SKILLED NURSING RES 17 CHIPMAN WAY KINGSTON MA 2364 (781) 585-4100 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

225545 COURTYARD NURSING CARE CENTER 200 GOVERNORS AVENUE MEDFORD MA 2155 (781) 391-5400 225546 LIFE CARE CENTER OF MERRIMACK VALLEY 80 BOSTON ROAD BILLERICA MA 1862 (978) 667-2166 225547 HANNAH B G SHAW HOME FOR THE AGED 299 WAREHAM STREET PO BOX 390 MIDDLEBORO MA 2346 (508) 947-1184 225549 BRIGHAM HEALTH AND REHABILITATION CENTER LLC 77 HIGH STREET NEWBURYPORT MA 1950 (978) 462-4221 225555 MARY ANN MORSE NURSING & REHABILITATION 45 UNION STREET NATICK MA 1760 (508) 650-9003 225556 MONT MARIE REHABILITATION & HEALTHCARE CENTER 36 LOWER WESTFIELD ROAD HOLYOKE MA 1040 (413) 538-6050 225557 EASTPOINTE NURSING CARE CENTER 255 CENTRAL AVENUE CHELSEA MA 2150 (617) 884-5700 225567 SEACOAST NURSING & REHABILITATION CENTER INC 292 WASHINGTON STREET GLOUCESTER MA 1930 (978) 283-0300 225569 LIFE CARE CENTER OF NASHOBA VALLEY 191 FOSTER STREET LITTLETON MA 1460 (978) 486-3512 225573 SANCTA MARIA NURSING FACILITY 799 CONCORD AVENUE CAMBRIDGE MA 2138 (617) 868-2200 225576 GOLDEN LIVING CENTER-HEATHWOOD 188 FLORENCE STREET CHESTNUT HILL MA 2467 (617) 332-4730 225577 NOTRE DAME LONG TERM CARE CENTER 559 PLANTATION STREET WORCESTER MA 1605 (508) 852-3011 225581 MOUNT CARMEL CARE CENTER 320 PITTSFIELD ROAD LENOX MA 1240 (413) 637-2660 225584 PARK AVENUE HEALTH CENTER 146 PARK AVENUE ARLINGTON MA 2174 (781) 648-9530 225586 WESTFORD HOUSE 3 PARK DRIVE WESTFORD MA 1886 (978) 392-1144 225589 SARAH BRAYTON NURSING CARE CTR 4901 NORTH MAIN STREET FALL RIVER MA 2720 (508) 675-1001 225594 BEAUMONT AT UNIVERSITY CAMPUS 378 PLANTATION STREET WORCESTER MA 1605 (508) 755-7300 225597 SOUTHWOOD AT NORWELL NURSING CTR 501 CORDWAINER DRIVE NORWELL MA 2061 (781) 982-7450 225598 WATERVIEW LODGE LLC, REHABILITATION & HEALTHCARE 250 WEST UNION STREET ASHLAND MA 1721 (508) 848-4220 225599 BEDFORD VILLAGE CARE AND REHABILITATION CENTER LLC 9 POPE STREET NEW BEDFORD MA 2740 (508) 997-3358 225603 SOUTHPOINTE REHAB & SKILLED NURSING 100 AMITY STREET FALL RIVER MA 2721 (508) 675-2500 225608 VICTORIA HAVEN NURSING FACILITY 137 NICHOLS STREET NORWOOD MA 2062 (781) 762-0858 225612 DIGHTON CARE AND REHABILITATION CENTER LLC 907 CENTRE STREET NORTH DIGHTON MA 2764 (508) 669-6741 225613 POPE NURSING HOME 140 WEBB STREET WEYMOUTH MA 2188 (781) 335-4352 225615 RIVERBEND OF SOUTH NATICK 34 SOUTH LINCOLN STREET S NATICK MA 1760 (508) 653-8330 225616 BRIDGEWATER NURSING HOME 16 PLEASANT STREET BRIDGEWATER MA 2324 (508) 697-4616 225619 MARIE ESTHER HEALTH CENTER INC 720 BOSTON POST ROAD MARLBOROUGH MA 1752 (508) 485-3791 225622 NEMASKET HEALTHCARE CENTER 314 MARION ROAD MIDDLEBOROUGH MA 2346 (508) 947-8632 225630 WINDEMERE NURSING & REHAB CTR ON MARTHAS VINEYARD ONE HOSPITAL ROAD, PO BOX 1747 OAK BLUFFS MA 2557 (508) 696-6465 225634 CARE ONE AT WEYMOUTH 64 PERFORMANCE DRIVE WEYMOUTH MA 2189 (781) 340-9800 225637 SEASHORE POINT AND WELLNESS REHABILITATION 100 ALDEN STREET PROVINCETOWN MA 2657 (508) 487-7090 225640 BERKELEY RETIREMENT HOME,THE 150 BERKELEY STREET LAWRENCE MA 1841 (978) 682-1614 225641 MARQUARDT NURSING CENTER 200 TRAPELO ROAD WALTHAM MA 2154 (781) 894-3600 225644 GROSVENOR PARK HEALTH CENTER 7 LORING HILLS AVENUE SALEM MA 1970 (978) 741-5700 225645 THOMAS UPHAM HOUSE 519 MAIN STREET MEDFIELD MA 2052 (508) 359-6050 225648 HOLY TRINITY EASTERN ORTHODOX N & R CENTER 300 BARBER AVENUE WORCESTER MA 1606 (508) 852-1000 225650 CARE ONE AT NEW BEDFORD 221 FITZGERALD DRIVE NEW BEDFORD MA 2745 (508) 996-4600 225651 ROSEWOOD NURSING & REHABILITATION CENTER 22 JOHNSON STREET PEABODY MA 1961 (978) 535-8700 225653 COPLEY AT STOUGHTON NURSING CARE CENTER 380 SUMNER STREET STOUGHTON MA 2072 (781) 341-2300 225654 BENJAMIN HEALTHCARE CENTER 120 FISHER AVENUE BOSTON MA 2120 (617) 738-1500 225655 LIFE CARE CENTER OF RAYNHAM 546 SOUTH STREET EAST RAYNHAM MA 2767 (508) 821-5700 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

225656 CAMPION HEALTH CENTER INC 319 CONCORD ROAD WESTON MA 2493 (781) 788-4795 225659 GOLDEN LIVING CENTER-THE ELMHURST 743 MAIN STREET MELROSE MA 2176 (781) 662-7500 225661 LIFE CARE CENTER OF AUBURN 14 MASONIC CIRCLE AUBURN MA 1501 (508) 832-4800 225662 HARBOR HOUSE NURSING & REHABILITATION CENTER 11 CONDITO ROAD HINGHAM MA 2043 (781) 749-4774 225663 CARE ONE AT CONCORD 57 OLD ROAD TO NINE ACRE CORNER W CONCORD MA 1742 (978) 371-3400 225667 PLEASANT BAY NURSING & REHABILITATION 383 SOUTH ORLEANS ROAD BREWSTER MA 2631 (508) 240-3500 225668 MEADOWS OF CENTRAL MASSACHUSETTS (THE) 111 HUNTOON MEMORIAL HIGHWAY ROCHDALE MA 1542 (508) 892-6808 225672 COMMONS RESIDENCE AT ORCHARD COVE 1 DEL POND DRIVE CANTON MA 2021 (781) 821-0820 225679 ROYAL MEGANSETT NURSING & REHABILITATION 209 COUNTY ROAD BOX 408 N FALMOUTH MA 2556 (508) 563-5913 225680 MARINA BAY SKILLED NURSING & REHABILITATION CTR 2 SEAPORT DRIVE QUINCY MA 2171 (617) 769-5100 225682 OAK KNOLL HEALTHCARE CENTER 9 ARBETTER DRIVE FRAMINGHAM MA 1701 (508) 877-3300 225683 STONE REHABILITATION AND SENIOR LIVING 277 ELLIOT STREET NEWTON UPPER FALLS MA 2164 (617) 527-0023 225687 HILLCREST COMMONS NURSING & REHABILITATION CENTER 169 VALENTINE ROAD PITTSFIELD MA 1201 (413) 445-2300 225688 SEA VIEW CONVALESCENT AND NURSING HOME 50 MANSION DRIVE ROWLEY MA 1969 (978) 948-2552 225690 BAYPOINTE REHABILITATION & SKILLED CARE CENTER 50 CHRISTY PLACE BROCKTON MA 2301 (508) 580-6800 225691 LOOMIS LAKESIDE AT REEDS LANDING 807 WILBRAHAM ROAD SPRINGFIELD MA 1109 (413) 782-1800 225692 EMERSON REHABILITATION & TRANSITIONAL CARE UNIT OLD ROAD TO NINE ACRE CORNER WEST CONCORD MA 1742 (978) 287-3620 225694 ROYAL TABER STREET NURS & REHAB CTR 19 TABER STREET NEW BEDFORD MA 2740 (508) 997-0791 225704 LIFE CARE CENTER OF WEST BRIDGEWATER 765 WEST CENTER STREET WEST BRIDGEWATER MA 2379 (508) 580-4400 225709 TIMOTHY DANIELS HOUSE 84 ELM STREET HOLLISTON MA 1746 (508) 429-4566 225718 HANCOCK PARK REHABILITATION & NURSING CENTER 164 PARKINGWAY QUINCY MA 2169 (617) 773-4222 225720 CARE ONE AT MILLBURY 312 MILLBURY AVENUE MILLBURY MA 1527 (508) 793-0088 225721 TCU-BROCKTON HOSPITAL 680 CENTRE STREET BLDG A LEVEL 3 BROCKTON MA 2302 (508) 941-7000 225722 CARDIGAN NURSING & REHABILITATION CENTER 59 COUNTRY WAY SCITUATE MA 2066 (781) 545-9477 225724 MEADOWS, THE 575 OSGOOD STREET NORTH ANDOVER MA 1845 (978) 725-4100 225725 BLACKSTONE NURSING HOME 8 BUTLER STREET BLACKSTONE MA 1504 (508) 883-5818 225727 BEAUMONT REHAB & SKILLED NURSING CTR - NATICK 3 VISION DRIVE NATICK MA 1760 (508) 651-9200 225735 TCU AT WEBSTER 340 THOMPSON ROAD - 1ST FLOOR WEBSTER MA 1570 (508) 949-8420 225736 GREENWOOD NURSING & REHABILITATION CENTER 90 GREENWOOD STREET WAKEFIELD MA 1880 (781) 246-0211 225737 KINDRED NURSING & REHABILITATION-HARBORLIGHTS 804 EAST 7TH STREET BOSTON MA 2127 (617) 268-8968 225738 MARY'S MEADOW AT PROVIDENCE PLACE 12 GAMELIN STREET HOLYOKE MA 1040 (413) 493-2749 225739 WILLIAM B RICE EVENTIDE HOME 215 ADAMS ST QUINCY MA 2169 (617) 472-8300 225740 HUNT NURSING & REHAB CENTER 90 LINDALL STREET DANVERS MA 1923 (978) 777-3740 225743 BAKER-KATZ SKILLED NURSING AND REHABILITATION CTR 194 BOARDMAN STREET HAVERHILL MA 1830 (978) 373-5697 225747 SOMERSET RIDGE CENTER 455 BRAYTON AVENUE SOMERSET MA 2726 (508) 679-2240 225748 PHILLIPS MANOR NURSING HOME 28 LINWOOD ROAD LYNN MA 1905 (781) 592-8000 225749 KINDRED NURSING & REHABILITATION-LAUREL LAKE 620 LAUREL STREET LEE MA 1238 (413) 243-2010 225750 MASCONOMET HEALTHCARE CENTER 123 HIGH STREET TOPSFIELD MA 1983 (978) 887-7002 225752 SERENITY HILL NURSING CENTER 655 DEDHAM ST WRENTHAM MA 2093 (508) 384-3400 225755 LASELL HOUSE 120 SEMINARY AVENUE NEWTON MA 2466 (617) 663-7000 225756 WINGATE AT CHESTNUT HILL 615 HEATH STREET CHESTNUT HILL MA 2467 (617) 243-9990 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

225758 VIBRA NURSING & REHABILITATION CTR OF WESTERN MASS 1400 STATE STREET SPRINGFIELD MA 1109 (413) 726-6145 225759 RECUPERATIVE SERVICES UNIT-HEBREW REHAB CENTER 1200 CENTRE STREET BOSTON MA 2131 (617) 325-8000 225760 LYDIA TAFT HOUSE 60 QUAKER HIGHWAY UXBRIDGE MA 1569 (508) 278-9500 225762 BERKSHIRE PLACE 290 SOUTH STREET PITTSFIELD MA 1201 (413) 445-4056 225764 KIMBALL FARMS NURSING CARE CENTER 40 SUNSET AVENUE LENOX MA 1240 (413) 637-5011 225766 HERITAGE HALL NORTH 55 COOPER STREET AGAWAM MA 1001 (413) 786-8000 225767 CONTINUING CARE AT BROOKSBY VILLAGE 400 BROOKSBY VILLAGE DRIVE PEABODY MA 1960 (978) 536-2150 225768 NEW ENGLAND HOMES FOR THE DEAF, INC 154 WATER STREET DANVERS MA 1923 (978) 774-0445 225769 ALLIANCE HEALTHCARE CENTER AT BRAINTREE 175 GROVE STREET BRAINTREE MA 2184 (781) 848-2050 225770 BRIGHTON HOUSE REHABILITATION & NURSING CENTER 170 COREY ROAD BRIGHTON MA 2135 (617) 753-0515 225771 BERKSHIRE HEALTH CARE CENTER 7 SANDISFIELD ROAD BOX 216 SANDISFIELD MA 1255 (413) 258-4731 225773 LINDEN PONDS 400 LINDEN PONDS WAY HINGHAM MA 2043 (781) 534-7030 225774 NEWBRIDGE ON THE CHARLES SKILLED NURSING FACILITY 7000 GREAT MEADOW ROAD DEDHAM MA 2026 (781) 234-9660 225775 LEONARD FLORENCE CENTER FOR LIVING 165 CAPTAIN'S ROW CHELSEA MA 2150 (617) 887-0001 225776 DANIELS HOUSE NURSING HOME 59 MIDDLESEX AVENUE READING MA 1867 (781) 944-4410 225777 D'YOUVILLE TRANSITIONAL CARE, INC 1071 VARNUM AVENUE LOWELL MA 1854 (978) 569-1071 225778 WHITTIER WESTBOROUGH TRANSITIONAL CARE UNIT 150 FLANDERS ROAD WESTBOROUGH MA 1581 (508) 871-2000 225779 ADAMS HOUSE 1168 HIGHLAND AVENUE FALL RIVER MA 2720 (508) 679-0144 225780 HIGHLAND MANOR CARE AND REHABILITATION CENTER LLC 761 HIGHLAND AVENUE FALL RIVER MA 2720 (617) 679-1411 235002 OCEANA CO MD CARE FACILITY 701 E MAIN ST HART MI 49420 (231) 873-6600 235003 MANISTEE COUNTY MEDICAL CARE FACILITY 1505 E PARKDALE AVENUE MANISTEE MI 49660 (231) 723-2543 235006 OTSEGO MEMORIAL HOSPITAL LTCU 825 N CENTER ST GAYLORD MI 49735 (989) 731-2131 235008 MAPLE LAWN MEDICAL CARE FACILI 50 SANDERSON LANE COLDWATER MI 49036 (517) 279-9587 235011 IOSCO CO MEDICAL CARE FACILITY 1201 HARRIS AVE TAWAS CITY MI 48763 (989) 362-4424 235013 FAIRVIEW NURSING AND REHABILITATION COMMUNITY 441 E MAIN ST CENTREVILLE MI 49032 (269) 467-9575 235014 ADVANTAGE LIVING CENTER - REDFORD 25330 WEST SIX MILE ROAD REDFORD MI 48240 (313) 531-6874 235015 INGHAM COUNTY MEDICAL CARE FAC 3860 DOBIE RD OKEMOS MI 48864 (517) 381-6100 235019 JACKSON COUNTY MEDICAL CARE FACILITY 524 LANSING AVE JACKSON MI 49201 (517) 782-8500 235020 MICHIGAN MASONIC HOME 1200 WRIGHT AVE ALMA MI 48801 (989) 463-3141 235021 CHELSEA RETIREMENT COMMUNITY 805 W MIDDLE ST CHELSEA MI 48118 (734) 475-8633 235022 MEDILODGE OF CLARE 600 SE 4TH ST CLARE MI 48617 (989) 386-7723 235023 HEARTLAND HEALTH CARE CENTER-BATTLE CREEK 200 E ROOSEVELT BATTLE CREEK MI 49017 (269) 965-3327 235025 MEADOW BROOK MEDICAL CARE FACILITY 4543 SOUTH M-88 HIGHWAY BELLAIRE MI 49615 (231) 533-8661 235026 GOGEBIC MEDICAL CARE FACILITY 402 NORTH STREET WAKEFIELD MI 49968 (906) 224-9811 235027 EATON COUNTY MEDICAL CARE FACI 530 W BEECH ST CHARLOTTE MI 48813 (517) 543-2940 235031 HOUGHTON CO MED CARE FACILITY 1100 QUINCY ST HANCOCK MI 49930 (906) 482-5050 235032 HEARTLAND HEALTH CARE CENTER-IONIA 814 E LINCOLN AVE IONIA MI 48846 (616) 527-0080 235033 BAY BLUFFS-EMMET CO MED CARE FAC 750 E MAIN HARBOR SPRINGS MI 49740 (231) 526-2161 235035 SPECTRUM HEALTH REHAB AND NURSING CENTER 4118 KALAMAZOO AVE S E GRAND RAPIDS MI 49508 (616) 455-7300 235037 ISABELLA CO MEDICAL CARE FACIL 1222 NORTH DR MOUNT PLEASANT MI 48858 (989) 772-2957 235038 PILGRIM MANOR 2000 LEONARD N E GRAND RAPIDS MI 49505 (616) 458-1133 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

235039 BROOKCREST 3400 WILSON AVE GRANDVILLE MI 49418 (616) 534-5487 235041 MACKINAC STRAITS LONG TERM CARE UNIT 1140 NORTH STATE STREET SAINT IGNACE MI 49781 (906) 643-0462 235044 BAY COUNTY MEDICAL CARE FACILITY 564 W HAMPTON ROAD ESSEXVILLE MI 48732 (989) 892-3591 235051 SPECTRUM HEALTH REHAB & NSG CTRS-KELSEY HOSPITAL 418 WASHINGTON AVE LAKEVIEW MI 48850 (989) 352-7211 235054 EVERGREEN MANOR SENIOR CARE CE 111 EVERGREEN BATTLE CREEK MI 49015 (269) 969-6110 235056 HOYT NURSING & REHAB CENTRE 1202 WEISS ST SAGINAW MI 48602 (989) 754-1419 235058 LAPEER COUNTY MEDICAL CARE FAC 1455 SUNCREST DR LAPEER MI 48446 (810) 664-8571 235062 GRANDVUE MEDICAL CARE FACILITY 1728 S PENINSULA ROAD EAST JORDAN MI 49727 (231) 536-2286 235065 SOUTH LYON SENIOR CARE AND REHAB CENTER, L L C 700 REYNOLD SWEET PARKWAY SOUTH LYON MI 48178 (248) 437-2048 235067 SHIAWASSEE COUNTY MED CARE FAC 729 S NORTON CORUNNA MI 48817 (989) 743-3491 235069 PINECREST MEDICAL CARE FACILITY N15995 MAIN STREET POWERS MI 49874 (906) 497-5244 235072 OAKVIEW MEDICAL CARE FACILITY 1000 DIANA ST LUDINGTON MI 49431 (231) 845-5185 235074 MARLETTE COMM HOSP LTCU 2770 MAIN ST MARLETTE MI 48453 (989) 635-4000 235076 NEWAYGO CO MEDICAL CARE FACILI 4465 W 48TH ST FREMONT MI 49412 (231) 924-2020 235088 GRAND TRAVERSE PAVILIONS 1000 PAVILIONS CIRCLE TRAVERSE CITY MI 49684 (231) 932-3163 235089 TUSCOLA COUNTY MEDICAL CARE FACILITY 1285 CLEAVER RD CARO MI 48723 (989) 673-4117 235094 THE LAKEVIEW OF CADILLAC 460 PEARL ST CADILLAC MI 49601 (231) 775-0101 235102 AMBASSADOR NURSING AND REHABILITATION CENTER 8045 E JEFFERSON AVE DETROIT MI 48214 (313) 821-3525 235113 SAGINAW SENIOR CARE AND REHAB CENTER, L L C 4322 MACKINAW ROAD SAGINAW MI 48603 (989) 792-8729 235114 HEARTLAND HEALTH CARE CENTER-KALAMAZOO 3625 W MICHIGAN AVE KALAMAZOO MI 49006 (269) 375-4550 235120 MARYCREST MANOR 15475 MIDDLEBELT RD LIVONIA MI 48154 (734) 427-9175 235123 DURAND SENIOR CARE AND REHAB CENTER, L L C 8750 E MONROE RD DURAND MI 48429 (989) 288-3166 235132 HEARTLAND HEALTH CARE CENTER-FOSTRIAN 540 SUNNYSIDE DR FLUSHING MI 48433 (810) 659-5695 235143 SPECTRUM HEALTH REHAB & NSG CTRS-UNITED HOSPITAL 615 S BOWER ST GREENVILLE MI 48838 (616) 225-6590 235144 BAYSIDE VILLAGE 832 SICOTTE ST L' ANSE MI 49946 (906) 524-6531 235147 SCHOOLCRAFT MEDICAL CARE FACILITY 520 MAIN ST MANISTIQUE MI 49854 (906) 341-6921 235150 HEALTHSOURCE SAGINAW, INC 3340 HOSPITAL RD SAGINAW MI 48603 (989) 790-7700 235157 SANILAC MEDICAL CARE FACILITY 137 N ELK ST SANDUSKY MI 48471 (810) 648-3017 235161 ASPIRUS ONTONAGON HOSPITAL, INC 601 SEVENTH STREET ONTONAGON MI 49953 (906) 884-8000 235164 PINE RIDGE - A REHABILITATION AND NURSING CENTER 4368 CLEVELAND AVE STEVENSVILLE MI 49127 (269) 983-6501 235177 HARTFORD NURSING & REHABILITATION CENTER 6700 W OUTER DR DETROIT MI 48235 (313) 836-1700 235179 CHRISTIAN PARK VILLAGE 2525 7TH AVENUE SOUTH ESCANABA MI 49829 (906) 786-0408 235182 LYNWOOD MANOR HEALTHCARE CENTER 730 KIMOLE LN ADRIAN MI 49221 (517) 263-6771 235184 HEARTLAND HEALTH CARE CENTER-BRIARWOOD 3011 N CENTER RD FLINT MI 48506 (810) 736-0600 235192 SAINT MARY'S STANDISH COMMUNITY HOSPITAL 805 W CEDAR STANDISH MI 48658 (989) 846-4521 235201 MUNSON HEALTHCARE CRAWFORD CONTINUING CARE CENTER 1100 MICHIGAN AVE GRAYLING MI 49738 (989) 348-0317 235205 SPECTRUM HEALTH - REED CITY CA 300 NORTH PATTERSON RD REED CITY MI 49677 (231) 832-7127 235206 HEARTLAND HEALTH CARE CENTER-WHITEHALL 916 E LEWIS ST WHITEHALL MI 49461 (231) 894-4056 235207 OAKPOINTE SENIOR CARE AND REHAB CENTER 18901 MEYERS RD DETROIT MI 48235 (313) 864-8481 235209 TENDERCARE HEALTH CENTER OF LEELANAU 124 W 4TH STREET SUTTONS BAY MI 49682 (231) 271-1200 235213 ALLEGAN COUNTY MEDICAL CARE FA 3265 122ND AVE R2 ALLEGAN MI 49010 (269) 673-2102 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

235217 HEARTLAND HEALTH CARE CENTER-BLOOMFIELD HILLS 2975 N ADAMS ROAD BLOOMFIELD HILLS MI 48304 (248) 645-2900 235224 LENAWEE MEDICAL CARE FACILITY 200 SAND CREEK HWY ADRIAN MI 49221 (517) 263-6794 235225 FOUNTAIN VIEW OF MONROE 1971 N MONROE STREET MONROE MI 48162 (734) 243-8800 235236 BURCHAM HILLS RETIREMENT CTR 2700 BURCHAM DRIVE EAST LANSING MI 48823 (517) 351-8377 235237 CALHOUN COUNTY MEDICAL CARE FACILITY 1150 E MICHIGAN AVE BATTLE CREEK MI 49014 (269) 962-5458 235242 BOULEVARD MANOR, LLC 464 E GRAND BLVD DETROIT MI 48207 (313) 579-2255 235243 TENDERCARE HEALTH CENTER-BIRCHWOOD 2950 LAFRANIER RD TRAVERSE CITY MI 49686 (231) 947-0506 235244 CHRISTIAN PARK HEALTH CARE CENTER 2415 5TH AVE SOUTH ESCANABA MI 49829 (906) 786-6907 235245 BRITTANY MANOR 3615 E ASHMAN ST MIDLAND MI 48642 (989) 631-0460 235248 FRIENDSHIP VILLAGE 1400 N DRAKE RD KALAMAZOO MI 49006 (269) 381-0560 235249 ST FRANCIS HOME 915 N RIVER RD SAGINAW MI 48609 (989) 781-3150 235252 LOURDES NURSING HOME 2300 WATKINS LAKE RD WATERFORD MI 48328 (248) 674-2241 235257 IRON CO MEDICAL CARE FACILITY 1523 U S HIGHWAY 2 CRYSTAL FALLS MI 49920 (906) 875-6671 235260 REGENCY AT WATERFORD 1901 N TELEGRAPH RD WATERFORD MI 48328 (248) 836-1000 235262 WEST HICKORY HAVEN 3310 W COMMERCE RD MILFORD MI 48380 (248) 685-1400 235266 ADVANTAGE LIVING CENTER - SOUTHGATE 15400 TRENTON ROAD SOUTHGATE MI 48195 (734) 284-4620 235267 MANORCARE NURSING AND REHABILITATION CENTER 1225 WOODWARD AVENUE KINGSFORD MI 49801 (906) 774-4805 235274 WELLSPRING LUTHERAN NURSING AND REHAB SERVICES 1236 S MONROE ST MONROE MI 48161 (734) 241-9533 235279 HOLT SENIOR CARE AND REHAB CENTER, L L C 5091 WILLOUGHBY ROAD HOLT MI 48842 (517) 694-2144 235280 TENDERCARE ALPENA 301 LONG RAPIDS RD ALPENA MI 49707 (989) 356-2194 235285 MEDILODGE OF LANSING 731 STARKWEATHER DR LANSING MI 48917 (517) 323-9133 235286 MEDILODGE OF CASS CITY 4782 HOSPITAL DR CASS CITY MI 48726 (989) 872-2174 235287 PROVINCIAL HOUSE OF ADRIAN 700 LAKESHIRE TR ADRIAN MI 49221 (517) 263-0781 235289 BORGESS GARDENS 3057 GULL ROAD KALAMAZOO MI 49048 (269) 552-6500 235290 METRON OF GREENVILLE 828 E WASHINGTON ST GREENVILLE MI 48838 (616) 754-7186 235292 TENDERCARE SAULT STE MARIE 1011 MERIDIAN RD SAULT SAINTE MARIE MI 49783 (906) 635-1518 235294 METRON OF CEDAR SPRINGS 400 JEFFREY CEDAR SPRINGS MI 49319 (616) 696-0170 235295 LAKEVIEW EXTENDED CARE AND REHAB 210 SOUTH FIRST STREET HARBOR BEACH MI 48441 (989) 479-3201 235297 RIVERGATE HEALTH CARE CENTER 14041 PENNSYLVANIA RD RIVERVIEW MI 48193 (734) 284-7200 235299 LAURELS OF BEDFORD (THE) 270 N BEDFORD RD BATTLE CREEK MI 49017 (269) 968-2296 235300 MEDILODGE OF TAYLOR 23600 NORTHLINE RD TAYLOR MI 48180 (734) 287-8580 235301 SANCTUARY AT MCAULEY 1380 E SHERMAN BLVD MUSKEGON MI 49444 (231) 672-2578 235310 PORTER HILLS HEALTH CENTER 3600 FULTON ST E GRAND RAPIDS MI 49546 (616) 949-4971 235311 ALAMO NURSING HOME INC 8290 W C AVE KALAMAZOO MI 49009 (269) 343-2587 235312 METRON OF BIG RAPIDS 725 W FULLER BIG RAPIDS MI 49307 (231) 796-2631 235319 ST MARY'S NURSING & REHAB CENTER 22601 E NINE MILE RD SAINT CLAIR SHORES MI 48080 (586) 772-4300 235320 LAHSER HILLS CARE CENTRE 25300 LAHSER RD SOUTHFIELD MI 48034 (248) 354-3222 235324 PINE RIVER HEALTHCARE CENTER 1149 WEST MONROE RD SAINT LOUIS MI 48880 (989) 681-3852 235335 GLADWIN NURSING AND REHABILITATION COMMUNITY 3270 PRATT LAKE RD GLADWIN MI 48624 (989) 426-7275 235336 TENDERCARE TRAVERSE CITY 2585 S LAFRANIER RD TRAVERSE CITY MI 49686 (231) 947-9511 235339 CHRISTIAN REST HOME ASSOC 1000 EDISON AVE NW GRAND RAPIDS MI 49504 (616) 453-2475 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

235345 FROH COMMUNITY HOME 307 N FRANKS AVENUE STURGIS MI 49091 (269) 651-7841 235350 TENDERCARE GAYLORD 508 RANDOM LANE GAYLORD MI 49735 (989) 732-3508 235351 HEARTLAND HEALTH CARE CENTER-PLYMOUTH 105 HAGGERTY RD PLYMOUTH MI 48170 (734) 455-0510 235352 CASS COUNTY MEDICAL CARE FACIL 23770 HOSPITAL ST CASSOPOLIS MI 49031 (269) 228-4000 235354 RIVERVIEW MANOR 55378 WILBUR RD THREE RIVERS MI 49093 (269) 279-7441 235355 METRON OF LAMONT 13030 COMMERCIAL ST LAMONT MI 49430 (616) 677-1243 235358 TENDERCARE OF LUDINGTON 1000 E TINKHAM AVE LUDINGTON MI 49431 (231) 845-6291 235367 NORLITE NURSING CENTER 701 HOMESTEAD ST MARQUETTE MI 49855 (906) 228-9252 235369 MARWOOD MANOR NURSING HOME 1300 BEARD ST PORT HURON MI 48060 (810) 982-9500 235371 MEDILODGE OF YALE, INC 90 JEAN ST YALE MI 48097 (810) 387-3226 235372 LAKESHORE HEALTHCARE CRANBROOK CAMPUS, INC 5000 E SEVEN MILE RD DETROIT MI 48234 (313) 366-2900 235373 NORTH OTTAWA CARE CENTER 18525 WOODLAND RIDGE DRIVE SPRING LAKE MI 49456 (616) 842-0770 235374 WEST OAKS SENIOR CARE & REHAB CENTER 22355 W EIGHT MILE RD DETROIT MI 48219 (313) 255-6450 235375 APPLEWOOD NURSING CENTER INC 18500 VAN HORN RD WOODHAVEN MI 48183 (734) 676-7575 235376 BELLE FOUNTAIN NURSING & REHABILITATION CENTER 18591 QUARRY RD RIVERVIEW MI 48192 (734) 282-2100 235378 RESTHAVEN CARE CENTER 280 W 40TH ST HOLLAND MI 49423 (616) 796-3600 235379 TENDERCARE TAWAS CITY 400 NORTH STREET WEST TAWAS CITY MI 48763 (989) 362-8645 235380 THE VILLA AT ROSE CITY 517 W PAGE ST ROSE CITY MI 48654 (989) 685-2442 235381 CHIPPEWA COUNTY WAR MEM HOSP LTCU 500 OSBORN BLVD SAULT SAINTE MARIE MI 49783 (906) 635-4460 235382 HAMILTON NURSING HOME 590 E GRAND BLVD DETROIT MI 48207 (313) 921-1580 235384 SCHNEPP SENIOR CARE AND REHAB CENTER 427 E WASHINGTON SAINT LOUIS MI 48880 (989) 681-5721 235385 LAURELS OF MT. PLEASANT (THE) 400 SOUTH CRAPO ST MOUNT PLEASANT MI 48858 (989) 773-5918 235388 BAY SHORES SENIOR CARE AND REHAB CENTER 3254 E MIDLAND RD BAY CITY MI 48706 (989) 686-3770 235396 THE VILLA AT SILVERBELL ESTATES 1255 W SILVERBELL RD ORION MI 48359 (248) 391-0900 235400 WELLSPRING LUTHERAN SERVICES 1390 MAPLE DRIVE FAIRVIEW MI 48621 (989) 848-2241 235402 THE VILLA AT GREAT LAKES CROSSING 22811 W SEVEN MILE RD DETROIT MI 48219 (313) 534-1440 235405 CLINTON-AIRE HEALTHCARE CENTER 17001 17 MILE RD CLINTON TOWNSHIP MI 48038 (586) 286-7100 235407 KALKASKA MEMORIAL HEALTH CENTER 419 S CORAL ST KALKASKA MI 49646 (231) 258-7500 235408 ST ANTHONY HEALTHCARE CENTER 31830 RYAN RD WARREN MI 48092 (586) 977-6700 235411 HEARTLAND HEALTH CARE CENTER-HAMPTON 800 MULHOLLAND RD BAY CITY MI 48708 (989) 895-8539 235412 THE VILLA AT TRAVERSE POINT 2828 CONCORD ST TRAVERSE CITY MI 49684 (231) 941-1200 235414 THE VILLA AT WEST BRANCH 445 S VALLEY ST WEST BRANCH MI 48661 (989) 345-3600 235416 MEDILODGE OF STERLING 500 SCHOOL RD STERLING MI 48659 (989) 654-2496 235421 MEDILODGE OF PORT HURON 5635 LAKESHORE FORT GRATIOT MI 48059 (810) 385-7447 235422 EASTWOOD CONVALESCENT CENTER 626 E GRAND BLVD DETROIT MI 48207 (313) 923-5816 235423 MEDILODGE OF HILLMAN 631 CARING ST HILLMAN MI 49746 (989) 742-4581 235427 AUTUMN WOODS RESIDENTIAL HLTH 29800 HOOVER RD WARREN MI 48093 (586) 574-3444 235429 THE VILLA AT THE BAY 1500 SPRING ST PETOSKEY MI 49770 (231) 347-5500 235430 SANCTUARY AT WHITE LAKE 10770 ELIZABETH LAKE ROAD WHITE LAKE MI 48386 (248) 618-4100 235432 GRAYLING NURSING & REHAB COMMUNITY 331 MEADOWS DRIVE GRAYLING MI 49738 (989) 348-2801 235433 GREENFIELD REHAB AND NURSING CENTER 3030 GREENFIELD AVE ROYAL OAK MI 48073 (248) 288-6610 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

235434 BRONSON COMMONS 23332 RED ARROW HIGHWAY MATTAWAN MI 49071 (269) 283-5200 235435 HOLLAND HOME - FULTON MANOR 1450 E FULTON ST GRAND RAPIDS MI 49503 (616) 643-2600 235438 AUTUMNWOOD OF MCBAIN 220 HUGHSTON ST MC BAIN MI 49657 (231) 825-2990 235440 HOLLAND HOME - RAYBROOK MANOR 2121 RAYBROOK SE GRAND RAPIDS MI 49546 (616) 235-5702 235441 HEARTLAND HEALTH CARE CENTER-CRESTVIEW 625 36TH ST SW WYOMING MI 49509 (616) 531-0200 235443 SHOREPOINTE NURSING CENTER 26001 EAST JEFFERSON AVENUE SAINT CLAIR SHORES MI 48081 (586) 779-7000 235445 FAIRLANE SENIOR CARE AND REHAB CENTER 15750 JOY DETROIT MI 48228 (313) 273-6850 235446 AUTUMNWOOD OF DECKERVILLE 3387 ELLA ST DECKERVILLE MI 48427 (810) 376-2145 235450 ALLENDALE NURSING AND REHABILITATION COMMUNITY 11007 RADCLIFF DR ALLENDALE MI 49401 (616) 895-6688 235451 THE OAKS AT NORTHPOINTE WOODS 706 NORTH AVENUE BATTLE CREEK MI 49017 (269) 964-4655 235453 SANCTUARY AT FRASER VILLA 33300 UTICA RD FRASER MI 48026 (586) 293-3300 235454 LAKESHORE HEALTHCARE ELMWOOD CAMPUS, INC 1881 E GRAND BLVD DETROIT MI 48211 (313) 922-1600 235459 ALTERCARE OF BIG RAPIDS CTR FOR REHAB & NURSING CA 805 WEST AVE BIG RAPIDS MI 49307 (231) 796-3185 235460 PAUL OLIVER MEMORIAL HOSPITAL LTCU 224 PARK AVE FRANKFORT MI 49635 (231) 352-2200 235463 THE VILLA AT THE PARK 111 FORD AVE HIGHLAND PARK MI 48203 (313) 883-3585 235464 NORTH WOODS NURSING CENTER 2532 CADILLAC DR FARWELL MI 48622 (989) 588-9928 235467 FOUR CHAPLAINS NRSG CARE CTR 28349 JOY RD WESTLAND MI 48185 (734) 261-9500 235470 SANCTUARY AT BELLBROOK 873 W AVON RD ROCHESTER HILLS MI 48307 (248) 656-3239 235471 LIFE CARE CENTER OF PLAINWELL 320 BRIGHAM ST PLAINWELL MI 49080 (269) 685-9805 235472 MEMORIAL HEALTHCARE CENTER LTC 826 W KING ST OWOSSO MI 48867 (989) 723-5211 235473 EVANGELICAL HOME STERLING HEIGHTS 14900 SHORE LINE DR STERLING HEIGHTS MI 48313 (586) 247-4700 235477 BOULEVARD HEALTH CENTER 3500 WEST SOUTH BLVD ROCHESTER HILLS MI 48309 (248) 852-7800 235479 AUTUMNWOOD OF LIVONIA 14900 MIDDLEBELT RD LIVONIA MI 48154 (734) 425-4200 235480 ADVANTAGE LIVING CENTER - HARPER WOODS 19840 HARPER AVE HARPER WOODS MI 48225 (313) 881-9556 235481 LAKE ORION NURSING CENTER 585 EAST FLINT STREET LAKE ORION MI 48362 (248) 693-0505 235484 CHERRYWOOD NURSING AND LIVING 34643 KETSIN DRIVE STERLING HEIGHTS MI 48310 (586) 978-2280 235488 WEST BLOOMFIELD NURSING & CONV 6445 W MAPLE WEST BLOOMFIELD MI 48322 (248) 661-1600 235489 THE VILLA AT GREEN LAKE ESTATES 6470 ALDEN DR ORCHARD LAKE MI 48324 (248) 363-4121 235490 MEDILODGE OF MT PLEASANT 1524 PORTABELLA RD MOUNT PLEASANT MI 48858 (989) 772-2967 235491 ADVANTAGE LIVING CENTER - ROSEVILLE 25375 KELLY RD ROSEVILLE MI 48066 (586) 773-6022 235492 SHEFFIELD MANOR NURSING & REHAB CENTER 15311 SCHAEFER RD DETROIT MI 48227 (313) 835-4775 235498 BOULEVARD TEMPLE CARE CENTER, LLC 2567 WEST GRAND BOULEVARD DETROIT MI 48208 (313) 895-5340 235499 GRAND OAKS NURSING CENTER 600 DENMARK ST BALDWIN MI 49304 (231) 745-4648 235502 BEAUMONT HEALTH & REHAB CENTER - OAKWOOD COMMON 16391 ROTUNDA DR DEARBORN MI 48120 (313) 253-9700 235503 THE VILLA AT PARKRIDGE 28 S PROSPECT ST YPSILANTI MI 48198 (734) 483-2220 235506 SHELBY NURSING CENTER 46100 SCHOENHERR RD SHELBY TOWNSHIP MI 48315 (586) 566-1100 235507 MEDILODGE OF PLYMOUTH 395 W ANN ARBOR TRAIL PLYMOUTH MI 48170 (734) 453-3983 235508 THE MANOR OF FARMINGTON HILLS 21017 MIDDLEBELT RD FARMINGTON HILLS MI 48336 (248) 476-8300 235515 LAKEVIEW MANOR HEALTHCARE CENTER 408 N FIFTH AVE TAWAS CITY MI 48763 (989) 362-2211 235516 RIVERGATE TERRACE 14141 PENNSYLVANIA RIVERVIEW MI 48193 (734) 284-8000 235518 MAPLE WOODS MANOR 13137 NORTH CLIO ROAD CLIO MI 48420 (810) 686-2600 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

235519 KING NURSING & REHABILITATION COMMUNITY 2280 TOWER HILL RD HOUGHTON LAKE MI 48629 (989) 422-5153 235520 MERCY MEMORIAL NURSING CENTER 700 STEWART RD MONROE MI 48161 (734) 240-1820 235523 OAKLAND NURSING CENTER 22401 FOSTER WINTER DR SOUTHFIELD MI 48075 (248) 423-5100 235524 THE SPRINGS AT THE FOUNTAINS 1451 BRONSON WAY KALAMAZOO MI 49009 (269) 567-5904 235525 HERITAGE NURSING AND REHABILITATION COMMUNITY 320 E CENTRAL AVE ZEELAND MI 49464 (616) 772-9191 235526 BOULDER PARK TERRACE 14676 W UPRIGHT CHARLEVOIX MI 49720 (231) 547-1005 235528 THE VILLAGE OF EAST HARBOR 33875 KIELY DR CHESTERFIELD TOWNSHI MI 48047 (586) 725-6030 235529 THE MANOR OF NOVI 24500 MEADOWBROOK RD NOVI MI 48375 (248) 477-2000 235530 MARYWOOD NURSING CARE CENTER 36975 W FIVE MILE RD LIVONIA MI 48154 (734) 464-0600 235531 ALPHA MANOR NURSING HOME 440 E GRAND BLVD DETROIT MI 48207 (313) 579-2900 235532 ASHLEY CARE CENTER 103 EAST WALLACE STREET ASHLEY MI 48806 (989) 847-2011 235535 RIVERSIDE NURSING CENTRE 415 FRIANT STREET GRAND HAVEN MI 49417 (616) 842-4120 235536 MANOR OF BATTLE CREEK SKILLED NURSING AND REHAB 675 WAGNER DR BATTLE CREEK MI 49017 (269) 969-6244 235540 HOLLAND HOME BRETON REHABILITATION & LIVING CENTRE 2589 44TH ST SE GRAND RAPIDS MI 49512 (616) 643-2500 235541 THE LODGE AT TAYLOR 22950 NORTHLINE RD TAYLOR MI 48180 (734) 287-1230 235542 MEDILODGE OF WESTWOOD 2575 N DRAKE RD KALAMAZOO MI 49007 (269) 342-0206 235543 LINCOLN HAVEN NURSING & REHAB COMMUNITY 950 BARLOW RD LINCOLN MI 48742 (989) 736-8481 235544 ORCHARD GROVE NURSING & REHAB CENTER 1385 E EMPIRE AVE BENTON HARBOR MI 49022 (269) 925-0033 235545 REGENCY AT WHITMORE LAKE 8633 N MAIN ST WHITMORE LAKE MI 48189 (734) 449-4431 235547 LAKEPOINTE SENIOR CARE AND REHAB CENTER, L L C 37700 HARPER AVENUE CLINTON TOWNSHIP MI 48036 (586) 468-0827 235548 INN AT FREEDOM VILLAGE, THE 145 COLUMBIA AVE HOLLAND MI 49423 (616) 820-7400 235549 ROOSEVELT PARK NURSING AND REHABILITATION COMMUNIT 1300 W BROADWAY AVE MUSKEGON MI 49441 (231) 755-2221 235550 WILLOWBROOK MANOR G-4436 BEECHER RD FLINT MI 48532 (810) 733-0290 235551 OUR LADY OF MERCY HEALTH AND REHAB 52225 B AVENUE HUBBELL MI 49934 (906) 296-3301 235553 TENDERCARE HEALTH CENTER-ROGERS CITY 555 N BRADLEY HWY ROGERS CITY MI 49779 (989) 734-2151 235554 EASTWOOD NURSING CENTER 900 MAAS ST NEGAUNEE MI 49866 (906) 475-7500 235556 WOODWARD HILLS NURSING CENTER 39312 WOODWARD BLOOMFIELD HILLS MI 48304 (248) 644-5522 235560 HERRICK MANOR 502 EAST POTTAWATAMIE TECUMSEH MI 49286 (517) 424-3365 235562 BLOOMFIELD ORCHARD VILLA 7277 RICHARDSON RD WEST BLOOMFIELD MI 48323 (248) 360-4443 235563 MEDILODGE OF MONROE 481 VILLAGE GREEN LANE MONROE MI 48162 (734) 242-6282 235565 WESTGATE NURSING & REHAB COMMUNITY 1500 NORTH LOWELL STREET IRONWOOD MI 49938 (906) 932-3867 235566 TENDERCARE HEALTH CENTER OF CHEBOYGAN 824 S HURON PO BOX 408 CHEBOYGAN MI 49721 (231) 627-4347 235567 HILLSDALE COMMUNITY HEALTH CEN 168 SOUTH HOWELL ST HILLSDALE MI 49242 (517) 437-5440 235570 WHITEHALL HEALTHCARE CENTER OF ANN ARBOR 3370 EAST MORGAN RD ANN ARBOR MI 48108 (734) 971-3230 235573 COUNTRYSIDE NURSING AND REHABILITATION COMMUNITY 120 BASELINE RD SOUTH HAVEN MI 49090 (269) 637-8411 235577 LAPEER REGIONAL EXTENDED CARE 1375 NORTH MAIN STREET LAPEER MI 48446 (810) 667-5588 235578 FOUR SEASONS NURSING CENTER OF WESTLAND 8365 NEWBURGH RD WESTLAND MI 48185 (734) 416-2000 235580 HEARTLAND HEALTH CARE CENTER-ANN ARBOR 4701 E. HURON RIVER DR ANN ARBOR MI 48105 (734) 975-2600 235582 EVERGREEN HEALTH & LIVING CTR 19933 WEST THIRTEEN MILE ROAD SOUTHFIELD MI 48076 (248) 203-9000 235583 TENDERCARE GREEN VIEW 1234 GOLF COURSE RD ALPENA MI 49707 (989) 356-1030 235584 ARGENTINE CARE CENTER 9051 SILVER LAKE RD LINDEN MI 48451 (810) 735-9487 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

235585 COVENANT MEDICAL CENTER, INC 515 N. MICHIGAN SAGINAW MI 48602 (989) 583-8110 235587 WELLSPRING LUTHERAN SERVICES 28910 PLYMOUTH ROAD LIVONIA MI 48150 (734) 425-4814 235588 MAPLE VALLEY NURSING HOME 1086 W. BURDICKVILLE ROAD MAPLE CITY MI 49664 (231) 228-5895 235589 LAKELAND CENTER (THE) 26900 FRANKLIN ROAD SOUTHFIELD MI 48034 (248) 350-8070 235590 LIVONIA WOODS NURSING AND REHABILITATION 33600 LUTHER LANE LIVONIA MI 48154 (734) 421-6564 235591 ROUBAL CARE AND REHAB CENTER N 306 MAPLE STREET STEPHENSON MI 49887 (906) 753-4981 235592 HURON WOODS NURSING CENTER 1395 S HURON RD KAWKAWLIN MI 48631 (989) 684-3210 235593 HENRY FORD VILLAGE, INC 15101 FORD RD DEARBORN MI 48126 (313) 582-2097 235594 WEST WOODS OF NILES 1211 STATE LINE RD NILES MI 49120 (269) 684-2810 235601 IRON RIVER CARE CENTER 330 LINCOLN AVE IRON RIVER MI 49935 (906) 265-5168 235602 HAZEL I FINDLAY COUNTRY MANOR 1101 S SCOTT RD SAINT JOHNS MI 48879 (989) 224-8936 235604 WOODHAVEN RETIREMENT COMMUNITY 29667 WENTWORTH AVENUE LIVONIA MI 48154 (734) 261-9000 235605 COVENTRY HOUSE INN 3905 LORRAINE PATH ST JOSEPH MI 49085 (269) 428-1111 235606 FISHER SENIOR CARE AND REHAB 521 OHMER RD MAYVILLE MI 48744 (989) 843-6185 235607 WARWICK LIVING CENTER 842 W WARWICK DR ALMA MI 48801 (989) 463-2200 235608 STRATFORD PINES NURSING AND REHABILITATION CENTER 2121 ROCKWELL DR MIDLAND MI 48642 (989) 633-5350 235609 ADVANTAGE LIVING CENTER - ARMADA 22600 ARMADA RIDGE RD ARMADA MI 48005 (586) 784-5322 235611 ORCHARD CREEK SKILLED NURSING 9731 EAST CHERRY BEND ROAD TRAVERSE CITY MI 49684 (231) 932-9272 235612 FREEMAN NURSING & REHAB COMMUNITY 1805 PYLE DRIVE KINGSFORD MI 49802 (906) 774-1530 235613 MAPLE MANOR REHAB CENTER 3999 VENOY ROAD WAYNE MI 48184 (734) 727-0440 235614 COVENANT VILLAGE OF THE GREAT LAKES 2520 LAKE MICHIGAN DRIVE NW GRAND RAPIDS MI 49504 (616) 735-6050 235615 CARETEL INNS OF BRIGHTON 1014 E GRAND RIVER BRIGHTON MI 48116 (810) 220-5222 235617 REGENCY MANOR NURSING & REHABILITATION CENTER 7700 MCCLELLAN UTICA MI 48317 (586) 739-7700 235618 HEARTLAND HEALTH CARE CENTER-CANTON 7025 LILLEY ROAD CANTON MI 48187 (734) 394-3100 235619 CHURCH OF CHRIST CARE CENTER 23575 15 MILE RD CLINTON TOWNSHIP MI 48035 (586) 791-2470 235621 REGENCY ON THE LAKE - FORT GRATIOT 5669 LAKESHORE FORT GRATIOT MI 48059 (810) 385-7260 235622 QUALICARE NURSING HOME 695 E GRAND BLVD DETROIT MI 48207 (313) 925-6655 235624 PORTAGEPOINTE 500 CAMPUS DRIVE HANCOCK MI 49930 (906) 483-1000 235626 HEARTLAND HEALTH CARE CENTER-OAKLAND 925 W SOUTH BLVD TROY MI 48085 (248) 729-4400 235628 JAMIESON NURSING HOME 790 S US HWY 23, BOX 369 HARRISVILLE MI 48740 (989) 724-6889 235634 FOX RUN VILLAGE 41215 FOX RUN ROAD NOVI MI 48377 (248) 668-8720 235636 LAURELS OF CARSON CITY 620 NORTH SECOND STREET CARSON CITY MI 48811 (989) 584-6100 235638 MEDILODGE OF HOLLAND 1221 EAST 16TH HOLLAND MI 49423 (616) 396-7095 235640 MEADOW WOODS NURSING AND REHAB CENTER 42235 COUNTY ROAD 390 BLOOMINGDALE MI 49026 (269) 521-3383 235641 CHESANING NURSING AND REHABILITATION CENTER 201 S FRONT ST CHESANING MI 48616 (989) 845-6602 235643 ST ANNS HOME 2161 LEONARD NW GRAND RAPIDS MI 49504 (616) 453-7715 235644 HICKORY RIDGE OF TEMPERANCE 951 HICKORY CREEK BOULEVARD TEMPERANCE MI 48182 (734) 206-8200 235646 CARETEL INNS OF LINDEN 202 SOUTH BRIDGE STREET LINDEN MI 48451 (810) 735-9400 235648 SISTERS, SERVANTS OF THE IMMACULATE HEART OF MARY 610 WEST ELM AVENUE MONROE MI 48162 (734) 241-3660 235649 VALLEY HEALTH CENTER 1015 E PARIS AVE SE GRAND RAPIDS MI 49546 (616) 301-6209 235650 MEDILODGE OF MILFORD 555 HIGHLAND AVE MILFORD MI 48381 (248) 685-1460 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

235651 BISHOP NOA HOME FOR SENIOR CITIZENS 2900 THIRD AVENUE SOUTH ESCANABA MI 49829 (906) 786-5810 235652 THE TIMBERS OF CASS COUNTY 55432 COLBY ST DOWAGIAC MI 49047 (269) 782-7828 235653 MEDILODGE OF CAPITAL AREA 2100 E PROVINCIAL HOUSE DR LANSING MI 48910 (517) 272-4029 235655 CAMELOT HALL CONVALESCENT CTR 35100 ANN ARBOR TRAIL LIVONIA MI 48150 (734) 522-1444 235656 CHRISTIAN CARE NURSING CENTER 2053 S SHERIDAN DRIVE MUSKEGON MI 49442 (231) 722-7165 235658 REGENCY AT BLUFFS PARK 355 HURON VIEW BLVD ANN ARBOR MI 48103 (734) 887-8700 235660 THE OAKS AT WOODFIELD 5370 E BALDWIN ROAD GR BLANC MI 48439 (810) 606-9950 235661 STONEGATE HEALTH CAMPUS 2525 DEMILLE ROAD LAPEER MI 48446 (810) 245-9300 235662 SHELBY CROSSING HEALTH CAMPUS 13794 21 MILE ROAD SHELBY TOWNSHIP MI 48315 (586) 532-2100 235663 NOTTING HILL OF WEST BLOOMFIELD 6535 DRAKE ROAD WEST BLOOMFIELD MI 48322 (248) 592-2000 235664 CAMBRIDGE SOUTH HEALTHCARE CTR 18200 W 13 MILE ROAD BEVERLY HILLS MI 48025 (248) 647-6500 235665 HEARTLAND HEALTH CARE CENTER - STERLING HEIGHTS 38200 SCHOENHERR ROAD STERLING HEIGHTS MI 48312 (586) 274-9044 235666 REGENCY AT GRAND BLANC 1330 GRAND POINTE COURT GRAND BLANC MI 48439 (810) 695-8920 235667 MARYWOOD HEALTH CENTER 111 LAKESIDE DRIVE, NE GRAND RAPIDS MI 49503 (616) 456-1993 235668 WELLBRIDGE OF BRIGHTON 2200 DORR ROAD HOWELL MI 48843 (517) 947-4400 235669 MAPLE MANOR REHAB CENTER OF NOVI INC 31215 NOVI ROAD NOVI MI 48377 (248) 624-8800 235702 WELLBRIDGE OF NOVI, LLC 48300 11 MILE ROAD NOVI MI 48374 (248) 662-2300 245012 GUARDIAN ANGELS CARE CENTER 400 EVANS AVENUE ELK RIVER MN 55330 (763) 635-5429 245024 INTERFAITH CARE CENTER 811 THIRD STREET CARLTON MN 55718 (218) 384-4258 245028 HIGHLAND CHATEAU HEALTH CARE CENTER 2319 WEST SEVENTH STREET SAINT PAUL MN 55116 (651) 698-0793 245039 NEILSON PLACE 1000 ANNE STREET NORTHWEST BEMIDJI MN 56601 (218) 751-0220 245045 SUNNYSIDE HEALTH CARE CENTER 512 SKYLINE BOULEVARD CLOQUET MN 55720 (218) 879-4641 245063 ST ANTHONY PARK HOME 2237 COMMONWEALTH AVENUE SAINT PAUL MN 55108 (651) 632-3503 245067 ST LUCAS CARE CENTER 500 SOUTHEAST FIRST STREET FARIBAULT MN 55021 (507) 332-5100 245071 MOUNT OLIVET CAREVIEW HOME 5517 LYNDALE AVENUE SOUTH MINNEAPOLIS MN 55419 (612) 827-5677 245083 PARK HEALTH AND REHABILITATION CENTER 4415 WEST 36 1/2 STREET SAINT LOUIS PARK MN 55416 (952) 927-9717 245084 GOLDEN LIVINGCENTER - HILLCREST OF WAYZATA 15409 WAYZATA BOULEVARD WAYZATA MN 55391 (952) 473-5466 245090 PLEASANT MANOR INC 27 BRAND AVENUE FARIBAULT MN 55021 (507) 334-2036 245114 HARMONY RIVER LIVING CENTER 1555 SHERWOOD STREET SOUTHEAST HUTCHINSON MN 55350 (320) 484-6000 245119 AITKIN HEALTH SERVICES 301 MINNESOTA AVENUE SOUTH AITKIN MN 56431 (218) 927-5526 245120 GRACEPOINTE CROSSING GABLES EAST 548 FIRST AVENUE CAMBRIDGE MN 55008 (763) 689-6140 245125 FITZGERALD NH AND REHAB 227 MCKINLEY AVENUE EVELETH MN 55734 (218) 744-7570 245127 MILLE LACS HEALTH SYSTEM 200 NORTH ELM STREET ONAMIA MN 56359 (320) 532-2585 245149 GOOD SAMARITAN SOCIETY - AMBASSADOR 8100 MEDICINE LAKE ROAD NEW HOPE MN 55427 (763) 544-4171 245153 MADONNA TOWERS OF ROCHESTER INC 4001 19TH AVENUE NORTHWEST ROCHESTER MN 55901 (507) 288-3911 245164 HEALTH AND REHABILITATION OF NEW BRIGHTON 825 FIRST AVENUE NORTHWEST NEW BRIGHTON MN 55112 (651) 633-7875 245170 FAIRVIEW UNIVERSITY TRANS SERV 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 (612) 273-4197 245182 THE VILLA AT ST LOUIS PARK 7500 WEST 22ND STREET SAINT LOUIS PARK MN 55426 (952) 546-4261 245189 SOUTHVIEW ACRES HEALTH CARE CENTER INC 2000 OAKDALE AVENUE WEST SAINT PAUL MN 55118 (651) 554-9558 245200 BIRCHWOOD HEALTH CARE CENTER 604 - 1ST STREET NE FOREST LAKE MN 55025 (651) 464-5600 245201 GOLDEN LIVINGCENTER - LYNWOOD 5700 EAST RIVER ROAD FRIDLEY MN 55432 (763) 571-3150 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

245205 ANOKA REHABILITATION AND LIVING CENTER 3000 4TH AVENUE ANOKA MN 55303 (763) 528-6400 245207 GOOD SAMARITAN SOCIETY - STILLWATER 1119 OWENS STREET NORTH STILLWATER MN 55082 (651) 439-7180 245210 LAKE MINNETONKA SHORES 4527 SHORELINE DRIVE SPRING PARK MN 55384 (952) 471-4000 245212 ESSENTIA HEALTH OAK CROSSING 1040 LINCOLN AVENUE DETROIT LAKES MN 56501 (218) 847-5611 245213 EBENEZER RIDGES GERIATRIC CARE CENTER 13820 COMMUNITY DRIVE BURNSVILLE MN 55337 (952) 898-8400 245215 LAKESHORE INC 4002 LONDON ROAD DULUTH MN 55804 (218) 625-7100 245218 MAYO CLINIC HEALTH SYSTEM - LAKE CITY 500 WEST GRANT STREET LAKE CITY MN 55041 (651) 345-1144 245221 GOOD SAMARITAN SOCIETY - MAPLEWOOD 550 EAST ROSELAWN AVENUE MAPLEWOOD MN 55117 (651) 793-3333 245222 GOLDEN LIVINGCENTER - CHATEAU 2106 SECOND AVENUE SOUTH MINNEAPOLIS MN 55404 (612) 874-1603 245224 AUGUSTANA HEALTH CARE CENTER OF HASTINGS 930 WEST 16TH STREET HASTINGS MN 55033 (651) 480-5910 245225 SLEEPY EYE CARE CENTER 1105 3RD AVENUE SOUTHWEST SLEEPY EYE MN 56085 (507) 794-7995 245228 AVERA MORNINGSIDE HEIGHTS CARE CENTER 300 SOUTH BRUCE STREET MARSHALL MN 56258 (507) 537-9393 245229 FRIENDSHIP VILLAGE OF BLOOMINGTON 8100 HIGHWOOD DRIVE BLOOMINGTON MN 55438 (952) 831-7500 245231 APPLETON MUNICIPAL HOSPITAL 30 SOUTH BEHL STREET APPLETON MN 56208 (320) 289-2422 245232 CUYUNA REGIONAL MEDICAL CENTER 320 EAST MAIN STREET CROSBY MN 56441 (218) 546-7000 245233 SAINT ANNE EXTENDED HEALTHCARE 1347 WEST BROADWAY WINONA MN 55987 (507) 454-3621 245234 GOOD SAMARITAN SOCIETY - WACONIA AND WESTVIEW ACRE 333 FIFTH STREET WEST WACONIA MN 55387 (952) 442-5111 245235 WOODBURY HEALTH CARE CENTER 7012 LAKE ROAD WOODBURY MN 55125 (651) 735-6000 245236 BENEDICTINE HEALTH CENTER 935 KENWOOD AVENUE DULUTH MN 55811 (218) 723-5957 245239 GUARDIAN ANGELS HEALTH & REHAB CENTER 1500 EAST THIRD AVENUE HIBBING MN 55746 (218) 231-8100 245240 LAKE WINONA MANOR 865 MANKATO AVENUE WINONA MN 55987 (507) 457-4366 245241 NORTHFIELD HOSPITAL LONG TERM CARE CENTER 2000 NORTH AVENUE NORTHFIELD MN 55057 (507) 646-1001 245242 AUGUSTANA HEALTH CARE CENTER OF MINNEAPOLIS 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 (612) 238-5101 245243 GRANITE MANOR 250 JORDAN DRIVE GRANITE FALLS MN 56241 (320) 564-3111 245244 CENTRACARE HEALTH SYSTEM - LONG PRAIRIE 20 NINTH STREET SOUTHEAST LONG PRAIRIE MN 56347 (320) 732-2141 245247 KITTSON MEMORIAL HEALTHCARE CENTER 1010 SOUTH BIRCH HALLOCK MN 56728 (218) 843-3612 245250 TRINITY CARE CENTER 3410 213TH STREET WEST FARMINGTON MN 55024 (651) 463-7818 245251 RIVERVIEW HOSPITAL & NURSING HOME 323 SOUTH MINNESOTA CROOKSTON MN 56716 (218) 281-9200 245252 THIEF RIVER CARE CENTER 2001 EASTWOOD DRIVE THIEF RIVER FALLS MN 56701 (218) 683-8101 245253 CENTRACARE HEALTH PAYNESVILLE KORONIS MANOR CC 200 FIRST STREET WEST PAYNESVILLE MN 56362 (320) 243-3767 245254 REGINA SENIOR LIVING 1175 NININGER ROAD HASTINGS MN 55033 (651) 404-1515 245255 CERENITY CARE CENTER ON HUMBOLDT 512 HUMBOLDT AVENUE SAINT PAUL MN 55107 (651) 227-8091 245257 ST OTTOS CARE CENTER 920 SOUTHEAST 4TH STREET LITTLE FALLS MN 56345 (320) 632-9281 245258 FRANCISCAN HEALTH CENTER 3910 MINNESOTA AVENUE DULUTH MN 55802 (218) 302-6988 245259 LUTHER HAVEN 1109 EAST HIGHWAY 7 MONTEVIDEO MN 56265 (320) 269-6517 245261 WOOD DALE HOME INC 600 SUNRISE BOULEVARD REDWOOD FALLS MN 56283 (507) 637-3587 245262 WEST WIND VILLAGE 1001 SCOTTS AVENUE MORRIS MN 56267 (320) 589-1133 245263 GLENCOE REGIONAL HEALTH SERVICES 1805 HENNEPIN AVENUE NORTH GLENCOE MN 55336 (320) 864-7790 245264 AUGUSTANA HCC OF APPLE VALLEY 14650 GARRETT AVENUE APPLE VALLEY MN 55124 (952) 236-2000 245265 ST FRANCIS HOME 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 (218) 643-3000 245266 BENEDICTINE HEALTH CENTER OF MINNEAPOLIS 618 EAST 17TH STREET MINNEAPOLIS MN 55404 (612) 879-2800 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

245269 GOOD SHEPHERD LUTHERAN HOME 1115 4TH AVENUE NORTH SAUK RAPIDS MN 56379 (320) 252-6525 245271 PROVIDENCE PLACE 3720 23RD AVENUE SOUTH MINNEAPOLIS MN 55407 (612) 238-2566 245272 MARTIN LUTHER CARE CENTER 1401 EAST 100TH STREET BLOOMINGTON MN 55425 (952) 888-7751 245273 GOLDEN LIVINGCENTER - FRANKLIN 900 3RD STREET SOUTH FRANKLIN MN 55333 (507) 557-2211 245274 MAYO CLINIC HEALTH SYSTEM - FAIRMONT 800 MEDICAL CENTER DRIVE, PO BOX 800 FAIRMONT MN 56031 (507) 238-8651 245276 MAPLEWOOD CARE CENTER 1900 SHERREN AVENUE MAPLEWOOD MN 55109 (651) 770-1365 245278 GOOD SAMARITAN SOCIETY - HOWARD LAKE 413 13TH AVENUE HOWARD LAKE MN 55349 (320) 543-3800 245279 GOOD SAMARITAN SOCIETY - SPECIALTY CARE COMMUNITY 3815 WEST BROADWAY ROBBINSDALE MN 55422 (612) 332-4262 245281 VALLEY CARE AND REHAB LLC 600 FIFTH STREET SOUTHEAST, BOX 129 BARNESVILLE MN 56514 (218) 354-2254 245282 CHARTER HOUSE 211 NORTHWEST SECOND STREET ROCHESTER MN 55901 (507) 266-7373 245285 GOOD SAMARITAN SOCIETY - INVER GROVE HEIGHTS 1301 50TH STREET EAST INVER GROVE HEIGHTS MN 55077 (651) 451-1853 245290 GOLDEN LIVINGCENTER - OLIVIA 1003 WEST MAPLE OLIVIA MN 56277 (320) 523-1652 245291 ST CLARE LIVING COMMUNITY OF MORA 110 NORTH 7TH STREET MORA MN 55051 (320) 679-1411 245300 CERENITY CARE CENTER - WHITE BEAR LAKE 1900 WEBBER STREET WHITE BEAR LAKE MN 55110 (651) 232-1821 245301 PIONEER MEMORIAL CARE CENTER 23028 - 347TH STREET SOUTHEAST ERSKINE MN 56535 (218) 687-2365 245306 GOLDEN LIVINGCENTER - ROCHESTER WEST 2215 HIGHWAY 52 NORTH ROCHESTER MN 55901 (507) 288-1818 245307 CORNERSTONE NSG & REHAB CENTER 416 SEVENTH STREET NORTHEAST BAGLEY MN 56621 (218) 694-6552 245310 BENEDICTINE HEALTH CENTER INNSBRUCK 1101 BLACK OAK DRIVE NEW BRIGHTON MN 55112 (651) 633-1686 245312 CASTLE RIDGE CARE CENTER 625 PRAIRIE CENTER DRIVE EDEN PRAIRIE MN 55344 (952) 942-2100 245314 GOOD SAMARITAN SOCIETY - WINTHROP 506 HIGH STREET WINTHROP MN 55396 (507) 647-5391 245315 TRIMONT HEALTH CARE CENTER 303 BROADWAY AVENUE SOUTH TRIMONT MN 56176 (507) 639-2381 245316 NEW RICHLAND CARE CENTER 312 NORTHEAST 1ST STREET NEW RICHLAND MN 56072 (507) 465-3292 245318 GOOD SAMARITAN SOCIETY - INTERNATIONAL FALLS 2201 KEENAN DRIVE INTERNATIONAL FALLS MN 56649 (218) 283-8313 245320 WOODLYN HEIGHTS HEALTHCARE CENTER 2060 UPPER 55TH STREET EAST INVER GROVE HEIGHTS MN 55077 (651) 451-1881 245322 COLONIAL ACRES HEALTH CARE CTR 5825 ST CROIX AVENUE GOLDEN VALLEY MN 55422 (763) 544-1555 245325 FOLEY NURSING CENTER 253 PINE STREET FOLEY MN 56329 (320) 968-6201 245326 ROSE OF SHARON MANOR 1000 LOVELL AVENUE ROSEVILLE MN 55113 (651) 484-3378 245327 DIVINE PROVIDENCE HEALTH CENTER 312 EAST GEORGE ST PO BOX 136 IVANHOE MN 56142 (507) 694-1414 245329 WARROAD CARE CENTER 1401 LAKE STREET NORTHWEST WARROAD MN 56763 (218) 386-1235 245330 COUNTRY MANOR HEALTH & REHAB CTR 520 FIRST STREET NORTHEAST SARTELL MN 56377 (320) 253-1920 245333 FAIRFAX COMMUNITY HOME 300 TENTH AVENUE SOUTHEAST FAIRFAX MN 55332 (507) 426-8241 245336 GOLDEN LIVINGCENTER - DELANO 433 COUNTY ROAD 30 DELANO MN 55328 (763) 972-2987 245338 ST JOHNS LUTHERAN HOME 901 LUTHER PLACE ALBERT LEA MN 56007 (507) 373-8226 245339 MOTHER OF MERCY CAMPUS OF CARE 230 CHURCH AVENUE, BOX 676 ALBANY MN 56307 (320) 845-2195 245340 GALTIER HEALTH CENTER 445 GALTIER AVENUE SAINT PAUL MN 55103 (651) 224-1848 245341 CENTRACARE HEALTH SYSTEM-SAUK CENTRE NURSING HOME 425 N ELM STREET SAUK CENTRE MN 56378 (320) 352-2221 245342 GOLDEN LIVINGCENTER - GREELEY 313 SOUTH GREELEY STREET STILLWATER MN 55082 (651) 439-5775 245343 MINNESOTA MASONIC HOME CARE CENTER 11501 MASONIC HOME DRIVE BLOOMINGTON MN 55437 (952) 948-7000 245344 FAIRVIEW CARE CENTER 702 10TH AVENUE NORTHWEST, PO BOX 10 DODGE CENTER MN 55927 (507) 374-2578 245347 LYNGBLOMSTEN CARE CENTER 1415 ALMOND AVENUE SAINT PAUL MN 55108 (651) 646-2941 245350 ST BENEDICTS SENIOR COMMUNITY 1810 MINNESOTA BOULEVARD SOUTHEAST SAINT CLOUD MN 56304 (320) 252-0010 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

245352 RAMSEY COUNTY CARE CENTER 2000 WHITE BEAR AVENUE MAPLEWOOD MN 55109 (651) 777-7486 245355 ST BRIGID'S AT HI-PARK 213 PIONEER ROAD RED WING MN 55066 (651) 388-1234 245356 MCINTOSH SENIOR LIVING 600 NORTHEAST RIVERSIDE AVENUE MCINTOSH MN 56556 (218) 563-2715 245357 AVERA SUNRISE MANOR 240 WILLOW STREET TYLER MN 56178 (507) 247-5973 245358 HILLTOP CARE CENTER 410 LUELLA STREET WATKINS MN 55389 (320) 764-2300 245359 PINE HAVEN CARE CENTER INC 210 NORTHWEST 3RD STREET PINE ISLAND MN 55963 (507) 356-8304 245361 MEEKER MANOR REHABILITATION CENTER, LLC 600 SOUTH DAVIS AVENUE LITCHFIELD MN 55355 (320) 693-2472 245362 MAPLETON COMMUNITY HOME 301 TROENDLE STREET MAPLETON MN 56065 (507) 524-3315 245363 AICOTA HEALTH CARE CENTER 850 SECOND STREET NORTHWEST AITKIN MN 56431 (218) 927-2164 245364 ANNANDALE CARE CENTER 500 PARK STREET EAST ANNANDALE MN 55302 (320) 274-3737 245365 CERENITY CARE CENTER - MARIAN 200 EARL STREET SAINT PAUL MN 55106 (651) 793-2100 245370 ECUMEN NORTH BRANCH 5379 -383RD STREET NORTH BRANCH MN 55056 (651) 829-0117 245371 PRAIRIE VIEW SENIOR LIVING 250 FIFTH STREET EAST TRACY MN 56175 (507) 629-3331 245372 ST LUKES LUTHERAN CARE CENTER 1219 SOUTH RAMSEY BLUE EARTH MN 56013 (507) 526-2184 245373 PELICAN VALLEY HEALTH CENTER 211 EAST MILL AVENUE PELICAN RAPIDS MN 56572 (218) 863-2991 245375 STERLING PARK HEALTH CARE CENTER 142 NORTH FIRST STREET WAITE PARK MN 56387 (320) 252-9595 245376 ZUMBROTA CARE CENTER 433 MILL STREET ZUMBROTA MN 55992 (507) 732-8132 245378 VALLEY VIEW MANOR HCC 200 EAST NINTH AVENUE LAMBERTON MN 56152 (507) 752-7346 245381 NEW HARMONY CARE CENTER 135 GERANIUM AVENUE EAST SAINT PAUL MN 55117 (651) 488-6658 245382 MADISON LUTHERAN HOME 900 SECOND AVENUE MADISON MN 56256 (320) 598-7536 245388 LAKESHORE INN NURSING HOME 108 8TH STREET NORTHWEST WASECA MN 56093 (507) 835-2800 245389 LANGTON PLACE 1910 WEST COUNTY ROAD D ROSEVILLE MN 55112 (651) 631-6200 245390 PATHSTONE LIVING 718 MOUND AVENUE MANKATO MN 56001 (507) 345-4576 245392 COOK COMMUNITY HOSPITAL C&NC 10 SOUTHEAST FIFTH STREET COOK MN 55723 (218) 666-5945 245393 GOOD SHEPHERD LUTHERAN HOME 800 HOME STREET, BOX 747 RUSHFORD MN 55971 (507) 864-7714 245395 CROSSROADS CARE CENTER 965 MCMILLAN STREET WORTHINGTON MN 56187 (507) 376-5312 245396 CENTRACARE HEALTH SYSTEM - MELROSE PINE VILLA C C 525 WEST MAIN STREET MELROSE MN 56352 (320) 256-4231 245397 HAVENWOOD CARE CENTER 1633 DELTON AVENUE BEMIDJI MN 56601 (218) 444-1745 245399 LITTLE FALLS CARE CENTER 1200 FIRST AVENUE NORTHEAST LITTLE FALLS MN 56345 (320) 632-9211 245400 GOLDEN LIVINGCENTER - WABASSO 660 MAPLE STREET WABASSO MN 56293 (507) 342-5166 245401 CENTRAL HEALTH CARE 444 NORTH CORDOVA LE CENTER MN 56057 (507) 357-2275 245402 GLENWOOD VILLAGE CARE CENTER 719 SOUTHEAST 2ND STREET GLENWOOD MN 56334 (320) 634-5131 245403 GOOD SAMARITAN SOCIETY - BATTLE LAKE 105 GLENHAVEN DRIVE BATTLE LAKE MN 56515 (218) 864-5231 245405 HERITAGE LIVING CENTER 619 WEST SIXTH STREET PARK RAPIDS MN 56470 (218) 732-3329 245407 ST JOHN LUTHERAN HOME 201 SOUTH COUNTY ROAD 5 SPRINGFIELD MN 56087 (507) 723-3200 245410 RICE CARE CENTER 1801 SOUTHWEST WILLMAR AVENUE WILLMAR MN 56201 (320) 214-2745 245411 SHIRLEY CHAPMAN SHOLOM HOME EAST 740 KAY AVENUE SAINT PAUL MN 55102 (651) 328-2000 245412 COKATO MANOR 182 SUNSET AVENUE COKATO MN 55321 (320) 286-2158 245416 MINNESOTA VALLEY HLTH CTR-LONG 621 SOUTH 4TH STREET LE SUEUR MN 56058 (507) 665-3375 245418 BELGRADE NURSING HOME 103 SCHOOL STREET, PO BOX 340 BELGRADE MN 56312 (320) 254-8215 245419 TWIN VALLEY LIVING CENTER 208 OPPEGARD AVENUE NORTHWEST, PO BOX 480 TWIN VALLEY MN 56584 (218) 584-5181 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

245420 LAKEWOOD HEALTH SYSTEM 401 PRAIRIE AVENUE NORTHEAST STAPLES MN 56479 (218) 894-1515 245422 ELIM HOME - MILACA 730 SECOND STREET SOUTHEAST, PO BOX 157 MILACA MN 56353 (320) 983-2185 245423 CHOSEN VALLEY CARE CENTER 1102 LIBERTY STREET SOUTHEAST CHATFIELD MN 55923 (507) 867-4220 245424 PRESBYTERIAN HOMES OF ARDEN HILLS 3220 LAKE JOHANNA BOULEVARD ARDEN HILLS MN 55112 (651) 631-6000 245425 THORNE CREST RETIREMENT CENTER 1201 GARFIELD AVENUE ALBERT LEA MN 56007 (507) 373-2311 245426 KODA LIVING COMMUNITY 2255 30TH STREET NW OWATONNA MN 55060 (507) 444-4200 245427 BETHESDA NH PLEASANTVIEW 901 SOUTHEAST WILLMAR AVENUE WILLMAR MN 56201 (320) 262-5376 245431 FIELD CREST CARE CENTER 318 SECOND STREET NORTHEAST HAYFIELD MN 55940 (507) 477-3266 245432 GRACEPOINTE CROSSING GABLES WEST 135 FERN STREET NORTH CAMBRIDGE MN 55008 (763) 689-1474 245433 SYLVAN COURT 112 ST OLAF AVENUE SOUTH CANBY MN 56220 (507) 223-7277 245434 BETHANY HOME 1020 LARK STREET ALEXANDRIA MN 56308 (320) 762-1567 245435 KNUTE NELSON 420 12TH AVENUE EAST ALEXANDRIA MN 56308 (320) 763-1163 245437 ELIM HOME - WATERTOWN 409 JEFFERSON AVENUE SOUTHWEST WATERTOWN MN 55388 (952) 955-2691 245439 CATHOLIC ELDERCARE ON MAIN 817 MAIN STREET NORTHEAST MINNEAPOLIS MN 55413 (612) 379-1370 245440 JANESVILLE NURSING HOME 102 EAST NORTH STREET JANESVILLE MN 56048 (507) 231-5113 245441 GOOD SAMARITAN SOCIETY - ALBERT LEA 75507 240TH STREET ALBERT LEA MN 56007 (507) 373-0683 245442 SPRING VALLEY CARE CENTER 800 MEMORIAL DRIVE SPRING VALLEY MN 55975 (507) 346-7381 245445 SHAKOPEE FRIENDSHIP MANOR 1340 THIRD AVENUE WEST SHAKOPEE MN 55379 (952) 445-4155 245446 ASSUMPTION HOME 715 NORTH FIRST STREET COLD SPRING MN 56320 (320) 685-3693 245447 SACRED HEART CARE CENTER 1200 12TH STREET SOUTHWEST AUSTIN MN 55912 (507) 433-1808 245448 PARK RIVER ESTATES CARE CENTER 9899 AVOCET STREET NORTHWEST COON RAPIDS MN 55433 (763) 757-2320 245450 THREE LINKS CARE CENTER 815 FOREST AVENUE NORTHFIELD MN 55057 (507) 645-6611 245451 NORTHRIDGE RESIDENCE 1075 ROY STREET ORTONVILLE MN 56278 (320) 839-6113 245452 EPISCOPAL CHURCH HOME OF MINNESOTA 1879 FERONIA AVENUE SAINT PAUL MN 55104 (651) 646-4061 245453 BROEN MEMORIAL HOME 824 SOUTH SHERIDAN FERGUS FALLS MN 56537 (218) 998-7300 245454 ESSENTIA HEALTH - SANDSTONE MEDICAL CENTER 109 COURT AVENUE SOUTH SANDSTONE MN 55072 (320) 245-2224 245455 GOOD SAMARITAN SOCIETY - JACKSON 601 WEST JACKSON JACKSON MN 56143 (507) 847-3100 245459 BENEDICTINE LIVING COMMUNITY WINSTED 551 FOURTH STREET NORTH WINSTED MN 55395 (320) 485-2151 245460 JONES HARRISON RESIDENCE 3700 CEDAR LAKE AVENUE MINNEAPOLIS MN 55416 (612) 920-2030 245461 EVENTIDE LUTHERAN HOME 1405 7TH STREET SOUTH MOORHEAD MN 56560 (218) 233-7508 245462 MARANATHA CARE CENTER 5409 69TH AVENUE NORTH BROOKLYN CENTER MN 55429 (763) 549-9600 245463 PIONEER CARE CENTER 1131 SOUTH MABELLE AVENUE FERGUS FALLS MN 56537 (218) 998-1500 245464 OSTRANDER CARE AND REHAB 305 MINNESOTA STREET OSTRANDER MN 55961 (507) 657-2231 245468 KARLSTAD HEALTHCARE CENTER INC 304 WASHINGTON AVENUE WEST KARLSTAD MN 56732 (218) 436-2161 245469 ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER 5211 HIGHWAY 110 AURORA MN 55705 (218) 229-2211 245470 LIFECARE ROSEAU MANOR 715 DELMORE DRIVE ROSEAU MN 56751 (218) 463-2500 245471 ECUMEN SCENIC SHORES 402 - 13TH AVENUE TWO HARBORS MN 55616 (218) 834-8374 245473 OAK TERRACE HEALTH CARE CENTER 640 THIRD STREET GAYLORD MN 55334 (507) 237-2911 245474 PARK VIEW CARE CENTER 200 PARK LANE BUFFALO MN 55313 (763) 682-1131 245475 PARKVIEW HOME 102 COUNTY STATE AID HIGHWAY 9 BELVIEW MN 56214 (507) 938-4151 245476 GOOD SAMARITAN SOCIETY - PINE RIVER 518 JEFFERSON AVENUE, PO BOX 29 PINE RIVER MN 56474 (218) 587-4423 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

245479 CERENITY RESIDENCE ON HUMBOLDT 514 HUMBOLDT AVENUE SAINT PAUL MN 55107 (651) 220-1702 245482 PRAIRIE MANOR CARE CENTER 220 THIRD STREET NORTHWEST BLOOMING PRAIRIE MN 55917 (507) 583-4434 245483 THE NORTH SHORE ESTATES LLC 7700 GRAND AVENUE DULUTH MN 55807 (218) 628-2341 245484 VILLA ST VINCENT 516 WALSH STREET CROOKSTON MN 56716 (218) 281-3424 245485 JOHNSON MEMORIAL HOSP & HOME 1282 WALNUT STREET DAWSON MN 56232 (320) 769-2350 245486 PERHAM LIVING 735 THIRD STREET SOUTHWEST PERHAM MN 56573 (218) 346-4500 245487 ST ELIZABETH MEDICAL CENTER 1200 FIFTH GRANT BOULEVARD WEST WABASHA MN 55981 (651) 565-4531 245488 GOOD SAMARITAN SOCIETY - WOODLAND 100 BUFFALO HILLS LANE BRAINERD MN 56401 (218) 829-1429 245489 EMMANUEL NURSING HOME 1415 MADISON AVENUE DETROIT LAKES MN 56501 (218) 847-4486 245491 AUGUSTANA MERCY CARE CENTER 710 SOUTH KENWOOD AVENUE MOOSE LAKE MN 55767 (218) 351-9400 245492 RICHFIELD HEALTH CENTER 7727 PORTLAND AVENUE SOUTH RICHFIELD MN 55423 (612) 861-1691 245493 AUGUSTANA CHAPEL VIEW CARE CENTER 615 MINNETONKA MILLS ROAD HOPKINS MN 55343 (952) 938-2761 245496 MINNEOTA MANOR HEALTH CARE CENTER 700 NORTH MONROE STREET MINNEOTA MN 56264 (507) 872-5300 245499 CALEDONIA CARE AND REHABILITATION CENTER 425 NORTH BADGER STREET CALEDONIA MN 55921 (507) 725-3351 245500 GOOD SAMARITAN SOCIETY - BETHANY 804 WRIGHT STREET BRAINERD MN 56401 (218) 829-1407 245501 BENEDICTINE LIVING COMMUNITY 1907 KLEIN STREET ST PETER MN 56082 (507) 934-2203 245507 HILLCREST CARE & REHABILITATION CENTER 714 SOUTHBEND AVENUE MANKATO MN 56001 (507) 387-3491 245509 ADAMS HEALTH CARE CENTER 810 WEST MAIN STREET ADAMS MN 55909 (507) 582-3263 245510 EVANSVILLE CARE CENTER 649 STATE STREET NORTHWEST EVANSVILLE MN 56326 (218) 948-2219 245511 CENTRACARE HEALTH - MONTICELLO 1013 HART BOULEVARD MONTICELLO MN 55362 (763) 295-2945 245512 ESSENTIA HEALTH FOSSTON 900 HILLIGOSS BOULEVARD SOUTHEAST FOSSTON MN 56542 (218) 435-1133 245513 LAKE RIDGE CARE CENTER OF BUFFALO 310 LAKE BOULEVARD BUFFALO MN 55313 (763) 682-1434 245514 MALA STRANA CARE & REHABILITATION CENTER 1001 COLUMBUS AVENUE NORTH NEW PRAGUE MN 56071 (952) 758-2511 245516 LAURELS PEAK CARE & REHABILITATION CENTER 700 JAMES AVENUE MANKATO MN 56001 (507) 345-4631 245519 COURAGE KENNY REHABILITATION INSTITUTE'S TRP 3915 GOLDEN VALLEY ROAD GOLDEN VALLEY MN 55422 (763) 520-0327 245521 CENTRAL TODD COUNTY CARE CENTER 406 EAST HIGHWAY 71, PO BOX 38 CLARISSA MN 56440 (218) 756-3636 245523 GOOD SAMARITAN SOCIETY - CLEARBROOK 305 3RD AVENUE SOUTHWEST CLEARBROOK MN 56634 (218) 776-3157 245524 LITTLE SISTERS OF THE POOR 330 EXCHANGE STREET SOUTH SAINT PAUL MN 55102 (651) 227-0336 245530 SAMARITAN BETHANY HOME ON EIGHTH 24 - 8TH STREET NORTHWEST ROCHESTER MN 55901 (507) 289-4031 245532 BETHESDA HERITAGE CENTER 1012 EAST THIRD STREET WILLMAR MN 56201 (320) 235-3924 245533 LAKESIDE HEALTH CARE CENTER 439 WILLIAM AVENUE EAST, PO BOX 383 DASSEL MN 55325 (320) 275-3308 245534 CAPITOL VIEW TRANSITIONAL CARE CENTER 640 JACKSON STREET SAINT PAUL MN 55101 (651) 254-0400 245540 GOLDEN LIVINGCENTER - HENNING 907 MARSHALL AVENUE, PO BOX 57 HENNING MN 56551 (218) 583-2965 245545 FAIR MEADOW NURSING HOME BOX 8 300 GARFIELD AVENUE SOUTHEAST FERTILE MN 56540 (218) 945-6194 245548 TUFF MEMORIAL HOME 505 EAST 4TH STREET HILLS MN 56138 (507) 962-3275 245549 GOOD SAMARITAN SOCIETY - MOUNTAIN LAKE 745 BASINGER MEMORIAL DRIVE MOUNTAIN LAKE MN 56159 (507) 427-2464 245551 CLARKFIELD CARE CENTER 805 FIFTH STREET, BOX 458 CLARKFIELD MN 56223 (320) 669-7561 245552 COLONIAL MANOR OF BALATON HIGHWAY 14 EAST PO BOX 219 BALATON MN 56115 (507) 734-3511 245553 PARKVIEW MANOR NURSING HOME 308 SHERMAN AVENUE ELLSWORTH MN 56129 (507) 967-2482 245554 RENVILLA HEALTH CENTER 205 SOUTHEAST ELM AVENUE RENVILLE MN 56284 (320) 329-8381 245556 PRESBYTERIAN HOMES OF BLOOMINGTON 9889 PENN AVENUE SOUTH BLOOMINGTON MN 55431 (952) 948-3000 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

245558 GOOD SAMARITAN SOCIETY - WINDOM 705 SIXTH STREET WINDOM MN 56101 (507) 831-1788 245559 VIKING MANOR NURSING HOME 317 FIRST STREET NORTHWEST ULEN MN 56585 (218) 596-8847 245560 EDGEBROOK CARE CENTER 505 TROSKY ROAD WEST EDGERTON MN 56128 (507) 442-7121 245561 NORTHFIELD CARE CENTER INC 900 CANNON VALLEY DRIVE NORTHFIELD MN 55057 (507) 645-9511 245562 ELDERS HOME INC SOUTH TOUSLEY, PO BOX 188 NEW YORK MILLS MN 56567 (218) 385-2005 245563 GREEN PINE ACRES NURSING HOME 427 MAIN STREET NORTHEAST MENAHGA MN 56464 (218) 564-4101 245564 BROWNS VALLEY HEALTH CENTER 114 JEFFERSON STREET SOUTH BROWNS VALLEY MN 56219 (320) 695-2165 245568 GOOD SAMARITAN SOCIETY - MARY JANE BROWN 110 SOUTH WALNUT AVENUE LUVERNE MN 56156 (507) 283-2375 245569 HALSTAD LIVING CENTER 133 FOURTH AVENUE EAST HALSTAD MN 56548 (218) 456-2105 245570 MAPLE LAWN SENIOR CARE 400 SEVENTH STREET FULDA MN 56131 (507) 425-2571 245572 COLONIAL MANOR NURSING HOME 403 COLONIAL AVENUE LAKEFIELD MN 56150 (507) 662-6646 245573 CLARA CITY CARE CENTER 1012 NORTH DIVISION STREET PO BOX 797 CLARA CITY MN 56222 (320) 847-2221 245574 SHOLOM HOME WEST 3620 PHILLIPS PARKWAY SOUTH SAINT LOUIS PARK MN 55426 (952) 935-6311 245579 ESSENTIA HEALTH GRACE HOME 116 WEST SECOND STREET GRACEVILLE MN 56240 (320) 748-7261 245580 LAKEWOOD CARE CENTER 600 MAIN AVENUE SOUTH BAUDETTE MN 56623 (218) 634-3488 245583 AUBURN HOME IN WACONIA 594 CHERRY DRIVE WACONIA MN 55387 (952) 442-2546 245585 TRAVERSE CARE CENTER 303 SEVENTH STREET SOUTH WHEATON MN 56296 (320) 563-8124 245587 EBENEZER CARE CENTER 2545 PORTLAND AVENUE SOUTH MINNEAPOLIS MN 55404 (612) 879-2261 245588 ST WILLIAMS LIVING CENTER 212 WEST SOO STREET, BOX 30 PARKERS PRAIRIE MN 56361 (218) 338-4671 245589 BUFFALO LAKE HEALTH CARE CTR 703 WEST YELLOWSTONE TRAIL, PO 368 BUFFALO LAKE MN 55314 (320) 833-5364 245590 LUTHERAN HOME 611 WEST MAIN STREET BELLE PLAINE MN 56011 (952) 873-2131 245591 GOOD SAMARITAN SOCIETY - PIPESTONE 1311 NORTH HIAWATHA PIPESTONE MN 56164 (507) 825-5428 245593 GOOD SAMARITAN SOCIETY - ST JAMES 1000 SOUTH SECOND STREET ST JAMES MN 56081 (507) 375-3286 245594 GIL-MOR MANOR 96 THIRD STREET EAST MORGAN MN 56266 (507) 249-3143 245596 SOUTH SHORE CARE CENTER 1307 SOUTH SHORE DRIVE PO BOX 69 WORTHINGTON MN 56187 (507) 376-3175 245597 SUNNYSIDE CARE CENTER 16561 US HIGHWAY 10 LAKE PARK MN 56554 (218) 238-5944 245599 DIVINE PROVIDENCE COMMUNITY HOME 700 THIRD AVENUE NORTHWEST SLEEPY EYE MN 56085 (507) 794-3011 245600 GOOD SAMARITAN SOCIETY - BLACKDUCK 172 SUMMIT AVENUE WEST BLACKDUCK MN 56630 (218) 835-3410 245604 AUBURN MANOR 501 OAK STREET CHASKA MN 55318 (952) 448-9303 245610 ST GERTRUDES HEALTH & REHABILITATION CENTER 1850 SARAZIN STREET SHAKOPEE MN 55379 (952) 233-4400 245611 THE COLONY AT EDEN PRAIRIE 431 PRAIRIE CENTER DRIVE EDEN PRAIRIE MN 55344 (952) 828-9500 245612 CORNERSTONE VILLA 1000 FOREST STREET PO BOX 724 BUHL MN 55713 (218) 258-3253 245613 PRESBYTERIAN HOMES OF NORTH OAKS 5919 CENTERVILLE ROAD NORTH OAKS MN 55127 (651) 765-4000 245615 GABLES OF BOUTWELLS LANDING 13575 58TH STREET OAK PARK HEIGHTS MN 55082 (651) 430-7200 245616 LIFECARE GREENBUSH MANOR 19120 200TH STREET GREENBUSH MN 56726 (218) 463-2500 245617 CARONDELET VILLAGE CARE CENTER 525 FAIRVIEW AVENUE SOUTH SAINT PAUL MN 55116 (651) 695-5000 245618 WALKER METHODIST WESTWOOD RIDGE II 61 THOMPSON AVENUE WEST WEST SAINT PAUL MN 55118 (651) 259-2701 245619 SAINT THERESE AT OXBOW LAKE 5200 OAK GROVE PARKWAY BROOKLYN PARK MN 55443 (763) 493-7000 245620 MN VETERANS HOME MINNEAPOLIS 5101 MINNEHAHA AVENUE SOUTH MINNEAPOLIS MN 55417 (612) 548-5705 245621 FOLKESTONE 100 PROMENADE AVENUE WAYZATA MN 55391 (952) 249-2500 255072 WINSTON CO NH 562 EAST MAIN STREE/P. O. BOX 967 LOUISVILLE MS 39339 (662) 779-5183 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

255091 LEXINGTON MANOR SENIOR CARE, LLC 56 ROCKPORT ROAD LEXINGTON MS 39095 (662) 834-3021 255092 BOYINGTON HEALTH AND REHABILITATION 1530 BROAD AVE GULFPORT MS 39501 (228) 864-6544 255093 THE PILLARS OF BILOXI 2279 ATKINSON ROAD BILOXI MS 39531 (228) 388-1805 255095 CARE CENTER OF LAUREL 935 WEST DR LAUREL MS 39440 (601) 649-8006 255096 LOUISVILLE HEALTHCARE LLC 543 EAST MAIN STREET/PO BOX 542 LOUISVILLE MS 39339 (662) 773-8047 255097 CARE CENTER OF ABERDEEN 505 JACKSON ST ABERDEEN MS 39730 (662) 369-6431 255100 GOLDEN LIVINGCENTER TYLERTOWN 200 MEDICAL CIRCLE TYLERTOWN MS 39667 (601) 876-2107 255101 MCCOMB NURSING AND REHABILITATION CENTER LLC 415 MARION AVE MCCOMB MS 39648 (601) 684-8700 255102 GOLDEN LIVINGCENTER - RIPLEY 101 CUNNINGHAM DR RIPLEY MS 38663 (662) 837-3011 255103 HINDS COUNTY NURSING & REHABILITATION CTR LLC 3454 ALBERMARLE RD JACKSON MS 39213 (601) 362-5394 255108 GOLDEN LIVING CENTER-CARTHAGE 1101 EAST FRANKLIN STREET CARTHAGE MS 39051 (601) 267-4551 255110 MS CARE CENTER OF ALCORN COUNTY, INC-SNF 3701 JOANNE DRIVE CORINTH MS 38834 (662) 287-8071 255115 MANHATTAN NURSING AND REHABILITATION CENTER LLC 4540 MANHATTAN RD JACKSON MS 39206 (601) 982-7421 255116 LAKELAND NURSING AND REHABILITATION CENTER LLC 3680 LAKELAND LANE JACKSON MS 39216 (601) 982-5505 255117 GOLDEN LIVINGCENTER - EUPORA 156 E WALNUT AVE/BOX 918 EUPORA MS 39744 (662) 258-8293 255125 CHADWICK NURSING AND REHABILITATION CENTER LLC 1900 CHADWICK DRIVE JACKSON MS 39204 (601) 372-0231 255126 WILKINSON COUNTY SENIOR CARE 116 SOUTH LAFAYETTE STREET CENTREVILLE MS 39631 (601) 645-5253 255127 TISHOMINGO COMM LIVING CENTER 1410 WEST QUITMAN STREET IUKA MS 38852 (662) 423-3422 255130 TIPPAH COUNTY NURSING HOME 1005 CITY AVENUE NORTH RIPLEY MS 38663 (662) 837-9221 255136 TUPELO NURSING AND REHABILITATION CENTER 1901 BRIAR RIDGE ROAD TUPELO MS 38804 (662) 844-0675 255137 NESHOBA COUNTY NURSING HOME 1001 HOLLAND AVENUE PHILADELPHIA MS 39350 (601) 663-1200 255138 ASHLAND HEALTH AND RAHABILITATION 16056 BOUNDRY DRIVE/PO BOX 490 ASHLAND MS 38603 (662) 224-6196 255141 COVENANT HEALTH & REHAB OF PICAYUNE 1620 READ ROAD PICAYUNE MS 39466 (601) 798-1811 255142 OCEAN SPRINGS HEALTH & REHABILITATION CENTER 1199 OCEAN SPRINGS ROAD OCEAN SPRINGS MS 39564 (228) 875-9363 255149 BEDFORD CARE CENTER OF PETAL 908 S GEORGE STREET PETAL MS 39465 (601) 544-7441 255150 BEDFORD CARE CENTER OF MENDENH 925 WEST MANGUM AVENUE MENDENHALL MS 39114 (601) 847-1311 255153 BEDFORD CARE CENTER OF NEWTON 1009 SOUTH MAIN STREET NEWTON MS 39345 (601) 683-6601 255158 BEDFORD CARE CENTER OF HATTIES #10 MEDICAL BOULEVARD HATTIESBURG MS 39401 (601) 264-3709 255160 DANIEL HEALTH CARE INC 1905 SOUTH ADAMS STREET FULTON MS 38843 (662) 862-2165 255162 COUNTRYBROOK LIVING CENTER 525 BROOKMAN DRIVE BROOKHAVEN MS 39601 (601) 833-2330 255163 WOODLAND VILLAGE NURSING CENTER 5427 GEX ROAD DIAMONDHEAD MS 39525 (228) 255-4832 255164 JEFFERSON COUNTY NURSING HOME 910 MAIN STREET FAYETTE MS 39069 (601) 786-3888 255168 MERIT HEALTH WESLEY 5001 HARDY STREET HATTIESBURG MS 39402 (601) 268-5962 255169 ADAMS COUNTY NURSING CENTER 587 JOHN R JUNKIN DRIVE NATCHEZ MS 39120 (601) 446-8426 255173 GLENBURNEY HEALTH CARE AND REHABILITATION CENTER 555 JOHN R. JUNKIN DRIVE NATCHEZ MS 39120 (601) 442-4395 255174 SINGING RIVER HEALTH AND REHABILITATION CENTER 3401 MAIN STREET MOSS POINT MS 39563 (228) 762-7451 255175 GOLDEN LIVINGCENTER - BROOK MANOR 519 BROOKMAN DRIVE BROOKHAVEN MS 39601 (601) 833-2881 255179 LEAKESVILLE REHABILITATION AND NURSING CENTER, INC 1300 MELODY LANE/PO BOX 640 LEAKESVILLE MS 39451 (601) 394-2331 255181 GLEN OAKS NURSING CENTER 55 SUSANNE STREET LUCEDALE MS 39452 (601) 947-2783 255185 INDIANOLA REHABILITATION AND HEALTHCARE CENTER LLC 401 HIGHWAY 82 WEST INDIANOLA MS 38751 (662) 887-2682 255192 CLAIBORNE COUNTY SENIOR CARE 2124 OLD HWY 61 SOUTH PORT GIBSON MS 39150 (601) 437-8737 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

255207 PLAZA COMMUNITY LIVING CENTER 4403 HOSPITAL ROAD PASCAGOULA MS 39581 (228) 762-8960 255210 PINE CREST GUEST HOME INC 133 PINE STREET HAZLEHURST MS 39083 (601) 894-1411 255213 MEADVILLE CONVALESCENT HOME 300 HWY 556/ROUTE 2 BOX 66 MEADVILLE MS 39653 (601) 384-5861 255215 COVINGTON CO NURSING CENTER 1207 SOUTH FIR AVENUE COLLINS MS 39428 (601) 765-8262 255216 RIVERVIEW NURSING & REHABILITATION CENTER 1600 WEST CLAIBORNE AVENUE EXTENDED GREENWOOD MS 38930 (662) 453-8140 255217 RIVER HEIGHTS HEALTHCARE CENTER 402 ARNOLD AVENUE GREENVILLE MS 38701 (662) 332-0318 255218 TISHOMINGO MANOR 230 KHAKI STREET IUKA MS 38852 (662) 423-9112 255219 ARBOR WALK HEALTHCARE CENTER 570 NORTH SOLOMON STREET GREENVILLE MS 38703 (662) 335-5863 255222 TRINITY HEALTHCARE CENTER 230 AIRLINE ROAD COLUMBUS MS 39702 (662) 327-9404 255230 BAPTIST MEMORIAL HOSPITAL GT 2520 5TH STREET NORTH COLUMBUS MS 39705 (662) 244-1000 255234 SHADY LAWN HEALTH AND REHABILITATION 60 SHADY LAWN PLACE VICKSBURG MS 39180 (601) 636-1448 255243 BILLDORA SENIOR CARE 314 ENOCHS ST TYLERTOWN MS 39667 (601) 876-2173 255244 SUNPLEX SUB-ACUTE CENTER 6520 SUNSCOPE DRIVE OCEAN SPRINGS MS 39564 (228) 875-1177 255247 REST HAVEN HEALTH AND REHABILITATION 103 CUNNINGHAM DRIVE RIPLEY MS 38663 (662) 837-3062 255251 MS CARE CENTER OF DEKALB 220 WILLOW AVENUE DE KALB MS 39328 (601) 743-5888 255253 VICKSBURG CONVALESCENT CENTER 1708 CHERRY STREET VICKSBURG MS 39180 (601) 638-3632 255259 HUMPHREYS CO NURSING CENTER 500 CCC ROAD BELZONI MS 39038 (662) 247-1821 255262 LAURELWOOD COMM LIVING CENTER 1036 WEST DRIVE LAUREL MS 39440 (601) 425-3191 255265 WINDHAM HOUSE OF HATTIESBURG 37 HILLCREST DRIVE HATTIESBURG MS 39402 (601) 264-0058 255266 BRANDON COURT 100 BURNHAM ROAD BRANDON MS 39042 (601) 664-2259 255270 PONTOTOC HEALTH & REHAB CENTER 278 WEST EIGHTH STREET PONTOTOC MS 38863 (662) 489-6411 255272 MYRTLES NURSING CENTER, LLC 1018 ALBERTA AVENUE COLUMBIA MS 39429 (601) 731-1745 255274 HIGHLAND HOME 638 HIGHLAND COLONY PARKWAY RIDGELAND MS 39157 (601) 853-0415 255275 MAGNOLIA SENIOR CARE, LLC 3701 PETER QUINN DRIVE JACKSON MS 39213 (601) 366-1712 255277 GREENE RURAL HEALTH CENTER 1017 JACKSON STREET LEAKESVILLE MS 39451 (601) 394-2371 255279 SARDIS COMMUNITY NH 613 EAST LEE STREET SARDIS MS 38666 (662) 487-2720 255280 CAMELLIA ESTATES 1714 WHITE STREET MCCOMB MS 39648 (601) 250-0066 255281 LANDMARK OF DESOTO 3068 NAIL ROAD WEST HORN LAKE MS 38637 (662) 280-1219 255282 CLINTON HEALTHCARE LLC - SNF 1251 PINEHAVEN ROAD CLINTON MS 39056 (601) 924-2996 255284 HERITAGE HOUSE NURSING CENTER 3103 WISCONSIN AVENUE V'BURG MS 39180 (601) 638-1514 255286 PINEVIEW HEALTH AND REHABILIATION CENTER 1304 WALNUT ST WAYNESBORO MS 39367 (601) 735-9025 255287 DIXIE WHITE HOUSE HEALTH AND REHABILIATION CENTER 538 MENGE AVENUE PASS CHRISTIAN MS 39571 (228) 452-4344 255288 LAKESIDE HEALTH AND REHABILITATION CENTER 191 HIGHWAY 511 EAST QUITMAN MS 39355 (601) 776-2141 255289 RIVER CHASE VILLAGE 5090 GAUTIER VANCLEAVE ROAD GAUTIER MS 39553 (228) 522-6700 255290 DRIFTWOOD NURSING CENTER 1500 BROAD AVENUE GULFPORT MS 39501 (228) 868-1314 255291 COPIAH LIVING CENTER 806 WEST GEORGETOWN STREET CRYSTAL SPRINGS MS 39059 (601) 892-1880 255292 LEGACY MANOR NURSING AND REHABILITATION 1935 NORTH THEOBOLD EXTENSION GREENVILLE MS 38704 (662) 334-4501 255293 SHELBY HEALTH AND REHABILITATION CENTER 1108 CHURCH STREET SHELBY MS 38774 (662) 398-5117 255294 GREENBOUGH HEALTH AND REHABILITATION CENTER 340 DESOTO AVE EXTENDED CLARKSDALE MS 38614 (662) 627-3486 255299 VINEYARD COURT NURSING CENTER 2002 5TH STREET NORTH COLUMBUS MS 39705 (662) 328-1133 255300 WILLOW CREEK RETIREMENT CENTER 49 WILLOW CREEK LANE JACKSON MS 39272 (601) 863-4201 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

255301 CARRINGTON, LLC D/B/A THE CARRINGTON 307 REED RD STARKVILLE MS 39759 (662) 323-2202 255302 SENATOBIA CONVALESCENT CENTER & REHAB 402 GETWELL DR SENATOBIA MS 38668 (662) 562-5664 255303 BRIAR HILL REST HOME 1201 GUNTER ROAD FLORENCE MS 39073 (601) 939-6371 255305 RIVER PLACE NURSING CENTER 1126 EARL FRYE BOULEVARD, SOUTH AMORY MS 38821 (662) 257-9919 255308 STONE COUNTY NURSING AND REHABILITATION CENTER,INC 1436 EAST CENTRAL AVENUE WIGGINS MS 39577 (601) 928-1889 255310 SILVER CROSS HEALTH & REHAB 503 SILVER CROSS DRIVE BROOKHAVEN MS 39601 (601) 833-2361 255311 GREAT OAKS REHABILITATION AND HEALTHCARE CENTER LL 111 CHASE STREET BYHALIA MS 38611 (662) 838-3670 255312 UNION CO HEALTH AND REHAB CENTER, INC 1111 BRATTON ROAD NEW ALBANY MS 38652 (662) 539-0502 255313 DUGAN MEMORIAL HOME 804 EAST MAIN STREET WEST POINT MS 39773 (662) 494-3640 255314 WASHINGTON CARE CENTER 1920 LISA DRIVE EXTENDED GREENVILLE MS 38703 (662) 335-2897 255316 THE GROVE 11 PECAN DRIVE COLUMBIA MS 39429 (601) 736-4747 255317 NORTH MISSISSIPPI MED CTR SUB-ACUTE 830 SOUTH GLOSTER TUPELO MS 38801 (662) 377-3000 255318 J G ALEXANDER NURSING CENTER 25112 HIGHWAY 15, UNION, MS UNION MS 39365 (601) 774-5065 255319 SUNSHINE HEALTH CARE, INC 1677 HIGHWAY 9 NORTH PONTOTOC MS 38863 (662) 489-1189 255320 LANDMARK NURSING AND REHAB CENTER 100 LAUREN DRIVE BOONEVILLE MS 38829 (662) 720-0972 255321 HATTIESBURG HEALTH & REHAB CENTER 514 BAY STREET HATTIESBURG MS 39401 (601) 544-4230 255323 GREENBRIAR NURSING CENTER 4347 WEST GAY ROAD DIBERVILLE MS 39540 (228) 392-8484 255325 WISTERIA GARDENS 5420 HIGHWAY 80 EAST PEARL MS 39208 (601) 988-6800 255327 MARTHA COKER GREEN HOUSE HOME 2041 GRAND AVE YAZOO CITY MS 39194 (662) 746-4621 255328 BEDFORD CARE CENTER OF MARION 6434 A DALE DR MARION MS 39342 (601) 294-3515 255331 ARRINGTON LIVING CENTER 701 SOUTH HOLLY STREET COLLINS MS 39428 (601) 765-6711 255333 GEORGE REGIONAL HEALTH & REHAB CENTER 859 WINTER ST LUCEDALE MS 39452 (601) 947-9101 255334 TUNICA COUNTY HEALTH & REHAB, LLC 1024 HIGHWAY 61 SOUTH TUNICA MS 38676 (662) 363-3164 255335 FORREST GENERAL HOSPITAL SKILLED NURSING UNIT 6051 US HIGHWAY 49 SOUTH HATTIESBURG MS 39401 (601) 288-7000 255340 NORTH POINTE HEALTH & REHABILITATION 211 WINDMILL DRIVE MERIDIAN MS 39305 (601) 486-2525 255341 GULFPORT CARE CENTER 11240 CANAL ROAD GULFPORT MS 39503 (228) 701-1500 255342 MS CARE CENTER OF RALEIGH 309 MAGNOLIA DR/HIGHWAY 35 SOUTH RALEIGH MS 39153 (601) 782-4244 265055 KABUL NURSING HOMES INC 1000 MAIN STREET CABOOL MO 65689 (417) 962-3713 265091 CAMDENTON WINDSOR ESTATES 2042 N BUSINESS ROUTE 5 CAMDENTON MO 65020 (573) 346-5654 265095 JOHN KNOX VILLAGE CARE CENTER 600 NW PRYOR ROAD LEES SUMMIT MO 64081 (816) 246-4343 265105 DELMAR GARDENS WEST 13550 SOUTH OUTER 40 ROAD TOWN AND COUNTRY MO 63017 (314) 878-1330 265110 MOORE-FEW CARE CENTER 901 SOUTH ADAMS NEVADA MO 64772 (417) 448-3841 265112 MANORCARE HEALTH SERVICES 1200 GRAHAM ROAD FLORISSANT MO 63031 (314) 838-6555 265121 FRIENDSHIP VILLAGE CHESTERFIELD 15201 OLIVE BOULEVARD CHESTERFIELD MO 63017 (636) 532-1515 265131 SUNSET VILLAGE OF THE OZARKS INC 14275 HIGHWAY Z SAINT ROBERT MO 65584 (573) 336-4322 265136 FRIENDSHIP VILLAGE SUNSET HILLS 12509 VILLAGE CIRCLE DRIVE SAINT LOUIS MO 63127 (314) 842-6840 265140 MARYMOUNT MANOR 313 AUGUSTINE RD, PO BOX 600 EUREKA MO 63025 (636) 938-6770 265142 CHATEAU GIRARDEAU 3120 INDEPENDENCE STREET CAPE GIRARDEAU MO 63703 (573) 335-1281 265155 NHC HEALTHCARE, WEST PLAINS 211 DAVIS DRIVE, PO BOX 497 WEST PLAINS MO 65775 (417) 256-0798 265156 DELMAR GARDENS ON THE GREEN 15197 CLAYTON ROAD CHESTERFIELD MO 63017 (636) 394-7515 265157 SPRINGFIELD REHABILITATION & HEALTH CARE CENTER 2800 SOUTH FORT AVENUE, PO BOX 3438GS SPRINGFIELD MO 65807 (417) 882-0035 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

265158 NHC HEALTHCARE, DESLOGE 801 BRIM STREET, PO BOX AA DESLOGE MO 63601 (573) 431-0223 265159 MARY, QUEEN AND MOTHER CENTER 7601 WATSON ROAD SHREWSBURY MO 63119 (314) 961-8000 265161 WILSON'S CREEK NURSING & REHAB 3403 WEST MT VERNON SPRINGFIELD MO 65802 (417) 864-5600 265163 MACON HEALTH CARE CENTER 29612 KELLOGG AVENUE, PO BOX 465 MACON MO 63552 (660) 385-5797 265165 CHARLESTON MANOR 1220 EAST MARSHALL CHARLESTON MO 63834 (573) 683-3721 265166 NHC HEALTHCARE, ST CHARLES 35 SUGAR MAPLE LANE SAINT CHARLES MO 63303 (636) 946-8887 265168 NHC HEALTHCARE, KENNETT 1120 FALCON, PO BOX 696 KENNETT MO 63857 (573) 888-1150 265170 DELMAR GARDENS OF CHESTERFIELD 14855 NORTH OUTER 40 ROAD CHESTERFIELD MO 63017 (636) 532-0150 265171 OSAGE BEACH REHABILITATION AND HEALTH CARE CENTER 844 PASSOVER ROAD OSAGE BEACH MO 65065 (573) 348-2225 265174 VILLAGE NORTH RETIREMENT AND HEALTH CENTER 11160 VILLAGE NORTH DRIVE SAINT LOUIS MO 63136 (314) 355-8010 265175 NHC HEALTHCARE, JOPLIN 2700 EAST 34TH STREET, PO BOX 2877 JOPLIN MO 64803 (417) 781-1737 265181 WARRENTON MANOR 65 STATE HWY AA WRIGHT CITY MO 63390 (636) 456-8700 265182 AURORA NURSING CENTER 1700 SOUTH HUDSON AVENUE AURORA MO 65605 (417) 678-2165 265185 LIFE CARE CENTER OF CAPE GIRARDEAU 365 SOUTH BROADVIEW STREET CAPE GIRARDEAU MO 63703 (573) 335-2086 265198 TWIN PINES ADULT CARE CENTER 316 SOUTH OSTEOPATHY STREET KIRKSVILLE MO 63501 (660) 665-2887 265200 LOCH HAVEN 701 SUNSET HILLS DR, PO BOX 187 MACON MO 63552 (660) 385-3113 265208 VILLA MARIE-A STONEBRIDGE COMMUNITY 1030 EDMONDS STREET JEFFERSON CITY MO 65109 (573) 635-3381 265209 NEW MADRID LIVING CENTER 1050 DAWSON ROAD NEW MADRID MO 63869 (573) 748-5622 265216 SCENIC NURSING AND REHABILITATION CENTER, LLC 1333 SCENIC DRIVE HERCULANEUM MO 63048 (636) 931-2995 265225 ST JAMES LIVING CENTER 415 SIDNEY STREET, PO BOX 69 SAINT JAMES MO 65559 (573) 265-8921 265230 OZARK MOUNTAIN REGIONAL HEALTHCARE CENTER 509 MEADOWLARK AVENUE CRANE MO 65633 (417) 723-5281 265236 MARK TWAIN MANOR 11988 MARK TWAIN LANE BRIDGETON MO 63044 (314) 291-8240 265238 MILAN HEALTH CARE CENTER 52435 INFIRMARY ROAD MILAN MO 63556 (660) 265-4032 265239 HERMITAGE NURSING & REHAB FIRST AND HWY 54 HERMITAGE MO 65668 (417) 745-2111 265245 COLONIAL SPRINGS HEALTHCARE CENTER 750 WEST COOPER, PO BOX 978 BUFFALO MO 65622 (417) 345-2228 265246 SHADY OAKS HEALTHCARE CENTER 715 S STATE ROUTE 19 THAYER MO 65791 (417) 264-7256 265247 KIRKSVILLE MANOR CARE CENTER 1705 EAST LAHARPE KIRKSVILLE MO 63501 (660) 665-3774 265253 TRUMAN HEALTHCARE & REHABILITATION CENTER 206 WEST FIRST STREET LAMAR MO 64759 (417) 682-5718 265254 HEART OF THE OZARKS HEALTHCARE CENTER 2004 CRESTVIEW STREET, PO BOX 727 AVA MO 65608 (417) 683-4129 265258 BELLEVIEW VALLEY NURSING HOME 23144 HIGHWAY 32 BELLEVIEW MO 63623 (573) 697-5311 265266 MEDICALODGES NEOSHO 400 LYON DRIVE NEOSHO MO 64850 (417) 451-2544 265275 BREEZY MEADOWS 416 SOUTH HIGH STREET BUTLER MO 64730 (660) 679-6158 265279 ROLLA MANOR CARE CENTER 1800 WHITE COLUMNS DRIVE ROLLA MO 65401 (573) 364-7766 265285 JEFFERSON CITY MANOR CARE CENTER 1720 VIETH DR JEFFERSON CITY MO 65109 (573) 635-6193 265289 COX MEDICAL CENTERS MEYER ORTHOPEDIC AND REHAB 3535 S NATIONAL AVE SPRINGFIELD MO 65807 (417) 269-9982 265298 REACH SHORT STAY REHAB 12120 CONWAY ROAD SAINT LOUIS MO 63141 (314) 251-6600 265302 PARKSIDE MANOR 1201 HUNT AVENUE COLUMBIA MO 65202 (573) 449-1448 265307 WEBB CITY HEALTH AND REHABILITATION CENTER 2077 STADIUM DRIVE WEBB CITY MO 64870 (417) 673-1933 265310 DELMAR GARDENS SOUTH 5300 BUTLER HILL ROAD SAINT LOUIS MO 63128 (314) 842-0588 265312 GAINESVILLE HEALTH CARE CENTER 77 MEDICAL DRIVE, PO BOX 628 GAINESVILLE MO 65655 (417) 679-4921 265318 NHC HEALTHCARE, MARYLAND HEIGHTS 2920 FEE FEE ROAD MARYLAND HEIGHTS MO 63043 (314) 291-0121 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

265321 GARDEN VIEW CARE CENTER 700 GARDEN PATH O FALLON MO 63366 (636) 240-2840 265322 NIXA NURSING & REHAB 1104 NORTH MAIN STREET NIXA MO 65714 (417) 725-1777 265325 DELMAR GARDENS NORTH 4401 PARKER ROAD BLACK JACK MO 63033 (314) 355-1516 265326 REPUBLIC NURSING & REHAB 901 EAST HWY 174 REPUBLIC MO 65738 (417) 732-1822 265327 PHELPS COUNTY REGIONAL MEDICAL CENTER 1000 W TENTH ST ROLLA MO 65401 (573) 364-8899 265333 JONESBURG NURSING & REHAB 308 CEDAR AVENUE, PO BOX 218 JONESBURG MO 63351 (636) 488-5400 265335 WILLOW CARE NURSING HOME 2646 STATE ROUTE 76, PO BOX 309 WILLOW SPRINGS MO 65793 (417) 469-3152 265337 PACIFIC CARE CENTER, LLC 105 SOUTH SIXTH STREET PACIFIC MO 63069 (636) 271-4222 265338 WESTCHESTER HOUSE, THE 550 WHITE ROAD CHESTERFIELD MO 63017 (314) 469-1200 265340 LIFE CARE CENTER OF SULLIVAN 875 DUNSFORD DRIVE SULLIVAN MO 63080 (573) 468-3128 265341 PILLARS OF NORTH COUNTY HEALTH & REHAB CENTER, THE 13700 OLD HALLS FERRY ROAD FLORISSANT MO 63033 (314) 355-0760 265343 DELMAR GARDENS OF CREVE COEUR 850 COUNTRY MANOR LANE CREVE COEUR MO 63141 (314) 434-5900 265345 LIFE CARE CENTER OF BRIDGETON 12145 BRIDGETON SQUARE DR BRIDGETON MO 63044 (314) 298-7444 265348 CAMELOT NURSING AND REHABILITATION CENTER 705 GRAND CANYON DRIVE FARMINGTON MO 63640 (573) 756-8911 265352 WEST COUNTY CARE CENTER 312 SOLLEY DRIVE BALLWIN MO 63021 (636) 391-0666 265354 MARYVILLE LIVING CENTER 524 NORTH LAURA MARYVILLE MO 64468 (660) 582-7447 265355 LIFE CARE CENTER OF GRANDVIEW 6301 EAST 125TH ST GRANDVIEW MO 64030 (816) 765-7714 265359 LUTHERAN HOME, THE 2825 BLOOMFIELD ROAD CAPE GIRARDEAU MO 63703 (573) 335-0158 265360 LEWIS COUNTY NURSING HOME DISTRICT PO BOX 266, 17528 STATE HIGHWAY 81 CANTON MO 63435 (573) 288-4454 265361 RIVERDELL CARE CENTER 1121 11TH STREET BOONVILLE MO 65233 (660) 882-7600 265363 RIVERWAYS MANOR 403 WATERCRESS ROAD, BOX 969 VAN BUREN MO 63965 (573) 323-4282 265365 VALLEY-A STONEBRIDGE COMMUNITY, THE 6768 NORTH HIGHWAY 67 FLORISSANT MO 63034 (314) 741-9101 265367 CYPRESS POINT-SKILLED NURSING BY AMERICARE 801 BALIFF DRIVE DEXTER MO 63841 (573) 624-8908 265368 BIRCH VIEW NURSING CENTER RR 2, BOX 2215 BIRCH TREE MO 65438 (573) 292-3212 265369 CRYSTAL OAKS 1500 CALVARY CHURCH ROAD, PO BOX 680 FESTUS MO 63028 (636) 933-1818 265373 LIFE CARE CENTER OF WAYNESVILLE 700 BIRCH LANE WAYNESVILLE MO 65583 (573) 774-6456 265377 JEFFERSON HEALTH CARE 615 SW OLDHAM PARKWAY LEES SUMMIT MO 64081 (816) 524-3328 265381 NORTHWOOD HILLS CARE CENTER 800 N ARTHUR ST, PO BOX 187 HUMANSVILLE MO 65674 (417) 754-2208 265384 RIDGEVIEW LIVING COMMUNITY 500 BARRETT DRIVE MALDEN MO 63863 (573) 276-3843 265385 HERITAGE HALL NURSING CENTER 750 E HIGHWAY 22 CENTRALIA MO 65240 (573) 682-5551 265387 HUNTER ACRES CARING CENTER 628 NORTH WEST STREET SIKESTON MO 63801 (573) 471-7130 265389 SOUTHBROOK-SKILLED NURSING BY AMERICARE 1108 WEST LIBERTY FARMINGTON MO 63640 (573) 756-6658 265392 DELHAVEN MANOR 5460 DELMAR BLVD SAINT LOUIS MO 63112 (314) 361-2902 265393 SHEPHERD OF THE HILLS LIVING CENTER 996 STATE HIGHWAY 248 BRANSON MO 65616 (417) 334-6431 265394 JORDAN CREEK NURSING & REHAB 910 SOUTH WEST AVE SPRINGFIELD MO 65802 (417) 865-8741 265395 CORI MANOR HEALTHCARE & REHABILITATION CENTER 560 CORISANDE HILLS ROAD FENTON MO 63026 (636) 343-2282 265396 CALIFORNIA CARE CENTER 1106 SOUTH OAK CALIFORNIA MO 65018 (573) 796-3127 265398 GAMMA ROAD LODGE 250 E LOCUST WELLSVILLE MO 63384 (573) 684-2002 265400 BROOKE HAVEN HEALTHCARE 1410 NORTH KENTUCKY AVENUE WEST PLAINS MO 65775 (417) 256-7975 265401 FESTUS MANOR 627 WESTWOOD DRIVE SOUTH FESTUS MO 63028 (636) 931-9066 265402 RANCHO MANOR HEALTHCARE AND REHABILITATION CENTER 615 RANCHO LANE FLORISSANT MO 63031 (314) 839-2150 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

265404 MAYWOOD TERRACE LIVING CENTER 10300 EAST TRUMAN RD INDEPENDENCE MO 64052 (816) 836-1250 265405 LIFE CARE CENTER OF BROOKFIELD 315 HUNT STREET BROOKFIELD MO 64628 (660) 258-3367 265406 AUTUMN OAKS CARING CENTER 1310 HOVIS STREET MOUNTAIN GROVE MO 65711 (417) 926-5128 265409 GIDEON CARE CENTER 300 LUNBECK, PO BOX 197 GIDEON MO 63848 (573) 448-3505 265412 MOUNTAIN VIEW HEALTHCARE 1211 NORTH ASH STREET, PO BOX 879 MOUNTAIN VIEW MO 65548 (417) 934-6818 265414 SURREY PLACE ST LUKES HOSP SKILLED NURSING AND RCF 14701 OLIVE BLVD CHESTERFIELD MO 63017 (314) 542-3300 265415 NEW HAVEN CARE CENTER 9503 HIGHWAY 100 NEW HAVEN MO 63068 (573) 237-2103 265416 CLARK'S MOUNTAIN NURSING CENTER 2100 BARNES PIEDMONT MO 63957 (573) 223-4297 265417 ALEXIAN BROS SHERBROOKE VILLAGE 4005 RIPA AVENUE SAINT LOUIS MO 63125 (314) 544-1111 265418 DIXON NURSING & REHAB 403 EAST 10TH STREET DIXON MO 65459 (573) 759-2135 265420 APPLE RIDGE CARE CENTER 100 WEST THOMAS AVENUE, PO BOX 188 WAVERLY MO 64096 (660) 493-2232 265428 LEBANON SOUTH NURSING & REHAB 514 WEST FREMONT ROAD LEBANON MO 65536 (417) 532-5351 265429 LAKE REGIONAL HEALTH SYSTEMS 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 (573) 348-8275 265434 RIVERVIEW NURSING CENTER 10303 STATE ROAD C MOKANE MO 65059 (573) 676-3136 265438 JACKSON MANOR NURSING HOME 710 BROADRIDGE JACKSON MO 63755 (573) 243-3101 265439 BARNES-JEWISH EXTENDED CARE 401 CORPORATE PARK DRIVE SAINT LOUIS MO 63105 (314) 725-7447 265440 GERALD NURSING AND REHAB 533 CANAAN ROAD, PO BOX 180 GERALD MO 63037 (573) 764-2135 265444 WESTRIDGE GARDENS REHAB & HEALTH CARE CENTER 11901 JESSICA LANE RAYTOWN MO 64138 (816) 358-3535 265446 COMMUNITY SPRINGS HEALTHCARE FACILITY 400 EAST HOSPITAL ROAD EL DORADO SPRINGS MO 64744 (417) 876-2531 265447 MCDONALD COUNTY LIVING CENTER 1000 PATTERSON STREET ANDERSON MO 64831 (417) 845-3351 265452 MT VERNON PLACE CARE CENTER, INC 1425 SOUTH LANDRUM MOUNT VERNON MO 65712 (417) 466-2260 265455 WILLARD CARE CENTER 400 WEST WALNUT LANE WILLARD MO 65781 (417) 742-3593 265460 CASSVILLE HEALTH CARE AND REHAB 1300 COUNTY FARM ROAD CASSVILLE MO 65625 (417) 847-3386 265464 OZARK RIVERVIEW MANOR 1200 WEST HALL, PO BOX 157 OZARK MO 65721 (417) 581-6025 265466 LAKE STOCKTON HEALTHCARE FACILITY 811 OWEN MILL ROAD, PO BOX 945 STOCKTON MO 65785 (417) 276-5126 265468 GRANBY HOUSE 301 SOUTH MAIN GRANBY MO 64844 (417) 472-6271 265470 HOUSTON HOUSE 1000 NORTH INDUSTRIAL DRIVE, PO BOX 199 HOUSTON MO 65483 (417) 967-2527 265471 BUFFALO PRAIRIE CARE CENTER 631 WEST MAIN STREET BUFFALO MO 65622 (417) 345-5422 265472 BRENT B TINNIN MANOR 220 EUEL POLK DRIVE ELLINGTON MO 63638 (573) 663-2545 265473 GLENDALE GARDENS NURSING & REHAB 3535 EAST CHEROKEE SPRINGFIELD MO 65809 (417) 889-9955 265474 COUNTRY AIRE RETIREMENT ESTATES 18540 STATE HIGHWAY 16 LEWISTOWN MO 63452 (573) 215-2216 265475 MARANATHA VILLAGE, INC 233 EAST NORTON ROAD SPRINGFIELD MO 65803 (417) 833-0016 265480 GRAND RIVER HEALTH CARE 118 TRENTON ROAD CHILLICOTHE MO 64601 (660) 646-0353 265485 CLARK COUNTY NURSING HOME 1260 NORTH JOHNSON STREET KAHOKA MO 63445 (660) 727-3303 265489 ST GENEVIEVE CARE CENTER INC 1010 STE GENEVIEVE DRIVE, PO BOX 426 SAINTE GENEVIEVE MO 63670 (573) 883-5725 265491 SENECA HOUSE 914 CHICKESAW STREET SENECA MO 64865 (417) 776-8041 265492 CHAFFEE NURSING CENTER 12273 STATE HIGHWAY 77, PO BOX 68 CHAFFEE MO 63740 (573) 887-3615 265493 MEDICALODGES NEVADA 1210 WEST ASHLAND NEVADA MO 64772 (417) 667-5064 265494 ROCKY RIDGE MANOR 3111 HIGHWAY A MANSFIELD MO 65704 (417) 924-8116 265495 ST CLAIR NURSING CENTER 1035 PLAZA COURT NORTH SAINT CLAIR MO 63077 (636) 629-2100 265496 PUXICO NURSING AND REHABILITATION CENTER 540 NORTH HIGHWAY 51 PUXICO MO 63960 (573) 222-3125 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

265498 BLUFFS, THE 3105 BLUFF CREEK DRIVE COLUMBIA MO 65201 (573) 442-6060 265500 BERNARD CARE CENTER 4335 WEST PINE BLVD SAINT LOUIS MO 63108 (314) 371-0200 265503 HEARTLAND CARE AND REHABILITATION CENTER 2525 BOUTIN DRIVE CAPE GIRARDEAU MO 63701 (573) 334-5225 265508 MAR-SALINE MANOR CARE CENTER 809 EAST GORDON, PO BOX 68 MARSHALL MO 65340 (660) 886-2247 265509 SOUTH COUNTY NURSING HOME INC 1101 WEST OUTER 21 ROAD ARNOLD MO 63010 (636) 296-5455 265513 ABC HEALTH CARE 307 EAST SOUTH STREET HARRISONVILLE MO 64701 (816) 380-7399 265514 CLARU DEVILLE NURSING CENTER 105 SPRUCE STREET FREDERICKTOWN MO 63645 (573) 783-3993 265517 FAYETTE CARING CENTER 501 SOUTH PARK FAYETTE MO 65248 (660) 248-3371 265518 WINDSOR ESTATES OF ST CHARLES SNAL, LLC 2150 WEST RANDOLPH STREET SAINT CHARLES MO 63301 (636) 946-4966 265519 PARKVIEW HEALTH CARE FACILITY 119 WEST FOREST BOLIVAR MO 65613 (417) 326-3000 265520 WEBCO MANOR 1687 WEST WASHINGTON MARSHFIELD MO 65706 (417) 859-5144 265521 SEVILLE CARE CENTER 35625 HIGHWAY 72, PO BOX 746 SALEM MO 65560 (573) 729-6141 265522 LAKEVIEW HEALTH CARE & REHABILITATION CENTER 1450 ASHLEY ROAD BOONVILLE MO 65233 (660) 882-7007 265524 NORTHVIEW VILLAGE 2415 NORTH KINGSHIGHWAY SAINT LOUIS MO 63113 (314) 361-1300 265528 GOOD SHEPHERD CARE CENTER 1101 WEST CLAY ROAD VERSAILLES MO 65084 (573) 378-5411 265530 JEFFERSON CITY NURSING AND REHABILITATION CTR, LLC 1221 SOUTHGATE LANE JEFFERSON CITY MO 65110 (573) 635-3131 265531 HERITAGE NURSING CENTER-SKILLED NURS BY AMERICARE 1802 ST FRANCIS, PO BOX 827 KENNETT MO 63857 (573) 888-1044 265535 GLASGOW GARDENS 100 AUDSLEY DRIVE GLASGOW MO 65254 (660) 338-2297 265537 TARKIO REHABILITATION & HEALTH CARE 300 CEDAR STREET TARKIO MO 64491 (660) 736-4116 265545 CITIZENS MEMORIAL HEALTHCARE FACILITY 1218 WEST LOCUST, PO BOX 590 BOLIVAR MO 65613 (417) 326-7648 265546 GASCONADE MANOR NURSING HOME 1910 NURSING HOME ROAD, PO BOX 520 OWENSVILLE MO 65066 (573) 437-4101 265547 GREENVILLE NURSING AND REHABILITATION, LLC 117 SYCAMORE STREET, PO BOX 108 GREENVILLE MO 63944 (573) 224-3298 265548 MINER NURSING CENTER 410 H ROAD SIKESTON MO 63801 (573) 471-7683 265549 PORTAGEVILLE NURSING AND REHABILITATION, LLC 290 WEST STATE HWY 162 PORTAGEVILLE MO 63873 (573) 379-2017 265550 ADVANCE NURSING CENTER 315 SOUTH TILLEY STREET ADVANCE MO 63730 (573) 722-3440 265551 EAST PRAIRIE NURSING CENTER 186 MILLAR ROAD, PO BOX 299 EAST PRAIRIE MO 63845 (573) 649-3551 265553 WOODLAND HILLS-A STONEBRIDGE COMMUNITY 702 HIGHWAY 34 WEST MARBLE HILL MO 63764 (573) 238-2614 265554 MERAMEC NURSING CENTER 940 MATTOX DRIVE SULLIVAN MO 63080 (573) 468-7733 265555 ELDON NURSING & REHAB 1001 EAST NORTH STREET ELDON MO 65026 (573) 392-3164 265556 OAKDALE CARE CENTER 2702 DEBBIE LANE, PO BOX 340 POPLAR BLUFF MO 63902 (573) 686-5242 265557 HERITAGE GARDENS OF SIKESTON 3144 STATE HIGHWAY FF SIKESTON MO 63801 (573) 471-1174 265558 NEVADA NURSING & REHAB 700 EAST HIGHLAND AVENUE NEVADA MO 64772 (417) 667-8889 265559 MAPLES HEALTH AND REHABILITATION, THE 610 WEST SUNSET STREET SPRINGFIELD MO 65807 (417) 891-1700 265561 MADISON MEDICAL CENTER 611 WEST MAIN STREET, PO BOX 431 FREDERICKTOWN MO 63645 (573) 783-3341 265564 MEDICALODGES BUTLER 103 EAST NURSERY BUTLER MO 64730 (660) 679-3179 265565 PLEASANT HILL HEALTH AND REHABILITATION CENTER 1300 BROADWAY PLEASANT HILL MO 64080 (816) 540-2116 265566 WARSAW HEALTH AND REHABILITATION CENTER 1609 SUNCHASE DRIVE WARSAW MO 65355 (660) 438-2970 265571 ASH GROVE HEALTHCARE FACILITY 401 NORTH MEDICAL DRIVE, PO BOX 247 ASH GROVE MO 65604 (417) 751-2575 265572 DADE COUNTY NURSING HOME DISTRICT 400 BROAD STREET GREENFIELD MO 65661 (417) 637-5315 265574 MONROE CITY MANOR CARE CENTER 1010 HIGHWAY 24 & 36 EAST MONROE CITY MO 63456 (573) 735-4850 265578 NORMANDY NURSING CENTER 7301 ST CHARLES ROCK RD SAINT LOUIS MO 63133 (314) 862-0555 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

265579 MONTEREY PARK REHABILITATION & HEALTH CARE CENTER 4600 LITTLE BLUE PARKWAY INDEPENDENCE MO 64057 (816) 795-7888 265580 PRESBYTERIAN MANOR OF ROLLA 1200 HOMELIFE PLAZA ROLLA MO 65401 (573) 364-7336 265581 FULTON PRESBYTERIAN MANOR 811 CENTER STREET FULTON MO 65251 (573) 642-6646 265582 STONECREST HEALTHCARE 2 HIGHWAY Y, PO BOX 707 VIBURNUM MO 65566 (573) 244-3171 265583 FARMINGTON PRESBYTERIAN MANOR 500 CAYCE STREET FARMINGTON MO 63640 (573) 756-6768 265585 HILLSIDE MANOR HEALTHCARE AND REHAB CENTER 1265 MCLARAN AVENUE SAINT LOUIS MO 63147 (314) 388-4121 265590 MONROE MANOR 200 SOUTH ST PARIS MO 65275 (660) 327-4125 265591 PARKDALE MANOR CARE CENTER 814 WEST SOUTH AVENUE MARYVILLE MO 64468 (660) 582-8161 265593 HARTVILLE CARE CENTER 649 WEST ROLLA STREET HARTVILLE MO 65667 (417) 741-6192 265598 BRUNSWICK NURSING HOME 721 WEST HARRISON BRUNSWICK MO 65236 (660) 548-3182 265599 CLARENCE CARE CENTER 111 EAST STREET CLARENCE MO 63437 (660) 699-2118 265600 LUTHERAN CONVALESCENT HOME 723 SOUTH LACLEDE STATION RD WEBSTER GROVES MO 63119 (314) 968-5570 265605 FORSYTH CARE CENTER 477 COY BLVD, PO BOX 640 FORSYTH MO 65653 (417) 546-6337 265606 SWEET SPRINGS VILLA 518 E MARSHALL SWEET SPRINGS MO 65351 (660) 335-6391 265608 GLENWOOD HEALTHCARE 851 THOROUGHFARE SEYMOUR MO 65746 (417) 935-2992 265609 MALDEN NURSING & REHAB 1209 STOKELAN MALDEN MO 63863 (573) 276-5115 265610 LIFE CARE CENTER OF ST LOUIS 3520 CHOUTEAU AVE SAINT LOUIS MO 63103 (314) 771-2100 265614 CLEARVIEW NURSING CENTER 430 SALCEDO ROAD, PO BOX 707 SIKESTON MO 63801 (573) 471-2565 265618 SOUTH HAMPTON PLACE 4700 BRANDON WOODS COLUMBIA MO 65203 (573) 874-3674 265620 HILLCREST CARE CENTER INC 1108 CLARKE STREET DE SOTO MO 63020 (636) 586-3022 265621 LIVINGSTON MANOR CARE CENTER 939 EAST BIRCH CHILLICOTHE MO 64601 (660) 646-5177 265625 NEW FLORENCE NURSING AND CARE CENTER 515 PICNIC STREET NEW FLORENCE MO 63363 (573) 415-9333 265627 GARDEN VIEW CARE CENTER OF CHESTERFIELD 1025 CHESTERFIELD POINTE PARKWAY CHESTERFIELD MO 63017 (636) 537-3333 265629 OREGON CARE CENTER 501 MONROE, PO BOX 19 OREGON MO 64473 (660) 446-3355 265632 LICKING PARK MANOR 209 HICKORY STREET LICKING MO 65542 (573) 674-2111 265634 LACOBA HOMES INC 850 HIGHWAY 60, PO BOX 885 MONETT MO 65708 (417) 235-7895 265636 NAZARETH LIVING CENTER #2 NAZARETH LANE SAINT LOUIS MO 63129 (314) 487-3950 265638 TRI-COUNTY CARE CENTER 601 NORTH GALLOWAY ROAD VANDALIA MO 63382 (573) 594-6467 265639 LENOIR HEALTH CARE CENTER 3300 NEW HAVEN ROAD COLUMBIA MO 65201 (573) 876-5800 265644 MCLARNEY MANOR PO BOX 129, 215 EAST PRATT BROOKFIELD MO 64628 (660) 258-7402 265647 CROWN CARE CENTER 3001 EAST ELM HARRISONVILLE MO 64701 (816) 380-6525 265648 MONITEAU CARE CENTER 200 SOUTH GERHART CALIFORNIA MO 65018 (573) 796-3822 265649 SARCOXIE NURSING CENTER 1505 MINER, PO BOX 248 SARCOXIE MO 64862 (417) 548-3434 265651 FRENE VALLEY OF HERMANN-A STONEBRIDGE COMMUNITY 1800 WEIN STREET, PO BOX 468 HERMANN MO 65041 (573) 486-3155 265655 GOLDEN AGE LIVING CENTER 404 E THIRD STREET, PO BOX 307 STOVER MO 65078 (573) 377-4521 265656 STRAFFORD CARE CENTER 505 WEST EVERGREEN STRAFFORD MO 65757 (417) 736-9332 265661 ST LUKE'S NURSING CENTER INC 1220 EAST FAIRVIEW CARTHAGE MO 64836 (417) 358-9084 265663 FULTON NURSING & REHAB 1510 BLUFF STREET FULTON MO 65251 (573) 642-0202 265664 JAMES RIVER CARE AND REHABILITATION CENTER, INC 3550 EAST BATTLEFIELD SPRINGFIELD MO 65809 (417) 889-9500 265665 HILL CREST MANOR 801 SOUTH COLBY HAMILTON MO 64644 (816) 583-2119 265666 LAWSON MANOR & REHAB 210 WEST 8TH TERRACE LAWSON MO 64062 (816) 580-3269 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

265667 MEYER CARE CENTER 1201 WEST 19TH STREET HIGGINSVILLE MO 64037 (660) 584-4224 265670 FRENE VALLEY OF OWENSVILLE-A STONEBRIDGE COMMUNITY 1016 W HIGHWAY 28 OWENSVILLE MO 65066 (573) 437-6877 265672 DUTCHTOWN CARE CENTER 3421 GASCONADE SAINT LOUIS MO 63118 (314) 832-4700 265673 GIBBS CARE CENTER 311 NORTH SPRING STREET STEELVILLE MO 65565 (573) 775-5815 265676 ST ELIZABETH CARE CENTER 649 SOUTH WALNUT SAINT ELIZABETH MO 65075 (573) 493-2215 265677 GENERAL BAPTIST NURSING HOME 17108 US HIGHWAY 62 CAMPBELL MO 63933 (573) 246-2155 265678 BERTRAND NURSING AND REHAB CENTER 603 HIGHWAY 62 WEST BERTRAND MO 63823 (573) 683-4290 265680 OAK KNOLL NURSING HOME 37 NORTH CLARK AVENUE FERGUSON MO 63135 (314) 521-7419 265683 WINDSOR HEALTHCARE & REHAB CENTER 809 WEST BENTON, PO BOX 5 WINDSOR MO 65360 (660) 647-3102 265694 SALT RIVER COMMUNITY CARE 142 SHELBY PLAZA ROAD, PO BOX 529 SHELBINA MO 63468 (573) 588-4175 265699 BEAUVAIS MANOR HEALTHCARE & REHAB CENTER 3625 MAGNOLIA AVENUE SAINT LOUIS MO 63110 (314) 771-2990 265705 GOOD SHEPHERD COMMUNITY CARE AND REHABILITATION 200 WEST 12TH STREET LOCKWOOD MO 65682 (417) 232-4571 265706 CARROLL HOUSE 307 GRAND CARROLLTON MO 64633 (660) 542-1599 265707 ASHLAND HEALTHCARE 300 SOUTH HENRY CLAY BLVD ASHLAND MO 65010 (573) 657-2877 265711 DELMAR GARDENS OF MERAMEC VALLEY #1 ARBOR TERRACE FENTON MO 63026 (636) 343-0016 265713 MILLER COUNTY CARE AND REHABILITATION CENTER 1157 HIGHWAY 17 TUSCUMBIA MO 65082 (573) 369-2318 265714 BAISCH NURSING CENTER 3260 BAISCH DRIVE DE SOTO MO 63020 (636) 586-2291 265718 GOLDEN AGE NURSING HOME 12498 SE HIGHWAY 116 BRAYMER MO 64624 (660) 645-2243 265720 CREVE COEUR MANOR 1127 TIMBER RUN DRIVE SAINT LOUIS MO 63146 (314) 434-8361 265725 BOTHWELL REGIONAL HEALTH CENTER 601 EAST 14TH STREET, PO BOX 1706 SEDALIA MO 65301 (660) 826-8833 265729 DAVIESS COUNTY NURSING AND REHABILITATION 1337 WEST GRAND GALLATIN MO 64640 (660) 663-2197 265731 MAGNOLIA SQUARE NURSING AND REHABILITATION CENTER 1502 WEST EDGEWOOD SPRINGFIELD MO 65807 (417) 877-7545 265732 BENTLEYS EXTENDED CARE 3060 ASHBY ROAD OVERLAND MO 63114 (314) 426-0433 265734 COUNTRY MEADOWS 1301 N ST JOE DRIVE PARK HILLS MO 63601 (573) 431-2889 265735 APERION CARE HIDDEN LAKE 11728 HIDDEN LAKE DRIVE SAINT LOUIS MO 63138 (314) 355-8833 265737 LAURIE CARE CENTER 610 HIGHWAY O, P.O. BOX 1068 LAURIE MO 65038 (573) 374-8263 265738 ASHLEY MANOR CARE CENTER 1630 RADIO HILL ROAD BOONVILLE MO 65233 (660) 882-6584 265739 HOLDEN MANOR CARE CENTER 2005 SOUTH LEXINGTON HOLDEN MO 64040 (816) 732-4138 265742 OAKRIDGE OF PLATTSBURG 205 E CLAY AVE, PO BOX 247 PLATTSBURG MO 64477 (816) 539-2128 265744 PLEASANT VIEW 470 RAINBOW DRIVE, PO BOX 273 ROCK PORT MO 64482 (660) 744-6252 265746 TIFFANY HEIGHTS 1531 NEBRASKA STREET, PO BOX 308 MOUND CITY MO 64470 (660) 442-3146 265747 RATLIFF CARE CENTER 717 NORTH SPRIGG CAPE GIRARDEAU MO 63701 (573) 335-5810 265748 TIPTON OAK MANOR 601 WEST MORGAN STREET TIPTON MO 65081 (660) 433-5574 265749 WOODLAND MANOR 1347 EAST VALLEY WATERMILL ROAD SPRINGFIELD MO 65803 (417) 833-1220 265750 BENCHMARK HEALTHCARE OF FESTUS 12827 STATE HIGHWAY TT FESTUS MO 63028 (636) 937-3150 265751 RIVERVIEW, THE 5500 SOUTH BROADWAY SAINT LOUIS MO 63111 (314) 353-5900 265753 OZARK NURSING AND CARE CENTER 1486 NORTH RIVERSIDE RD OZARK MO 65721 (417) 581-7126 265755 RICHLAND CARE CENTER INC 400 TRI-COUNTY LANE, PO BOX 756 RICHLAND MO 65556 (573) 765-3243 265756 BETHESDA SOUTHGATE 5943 TELEGRAPH ROAD SAINT LOUIS MO 63129 (314) 846-2000 265759 ST MARYS MANOR 111 MOCK AVENUE BLUE SPRINGS MO 64014 (816) 228-5655 265760 FULTON MANOR CARE CENTER 520 MANOR DRIVE FULTON MO 65251 (573) 642-6834 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

265761 LINCOLN COMMUNITY CARE CENTER 205 TIMBERLINE DRIVE LINCOLN MO 65338 (660) 547-3322 265762 LAVERNA VILLAGE OF ST JOSEPH 1317 NORTH 36TH STREET SAINT JOSEPH MO 64506 (816) 676-1630 265763 KNOX COUNTY NURSING HOME DISTRICT 55774 STATE HIGHWAY 6 EDINA MO 63537 (660) 397-2282 265764 BETHESDA DILWORTH 9645 BIG BEND BLVD SAINT LOUIS MO 63122 (314) 968-5460 265765 LUTHERAN NURSING HOME 202 SOUTH WEST STREET, PO BOX 849 CONCORDIA MO 64020 (660) 463-2267 265766 BETHESDA MEADOW 322 OLD STATE ROAD ELLISVILLE MO 63021 (636) 227-3431 265767 LUTHERAN SENIOR SERVICES AT BREEZE PARK 600 BREEZE PARK DRIVE SAINT CHARLES MO 63304 (636) 939-5223 265768 BISHOP SPENCER PLACE, INC, THE 4301 MADISON AVENUE KANSAS CITY MO 64111 (816) 931-4277 265770 GOOD SAMARITAN CARE CENTER 403 WEST MAIN COLE CAMP MO 65325 (660) 668-4515 265771 SOUTHGATE LIVING CENTER 500 TRUMAN BOULEVARD CARUTHERSVILLE MO 63830 (573) 333-5150 265772 VILLAS-A STONEBRIDGE COMMUNITY, THE 1550 VILLAS DRIVE DE SOTO MO 63020 (636) 586-6559 265773 WORTH COUNTY CONVALESCENT CENTER 503 EAST FOURTH GRANT CITY MO 64456 (660) 564-3304 265775 COMMUNITY CARE CENTER OF LEMAY INC 9353 SOUTH BROADWAY SAINT LOUIS MO 63125 (314) 631-0540 265777 WESTPHALIA HILLS-A STONEBRIDGE COMMUNITY 1899 HIGHWAY 63 WESTPHALIA MO 65085 (573) 455-2280 265778 COLUMBIA MANOR CARE CENTER 2012 NIFONG BOULEVARD COLUMBIA MO 65201 (573) 449-1246 265779 LAKESIDE MEADOWS-A STONEBRIDGE COMMUNITY 872 COLLEGE BOULEVARD OSAGE BEACH MO 65065 (573) 302-0900 265781 MOORE-PIKE NURSING HOME 300 SOUTH ST CHARLES STREET BOWLING GREEN MO 63334 (573) 324-5281 265782 BEAUTIFUL SAVIOR HOME 1003 SOUTH CEDAR STREET BELTON MO 64012 (816) 331-0781 265783 MOUNT CARMEL SENIOR LIVING - ST CHARLES, LLC 723 FIRST CAPITOL DRIVE SAINT CHARLES MO 63301 (636) 946-4140 265784 LIVING COMMUNITY OF ST JOSEPH 1202 HEARTLAND ROAD SAINT JOSEPH MO 64506 (816) 671-8500 265785 INDIAN HILLS-A STONEBRIDGE COMMUNITY 2601 FAIR STREET CHILLICOTHE MO 64601 (660) 646-1230 265787 LA VERNA VILLAGE NURSING HOME 904 HALL AVENUE, PO BOX 279 SAVANNAH MO 64485 (816) 324-3185 265788 SCOTLAND COUNTY CARE CENTER 434 E SIGLER AVENUE MEMPHIS MO 63555 (660) 465-7221 265791 BROOKING PARK 307 SOUTH WOODS MILL ROAD CHESTERFIELD MO 63017 (314) 576-5545 265794 HEISINGER LUTHERAN HOME 1002 WEST MAIN STREET JEFFERSON CITY MO 65109 (573) 636-6288 265795 KINGSWOOD 10000 WORNALL ROAD KANSAS CITY MO 64114 (816) 942-0994 265796 PEARL'S II EDEN FOR ELDERS 611 NORTH COLLEGE PRINCETON MO 64673 (660) 748-4407 265797 RIDGE CREST NURSING CENTER 706 SOUTH MITCHELL WARRENSBURG MO 64093 (660) 429-2177 265798 COMMUNITY MANOR 783 WEBER ROAD FARMINGTON MO 63640 (573) 756-8998 265799 NEIGHBORHOODS AT QUAIL CREEK, THE 1514 WEST LARK SPRINGFIELD MO 65810 (417) 889-1275 265800 GOWER CONVALESCENT CENTER, INC PO BOX 170, 323 SOUTH HIGHWAY 169 GOWER MO 64454 (816) 424-6483 265801 KATY MANOR 205 PROSPECT, PO BOX 8 PILOT GROVE MO 65276 (660) 834-3111 265803 FOXWOOD SPRINGS LIVING CENTER 1500 WEST FOXWOOD DRIVE RAYMORE MO 64083 (816) 331-3111 265804 MANOR AT ELFINDALE, THE 1707 WEST ELFINDALE STREET SPRINGFIELD MO 65807 (417) 831-2273 265805 LUTHERAN SENIOR SERVICES AT MERAMEC BLUFFS 50 MERAMEC TRAILS DRIVE BALLWIN MO 63021 (636) 861-0600 265808 GARDEN VIEW CARE CENTER AT DOUGHERTY FERRY 13612 BIG BEND ROAD VALLEY PARK MO 63088 (636) 861-0500 265813 MORNINGSIDE CENTER 1700 MORNINGSIDE DRIVE CHILLICOTHE MO 64601 (660) 646-0170 265814 MERCY VILLA 1100 EAST MONTCLAIR SPRINGFIELD MO 65807 (417) 820-8500 265817 GARRISON CARE CENTER 2939 MAGAZINE AVE SAINT LOUIS MO 63106 (314) 531-0500 265819 OAK TREE VILLAS-A STONEBRIDGE COMMUNITY 3108 WEST TRUMAN BOULEVARD JEFFERSON CITY MO 65109 (573) 893-3063 265820 VILLAGES OF JACKSON CREEK, THE 3980 SOUTH JACKSON DRIVE INDEPENDENCE MO 64057 (816) 795-1433 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

265822 BRIDGEWOOD HEALTH CARE CENTER 11515 TROOST KANSAS CITY MO 64131 (816) 943-0101 265823 CRESTWOOD HEALTH CARE CENTER, LLC 11400 MEHL AVENUE FLORISSANT MO 63033 (314) 741-3525 265824 VILLAGES OF ST PETERS, THE 5400 EXECUTIVE CENTRE PARKWAY SAINT PETERS MO 63376 (636) 922-7600 265825 ELSBERRY MISSOURI HEALTH CARE CENTER 1827 HWY B ELSBERRY MO 63343 (573) 898-2880 265828 AVALON GARDEN 4359 TAFT AVENUE SAINT LOUIS MO 63116 (314) 752-2022 265831 ACKERT PARK SKILLED NURSING & REHABILITATION CENTE 894 LELAND AVENUE UNIVERSITY CITY MO 63130 (314) 726-4767 265832 SENATH SOUTH NURSING AND REHABILITATION, LLC 300 EAST HORNBECK STREET, PO BOX 940 SENATH MO 63876 (573) 738-2627 265833 MANOR GROVE, INCORPORATED 711 SOUTH KIRKWOOD ROAD KIRKWOOD MO 63122 (314) 965-0864 265834 QUARTERS AT DES PERES, THE 13230 MANCHESTER ROAD DES PERES MO 63131 (314) 821-2886 265835 BROOKHAVEN NURSING & REHAB 3405 WEST MT VERNON SPRINGFIELD MO 65802 (417) 874-9600 265837 ST JOSEPH'S BLUFFS 1306 WEST MAIN STREET JEFFERSON CITY MO 65109 (573) 635-0166 265838 LIFE CARE CENTER OF FLORISSANT 1201 GARDEN PLAZA DRIVE FLORISSANT MO 63033 (314) 831-3752 265839 MOUNT CARMEL SENIOR LIVING - O'FALLON, LLC 206 NORTH MAIN STREET O FALLON MO 63366 (636) 240-5754 265840 NEIGHBORHOODS REHAB & SKILLED NURSING BY TIGERPLAC 3003 FALLING LEAF COURT COLUMBIA MO 65201 (573) 256-4620 265841 ABERDEEN HEIGHTS 505 COUCH AVENUE KIRKWOOD MO 63122 (314) 909-6000 265842 SSM HEALTH DEPAUL HOSPITAL - ANNA HOUSE 12284 DEPAUL DRIVE BRIDGETON MO 63044 (314) 209-8814 265847 SONSHINE MANOR 300 SOUTH COTTONWOOD AVENUE REPUBLIC MO 65738 (417) 732-2929 265848 COMMUNITIES OF WILDWOOD RANCH 3222 SOUTH JOHN DUFFY DRIVE JOPLIN MO 64804 (417) 621-0175 265849 MCKNIGHT PLACE EXTENDED CARE TWO MCKNIGHT PLACE SAINT LOUIS MO 63124 (314) 993-2221 265850 SEASONS CARE CENTER 15600 WOODS CHAPEL ROAD KANSAS CITY MO 64139 (816) 478-4757 265852 ST JOSEPH CHATEAU 811 NORTH 9TH STREET SAINT JOSEPH MO 64501 (816) 233-5164 275012 BENEFIS EXTENDED CARE CENTER 2621 15TH AVE S GREAT FALLS MT 59405 (406) 455-5903 275021 VALLE VISTA HEALTHCARE COMMUNITY 402 SUMMIT AVE LEWISTOWN MT 59457 (406) 538-8775 275024 ST JOHN'S LUTHERAN HOME 3940 RIMROCK RD BILLINGS MT 59102 (406) 655-5600 275027 HILLSIDE HEALTH CARE CENTER 4720 23RD AVENUE MISSOULA MT 59803 (406) 251-5100 275030 KINDRED TRANSITIONAL CARE & REHAB - PARK PLACE 1500 32ND ST S GREAT FALLS MT 59405 (406) 761-4300 275035 MISSOULA HEALTH & REHABILITATION CENTER 3018 RATTLESNAKE DR MISSOULA MT 59802 (406) 549-0988 275043 VILLAGE HEALTH CARE CENTER 2651 SOUTH AVE W MISSOULA MT 59804 (406) 728-9162 275049 POLSON HEALTH & REHABILITATION CENTER 9 14TH AVE W POLSON MT 59860 (406) 883-4378 275053 CEDAR WOOD HEALTHCARE COMMUNITY 1 S OAKS RED LODGE MT 59068 (406) 446-2525 275056 ELKHORN HEALTHCARE & REHABILITATION 474 HWY 282 CLANCY MT 59634 (406) 933-8311 275060 COPPER RIDGE HEALTH & REHABILITATION CENTER 3251 NETTIE ST BUTTE MT 59701 (406) 723-3225 275065 COMMUNITY NURSING HOME OF ANACONDA 615 MAIN ST ANACONDA MT 59711 (406) 563-8414 275066 GALLATIN REST HOME 1221 W DURSTON RD BOZEMAN MT 59715 (406) 582-3300 275069 HOT SPRINGS HEALTH & REHABILITATION CENTER 600 1ST AVE N HOT SPRINGS MT 59845 (406) 741-2992 275070 SHERIDAN MEMORIAL NURSING HOME 440 W LAUREL AVE PLENTYWOOD MT 59254 (406) 765-3700 275071 DANIELS MEMORIAL NURSING HOME 105 5TH AVE E SCOBEY MT 59263 (406) 487-2296 275072 ROSEBUD HEALTH CARE CENTER 383 N 17TH AVE FORSYTH MT 59327 (406) 346-4243 275073 FAITH LUTHERAN HOME 1000 6TH AVE N WOLF POINT MT 59201 (406) 653-1400 275075 TETON NURSING HOME 24 N MAIN CHOTEAU MT 59422 (406) 466-5338 275079 WIBAUX COUNTY NURSING HOME 712 WIBAUX ST S WIBAUX MT 59353 (406) 796-2429 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

275081 FRIENDSHIP VILLA HEALTHCARE COMMUNITY 2300 WILSON MILES CITY MT 59301 (406) 874-2687 275082 GARFIELD COUNTY HEALTH CENTER 332 LEAVITT AVE JORDAN MT 59337 (406) 557-2500 275084 GOOD SAMARITAN SOCIETY - MOUNTAIN VIEW MANOR 10 MOUNTAIN VIEW DR EUREKA MT 59917 (406) 297-2541 275085 BENEFIS TETON SENIOR SERVICES 915 4TH ST NW CHOTEAU MT 59422 (406) 466-5763 275087 POWDER RIVER MANOR 104 N TRAUTMAN BROADUS MT 59317 (406) 436-2646 275090 BEARTOOTH HEALTHCARE COMMUNITY 350 W PIKE AVE COLUMBUS MT 59019 (406) 322-5342 275091 VALLEY VIEW HOME 1225 PERRY LN GLASGOW MT 59230 (406) 228-2461 275093 ST LUKE COMMUNITY NURSING HOME 107 6TH AVE S W RONAN MT 59864 (406) 676-4441 275094 LAKE VIEW HEALTHCARE COMMUNITY 1050 GRAND AVE BIGFORK MT 59911 (406) 837-5041 275095 FALLON MEDICAL COMPLEX N H 202 S 4TH ST W BAKER MT 59313 (406) 778-3331 275096 PONDEROSA PINES HEALTH CARE 1341 ROSEBUD LN BILLINGS MT 59101 (406) 252-6135 275100 MONTANA VETERANS HOME N H 400 VETERANS DR COLUMBIA FALLS MT 59912 (406) 892-3256 275103 BUTTE CENTER 2400 CONTINENTAL DR BUTTE MT 59701 (406) 723-6556 275104 GLACIER CARE CENTER 707 3RD ST SE CUT BANK MT 59427 (406) 873-5600 275106 HOLY ROSARY EXTENDED CARE UNIT 2600 WILSON ST MILES CITY MT 59301 (406) 233-2600 275107 CLARK FORK VALLEY NURSING HOME 10 KRUGER RD PLAINS MT 59859 (406) 826-4800 275109 BRENDAN HOUSE 350 CONWAY DR KALISPELL MT 59901 (406) 751-6500 275111 LAUREL HEALTH & REHABILITATION CENTER 820 3RD AVE LAUREL MT 59044 (406) 628-8251 275114 ROCKY MOUNTAIN HEALTHCARE COMMUNITY 30 S RODNEY ST HELENA MT 59601 (406) 443-5880 275116 BIG SANDY MEDICAL CENTER LTC 166 MONTANA AVE E BIG SANDY MT 59520 (406) 378-2188 275119 PONDERA MEDICAL CENTER LTC 805 SUNSET BLVD CONRAD MT 59425 (406) 271-3211 275121 SIDNEY HEALTH CENTER EXTENDED CARE 104 14TH AVE NW SIDNEY MT 59270 (406) 488-2300 275123 EAGLE CLIFF HEALTHCARE COMMUNITY 1415 YELLOWSTONE RIVER RD BILLINGS MT 59105 (406) 245-9330 275124 KINDRED NURSING AND REHABILITATION - PARKVIEW 200 N OREGON ST DILLON MT 59725 (406) 683-5105 275125 THE LIVING CENTRE 57 MAIN ST STEVENSVILLE MT 59870 (406) 777-5411 275126 RIVERSIDE HEALTH CARE CENTER 1301 E BROADWAY MISSOULA MT 59802 (406) 721-0680 275127 SWEET MEMORIAL NURSING HOME 125 AIRPORT RD CHINOOK MT 59523 (406) 357-2549 275129 IMMANUEL SKILLED CARE CENTER 185 CRESTLINE AVE KALISPELL MT 59901 (406) 752-9622 275130 HERITAGE ACRES NURSING HOME 200 N MITCHELL AVE HARDIN MT 59034 (406) 665-2802 275136 MADISON VALLEY MANOR 211 N MAIN ST ENNIS MT 59729 (406) 682-7271 275140 ASPEN MEADOWS RETIREMENT COMMUNITY 3155 AVE C BILLINGS MT 59102 (406) 656-8818 275147 TOBACCO ROOT MOUNTAINS CARE CENTER 326 MADISON ST SHERIDAN MT 59749 (406) 842-5600 275148 MOUNTAIN VIEW CARE CENTER 829 MAIN ST SW RONAN MT 59864 (406) 676-5510 275155 BROADWATER HEALTH CENTER 110 N OAK TOWNSEND MT 59644 (406) 266-3186 285002 SUMNER PLACE 1750 SOUTH 20TH STREET LINCOLN NE 68502 (402) 475-6791 285004 ST JANE DE CHANTAL LONG TERM CARE SERVICES 2200 SOUTH 52ND STREET LINCOLN NE 68506 (402) 413-3000 285019 DOUGLAS COUNTY HEALTH CENTER 4102 WOOLWORTH AVENUE OMAHA NE 68105 (402) 444-7314 285036 EASTMONT TOWERS 6315 O STREET LINCOLN NE 68510 (402) 489-6591 285049 HOMESTEAD NURSING & REHABILITATION CENTER 4735 SOUTH 54TH STREET LINCOLN NE 68516 (402) 488-0977 285055 FALLS CITY NURSING AND REHABILITATION CENTER 1720 BURTON DRIVE FALLS CITY NE 68355 (402) 245-4466 285057 TABITHA NURSING HOME 4720 RANDOLPH STREET LINCOLN NE 68510 (402) 483-7671 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

285059 ROSE BLUMKIN JEWISH HOME 323 SOUTH 132ND STREET OMAHA NE 68154 (402) 330-4272 285062 MIDWEST COVENANT HOME P O BOX 367, 615 EAST 9TH STREET STROMSBURG NE 68666 (402) 764-2711 285063 HIGHLAND PARK CARE CENTER P O BOX 950, 1633 SWEETWATER ALLIANCE NE 69301 (308) 762-2525 285065 GOLD CREST RETIREMENT CENTER 200 LEVI LANE ADAMS NE 68301 (402) 988-7115 285066 THE AMBASSADOR LINCOLN 4405 NORMAL BLVD LINCOLN NE 68506 (402) 488-2355 285067 HOLDREGE MEMORIAL HOMES, INC 1320 11TH AVENUE HOLDREGE NE 68949 (308) 995-8631 285071 THE LODGE AT HERITAGE ESTATES 2325 LODGE DRIVE GERING NE 69341 (308) 436-5007 285072 GOOD SAMARITAN SOCIETY - HASTINGS VILLAGE 926 EAST E STREET HASTINGS NE 68901 (402) 463-3181 285073 PARK VIEW HAVEN NURSING HOME 309 NORTH MADISON STREET COLERIDGE NE 68727 (402) 283-4224 285074 DAVID PLACE 260 SOUTH 10TH STREET DAVID CITY NE 68632 (402) 367-3144 285076 REGENCY SQUARE CARE CENTER 3501 DAKOTA AVENUE SOUTH SIOUX CITY NE 68776 (402) 494-4273 285081 CHI HEALTH ST FRANCIS 2116 WEST FAIDLEY AVENUE GRAND ISLAND NE 68803 (308) 398-5880 285083 LINDEN COURT 4000 WEST PHILIP AVENUE NORTH PLATTE NE 69101 (308) 532-5774 285084 CHI HEALTH GOOD SAMARITAN P O BOX 1990, 10 EAST 31ST STREET KEARNEY NE 68848 (308) 865-7169 285085 IMMANUEL FONTENELLE 6809 N 68TH PLAZA OMAHA NE 68152 (402) 572-2595 285087 TIFFANY SQUARE CARE CENTER 3119 WEST FAIDLEY AVENUE GRAND ISLAND NE 68803 (308) 384-2333 285088 HARTINGTON CARE AND REHABILITATION CENTER, LLC PO BOX 107, 401 DARLENE STREET HARTINGTON NE 68739 (402) 254-3905 285089 HERITAGE OF BEL AIR P O BOX 429, 1203 NORTH 13TH STREET NORFOLK NE 68702 (402) 371-4991 285092 COLUMBUS CARE AND REHABILITATION CENTER, LLC P O BOX 625, 2855 40TH AVENUE COLUMBUS NE 68602 (402) 564-8014 285093 COZAD CARE AND REHABILITATION CENTER, LLC 318 WEST 18TH STREET COZAD NE 69130 (308) 784-3715 285101 NORFOLK CARE AND REHABILITATION CENTER, LLC 1900 VICKI LANE NORFOLK NE 68701 (402) 371-2303 285102 STANTON HEALTH CENTER P O BOX 407, 301 17TH STREET STANTON NE 68779 (402) 439-2111 285110 SCHUYLER CARE AND REHABILITATION CENTER, LL 2023 COLFAX STREET SCHUYLER NE 68661 (402) 352-3977 285112 GOOD SAMARITAN SOCIETY - AUBURN 1322 U STREET AUBURN NE 68305 (402) 274-4954 285115 FULLERTON CARE AND REHABILITATION CENTER, LLC PO BOX 648, 202 NORTH ESTHER FULLERTON NE 68638 (308) 536-2488 285116 CLARKSON CARE AND REHABILITATION CENTER, LLC 212 SUNRISE DRIVE CLARKSON NE 68629 (402) 892-3494 285118 TEKAMAH CARE AND REHABILITATION CENTER, LLC 823 M STREET TEKAMAH NE 68061 (402) 374-1414 285119 DUNKLAU GARDENS 450 EAST 23RD STREET FREMONT NE 68025 (402) 721-1610 285126 THE AMBASSADOR NEBRASKA CITY 1800 14TH AVENUE NEBRASKA CITY NE 68410 (402) 873-6650 285127 THE AMBASSADOR OMAHA 1540 NORTH 72ND STREET OMAHA NE 68114 (402) 393-6500 285130 BEATRICE HEALTH AND REHABILITATION 1800 IRVING STREET BEATRICE NE 68310 (402) 223-2311 285131 YORK GENERAL HEARTHSTONE P O BOX 159, 2600 NORTH LINCOLN AVENUE YORK NE 68467 (402) 362-4333 285133 HILLCREST HEALTH & REHAB 1702 HILLCREST DRIVE BELLEVUE NE 68005 (402) 291-8500 285134 LIFE CARE CENTER OF ELKHORN 20275 HOPPER STREET ELKHORN NE 68022 (402) 289-2572 285138 GOOD SAMARITAN SOCIETY - SYRACUSE P O BOX F-1, 1622 WALNUT STREET SYRACUSE NE 68446 (402) 269-2251 285141 SUTHERLAND CARE CENTER P O BOX 307, 333 MAPLE STREET SUTHERLAND NE 69165 (308) 386-4393 285143 WAVERLY CARE CENTER 11041 NORTH 137TH ST WAVERLY NE 68462 (402) 786-2626 285147 CENTRAL CITY CARE CENTER 2720 SOUTH 17TH AVENUE CENTRAL CITY NE 68826 (308) 946-3088 285149 MAPLE CREST HEALTH CENTER 2824 NORTH 66TH AVENUE OMAHA NE 68104 (402) 551-2110 285151 WISNER CARE CENTER 1105 9TH STREET WISNER NE 68791 (402) 529-3286 285152 MORYS HAVEN 1112 15TH STREET COLUMBUS NE 68601 (402) 564-3197 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

285157 PREMIER ESTATES OF PAWNEE, LLC P O BOX 513, 438 12TH STREET PAWNEE CITY NE 68420 (402) 852-2975 285160 ST. JOSEPH'S REHABILITATION & CARE CENTER 401 NORTH 18TH STREET NORFOLK NE 68701 (402) 644-7375 285163 HILLTOP ESTATES P O BOX 429, 2520 AVENUE M GOTHENBURG NE 69138 (308) 537-7138 285164 HOLMES LAKE REHABILITATION & CARE CENTER 6101 NORMAL BLVD LINCOLN NE 68506 (402) 489-7175 285167 MARY LANNING HEALTHCARE LONG TERM CARE 715 NORTH ST. JOSEPH AVENUE HASTINGS NE 68901 (402) 463-4521 285172 WILBER CARE CENTER 611 NORTH MAIN WILBER NE 68465 (402) 821-2331 285175 GOOD SAMARITAN SOCIETY - ARAPAHOE P O BOX 448, 601 MAIN STREET ARAPAHOE NE 68922 (308) 962-5230 285178 HILLCREST CARE CENTER 702 CEDAR AVENUE LAUREL NE 68745 (402) 256-3961 285180 BUTTE SENIOR LIVING 210 BROADWAY BUTTE NE 68722 (402) 775-2355 285183 COLONIAL MANOR OF RANDOLPH P O BOX 67, 811 SOUTH MAIN STREET RANDOLPH NE 68771 (402) 337-0444 285185 GOOD SAMARITAN SOCIETY - COLONIAL VILLA 719 NORTH BROWN STREET ALMA NE 68920 (308) 928-2128 285186 LEGACY GARDEN REHABILITATION & LIVING CENTER 200 VALLEY VIEW DRIVE PENDER NE 68047 (402) 385-3072 285187 GOOD SAMARITAN SOCIETY - SUPERIOR 1710 IDAHO STREET SUPERIOR NE 68978 (402) 879-4791 285189 GOOD SAMARITAN SOCIETY - ST JOHNS 3410 CENTRAL AVENUE KEARNEY NE 68847 (308) 234-1888 285190 ALPINE VILLAGE RETIREMENT CENTER 706 JAMES STREET VERDIGRE NE 68783 (402) 668-2209 285191 ELMS HEALTH CARE CENTER P O BOX 628, 410 BALL PARK ROAD PONCA NE 68770 (402) 755-2233 285193 GOOD SAMARITAN SOCIETY - OSCEOLA 600 CENTER DRIVE OSCEOLA NE 68651 (402) 747-2691 285195 GOOD SAMARITAN SOCIETY - WYMORE 105 EAST D STREET WYMORE NE 68466 (402) 645-3355 285197 GOOD SAMARITAN SOCIETY - ALBION P O BOX 271, 1222 SOUTH 7TH STREET ALBION NE 68620 (402) 395-5050 285198 GOOD SAMARITAN SOCIETY - WOOD RIVER 1401 EAST STREET WOOD RIVER NE 68883 (308) 583-2214 285201 CLOVERLODGE CARE CENTER 301 NORTH 13TH STREET ST EDWARD NE 68660 (402) 678-2294 285202 GOOD SAMARITAN SOCIETY - RAVENNA 411 WEST GENOA RAVENNA NE 68869 (308) 452-3230 285203 GOOD SAMARITAN SOCIETY - BEATRICE 401 S 22ND STREET BEATRICE NE 68310 (402) 228-3304 285204 COLONIAL HAVEN 424 HARRISON BEEMER NE 68716 (402) 528-3268 285206 FAIRVIEW MANOR 255 F STREET FAIRMONT NE 68354 (402) 268-2271 285207 COUNTRYSIDE HOME 703 NORTH MAIN STREET MADISON NE 68748 (402) 454-3373 285208 COMMUNITY PRIDE CARE CENTER 901 SOUTH 4TH STREET BATTLE CREEK NE 68715 (402) 675-7845 285209 WAKEFIELD HEALTH CARE CENTER 306 ASH STREET WAKEFIELD NE 68784 (402) 287-2244 285210 CROWELL MEMORIAL HOME 245 SOUTH 22ND STREET BLAIR NE 68008 (402) 426-2177 285213 MID-NEBRASKA LUTHERAN HOME 109 NORTH 2ND STREET NEWMAN GROVE NE 68758 (402) 447-6203 285215 ELWOOD CARE CENTER P O BOX 315, 607 SMITH AVENUE ELWOOD NE 68937 (308) 785-3302 285216 MT CARMEL HOME- KEENS MEMORIAL 412 WEST 18TH STREET KEARNEY NE 68847 (308) 237-2287 285219 SOUTHLAKE VILLAGE REHABILITATION & CARE CENTER 9401 ANDERMATT DRIVE LINCOLN NE 68526 (402) 476-3274 285222 HERITAGE OF EMERSON, INC. 607 NEBRASKA STREET EMERSON NE 68733 (402) 695-2683 285224 SKYVIEW AT BRIDGEPORT 505 O STREET BRIDGEPORT NE 69336 (308) 262-0725 285225 HERITAGE OF RED CLOUD 636 NORTH LOCUST STREET RED CLOUD NE 68970 (402) 746-2296 285226 BROOKEFIELD PARK 1405 HERITAGE DRIVE ST PAUL NE 68873 (308) 754-5486 285228 ROSE LANE HOME RR 2 BOX 46, 1005 NORTH 8TH STREET LOUP CITY NE 68853 (308) 745-0303 285229 HOOPER CARE CENTER 400 EAST BIRCHWOOD DRIVE HOOPER NE 68031 (402) 654-3362 285230 HERITAGE CROSSINGS 501 NORTH 13TH STREET GENEVA NE 68361 (402) 759-3194 285231 SOUTH HAVEN LIVING CENTER 1400 MARK DRIVE WAHOO NE 68066 (402) 443-3737 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

285235 NYE POINTE HEALTH & REHAB CTR 2700 LAVERNA STREET FREMONT NE 68025 (402) 727-4900 285239 RIDGECREST REHABILITATION CENTER 3110 SCOTT CIRCLE OMAHA NE 68112 (402) 455-6636 285241 SARAH ANN HESTER MEMORIAL HOME P O BOX 646, 407 DAKOTA STREET BENKELMAN NE 69021 (308) 423-2179 285242 BROOKESTONE VILLAGE REHABILITATION AND CARE CENTER 4330 SOUTH 144TH STREET OMAHA NE 68137 (402) 614-4000 285243 PARKVIEW HOME, INC. 930 2ND STREET DODGE NE 68633 (402) 693-2212 285245 PARKSIDE MANOR P O BOX 350, 507 NORTH MAIN STREET STUART NE 68780 (402) 924-3601 285247 BIRCHWOOD MANOR 1120 WALNUT ST NORTH BEND NE 68649 (402) 652-3242 285248 COLONIAL ACRES NURSING HOME 1043 10TH STREET HUMBOLDT NE 68376 (402) 862-3123 285249 ST. JOSEPH'S VILLA, INC. 927 SEVENTH STREET DAVID CITY NE 68632 (402) 367-3045 285250 PONDEROSA VILLA P O BOX 526, FIRST & PADDOCK STREET CRAWFORD NE 69339 (308) 665-1224 285252 IMPERIAL MANOR NURSING HOME P O BOX 757, 933 GRANT STREET IMPERIAL NE 69033 (308) 882-5333 285254 MOTHER HULL HOME 125 EAST 23RD STREET KEARNEY NE 68847 (308) 234-2447 285256 KIMBALL COUNTY MANOR 810 EAST 7TH STREET KIMBALL NE 69145 (308) 235-4693 285257 COMMUNITY MEMORIAL HEALTH CENTER LTC P O BOX 340, 295 NORTH 8TH STREET BURWELL NE 68823 (308) 346-4440 285258 BERTRAND NURSING HOME PO BOX 97, 100 MINOR AVENUE BERTRAND NE 68927 (308) 472-3341 285259 BLUE VALLEY LUTHERAN NURSING HOME P O BOX 166, 220 PARK AVENUE HEBRON NE 68370 (402) 768-3900 285261 PARKVIEW HAVEN NURSING HOME P O BOX 667, 1203 4TH STREET DESHLER NE 68340 (402) 365-7237 285262 HERITAGE CARE CENTER P O BOX 667, 909 17TH STREET FAIRBURY NE 68352 (402) 729-2289 285265 HEMINGFORD COMMUNITY CARE CENTER P O BOX 307, 605 DONALD AVENUE HEMINGFORD NE 69348 (308) 487-3301 285266 GATEWAY SENIOR LIVING 225 NORTH 56TH STREET LINCOLN NE 68504 (402) 464-6371 285267 LOUISVILLE CARE CENTER 410 WEST 5TH STREET LOUISVILLE NE 68037 (402) 234-2125 285268 PAPILLION MANOR 610 SOUTH POLK STREET PAPILLION NE 68046 (402) 339-7700 285272 HARVARD REST HAVEN 400 EAST 7TH STREET HARVARD NE 68944 (402) 772-7591 285273 PLAINVIEW MANOR P O BOX 219, 101 HARPER STREET PLAINVIEW NE 68769 (402) 582-3849 285274 BRIGHTON GARDENS OF OMAHA 9220 WESTERN AVENUE OMAHA NE 68114 (402) 393-7313 285275 LANCASTER REHABILITATION CENTER, LLC 1001 SOUTH STREET LINCOLN NE 68502 (402) 441-7101 285276 BROOKESTONE MEADOWS REHABILITATION AND CARE CENTER 600 BROOKESTONE MEADOWS PLAZA ELKHORN NE 68022 (402) 289-2696 285277 SUTTON COMMUNITY HOME, INC. 1106 NORTH SAUNDERS SUTTON NE 68979 (402) 773-5557 285278 NYE LEGACY HEALTH & REHABILITATION CENTER 3210 N CLARKSON FREMONT NE 68025 (402) 721-9300 285279 RIDGEWOOD REHABILITATION & CARE CENTER 624 PINEWOOD AVENUE SEWARD NE 68434 (402) 643-2902 285280 THE LIGHTHOUSE AT LAKESIDE VILLAGE 17600 ARBOR STREET OMAHA NE 68130 (402) 717-0200 285281 OAKLAND HEIGHTS 207 SOUTH ENGDAHL AVENUE OAKLAND NE 68045 (402) 685-5683 285282 GARDENSIDE LTC-JCHC P O BOX 277, 2200 NORTH H STREET FAIRBURY NE 68352 (402) 729-5220 285283 TABITHA NURSING CENTER AT CRETE P O BOX 9, 1540 GROVE STREET CRETE NE 68333 (402) 826-6800 285284 AVERA CREIGHTON CARE CENTRE P O BOX 289, 1603 MAIN STREET CREIGHTON NE 68729 (402) 358-5701 285285 GOOD SAMARITAN SOCIETY - GRAND ISLAND VILLAGE 4061 TIMBERLINE STREET & 4055 TIMBERLINE STREET GRAND ISLAND NE 68803 (308) 384-3535 285286 GREELEY CARE HOME 201 E O'CONNOR AVENUE GREELEY NE 68842 (308) 428-5145 285288 TABITHA AT THE LANDING 6120 SOUTH 34TH STREET LINCOLN NE 68516 (402) 484-9932 285289 OLD MILL REHABILITATION (OMAHA TCU) 1131 PAPILLION PARKWAY OMAHA NE 68154 (402) 934-7500 285291 BROOKESTONE ACRES 4715 38TH STREET COLUMBUS NE 68601 (402) 942-9260 285292 LITZENBERG MEMORIAL COUNTY HOSPITAL 1715 26TH STREET CENTRAL CITY NE 68826 (308) 946-3015 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

285294 VALLEY VIEW SENIOR VILLAGE 220 SOUTH 26TH STREET ORD NE 68862 (308) 728-4245 295000 PERSHING GENERAL HOSPITAL SNF 855 6TH STREET LOVELOCK NV 89419 (775) 273-2621 295008 EL JEN CONVALESCENT HOSPITAL AND RETIREMENT CENTER 5538 W DUNCAN DR LAS VEGAS NV 89130 (702) 645-2606 295011 SOUTH LYON MEDICAL CENTER P.O. BOX 940 YERINGTON NV 89447 (775) 463-2301 295017 HORIZON HEALTH AND REHABILITATION CENTER 660 DESERT LN LAS VEGAS NV 89106 (702) 382-5580 295020 ROSEWOOD REHABILITATION CENTER 2045 SILVERADA BLVD RENO NV 89512 (775) 359-3161 295021 PREMIER HEALTH & REHABILITATION CENTER OF LV, LP 2945 CASA VEGAS STREET LAS VEGAS NV 89169 (702) 735-7179 295023 CARSON NURSING AND REHABILITATION CENTER 2898 HIGHWAY 50 EAST CARSON CITY NV 89701 (775) 882-3301 295024 HARMONY MANOR SKILLED NURSING FACILITY 118 EAST HASKELL ST WINNEMUCCA NV 89445 (775) 623-5222 295026 GROVER C. DILS MEDICAL CENTER SNF 700 N SPRING ST, BOX 1010-C-ADM BLDG CALIENTE NV 89008 (775) 726-3171 295034 RENOWN SKILLED NURSING 1835 ODDIE BLVD SPARKS NV 89431 (775) 982-5140 295040 ST JOSEPH TRANSITIONAL REHABILITATION CENTER 2035 W. CHARLESTON BLVD. LAS VEGAS NV 89102 (702) 386-7980 295043 MANOR CARE HEALTH SERVICES 3101 PLUMAS RENO NV 89509 (775) 829-7220 295044 HEARTHSTONE OF NORTHERN NEVADA 1950 BARING BLVD SPARKS NV 89434 (775) 626-2224 295046 BOULDER CITY HOSPITAL SNF 901 ADAMS BLVD. BOULDER CITY NV 89005 (702) 293-4111 295048 HARMON HOSPITAL - SNF 2170 EAST HARMON AVE LAS VEGAS NV 89119 (702) 794-0100 295050 LIFE CARE CENTER OF RENO 445 W. HOLCOMB LANE RENO NV 89511 (775) 851-0123 295063 BATTLE MOUNTAIN GENERAL HOSPITAL 535 S. HUMBOLT STREET BATTLE MOUNTAIN NV 89820 (775) 635-2550 295066 SILVER HILLS HEALTH CARE CENTER 3450 N BUFFALO DR LAS VEGAS NV 89129 (702) 952-2273 295068 HIGHLAND MANOR OF MESQUITE 272 PIONEER BLVD MESQUITE NV 89027 (702) 346-7666 295070 MARQUIS CARE PLAZA REGENCY 6021 W. CHEYENNE AVE. LAS VEGAS NV 89108 (702) 658-9494 295071 TLC CARE CENTER 1500 W WARM SPRINGS RD HENDERSON NV 89014 (702) 547-6700 295072 SILVER RIDGE HEALTHCARE CENTER 1151 TORREY PINES DR. LAS VEGAS NV 89146 (702) 938-8333 295073 ROYAL SPRINGS HEALTHCARE AND REHAB 8501 DEL WEBB BLVD LAS VEGAS NV 89134 (702) 804-3000 295075 PAHRUMP HEALTH AND REHABILITATION CENTER 4501 NE BLAGG RD PAHRUMP NV 89060 (775) 751-6600 295076 LIFE CARE CENTER OF SOUTH LAS VEGAS 2325 E. HARMON AVE. LAS VEGAS NV 89119 (702) 798-7990 295077 REGENT CARE CENTER OF RENO 555 HAMMILL LANE RENO NV 89511 (775) 828-5600 295078 HIGHLAND MANOR OF ELKO 2850 RUBY VISTA DRIVE ELKO NV 89801 (775) 753-5500 295081 NEVADA STATE VETERANS HOME - BOULDER CITY 100 VETERANS MEMORIAL DR BOULDER CITY NV 89005 (702) 332-6711 295084 CAREMERIDIAN 7690 CARMEN BLVD LAS VEGAS NV 89128 (702) 255-7399 295086 LAS VENTANAS RETIREMENT COMM SNF 10401 WEST CHARLESTON BLVD LAS VEGAS NV 89135 (702) 360-2662 295087 KINDRED HOSPITAL - LAS VEGAS (FLAMINGO) - SNF/DP 2250 E FLAMINGO RD LAS VEGAS NV 89119 (702) 784-4300 295088 MANOR CARE HEALTH SERVICES WINGFIELD HILLS 2350 WINGFIELD HILLS DR SPARKS NV 89436 (775) 335-8275 295089 MARQUIS CARE AT CENTENNIAL HILLS 6351 N FORT APACHE RD LAS VEGAS NV 89149 (702) 515-3000 295090 ADVANCED HEALTH CARE OF LAS VEGAS 5840 W SUNSET RD LAS VEGAS NV 89118 (702) 967-6100 295091 CAREMERIDIAN-BUFFALO 3391 N BUFFALO DRIVE LAS VEGAS NV 89129 (702) 285-3029 305005 KINDRED TRANSITIONAL CARE & REHABILITATION-GREENBR 55 HARRIS ROAD NASHUA NH 3062 (603) 888-1573 305009 HANOVER HILL HEALTH CARE CENTER 700 HANOVER STREET MANCHESTER NH 3104 (603) 627-3826 305016 HAVENWOOD-HERITAGE HEIGHTS 33 CHRISTIAN AVENUE CONCORD NH 3301 (603) 224-5363 305022 EDGEWOOD CENTRE (THE) 928 SOUTH STREET PORTSMOUTH NH 3801 (603) 436-0099 305024 ROCHESTER MANOR 40 WHITEHALL ROAD ROCHESTER NH 3867 (603) 332-7711 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

305030 MAPLE LEAF HEALTH CARE CENTER 198 PEARL STREET MANCHESTER NH 3104 (603) 669-1660 305037 COURVILLE AT NASHUA 22 HUNT STREET NASHUA NH 3060 (603) 889-5450 305040 LACONIA CENTER, GENESIS HEALTHCARE 175 BLUEBERRY LANE LACONIA NH 3246 (603) 524-3340 305042 KENDAL AT HANOVER 80 LYME ROAD HANOVER NH 3755 (603) 643-8900 305043 WARDE HEALTH CENTER 21 SEARLES ROAD WINDHAM NH 3087 (603) 890-1290 305044 GOLDEN VIEW HEALTH CARE CENTER 19 NH ROUTE 104 MEREDITH NH 3253 (603) 279-8111 305046 ROCKINGHAM COUNTY NURSING HOME 117 NORTH ROAD BRENTWOOD NH 3833 (603) 679-5335 305047 RIVERSIDE REST HOME 276 COUNTY FARM ROAD DOVER NH 3820 (603) 516-4114 305048 HILLSBOROUGH COUNTY NURSING HOME 400 MAST ROAD GOFFSTOWN NH 3045 (603) 627-5540 305049 RIVERWOODS AT EXETER 7 RIVERWOODS DRIVE EXETER NH 3833 (603) 772-4700 305050 LEBANON CENTER, GENESIS HEALTHCARE RR #1 BOX 13K, 24 OLD ETNA ROAD LEBANON NH 3766 (603) 448-2234 305051 KEENE CENTER, GENESIS HEALTHCARE 677 COURT STREET KEENE NH 3431 (603) 357-3800 305052 RIDGEWOOD CENTER, GENESIS HEALTHCARE 25 RIDGEWOOD ROAD BEDFORD NH 3110 (603) 623-8805 305053 GRAFTON COUNTY NURSING HOME 3855 DARTMOUTH COLLEGE HIGHWAY NORTH HAVERHILL NH 3774 (603) 787-6971 305054 CHESHIRE COUNTY HOME 201 RIVER ROAD WESTMORELAND NH 3467 (603) 399-4912 305055 OCEANSIDE SKILLED NURSING AND REHABILITATION 22 TUCK ROAD HAMPTON NH 3842 (603) 926-4551 305056 MERRIMACK COUNTY NURSING HOME 325 DANIEL WEBSTER HIGHWAY BOSCAWEN NH 3303 (603) 796-2165 305057 COURVILLE AT MANCHESTER 44 WEST WEBSTER STREET MANCHESTER NH 3104 (603) 647-5900 305058 SALEMHAVEN 23 GEREMONTY DRIVE SALEM NH 3079 (603) 893-5586 305061 CRESTWOOD CENTER 40 CROSBY STREET MILFORD NH 3055 (603) 673-7061 305062 WESTWOOD CENTER 298 MAIN STREET KEENE NH 3431 (603) 352-7311 305064 EXETER CENTER 8 HAMPTON ROAD EXETER NH 3833 (603) 778-0531 305065 APPLEWOOD CENTER 8 SNOW ROAD WINCHESTER NH 3470 (603) 239-6355 305066 SAINT VINCENT DE PAUL REHABILITATION & NURSING CTR 29 PROVIDENCE AVENUE BERLIN NH 3570 (603) 752-1820 305067 MOUNT CARMEL REHABILITATION AND NURSING CENTER 235 MYRTLE STREET MANCHESTER NH 3104 (603) 627-3811 305069 SAINT ANN REHABILITATION AND NURSING CENTER 195 DOVER POINT ROAD DOVER NH 3820 (603) 742-2612 305070 SAINT FRANCIS REHABILITATION AND NURSING CENTER 406 COURT STREET LACONIA NH 3246 (603) 524-0466 305072 GOOD SHEPHERD REHABILITATION AND NURSING CENTER 20 PLANTATION DRIVE JAFFREY NH 3452 (603) 532-8762 305074 HOLY CROSS HEALTH CENTER 357 ISLAND POND ROAD MANCHESTER NH 3109 (603) 628-3550 305075 MOUNTAIN RIDGE CENTER, GENESIS HEALTHCARE 7 BALDWIN STREET FRANKLIN NH 3235 (603) 934-2541 305077 LAFAYETTE CENTER, GENESIS HEALTHCARE 93 MAIN STREET FRANCONIA NH 3580 (603) 823-5502 305078 HARRIS HILL CENTER, GENESIS HEALTHCARE 20 MAITLAND STREET CONCORD NH 3301 (603) 224-1319 305079 VILLA CREST 1276 HANOVER STREET MANCHESTER NH 3104 (603) 622-3262 305080 EPSOM HEALTHCARE CENTER 901 SUNCOOK VALLEY HIGHWAY EPSOM NH 3234 (603) 736-4772 305081 COLONIAL HILL CENTER 62 ROCHESTER HILL ROAD ROCHESTER NH 3867 (603) 335-3955 305082 CLIPPER HARBOR 188 JONES AVENUE PORTSMOUTH NH 3801 (603) 431-2530 305083 WOLFEBORO BAY CENTER 39 CLIPPER DRIVE WOLFEBORO NH 3894 (603) 569-3950 305085 LANGDON PLACE OF KEENE 136 A ARCH STREET KEENE NH 3431 (603) 357-3902 305087 MOUNTAIN VIEW COMMUNITY 93 WATER VILLAGE ROAD OSSIPEE NH 3864 (603) 539-7511 305088 ST JOSEPH RESIDENCE 495 MAMMOTH RD MANCHESTER NH 3104 (603) 668-6011 305089 LANGDON PLACE OF DOVER 60 MIDDLE ROAD DOVER NH 3820 (603) 743-4110 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

305091 COLONIAL POPLIN NURSING HOME 442 MAIN STREET FREMONT NH 3044 (603) 895-3126 305092 HILLSBORO HOUSE NURSING HOME PO BOX 400 67 SCHOOL STREET HILLSBORO NH 3244 (603) 464-5561 305093 SULLIVAN COUNTY HEALTH CARE 5 NURSING HOME DRIVE UNITY NH 3743 (603) 542-9511 305094 MORRISON NURSING HOME 6 TERRACE STREET WHITEFIELD NH 3598 (603) 837-2541 305096 BEL-AIR NURSING AND REHAB CENTER INC 29 CENTER STREET GOFFSTOWN NH 3045 (603) 497-4871 305097 WOODLAWN CARE CENTER 84 PINE STREET NEWPORT NH 3773 (603) 863-1020 305099 WEBSTER AT RYE 795 WASHINGTON ROAD RYE NH 3870 (603) 964-8144 305100 FAIRVIEW NURSING HOME 203 LOWELL ROAD HUDSON NH 3051 (603) 882-5261 305101 BELKNAP COUNTY NURSING HOME 30 COUNTY DRIVE LACONIA NH 3246 (603) 527-5410 315001 MERWICK CARE & REHABILITATION CENTER 100 PLAINSBORO ROAD PLAINSBORO NJ 8536 (609) 759-6000 315002 CARE ONE AT SOMERSET VALLEY 1621 ROUTE 22 WEST BOUND BROOK NJ 8805 (732) 469-2000 315008 LAUREL MANOR HEALTHCARE AND REHABILITATION CENTER 18 W LAUREL ROAD STRATFORD NJ 8084 (856) 784-2400 315010 ELMORA HILLS HEALTH & REHABILITATION CENTER 225 W JERSEY STREET ELIZABETH NJ 7202 (908) 353-1220 315013 BARCLAYS REHABILITATION AND HEALTHCARE CENTER 1412 MARLTON PIKE CHERRY HILL NJ 8034 (856) 428-6100 315014 EAGLEVIEW HEALTH AND REHABILITATION 849 BIG OAK ROAD PITTSGROVE NJ 8318 (856) 451-5000 315015 MADISON CENTER 625 STATE HIGHWAY 34 MATAWAN NJ 7747 (732) 566-6400 315019 DWELLING PLACE AT ST CLARE'S 400 WEST BLACKWELL ST DOVER NJ 7801 (973) 989-3500 315021 DAUGHTERS OF MIRIAM CENTER 155 HAZEL STREET CLIFTON NJ 7011 (973) 772-3700 315022 PRESBYTERIAN HOME - MEADOW LAKES 300 MEADOW LAKES HIGHTSTOWN NJ 8520 (609) 448-4100 315029 DAUGHTERS OF ISRAEL PLEASANT VALLEY HOME 1155 PLEASANT VALLEY WAY WEST ORANGE NJ 7052 (973) 731-5100 315037 TEANECK NURSING CENTER 1104 TEANECK ROAD TEANECK NJ 7666 (201) 833-2400 315038 SUMMIT RIDGE CENTER 20 SUMMIT STREET WEST ORANGE NJ 7052 (973) 736-2000 315039 ROOSEVELT CARE CENTER 118 PARSONAGE ROAD EDISON NJ 8837 (732) 321-6800 315042 LINCOLN PARK RENAISSANCE REHAB & NURSING 521 PINE BROOK ROAD LINCOLN PARK NJ 7035 (973) 696-3300 315044 ANDOVER SUBACUTE AND REHAB I 1 O'BRIEN LANE ANDOVER NJ 7821 (973) 383-6200 315047 CINNAMINSON CENTER 1700 WYNWOOD DRIVE CINNAMINSON NJ 8077 (856) 829-9000 315054 OUR LADY'S CENTER FOR REHABILITATION & HC 1100 CLEMATIS AVE PLEASANTVILLE NJ 8232 (609) 646-2450 315057 MERRY HEART NURSING HOME 200 RT 10 WEST SUCCASUNNA NJ 7876 (973) 584-4000 315058 GOLDEN REHABILITATION AND NURSING CENTER 438 SALEM-WOODSTOWN ROAD SALEM NJ 8079 (856) 935-6677 315060 ST MARY'S CENTER FOR REHABILITATION & HEALTHCARE 210 ST MARY'S DRIVE CHERRY HILL NJ 8003 (856) 874-5300 315064 ASHBROOK CARE & REHABILITATION CENTER 1610 RARITAN ROAD SCOTCH PLAINS NJ 7076 (908) 889-5500 315066 STRATFORD MANOR REHABILITATION AND CARE CENTER 787 NORTHFIELD AVE WEST ORANGE NJ 7052 (973) 731-4500 315069 TOWER LODGE CARE CENTER 1506 GULLY ROAD WALL NJ 7719 (732) 681-1400 315072 HEATH VILLAGE 430 SCHOOLEY'S MOUNTAIN RD HACKETTSTOWN NJ 7840 (908) 852-4801 315077 EVERGREENS, THE 309 BRIDGEBORO ROAD MOORESTOWN NJ 8057 (856) 439-2000 315085 CHESTNUT HILL CONV CENTER 360 CHESTNUT STREET PASSAIC NJ 7055 (973) 777-7800 315087 CARE ONE AT KING JAMES 1040 ROUTE 36 ATLANTIC HIGHLANDS NJ 7716 (732) 291-3400 315091 CRANFORD REHAB & NURSING CENTER 205 BIRCHWOOD AVE CRANFORD NJ 7016 (908) 272-6660 315094 MERCERVILLE CENTER 2240 WHITEHORSE-MERCERVILLE ROAD MERCERVILLE NJ 8619 (609) 586-7500 315096 DOCTORS SUBACUTE CARE 59 BIRCH STREET PATERSON NJ 7522 (973) 942-8899 315101 JFK HARTWYCK AT CEDAR BROOK 1340 PARK AVE PLAINFIELD NJ 7060 (908) 754-3100 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

315103 REGENCY GARDENS NURSING CENTER 296 HAMBURG TURNPIKE WAYNE NJ 7470 (973) 790-5800 315104 CORNELL HALL CARE & REHABILITATION CENTER 234 CHESTNUT STREET UNION NJ 7083 (908) 687-7800 315105 CORAL HARBOR REHABILITATION AND HEALTHCARE CENTER 2050 SIXTH AVE NEPTUNE CITY NJ 7753 (732) 774-8300 315106 ELIZABETH NURSING AND REHAB 1048 GROVE STREET ELIZABETH NJ 7202 (908) 354-0002 315108 PRINCETON CARE CENTER 728 BUNN DRIVE PRINCETON NJ 8540 (609) 924-9000 315112 HUDSONVIEW HEALTH CARE CENTER 9020 WALL STREET NORTH BERGEN NJ 7047 (201) 861-4040 315119 ARNOLD WALTER NURSING HOME 622 S LAUREL AVENUE HAZLET NJ 7730 (732) 787-6300 315126 BISHOP MCCARTHY CENTER FOR REHABILITATION & HC 1045 E CHESTNUT AVE VINELAND NJ 8360 (856) 692-2850 315127 ST LAWRENCE REHAB CENTER 2381 LAWRENCEVILLE ROAD LAWRENCEVILLE NJ 8648 (609) 896-9500 315129 DELLRIDGE HEALTH & REHABILITATION CENTER 532 FARVIEW AVE PARAMUS NJ 7652 (201) 265-5600 315130 ATLANTIC REHABILITATION INSTITUTE 95 MT KEMBLE AVENUE MORRISTOWN NJ 7960 (973) 971-4481 315131 WILLOW CREEK REHAB AND CARE CE 1165 EASTON AVE SOMERSET NJ 8873 (732) 246-4100 315132 CARE ONE AT THE HIGHLANDS 1350 INMAN AVENUE EDISON NJ 8820 (908) 754-7100 315133 WOODCLIFF LAKE HEALTH & REHABILITATION CENTER 555 CHESTNUT RIDGE ROAD WOODCLIFF LAKE NJ 7677 (201) 391-0900 315134 GREEN KNOLL CENTER 875 ROUTE 202-206 NORTH BRIDGEWATER NJ 8807 (908) 526-8600 315135 CLAREMONT CENTER 1515 HULSE ROAD PT PLEASANT NJ 8742 (732) 295-9300 315136 MERIDIAN NURSING & REHAB AT SHREWSBURY 89 AVENUE AT THE COMMON SHREWSBURY NJ 7702 (732) 676-5800 315138 TROY HILLS CENTER 200 REYNOLDS AVE PARSIPPANY NJ 7054 (973) 887-8080 315141 ABINGDON CARE & REHABILITATION CENTER 303 ROCK AVE GREEN BROOK NJ 8812 (732) 968-5500 315142 LLANFAIR HOUSE CARE & REHABILITATION CENTER 1140 BLACK OAK RIDGE ROAD WAYNE NJ 7470 (973) 835-7443 315143 HOLLY MANOR CENTER 84 COLD HILL ROAD MENDHAM NJ 7945 (973) 543-2500 315144 MEDFORD LEAS ONE MEDFORD LEAS WAY MEDFORD NJ 8055 (609) 654-3000 315152 CARE ONE AT WELLINGTON 301 UNION STREET HACKENSACK NJ 7601 (201) 487-4900 315153 MANOR, THE 689 WEST MAIN ST FREEHOLD NJ 7728 (732) 431-5200 315158 RIDGEWOOD CENTER 330 FRANKLIN TPK RIDGEWOOD NJ 7450 (201) 447-1900 315161 FRIENDS VILLAGE AT WOODSTOWN ONE FRIENDS DRIVE WOODSTOWN NJ 8098 (856) 769-1500 315164 COUNTY MANOR REHABILITATION & HCC 133 COUNTY ROAD TENAFLY NJ 7670 (201) 567-7800 315166 MASONIC VILLAGE AT BURLINGTON 902 JACKSONVILLE ROAD BURLINGTON NJ 8016 (609) 239-3900 315171 OAKLAND REHABILITATION AND HEALTHCARE CENTER 20 BREAKNECK ROAD OAKLAND NJ 7436 (201) 337-3300 315176 MEDFORD CARE CENTER 185 TUCKERTON ROAD MEDFORD NJ 8055 (856) 983-8500 315177 GATEWAY CARE CENTER 139 GRANT AVE EATONTOWN NJ 7724 (732) 542-4700 315178 WINDSOR GARDENS CARE CENTER 140 PARK AVE EAST ORANGE NJ 7017 (973) 677-1500 315180 ALAMEDA CENTER FOR REHABILITATION AND HEALTHCARE 303 ELM STREET PERTH AMBOY NJ 8861 (732) 442-9540 315182 BRIDGEWAY CARE AND REHAB CENTER AT BRIDGEWATER 270 ROUTE 28 BRIDGEWATER NJ 8807 (908) 722-7022 315185 LINWOOD CARE CENTER 201 NEW ROAD AND CENTRAL AVE LINWOOD NJ 8221 (609) 927-6131 315187 VOORHEES CARE & REHABILITATION CENTER, THE 1302 LAUREL OAK ROAD VOORHEES NJ 8043 (856) 346-1200 315188 BRIARWOOD CARE & REHABILITATION CENTER, THE 901 ERNSTON ROAD SOUTH AMBOY NJ 8879 (732) 721-8200 315190 LEISURE CHATEAU REHABILITATION 962 RIVER AVE LAKEWOOD NJ 8701 (732) 370-8600 315192 ALARIS HEALTH AT KEARNY 206 BERGEN AVE KEARNY NJ 7032 (201) 955-7067 315194 ST VINCENT'S HEALTHCARE AND REHAB CENTER 315 EAST LINDSLEY ROAD CEDAR GROVE NJ 7009 (973) 754-4800 315195 AUTUMN LAKE HEALTHCARE AT BERKELEY HEIGHTS 35 COTTAGE STREET BERKELEY HEIGHTS NJ 7922 (908) 464-0048 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

315196 ARISTACARE AT MANCHESTER 1770 TOBIAS AVENUE MANCHESTER NJ 8759 (732) 657-1800 315198 ALARIS HEALTH AT RIVERTON 1777 LAWRENCE STREET RAHWAY NJ 7065 (732) 499-7927 315199 IMPERIAL CARE CENTER 919 GREEN GROVE ROAD NEPTUNE NJ 7753 (732) 922-3400 315201 LUTHERAN CROSSINGS ENHANCED LIVING AT MOORESTOWN 255 EAST MAIN ST MOORESTOWN NJ 8057 (856) 235-1214 315202 LOPATCONG CENTER 390 RED SCHOOL LANE PHILLIPSBURG NJ 8865 (908) 859-0200 315207 KRESSON VIEW CENTER 2601 EVESHAM ROAD VOORHEES NJ 8043 (856) 596-1113 315212 MAINLAND MANOR NRS & REHAB CTR 930 CHURCH STREET PLEASANTVILLE NJ 8232 (609) 646-6900 315214 ARISTACARE AT CEDAR OAKS 1311 DURHAM AVENUE SOUTH PLAINFIELD NJ 7080 (732) 287-9555 315215 GREENWOOD HOUSE HOME FOR THE JEWISH AGED 53 WALTER STREET TRENTON NJ 8628 (609) 883-5391 315216 WATERVIEW CENTER 536 RIDGE ROAD CEDAR GROVE NJ 7009 (973) 239-9300 315217 ARISTACARE AT NORWOOD TERRACE 40 NORWOOD AVENUE PLAINFIELD NJ 7060 (908) 769-1400 315218 SEACREST VILLAGE 1001 CENTER ST LITTLE EGG HARBOR TW NJ 8087 (609) 296-9292 315221 HAMILTON PLAZA NURSING & REHABILITATION CENTER 56 HAMILTON AVENUE PASSAIC NJ 7055 (973) 773-7070 315222 BARNEGAT REHABILITATION AND NURSING CENTER 859 WEST BAY AVE BARNEGAT NJ 8005 (609) 698-1400 315223 HAMILTON CONTINUING CARE 1059 EDINBURG ROAD HAMILTON NJ 8690 (609) 588-0091 315226 HUNTERDON CARE CENTER 1 LEISURE COURT FLEMINGTON NJ 8822 (908) 788-9292 315228 COURT HOUSE CENTER 144 MAGNOLIA DRIVE CAPE MAY COURT HOUSE NJ 8210 (609) 465-7171 315229 WANAQUE CENTER FOR NURSING & REHABILITATION, THE 1433 RINGWOOD AVE HASKELL NJ 7420 (973) 839-2119 315233 LINCOLN SPECIALTY CARE CENTER 1640 SOUTH LINCOLN AVENUE VINELAND NJ 8360 (856) 692-8080 315234 OAK RIDGE REHABILITATION & NC 261 TERHUNE DRIVE WAYNE NJ 7470 (973) 835-3871 315237 SOUTHGATE HEALTH CARE CTR 449 S PENNSVILLE-AUBURN ROAD CARNEYS POINT NJ 8069 (856) 299-8900 315239 CHILDRENS SPECIALIZED HOSPITAL MOUNTAINSIDE 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 7092 (908) 233-3720 315243 MILLVILLE CENTER 54 N SHARP STREET MILLVILLE NJ 8332 (856) 327-2700 315247 WEST CALDWELL CC 165 FAIRFIELD AVE WEST CALDWELL NJ 7006 (973) 226-1100 315249 LINCOLN PARK CARE CENTER 499 PINE BROOK ROAD LINCOLN PARK NJ 7035 (973) 696-3300 315251 HARTWYCK AT OAK TREE 2048 OAK TREE ROAD EDISON NJ 8820 (732) 906-2100 315252 BAYSHORE HEALTH CARE CENTER 715 NORTH BEERS STREET HOLMDEL NJ 7733 (732) 739-9000 315253 PARKER AT MCCARRICK 15 DELLWOOD LANE SOMERSET NJ 8873 (732) 545-4200 315254 ALARIS HEALTH AT BOULEVARD EAST 6819 BOULEVARD EAST GUTTENBERG NJ 7093 (201) 868-3600 315255 MAJESTIC REHABILITATION AND NURSING CENTER INC 620 MONTGOMERY STREET JERSEY CITY NJ 7302 (201) 435-0033 315256 LEISURE PARK HEALTH CENTER 1400 ROUTE 70 LAKEWOOD NJ 8701 (732) 370-0444 315260 ASPEN HILLS HEALTHCARE CENTER 600 PEMBERTON BROWN MILLS RD PEMBERTON NJ 8068 (609) 836-6000 315261 LAKELAND HEALTH CARE CENTER 25 FIFTH AVENUE HASKELL NJ 7420 (973) 839-6000 315262 HARROGATE 400 LOCUST STREET LAKEWOOD NJ 8701 (732) 905-7070 315263 PALACE REHABILITATION AND CARE CENTER, THE 315 WEST MILL ROAD MAPLE SHADE NJ 8052 (856) 779-1500 315265 GREEN ACRES MANOR 1931 LAKEWOOD ROAD TOMS RIVER NJ 8755 (732) 286-2323 315266 PARK CRESCENT HEALTHCARE & REHABILITATION CENTER 480 PARKWAY DRIVE EAST ORANGE NJ 7017 (973) 674-2700 315267 ABIGAIL HOUSE FOR NURSING & REHABILITATION LLC 1105 -1115 LINDEN STREET CAMDEN NJ 8102 (856) 365-8500 315268 BROOKHAVEN HEALTH CARE CENTER 120 PARK END PLACE EAST ORANGE NJ 7018 (973) 676-6221 315269 MONROE VILLAGE HEALTH CARE CENTER ONE DAVID BRAINERD DRIVE MONROE TOWNSHIP NJ 8831 (732) 521-6400 315271 CARNEYS POINT REHABILITATION AND NURSING CENTER 201 FIFTH AVENUE CARNEYS POINT NJ 8069 (856) 299-6800 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

315273 WOODLANDS, THE 1400 WOODLAND AVE PLAINFIELD NJ 7060 (908) 753-1113 315274 LAURELTON VILLAGE CARE CENTER 475 JACK MARTIN BLVD BRICK NJ 8724 (732) 458-6600 315275 CONCORD HEALTHCARE & REHABILITATION CENTER 963 OCEAN AVE LAKEWOOD NJ 8701 (732) 367-7444 315276 MILFORD MANOR 69 MAPLE ROAD WEST MILFORD NJ 7480 (973) 697-5640 315283 SOUTH MOUNTAIN HC 2385 SPRINGFIELD AVENUE VAUXHALL NJ 7088 (908) 688-3400 315284 MONMOUTH CARE CENTER 229 BATH AVENUE LONG BRANCH NJ 7740 (732) 229-4300 315288 BARTLEY HEALTHCARE NURSING & REHABILITATION 175 BARTLEY ROAD JACKSON NJ 8527 (732) 370-4700 315289 VOORHEES PEDIATRIC FACILITY 1304 LAUREL OAK ROAD VOORHEES NJ 8043 (856) 346-3300 315290 BUCKINGHAM AT NORWOOD, THE 100 MCCLELLAN STREET NORWOOD NJ 7648 (201) 768-6222 315291 ATRIUM POST ACUTE CARE OF WAYNEVIEW 2020 RT 23 NORTH WAYNE NJ 7470 (973) 305-8400 315293 WHITING HEALTH CARE 3000 HILLTOP ROAD WHITING NJ 8759 (732) 849-4400 315295 REGENT CARE CENTER 50 POLIFLY ROAD HACKENSACK NJ 7601 (201) 646-1166 315298 CRESTWOOD MANOR 50 LACEY ROAD WHITING NJ 8759 (732) 849-4900 315299 KING MANOR CARE AND REHABILITATION CENTER 2303 WEST BANGS AVE NEPTUNE NJ 7753 (732) 774-3500 315300 ALARIS HEALTH AT HAMILTON PARK 525 MONMOUTH STREET JERSEY CITY NJ 7302 (201) 653-8800 315302 ROLLING HILLS CARE CENTER 16 CRATETOWN ROAD LEBANON NJ 8833 (908) 236-2011 315303 MORRIS VIEW HEALTHCARE CENTER 540 WEST HANOVER AVENUE MORRIS PLAINS NJ 7950 (973) 285-2800 315305 AMBOY CARE CENTER 1 LINDBERG AVENUE PERTH AMBOY NJ 8861 (732) 826-0500 315306 WOODCREST HEALTH CARE CENTER 800 RIVER ROAD NEW MILFORD NJ 7646 (201) 967-1700 315307 HARBORAGE 7600 RIVER ROAD NORTH BERGEN NJ 7047 (201) 854-5400 315308 ALARIS HEALTH AT ROCHELLE PARK 96 PARKWAY AVENUE ROCHELLE PARK NJ 7662 (201) 845-0099 315310 ALARIS HEALTH AT HARBOR VIEW 178-198 OGDEN AVE JERSEY CITY NJ 7307 (201) 963-1800 315311 PHILLIPSBURG CENTER 843 WILBUR AVENUE PHILLIPSBURG NJ 8865 (908) 454-2627 315312 HAMPTON RIDGE HEALTHCARE AND REHABILITATION 94 STEVENS ROAD TOMS RIVER NJ 8755 (732) 286-5005 315313 CARE ONE AT CRESSKILL 221 COUNTY ROAD CRESSKILL NJ 7626 (201) 567-9310 315314 REGENCY PARK NURSING CENTER 3325 HIGHWAY 35 HAZLET NJ 7730 (732) 264-5800 315316 BRAKELEY PARK CENTER 290 RED SCHOOL LANE PHILLIPSBURG NJ 8865 (908) 859-2800 315317 EASTERN PINES CONV CTR 29 NORTH VERMONT AVE ATLANTIC CITY NJ 8401 (609) 344-8911 315318 ST JOSEPH'S HOME AL & NC, INC 1-3 ST JOSEPH'S TERRACE WOODBRIDGE NJ 7095 (732) 750-0077 315320 HOLIDAY CARE CENTER 4 PLAZA DRIVE TOMS RIVER NJ 8757 (732) 240-0900 315327 FOUNTAIN VIEW CARE CENTER 527 RIVER AVE LAKEWOOD NJ 8701 (732) 905-0700 315328 MAPLE GLEN CENTER 12-15 SADDLE RIVER ROAD FAIRLAWN NJ 7410 (201) 797-9522 315329 OAKS AT DENVILLE, THE 21 POCONO ROAD DENVILLE NJ 7834 (973) 586-5000 315331 ALARIS HEALTH AT PASSAIC COUNTY 77 EAST 43RD STREET PATERSON NJ 7514 (973) 754-6700 315332 SOUTHERN OCEAN CENTER 1361 ROUTE 72 WEST MANAHAWKIN NJ 8050 (609) 978-0600 315333 ARBORS CARE CENTER 1750 ROUTE 37 WEST TOMS RIVER NJ 8757 (732) 914-0090 315335 ATRIUM POST ACUTE CARE OF WAYNE 1120 ALPS ROAD WAYNE NJ 7470 (973) 694-2100 315336 GARDENS AT MONROE HEALTHCARE AND REHABILITATION, T 189 APPLEGARTH ROAD MONROE TOWNSHIP NJ 8831 (609) 448-7036 315337 MCAULEY HALL HEALTH CARE CENTE 1633 HIGHWAY 22 WATCHUNG NJ 7069 (908) 754-3663 315338 MORRIS HALL/ST JOSEPH'S NURSING CENTER 1 BISHOPS DRIVE LAWRENCEVILLE NJ 8648 (609) 896-0006 315339 ORADELL HEALTH CARE CENTER 600 KINDERKAMACK ROAD ORADELL NJ 7649 (201) 967-0002 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

315341 CLARK NURSING AND REHAB CNTR 1213 WESTFIELD AVENUE CLARK NJ 7066 (732) 396-7100 315342 MERIDIAN NURSING AND REHABILITATION AT BRICK 415 JACK MARTIN BLVD BRICK NJ 8724 (732) 206-8000 315343 BROADWAY HOUSE FOR CONTINUING 298 BROADWAY NEWARK NJ 7104 (973) 268-9797 315344 ALARIS HEALTH AT CASTLE HILL 615 23RD STREET UNION CITY NJ 7087 (201) 348-0818 315346 N J VETERANS MEM HOME PARAMUS 1 VETERANS DRIVE PARAMUS NJ 7652 (201) 634-8212 315347 HAMILTON PLACE AT THE PINES AT WHITING 507 ROUTE 530 WHITING NJ 8759 (732) 849-0400 315348 HEALTH CENTER AT BLOOMINGDALE 255 UNION AVE BLOOMINGDALE NJ 7403 (973) 283-1700 315350 NORTH CAPE CENTER 700 TOWNBANK ROAD CAPE MAY NJ 8204 (609) 898-8899 315352 ALARIS HEALTH AT ST MARY'S 135 SOUTH CENTER STREET ORANGE NJ 7050 (973) 266-3000 315353 CRANBURY CENTER 292 APPLEGARTH ROAD MONROE TOWNSHIP NJ 8831 (609) 860-2500 315354 SUNNYSIDE MANOR 2500 RIDGEWOOD ROAD WALL NJ 7719 (732) 528-9311 315355 REGENCY GRANDE NURS & REHAB CE 65 NORTH SUSSEX STREET DOVER NJ 7801 (973) 361-5200 315356 SKILLED NURSING AT FELLOWSHIP VILLAGE 8000 FELLOWSHIP DRIVE BASKING RIDGE NJ 7920 (908) 580-3800 315357 ALARIS HEALTH AT CEDAR GROVE 110 GROVE AVE CEDAR GROVE NJ 7009 (973) 571-6600 315359 ALARIS HEALTH AT ESSEX 155 FORTIETH STREET IRVINGTON NJ 7111 (973) 232-3100 315360 EMERSON HEALTH CARE CENTER 100 KINDERKAMACK ROAD EMERSON NJ 7630 (201) 265-3700 315362 PARK PLACE CENTER 2 DEER PARK DRIVE MONMOUTH JUNCTION NJ 8852 (732) 274-1122 315363 GATES MANOR 111-115 GATES AVENUE MONTCLAIR NJ 7042 (973) 746-4616 315364 JERSEY SHORE CENTER 3 INDUSTRIAL WAY EAST EATONTOWN NJ 7724 (732) 544-1557 315365 MERIDIAN NURSING AND REHABILITATION AT OCEAN GROVE 160 MAIN STREET OCEAN GROVE NJ 7756 (732) 481-8300 315366 ALARIS HEALTH AT BELGROVE 195 BELGROVE DRIVE KEARNY NJ 7032 (973) 844-4800 315369 CARE ONE AT VALLEY 300 OLD HOOK ROAD WESTWOOD NJ 7675 (201) 664-8888 315370 ATRIUM POST ACUTE CARE OF PRINCETON 5000 WINDROW DRIVE PRINCETON NJ 8540 (609) 987-1221 315372 WHITE HOUSE HLTHCR & REHAB CTR 560 BERKELEY AVENUE ORANGE NJ 7050 (973) 672-6500 315374 DE LA SALLE HALL 810 NEWMAN SPRINGS RD LINCROFT NJ 7738 (732) 530-9470 315375 FOREST HILL HEALTHCARE CENTER 497 MT PROSPECT AVE NEWARK NJ 7104 (973) 482-5000 315376 CHRISTIAN HEALTH CARE CENTER 301 SICOMAC AVE WYCKOFF NJ 7481 (201) 848-5200 315377 ACTORS FUND HOME, THE 175 WEST HUDSON AVE ENGLEWOOD NJ 7631 (201) 871-8882 315378 HOMESTEAD REHABILITATION & HEALTH CARE CENTER 129 MORRIS TURNPIKE NEWTON NJ 7860 (973) 948-5400 315381 SUMMER HILL NURSING HOME 111 ROUTE 516 OLD BRIDGE NJ 8857 (732) 254-8200 315383 CHESHIRE HOME 9 RIDGEDALE AVE FLORHAM PARK NJ 7932 (973) 966-1232 315384 ROSE MOUNTAIN CARE CENTER ROUTE 1 & 18 NEW BRUNSWICK NJ 8901 (732) 828-2400 315387 ALLAIRE REHAB & NURSING 115 DUTCH LANE ROAD FREEHOLD NJ 7728 (732) 431-7420 315388 ST JOSEPH'S HOME FOR ELDERLY 140 SHEPHERD LANE TOTOWA NJ 7512 (973) 942-0300 315389 HACKENSACK-UMC MOUNTAINSIDE ONE BAY AVE MONTCLAIR NJ 7042 (973) 429-6949 315392 JOB HAINES HOME FOR AGED PEOPL 250 BLOOMFIELD AVE BLOOMFIELD NJ 7003 (973) 743-0792 315393 NEW COMMUNITY EXTENDED CARE FACILITY 266 S ORANGE AVE NEWARK NJ 7103 (973) 624-2020 315394 UNITED METHODIST COMMUNITIES AT THE SHORES 2201 BAY AVENUE OCEAN CITY NJ 8226 (609) 399-8505 315396 CUMBERLAND MANOR NURSING AND REHABILITATION CENTER 154 SUNNY SLOPE DRIVE BRIDGETON NJ 8302 (856) 455-8000 315402 ARMENIAN NURSING AND REHABILITATION CENTER 70 MAIN STREET EMERSON NJ 7630 (201) 261-6662 315404 UNITED METHODIST COMMUNITIES AT COLLINGSWOOD 460 HADDON AVE COLLINGSWOOD NJ 8108 (856) 854-4331 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

315405 SHADY LANE GLOUCESTER CO HOME 256 COUNTY HOUSE ROAD CLARKSBORO NJ 8020 (856) 224-6979 315409 VALLEY VIEW REHABILITATION AND HEALTHCARE CTR 1 SUMMIT AVENUE NEWTON NJ 7860 (973) 383-1450 315413 ST ANN'S HOME FOR AGED 198 OLD BERGEN ROAD JERSEY CITY NJ 7305 (201) 433-0950 315416 GREEN HILL 103 PLEASANT VALLEY WAY WEST ORANGE NJ 7052 (973) 731-2300 315417 REFORMED CHURCH HOME 1990 ROUTE 18 NORTH OLD BRIDGE NJ 8857 (732) 607-9230 315418 WILEY MISSION 99 EAST MAIN STREET MARLTON NJ 8053 (856) 983-0411 315419 N J EASTERN STAR HOME 111 FINDERNE AVENUE BRIDGEWATER NJ 8807 (908) 722-4140 315421 ROSE GARDEN NURSING AND REHABILITATION CENTER 1579 OLD FREEHOLD ROAD TOMS RIVER NJ 8753 (732) 505-4477 315425 FOOTHILL ACRES REHABILITATION & NURSING CENTER 39 EAST MOUNTAIN ROAD HILLSBOROUGH NJ 8844 (908) 369-8711 315426 CARE ONE AT RIDGEWOOD AVENUE W-90 RIDGEWOOD AVE PARAMUS NJ 7652 (201) 652-1950 315427 UNITED METHODIST COMMUNITIES AT PITMAN 535 N OAK AVE PITMAN NJ 8071 (856) 589-7800 315429 CLOVER REST HOME 28 WASHINGTON STREET COLUMBIA NJ 7832 (908) 496-4307 315431 BAYONNE HOSPITAL CENTER TCU 29 EAST 29TH STREET BAYONNE NJ 7002 (201) 858-7330 315434 VAN DYK MANOR OF RIDGEWOOD 304 S. VAN DIEN AVE RIDGEWOOD NJ 7450 (201) 445-8200 315435 VAN DYK MANOR MONTCLAIR 42 NORTH MOUNTAIN AVE MONTCLAIR NJ 7042 (973) 783-9400 315436 BERGEN COUNTY HEALTH CARE CTR 35 B PIERMONT ROAD ROCKLEIGH NJ 7647 (201) 750-8310 315437 LAUREL BAY HEALTH & REHABILITATION CENTER 32 LAUREL AVENUE KEANSBURG NJ 7734 (732) 787-8100 315439 UNITED METHODIST COMMUNITIES AT BRISTOL GLEN 200 BRISTOL GLEN DRIVE NEWTON NJ 7860 (973) 300-5788 315441 HOLY NAME FRIARY TWO MORRIS ROAD RINGWOOD NJ 7456 (973) 962-7200 315442 TRINITAS HOSPITAL 655 EAST JERSEY STREET ELIZABETH NJ 7206 (908) 994-7525 315443 CHILDRENS SPECIALIZED HOSPITAL TOMS RIVER 94 STEVENS ROAD TOMS RIVER NJ 8755 (732) 797-3800 315445 FRIENDS RETIREMENT CONCEPTS 100 MONROE STREET BRIDGEWATER NJ 8807 (908) 595-6565 315446 INSPIRA TRANSITIONAL CARE UNIT WOODBURY 509 N BROAD STREET WOODBURY NJ 8096 (856) 853-2195 315449 ALARIS HEALTH AT WEST ORANGE 5 BROOK END DRIVE WEST ORANGE NJ 7052 (973) 324-3000 315451 ELMS OF CRANBURY, THE 61 MAPLEWOOD AVENUE CRANBURY NJ 8512 (609) 395-0641 315452 MARGARET ANNA CUSACK CARE CENTER 537 PAVONIA AVENUE JERSEY CITY NJ 7306 (201) 653-8300 315453 SHORROCK GARDENS CARE CENTER 75 OLD TOMS RIVER ROAD BRICK NJ 8723 (732) 451-1000 315456 MYSTIC MEADOWS REHAB & NURSING CENTER 151 NINTH AVENUE LITTLE EGG HARBOR TW NJ 8087 (609) 294-3200 315457 LUTHERAN SOCIAL MINISTRIES CRA 459 PASSAIC AVENUE WEST CALDWELL NJ 7006 (973) 276-3018 315458 NEW VISTA 300 BROADWAY NEWARK NJ 7104 (973) 484-4222 315460 PROSPECT HEIGHTS CC 336 PROSPECT AVE HACKENSACK NJ 7601 (201) 678-1800 315461 VIRTUA H & R C AT BERLIN 100 LONG-A-COMING LANE BERLIN NJ 8009 (856) 322-3600 315463 ATRIUM POST ACUTE CARE OF MATAWAN 38 FRENEAU AVENUE MATAWAN NJ 7747 (732) 765-5600 315464 CARE ONE AT EVESHAM 870 EAST ROUTE 70 MARLTON NJ 8053 (856) 396-0005 315466 BRANDYWINE SENIOR CARE AT MOORESTOWN 1205 NORTH CHURCH STREET MOORESTOWN NJ 8057 (856) 778-0600 315467 LITTLE BROOK NURSING AND CONVALESCENT HOME 78 SLIKER ROAD CALIFON NJ 7830 (908) 832-2220 315469 CONTINUING CARE AT SEABROOK 3002 ESSEX ROAD TINTON FALLS NJ 7753 (732) 643-2000 315471 ST CATHERINE OF SIENA 7 RYERSON AVENUE CALDWELL NJ 7006 (973) 226-1577 315472 CARE ONE AT EAST BRUNSWICK 599 CRANBURY ROAD EAST BRUNSWICK NJ 8816 (732) 967-0100 315473 JEWISH HOME AT ROCKLEIGH 10 LINK DRIVE ROCKLEIGH NJ 7647 (201) 784-1414 315476 ALARIS HEALTH AT THE FOUNTAINS 595 COUNTY AVENUE SECAUCUS NJ 7094 (201) 863-8866 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

315478 SOUTHERN OCEAN MEDICAL CENTER 1140 ROUTE 72 WEST MANAHAWKIN NJ 8050 (609) 978-8900 315479 CARE ONE AT LIVINGSTON 68 PASSAIC AVENUE LIVINGSTON NJ 7039 (973) 758-9000 315480 SAINT ANNE VILLA 190 PARK AVENUE FLORHAM PARK NJ 7932 (973) 867-1514 315482 CARE ONE AT MOORESTOWN 895 WESTFIELD AVENUE MOORESTOWN NJ 8057 (856) 914-0444 315483 PLAZA HEALTHCARE & REHABILITATION CENTER 456 RAHWAY AVENUE ELIZABETH NJ 7202 (908) 354-1300 315485 CARE ONE AT WALL 2621 HIGHWAY 138 WALL NJ 7719 (732) 556-1060 315486 STONEBRIDGE AT MONTGOMERY HEALTH CARE CENTER 100 HOLLINSHEAD SPRING ROAD SKILLMAN NJ 8558 (609) 759-3634 315488 CARE ONE AT MADISON AVENUE 151 MADISON AVENUE MORRISTOWN NJ 7960 (973) 656-2700 315490 COMMUNITY MEDICAL CENTER TCU 99 ROUTE 37 WEST TOMS RIVER NJ 8755 (732) 557-8000 315491 CEDAR CREST/MOUNTAINVIEW GARDENS 4 CEDAR CREST VILLAGE DRIVE POMPTON PLAINS NJ 7444 (973) 831-3504 315492 MERRY HEART OF BOONTON TOWNSHIP 199 POWERVILLE ROAD BOONTON NJ 7005 (973) 334-2454 315494 ALARIS HEALTH AT THE CHATEAU 96 PARKWAY ROCHELLE PARK NJ 7662 (201) 226-9600 315495 RENAISSANCE PAVILION 61 W JIMMIE LEEDS ROAD POMONA NJ 8240 (609) 652-7000 315497 ALLENDALE NURSING HOME 85 HARRETON ROAD ALLENDALE NJ 7401 (201) 825-0660 315499 LIONS GATE 1100 LAUREL OAK ROAD VOORHEES NJ 8043 (856) 667-3100 315500 MANORCARE HEALTH SERVICES - VOORHEES 1086 DUMONT CIRCLE VOORHEES NJ 8043 (856) 454-9100 315501 MERIDIAN SUBACUTE REHABILITATION 1725 MERIDIAN TRAIL WALL NJ 7719 (732) 312-1800 315502 CARE ONE AT TEANECK 544 TEANECK ROAD TEANECK NJ 7666 (201) 862-3300 315504 WEDGWOOD GARDENS CARE CENTER 3419 HIGHWAY 9 FREEHOLD NJ 7728 (732) 677-1200 315505 CLARA MAASS MEDICAL CENTER ONE CLARA MAASS DRIVE BELLEVILLE NJ 7109 (973) 450-2963 315506 MANORCARE HEALTH SERVICES-WASHINGTON TOWNSHIP 378 FRIES MILL ROAD SEWELL NJ 8080 (856) 218-4200 315507 BARNERT SUBACUTE REHABILITATION CENTER, LLC 680 BROADWAY SUITE 301 PATERSON NJ 7514 (973) 754-0999 315508 VICTORIA MANOR 3809 BAYSHORE ROAD NORTH CAPE MAY NJ 8204 (609) 898-0677 315509 ROOSEVELT CARE CENTER AT OLD BRIDGE 1133 MARLBORO ROAD OLD BRIDGE NJ 8857 (732) 360-9830 315510 BRIDGEWAY CARE AND REHAB CENTER AT HILLSBOROUGH 395 AMWELL ROAD HILLSBOROUGH NJ 8844 (908) 281-4400 315512 HOBOKEN UNIVERSITY MEDICAL CENTER TCU 308 WILLOW AVENUE HOBOKEN NJ 7030 (201) 418-1000 315513 POWERBACK REHABILITATION, ROUTE 73 113 SOUTH ROUTE 73 VOORHEES NJ 8043 (856) 809-3500 315515 ATRIUM AT NAVESINK HARBOR, THE 40 RIVERSIDE AVENUE RED BANK NJ 7701 (732) 842-3400 315516 ADVANCED SUBACUTE REHABILITATION CENTER AT SEWELL 685 SALINA ROAD SEWELL NJ 8080 (856) 468-2500 315517 POWERBACK REHABILITATION MOORESTOWN 212 MARTER AVENUE MOORESTOWN NJ 8057 (856) 291-4800 315519 ATRIUM POST ACUTE CARE OF HAMILTON 3 HAMILTON HEALTH PLACE HAMILTON NJ 8690 (609) 631-2555 325032 SANDIA RIDGE CENTER 2216 LESTER DRIVE NE ALBUQUERQUE NM 87112 (505) 296-4808 325033 RIO RANCHO CENTER 4210 SABANA GRANDE SE RIO RANCHO NM 87124 (505) 892-6603 325034 REHABILITATION CENTER OF ALBUQUERQUE, LLC (THE) 5900 FOREST HILLS DRIVE NE ALBUQUERQUE NM 87109 (505) 822-6000 325035 LA VIDA LLENA 10501 LAGRIMA DE ORO NE ALBUQUERQUE NM 87111 (505) 296-6700 325040 HOBBS OPERATING COMP DBA HOBBS HEALTHCARE CENTER 5715 NORTH LOVINGTON HIGHWAY HOBBS NM 88240 (575) 392-6845 325047 CASA DE ORO CENTER 1005 LUJAN HILL ROAD LAS CRUCES NM 88005 (575) 523-4573 325048 MONTEBELLO ON ACADEMY (THE) 10500 ACADEMY ROAD NE ALBUQUERQUE NM 87111 (505) 294-9944 325054 CANYON TRANSITIONAL REHABILITATION CENTER, LLC 10101 LAGRIMA DE ORO ROAD NE ALBUQUERQUE NM 87111 (505) 298-1231 325057 GOOD SAMARITAN - LOVINGTON 1600 WEST AVE I LOVINGTON NM 88260 (575) 396-5212 325058 GOOD SAMARITAN SOCIETY - GRANTS 840 LOBO CANYON ROAD GRANTS NM 87020 (505) 287-8868 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

325064 SKIES HEALTHCARE & REHABILITATION CENTER, LLC 9150 MCMAHON BOULEVARD NW ALBUQUERQUE NM 87114 (505) 898-7986 325066 BLOOMFIELD NURSING AND REHAB 803 HACIENDA LANE BLOOMFIELD NM 87413 (505) 632-1823 325067 GOOD SAMARITAN SOCIETY LAS CRUCES VILLAGE 3025 TERRACE DRIVE LAS CRUCES NM 88011 (575) 522-1362 325073 GOOD SAMARITAN SOCIETY- SOCORRO 1203 HIGHWAY 60 WEST SOCORRO NM 87801 (575) 835-2724 325074 GOOD SAMARITAN SOCIETY - MANZANO DEL SOL 5201 ROMA AVENUE NE ALBUQUERQUE NM 87108 (505) 262-2311 325076 ST ANTHONY HEALTHCARE AND REHAB CENTER, L 1400 WEST 21ST STREET CLOVIS NM 88101 (575) 762-4705 325077 CLOVIS HEALTHCARE AND REHABILITATION CENTER 1201 NORTH NORRIS CLOVIS NM 88101 (575) 762-3754 325078 RETIREMENT RANCHES INC. 2221 DILLON CLOVIS NM 88101 (575) 762-4495 325079 MIMBRES MEMORIAL NURSING HOME 900 WEST ASH STREET DEMING NM 88031 (575) 546-1320 325080 LANDSUN HOMES, INC. 1900 WESTRIDGE ROAD CARLSBAD NM 88220 (575) 887-2894 325083 SOUTH VALLEY CARE CENTER, LLC 1629 BOWE LANE SW ALBUQUERQUE NM 87105 (505) 877-2200 325086 CASA MARIA HEALTHCARE CENTER AND PECOS VALLEY REHA 1601 SOUTH MAIN STREET ROSWELL NM 88203 (575) 623-6008 325092 NEW MEXICO STATE VETERANS HOME 992 SOUTH BROADWAY TRUTH OR CONSEQUENCE NM 87901 (575) 894-4200 325095 KASEMAN SUBACUTE AND REHABILITATION 8300 CONSTITUTION AVENUE NE ALBUQUERQUE NM 87110 (505) 291-2356 325100 CLAYTON NURSING AND REHAB 419 HARDING STREET CLAYTON NM 88415 (575) 374-2353 325101 CARLSBAD MEDICAL CENTER - TCU 2430 WEST PIERCE STREET CARLSBAD NM 88220 (575) 887-4396 325102 LEA REGIONAL MEDICAL CENTER - TRANSITIONAL CARE UN 5419 N LOVINGTON HIGHWAY HOBBS NM 88240 (575) 492-5000 325103 LIFE CARE CENTER OF FARMINGTON 1101 WEST MURRAY DRIVE FARMINGTON NM 87401 (505) 326-1600 325104 NM BEHAVIORAL HEALTH INSTITUTE AT LAS VEGAS(THE) 3695 HOT SPRINGS BOULEVARD LAS VEGAS NM 87701 (505) 454-2100 325111 VILLAGE AT NORTHRISE (THE) - DESERT WILLOW I 2884 NORTH ROAD RUNNER PARKWAY LAS CRUCES NM 88011 (575) 522-1110 325112 COUNTRY COTTAGE CARE AND REHAB 2101 BENSING ROAD HOBBS NM 88240 (575) 397-1113 325113 CEDAR RIDGE INN 800 SAGUARO TRAIL FARMINGTON NM 87401 (505) 598-6000 325114 HEARTLAND CONTINUING CARE CENTER 1604 WEST 18TH STREET PORTALES NM 88130 (575) 359-4719 325116 MESCALERO CARE CENTER 454 LIPAN AVE MESCALERO NM 88340 (575) 464-4802 325117 SUNSET VILLA CARE CENTER 1515 SOUTH SUNSET ROSWELL NM 88203 (575) 623-7097 325119 ADVANCED HEALTH CARE OF ALBUQUERQUE 2701 RICHMOND DRIVE NE ALBUQUERQUE NM 87107 (505) 967-4200 325120 FORT BAYARD MEDICAL CENTER 41 FORT BAYARD ROAD SANTA CLARA NM 88026 (575) 537-8900 325123 MEDICAL RESORT AT FIESTA PARK (THE) 8820 HORIZON BOULEVARD NE ALBUQUERQUE NM 87113 (505) 998-1551 325125 BEAR CANYON REHABILITATION CENTER 5123 JUAN TABO BOULEVARD NE ALBUQUERQUE NM 87111 (505) 292-3333 325128 SAN PEDRO NURSING AND REHABILITATION CENTER 1402 WEST GILCHRIST AVE ARTESIA NM 88210 (575) 746-6006 325214 LAGUNA RAINBOW NURSING CENTER I-40 EXIT 108 1/2 MILE SOUTH STATE ROAD 23 CASA BLANCA NM 87007 (505) 552-6034 335003 THE EMERALD PEEK REHAB AND NURSING CENTER 2000 EAST MAIN STREET PEEKSKILL NY 10566 (914) 737-8400 335011 ST PATRICKS HOME 66 VAN CORTLANDT PARK SOUTH BRONX NY 10463 (718) 519-2800 335014 THE CAPITAL LIVING NURSING & REHABILITATION CENTRE 526 ALTAMONT AVE SCHENECTADY NY 12303 (518) 346-6121 335015 SCHERVIER NURSING CARE CENTER 2975 INDEPENDENCE AVE BRONX NY 10463 (718) 548-1700 335019 REGEIS CARE CENTER 3200 BAYCHESTER AVENUE BRONX NY 10475 (718) 320-3700 335020 HEBREW HOME FOR THE AGED AT RIVERDALE 5901 PALISADE AVENUE RIVERDALE NY 10471 (718) 581-1000 335022 SANDS POINT CENTER FOR H & R 1440 PORT WASHINGTON BLVD PORT WASHINGTON NY 11050 (516) 719-9400 335023 A HOLLY PATTERSON EXTENDED CARE FACILITY 875 JERUSALEM AVENUE UNIONDALE NY 11553 (516) 572-1400 335024 BEACH TERRACE CARE CENTER 640 WEST BROADWAY LONG BEACH NY 11561 (516) 431-4400 335027 VILLAGE CARE REHAB AND NURSING CTR 214 W HOUSTON STREET NEW YORK NY 10014 (212) 337-9400 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

335030 MOSHOLU PARKWAY NURSING AND REHAB 3356 PERRY AVENUE BRONX NY 10467 (718) 655-3568 335048 WILLIAMSBRIDGE MANOR N H 1540 TOMLINSON AVENUE BRONX NY 10461 (718) 892-6600 335050 MARY MANNING WALSH NURSING HOME 1339 YORK AVENUE NEW YORK NY 10021 (646) 475-4800 335056 ELDERWOOD AT AMHERST 4459 BAILEY AVE AMHERST NY 14226 (716) 835-2543 335061 UNIVERSITY NURSING HOME 2505 GRAND AVE BRONX NY 10468 (718) 295-1400 335063 COLER REHABILITATION AND NURSING CARE CENTER 900 MAIN ST ROOSEVELT ISLAND NY 10044 (212) 848-6000 335067 APEX REHABILITATION & CARE CENTER 78 BIRCHWOOD DR HUNTINGTON STATION NY 11746 (631) 423-3200 335068 CROUSE COMMUNITY CENTER INC 101 SOUTH STREET MORRISVILLE NY 13408 (315) 684-9595 335069 CONESUS LAKE NURSING HOME 6131 BIG TREE ROAD BOX F LIVONIA NY 14487 (585) 346-3001 335078 FIELD HOME - HOLY COMFORTER 2300 CATHERINE STREET CORTLANDT MANOR NY 10567 (914) 739-2244 335079 GOLD CREST CARE CENTER 2316 BRUNER AVENUE BRONX NY 10469 (718) 882-6400 335080 REGENCY EXTENDED CARE CENTER 65 ASHBURTON AVENUE YONKERS NY 10701 (914) 963-4000 335081 ST ANNS HOME FOR THE AGED 1500 PORTLAND AVENUE ROCHESTER NY 14621 (585) 697-6000 335083 BERKSHIRE NURSING AND REHAB 10 BERKSHIRE ROAD WEST BABYLON NY 11704 (631) 587-0600 335087 ST JOSEPHS HOME 950 LINDEN STREET OGDENSBURG NY 13669 (315) 393-3780 335090 ELIZABETH CHURCH MANOR NURSING HOME 863 FRONT STREET BINGHAMTON NY 13905 (607) 722-3463 335092 HENRY J CARTER SKILLED NURSING FACILITY 1752 PARK AVE MANHATTAN NY 10035 (646) 686-0000 335097 N Y S VETS HOME AT OXFORD 4211 STATE HIGHWAY 220 OXFORD NY 13830 (607) 843-3100 335100 ISABELLA GERIATRIC CENTER INC 515 AUDUBON AVENUE NEW YORK NY 10040 (212) 342-9200 335104 THE HERITAGE REHABILITATION AND HEALTH CARE CENTER 5606 15TH AVE BROOKLYN NY 11219 (718) 851-1000 335105 JEWISH HOME OF ROCHESTER 2021 WINTON ROAD SOUTH ROCHESTER NY 14618 (585) 427-7760 335108 SEA VIEW HOSPITAL REHABILITATION CENTER AND HOME 460 BRIELLE AVE STATEN ISLAND NY 10314 (718) 317-3000 335112 BROTHERS OF MERCY NURSING & REHABILITATION CENTER 10570 BERGTOLD ROAD CLARENCE NY 14031 (716) 759-6985 335128 ST PETERS NURSING AND REHABILITATION CENTER 301 HACKETT BLVD ALBANY NY 12208 (518) 525-7600 335130 THE GRAND REHABILITATION & NURSING AT QUEENS 157 15 19TH AVENUE WHITESTONE NY 11357 (718) 746-0400 335131 NEW CARLTON REHAB & NURSING CENTER 405 CARLTON AVE BROOKLYN NY 11238 (718) 789-6262 335132 PARKER JEWISH INSTITUTE FOR H C & REHAB 271-11 76TH AVE NEW HYDE PARK NY 11040 (718) 289-2100 335133 SAPPHIRE CTR FOR REHAB & NURSING OF CENTRAL QUEENS 35 15 PARSONS BLVD FLUSHING NY 11354 (718) 961-3500 335139 FOREST HILLS CARE CENTER 71 44 YELLOWSTONE BLVD FOREST HILLS NY 11375 (718) 544-4300 335140 BELAIR CARE CENTER INC 2478 JERUSALEM AVE BELLMORE NY 11710 (516) 826-1160 335146 FAIRVIEW NURSING CARE CTR INC 69 70 GRAND CENTRAL PARKWAY FOREST HILLS NY 11375 (718) 263-4600 335148 RAMAPO MANOR CTR FOR REHAB & NURSING 30 CRAGMERE ROAD SUFFERN NY 10901 (845) 357-1230 335154 WATERVIEW NURSING CARE CENTER 119 15 27TH AVENUE FLUSHING NY 11354 (718) 461-5000 335155 WINDSOR PARK NURSING HOME 212 40 HILLSIDE AVENUE QUEENS VILLAGE NY 11427 (718) 468-0800 335156 SOUTH SHORE REHABILITATION AND NURSING CENTER 275 W MERRICK ROAD FREEPORT NY 11520 (516) 623-4000 335159 ROSS CENTER FOR NURSING AND REHABILITATION 839 SUFFOLK AVENUE BRENTWOOD NY 11717 (631) 273-4700 335161 DALEVIEW CARE CENTER 574 FULTON STREET EAST FARMINGDALE NY 11735 (516) 694-9800 335163 OXFORD NURSING HOME 144 SO OXFORD ST BROOKLYN NY 11217 (718) 638-0360 335165 NEW SURFSIDE NURSING HOME 22-41 NEW HAVEN AVENUE FAR ROCKAWAY NY 11691 (718) 471-3400 335168 OCEANVIEW NURSING AND REHABILITATION CENTER L L C 315 BEACH 9TH STREET FAR ROCKAWAY NY 11691 (718) 471-6000 335174 COBBLE HILL HEALTH CENTER INC 380 HENRY STREET BROOKLYN NY 11201 (718) 855-6789 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

335178 BROOKLYN CTR FOR REHAB AND RESIDENTIAL HLTH CARE 1455 CONEY ISLAND AVENUE BROOKLYN NY 11230 (718) 252-9800 335182 GREENFIELD HEALTH AND REHABILITATION CENTER 5949 BROADWAY LANCASTER NY 14086 (716) 684-3000 335185 CEDAR MANOR NURSING & REHABILITATION CENTER CEDAR LANE, PO BOX 928 OSSINING NY 10562 (914) 762-1600 335187 HUDSON POINTE AT RIVERDALE CTR FOR NRSG AND REHAB 3220 HENRY HUDSON PARKWAY BRONX NY 10463 (718) 549-9400 335188 THE MOUNTAIN VIEW NURSING AND REHAB CENTRE 1 JANSEN ROAD PO BOX 909 NEW PALTZ NY 12561 (845) 255-0830 335199 RESORT NURSING HOME 430 BEACH 68TH STREET ARVERNE NY 11692 (718) 474-5200 335201 BETH ABRAHAM HEALTH SERVICES 612 ALLERTON AVENUE BRONX NY 10467 (718) 519-4029 335214 EASTCHESTER REHAB AND HEALTH CARE CENTER, L L C 2700 EASTCHESTER ROAD BRONX NY 10469 (718) 231-5550 335220 MERCY LIVING CENTER 114 WAWBEEK AVE TUPPER LAKE NY 12986 (518) 359-3355 335224 WHITE PLAINS CENTER FOR NURSING CARE L L C 220 WEST POST ROAD WHITE PLAINS NY 10606 (914) 686-8880 335225 OAK HILL MANOR NURSING HOME 602 HUDSON ST ITHACA NY 14850 (607) 272-8282 335227 WORKMENS CIRCLE MULTICARE CENTER 3155 GRACE AVENUE BRONX NY 10469 (718) 379-8100 335231 EXCEL AT WOODBURY FOR REHAB AND NURSING, L L C 8533 JERICHO TPKE WOODBURY NY 11797 (516) 692-4100 335232 UPPER EAST SIDE REHABILITATION AND NURSING CENTER 211 EAST 79 ST NEW YORK NY 10021 (212) 879-1600 335238 THE VALLEY VIEW CENTER FOR NRSG CARE & REHAB GLENMERE COVE RD PO BOX 59 GOSHEN NY 10924 (845) 291-4740 335239 CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER 25 FANNING STREET STATEN ISLAND NY 10314 (718) 289-7900 335245 CATON PARK NURSING HOME 1312 CATON AVENUE BROOKLYN NY 11226 (718) 693-7000 335247 HILL HAVEN NURSING HOME 1550 EMPIRE BLVD WEBSTER NY 14580 (585) 671-4300 335250 HIGHFIELD GARDENS CARE CENTER OF GREAT NECK 199 COMMUNITY DRIVE GREAT NECK NY 11021 (516) 365-9229 335256 THE PINES AT CATSKILL CTR FOR NRSG & REHAB 154 JEFFERSON HEIGHTS CATSKILL NY 12414 (518) 943-5151 335257 FORT TRYON REHAB & HEALTH CARE FAC L T H H C P 801 W 190TH ST NEW YORK NY 10040 (212) 543-6400 335259 WATERVIEW HILLS REHABILITATION AND NRSG CTR 537 ROUTE 22 PURDY STATION NY 10578 (914) 277-3691 335260 SUMMIT PARK NURSING CARE CENTER SANATORIUM ROAD POMONA NY 10970 (845) 364-2700 335261 SOMERS MANOR REHABILITATION & NURSING CENTER ROUTE 100 SOMERS NY 10589 (914) 232-5101 335263 CHURCH HOME OF THE PROTESTANT EPISCOPAL CHURCH 505 MT HOPE AVENUE ROCHESTER NY 14620 (585) 546-8400 335266 WOODCREST REHAB & RESIDENTIAL H C CENTER L L C 119 09 26TH AVENUE FLUSHING NY 11354 (718) 762-6100 335269 THE WARTBURG HOME BRADLEY AVENUE MOUNT VERNON NY 10552 (914) 699-0800 335273 VERRAZANO NURSING HOME 100 CASTLETON AVENUE STATEN ISLAND NY 10301 (718) 273-1300 335274 SAN SIMEON BY THE SOUND CTR FOR NRSG & REHAB PO BOX 2122 GREENPORT NY 11944 (631) 477-2110 335275 ELANT AT WAPPINGERS FALLS 37 MESIER AVENUE WAPPINGERS FALLS NY 12590 (845) 297-3793 335280 THE SPRINGS NURSING AND REHABILITATION CENTRE 49 MARVIN AVENUE TROY NY 12180 (518) 273-6646 335284 CENTRAL ISLAND HEALTHCARE 825 OLD COUNTRY RD PLAINVIEW NY 11803 (516) 433-0600 335285 PINE VALLEY CENTER FOR REHAB AND NURSING 661 N MAIN ST SPRING VALLEY NY 10977 (845) 356-0567 335286 CARILLON NURSING & REHAB CENTER 830 PARK AVENUE HUNTINGTON NY 11743 (631) 271-5800 335288 SHORE VIEW NURSING & REHABILITATION CENTER 2865 BRIGHTON 3RD STREET BROOKLYN NY 11235 (718) 891-4400 335289 SOLDIERS AND SAILORS MEMORIAL HOSPITAL E C U 418 NORTH MAIN STREET PENN YAN NY 14527 (315) 531-2731 335290 THE CHATEAU AT BROOKLYN REHAB & NURSING CTR 3457 NOSTRAND AVENUE BROOKLYN NY 11229 (718) 615-1100 335296 THE NEW JEWISH HOME, SARAH NEUMAN 845 PALMER AVENUE MAMARONECK NY 10543 (914) 698-6005 335299 NEW GLEN OAKS N H 260 01 79TH AVENUE GLEN OAKS NY 11004 (718) 343-0770 335300 FORT HUDSON NURSING CENTER INC 319 UPPER BROADWAY FORT EDWARD NY 12828 (518) 747-2811 335301 ST JAMES REHAB & HEALTH CARE CENTER 275 MORICHES ROAD ST JAMES NY 11780 (631) 862-8000 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

335308 MERCY HOSPITAL SKILLED NURSING FACILITY 55 MELROY AVENUE LACKAWANNA NY 14218 (716) 819-5300 335310 FOREST VIEW CTR REHAB NURSING 71 20 110TH STREET FOREST HILLS NY 11375 (718) 793-3200 335311 TOLSTOY FOUNDATION REHABILITATION & NURSING CENTER 100 LAKE ROAD, PO BOX 319 VALLEY COTTAGE NY 10989 (845) 268-6813 335312 THE ENCLAVE AT PORT CHESTER REHAB AND NURSING CTR 1000 HIGH ST PORT CHESTER NY 10573 (914) 937-1200 335316 ROSCOE REGIONAL REHAB & RESIDENTIAL H C F 420 ROCKLAND ROAD ROSCOE NY 12776 (607) 498-4121 335317 PARK TERRACE CARE CENTER 59 20 VAN DOREN STREET CORONA NY 11368 (718) 592-9200 335320 SPRAIN BROOK MANOR REHAB 77 JACKSON AVE SCARSDALE NY 10583 (914) 472-3200 335321 SPLIT ROCK REHAB AND HEALTH CARE CENTER 3525 BAYCHESTER AVE BRONX NY 10466 (718) 798-8900 335326 ELDERWOOD AT WILLIAMSVILLE 200 BASSETT ROAD WILLIAMSVILLE NY 14221 (716) 689-6681 335327 BRIDGE VIEW NURSING HOME INC 143 10 20TH AVE WHITESTONE NY 11357 (718) 961-1212 335328 PALM GARDENS CARE CENTER L L C 615 AVENUE C BROOKLYN NY 11218 (718) 633-3300 335332 EGER HEALTH CARE AND REHABILITATION CENTER 140 MEISNER AVENUE STATEN ISLAND NY 10306 (718) 979-1800 335333 HOLLIS PARK MANOR NURSING HOME 191 06 HILLSIDE AVENUE HOLLIS NY 11423 (718) 479-1010 335336 MARGARET TIETZ CENTER FOR NURSING 164 11 CHAPIN PARKWAY JAMAICA NY 11432 (718) 298-7800 335337 SCHAFFER EXTENDED CARE CENTER, INC 16 GUION PLACE NEW ROCHELLE NY 10802 (914) 637-1200 335339 MOUNTAINSIDE RESIDENTIAL CARE 42158 STATE HIGHWAY 28 MARGARETVILLE NY 12455 (845) 586-1800 335342 NORTH WESTCHESTER RESTORATIVE THERAPY & N C 3550 LEXINGTON AVENUE MOHEGAN LAKE NY 10547 (914) 528-2000 335344 CHASEHEALTH REHAB & RESIDENTIAL CARE ONE TERRACE HEIGHTS NEW BERLIN NY 13411 (607) 847-7000 335345 M M EWING CONTINUING CARE CTR 350 PARRISH STREET CANANDAIGUA NY 14424 (585) 396-6040 335346 ELDERWOOD AT WAVERLY 37 NORTH CHEMUNG STREET WAVERLY NY 14892 (607) 565-2861 335347 MORRIS PARK NURSING AND REHAB CENTER 1235 PELHAM PARKWAY NORTH BRONX NY 10469 (718) 231-4300 335348 NORTHERN DUTCHESS R H C F INC 6526 SPRINGBROOK, PO BOX 514 RHINEBECK NY 12572 (845) 871-3760 335349 CLIFFSIDE REHAB & H C C 119 - 19 GRAHAM COURT FLUSHING NY 11354 (718) 886-0700 335350 SUTTON PARK CTR NURSING REHAB 31 LOCKWOOD AVENUE NEW ROCHELLE NY 10801 (914) 576-0600 335351 NATHAN LITTAUER HOSPITAL NURSING 99 EAST STATE STREET GLOVERSVILLE NY 12078 (518) 773-5622 335353 HERITAGE VILLAGE REHAB AND SKILLED NURSING INC. 4570 ROUTE 60 GERRY NY 14740 (716) 985-4612 335355 CHENANGO MEMORIAL HOSPITAL 179 NORTH BROAD STREET NORWICH NY 13815 (607) 337-4111 335358 BRONX PARK REHABILITATION & NURSING CENTER 3845 CARPENTER AVE BRONX NY 10467 (718) 798-1100 335361 CLIFTON SPRINGS HOSPITAL & CLINIC EXTENDED CARE 2 COULTER ROAD CLIFTON SPRINGS NY 14432 (315) 462-0557 335363 OZANAM HALL OF QUEENS NURSING 42 41 201ST STREET BAYSIDE NY 11361 (718) 423-2000 335365 NYACK MANOR NURSING HOME 476 CHRISTIAN HERALD ROAD VALLEY COTTAGE NY 10989 (845) 268-6861 335366 WOODSIDE MANOR NURSING HOME 2425 CLINTON AVENUE SOUTH ROCHESTER NY 14618 (585) 461-0370 335369 PARK RIDGE NURSING HOME 1555 LONG POND ROAD ROCHESTER NY 14626 (585) 723-7205 335372 NEW VANDERBILT REHAB AND CARE CENTER 135 VANDERBILT AVE STATEN ISLAND NY 10304 (718) 447-0701 335375 SCHUYLER HOSPITAL INC & LONG TERM CARE UNIT S N F 220 STEUBEN STREET MONTOUR FALLS NY 14865 (607) 535-7121 335376 SCHOELLKOPF HEALTH CENTER 621 TENTH STREET NIAGARA FALLS NY 14302 (716) 278-4578 335379 REGO PARK NURSING HOME 111 26 CORONA AVENUE FLUSHING NY 11368 (718) 592-6400 335380 NORTHERN METROPOLITAN R H C F INC 225 MAPLE AVENUE MONSEY NY 10952 (845) 352-9000 335381 SCHULMAN AND SCHACHNE INST FOR NURSING & REHAB 555 ROCKAWAY PARKWAY BROOKLYN NY 11212 (718) 240-5775 335383 ST CABRINI NURSING HOME 115 BROADWAY DOBBS FERRY NY 10522 (914) 693-6800 335388 LACONIA NURSING HOME 1050 EAST 230TH STREET BRONX NY 10466 (718) 654-5875 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

335390 OAK HOLLOW NURSING CENTER 49 OAKCREST AVE MIDDLE ISLAND NY 11953 (631) 924-8820 335391 ELDERWOOD AT GRAND ISLAND 2850 GRAND ISLAND BLVD GRAND ISLAND NY 14072 (716) 773-5900 335396 MONTGOMERY NURSING AND REHABILITATION CENTER 2817 ALBANY POST ROAD MONTGOMERY NY 12549 (845) 457-3155 335398 SANS SOUCI REHABILITATION AND NURSING CENTER 115 PARK AVENUE YONKERS NY 10703 (914) 423-9800 335399 HUDSON VALLEY REHAB AND EXT CARE FACILITY 260 VINEYARD AVE, RT 44/55 HIGHLAND NY 12528 (845) 691-7201 335402 OASIS REHABILITATION AND NURSING, LLC 6 FROWEIN ROAD CENTER MORICHES NY 11934 (631) 878-4400 335404 RENAISSANCE REHABILITATION AND NURSING CARE CENTER 4975 ALBANY POST ROAD STAATSBURG NY 12580 (845) 889-4500 335405 FERNCLIFF NURSING HOME CO INC 21 FERNCLIFF DRIVE RHINEBECK NY 12572 (845) 876-2011 335407 PENFIELD PLACE 1700 PENFIELD RD PENFIELD NY 14526 (585) 586-7433 335408 WEDGEWOOD NURSING HOME 5 CHURCH STREET SPENCERPORT NY 14559 (585) 352-4810 335410 WATERS EDGE AT PORT JEFFERSON FOR REHAB & NURSING 150 DARK HOLLOW ROAD PORT JEFFERSON NY 11777 (631) 473-5400 335411 SEA CREST NURSING AND REHABILITATION CENTER 3035 WEST 24TH ST BROOKLYN NY 11224 (718) 372-4500 335415 LAWRENCE NURSING CARE CENTER 350 BEACH 54TH STREET ARVERNE NY 11692 (718) 945-0400 335416 DRY HARBOR NURSING HOME 61 35 DRY HARBOR ROAD MIDDLE VILLAGE NY 11379 (718) 565-4200 335418 NORTHERN RIVERVIEW HEALTH CARE 87 SOUTH ROUTE 9W HAVERSTRAW NY 10927 (845) 429-5381 335419 ST CATHERINE LABOURE HEALTH CARE CENTER 2157 MAIN STREET BUFFALO NY 14214 (716) 862-2000 335421 TARRYTOWN HALL CARE CENTER 20 WOOD COURT TARRYTOWN NY 10591 (914) 631-2600 335423 GENESEE COUNTY NURSING HOME 278 BANK STREET BATAVIA NY 14020 (585) 344-0584 335424 SCHNURMACHER CENTER FOR REHAB & NURSING 12 TIBBITS AVENUE WHITE PLAINS NY 10606 (914) 287-7200 335426 FRANKLIN CENTER FOR REHAB AND NURSING 142 27 FRANKLIN AVENUE FLUSHING NY 11355 (718) 670-3400 335427 ONEIDA HEALTHCARE 323 GENESEE STREET ONEIDA NY 13421 (315) 363-6000 335432 KOMANOFF CTR FOR GERIATRIC & REHAB MEDICINE 375 EAST BAY DRIVE LONG BEACH NY 11561 (516) 897-1220 335433 MCAULEY RESIDENCE 1503 MILITARY ROAD KENMORE NY 14217 (716) 447-6600 335434 LITTLE NECK CARE CENTER 260 19 NASSAU BLVD LITTLE NECK NY 11362 (718) 423-6400 335435 JENNIE B RICHMOND CHAFFEE NURSING HOME CO., INC. 222 EAST MAIN STREET SPRINGVILLE NY 14141 (716) 592-2871 335436 JAMAICA HOSPITAL NURSING HOME 89-40 135TH STREET JAMAICA NY 11418 (718) 206-5000 335440 THE PINES AT POUGHKEEPSIE CTR FOR NRSG & REHAB 100 FRANKLIN STREET POUGHKEEPSIE NY 12601 (845) 454-4100 335446 CYPRESS GARDEN CENTER FOR NURSING & REHABILITATION 139 66 35TH AVENUE FLUSHING NY 11354 (718) 961-5300 335447 KING STREET HOME INC 787 KING STREET PORT CHESTER NY 10573 (914) 937-5800 335448 QUEENS NASSAU REHABILITATION AND NURSING CENTER 520 BEACH 19TH STREET FAR ROCKAWAY NY 11691 (718) 471-7400 335449 ACHIEVE REHAB AND NURSING FACILITY 170 LAKE STREET LIBERTY NY 12754 (845) 292-4200 335451 GOLDEN HILL HEALTH CARE CENTER 99 GOLDEN HILL DRIVE KINGSTON NY 12401 (845) 340-3390 335455 CARMEL RICHMOND HEALTHCARE AND REHAB CENTER 88 OLD TOWN ROAD STATEN ISLAND NY 10304 (718) 979-5000 335458 THE GRAND REHABILITATION & NURSING AT PAWLING 9 RESERVOIR ROAD PAWLING NY 12564 (845) 855-5700 335459 WESTCHESTER CENTER FOR REHABILITATION & NURSING 10 CLAREMONT AVE MOUNT VERNON NY 10550 (914) 699-1600 335461 NEW GOUVERNEUR HOSPITAL S N F 227 MADISON STREET NEW YORK NY 10002 (212) 441-5000 335462 THE NEW JEWISH HOME, HARRY & JEANETTE WEINBERG 100 WEST KINGSBRIDGE ROAD BRONX NY 10468 (718) 410-1500 335464 ELANT AT MEADOW HILL 172 MEADOW HILL ROAD NEWBURGH NY 12550 (845) 564-1700 335465 DAUGHTERS OF SARAH NURSING CENTER 180 WASHINGTON AVE EXT ALBANY NY 12203 (518) 456-7831 335466 KINGSWAY ARMS NURSING CENTER INC 323 KINGS ROAD SCHENECTADY NY 12304 (518) 393-4117 335467 CREST MANOR LIVING AND REHABILITATION CENTER 6745 PITTSFORD PALMYRA ROAD FAIRPORT NY 14450 (585) 223-3633 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

335470 BORO PARK CENTER FOR NURSING AND REHAB CENTER 4915 10TH AVE BROOKLYN NY 11219 (718) 851-3700 335475 CHARLES T SITRIN HEALTH CARE S N F 2050 TILDEN AVE NEW HARTFORD NY 13413 (315) 797-3114 335476 THE FRIENDLY HOME 3156 EAST AVENUE ROCHESTER NY 14618 (585) 381-1600 335480 CHEMUNG COUNTY HEALTH CENTER 103 WASHINGTON STREET ELMIRA NY 14901 (607) 737-2001 335482 HERITAGE COMMONS RESIDENTIAL HEALTH CARE 1019 WICKER STREET TICONDEROGA NY 12883 (518) 585-6771 335483 GRACE PLAZA NURSING AND REHABILITATION CENTER 15 ST PAULS PLACE GREAT NECK NY 11021 (516) 466-3001 335484 MORNINGSIDE NURSING AND REHABILITATION CENTER 1000 PELHAM PARKWAY SOUTH BRONX NY 10461 (718) 409-8200 335487 ST JOHNLAND NURSING CENTER INC 395 SUNKEN MEADOW ROAD KINGS PARK NY 11754 (631) 269-5800 335490 BETHEL NURSING HOME CO INC 17 NARRAGANSETT AVENUE OSSINING NY 10562 (914) 941-7300 335491 THE NEW JEWISH HOME, MANHATTAN 120 WEST 106TH STREET NEW YORK NY 10025 (212) 870-5000 335493 CONCOURSE REHABILITATION AND NURSING CENTER INC 1072 GRAND CONCOURSE BRONX NY 10456 (718) 681-4000 335494 PENN YAN MANOR NURSING HOME IN 655 N LIBERTY STREET PENN YAN NY 14527 (315) 536-2311 335495 WAYNE CENTER FOR NURSING & REHABILITATION 3530 WAYNE AVENUE BRONX NY 10467 (718) 655-1700 335497 TRUSTEES OF EASTERN STAR HALL & HOME OF N Y S 8290 STATE RT 69 ORISKANY NY 13424 (315) 736-9311 335498 GRANDELL REHABILITATION AND NURSING CENTER 645 W BROADWAY LONG BEACH NY 11561 (516) 889-1100 335500 ODD FELLOW AND REBEKAH REHAB & HLTH CARE CTR INC 104 OLD NIAGARA ROAD LOCKPORT NY 14094 (716) 434-6324 335502 GOLDEN GATE REHAB AND H C C 191 BRADLEY AVE STATEN ISLAND NY 10314 (718) 698-8800 335503 HOLLISWOOD CENTER FOR REHABILITATION & HEALTHCARE 195 44 WOODHULL AVENUE HOLLIS NY 11423 (718) 740-3500 335504 SENECA HEALTH CARE CENTER 2987 SENECA STREET WEST SENECA NY 14224 (716) 828-0500 335508 SKY VIEW REHABILITATION & HEALTH CARE CENTER L L C 1280 ALBANY POST RD CROTON ON HUDSON NY 10520 (914) 271-5151 335511 EAST SIDE NURSING HOME 62 PROSPECT ST WARSAW NY 14569 (585) 786-8151 335513 SEAGATE REHABILITATION AND NURSING CENTER 3015 W 29 ST BROOKLYN NY 11224 (718) 266-5700 335515 ST JOSEPHS HOSP NURSING HOME OF YONKERS N Y 127 SOUTH BROADWAY YONKERS NY 10701 (914) 378-7358 335516 THE PHOENIX REHABILITATION AND NURSING CENTER 140 ST EDWARDS STREET BROOKLYN NY 11201 (718) 858-6400 335517 NEW EAST SIDE NURSING HOME 25 BIALYSTOKER PLACE NEW YORK NY 10002 (212) 673-8500 335521 LUTHERAN AUGUSTANA CTR FOR EXTENDED CARE & REHAB 5434 SECOND AVENUE BROOKLYN NY 11204 (718) 630-6000 335522 HARLEM CENTER FOR NURSING & REHABILITATION, L L C 30 WEST 138TH STREET NEW YORK NY 10037 (212) 690-7400 335523 NORWEGIAN CHRISTIAN HOME & HEALTH CENTER 1270 67TH STREET BROOKLYN NY 11219 (718) 232-2322 335524 METHODIST HOME FOR NURSING AND REHABILITATION 4499 MANHATTAN COLLEGE PARKWAY BRONX NY 10471 (718) 548-5100 335526 HIGHLAND REHABILITATION AND NURSING CENTER 120 HIGHLAND AVENUE MIDDLETOWN NY 10940 (845) 342-1033 335527 GOOD SHEPHERD FAIRVIEW HOME 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 (607) 724-2477 335531 HILLSIDE MANOR REHAB AND EXTENDED CARE CENTER 182 15 HILLSIDE AVENUE JAMAICA EST NY 11432 (718) 291-8200 335532 AARON MANOR REHABILITATION & NURSING CENTER 100 ST CAMILLUS WAY FAIRPORT NY 14450 (585) 377-4000 335533 ABSOLUT CTR FOR NURSING & REHAB GASPORT L L C 4540 LINCOLN DRIVE GASPORT NY 14067 (716) 772-2631 335537 RUTLAND NURSING HOME CO INC 585 SCHENECTADY AVE BROOKLYN NY 11203 (718) 604-5221 335539 OUR LADY OF CONSOLATION GERIATRIC CARE CENTER 111 BEACH DRIVE WEST ISLIP NY 11795 (631) 587-1600 335541 MASONIC CARE COMMUNITY OF NEW YORK 2150 BLEECKER STREET UTICA NY 13501 (315) 798-4800 335545 KING DAVID CENTER FOR NURSING AND REHABILITATION 2266 CROPSEY AVENUE BROOKLYN NY 11214 (718) 266-6100 335549 WARREN CENTER FOR REHABILITATION AND NURSING 42 GURNEY LANE QUEENSBURY NY 12804 (518) 761-6540 335554 THE BRIGHTONIAN 1919 ELMWOOD AVENUE ROCHESTER NY 14620 (585) 271-8700 335555 COLD SPRINGS HILLS CTR FOR NURSING AND REHAB 378 SYOSSET WOODBURY ROAD WOODBURY NY 11797 (516) 921-3900 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

335557 REBEKAH REHAB AND EXTENDED CARE CENTER 1072 HAVEMEYER AVENUE BRONX NY 10462 (718) 863-6200 335558 BENSONHURST CENTER FOR REHAB AND HEALTHCARE 1740 84TH STREET BROOKLYN NY 11214 (718) 232-3666 335559 SUNHARBOR MANOR 255 WARNER AVENUE ROSLYN HEIGHTS NY 11577 (516) 621-5400 335560 N Y CONGREGATIONAL NURSING CTR 135 LINDEN BOULEVARD BROOKLYN NY 11226 (718) 693-6060 335561 STATEN ISLAND CARE CENTER 200 LAFAYETTE AVENUE STATEN ISLAND NY 10301 (718) 448-9000 335562 LIVINGSTON COUNTY CENTER FOR NURSING AND REHAB 11 MURRAY HILL DRIVE MOUNT MORRIS NY 14510 (585) 243-7200 335563 ROME MEMORIAL HOSPITAL R H C F 1500 NORTH JAMES STREET ROME NY 13440 (315) 338-7318 335566 MAPLEWOOD HEALTH CARE AND REHABILITATION CENTER 205 STATE STREET ROAD CANTON NY 13617 (315) 386-4541 335568 SUNRISE MANOR CTR FOR NURSING 1325 BRENTWOOD ROAD BAY SHORE NY 11706 (631) 665-4960 335569 LAKESIDE BEIKIRCH CARE CTR 170 WEST AVENUE BROCKPORT NY 14420 (585) 395-6052 335570 AMSTERDAM NURSING HOME CORP (1992) 1060 AMSTERDAM AVENUE NEW YORK NY 10025 (212) 316-7700 335572 MAPLEWOOD NURSING HOME INC 100 DANIEL DRIVE WEBSTER NY 14580 (585) 872-1800 335573 BRIODY REHAB & RESIDENTIAL HEALTH CARE CENTER 909 LINCOLN AVE LOCKPORT NY 14094 (716) 434-6361 335576 FAIRPORT BAPTIST HOMES 4646 NINE MILE POINT ROAD FAIRPORT NY 14450 (585) 377-0350 335577 ELDERWOOD AT LANCASTER 1818 COMO PARK BLVD LANCASTER NY 14086 (716) 683-6165 335578 THE PINES HEALTHCARE & REHABILITATION CTR MACHIAS 9822 ROUTE 16 MACHIAS NY 14101 (716) 353-8516 335579 THE COUNTRY MANOR NURSING AND REHAB CTR 1045 WEST STREET CARTHAGE NY 13619 (315) 493-3220 335582 BROOKHAVEN REHAB AND HEALTH CARE CENTER L L C 250 BEACH 17TH STREET FAR ROCKAWAY NY 11691 (718) 471-7500 335583 PROVIDENCE REST INC 3304 WATERBURY AVENUE BRONX NY 10465 (718) 931-3000 335585 WATERVILLE RESIDENTIAL CARE CENTER 220 TOWER STREET WATERVILLE NY 13480 (315) 841-4156 335592 ST REGIS NURSING HOME INC 89 GROVE STREET MASSENA NY 13662 (315) 769-2494 335601 THE CENTER FOR NURSING AND REHAB AT HOOSICK FALLS 21 DANFORTH STREET HOOSICK FALLS NY 12090 (518) 686-4371 335604 BROOKLYN UNITED METHODIST CHURCH HOME 1485 DUMONT AVENUE BROOKLYN NY 11208 (718) 827-4500 335606 QUEEN OF PEACE RESIDENCE 110 30 221ST ST QUEENS VILLAGE NY 11429 (718) 464-1800 335609 CROWN HEIGHTS CENTER FOR NURSING & REHABILITATION 810 20 ST MARKS AVENUE BROOKLYN NY 11213 (718) 467-7300 335611 GLEN ISLAND CENTER FOR NURSING AND REHAB 490 PELHAM ROAD NEW ROCHELLE NY 10805 (914) 636-2800 335613 THE BAPTIST HOME AT BROOKMEADE 46 BROOKMEADE DRIVE RHINEBECK NY 12572 (845) 876-2071 335614 BAYBERRY NURSING HOME 40 KEOGH LANE NEW ROCHELLE NY 10805 (914) 636-3947 335615 HAMILTON MANOR NURSING HOME 1172 LONG POND ROAD ROCHESTER NY 14626 (585) 225-0450 335617 LATTA ROAD NURSING HOME WEST 2100 LATTA ROAD ROCHESTER NY 14612 (585) 225-0910 335618 LATTA ROAD NURSING HOME EAST 2102 LATTA ROAD ROCHESTER NY 14612 (585) 225-0920 335619 HIGHLAND NURSING HOME INC 182 HIGHLAND ROAD MASSENA NY 13662 (315) 769-9956 335621 UNITED HEBREW GERIATRIC CENTER 391 PELHAM ROAD NEW ROCHELLE NY 10805 (914) 632-2804 335625 CENTER FOR NURSING AND REHABILITATION S N F 520 PROSPECT PLACE BROOKLYN NY 11238 (718) 636-1000 335628 SULLIVAN COUNTY ADULT CARE CENTER 256 SUNSET LAKE ROAD LIBERTY NY 12754 (845) 292-8640 335629 PALISADE NURSING HOME COMPANY 5901 PALISADE AVENUE BRONX NY 10471 (718) 581-1000 335631 CHAPIN HOME FOR THE AGING 165 01 CHAPIN PARKWAY JAMAICA NY 11432 (718) 739-2523 335634 GARDEN GATE HEALTH CARE FACILITY 2365 UNION ROAD CHEEKTOWAGA NY 14227 (716) 668-8100 335635 LEROY VILLAGE GREEN R H C F INC 10 MUNSON STREET LEROY NY 14482 (585) 768-2561 335636 GOOD SAMARITAN NURSING HOME 101 ELM ST SAYVILLE NY 11782 (631) 244-2400 335637 BROOKLYN QUEENS NURSING HOME 2749 LINDEN BLVD BROOKLYN NY 11208 (718) 277-5100 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

335639 CATSKILL REGIONAL MEDICAL CENTER S N F 68 BUSHVILLE ROAD HARRIS NY 12742 (845) 794-3300 335644 KINGS HARBOR MULTICARE CENTER 2000 E GUNHILL ROAD BRONX NY 10469 (718) 320-0400 335648 DITMAS PARK CARE CENTER 2107 DITMAS AVENUE BROOKLYN NY 11226 (718) 462-8100 335649 NORTH GATE HEALTH CARE FACILITY 7264 NASH ROAD NORTH TONAWANDA NY 14120 (716) 694-7700 335653 MENORAH HOME & HOSPITAL FOR AGED AND INFIRM 1516 ORIENTAL BLVD BROOKLYN NY 11235 (718) 646-4441 335655 MIDDLETOWN PARK REHABILITATION & H C C 121 DUNNING ROAD MIDDLETOWN NY 10940 (845) 343-0801 335656 HAYM SALOMON HOME FOR THE AGED 2340 CROPSEY AVENUE BROOKLYN NY 11214 (718) 373-1700 335659 TERRACE HEALTH CARE CENTER 2678 KINGSBRIDGE TERRACE BRONX NY 10463 (718) 796-5800 335661 WELLSVILLE MANOR CARE CENTER 4192A BOLIVAR ROAD WELLSVILLE NY 14895 (585) 593-4400 335662 AUTUMN VIEW HEALTH CARE FACILITY L L C S 4650 SOUTHWESTERN BLVD HAMBURG NY 14075 (716) 648-2450 335665 TERENCE CARDINAL COOKE H C C 1249 FIFTH AVENUE NEW YORK NY 10029 (212) 360-1000 335666 BEZALEL REHABILITATION AND NURSING CENTER 29 38 FAR ROCKAWAY BLVD FAR ROCKAWAY NY 11691 (718) 471-2600 335667 SUNSHINE CHILDREN'S HOME AND REHAB CENTER 15 SPRING VALLEY ROAD OSSINING NY 10562 (914) 333-7000 335669 KALEIDA HEALTH DEGRAFF MEMORIAL HOSPITAL S N F 445 TREMONT STREET NORTH TONAWANDA NY 14120 (716) 690-2080 335673 FOUR SEASONS NURSING AND REHAB 1555 ROCKAWAY PARKWAY BROOKLYN NY 11236 (718) 927-6300 335675 JAMES G JOHNSTON MEMORIAL NURSING HOME 285 DEYO HILL ROAD JOHNSON CITY NY 13790 (607) 798-7818 335676 HAVEN MANOR HEALTH CARE CENTER L L C 1441 GATEWAY BOULEVARD FAR ROCKAWAY NY 11691 (718) 471-1500 335677 SHEEPSHEAD NURSING AND REHAB CTR 2840 KNAPP ST BROOKLYN NY 11235 (718) 646-5700 335678 ELDERWOOD AT LIVERPOOL 4800 BEAR ROAD LIVERPOOL NY 13088 (315) 457-9946 335679 ELDERWOOD AT HAMBURG 5775 MAELOU DRIVE HAMBURG NY 14075 (716) 648-2820 335680 JAMES A EDDY MEMORIAL GERIATRIC CENTER 2256 BURDETT AVENUE TROY NY 12180 (518) 274-9890 335684 ELANT AT GOSHEN INC 46 HARRIMAN DRIVE GOSHEN NY 10924 (845) 291-3700 335687 SALEM HILLS REHABILITATION AND NURSING CTR 539 ROUTE 22 PURDYS NY 10578 (914) 277-3629 335688 PECONIC BAY SKILLED NURSING FACILITY 1300 ROANOKE AVENUE RIVERHEAD NY 11901 (631) 548-6261 335690 WHITE OAKS NURSING HOME 8565 JERICHO TURNPIKE WOODBURY NY 11797 (516) 367-3400 335692 ST JOSEPHS PLACE 160 EAST MAIN STREET PORT JERVIS NY 12771 (845) 856-5351 335694 BROOKHAVEN HEALTH CARE FACILITY L L C 801 GAZZOLA BLVD EAST PATCHOGUE NY 11772 (631) 447-8800 335695 MANHATTANVILLE HEALTH CARE CENTER L L C 311 W 231ST STREET BRONX NY 10463 (718) 601-8400 335696 GURWIN JEWISH NURSING AND REHABILITATION CENTER 68 HAUPPAUGE ROAD COMMACK NY 11725 (631) 715-2000 335697 EDDY VILLAGE GREEN 421 W COLUMBIA STREET COHOES NY 12047 (518) 237-5630 335700 NORTH SHORE - L I J ORZAC CENTER FOR REHAB 900 FRANKLIN AVENUE VALLEY STREAM NY 11580 (516) 256-6700 335701 PATHWAYS NURSING & REHABILITATION CENTER 1805 PROVIDENCE AVENUE NISKAYUNA NY 12309 (518) 374-2212 335702 NORTHWELL HEALTH STERN FAMILY CTR FOR REHAB 300 COMMUNITY DRIVE MANHASSET NY 11030 (516) 562-8008 335703 BUSHWICK CENTER FOR REHAB AND HEALTH CARE 50 SHEFFIELD AVENUE BROOKLYN NY 11207 (718) 345-2273 335713 SYRACUSE HOME ASSOCIATION 7740 MEIGS ROAD BALDWINSVILLE NY 13027 (315) 638-2521 335714 VICTORIA HOME 25 N MALCOLM STREET OSSINING NY 10562 (914) 941-2450 335720 ATRIUM CENTER FOR REHABILITATION AND NURSING 630 E 104TH STREET BROOKLYN NY 11236 (718) 240-3100 335721 HERITAGE GREEN NURSING HOME 3023 ROUTE 430 PO BOX 400 GREENHURST NY 14742 (716) 483-5000 335724 SILVERCREST CENTER FOR NURSING AND REHABILITATION 144 45 87TH AVENUE JAMAICA NY 11435 (718) 480-4026 335725 HOPE CENTER FOR H I V AND NURSING CARE 1401 UNIVERSITY AVENUE BRONX NY 10452 (718) 408-6333 335726 BEACON REHABILITATION AND NURSING CENTER 140 BEACH 113TH STREET ROCKAWAY PARK NY 11694 (718) 945-6350 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

335730 ST ANNS NURSING HOME CO INC ( THE HERITAGE) 920 CHERRY RIDGE BLVD WEBSTER NY 14580 (585) 697-6800 335734 FRIEDWALD CENTER FOR REHAB AND NURSING L L C 475 NEW HEMPSTEAD ROAD NEW CITY NY 10956 (845) 678-2000 335738 HORIZON CARE CENTER 64 11 BEACH CHANNEL DRIVE ARVERNE NY 11692 (718) 945-0700 335739 MILLS POND NURSING AND REHABILITATION CENTER 273 MORICHES ROAD ST JAMES NY 11780 (631) 862-8990 335744 GRAND MANOR NURSING AND REHAB 700 WHITE PLAINS ROAD BRONX NY 10473 (718) 518-8892 335748 SAINTS JOACHIM & ANNE NURSING AND REHAB CTR 2720 SURF AVENUE BROOKLYN NY 11224 (718) 714-4800 335751 THE BRONX-LEBANON HIGHBRIDGE WOODYCREST CENTER 936 WOODYCREST AVENUE BRONX NY 10452 (718) 293-3200 335752 ELDERWOOD AT CHEEKTOWAGA 225 BENNETT ROAD CHEEKTOWAGA NY 14227 (716) 681-9480 335753 BRONX LEBANON SPECIAL CARE CENTER 1265 FULTON AVENUE BRONX NY 10456 (718) 579-7000 335755 BELLHAVEN NURSING & REHAB CENTER 110 BEAVER DAM ROAD BROOKHAVEN NY 11719 (631) 286-8100 335756 SMITHTOWN CENTER FOR REHAB & NURSING CARE 391 NORTH COUNTRY ROAD SMITHTOWN NY 11787 (631) 361-2020 335757 HARRIS HILL NURSING FACILITY L L C 2699 WEHRLE DRIVE WILLIAMSVILLE NY 14221 (716) 632-3700 335758 LONG ISLAND STATE VETERANS HOME 100 PATRIOTS ROAD STONYBROOK NY 11790 (631) 444-8500 335760 EDDY HERITAGE HOUSE NURSING AND REHAB CTR 2920 TIBBITS AVENUE TROY NY 12180 (518) 274-4125 335762 ST MARYS CENTER INC 516 WEST 126TH STREET NEW YORK NY 10027 (212) 662-1826 335763 ST VINCENT DE PAUL RESIDENCE 900 INTERVALE AVENUE BRONX NY 10459 (718) 589-6965 335764 IROQUOIS NURSING HOME INC 4600 SOUTHWOOD HEIGHTS DRIVE JAMESVILLE NY 13078 (315) 469-1300 335765 TEN BROECK COMMONS ONE COMMONS DRIVE LAKE KATRINE NY 12449 (845) 336-6666 335767 OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE GUILDERLAND NY 12084 (518) 464-8100 335768 CORTLAND REGIONAL MEDICAL CENTER INC 134 HOMER AVENUE CORTLAND NY 13045 (607) 756-3909 335769 EDNA TINA WILSON LIVING CENTER 700 ISLAND COTTAGE ROAD ROCHESTER NY 14612 (585) 368-6100 335770 N Y S VETS HOME IN N Y C 178 50 LINDEN BLVD JAMAICA NY 11434 (718) 990-0329 335771 THROGS NECK REHABILITATION & NURSING CENTER 707 THROGS NECK EXPRESSWAY BRONX NY 10465 (718) 430-0003 335772 RICHMOND CENTER FOR REHAB AND SPECIALTY H C 91 TOMPKINS AVENUE STATEN ISLAND NY 10304 (718) 876-1200 335774 SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL H C 1 ABELE DRIVE CLIFTON PARK NY 12065 (518) 371-1400 335775 ST BARNABAS REHABILITATION & CONTINUING CARE CTR 2175 QUARRY RD BRONX NY 10457 (718) 960-3910 335777 FATHER BAKER MANOR 6400 POWERS ROAD ORCHARD PARK NY 14127 (716) 667-0001 335780 CASA PROMESA 308 EAST 175 STREET BRONX NY 10457 (718) 960-7600 335781 MANHATTAN CENTER FOR NURSING & REHABILITATION 45 RIVINGTON STREET NEW YORK NY 10002 (212) 477-3100 335782 WESTHAMPTON CARE CENTER 78 OLD COUNTRY ROAD WESTHAMPTON NY 11977 (631) 288-0101 335784 SCHERVIER PAVILION 22 VAN DUZER PLACE WARWICK NY 10990 (845) 987-5717 335785 FINGER LAKES CENTER FOR LIVING 20 PARK AVENUE AUBURN NY 13021 (315) 255-7188 335787 NASSAU REHABILITATION & NURSING CENTER ONE GREENWICH STREET HEMPSTEAD NY 11550 (516) 565-4800 335788 WESTERN N Y S VETERANS HOME 220 RICHMOND AVENUE BATAVIA NY 14020 (585) 345-2076 335789 WINGATE AT DUTCHESS 3 SUMMIT COURT FISHKILL NY 12524 (845) 896-1500 335790 ELDERWOOD AT WHEATFIELD 2600 NIAGARA FALLS BOULEVARD NIAGARA FALLS NY 14304 (716) 215-8000 335791 QUEENS BLVD EXT CARE FACILITY 61 11 QUEENS BOULEVARD WOODSIDE NY 11377 (718) 205-0288 335792 NORTHERN MANHATTAN REHAB AND NURSING CENTER 116 EAST 125TH ST NEW YORK NY 10035 (212) 426-1284 335793 KENDAL AT ITHACA 2230 NORTH TRIPHAMMER ROAD ITHACA NY 14850 (607) 266-5301 335795 ANDRUS ON HUDSON 185 OLD BROADWAY HASTINGS ON HUDSON NY 10706 (914) 478-3700 335799 UNION PLAZA CARE CENTER 33 23 UNION STREET FLUSHING NY 11354 (718) 670-0700 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

335800 NOTTINGHAM R H C F 1305 NOTTINGHAM ROAD JAMESVILLE NY 13078 (315) 445-0123 335802 GLEN ARDEN INC 46 HARRIMAN DRIVE GOSHEN NY 10924 (845) 291-7800 335803 WINGATE AT ULSTER ONE WINGATE WAY HIGHLAND NY 12528 (845) 691-6800 335804 THE PAVILION AT QUEENS FOR REHABILITATION & NRSING 36 17 PARSONS BOULEVARD FLUSHING NY 11354 (718) 961-4300 335805 DR SUSAN SMITH MCKINNEY NRSG & REHAB CTR 594 ALBANY AVENUE BROOKLYN NY 11203 (718) 245-7000 335808 HEMPSTEAD PARK NURSING HOME 800 FRONT STREET HEMPSTEAD NY 11550 (516) 705-9700 335809 THE GROVE AT VALHALLA REHAB AND NURSING CENTER 61 GRASSLANDS ROAD VALHALLA NY 10595 (914) 681-8400 335810 LUTHERAN CENTER AT POUGHKEEPSIE INC 965 DUTCHESS TURNPIKE POUGHKEEPSIE NY 12603 (845) 486-9494 335811 LINDEN CENTER FOR NURSING AND REHABILITATION 2237 LINDEN BOULEVARD BROOKLYN NY 11207 (718) 649-7000 335814 ELMHURST CARE CENTER INC 100 17 23RD AVENUE EAST ELMHURST NY 11369 (718) 205-8100 335815 SENECA HILL MANOR INC 20 MANOR DRIVE OSWEGO NY 13126 (315) 349-5300 335816 CANTERBURY WOODS 725 RENAISSANCE DRIVE WILLIAMSVILLE NY 14221 (716) 929-5800 335818 HUNTINGTON HILLS CENTER FOR HEALTH AND REHAB 400 SOUTH SERVICE ROAD MELVILLE NY 11747 (631) 439-3000 335819 PARK AVENUE EXTENDED CARE FACILITY 425 NATIONAL BOULEVARD LONG BEACH NY 11561 (516) 431-2600 335820 REGAL HEIGHTS REHABILITATION AND HEALTH CARE CTR 70-05 35 AVENUE JACKSON HEIGHTS NY 11372 (718) 662-5100 335821 ST CATHERINE OF SIENA 52 ROUTE 25A SMITHTOWN NY 11787 (631) 862-3900 335822 INCARNATION CHILDRENS CENTER 142 AUDOBON AVENUE NEW YORK NY 10032 (212) 928-2590 335823 HELEN HAYES HOSPITAL RESIDENTIAL HEALTH CARE FAC 51 N RT 9W WEST HAVERSTRAW NY 10993 (845) 786-4000 335824 PUTNAM RIDGE 46 MT EBO ROAD NORTH BREWSTER NY 10509 (845) 278-3636 335828 WINGATE AT BEACON 10 HASTINGS DRIVE BEACON NY 12508 (845) 440-1600 335830 ST MARGARETS CENTER 27 HACKETT BLVD ALBANY NY 12208 (518) 591-3300 335832 N Y S VETS HOME AT MONTROSE 2090 ALBANY POST ROAD MONTROSE NY 10548 (914) 788-6000 335833 JEFFERSONS FERRY LIFE CARE CO 500 MATHER DRIVE SOUTH SETAUKET NY 11720 (631) 650-2700 335835 ISLAND NURSING AND REHABILITATION CENTER INC 5537 EXPRESSWAY DRIVE NORTH HOLTSVILLE NY 11742 (631) 758-3336 335837 MARIA REGINA RESIDENCE INC 1725 BRENTWOOD ROAD BRENTWOOD NY 11717 (631) 273-4500 335838 NEW YORK CENTER FOR REHAB AND NURSING 26-13 21ST STREET ASTORIA NY 11102 (718) 626-4800 335842 PECONIC LANDING AT SOUTHOLD INC 1500 BRECKNOCK ROAD GREENPORT NY 11944 (631) 477-3800 335843 OUR LADY OF PEACE NURSING CARE RESIDENCE 5285 LEWISTON ROAD LEWISTON NY 14092 (716) 298-2900 335844 WESTCHESTER MEADOWS 55 GRASSLAND ROAD VALHALLA NY 10595 (914) 989-7800 335845 NORTHEAST CENTER FOR REHABILITATION & BRAIN INJURY 300 GRANT AVENUE LAKE KATRINE NY 12449 (845) 336-3500 335848 KENDAL ON HUDSON ONE KENDAL WAY SLEEPY HOLLOW NY 10591 (914) 922-1000 335849 JEANNE JUGAN RESIDENCE 2999 SCHURZ AVENUE BRONX NY 10465 (347) 329-1800 335851 UNITED HEALTH SVS HOSP BINGHAMTON GEN T C U 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 (607) 762-2200 335853 JOHN T MATHER MEMORIAL HOSPITAL T C U 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 11777 (631) 473-1320 335856 JAMAICA HOSPITAL T C U 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 (718) 206-6595 335857 WILKINSON RESIDENTIAL HEALTH CARE FACILITY 4988 STATE HWY 30 AMSTERDAM NY 12010 (518) 841-3572 335858 WOODLAND POND AT NEW PALTZ 100 WOODLAND POND CIRCLE NEW PALTZ NY 12561 (845) 256-5910 335859 GOOD SHEPHERD VILLAGE AT ENDWELL 14 VILLAGE DRIVE ENDWELL NY 13760 (607) 757-3102 335860 EDDY VILLAGE GREEN AT BEVERWYCK 40 AUTUMN DRIVE SLINGERLANDS NY 12159 (518) 451-2107 335861 THE AMSTERDAM AT HARBORSIDE 300 EAST OVERLOOK PORT WASHINGTON NY 11050 (516) 472-6610 335862 NEW YORK-PRESBYTERIAN / QUEENS T C U 56-45 MAIN STREET FLUSHING NY 11355 (999) 999-9991 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

335863 ST JOHNS PENFIELD HOMES CORPORATION 65 SONOMA DRIVE FAIRPORT NY 14450 (585) 292-5250 335864 FLUSHING HOSPITAL MEDICAL CENTER T C U 45TH AVENUE AND PARSONS BOULEVARD FLUSHING NY 11355 (718) 206-6595 335869 NORTHERN WESTCHESTER HOSPITAL T C U 400 EAST MAIN STREET MOUNT KISCO NY 10549 (914) 666-8306 335870 UPSTATE UNIVERSITY HOSP AT COMM GENERAL T C U 4900 BROAD ROAD SYRACUSE NY 13215 (315) 492-5786 335871 SOUTH NASSAU COMMUNITIES HOSPITAL T C U 1 HEALTHY WAY OCEANSIDE NY 11572 (516) 632-3500 345001 HILLCREST CONVALESCENT CENTER 1417 W PETTIGREW STREET DURHAM NC 27705 (919) 286-7705 345009 THE OAKS AT WHITAKER GLEN-MAYVIEW 513 EAST WHITAKER MILL ROAD RALEIGH NC 27608 (919) 828-2348 345013 PEAK RESOURCES - CHARLOTTE 3223 CENTRAL AVENUE CHARLOTTE NC 28205 (704) 749-1100 345015 CLAPPS CONVALESCENT NH 500 MOUNTAIN TOP DRIVE ASHEBORO NC 27203 (336) 625-2074 345024 CLAPPS NURSING CENTER INC 5229 APPOMATTOX ROAD PLEASANT GARDEN NC 27313 (336) 674-2252 345036 ELIZABETH CITY HEALTH AND REHABILITATION 1075 US HIGHWAY 17 SOUTH ELIZABETH CITY NC 27909 (252) 338-3975 345044 ST JOSEPH OF THE PINES HEALTH 103 GOSSMAN DRIVE SOUTHERN PINES NC 28387 (910) 246-1000 345045 BLOWING ROCK REHAB DAVANT EXTENDED CARE CTR 418 CHESTNUT STREET BLOWING ROCK NC 28605 (828) 295-3136 345049 RALEIGH REHABILITATION CENTER 616 WADE AVENUE RALEIGH NC 27605 (919) 828-6251 345050 JACOB'S CREEK NURSING AND REHABILITATION CENTER 1721 BALD HILL LOOP MADISON NC 27025 (336) 548-9658 345053 PETTIGREW REHABILITATION CENTER 1515 W PETTIGREW STREET DURHAM NC 27705 (919) 286-0751 345054 WOODHAVEN NURS & ALZHEIMER'S C 1150 PINE RUN DRIVE LUMBERTON NC 28358 (910) 671-5703 345063 AVANTE AT WILSON 1804 FOREST HILLS ROAD WILSON NC 27893 (252) 237-8161 345066 ALSTON BROOK 4748 OLD SALISBURY ROAD LEXINGTON NC 27292 (336) 956-1132 345078 HIGHLAND FARMS 200 TABERNACLE ROAD BLACK MOUNTAIN NC 28711 (828) 669-6473 345081 KINDRED TRANSITIONAL CARE & REHAB-ROSE MANOR 4230 NORTH ROXBORO ROAD DURHAM NC 27704 (919) 477-9805 345083 WHITE OAK MANOR - RUTHERFORDTO 188 OSCAR JUSTICE ROAD RUTHERFORDTON NC 28139 (828) 286-9001 345088 TRINITY GLEN 849 WATER WORKS ROAD WINSTON-SALEM NC 27105 (336) 595-2166 345091 EDGEWOOD PLACE AT THE VILLAGE AT BROOKWOOD 1820 BROOKWOOD AVENUE BURLINGTON NC 27215 (336) 570-8250 345093 MARYFIELD NURSING HOME 1315 GREENSBORO ROAD HIGH POINT NC 27260 (336) 821-4000 345095 CHATHAM NURSING & REHABILITATION 700 JOHNSON RIDGE ROAD ELKIN NC 28621 (336) 527-7600 345096 HUNTERSVILLE OAKS 12019 VERHOEFF DRIVE HUNTERSVILLE NC 28078 (704) 863-1000 345097 JESSE HELMS NURSING CENTER 1411 DOVE STREET MONROE NC 28111 (704) 283-3280 345102 MAGGIE VALLEY NURSING AND REHABILITATION 75 FISHER LOOP MAGGIE VALLEY NC 28751 (828) 566-3002 345103 CARRINGTON PLACE 600 FULLWOOD LANE MATTHEWS NC 28105 (704) 841-4920 345104 ZEBULON REHABILITATION CENTER 509 WEST GANNON AVENUE ZEBULON NC 27597 (919) 269-9621 345106 TRINITY RIDGE 2140 MEDICAL PARK DRIVE HICKORY NC 28602 (828) 322-6995 345109 TRINITY PLACE 24724 SOUTH BUSINESS 52 ALBEMARLE NC 28001 (704) 982-8191 345110 AUTUMN CARE OF WAYNESVILLE 360 OLD BALSAM ROAD WAYNESVILLE NC 28786 (828) 456-7381 345111 PENICK VILLAGE 500 EAST RHODE ISLAND AVENUE SOUTHERN PINES NC 28387 (910) 692-0300 345116 GOLDEN LIVINGCENTER - STARMOUNT 109 S HOLDEN ROAD GREENSBORO NC 27407 (336) 292-5390 345123 CAROLINA VILLAGE INC 600 CAROLINA VILLAGE ROAD SUITE Z HENDERSONVILLE NC 28792 (828) 692-6275 345124 PRUITTHEALTH-ELKIN 560 JOHNSON RIDGE ROAD ELKIN NC 28621 (336) 835-7802 345127 WHITE OAK MANOR - TRYON 70 OAK STREET TRYON NC 28782 (828) 859-9161 345134 AVANTE AT CHARLOTTE 4801 RANDOLPH ROAD CHARLOTTE NC 28211 (704) 364-8363 345138 LENOIR HEALTHCARE CENTER 322 NUWAY CIRCLE LENOIR NC 28645 (828) 758-7326 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

345148 FRIENDS HOMES AT GUILFORD 925 NEW GARDEN ROAD GREENSBORO NC 27410 (336) 292-8187 345150 KENANSVILLE HEALTH & REHABILITATION CENTER 209 BEASLEY STREET KENANSVILLE NC 28349 (910) 296-1561 345151 WHITE OAK MANOR - KINGS MOUNTAIN 716 SIPES STREET KINGS MOUNTAIN NC 28086 (704) 739-8132 345152 TRINITY VILLAGE 1265 21 STREET NE HICKORY NC 28601 (828) 328-2006 345153 TRINITY OAKS 820 KLUMAC ROAD SALISBURY NC 28144 (704) 637-3784 345155 RANDOLPH HEALTH AND REHABILITATION CENTER 230 EAST PRESNELL STREET ASHEBORO NC 27203 (336) 629-1447 345156 HARMONY HALL NURSING AND REHABILITATION CENTER 312 WARREN AVENUE KINSTON NC 28502 (252) 523-0082 345160 DAVIS HEALTH CARE CENTER 1011 PORTERS NECK ROAD WILMINGTON NC 28411 (910) 686-7195 345161 ABERNETHY LAURELS 102 LEONARD AVENUE NEWTON NC 28658 (828) 464-8260 345162 GASTONIA CARE AND REHABILITATION 416 N HIGHLAND STREET GASTONIA NC 28052 (704) 864-0371 345164 CHOWAN RIVER NURSING AND REHABILITATION CENTER 1341 PARADISE ROAD P O BOX 566 EDENTON NC 27932 (252) 482-7481 345165 AUTUMN CARE OF MARION POST OFFICE BOX 339 MARION NC 28752 (828) 652-6701 345166 STOKES COUNTY NURSING HOME 1570 NC 8 AND 89 HIGHWAY DANBURY NC 27016 (336) 593-2831 345169 BRIAN CTR HEALTH & REHAB/GASTO 969 COX ROAD GASTONIA NC 28054 (704) 866-8596 345170 CRYSTAL BLUFFS REHABILITATION AND HEALTH CARE CENT 4010 BRIDGES STREET EXTENSION MOREHEAD CITY NC 28557 (252) 726-0031 345171 WHITE OAK MANOR - SHELBY 401 N MORGAN STREET SHELBY NC 28150 (704) 482-7326 345177 MANOR CARE HEALTH SVCS PINEHURST 205 RATTLESNAKE TRAIL PINEHURST NC 28374 (910) 295-1781 345180 WESLEY PINES RETIREMENT COMM 1000 WESLEY PINES ROAD LUMBERTON NC 28358 (910) 738-9691 345187 GRACE HEIGHTS HEALTH & REHAB CTR 109 FOOTHILLS DRIVE MORGANTON NC 28655 (828) 580-7008 345190 MURPHY MEDICAL CENTER 4130 US HWY 64 EAST MURPHY NC 28906 (828) 835-7580 345191 GOLDEN LIVINGCENTER - SURRY COMMUNITY 542 ALLRED MILL ROAD MOUNT AIRY NC 27030 (336) 789-5076 345192 LONGLEAF NEURO-MEDICAL TREATMENT CENTER 4761 WARD BOULEVARD WILSON NC 27893 (252) 399-2112 345193 MOUNTAIN VIEW MANOR NURSING CE 410 BUCKNER BRANCH ROAD BRYSON CITY NC 28713 (828) 488-2101 345194 GLENFLORA 5701 FAYETTEVILLE ROAD LUMBERTON NC 28360 (910) 739-2821 345195 GOLDEN LIVINGCENTER - TARBORO 1000 WESTERN BOULEVARD TARBORO NC 27886 (252) 823-0401 345196 MOUNTAIN VISTA HEALTH PARK 106 MOUNTAIN VISTA ROAD DENTON NC 27239 (336) 859-2181 345198 ASTON PARK HEALTH CARE CENTER 380 BREVARD ROAD ASHEVILLE NC 28806 (828) 253-4437 345199 CAROL WOODS 750 WEAVER DAIRY ROAD CHAPEL HILL NC 27514 (919) 968-4511 345202 CAPITAL NURSING AND REHABILITATION CENTER 3000 HOLSTON LANE RALEIGH NC 27610 (919) 231-6045 345203 LIFE CARE CENTER OF BANNER ELK 185 NORWOOD HOLLOW ROAD BANNER ELK NC 28604 (828) 898-5136 345204 STONECREEK HEALTH AND REHABILITATION 455 VICTORIA ROAD ASHEVILLE NC 28801 (828) 252-0099 345206 MADISON HEALTH AND REHABILITATION 345 MANOR ROAD MARS HILL NC 28754 (828) 689-5200 345208 BRIAN CTR HLTH & REHAB BREVARD 115 N COUNTRY CLUB ROAD BREVARD NC 28712 (828) 884-2031 345209 BROOKRIDGE RETIREMENT COMMUNITY 1199 HAYES FOREST DRIVE WINSTON-SALEM NC 27106 (336) 759-1044 345211 RIVERPOINT CREST NURSING AND REHABILITATION CENTER 2600 OLD CHERRY POINT ROAD NEW BERN NC 28563 (252) 637-4730 345216 WESTFIELD REHABILITATION AND HEALTH CENTER 3100 TRAMWAY ROAD SANFORD NC 27332 (919) 775-5404 345217 PREMIER NURSING AND REHABILITATION CENTER 225 WHITE STREET JACKSONVILLE NC 28546 (910) 353-7222 345225 SIGNATURE HEALTHCARE OF CHAPEL HILL 1602 E FRANKLIN STREET CHAPEL HILL NC 27514 (919) 967-1418 345226 PEAK RESOURCES-OUTER BANKS 430 WEST HEALTH CENTER DRIVE NAGS HEAD NC 27959 (252) 441-3116 345227 AVANTE AT REIDSVILLE 543 MAPLE AVENUE REIDSVILLE NC 27320 (336) 342-1382 345228 RIDGEWOOD LIVING & REHAB CENTER 1624 HIGHLAND DRIVE WASHINGTON NC 27889 (252) 946-9570 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

345229 PEAK RESOURCES - SHELBY 1101 NORTH MORGAN STREET SHELBY NC 28150 (704) 482-5396 345234 GOLDEN LIVINGCENTER - LUMBERTON 1555 WILLIS AVENUE LUMBERTON NC 28358 (910) 739-6048 345235 TWIN LAKES COMMUNITY 3701 WADE COBLE DRIVE BURLINGTON NC 27215 (336) 538-1400 345236 WILMINGTON HEALTH AND REHABILITATION CENTER 820 WELLINGTON AVENUE WILMINGTON NC 28401 (910) 343-0425 345238 WHITE OAK MANOR - CHARLOTTE 4009 CRAIG AVENUE CHARLOTTE NC 28211 (704) 365-2620 345241 BRIAN CENTER HEALTH & REHAB/EDEN 226 N OAKLAND AVENUE EDEN NC 27288 (336) 623-1750 345242 THE FOUNTAINS AT THE ALBEMARLE 200 TRADE STREET TARBORO NC 27886 (252) 823-2799 345245 PENDER MEMORIAL HOSP SNF 507 FREMONT STREET BURGAW NC 28425 (910) 259-5451 345249 MOREHEAD NURSING CENTER 205 EAST KINGS HIGHWAY EDEN NC 27288 (336) 623-9712 345250 BRIAN CTR HLTH & RET/LINCOLNTON 515 S GENERALS BOULEVARD LINCOLNTON NC 28093 (704) 735-8065 345252 WARSAW HEALTH & REHABILITATION CENTER 214 LANEFIELD ROAD WARSAW NC 28398 (910) 293-3144 345253 THE LODGE AT MILLS RIVER 5593 OLD HAYWOOD ROAD MILLS RIVER NC 28759 (828) 684-4857 345254 MONROE REHABILITATION CENTER 1212 EAST SUNSET DRIVE MONROE NC 28112 (704) 283-8548 345255 CAROLINA CARE CENTER 111 HARRILSON STREET CHERRYVILLE NC 28021 (704) 435-4161 345263 MACON VALLEY NURSING AND REHABILITATION CENTER 245 OLD MURPHY ROAD FRANKLIN NC 28734 (828) 524-7806 345266 ROANOKE LANDING NURSING AND REHABILITATION CENTER 1084 US 64 EAST PLYMOUTH NC 27962 (252) 793-2100 345267 POPLAR HEIGHTS CENTER 804 SOUTH POPLAR STREET ELIZABETHTOWN NC 28337 (910) 862-8100 345268 AUTUMN CARE OF MARSHVILLE 311 W PHIFER STREET MARSHVILLE NC 28103 (704) 624-6643 345269 AUTUMN CARE OF SALISBURY 1505 BRINGLE FERRY ROAD SALISBURY NC 28146 (704) 637-5885 345270 BRIAN CTR HEALTH & REHAB/SPRUC 218 LAUREL CREEK COURT SPRUCE PINE NC 28777 (828) 765-7312 345273 KINDRED HOSPITAL EAST GREENSBORO 2401 SOUTH SIDE BOULEVARD GREENSBORO NC 27406 (336) 271-2800 345277 WOODLAND HILL CENTER 400 VISION DRIVE ASHEBORO NC 27203 (336) 672-5450 345278 NORTHERN SURRY SNF 830 ROCKFORD STREET MOUNT AIRY NC 27030 (336) 719-7000 345281 STANLY MANOR 625 BETHANY CHURCH ROAD BOX 38 ALBEMARLE NC 28001 (980) 323-7373 345283 MOORESVILLE CENTER 550 GLENWOOD DRIVE MOORESVILLE NC 28115 (704) 664-7494 345284 THE OAKS 901 BETHESDA ROAD WINSTON SALEM NC 27103 (336) 768-2211 345285 MOUNTAIN HOME HEALTH AND REHAB 200 HERITAGE DRIVE HENDERSONVILLE NC 28739 (828) 693-5849 345289 SENTARA NURSING CENTER 3907 CARATOKE HIGHWAY BARCO NC 27917 (252) 457-0500 345291 UNIVERSAL HEALTH CARE / OXFORD 500 PROSPECT AVENUE OXFORD NC 27565 (919) 693-1531 345292 GRANTSBROOK NURSING AND REHABILITATION CENTER 290 KEEL ROAD GRANTSBORO NC 28529 (252) 745-5005 345294 AUTUMN CARE OF SHALLOTTE 237 MULBERRY STREET SHALLOTTE NC 28459 (910) 754-8858 345296 MARGATE HEALTH AND REHAB CENTER 540 WAUGH STREET JEFFERSON NC 28640 (336) 246-5581 345297 SCOTIA VILLAGE-SNF 2200 ELM DRIVE LAURINBURG NC 28352 (910) 277-2000 345301 WHITE OAK MANOR - BURLINGTON 323 BALDWIN ROAD BURLINGTON NC 27217 (336) 229-5571 345303 THE LAURELS OF GREENTREE RIDGE 70 SWEETEN CREEK ROAD ASHEVILLE NC 28803 (828) 274-7646 345304 BRIAN CENTER NURSING CARE/SHAM 2727 SHAMROCK DRIVE CHARLOTTE NC 28205 (704) 563-0886 345306 IREDELL MEMORIAL HOSPITAL INC 557 BROOKDALE DRIVE STATESVILLE NC 28677 (704) 878-4541 345313 NORTHAMPTON NURSING AND REHABILITATION CENTER HWY 305 NORTH JACKSON NC 27845 (252) 534-0131 345317 BRIAN CENTER HLTH & RETIREMENT 204 DAIRY ROAD CLAYTON NC 27520 (919) 553-8232 345318 BRUNSWICK COVE NURSING CENTER 1478 RIVER ROAD WINNABOW NC 28479 (910) 371-9894 345319 ELDERBERRY HEALTH CARE 415 ELDERBERRY LANE MARSHALL NC 28753 (828) 649-9345 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

345321 KERR LAKE NURSING AND REHABILITATION CENTER 1245 PARK AVENUE HENDERSON NC 27536 (252) 492-7021 345322 THE LAURELS OF HENDERSONVILLE 290 CLEAR CREEK ROAD HENDERSONVILLE NC 28792 (828) 692-6000 345323 BRIAN CTR HLTH & REHABILITATIO 647 S RAILROAD STREET BOX 966 WALLACE NC 28466 (910) 285-9700 345326 WILLOWBROOKE COURT SC CTR AT PLANTATION ESTATES 701 PLANTATION ESTATES DRIVE MATTHEWS NC 28105 (704) 845-6220 345328 GIVENS HEALTH CENTER 600 BARRETT LANE ASHEVILLE NC 28803 (828) 771-2900 345330 THE GRAYBRIER NURS & RETIREMENT CT 116 LANE DRIVE TRINITY NC 27370 (336) 431-8888 345331 SARDIS OAKS 5151 SARDIS ROAD CHARLOTTE NC 28270 (704) 365-4202 345332 BRIAN CENTER HEALTH AND REHAB 2501 DOWNING STREET SW WILSON NC 27895 (252) 237-6300 345333 ABBOTTS CREEK CENTER 877 HILL EVERHART ROAD LEXINGTON NC 27295 (336) 248-6644 345335 FRANKLIN OAKS NURSING AND REHABILITATION CENTER 1704 NC HIGHWAY 39 N LOUISBURG NC 27549 (919) 496-7222 345337 PEAK RESOURCES - ALAMANCE, INC 779 WOODY DRIVE GRAHAM NC 27253 (336) 228-8394 345340 MAPLE LEAF HEALTH CARE 1101 MAPLE CARE LANE STATESVILLE NC 28625 (704) 871-0705 345341 SILVER BLUFF INC 100 SILVER BLUFF DRIVE CANTON NC 28716 (828) 648-2044 345344 KINDRED NURSING & REHABILITATION-HENDERSON 280 SOUTH BECKFORD DRIVE HENDERSON NC 27536 (252) 438-6141 345345 BRIAN CENTER HEALTH & RETIREMENT/MONROE 204 OLD HIGHWAY 74 EAST MONROE NC 28112 (704) 283-3066 345349 WOODBURY WELLNESS CENTER INC 2778 COUNTRY CLUB DRIVE HAMPSTEAD NC 28443 (910) 270-1443 345350 COURTLAND TERRACE 2300 ABERDEEN BOULEVARD GASTONIA NC 28054 (704) 834-4800 345354 PINEY GROVE NURSING AND REHABILITATION CENTER 728 PINEY GROVE ROAD KERNERSVILLE NC 27284 (336) 996-4038 345355 GRAHAM HEALTHCARE AND REHABILITATION CENTER 811 SNOWBIRD ROAD ROBBINSVILLE NC 28771 (828) 479-8421 345358 LOUISBURG HEALTHCARE & REHABILITATION CENTER 202 SMOKETREE WAY LOUISBURG NC 27549 (919) 496-2188 345359 CREEKSIDE CARE & REHABILITATION CENTER 604 STOKES STREET EAST AHOSKIE NC 27910 (252) 332-2126 345362 BRIAN CENTER HEALTH & RETIREMENT/CABARRUS 250 BISHOP LANE CONCORD NC 28025 (704) 788-6400 345363 THE PRESBYTERIAN HOME OF HAWFIELDS 2502 S NC 119 MEBANE NC 27302 (336) 578-4701 345365 SIGNATURE HEALTHCARE OF KINSTON 907 CUNNINGHAM ROAD KINSTON NC 28501 (252) 527-5146 345366 GREENDALE FOREST NURSING AND REHABILITATION CENTER 1304 SE SECOND STREET SNOW HILL NC 28580 (252) 747-8126 345367 GOLDEN YEARS NURSING HOME POST OFFICE BOX 40 FALCON NC 28342 (910) 980-1271 345369 REX REHAB & NSG CARE CENTER 4420 LAKE BOONE TRAIL RALEIGH NC 27607 (919) 784-6600 345371 PRUITTHEALTH-TRENT 836 HOSPITAL DRIVE NEW BERN NC 28560 (252) 638-6001 345372 WILSON PINES NURSING AND REHABILITATION CENTER 403 CRESTVIEW AVENUE WILSON NC 27893 (252) 237-0724 345378 PRUITTHEALTH-ROCKINGHAM 804 SOUTH LONG DRIVE ROCKINGHAM NC 28379 (910) 997-4493 345383 SCOTTISH PINES REHABILITATION AND NURSING CENTER 620 JOHNS ROAD LAURINBURG NC 28352 (910) 361-4000 345384 PRUITTHEATH-FARMVILLE 4351 SOUTH MAIN STREET FARMVILLE NC 27828 (252) 753-5547 345386 WILKES REGIONAL MEDICAL CTR SN 1370 WEST D STREET NORTH WILKESBORO NC 28659 (336) 651-8100 345390 COUNTRYSIDE MANOR 7700 US 158 EAST STOKESDALE NC 27357 (336) 643-6301 345392 AMBASSADOR REHAB & HEALTHCARE CENTER 2051 COUNTY CLUB ROAD WADESBORO NC 28170 (704) 694-4106 345393 PISGAH MANOR HEALTH CARE CENTER 104 HOLCOMBE COVE ROAD CANDLER NC 28715 (828) 667-9851 345394 BROOK STONE LIVING CENTER 8990 HIGHWAY 17 SOUTH POLLOCKSVILLE NC 28573 (252) 224-0112 345395 PEAK RESOURCES-CHERRYVILLE 7615 DALLAS CHERRYVILLE HIGHWAY CHERRYVILLE NC 28021 (704) 435-6029 345396 SMOKY MOUNTAIN HEALTH AND REHABILITATION CENTER 1349 CRABTREE ROAD WAYNESVILLE NC 28785 (828) 454-9260 345400 SKYLAND CARE CENTER 193 ASHEVILLE HIGHWAY SYLVA NC 28779 (828) 586-8935 345401 WILKES SENIOR VILLAGE 204 OLD BRICKYARD ROAD NORTH WILKESBORO NC 28659 (336) 667-2020 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

345404 THREE RIVERS HEALTH AND REHAB 1403 CONNER DRIVE WINDSOR NC 27983 (252) 794-4441 345407 CROSS CREEK HEALTH CARE 1719 SWAN QUARTER ROAD SWANQUARTER NC 27885 (252) 926-2143 345408 BRIAN CENTER HEALTH AND REHABILITATION/DURHAM 6000 FAYETTEVILLE ROAD DURHAM NC 27713 (919) 544-9021 345409 PEMBROKE CENTER 310 E WARDELL DRIVE PEMBROKE NC 28372 (910) 521-1273 345413 FLESHERS FAIRVIEW HEALTH CARE 3016 CANE CREEK ROAD FAIRVIEW NC 28730 (828) 628-2800 345414 HAYMOUNT REHABILITATION & NURSING CENTER, INC 2346 BARRINGTON CIRCLE FAYETTEVILLE NC 28303 (910) 689-0150 345415 PINEVILLE REHABILITATION AND LIVING CTR 1010 LAKEVIEW DRIVE PINEVILLE NC 28134 (704) 889-2273 345419 LEXINGTON HEALTH CARE CENTER 17 CORNELIA DRIVE LEXINGTON NC 27292 (336) 242-1349 345420 ALAMANCE HEALTH CARE CENTER 1987 HILTON STREET BURLINGTON NC 27217 (336) 226-0848 345423 WILSON REHABILITATION AND NURSING CENTER 1705 SOUTH TARBORO STREET WILSON NC 27893 (252) 399-8998 345425 FAIR HAVEN HOME INC 149 FAIR HAVEN DRIVE BOSTIC NC 28018 (828) 245-9095 345428 THE LAURELS OF SALISBURY 215 LASH DRIVE SALISBURY NC 28147 (704) 637-1182 345429 PEAK RESOURCES - PINELAKE 801 PINEHURST AVENUE CARTHAGE NC 28327 (910) 947-5155 345432 WESTERN NORTH CAROLINA BAPTIST HOME 213 RICHMOND HILL DRIVE ASHEVILLE NC 28806 (828) 254-9675 345437 ECKERD LIVING CENTER 190 HOSPITAL DRIVE HIGHLANDS NC 28741 (828) 526-1315 345438 THE LAURELS OF SUMMIT RIDGE 100 RICEVILLE ROAD ASHEVILLE NC 28805 (828) 299-1110 345439 BROOKSHIRE NURSING CENTER 300 MEADOWLAND DRIVE HILLSBOROUGH NC 27278 (919) 644-6714 345441 ALEXANDRIA PLACE 1770 OAK HOLLOW ROAD GASTONIA NC 28054 (704) 853-8175 345443 OAK FOREST HEALTH AND REHABILITATION 5680 WINDY HILL DRIVE WINSTON SALEM NC 27105 (336) 776-5000 345445 GLENAIRE 4000 GLENAIRE CIRCLE CARY NC 27511 (919) 460-8095 345449 UNIVERSAL HEALTH CARE/KING 115 WHITE ROAD KING NC 27021 (336) 983-6505 345458 PEAK RESOURCES - TREYBURN 2059 TORREDGE ROAD DURHAM NC 27712 (919) 477-4474 345459 WILLOWBROOKE COURT SC CTR AT TRYON ESTATES 619 LAUREL LAKE DRIVE COLUMBUS NC 28722 (828) 894-5500 345460 GUILFORD HEALTH CARE CENTER 2041 WILLOW ROAD GREENSBORO NC 27406 (336) 272-9700 345462 THE OAKS-BREVARD 300 MORRIS ROAD BREVARD NC 28712 (828) 877-4020 345463 LIFE CARE CENTER OF HENDERSONV 400 THOMPSON STREET HENDERSONVILLE NC 28792 (828) 697-4348 345464 OAK GROVE HEALTH CARE CENTER 518 OLD US HIGHWAY 221 RUTHERFORDTON NC 28139 (828) 287-7655 345465 BAYVIEW NURSING & REHAB CENTER 3003 KENSINGTON PARK DRIVE NEW BERN NC 28560 (252) 638-1818 345467 PRESBYTERIAN ORTHOPAEDIC HOSP-TRANSITIONAL CARE 1901 RANDOLPH ROAD CHARLOTTE NC 28207 (704) 316-1625 345468 LIBERTY COMMONS REHABILITATION CENTER 121 RACINE DRIVE WILMINGTON NC 28403 (910) 452-4070 345472 SOUTHWOOD NURSING AND RETIREME 180 SOUTHWOOD DRIVE BOX 708 CLINTON NC 28328 (910) 592-8165 345474 FRIENDS HOMES WEST 6100 W FRIENDLY AVENUE GREENSBORO NC 27410 (336) 292-9952 345478 HARNETT WOODS NURSING AND REHABILITATION CENTER 604 LUCAS ROAD DUNN NC 28334 (910) 891-4600 345479 SALEMTOWNE 2000 SALEMTOWNE DRIVE WINSTON SALEM NC 27106 (336) 767-8130 345482 BROOKDALE CARRIAGE CLUB PROVIDENCE 5804 OLD PROVIDENCE ROAD CHARLOTTE NC 28226 (704) 365-8551 345483 SHAIRE NURSING CENTER 1450 SHAIRE CENTER DRIVE LENOIR NC 28645 (828) 728-6500 345484 TRANSYLVANIA REGIONAL HOSPITAL INC HOSPITAL DRIVE BREVARD NC 28712 (828) 883-5156 345487 CHERRY POINT BAY NURSING AND REHABILITATION CENTER 110 MCCOTTER BOULEVARD HAVELOCK NC 28532 (252) 444-4631 345490 AYDEN COURT NURSING AND REHABILITATION CENTER 128 SNOW HILL ROAD AYDEN NC 28513 (252) 746-8223 345491 CROATAN RIDGE NURSING AND REHABILITATION CENTER 210 FOXHALL ROAD NEWPORT NC 28570 (252) 223-2560 345493 HENDERSONVILLE HEALTH AND REHABILITATION 104 COLLEGE DRIVE FLAT ROCK NC 28731 (828) 693-8600 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

345494 PEAK RESOURCES - GASTONIA 2780 X-RAY DRIVE GASTONIA NC 28054 (704) 861-0981 345495 THE STEWART HEALTH CENTER 6920 MARCHING DUCK DRIVE CHARLOTTE NC 28210 (704) 714-5555 345496 LIBERTY COMMONS N&R ALAMANCE 791 BOONE STATION DRIVE BURLINGTON NC 27215 (336) 586-9850 345499 LITCHFORD FALLS HEALTHCARE 8200 LITCHFORD ROAD RALEIGH NC 27615 (919) 878-7772 345500 WINDSOR POINT CONTINUING CARE 1221 BROAD STREET FUQUAY VARINA NC 27526 (919) 552-4580 345503 LIBERTY COMMONS NSG & REH ROWA 4412 SOUTH MAIN STREET SALISBURY NC 28147 (704) 637-3040 345506 WHITESTONE A MASONIC AND EASTERN STAR COMMUNITY 700 SOUTH HOLDEN ROAD GREENSBORO NC 27407 (336) 299-0031 345507 AUTUMN CARE OF MYRTLE GROVE 5725 CAROLINA BEACH ROAD WILMINGTON NC 28412 (910) 792-1455 345508 REX REHAB & NURSING CARE CENTER OF APEX 911 SOUTH HUGHES STREET APEX NC 27502 (919) 363-6011 345510 TARBORO NURSING CENTER 911 WESTERN BOULEVARD TARBORO NC 27886 (252) 823-2041 345512 CYPRESS GLEN RETIREMENT COMMUN 1000 HICKORY STREET GREENVILLE NC 27858 (252) 830-0036 345513 TOWER NURSING AND REHABILITATION CENTER 3609 BOND STREET RALEIGH NC 27604 (919) 231-8113 345514 AUTUMN CARE OF NASH 1210 EASTERN AVENUE NASHVILLE NC 27856 (252) 462-0070 345515 PRUITTHEALTH-TOWN CENTER 6300 ROBERTA ROAD HARRISBURG NC 28075 (704) 455-5553 345516 CONOVER NURSING AND REHAB CTR 920 4TH STREET SOUTHWEST CONOVER NC 28613 (828) 695-8282 345518 INN AT QUAIL HAVEN VILLAGE 155 BLAKE BOULEVARD PINEHURST NC 28374 (910) 295-2294 345521 SNUG HARBOR ON NELSON BAY 272 HIGHWAY 70 SEALEVEL NC 28577 (252) 225-4411 345523 UNIVERSAL HEALTH CARE/RAMSEUR 7166 JORDON ROAD RAMSEUR NC 27316 (336) 824-8828 345525 THE GARDENS OF TAYLOR GLEN RET COM 3700 TAYLOR GLEN LANE CONCORD NC 28027 (704) 788-6510 345528 RIVER LANDING AT SANDY RIDGE 1575 JOHN KNOX DRIVE COLFAX NC 27235 (336) 668-4900 345530 PENN NURSING CENTER 618-A S MAIN STREET REIDSVILLE NC 27320 (336) 951-6000 345531 NORTH CAROLINA STATE VETERANS NURSING HOME SALISBU 1601 BRENNER AVE, BUILDNG #10 SALISBURY NC 28145 (704) 638-4200 345532 LIBERTY COMMONS NSG AND REHAB CTR OF LEE COUNTY 310 COMMERCE DRIVE SANFORD NC 27330 (919) 499-2206 345533 THE CEDARS OF CHAPEL HILL 101 GREEN CEDAR LANE CHAPEL HILL NC 27517 (919) 259-7000 345535 ADAMS FARM LIVING & REHABILITATION 5100 MACKAY ROAD JAMESTOWN NC 27282 (336) 855-5596 345538 PRUITTHEALTH-RALEIGH 2420 LAKE WHEELER ROAD RALEIGH NC 27603 (919) 755-0226 345539 THE ARBOR 300 CLYNELISH CLOSE PITTSBORO NC 27312 (919) 545-2660 345542 THE FOREST AT DUKE INC 2701 PICKETT ROAD DURHAM NC 27705 (919) 490-8000 345544 ASBURY CARE CENTER 3625 WILLARD FARROW DRIVE CHARLOTTE NC 28215 (704) 532-7000 345545 TWIN LAKES COMMUNITY MEMORY CARE 3701 WADE COBLE DRIVE BURLINGTON NC 27215 (336) 585-2400 345546 THE ROSEWOOD HEALTH CENTER 8710 CYPRESS CLUB DRIVE RALEIGH NC 27615 (919) 870-9007 345547 CAMDEN PLACE HEALTH AND REHAB, LLC 1 MARITHE COURT GREENSBORO NC 27407 (336) 852-9700 345548 ASHTON PLACE HEALTH AND REHAB 5533 BURLINGTON ROAD MCLEANSVILLE NC 27301 (336) 698-0045 345549 UNIVERSAL HEALTH CARE / BRUNSWICK 1070 OLD OCEAN HIGHWAY BOLIVIA NC 28422 (910) 755-5955 345550 WHITE OAK OF WAXHAW 700 HOWIE MINE ROAD WAXHAW NC 28173 (704) 243-7640 345552 THE SHANNON GRAY REHABILITATION & RECOVERY CENTER 2005 SHANNON GRAY COURT JAMESTOWN NC 27282 (336) 307-4729 345554 TRINITY GROVE 631 JUNCTION CREEK DRIVE WILMINGTON NC 28412 (910) 442-3000 345555 HILLCREST RALEIGH AT CRABTREE VALLEY 3830 BLUE RIDGE ROAD RALEIGH NC 27612 (919) 781-4900 345556 DEERFIELD EPISCOPAL RETIREMENT 1617 HENDERSONVELLE ROAD ASHEVILLE NC 28803 (828) 274-1531 345559 HOMESTEAD HILLS 2105 HOMESTEAD HILLS DRIVE WINSTON SALEM NC 27103 (336) 659-0386 345560 NC STATE VETERANS HOME-KINSTON 2150 HULL ROAD KINSTON NC 28504 (252) 939-8000 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

345561 UNIVERSAL HEALTH CARE/FUQUAY-VARINA 410 S JUDD PARKWAY SE FUQUAY VARINA NC 27526 (919) 577-0421 345564 SHARON TOWERS 5100 SHARON ROAD CHARLOTTE NC 28210 (704) 553-1670 345565 TRINITY ELMS 7449 FAIR OAKS DRIVE CLEMMONS NC 27012 (336) 747-1153 345566 PRUITTHEALTH-UNION POINTE 3510 WEST HIGHWAY 74 MONROE NC 28110 (704) 291-8500 345567 AUTUMN CARE OF CORNELIUS 19530 MOUNT ZION PARKWAY CORNELIUS NC 28031 (704) 997-2970 355034 TIOGA MEDICAL CENTER LTC 810 N WELO ST TIOGA ND 58852 (701) 664-3305 355036 MARIAN MANOR HEALTHCARE CENTER 604 ASH AVE E GLEN ULLIN ND 58631 (701) 348-3107 355037 ST ALOISIUS MEDICAL CENTER NURSING HOME 325 E BREWSTER ST HARVEY ND 58341 (701) 324-4651 355038 ST GERARD'S COMMUNITY OF CARE 613 1ST AVE SW HANKINSON ND 58041 (701) 242-7891 355039 GRIGGS COUNTY CARE CENTER 1200 ROBERTS AVE NE COOPERSTOWN ND 58425 (701) 797-2221 355040 LUTHER MEMORIAL HOME 750 MAIN ST E MAYVILLE ND 58257 (701) 786-3401 355041 LUTHERAN HOME OF THE GOOD SHEPHERD 1226 1ST AVE N NEW ROCKFORD ND 58356 (701) 947-2944 355042 WESTERN HORIZONS CARE CENTER 1104 HWY 12 HETTINGER ND 58639 (701) 567-2401 355044 MOUNTRAIL BETHEL HOME 615 6TH ST SE STANLEY ND 58784 (701) 628-2442 355046 GOLDEN ACRES MANOR 1 E MAIN ST CARRINGTON ND 58421 (701) 652-3117 355047 ROSEWOOD ON BROADWAY 1351 N BROADWAY FARGO ND 58102 (701) 277-7999 355048 PRINCE OF PEACE CARE CENTER 201 8TH ST N ELLENDALE ND 58436 (701) 349-3312 355049 STRASBURG NURSING HOME 409 S 3RD ST STRASBURG ND 58573 (701) 336-2651 355050 MAPLE MANOR CARE CENTER 1116 9TH AVE LANGDON ND 58249 (701) 256-2987 355051 HATTON PRAIRIE VILLAGE 950 DAKOTA AVE HATTON ND 58240 (701) 543-3102 355052 NELSON COUNTY HEALTH SYSTEM CARE CENTER 108 E NYHUS AVE MCVILLE ND 58254 (701) 322-4314 355054 SOUTHWEST HEALTHCARE SERVS 802 2ND ST NW BOWMAN ND 58623 (701) 523-3214 355057 PEMBILIER NURSING CENTER 500 DELANO AVE WALHALLA ND 58282 (701) 549-3831 355058 BAPTIST HEALTH CARE CENTER 3400 NEBRASKA DRIVE BISMARCK ND 58503 (701) 223-3040 355059 MISSOURI SLOPE LUTH CARE CTR 2425 HILLVIEW AVE BISMARCK ND 58501 (701) 223-9407 355060 SANFORD HEALTH ST VINCENT'S LIVING CENTER 1021 N 26TH ST BISMARCK ND 58501 (701) 323-1999 355061 SANFORD HILLSBORO CARE CENTER 12 3RD ST SE HILLSBORO ND 58045 (701) 636-3235 355065 SANFORD HEALTH SUNSET DRIVE CONTINUING CARE CENTER 1011 BOUNDARY ST NW MANDAN ND 58554 (701) 323-1411 355066 WISHEK LIVING CENTER 400 S 4TH ST WISHEK ND 58495 (701) 452-2333 355067 VALLEY ELDERCARE CENTER 2900 14TH AVE S GRAND FORKS ND 58201 (701) 787-7900 355068 TOWNER COUNTY LIVING CTR 701 11TH ST CANDO ND 58324 (701) 968-2600 355069 EVENTIDE HEARTLAND 620 14TH AVE NE DEVILS LAKE ND 58301 (701) 662-4905 355072 MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE 709 4TH AVE NE WATFORD CITY ND 58854 (701) 444-2331 355076 NORTHWOOD DEACONESS HEALTH CNT 4 N PARK ST NORTHWOOD ND 58267 (701) 587-6060 355077 SHEYENNE CARE CENTER 979 CENTRAL AVE N VALLEY CITY ND 58072 (701) 845-8222 355079 VILLA MARIA 3102 S UNIVERSITY DR FARGO ND 58103 (701) 293-7750 355082 AVE MARIA VILLAGE 501 19TH ST NE JAMESTOWN ND 58401 (701) 252-5660 355084 LUTHERAN SUNSET HOME 333 EASTERN AVE GRAFTON ND 58237 (701) 352-1901 355085 ELIM CARE CENTER 3534 UNIVERSITY DR S FARGO ND 58104 (701) 271-1800 355086 BETHANY ON UNIVERSITY 201 S UNIVERSITY DR FARGO ND 58103 (701) 239-3000 355087 WEDGEWOOD MANOR 804 MAIN ST W CAVALIER ND 58220 (701) 265-8453 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

355090 ST BENEDICTS HEALTH CENTER 851 4TH AVE E DICKINSON ND 58601 (701) 456-7242 355091 ASHLEY MEDICAL CENTER NURSING HOME 612 CENTER AVE N ASHLEY ND 58413 (701) 288-3433 355092 HILL TOP HOME OF COMFORT INC 95 HILL TOP DR KILLDEER ND 58640 (701) 764-5682 355093 GOOD SAMARITAN SOCIETY - BOTTINEAU 725 E 10TH ST BOTTINEAU ND 58318 (701) 228-3796 355094 GOOD SAMARITAN SOCIETY - MOHALL 602 E MAIN ST MOHALL ND 58761 (701) 756-6831 355097 GOOD SAMARITAN SOCIETY - LARIMORE 501 E FRONT ST LARIMORE ND 58251 (701) 343-6244 355099 GOOD SAMARITAN SOCIETY - MOTT 401 MILLIONAIRE AVE MOTT ND 58646 (701) 824-3222 355101 DAKOTA ALPHA 1303 27TH STREET NW MANDAN ND 58554 (701) 663-0376 355102 NAPOLEON CARE CENTER 311 E 4TH ST NAPOLEON ND 58561 (701) 754-2381 355103 FOUR SEASONS HEALTH CARE INC 483 4TH ST SW FORMAN ND 58032 (701) 724-6211 355104 GOOD SAMARITAN SOCIETY - LAKOTA 608 4TH AVE SW LAKOTA ND 58344 (701) 247-2902 355107 ST ROSE CARE CENTER 315 1ST ST SE LAMOURE ND 58458 (701) 883-5363 355108 MARYHILL MANOR 110 HILLCREST DR ENDERLIN ND 58027 (701) 437-3544 355110 ELM CREST MANOR 100 ELM AVE NEW SALEM ND 58563 (701) 843-7526 355112 WOODSIDE VILLAGE 4000 24TH AVE S GRAND FORKS ND 58201 (701) 787-7500 355113 GOOD SAMARITAN SOCIETY - ARTHUR 150 COUNTY RD 34 ARTHUR ND 58006 (701) 967-8316 355114 NORTH DAKOTA VETERANS HOME 1600 VETERANS DRIVE LISBON ND 58054 (701) 683-6500 355115 GARRISON MEM HOSP NSG FAC 407 3RD AVE SE GARRISON ND 58540 (701) 463-2275 355116 PARKSIDE LUTHERAN HOME 501 3RD AVE W LISBON ND 58054 (701) 683-5239 355117 ST ALEXIUS MEDICAL CTR TCU 900 E BROADWAY BISMARCK ND 58506 (701) 530-4894 355123 BETHANY ON 42ND 4255 30TH AVE S FARGO ND 58104 (701) 478-8900 355124 SHEYENNE CROSSINGS CARE CENTER/TCU 125 13TH AVENUE WEST WEST FARGO ND 58078 (701) 478-6100 355126 ST GABRIEL'S COMMUNITY 4580 COLEMAN STREET BISMARCK ND 58503 (701) 751-4224 365006 HILLSIDE PLAZA 18220 EUCLID AVE CLEVELAND OH 44112 (216) 486-6300 365014 BRETHREN RETIREMENT COMMUNITY 750 CHESTNUT STREET GREENVILLE OH 45331 (937) 547-8000 365020 LUTHERAN HOME 2116 DOVER CENTER RD WESTLAKE OH 44145 (440) 871-0090 365022 HOSPITALITY CENTER FOR REHABILITATION AND HEALING 1301 NORTH MONROE DRIVE XENIA OH 45385 (937) 372-4495 365033 CEDARWOOD PLAZA 12504 CEDAR ROAD CLEVELAND OH 44106 (216) 371-3600 365045 HILLEBRAND NURSING AND REHABILITATION CENTER 4320 BRIDGETOWN ROAD CINCINNATI OH 45211 (513) 574-4550 365046 MONTEFIORE HOME THE ONE DAVID N MYERS PARKWAY BEACHWOOD OH 44122 (216) 360-9080 365047 FIRST COMMUNITY VILLAGE HEALTHCARE CTR 1800 RIVERSIDE DRIVE COLUMBUS OH 43212 (614) 486-9511 365048 LIFE CARE CENTER OF WESTLAKE 26520 CENTER RIDGE RD WESTLAKE OH 44145 (440) 871-3030 365051 ROCKYNOL RETIREMENT COMMUNITY 1150 W MARKET ST AKRON OH 44313 (330) 867-2150 365066 LAKE PARK NURSING FACILITY 5100 HARROUN RD SYLVANIA OH 43560 (419) 824-1000 365071 BEACHWOOD POINTE CARE CENTER 23900 CHAGRIN BLVD BEACHWOOD OH 44122 (216) 464-1000 365076 BOWLING GREEN CARE CENTER 850 W POE ROAD BOWLING GREEN OH 43402 (419) 352-7558 365083 METROHEALTH SYSTEM 2500 METROHEALTH DRIVE CLEVELAND OH 44109 (216) 778-3792 365084 PLEASANTVIEW CARE CENTER 7377 RIDGE RD PARMA OH 44129 (440) 845-0200 365085 LIFE CARE CENTER OF MEDINA 2400 COLUMBIA RD MEDINA OH 44256 (330) 483-3131 365088 PRISTINE SENIOR LIVING & POST-ACUTE CARE OF ENGLEW 425 LAURICELLA COURT ENGLEWOOD OH 45322 (937) 836-5143 365090 WALNUT GROVE HEALTH AND REHABILITATION CENTER 1433 WALNUT STREET COSHOCTON OH 43812 (740) 623-4127 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

365093 GOOD SHEPHERD THE 622 CENTER ST ASHLAND OH 44805 (419) 289-3523 365094 MENORAH PARK CENTER FOR SENIOR 27100 CEDAR RD BEACHWOOD OH 44122 (216) 831-6500 365101 ELMWOOD HEALTHCARE CENTER AT THE SPRINGS 401 N BROADWAY ST GREEN SPRINGS OH 44836 (419) 639-2626 365109 ALTENHEIM 18627 SHURMER ROAD STRONGSVILLE OH 44136 (440) 238-3361 365114 HERITAGE MANOR JEWISH HM FOR 517 GYPSY LANE YOUNGSTOWN OH 44504 (330) 746-1076 365115 RAE-ANN WESTLAKE 28303 DETROIT RD WESTLAKE OH 44145 (440) 871-0500 365129 RUDWICK MANOR SPECIAL CARE CEN 17322 EUCLID AVE CLEVELAND OH 44112 (216) 486-2280 365162 WESLEYAN VILLAGE 807 WEST AVE ELYRIA OH 44035 (440) 284-9000 365163 NORTHCREST REHAB AND NURSING CENTER 240 NORTHCREST DRIVE NAPOLEON OH 43545 (419) 599-4070 365178 KENWOOD TERRACE CARE CENTER 7450 KELLER ROAD CINCINNATI OH 45243 (513) 793-2255 365187 PRISTINE SENIOR LIVING & POST-ACUTE CARE OF XENIA 126 WILSON DRIVE XENIA OH 45385 (937) 376-2121 365192 GREENBRIER HEALTH CENTER 6455 PEARL RD PARMA HEIGHTS OH 44130 (440) 888-5900 365196 PLEASANT RIDGE CARE CENTER 5501 VERULAM CINCINNATI OH 45213 (513) 631-1310 365202 LIMA REHAB AND NURSING CENTER 599 SOUTH SHAWNEE STREET LIMA OH 45804 (419) 227-2154 365209 GARDEN MANOR EXTENDED CARE CENTER, INC 6898 HAMILTON MIDDLETOWN ROAD MIDDLETOWN OH 45044 (513) 424-5321 365221 EDGEWOOD MANOR OF GREENFIELD I 850 NELLIE STREET GREENFIELD OH 45123 (937) 981-2165 365222 LAURELS OF NORWORTH THE 6830 NORTH HIGH STREET WORTHINGTON OH 43085 (614) 888-4553 365232 VANCREST OF ST MARY'S 1140 KNOXVILLE ROAD ST MARYS OH 45885 (419) 394-3308 365236 HOMESTEAD II 60 WOOD ST PAINESVILLE OH 44077 (440) 352-0788 365238 WAPAKONETA MANOR 1010 LINCOLN AVE WAPAKONETA OH 45895 (419) 738-3711 365246 VAN WERT MANOR 160 FOX RD VAN WERT OH 45891 (419) 238-6655 365254 VANCREST HEALTH CARE CENTER 10357 VAN WERT DECATUR ROAD VAN WERT OH 45891 (419) 238-4646 365264 O'NEILL HEALTHCARE BAY VILLAGE 605 BRADLEY RD BAY VILLAGE OH 44140 (440) 871-3474 365268 ALTERCARE OF WADSWORTH 147 GARFIELD ST WADSWORTH OH 44281 (330) 335-2555 365269 COUNTRY COURT 1076 COSHOCTON AVE MOUNT VERNON OH 43050 (740) 397-4125 365270 FIRELANDS TRANSITIONAL CARE 1912 HAYES AVE SANDUSKY OH 44870 (419) 557-7016 365278 TROY CENTER 512 CRESCENT DRIVE TROY OH 45373 (937) 335-7161 365286 CARINGTON PARK 2217 WEST AVE ASHTABULA OH 44004 (440) 964-8446 365287 ALTERCARE OF CUYAHOGA FALLS CTR FOR REHAB & NURSIN 2728 BAILEY RD CUYAHOGA FALLS OH 44221 (330) 929-4231 365289 ROSE LANE NURSING AND REHABILITATION 5425 HIGH MILL AVENUE NW MASSILLON OH 44646 (330) 833-3174 365296 FAIRLAWN REHAB AND NURSING CENTER 3558 RIDGEWOOD RD AKRON OH 44313 (330) 666-3776 365297 PAVILION THE 705 FULTON STREET SIDNEY OH 45365 (937) 492-9591 365298 SHEPHERD OF THE VALLEY - NILES 1500 MCKINLEY AVENUE NILES OH 44446 (330) 544-0771 365300 ALTERCARE POST-ACUTE REHAB CENTER 1463 TALLMADGE ROAD KENT OH 44240 (330) 296-6415 365303 LIMA MANOR 750 BROWER ROAD LIMA OH 45801 (419) 227-2611 365305 MANORCARE HEALTH SERVICES-WILLOUGHBY 37603 EUCLID AVE WILLOUGHBY OH 44094 (440) 951-5551 365309 FRIENDSHIP VILLAGE 5790 DENLINGER ROAD DAYTON OH 45426 (937) 837-5581 365316 MANORCARE HEALTH SERVICES-AKRON 1211 W MARKET ST AKRON OH 44313 (330) 867-8530 365317 SMITHVILLE WESTERN CARE CENTER 4110 EAST SMITHVILLE WESTERN ROAD WOOSTER OH 44691 (330) 345-9050 365318 ST CATHERINES MANOR OF WASHINGTON COURT HOUSE 250 GLENN AVENUE WASHINGTON COURT HOU OH 43160 (740) 335-6391 365321 OAKS OF WEST KETTERING THE 1150 WEST DOROTHY LANE KETTERING OH 45409 (937) 293-1152 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

365329 KINDRED NURSING AND REHABILITATION-COMMUNITY 175 COMMUNITY DRIVE MARION OH 43302 (740) 387-7537 365330 HEARTLAND OF WAUSEON 303 W LEGGETT ST WAUSEON OH 43567 (419) 337-3050 365331 SHELBY POINTE, INC 100 ROGERS LANE SHELBY OH 44875 (419) 347-1313 365333 BOWLING GREEN MANOR 1021 W POE RD BOWLING GREEN OH 43402 (419) 352-4694 365337 ST CATHERINE'S MANOR OF FINDLAY 2101 GREENDALE BOULEVARD FINDLAY OH 45840 (419) 422-3978 365340 MANORCARE HEALTH SERVICES-BARBERTON 85 THIRD STREET SE BARBERTON OH 44203 (330) 753-5005 365341 BRIARWOOD VILLAGE 100 DON DESCH DRIVE COLDWATER OH 45828 (419) 678-2311 365343 PRISTINE SENIOR LIVING & POST-ACUTE CARE OF WILLAR 370 E HOWARD ST WILLARD OH 44890 (419) 935-0148 365346 OTTERBEIN LEBANON RETIREMENT COMMUNITY 585 NORTH STATE ROUTE 741 LEBANON OH 45036 (513) 933-5427 365350 MAPLE KNOLL VILLAGE 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 (513) 782-2788 365351 SIGNATURE HEALTHCARE OF GALION 935 ROSEWOOD DR GALION OH 44833 (419) 468-7544 365358 MOUNT PLEASANT RETIREMENT VILLAGE 225 BRITTON LANE MONROE OH 45050 (513) 539-7391 365362 GREEN HILLS CENTER 6557 US 68 SOUTH WEST LIBERTY OH 43357 (937) 465-5065 365365 HEARTLAND OF URBANA 741 E WATER STREET URBANA OH 43078 (937) 652-1381 365368 PRISTINE SENIOR LIVING & POST-ACUTE CARE OF JAMEST 4960 US 35 EAST JAMESTOWN OH 45335 (937) 675-3311 365374 HEARTLAND OF BEAVERCREEK 1974 NORTH FAIRFIELD ROAD BEAVERCREEK OH 45432 (937) 429-1106 365375 MEADOWBROOK CARE CENTER 8211 WELLER ROAD CINCINNATI OH 45242 (513) 489-2444 365377 CELINA MANOR 1001 MYERS ROAD CELINA OH 45822 (419) 586-6645 365380 AUTUMNWOOD CARE CENTER 670 E SR 18 TIFFIN OH 44883 (419) 447-7151 365381 WICKLIFFE COUNTRY PLACE 1919 BISHOP RD WICKLIFFE OH 44092 (440) 944-9400 365385 GALION POINTE, INC 925 WAGNER AVE GALION OH 44833 (419) 468-1090 365387 BRIAR HILL HEALTH CAMPUS 600 STERLING DR NORTH BALTIMORE OH 45872 (419) 257-2421 365389 LAURELS OF DEFIANCE THE 1701 S JEFFERSON AVE DEFIANCE OH 43512 (419) 782-7879 365393 HEARTLAND OF JACKSON 8668 STATE ROUTE 93 JACKSON OH 45640 (740) 286-5026 365402 ALTERCARE OF ALLIANCE CTR FOR REHAB & NC INC 11750 KLINGER AVENUE NE ALLIANCE OH 44601 (330) 823-8263 365405 RICHLAND MANOR NURSING HOME 7400 SWANEY ROAD BLUFFTON OH 45817 (419) 643-3161 365406 PLEASANT VIEW HEALTH CARE CENTER 401 SNYDER AVE BARBERTON OH 44203 (330) 745-6028 365407 MEADOWS OF KALIDA 755 OTTAWA STREET KALIDA OH 45853 (419) 532-2961 365410 MAYFAIR VILLAGE NURSING CARE C 3000 BETHEL RD COLUMBUS OH 43230 (614) 889-6320 365416 WESTMINSTER THURBER COMMUNITY 717 NEIL AVENUE COLUMBUS OH 43215 (614) 228-8888 365423 MOUNT WASHINGTON CARE CENTER 6900 BEECHMONT AVENUE CINCINNATI OH 45230 (513) 231-4561 365424 SOUTHBROOK CARE CENTER 2299 S YELLOW SPRINGS STREET SPRINGFIELD OH 45506 (937) 322-3436 365427 LOVELAND HEALTH CARE CENTER 501 NORTH SECOND STREET LOVELAND OH 45140 (513) 605-6000 365430 GAYMONT NURSING CENTER 66 NORWOOD AVE NORWALK OH 44857 (419) 668-8258 365431 JENKINS MEMORIAL HEALTH FACILITY 142 JENKINS MEMORIAL ROAD WELLSTON OH 45692 (740) 384-2119 365432 DIPLOMAT HEALTHCARE 9001 W 130TH ST NORTH ROYALTON OH 44133 (440) 237-3104 365436 MOTHER ANGELINE MCCRORY MANOR 5199 EAST BROAD STREET COLUMBUS OH 43213 (614) 751-5700 365437 VANCREST OF URBANA, INC 2380 ST RT 68 S URBANA OH 43078 (937) 653-5291 365444 HILL VIEW RETIREMENT CENTER 1610 28TH STREET PORTSMOUTH OH 45662 (740) 354-3135 365445 BEECHWOOD HOME FOR INCURABLES 2140 POGUE AVENUE CINCINNATI OH 45208 (513) 321-9294 365447 BROOKVIEW HEALTHCARE CENTER 214 HARDING STREET DEFIANCE OH 43512 (419) 784-1014 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

365448 REST HAVEN NURSING HOME INC 1096 NORTH OHIO STREET GREENVILLE OH 45331 (937) 548-1138 365452 PEARLVIEW REHAB & WELLNESS CTR 4426 HOMESTEAD DR BRUNSWICK OH 44212 (330) 225-9121 365453 HEARTLAND OF OREGON 3953 NAVARRE AVE OREGON OH 43616 (419) 698-4521 365454 GREENEWOOD MANOR 711 DAYTON-XENIA ROAD XENIA OH 45385 (937) 562-7550 365455 IVY WOODS CARE CENTER 2025 WYOMING AVENUE CINCINNATI OH 45205 (513) 251-2557 365456 CIRCLEVILLE CENTER 1155 ATWATER AVENUE CIRCLEVILLE OH 43113 (740) 477-1695 365458 WOOD HAVEN HEALTH CARE SENIOR LIVING & REHAB 1965 E GYPSY LANE RD BOWLING GREEN OH 43402 (419) 353-8411 365461 MUSKINGUM SKILLED NURSING & REHABILITATION 501 PINECREST DRIVE BEVERLY OH 45715 (740) 984-4262 365462 OAK HILLS NURSING AND REHAB 4307 BRIDGETOWN ROAD CHEVIOT OH 45211 (513) 598-8000 365466 HEATH NURSING CARE CENTER 717 SOUTH 30TH STREET HEATH OH 43056 (740) 522-1171 365470 LLANFAIR RETIREMENT COMMUNITY 1701 LLANFAIR AVENUE CINCINNATI OH 45224 (513) 681-4230 365478 FAIRHAVEN COMMUNITY 850 S MARSEILLES AVENUE UPPER SANDUSKY OH 43351 (419) 294-4973 365482 ALTERCARE OF NAVARRE CTR FOR REHAB & NRSG CARE 517 PARK STREET NW NAVARRE OH 44662 (330) 879-2765 365485 FLINT RIDGE NRSG & REHAB CTR 1450 WEST MAIN STREET NEWARK OH 43055 (740) 344-9465 365488 FAIRVIEW SKILLED NURSING AND R 4420 SOUTH AVENUE TOLEDO OH 43615 (419) 531-4201 365489 EDGEWOOD MANOR NURSING CENTER 1330 S FULTON ST PORT CLINTON OH 43452 (419) 734-5506 365490 PRISTINE SENIOR LIVING &POST-ACUTE CARE OF HIGHLAN 1578 SHERMAN AVENUE NORWOOD OH 45212 (513) 351-0153 365492 HOMESTEAD I 164 LIBERTY ST PAINESVILLE OH 44077 (440) 357-6181 365493 BETHANY VILLAGE 6451 FAR HILLS AVENUE DAYTON OH 45459 (937) 436-6841 365494 CHAPEL HILL COMMUNITY 12200 STRAUSSER ST NW CANAL FULTON OH 44614 (330) 854-4177 365496 ARBORS AT WOODSFIELD 37930 AIRPORT ROAD WOODSFIELD OH 43793 (740) 472-1678 365498 OTTAWA CO RIVERVIEW NURSING HO 8180 W STATE RT 163 OAK HARBOR OH 43449 (419) 898-2851 365504 WESLEY GLEN HEALTH SERVICES CORP 5155 NORTH HIGH STREET COLUMBUS OH 43214 (614) 888-7492 365505 VILLAGE GREEN HEALTH CAMPUS 1315 KITCHEN AID WAY GREENVILLE OH 45331 (937) 548-1993 365506 DOROTHY LOVE RETIREMENT COMMUN 3003 WEST CISCO ROAD SIDNEY OH 45365 (937) 498-2391 365508 WELCOME NURSING HOME 417 SOUTH MAIN STREET OBERLIN OH 44074 (440) 775-1491 365510 BETHESDA CARE CENTER 600 N BRUSH ST FREMONT OH 43420 (419) 334-9521 365519 BELLE MANOR NURSING HOME 107 NORTH PIKE STREET NEW CARLISLE OH 45344 (937) 845-3561 365523 ARBORS AT OREGON 904 ISAAC STREETS DRIVE OREGON OH 43616 (419) 691-2483 365529 GARDEN PARK HEALTH CARE CENTER 3536 WASHINGTON AVE CINCINNATI OH 45229 (513) 751-4900 365530 PRISTINE SENIOR LIVING & POST-ACUTE CARE OF CINCIN 5999 BENDER ROAD CINCINNATI OH 45233 (513) 922-1440 365532 HEARTLAND OF GREENVILLE 243 MARION DRIVE GREENVILLE OH 45331 (937) 548-3141 365533 JOSHUA TREE CARE CENTER 27500 MILL RD NORTH OLMSTED OH 44070 (440) 777-8444 365535 HEARTLAND OF PERRYSBURG 10540 FREMONT PIKE RD PERRYSBURG OH 43551 (419) 874-3578 365538 FRIENDS EXTENDED CARE CENTER 150 EAST HERMAN STREET YELLOW SPRINGS OH 45387 (937) 767-7363 365541 HERITAGE THE 2820 GREENACRE DR FINDLAY OH 45840 (419) 424-1808 365545 BRIARFIELD AT ASHLEY CIRCLE 5291 ASHLEY CIRCLE YOUNGSTOWN OH 44515 (330) 793-3010 365551 CLOVERNOOK HEALTH CARE PAVILION 7025 CLOVERNOOK AVENUE CINCINNATI OH 45231 (513) 605-4000 365552 LAURELS OF BLANCHESTER, THE 839 EAST CHERRY STREET BLANCHESTER OH 45107 (937) 783-4911 365554 GLEN MEADOWS 3472 HAMILTON MASON ROAD HAMILTON OH 45011 (513) 863-3100 365555 O'BRIEN MEMORIAL HEALTH CARE C 563 BROOKFIELD AVE SE MASURY OH 44438 (330) 448-2557 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

365556 PICKAWAY MANOR CARE CENTER 391 CLARK DRIVE CIRCLEVILLE OH 43113 (740) 474-6036 365557 HEARTLAND OF EATON 515 SOUTH MAPLE STREET EATON OH 45320 (937) 456-5537 365558 WELLINGTON MANOR 2923 HAMILTON MASON ROAD HAMILTON OH 45011 (513) 863-0360 365560 FRIENDSHIP VILLAGE OF DUBLIN 6000 RIVERSIDE DR DUBLIN OH 43017 (614) 764-1600 365562 MADEIRA HEALTH CARE CENTER 6940 STIEGLER LANE CINCINNATI OH 45243 (513) 561-6400 365566 HERITAGE CENTER FOR REHAB AND SPECIALITY CARE 24 NORTH HAMILTON STREET MINSTER OH 45865 (419) 628-2396 365574 CRANDALL MEDICAL CENTER 800 S 15TH ST SEBRING OH 44672 (330) 938-6126 365575 ST CATHERINE'S C C OF FOSTORIA 25 CHRISTOPHER DR FOSTORIA OH 44830 (419) 435-8112 365577 HEARTLAND OF MARYSVILLE 755 SOUTH PLUM STREET MARYSVILLE OH 43040 (937) 644-8836 365581 FAIRMOUNT HEALTH CENTER 36855 RIDGE RD WILLOUGHBY OH 44094 (440) 942-4342 365583 VILLA CAMILLUS THE 10515 E RIVER RD COLUMBIA STATION OH 44028 (440) 236-5091 365587 ABBYSHIRE PLACE SKILLED NSG & REHAB CTR 311 BUCKRIDGE ROAD BIDWELL OH 45614 (740) 446-7150 365588 ARCADIA VALLEY SKILLED NURSING AND REHABILITATION 25675 EAST MAIN STREET COOLVILLE OH 45723 (740) 667-3156 365592 CONTINENTAL MANOR NURS AND REHABILITATION CENTER 820 EAST CENTER STREET BLANCHESTER OH 45107 (937) 783-4949 365598 LAURELS OF WEST CARROLLTON THE 115 ELMWOOD CIRCLE WEST CARROLLTON OH 45449 (937) 866-3814 365600 LOST CREEK HEALTH CARE AND REHABILITATION CENTER 804 SOUTH MUMAUGH ROAD LIMA OH 45804 (419) 225-9040 365603 MERCY FRANCISCAN AT WEST PARK 2950 WEST PARK DRIVE CINCINNATI OH 45238 (513) 451-8900 365605 MILCREST NURSING CENTER 730 MILCREST DRIVE MARYSVILLE OH 43040 (937) 642-1026 365607 HEARTLAND OF PIQUA 275 KIENLE DRIVE PIQUA OH 45356 (937) 773-9346 365608 ARISTOCRAT BEREA NURSING HOME 255 FRONT STREET BEREA OH 44017 (440) 243-4000 365612 SUMMIT ACRES NURSING HOME 44565 SUNSET ROAD CALDWELL OH 43724 (740) 732-2364 365615 HEARTLAND OF BELLEFONTAINE 221 NORTH SCHOOL STREET BELLEFONTAINE OH 43311 (937) 599-5123 365616 HEARTLAND OF KETTERING 3313 WILMINGTON PIKE KETTERING OH 45429 (937) 298-8084 365617 HEARTLAND OF WATERVILLE 8885 BROWNING DRIVE WATERVILLE OH 43566 (419) 878-8523 365618 PRESIDENTIAL CENTER 524 JAMES WAY MARION OH 43302 (740) 389-6306 365619 HEARTLAND OF BUCYRUS 1170 W MANSFIELD STREET BUCYRUS OH 44820 (419) 562-9907 365621 HEARTLAND OF HILLSBORO 1141 NORTHVIEW DRIVE HILLSBORO OH 45133 (937) 393-5766 365625 ALTERCARE OF BUCYRUS CENTER FO 1929 WHETSTONE STREET BUCYRUS OH 44820 (419) 562-7644 365626 PRISTINE SENIOR LIVING & POST-ACUTE CARE OF BELLBR 1957 NORTH LAKEMAN DRIVE BELLBROOK OH 45305 (937) 848-7800 365627 LAURELS OF HUBER HEIGHTS THE 5440 CHARLESGATE ROAD HUBER HEIGHTS OH 45424 (937) 236-6707 365628 S.E.M. HAVEN HEALTH CARE CENTER 225 CLEVELAND AVENUE MILFORD OH 45150 (513) 248-1270 365632 MAJORA LANE CTR FOR REHAB & NSG CARE INC 105 MAJORA LANE MILLERSBURG OH 44654 (330) 674-4444 365638 JEFFERSON HEALTHCARE CENTER 222 E BEECH ST JEFFERSON OH 44047 (440) 576-0060 365639 KINGSTON OF VERMILION 4210 TELEGRAPH LANE VERMILION OH 44089 (440) 967-1800 365645 NORTHRIDGE HEALTH CENTER, INC 35990 WESTMINSTER AVE NORTH RIDGEVILLE OH 44039 (440) 327-8511 365646 KINGSTON OF ASHLAND 20 AMBERWOOD PKWY ASHLAND OH 44805 (419) 289-3859 365648 PRISTINE SENIOR LIVING & POST-ACUTE CARE OF MIDDLE 4400 VANNEST AVENUE MIDDLETOWN OH 45042 (513) 422-5600 365650 MERCY - MCAULEY CENTER 906 SCIOTO ST URBANA OH 43078 (937) 653-5432 365651 LIVINGSTON CARE CENTER 20 LIVINGSTON AVENUE DAYTON OH 45403 (937) 476-1000 365652 COTTINGHAM RETIREMENT COMMUNITY 3995 COTTINGHAM DRIVE CINCINNATI OH 45241 (513) 563-3600 365654 AUSTINWOODS REHAB HEALTH CARE 4780 KIRK RD AUSTINTOWN OH 44515 (330) 792-7681 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

365656 LAURELS OF NEW LONDON THE 204 W MAIN ST NEW LONDON OH 44851 (419) 929-1563 365661 HEIGHTS CARE AND REHAB CENTER, THE 2801 E ROYALTON RD BROADVIEW HEIGHTS OH 44147 (440) 526-4770 365668 NORWALK MEMORIAL HOME 272 BENEDICT AVE NORWALK OH 44857 (419) 668-8101 365671 WORTHINGTON CHRISTIAN VILLAGE 165 HIGHBLUFFS BLVD COLUMBUS OH 43235 (614) 846-6076 365680 HICKORY CREEK AT HICKSVILLE 401 FOUNTAIN STREET HICKSVILLE OH 43526 (419) 542-7795 365682 SALEM REGIONAL MEDICAL CENTER-SNF 1995 EAST STATE STREET SALEM OH 44460 (330) 332-7434 365685 O'NEILL HEALTHCARE NORTH RIDGEVILLE 38600 CENTER RIDGE RD NORTH RIDGEVILLE OH 44039 (440) 327-1295 365686 COLUMBUS HEALTHCARE CENTER 4301 CLIME ROAD NORTH COLUMBUS OH 43228 (614) 276-4400 365688 SABER SKILLED NURSING UNIT AT BARBERTON 155 FIFTH ST NE BARBERTON OH 44203 (330) 745-1611 365689 ARBORS AT FAIRLAWN THE 575 S CLEVELAND MASSILLON ROAD FAIRLAWN OH 44333 (330) 666-5866 365693 WESTERN HILLS RETIREMENT VILLAGE 6210 CLEVES WARSAW PIKE CINCINNATI OH 45233 (513) 941-0099 365694 SIGNATURE HEALTHCARE OF CHILLICOTHE 60 MARIETTA ROAD CHILLICOTHE OH 45601 (740) 772-5900 365695 DOYLESTOWN HEALTH CARE CENTER 95 BLACK DRIVE DOYLESTOWN OH 44230 (330) 658-2061 365702 CENTURY OAK CARE CENTER 7250 OLD OAK BLVD MIDDLEBURG HEIGHTS OH 44130 (440) 243-7888 365706 PLEASANT LAKE VILLA 7260 RIDGE RD PARMA OH 44129 (440) 842-2273 365711 CHARDON CENTER 620 WATER STREET CHARDON OH 44024 (440) 285-9400 365712 BROOKWOOD RETIREMENT COMMUNITY 12100 REED HARTMAN HIGHWAY CINCINNATI OH 45241 (513) 605-2002 365713 KINDRED TRANSITIONAL CARE & REHAB-LAKEMED 70 NORMANDY DR PAINESVILLE OH 44077 (440) 357-1311 365714 ST LEONARD HCC 8100 CLYO ROAD CENTERVILLE OH 45458 (937) 436-6340 365715 ST MARY'S ALZHEIMER'S CENTER 1899 GARFIELD RD COLUMBIANA OH 44408 (330) 549-9259 365716 GRAFTON OAKS NURSING AND REHABILITATION CENTER 405 GRAFTON AVENUE DAYTON OH 45406 (937) 276-4040 365717 CONVALARIUM AT INDIAN RUN THE 6430 POST RD DUBLIN OH 43016 (614) 761-1188 365718 ARBORS AT STREETSBORO 1645 MAPLEWOOD DR STREETSBORO OH 44241 (330) 626-3031 365721 OVERBROOK CENTER 333 PAGE STREET MIDDLEPORT OH 45760 (740) 992-6472 365723 DRAKE CENTER INC 151 WEST GALBRAITH ROAD CINCINNATI OH 45216 (513) 418-2121 365724 TRINITY SKILLED CARE CENTER 380 SUMMIT AVENUE STEUBENVILLE OH 43952 (740) 283-7080 365725 LAURELS OF HILLIARD THE 5471 SCIOTO DARBY ROAD HILLIARD OH 43026 (614) 876-7356 365727 PEBBLE CREEK 670 JARVIS RD AKRON OH 44319 (330) 645-0200 365731 EAST PARK CARE CENTER 8 EAST PARK CIRCLE BROOK PARK OH 44142 (216) 267-7229 365732 MERIDIAN ARMS LIVING CENTER 650 S MERIDIAN ROAD YOUNGSTOWN OH 44509 (330) 792-7799 365733 ST MARGARET HALL INC 1960 MADISON ROAD CINCINNATI OH 45206 (513) 751-5880 365735 KOESTER PAVILION 3232 NORTH COUNTY ROAD 25A TROY OH 45373 (937) 440-7663 365738 HEARTLAND OF WOODRIDGE 3801 WOODRIDGE BOULEVARD FAIRFIELD OH 45014 (513) 874-9933 365739 HEATHER KNOLL RETIREMENT VILLAGE 1134 NORTH AVE TALLMADGE OH 44278 (330) 688-8600 365740 ASTORIA PLACE OF CLYDE, LLC 700 HELEN STREET CLYDE OH 43410 (419) 547-9595 365742 NATIONAL CHURCH RESIDENCES BRISTOL VILLAGE 444 CHERRY ST WAVERLY OH 45690 (740) 947-2113 365743 WRIGHT NURSING AND REHAB CTR 829 YELLOW SPRINGS - FAIRFIELD RD FAIRBORN OH 45324 (937) 878-7046 365744 ROSELAWN MANOR 420 EAST FOURTH STREET SPENCERVILLE OH 45887 (419) 647-4115 365745 SWANTON VALLEY CENTER 401 W AIRPORT HWY SWANTON OH 43558 (419) 825-1111 365746 BRENTWOOD HEALTH CARE CENTER 907 AURORA RD SAGAMORE HILLS OH 44067 (330) 468-2273 365749 LAKEWOOD HOSPITAL SKILLED NURS 14519 DETROIT AVE LAKEWOOD OH 44107 (216) 529-7005 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

365750 SOMERSET HEALTH AND REHABILITATION CTR 411 SOUTH COLUMBUS STREET SOMERSET OH 43783 (740) 743-2924 365752 FOUNDATION PARK CARE CENTER 1621 S BYRNE RD TOLEDO OH 43614 (419) 385-3958 365755 COLONIAL MANOR HEALTH CARE CEN 747 S MT VERNON AVE LOUDONVILLE OH 44842 (419) 994-4191 365756 WHITEHOUSE COUNTRY MANOR 11239 WATERVILLE ST WHITEHOUSE OH 43571 (419) 877-5338 365757 BROADVIEW MULTI CARE CENTER 5520 BROADVIEW RD PARMA OH 44134 (216) 749-4010 365762 AVON OAKS NURSING HOME 37800 FRENCH CREEK RD AVON OH 44011 (440) 934-5204 365763 ARBORS AT MIFFLIN 1600 CRIDER RD MANSFIELD OH 44903 (419) 589-7611 365767 OAK GROVE CENTER 620 E WATER ST DESHLER OH 43516 (419) 278-6921 365769 WILLOWS AT WILLARD THE 1050 NEAL ZICK ROAD WILLARD OH 44890 (419) 935-6511 365772 EASTGATE HEALTH CARE CENTER 4400 GLEN ESTE WITHAMSVILLE ROAD CINCINNATI OH 45245 (513) 752-3710 365773 LINCOLN PARK MANOR 694 ISAAC PRUGH WAY KETTERING OH 45429 (937) 297-4300 365774 MEDINA MEADOWS REHAB AND NURSING CENTRE 550 MINER DR MEDINA OH 44256 (330) 725-1550 365775 HEALTHCARE CENTER AT THE FORUM 4590 KNIGHTSBRIDGE BLVD COLUMBUS OH 43214 (614) 451-6766 365776 COUNTRY VIEW OF SUNBURY 14961 N OLD 3C HIGHWAY SUNBURY OH 43074 (740) 965-3984 365777 TRINITY COMMUNITY 3218 INDIAN RIPPLE ROAD BEAVERCREEK OH 45440 (937) 426-8481 365781 COMMUNITY CARE CENTER 200 EAST STATE STREET ALLIANCE OH 44601 (330) 596-7600 365783 ASSUMPTION VILLAGE THE 9800 MARKET STREET NORTH LIMA OH 44452 (330) 549-0740 365784 WASHINGTON SQUARE HEALTHCARE CENTER 202 WASHINGTON STREET NW WARREN OH 44483 (330) 399-8997 365785 WILLOWOOD CARE CENTER OF BRUNSWICK 1186 HADCOCK RD BRUNSWICK OH 44212 (330) 225-3156 365786 VILLA GEORGETOWN SKILLED NURSING & REHAB CENTER 8065 DR FAUL ROAD GEORGETOWN OH 45121 (937) 378-4178 365787 ELISABETH SEV PRENTISS CTR FOR 3525 SCRANTON ROAD CLEVELAND OH 44109 (216) 957-8090 365789 SANCTUARY AT WILMINGTON PLACE 264 WILMINGTON AVENUE DAYTON OH 45420 (937) 256-4663 365793 CROWN CENTER AT LAUREL LAKE 200 LAUREL LAKE DR HUDSON OH 44236 (330) 650-0681 365795 OASIS CENTER FOR REHAB AND HEALING 850 EAST MIDLOTHIAN BLVD YOUNGSTOWN OH 44507 (330) 788-3038 365798 COURTYARD AT SEASONS 7100 DEARWESTER DRIVE CINCINNATI OH 45236 (513) 984-7274 365802 MARJORIE P LEE RETIREMENT COMMUNITY 3550 SHAW AVENUE CINCINNATI OH 45208 (513) 871-2090 365807 TRANSITIONAL CARE UNIT 200 ST CLAIR STREET SAINT MARYS OH 45885 (419) 394-3335 365809 ST MARYS LIVING CENTER 1209 INDIANA AVENUE ST MARYS OH 45885 (419) 394-7611 365812 WELLSPRING HEALTH CENTER 8000 EVERGREEN RIDGE DRIVE CINCINNATI OH 45215 (513) 948-2308 365818 BAYLEY PLACE 990 BAYLEY PLACE DRIVE CINCINNATI OH 45233 (513) 347-5500 365819 DIVERSICARE OF SIENA WOODS 6125 N MAIN STREET DAYTON OH 45415 (937) 278-8211 365821 WALNUT CREEK NURSING CENTER 5070 LAMME ROAD KETTERING OH 45439 (937) 293-7703 365826 NATIONAL CHURCH RESIDENCES BATH ROAD 300 EAST BATH ROAD CUYAHOGA FALLS OH 44223 (330) 929-6272 365829 VILLA SPRINGFIELD 701 VILLA ROAD SPRINGFIELD OH 45503 (937) 399-5551 365830 BRYAN CENTER 1104 WESLEY AVENUE BRYAN OH 43506 (419) 636-5071 365833 JUDSON CARE CENTER, INC 2373 HARRISON AVENUE CINCINNATI OH 45211 (513) 662-5880 365835 MORROW MANOR NURSING CENTER ST RT 314 NORTH CHESTERVILLE OH 43317 (419) 768-2401 365836 VILLAGE AT ST EDWARD NRSG CARE 3131 SMITH RD FAIRLAWN OH 44333 (330) 666-1183 365838 HENNIS CARE CENTRE OF DOVER 1720 CROSS STREET DOVER OH 44622 (330) 364-8849 365841 VALLEY VIEW HEALTHCARE CENTER 825 JUNE STREET FREMONT OH 43420 (419) 332-0357 365844 AURORA MANOR SPECIAL CARE CENT 101 BISSELL RD AURORA OH 44202 (440) 424-4000 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

365845 RAE ANN SUBURBAN 29505 DETROIT RD WESTLAKE OH 44145 (440) 871-5181 365847 BATH MANOR SPECIAL CARE CENTRE 2330 SMITH ROAD AKRON OH 44333 (330) 836-1006 365854 GREENBRIAR NURSING CENTER THE 501 WEST LEXINGTON ROAD EATON OH 45320 (937) 456-9535 365858 BRIARWOOD THE 3700 ENGLEWOOD DRIVE STOW OH 44224 (330) 688-1828 365859 MERRIMAN OF AKRON, THE 209 MERRIMAN RD AKRON OH 44303 (330) 762-9341 365860 INDEPENDENCE HOUSE 1000 INDEPENDENCE RD FOSTORIA OH 44830 (419) 435-8505 365862 PINES, THE 3015 17TH STREET NW CANTON OH 44708 (330) 454-6508 365864 MEMORIAL GABLES 390 GABLES DRIVE MARYSVILLE OH 43040 (937) 642-3893 365865 MAIN STREET CARE CENTER 500 COMMUNITY DRIVE AVON LAKE OH 44012 (440) 930-6600 365870 JUDSON PARK 2181 AMBLESIDE RD CLEVELAND OH 44106 (216) 721-1234 365875 CRESTMONT NORTH NURSING HOME 13330 DETROIT AVE LAKEWOOD OH 44107 (216) 228-9550 365876 CARRIAGE INN OF DAYTON 5040 PHILADELPHIA DRIVE DAYTON OH 45415 (937) 278-0404 365877 RIVERSIDE NURSING AND REHABILITATION CENTER 1390 KING TREE DRIVE DAYTON OH 45405 (937) 278-0723 365878 PINE RIDGE SKILLED NURSING AND REHAB 463 EAST PIKE STREET MORROW OH 45152 (513) 899-2801 365882 SPRINGMEADE HEALTHCENTER 4375 SOUTH COUNTY ROAD 25 A TIPP CITY OH 45371 (937) 667-7500 365883 ST AUGUSTINE MANOR 7801 DETROIT AVE CLEVELAND OH 44102 (216) 634-7400 365885 CONCORD CARE AND REHABILITATION CENTER 620 W STRUB RD SANDUSKY OH 44870 (419) 626-5373 365889 LODGE CARE CENTER INC THE 9370 UNION CEMETERY ROAD LOVELAND OH 45140 (513) 677-4900 365891 LAFAYETTE POINTE NURSING & REHAB CTR 620 EAST MAIN STREET WEST LAFAYETTE OH 43845 (740) 545-6355 365894 MCV HEALTH CARE FACILITIES, INC 411 WESTERN ROW ROAD MASON OH 45040 (513) 398-1486 365896 FOX RUN MANOR 11745 TOWNSHIP ROAD 145 FINDLAY OH 45840 (419) 424-0832 365897 NEW LEBANON CARE AND REHABILITATION CENTER 101 MILLS PLACE NEW LEBANON OH 45345 (937) 687-1311 365899 OAK CREEK TERRACE INC 2316 SPRINGMILL ROAD KETTERING OH 45440 (937) 439-1454 365900 VERSAILLES HEALTH CARE CENTER 200 MARKER ROAD VERSAILLES OH 45380 (937) 526-5570 365903 LIMA MEMORIAL TRANSITIONAL CAR 1001 BELLEFONTAINE AVE LIMA OH 45804 (419) 228-3335 365907 FRANCISCAN CARE CTR SYLVANIA 4111 HOLLAND SYLVANIA RD TOLEDO OH 43623 (419) 882-6582 365917 OAKWOOD VILLAGE 1500 VILLA ROAD SPRINGFIELD OH 45503 (937) 390-9000 365920 LEBANON COUNTRY MANOR 700 MONROE ROAD LEBANON OH 45036 (513) 932-0105 365924 AMHERST MANOR NURSING HOME 175 N LAKE STREET AMHERST OH 44001 (440) 988-4415 365925 PRISTINE SENIOR LIVING & POST-ACUTE CARE OF CINCIN 315 LILIENTHAL STREET CINCINNATI OH 45204 (513) 471-8667 365927 REGINA HEALTH CENTER 5232 BROADVIEW RD RICHFIELD OH 44286 (330) 659-4161 365928 COURT HOUSE MANOR 555 NORTH GLENN AVE WASHINGTON CH OH 43160 (740) 335-9290 365934 CRESTWOOD RIDGE SKILLED NURSING AND REHAB 141 WILLETTSVILLE PIKE HILLSBORO OH 45133 (937) 393-6700 365935 MORNINGVIEW POINTE 677 MARION CARDINGTON ROAD W MARION OH 43302 (740) 389-1214 365937 BRIAR HILL HEALTH CARE RESIDEN 15950 PIERCE ST MIDDLEFIELD OH 44062 (440) 632-5241 365940 AUTUMN AEGIS NURSING HOME 1130 TOWER BLVD LORAIN OH 44052 (440) 282-6768 365942 DUAL MANOR HEALTH CARE CENTER 515 EAST MARTIN LUTHER KING DRIVE CINCINNATI OH 45229 (513) 487-6881 365943 EUCLID SUBACUTE CARE CENTER 18901 LAKE SHORE BLVD EUCLID OH 44119 (216) 692-8810 365945 CRYSTAL CARE CENTER OF MANSFIE 1159 WYANDOTTE AVE MANSFIELD OH 44906 (419) 747-2666 365946 DIVERSICARE OF ST THERESA 7010 ROWAN HILL DRIVE CINCINNATI OH 45227 (513) 271-7010 365947 HOLLY HILL NURSING HOME 10190 FAIRMOUNT RD NEWBURY OH 44065 (440) 338-8220 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

365953 OTTERBEIN ST MARYS RETIREMENT COMMUNITY 11230 STATE ROUTE 364 ST MARYS OH 45885 (419) 394-6330 365956 KENDAL AT OBERLIN 600 KENDAL DRIVE OBERLIN OH 44074 (440) 775-0094 365961 PIKETON NURSING CENTER 300 OVERLOOK DRIVE PIKETON OH 45661 (740) 289-4074 365962 GENEVA SHORES NURSING AND REHAB 60 WEST ST GENEVA OH 44041 (440) 466-1181 365963 GOOD SHEPHERD HOME 725 COLUMBUS AVE FOSTORIA OH 44830 (419) 937-1801 365967 ST RITA'S TRANSITIONAL CARE UN 730 WEST MARKET STREET LIMA OH 45801 (419) 226-9031 365968 ADMIRAL'S POINTE NURSING AND REHABILITATION 1920 CLEVELAND RD W HURON OH 44839 (419) 433-4990 365969 ANCHOR LODGE NURSING HOME INC 3756 W ERIE AVE LORAIN OH 44053 (440) 244-2019 365970 UNION CITY CARE CENTER 907 EAST CENTRAL STREET UNION CITY OH 45390 (937) 968-5284 365973 BIRCHAVEN RETIREMENT VILLAGE 15100 BIRCHAVEN LANE FINDLAY OH 45840 (419) 424-3000 365974 QUAKER HEIGHTS NURSING HOME 514 WEST HIGH STREET WAYNESVILLE OH 45068 (513) 897-6050 365975 PARK HEALTH CENTER 100 PINE AVENUE ST CLAIRSVILLE OH 43950 (740) 695-4925 365976 PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 (419) 627-2273 365979 PATRIOT RIDGE COMMUNITY 789 STONEYBROOK TRAIL FAIRBORN OH 45324 (937) 878-0262 365980 FOREST HILLS CENTER 2841 EAST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43231 (614) 891-1111 365981 FOREST VIEW CARE & REHABILITATION CENTER 323 FOREST AVENUE DAYTON OH 45405 (937) 224-0793 365982 RUFFING FAMILY CARE CTR OF BLO 22 CLINTON STREET BLOOMVILLE OH 44818 (419) 983-2021 365984 KINGSTON OF MIAMISBURG 1120 SOUTH DUNAWAY STREET MIAMISBURG OH 45342 (937) 866-9089 365988 WILLOW BROOK CHRISTIAN HOME 55 LAZELLE RD COLUMBUS OH 43235 (614) 885-3300 365990 NEW DAWN HEALTH CARE CENTER, INC 865 EAST IRON AVENUE DOVER OH 44622 (330) 343-5521 365993 ALTERCARE OF LOUISVILLE CTR FOR REHAB & NSG CARE 7187 ST FRANCIS STREET, NE LOUISVILLE OH 44641 (330) 875-4224 365994 LAURELS OF HILLSBORO 175 CHILLICOTHE AVENUE HILLSBORO OH 45133 (937) 393-1925 365995 COUNTRY LAWN CTR FOR REHAB 10608 NAVARRE ROAD SW NAVARRE OH 44662 (330) 767-3455 365996 SWAN CREEK HEALTH CARE CENTER 1650 SWAN CREEK LANE TOLEDO OH 43614 (419) 865-4445 365997 PARKVUE HEALTH CARE CENTER 3800 BOARDWALK BLVD SANDUSKY OH 44870 (419) 621-1900 365998 HOLZER SENIOR CARE CENTER 380 COLONIAL DRIVE BIDWELL OH 45614 (740) 446-5001 366000 SYCAMORE GLEN HEALTH CENTER 2175 LEITER ROAD MIAMISBURG OH 45342 (937) 384-4308 366001 HARMAR PLACE REHAB & EXTENDED CARE 401 HARMAR STREET MARIETTA OH 45750 (740) 376-5600 366002 CRESTLINE NURSING CENTER 327 WEST MAIN STREET CRESTLINE OH 44827 (419) 683-3255 366004 KENSINGTON AT ANNA MARIA 849 NORTH AURORA ROAD AURORA OH 44202 (330) 562-3120 366011 ALTERCARE OF MENTOR 9901 JOHNNYCAKE RIDGE RD MENTOR OH 44060 (440) 357-7900 366012 COUNTRY MEADOWS CARE CENTER 4910 ALGIRE RD BELLVILLE OH 44813 (419) 886-3922 366016 MAIN STREET TERRACE CARE CENTER 1318 E MAIN STREET LANCASTER OH 43130 (740) 653-8767 366017 ARCADIA ACRES INC 20017 STATE ROUTE 93 SOUTH LOGAN OH 43138 (740) 385-2461 366022 MANOR AT PERRYSBURG 250 MANOR DRIVE PERRYSBURG OH 43551 (419) 874-0306 366023 TWIN TOWERS 5343 HAMILTON AVENUE CINCINNATI OH 45224 (513) 853-2919 366025 MT HEALTHY CHRISTIAN HOME 8097 HAMILTON AVENUE CINCINNATI OH 45231 (513) 931-5000 366027 ALTERCARE OF HARTVILLE CTR FOR 1420 SMITH KRAMER ROAD HARTVILLE OH 44632 (330) 877-2666 366031 MILL MANOR CARE CENTER 983 EXCHANGE ST VERMILION OH 44089 (440) 967-6614 366032 HILTY MEMORIAL HOME INC 304 HILTY DRIVE PANDORA OH 45877 (419) 384-3218 366033 SIDNEY CARE CENTER 510 BUCKEYE STREET SIDNEY OH 45365 (937) 492-3171 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

366037 BOWERSTON HILLS NURSING & REHABILITATION 9076 CUMBERLAND ROAD BOWERSTON OH 44695 (740) 269-4000 366039 POINT PLACE CARE AND REHABILITATION CENTER 6101 N SUMMIT ST TOLEDO OH 43611 (419) 727-7870 366040 HILLANDALE HEALTH CARE 4195 HAMILTON MASON ROAD HAMILTON OH 45011 (513) 777-1400 366042 SPRING MEADOWS EXTENDED CARE F 1125 CLARION AVE HOLLAND OH 43528 (419) 866-6124 366043 CARLISLE MANOR HEALTH CARE INC 730 HILLCREST DRIVE CARLISLE OH 45005 (937) 746-2662 366044 GARDENS OF PAULDING THE 199 COUNTY ROAD 103 PAULDING OH 45879 (419) 399-4940 366045 JENNINGS HALL 10204 GRANGER ROAD GARFIELD HEIGHTS OH 44125 (216) 581-2900 366047 RAE ANN GENEVA 839 W MAIN STREET GENEVA OH 44041 (440) 466-5733 366048 ASHTABULA COUNTY MEDICAL CENTE 2420 LAKE AVENUE ASHTABULA OH 44004 (440) 997-6710 366049 HANNA HOUSE SKILLED NURSING CE 11100 EUCLID AVE CLEVELAND OH 44106 (216) 844-1262 366050 OTTERBEIN-CRIDERSVILLE 100 RED OAK DRIVE CRIDERSVILLE OH 45806 (419) 645-5114 366051 OAKS AT NORTHPOINTE 3291 NORTHPOINTE DRIVE ZANESVILLE OH 43701 (740) 452-3000 366053 BERKELEY SQUARE RETIREMENT CEN 100 BERKELEY DRIVE HAMILTON OH 45013 (513) 856-8600 366057 SOUTHERN HILLS HEALTH AND REHA 19530 BAGLEY ROAD MIDDLEBURG HEIGHTS OH 44130 (440) 816-7500 366058 RAE-ANN WEST PARK 4650 ROCKY RIVER DR CLEVELAND OH 44135 (216) 267-5445 366068 ORCHARD VILLA 2841 MUNDING DRIVE OREGON OH 43616 (419) 697-4100 366071 MT ALVERNA HOME INC 6765 STATE ROAD PARMA OH 44134 (440) 843-7800 366073 SWANTON HEALTH CARE RETIREMENT 214 S MUNSON RD SWANTON OH 43558 (419) 825-1145 366074 AULTMAN TRANSITIONAL CARE CENTER 2821 WOODLAWN AVENUE NW CANTON OH 44708 (330) 479-4800 366076 OHIO EASTERN STAR HLTH CARE CTR THE 1451 GAMBIER ROAD MOUNT VERNON OH 43050 (740) 397-1706 366077 CANTON HEALTH CARE CENTER 1223 MARKET AVENUE N CANTON OH 44714 (330) 454-2152 366078 LAURELS OF MASSILLON, THE 2000 SHERMAN CIRCLE NE MASSILLON OH 44646 (330) 830-9988 366079 ELIZA JENNINGS HOME 10603 DETROIT AVENUE CLEVELAND OH 44102 (216) 226-0282 366080 CHESTERWOOD VILLAGE 8073 TYLERSVILLE ROAD WEST CHESTER OH 45069 (513) 777-1400 366084 VANCREST HEALTH CARE CENTER OF EATON 1600 PARK AVENUE EATON OH 45320 (937) 456-3010 366087 VISTA CENTER, THE 100 VISTA DRIVE LISBON OH 44432 (330) 424-5852 366092 BURTON HEALTH CARE CENTER 14095 E CENTER ST BURTON OH 44021 (440) 834-1084 366093 PARK VILLAGE HEALTH CARE CENTER INC 1525 CRATER AVENUE DOVER OH 44622 (330) 364-4436 366097 FULTON MANOR NURSING & REHAB C 723 SOUTH SHOOP AVENUE WAUSEON OH 43567 (419) 335-2017 366099 SPRINGFIELD NURSING & INDEPENDENT LIVING 404 E MCCREIGHT AVE SPRINGFIELD OH 45503 (937) 399-8311 366102 ST FRANCIS HOME INC 182 ST FRANCIS AVE TIFFIN OH 44883 (419) 447-2723 366103 WELSH HOME THE 22199 CENTER RIDGE RD ROCKY RIVER OH 44116 (440) 331-0420 366104 ESSEX OF SALEM II 250 CONTINENTAL DRIVE SALEM OH 44460 (330) 337-9503 366106 FAIRFAX HEALTH CARE CENTER 9014 CEDAR AVE CLEVELAND OH 44106 (216) 795-1363 366107 REST HAVEN NURSING HOME 2274 MCDERMOTT POND CREEK ROAD MCDERMOTT OH 45652 (740) 259-2838 366108 DAYVIEW CARE CENTER INC 1885 N DAYTON LAKEVIEW RD NEW CARLISLE OH 45344 (937) 845-8219 366109 WOODLAND COUNTRY MANOR INC 4166 SOMERVILLE RD SOMERVILLE OH 45064 (513) 523-4449 366110 CRAWFORD MANOR HEALTHCARE CENTER 1802 CRAWFORD RD CLEVELAND OH 44106 (216) 795-5710 366116 SPRINGFIELD MASONIC COMMUNITY 3 MASONIC DRIVE SPRINGFIELD OH 45501 (937) 525-3000 366117 RUFFING FAMILY CARE CTR OF TIF 2320 W COUNTY RD 6 TIFFIN OH 44883 (419) 447-4662 366118 ELMS RETIREMENT VILLAGE INC 136 S MAIN ST WELLINGTON OH 44090 (440) 647-2414 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

366120 CEDAR VILLAGE 5467 CEDAR VILLAGE DRIVE MASON OH 45040 (513) 754-3100 366124 BLOSSOM HILL CARE CENTER 12496 PRINCETON RD HUNTSBURG OH 44046 (440) 635-5567 366125 LAURELS OF SHANE HILL 10731 STATE ROUTE 118 ROCKFORD OH 45882 (419) 363-2620 366131 BELLEVUE CARE CENTER ONE AUDRICH SQUARE BELLEVUE OH 44811 (419) 483-6225 366135 MOHUN HEALTH CARE CENTER 2340 AIRPORT DR COLUMBUS OH 43219 (614) 416-6132 366142 MILL RUN CARE CENTER 3399 MILL RUN DRIVE HILLIARD OH 43026 (614) 527-3000 366143 ADAMS COUNTY MANOR 10856 STATE ROUTE 41 WEST UNION OH 45693 (937) 544-2205 366144 MENNONITE MEMORIAL HOME 410 W ELM STREET BLUFFTON OH 45817 (419) 358-1015 366148 SUNSET HOUSE 4020 INDIAN RD TOLEDO OH 43606 (419) 536-4645 366149 WILLIAMS CO HILLSIDE COUNTRY L 09 876 COUNTY RD 16 BRYAN OH 43506 (419) 636-4508 366151 DAYSPRING OF MIAMI VALLEY HLTH CARE CENTER & REHAB 8001 DAYTON SPRINGFIELD ROAD FAIRBORN OH 45324 (937) 864-5800 366152 WEST VIEW HEALTHY LIVING 1715 MECHANICSBURG ROAD WOOSTER OH 44691 (330) 264-8640 366153 TERRACE VIEW GARDENS 3904 NORTH BEND ROAD CINCINNATI OH 45211 (513) 481-2201 366155 NEW ALBANY CARE CENTER 5691 THOMPSON ROAD COLUMBUS OH 43230 (614) 855-8866 366158 MOUNT ROYAL VILLA 13900 BENNETT ROAD NORTH ROYALTON OH 44133 (440) 237-7966 366169 BLOSSOM NURSING AND REHAB CENTER 109 BLOSSOM LANE SALEM OH 44460 (330) 337-3033 366170 THE SANCTUARY AT TUTTLE CROSSING 4880 TUTTLE ROAD DUBLIN OH 43017 (614) 760-8870 366172 TOLEDO HOSPITAL TCU 2142 NORTH COVE BOULEVARD TOLEDO OH 43606 (419) 291-7440 366176 LIFE CARE CENTER OF ELYRIA 1212 SOUTH ABBE ROAD ELYRIA OH 44035 (440) 365-5200 366180 RIVERVIEW POINTE CARE CENTER 9027 COLUMBIA ROAD OLMSTED FALLS OH 44138 (440) 427-8884 366181 GRAND RAPIDS CARE CENTER 24201 W 3RD ST GRAND RAPIDS OH 43522 (419) 832-5195 366183 SEASONS NURSING AND REHAB 456 SEASONS RD STOW OH 44224 (330) 688-5553 366184 ELIZABETH SCOTT COMMUNITY 2720 ALBON RD MAUMEE OH 43537 (419) 865-3002 366185 HILLSPRING HEALTH CARE & REHAB 325 EAST CENTRAL AVENUE SPRINGBORO OH 45066 (937) 748-1100 366188 LUTHERAN HOME AT TOLEDO 131 NORTH WHEELING STREET TOLEDO OH 43605 (419) 693-0751 366189 VANCREST OF DELPHOS 1425 EAST FIFTH STREET DELPHOS OH 45833 (419) 695-2871 366194 BENNINGTON GLEN NURSING & REHA 825 STATE ROUTE 61 MARENGO OH 43334 (419) 253-0144 366196 NEWARK HILLS HEALTH AND REHABILITATION CENTER 17 FORRY STREET NEWARK OH 43055 (740) 349-8175 366197 GARDENS AT ST HENRY 522 WESTERN AVENUE SAINT HENRY OH 45883 (419) 678-9800 366198 GOLDEN YEARS NURSING CENTER 2436 OLD OXFORD ROAD HAMILTON OH 45013 (513) 893-0471 366200 HENNIS CARE CENTRE OF BOLIVAR 300 YANT STREET, NW BOLIVAR OH 44612 (330) 874-9999 366208 RESIDENCE AT HUNTINGTON COURT 350 HANCOCK AVENUE HAMILTON OH 45011 (513) 863-4218 366211 SARAH JANE LIVING CENTER 328 WEST SECOND STREET DELPHOS OH 45833 (419) 692-6618 366214 CANTERBURY VILLA OF ALLIANCE 1785 FRESHLEY AVENUE ALLIANCE OH 44601 (330) 821-4000 366215 LANFAIR CENTER FOR REHAB & NSG CARE INC 1590 CHARTWELL STREET LANCASTER OH 43130 (740) 687-5100 366216 MASON HEALTH CARE CENTER 5640 COX-SMITH ROAD MASON OH 45040 (513) 398-2881 366218 AUBURN SKILLED NURSING AND REHAB 451 VALLEY ROAD SALEM OH 44460 (330) 537-4621 366223 MOUNT NOTRE DAME HEALTH CENTER 699 EAST COLUMBIA AVENUE CINCINNATI OH 45215 (513) 821-7448 366224 GARDENS AT CELINA 1301 MYERS ROAD CELINA OH 45822 (419) 584-0100 366229 PARKSIDE VILLA 7040 HEPBURN ROAD MIDDLEBURG HEIGHTS OH 44130 (440) 260-7626 366232 WESTOVER RETIREMENT COMMUNITY 855 STAHLHEBER ROAD HAMILTON OH 45013 (513) 844-8004 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

366233 MORRIS NURSING HOME 322 SOUTH CHARITY STREET BETHEL OH 45106 (513) 734-7401 366236 GOOD SHEPHERD VILLAGE 422 NORTH BURNETT ROAD SPRINGFIELD OH 45503 (937) 322-1911 366237 WADSWORTH POINTE 540 GREAT OAKS TRAIL WADSWORTH OH 44281 (330) 336-1141 366238 VICTORIA RETIREMENT HOME 1500 SHERMAN AVENUE CINCINNATI OH 45212 (513) 631-6800 366239 CRYSTAL CARE CENTER OF ASHLAND 1251 EAST MAIN STREET ASHLAND OH 44805 (419) 281-9595 366240 WESTERN RESERVE MASONIC COMM 4931 NETTLETON ROAD MEDINA OH 44256 (330) 721-3000 366242 SUNSET VILLAGE 9640 SYLVANIA-METAMORA ROAD SYLVANIA OH 43560 (419) 724-1200 366245 FOREST GLEN HEALTH CAMPUS 2150 MONTEGO DRIVE SPRINGFIELD OH 45503 (937) 390-9913 366246 CHERITH CARE CENTER AT WILLOW BROOK 100 WILLOW BROOK WAY, SOUTH DELAWARE OH 43015 (740) 369-0048 366248 APOSTOLIC CHRISTIAN HOME INC 10680 STEINER ROAD RITTMAN OH 44270 (330) 927-1010 366249 SUNNYSLOPE NURSING HOME 102 BOYCE DRIVE BOWERSTON OH 44695 (740) 269-8001 366250 KIMES NURSING & REHAB CTR 75 KIMES LANE ATHENS OH 45701 (740) 593-3391 366251 HOME AT HEARTHSTONE, THE 8028 HAMILTON AVENUE CINCINNATI OH 45231 (513) 521-2700 366252 MEADOWS OF LEIPSIC 901 EAST MAIN STREET LEIPSIC OH 45856 (419) 943-2103 366254 OAK POINTE NURSING & REHAB CENTER 130 BUENA VISTA STREET BALTIC OH 43804 (330) 897-4311 366255 VANCREST HEALTH CARE CTR OF HO 600 JOE E BROWN ROAD HOLGATE OH 43527 (419) 264-0700 366258 SHEPHERD OF THE VALLEY HOWLAND 4100 NORTH RIVER ROAD HOWLAND OH 44484 (330) 856-9232 366263 GRACE BRETHREN VILLAGE 1010 TAYWOOD ROAD ENGLEWOOD OH 45322 (937) 836-4011 366264 BREWSTER CONVALESCENT CENTER 264 MOHICAN STREET NE BREWSTER OH 44613 (330) 767-4179 366266 ENNISCOURT NURSING CARE 13315 DETROIT AVE LAKEWOOD OH 44107 (216) 226-3858 366267 ALTERCARE OF MAYFIELD VILLAGE, INC 290 NORTH COMMONS BLVD MAYFIELD VILLAGE OH 44143 (440) 473-9411 366268 WALNUT HILLS NURSING HOME 4748 OLDE PUMP STREET WALNUT CREEK OH 44687 (330) 893-3200 366270 EAGLE POINTE SKILLED NURSING & REHAB 87 STALEY ROAD ORWELL OH 44076 (440) 437-7171 366272 O'NEILL HEALTHCARE NORTH OLMSTED 4800 CLAGUE ROAD NORTH OLMSTED OH 44070 (440) 734-9933 366273 ASTORIA PLACE OF CAMBRIDGE 8420 GEORGETOWN ROAD CAMBRIDGE OH 43725 (740) 439-4401 366277 BEL AIR CARE CENTER 2350 SOUTH CHERRY STREET ALLIANCE OH 44601 (330) 821-3939 366279 ROSARY CARE CENTER 6832 CONVENT BOULEVARD SYLVANIA OH 43560 (419) 882-2016 366282 KNOLLS OF OXFORD 6727 CONTRERAS ROAD OXFORD OH 45056 (513) 524-7980 366288 SUNRISE MANOR AND CONVALESCENT CENTER, INC 3434 STATE ROUTE 132 AMELIA OH 45102 (513) 797-5144 366289 CONCORDIA AT SUMNER 970 SUMNER PARKWAY COPLEY OH 44321 (330) 664-1000 366290 FAIRLAWN HAVEN 407 E LUTZ RD ARCHBOLD OH 43502 (419) 445-3075 366291 ASTORIA HEALTH & REHAB CENTER 300 ASTORIA ROAD GERMANTOWN OH 45327 (937) 855-2363 366292 URSULINE CENTER 4035 INDIAN ROAD TOLEDO OH 43606 (419) 536-3535 366294 HOSPITALITY HOUSE 205 ROHR AVENUE NW MASSILLON OH 44646 (330) 837-2100 366297 LIMA CONVALESCENT HOME 1650 ALLENTOWN ROAD LIMA OH 45805 (419) 224-9741 366298 ALTERCARE OF NOBLES POND, INC 7006 FULTON DRIVE, NW CANTON OH 44718 (330) 834-4800 366300 CANTON CHRISTIAN HOME 2550 CLEVELAND AVENUE NW CANTON OH 44709 (330) 456-0004 366301 HERITAGESPRING HEALTHCARE CENTER OF WEST CHESTER 7235 HERITAGESPRING DRIVE WEST CHESTER OH 45069 (513) 759-5777 366302 SHILOH SPRINGS CARE CENTER INC 3500 SHILOH SPRINGS ROAD TROTWOOD OH 45426 (937) 854-1180 366303 HIGHBANKS CARE CENTER 111 LAZELLE ROAD EAST COLUMBUS OH 43235 (614) 888-2021 366305 KINGSTON CARE CENTER OF SYLVANIA 4121 KING ROAD SYLVANIA OH 43560 (419) 517-4666 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

366308 ALGART HEALTH CARE 8902 DETROIT AVE CLEVELAND OH 44102 (216) 631-1550 366310 SARAH MOORE HEALTH CARE CENTER 26 NORTH UNION STREET DELAWARE OH 43015 (740) 362-9641 366312 LITTLE SISTERS OF THE POOR 930 SOUTH WYNN ROAD OREGON OH 43616 (419) 698-4331 366316 ARCHBISHOP LEIBOLD HOME 476 RIDDLE ROAD CINCINNATI OH 45220 (513) 281-8001 366317 GOERLICH CENTER 5320 HARROUN ROAD SYLVANIA OH 43560 (419) 824-1250 366318 ALTERCARE AT SAINT JOSEPH CENTER INC 4291 RICHMOND RD CLEVELAND OH 44122 (216) 464-1222 366319 TWIN LAKES 9840 MONTGOMERY ROAD CINCINNATI OH 45242 (513) 247-1301 366320 SHAWNEESPRING HEALTH CARE CENTER 10111 SIMONSON ROAD HARRISON OH 45030 (513) 367-7780 366324 PINE KIRK CARE CENTER 205 EAST MAIN STREET KIRKERSVILLE OH 43033 (740) 927-3209 366325 OHIO VETERANS HOME 3416 COLUMBUS AVE SANDUSKY OH 44870 (419) 625-2454 366326 GENEVA VILLAGE RETIREMENT COMMUNITY, LTD 1140 SOUTH BROADWAY GENEVA OH 44041 (440) 466-5809 366327 GLENDALE PLACE CARE CENTER 779 GLENDALE MILFORD ROAD CINCINNATI OH 45215 (513) 771-1779 366332 HOME AT TAYLOR'S POINTE 3464 SPRINGDALE ROAD CINCINNATI OH 45251 (513) 741-4888 366333 SCENIC POINTE NURSING AND REHAB CTR 8067 TOWNSHIP ROAD 334 MILLERSBURG OH 44654 (330) 674-0015 366334 BETHANY NURSING HOME, INC 626 34TH STREET, NW CANTON OH 44709 (330) 492-7171 366335 VILLA ST JOSEPH 5200 MARYMOUNT VILLAGE DRIVE GARFIELD HEIGHTS OH 44125 (216) 332-1100 366336 ELMWOOD NURSING HOME 430 N BROADWAY ST GREEN SPRINGS OH 44836 (419) 639-2581 366337 KINDRED HOSPITAL CLEVELAND SUBACUTE UNIT 11900 FAIRHILL ROAD CLEVELAND OH 44120 (216) 983-8030 366338 NATIONAL CHURCH RESIDENCES CHILLICOTHE 142 UNIVERSITY DRIVE CHILLICOTHE OH 45601 (740) 773-8107 366339 LAKE VISTA OF CORTLAND 303 NORTH MECCA STREET CORTLAND OH 44410 (330) 638-2420 366340 HARDING POINTE 340 OAK STREET MARION OH 43302 (740) 382-9500 366341 WAYNE COUNTY CARE CENTER 876 S GEYERS CHAPEL ROAD WOOSTER OH 44691 (330) 262-1786 366342 ST MARY OF THE WOODS 35755 DETROIT ROAD AVON OH 44011 (440) 937-6869 366343 MANORCARE HEALTH SERVICES - PARMA 9055 WEST SPRAGUE ROAD PARMA OH 44133 (440) 842-4967 366346 MANOR OF GRANDE VILLAGE 2610 EAST AURORA ROAD TWINSBURG OH 44087 (330) 963-3600 366347 VERANDA GARDENS & ASSISTED LIVING 11784 HAMILTON AVENUE CINCINNATI OH 45231 (513) 825-2700 366348 VENETIAN GARDENS 1650 STATE ROUTE 28 LOVELAND OH 45140 (513) 722-0700 366351 OHIO VETERANS HOME - GEORGETOWN 2003 VETERANS BLVD GEORGETOWN OH 45121 (937) 378-2900 366352 EMERALD POINTE HEALTH AND REHAB CTR 100 MICHELLI STREET BARNESVILLE OH 43713 (740) 425-5400 366354 OTTERBEIN PERRYSBURG 3525 - 3533 RIVERS EDGE DRIVE PERRYSBURG OH 43551 (419) 874-2428 366357 DOBBINS NURSING HOME INC 400 MAIN STREET NEW RICHMOND OH 45157 (513) 553-4139 366358 OTTERBEIN NORTH SHORE 9400 NORTH SHORE BLVD LAKESIDE OH 43440 (419) 798-8203 366360 VINEYARDS AT CONCORD, THE 119 WEST HIGH STREET FRANKFORT OH 45628 (740) 998-4779 366362 HUNTINGTON WOODS CARE & REHAB CENTER 27705 WESTCHESTER PARKWAY WESTLAKE OH 44145 (440) 835-5661 366364 TRIPLE CREEK RETIREMENT COMMUNITY 11230 PIPPIN ROAD CINCINNATI OH 45231 (513) 851-0601 366365 WILLOWS AT BELLEVUE 101 AUXILIARY DRIVE BELLEVUE OH 44811 (419) 483-5000 366366 PINE GROVE HEALTHCARE CENTER 840 SHERMAN STREET GENEVA OH 44041 (440) 415-0502 366367 ALTERCARE OF CANAL WINCHESTER POST-ACUTE RC 6725 THRUSH DRIVE CANAL WINCHESTER OH 43110 (614) 834-2500 366368 OTTERBEIN SPRINGBORO 9320 AVALON CIRCLE CENTERVILLE OH 45458 (937) 885-5426 366369 THORNVILLE HEALTH AND REHABILITATION CENTER 14100 ZION ROAD THORNVILLE OH 43076 (740) 246-5253 366370 MILL CREEK NURSING & REHABILITATION 900 WEDGEWOOD CIRCLE GALION OH 44833 (419) 462-0173 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

366372 KEYSTONE POINTE HEALTH AND REHABILITATION 383 OPPORTUNITY WAY LAGRANGE OH 44050 (440) 355-4616 366373 WESTLAKE VILLAGE CARE CENTER 28450 WESTLAKE VILLAGE DRIVE WESTLAKE OH 44145 (440) 892-6200 366374 ALTERCARE OF HILLIARD POST-ACUTE CENTER 4660 TRUEMAN BLVD HILLIARD OH 43026 (614) 771-4400 366375 MASTERNICK MEMORIAL HEALTH CARE CENTER 5250 WINDSOR WAY NEW MIDDLETOWN OH 44442 (330) 542-9542 366376 OTTERBEIN MIDDLETOWN 105 ATRIUM DRIVE FRANKLIN OH 45005 (513) 727-4590 366377 BROOKDALE RICHMOND HEIGHTS 562 RICHMOND ROAD RICHMOND HEIGHTS OH 44143 (216) 291-8585 366379 REHAB PAVILION AT THE WEILS 16695 CHILLICOTHE ROAD CHAGRIN FALLS OH 44023 (440) 543-4221 366382 SAYBROOK LANDING 2300 CENTER ROAD ASHTABULA OH 44004 (440) 969-1509 366383 MCGREGOR AT OVERLOOK 2187 OVERLOOK ROAD CLEVELAND OH 44106 (216) 851-8200 366384 CYPRESS POINTE HEALTH CAMPUS 600 WEST NATIONAL ROAD ENGLEWOOD OH 45322 (937) 836-3149 366385 LEGACY PLACE TWINSBURG 9928 VAIL DRIVE TWINSBURG OH 44087 (330) 405-6040 366386 DEUPREE COTTAGES 3999 ERIE AVENUE CINCINNATI OH 45208 (513) 520-4143 366387 DARBY GLENN NURSING AND REHABILITATION CENTER 4787 TREMONT CLUB DRIVE HILLIARD OH 43026 (614) 777-6001 366388 STONESPRING OF VANDALIA 4000 SINGING HILLS BVLD DAYTON OH 45414 (937) 415-8000 366389 FOREST HILLS CARE CENTER 8700 MORAN ROAD CINCINNATI OH 45244 (513) 578-6200 366390 NORTH PARK CARE CENTER 14801 HOLLAND ROAD BROOK PARK OH 44142 (216) 803-1995 366391 ASTORIA SKILLED NURSING AND REHABILITATION 3537 12TH STREET, NW CANTON OH 44708 (330) 455-5500 366392 BURBANK PARKE CARE CENTER 14976 BURBANK ROAD BURBANK OH 44214 (330) 624-1030 366393 OTTERBEIN AT MAINEVILLE 201 MARGE SCHOTT WAY MAINEVILLE OH 45039 (513) 309-5650 366395 OAKS OF BRECKSVILLE 8757 BRECKSVILLE ROAD BRECKSVILLE OH 44141 (440) 546-0643 366396 LAURELS OF ATHENS, THE 70 COLUMBUS CIRCLE ATHENS OH 45701 (740) 592-1000 366397 STERLING TRANSITIONAL SUITES 1126 ADAIR AVENUE ZANESVILLE OH 43701 (740) 452-2087 366399 COVENANT VILLAGE OF GREEN TOWNSHIP 3210 WEST FORK ROAD CINCINNATI OH 45211 (513) 605-3000 366401 HERITAGE CORNER NURSING HOME 1069 KLOTZ ROAD BOWLING GREEN OH 43402 (419) 728-7010 366402 WILLOW RIDGE OF MENNONITE HOME COMMUNITIES OF OHIO 101 WILLOW RIDGE DRIVE BLUFFTON OH 45817 (419) 358-1015 366403 BATH CREEK ESTATES 186 WEST BATH ROAD CUYAHOGA FALLS OH 44223 (330) 922-9911 366404 HERITAGE OF HUDSON 1212 WEST BARLOW ROAD HUDSON OH 44236 (330) 650-0023 366405 WOOSTER COMMUNITY HOSPITAL SNF 1761 BEALL AVENUE WOOSTER OH 44691 (330) 263-8100 366406 LAKES OF MONCLOVA HEALTH CAMPUS THE 6935 MONCLOVA ROAD MAUMEE OH 43537 (419) 866-3030 366407 AVENUE AT MEDINA 699 EAST SMITH ROAD MEDINA OH 44256 (330) 721-7001 366408 ATLANTES THE 776 OLD STATE ROUTE 74 CINCINNATI OH 45245 (513) 399-6225 366409 KINGSTON REHABILITATION OF PERRYSBURG 345 EAST BOUNDARY STREET PERRYSBURG OH 43551 (419) 873-6100 366412 MOUNT VERNON HEALTH AND REHABILITATION CENTER 1135 GAMBIER ROAD MOUNT VERNON OH 43050 (740) 392-1599 366414 COTTAGES OF CLAYTON INC THE 8212 NORTH MAIN STREET DAYTON OH 45415 (937) 280-0300 366415 CAPE MAY RETIREMENT VILLAGE 175 CAPE MAY DRIVE WILMINGTON OH 45177 (937) 382-2995 366417 FOUR SEASONS OF WASHINGTON NURSING AND REHAB 201 COURTHOUSE PARKWAY WASHINGTN C H OH 43160 (937) 238-8070 366419 HEARTLAND OF TWINSBURG 8551 DARROW ROAD TWINSBURG OH 44087 (330) 486-9402 366420 NATIONAL CHURCH RESIDENCES LEGACY VILLAGE 695 WYCLIFFE DRIVE XENIA OH 45385 (937) 372-0359 366421 FLORENTINE GARDENS 409 WARDS CORNER ROAD LOVELAND OH 45140 (513) 630-1140 366422 ELMWOOD ASSISTED LIVING & SKILLED NURSING OF FREMO 1545 FANGBONER RD FREMONT OH 43420 (419) 332-6533 366423 MEADOWS OF OTTAWA THE 147 PUTNAM PARKWAY OTTAWA OH 45875 (419) 523-4092 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

375073 MCALESTER REGIONAL HOSPITAL, SNF ONE CLARK BASS BLVD MCALESTER OK 74501 (918) 426-1800 375079 INTEGRIS BASS BAPTIST HEALTH CENTER 600 SOUTH MONROE STREET ENID OK 73701 (580) 233-2300 375083 DUNCAN REGIONAL HOSPITAL, INC. 1407 WHISENNANT DRIVE DUNCAN OK 73533 (580) 251-8740 375106 GRACE LIVING CENTER-BROOKWOOD 940 SOUTHWEST 84TH STREET OKLAHOMA CITY OK 73139 (405) 636-0626 375107 GRACE LIVING CENTER-BETHANY 7000 NORTHWEST 32ND STREET BETHANY OK 73008 (405) 789-7242 375113 GRACE LIVING CENTER-EL RENO 1901 PARKVIEW DRIVE EL RENO OK 73036 (405) 262-2833 375122 GRACE LIVING CENTER-NORMAN 201 48TH AVENUE SOUTHWEST NORMAN OK 73072 (405) 366-8800 375127 COMANCHE COUNTY MEMORIAL HOSPITAL SKILLED NURSING 3401 WEST GORE LAWTON OK 73505 (580) 355-8620 375132 YORK MANOR NURSING HOME 500 SOUTH YORK MUSKOGEE OK 74403 (918) 682-6724 375135 MANORCARE HEALTH SERVICES-SOUTHWEST 5600 SOUTH WALKER OKLAHOMA CITY OK 73109 (405) 632-7771 375140 CHECOTAH NURSING CENTER 321 SOUTHEAST 2ND STREET CHECOTAH OK 74426 (918) 473-2251 375141 GRACE LIVING CENTER-CLINTON 2400 WEST MODELLE CLINTON OK 73601 (580) 323-1110 375144 GRACE LIVING CENTER-CHICKASHA 2300 IOWA AVENUE CHICKASHA OK 73023 (405) 224-6456 375146 BROADWAY MANOR NURSING HOME 1622 EAST BROADWAY MUSKOGEE OK 74403 (918) 683-2851 375150 MEDICALODGES DEWEY 430 BARTLES ROAD DEWEY OK 74029 (918) 534-2848 375155 GRACE LIVING CENTER-NORTHEAST O K C 1921 NORTHEAST 21ST STREET OKLAHOMA CITY OK 73111 (405) 424-1449 375158 GRACE LIVING CENTER-EDMOND 2520 SOUTH RANKIN EDMOND OK 73013 (405) 341-1433 375159 THE SPRINGS, A GRACE LIVING CENTER COMMUNITY 5800 WEST OKMULGEE MUSKOGEE OK 74401 (918) 683-2914 375168 AMBASSADOR MANOR NURSING CENTER 1340 EAST 61ST STREET TULSA OK 74136 (918) 743-8978 375174 BRENTWOOD EXTENDED CARE & REHAB 841 NORTH 38TH STREET MUSKOGEE OK 74401 (918) 683-8070 375185 GRACE LIVING CENTER-TAHLEQUAH UNIVERSITY NORTHWEST 1201 NORTH VINITA AVENUE TAHLEQUAH OK 74464 (918) 456-6181 375189 GRACE LIVING CENTER-WILSHIRE & BROADWAY 505 EAST WILSHIRE BLVD OKLAHOMA CITY OK 73105 (405) 478-0531 375190 EASTGATE VILLAGE RETIREMENT CENTER 3500 HASKELL BLVD MUSKOGEE OK 74403 (918) 682-3191 375193 WESTBROOK HEALTHCARE, INC 1100 NORTH ASH STREET WAURIKA OK 73573 (580) 228-2363 375195 GRACE LIVING CENTER-WOODWARD 429 E DOWNS AVENUE WOODWARD OK 73801 (580) 256-6448 375199 HERITAGE VILLAGE NURSING HOME 801 HWY 48 NORTH HOLDENVILLE OK 74848 (405) 379-6671 375206 LINDSAY MANOR NURSING HOME 1103 WEST CHEROKEE LINDSAY OK 73052 (405) 756-4334 375207 GRACE LIVING CENTER-MANGUM 320 CAREY STREET MANGUM OK 73554 (580) 782-3346 375222 CEDAR CREEK NURSING CENTER 600 24TH AVENUE SOUTHWEST NORMAN OK 73069 (405) 329-6771 375229 RANCHWOOD NURSING CENTER 824 SOUTH YUKON PARKWAY YUKON OK 73099 (405) 354-2022 375233 CEDARCREST CARE CENTER 1306 EAST COLLEGE BROKEN ARROW OK 74012 (918) 251-3200 375238 FOUR SEASONS REHABILITATION & CARE 1212 FOUR SEASONS DRIVE DURANT OK 74701 (580) 924-5300 375246 SHAWNEE CARE CENTER 1202 WEST GILMORE SHAWNEE OK 74804 (405) 273-8043 375253 UNITED METHODIST HEALTH CARE CENTER, INC 2316 MODELLE CLINTON OK 73601 (580) 323-0912 375255 SOUTHBROOK HEALTHCARE, INC 832 ISABEL SOUTHWEST ARDMORE OK 73401 (580) 223-5901 375258 SPIRO NURSING HOME, INC. 401 SOUTH MAIN SPIRO OK 74959 (918) 962-2308 375259 GRACE LIVING CENTER-BUFFALO 111 WALNUT DRIVE BUFFALO OK 73834 (580) 735-2415 375279 HOBART NURSING & REHAB 709 NORTH LOWE HOBART OK 73651 (580) 726-3381 375290 COMMUNITY HEALTH CENTER 1153 CHEROKEE STREET WAKITA OK 73771 (580) 594-2292 375295 COMMUNITY HEALTH CARE OF GORE 503 SOUTH MAIN STREET GORE OK 74435 (918) 489-2299 375304 COWETA MANOR NURSING HOME 30049 EAST 151ST STREET SOUTH COWETA OK 74429 (918) 486-2166 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

375313 ANTLERS MANOR, LLC 511 EAST MAIN ANTLERS OK 74523 (580) 298-3294 375314 MUSCOGEE (CREEK) NATION SKILLED NURSING FACILITY 900 EAST AIRPORT ROAD OKMULGEE OK 74447 (918) 756-9211 375320 RAINBOW HEALTH CARE COMMUNITY 111 EAST WASHINGTON BRISTOW OK 74010 (918) 367-2246 375324 CHEROKEE COUNTY NURSING CENTER 1504 NORTH CEDAR AVENUE TAHLEQUAH OK 74464 (918) 456-3456 375326 MEEKER NURSING CENTER 500 NORTH DAWSON STREET MEEKER OK 74855 (405) 279-3521 375327 COLONIAL PARK MANOR, LLC 600 WEST FRONTAGE ROAD OKEMAH OK 74859 (405) 786-2266 375328 TALIHINA MANOR, LLC FIRST & EMMERT STREET TALIHINA OK 74571 (918) 567-2279 375330 FORT GIBSON NURSING HOME 205 EAST POPLAR FORT GIBSON OK 74434 (918) 478-2456 375332 WEATHERFORD LIVING CENTER 2200 NORTH LYLE ROAD WEATHERFORD OK 73096 (580) 774-1239 375333 STILWELL NURSING HOME, LLC 422 WEST LOCUST STREET STILWELL OK 74960 (918) 696-7715 375340 WALNUT GROVE LIVING CENTER 1001 SOUTH GEORGE NIGH EXPRESSWAY MCALESTER OK 74502 (918) 423-7373 375349 BELLEVUE HEALTH & REHABILITATION CENTER 6500 NORTH PORTLAND AVENUE OKLAHOMA CITY OK 73116 (405) 767-6500 375351 PARKS EDGE NURSING AND REHABILITATION CENTER 5115 EAST 51ST STREET TULSA OK 74135 (918) 627-5238 375353 GREENBRIER NURSING HOME 1119 EAST OWEN K GARRIOTT ROAD ENID OK 73701 (580) 233-0121 375359 GLENHAVEN RETIREMENT VILLAGE 3003 IOWA CHICKASHA OK 73023 (405) 224-0909 375362 SHANOAN SPRINGS NURSING AND REHABILITATION 2500 SOUTH 12TH STREET CHICKASHA OK 73018 (405) 224-1397 375366 GROVE NURSING CENTER 1503 WEST HAR-BER ROAD GROVE OK 74344 (918) 786-3223 375367 STROUD HEALTH CARE CENTER SOUTH 721 WEST OLIVE STROUD OK 74079 (918) 968-2075 375369 WAGONER HEALTH & REEHAB 205 NORTH LINCOLN AVENUE WAGONER OK 74467 (918) 485-2203 375372 CHOCTAW NATION NURSING HOME 400 SOUTHWEST O STREET ANTLERS OK 74523 (580) 298-5528 375373 PERRY GREEN VALLEY NURSING CENTER, LLC 1103 BIRCH STREET PERRY OK 73077 (580) 336-2285 375374 GOLDEN AGE NURSING HOME OF GUTHRIE, LLC 419 EAST OKLAHOMA GUTHRIE OK 73044 (405) 282-6285 375376 MUSKOGEE NURSING CENTER 602 NORTH M STREET MUSKOGEE OK 74403 (918) 682-9232 375378 SOUTHERN OAKS CARE CENTER 1401 4TH STREET PAWNEE OK 74058 (918) 762-2515 375381 BAPTIST VILLAGE OF OKLAHOMA CITY 9700 MASHBURN BLVD OKLAHOMA CITY OK 73162 (405) 721-2466 375382 BAPTIST VILLAGE OF OWASSO 12600 EAST 73RD STREET NORTH OWASSO OK 74055 (918) 272-8007 375383 GRACE LIVING CENTER-WILDEWOOD 1913 NORTHEAST 50TH STREET OKLAHOMA CITY OK 73111 (405) 427-5414 375384 NEW HOPE RETIREMENT & CARE CENTER 1220 EAST ELECTRIC BLVD MCALESTER OK 74501 (918) 423-9095 375385 PARKLAND MANOR LIVING CENTER 200 WEST PARKLAND AVENUE PRAGUE OK 74864 (405) 567-2201 375389 TULSA NURSING CENTER 10912 EAST 14TH STREET TULSA OK 74128 (918) 438-2440 375392 FOREST HILLS CARE AND REHABILITATION CENTER 4300 WEST HOUSTON BROKEN ARROW OK 74012 (918) 254-5000 375395 EUFAULA MANOR NURSING AND REHABILITATION CENTER 1033 HOSPITAL ROAD EUFAULA OK 74432 (918) 689-3211 375396 THE LAKES 5701 WEST BRITTON ROAD OKLAHOMA CITY OK 73132 (405) 773-8900 375398 BINGER NURSING AND REHABILITATION 516 NORTH BROADWAY BINGER OK 73009 (405) 656-2302 375402 HILLCREST MANOR 1210 SOUTH 6TH STREET BLACKWELL OK 74631 (580) 363-3244 375404 ENGLISH VILLAGE MANOR 1515 CANTERBURY BLVD ALTUS OK 73521 (580) 477-1133 375406 GOLDEN OAKS SENIOR LIVING 5801 NORTH OAKWOOD ROAD ENID OK 73703 (580) 249-2600 375408 THE GARDENS 1165 SOUTH BRENNER ROAD SAPULPA OK 74066 (918) 224-0600 375409 CORN HERITAGE VILLAGE AND REHAB 106 WEST ADAMS CORN OK 73024 (580) 343-2295 375410 GRAN GRANS PLACE 1110 SOUTH CORNWELL DRIVE YUKON OK 73099 (405) 350-2311 375412 PARCWAY 6312 NORTH PORTLAND OKLAHOMA CITY OK 73112 (405) 946-6932 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

375414 HASKELL CARE CENTER 405 NORTH CHOCTAW HASKELL OK 74436 (918) 482-3310 375415 MONROE MANOR 226 EAST MONROE STREET JAY OK 74346 (918) 253-4500 375416 FIRST SHAMROCK CARE CENTER 1415 SOUTH MAIN STREET KINGFISHER OK 73750 (405) 375-3157 375417 WESTHAVEN NURSING HOME 1215 SOUTH WESTERN STILLWATER OK 74074 (405) 743-1140 375420 OKEMAH CARE CENTER 112 NORTH WOODY GUTHRIE OKEMAH OK 74859 (918) 623-1126 375421 GREEN COUNTRY CARE CENTER 3601 NORTH COLUMBIA TULSA OK 74110 (918) 428-3600 375422 SKYVIEW NURSING CENTER 2200 COLTRANE ROAD OKLAHOMA CITY OK 73121 (405) 427-1322 375424 WILKINS HEALTH & REHABILITATION COMMUNITY 1205 SOUTH 4TH STREET DUNCAN OK 73533 (580) 252-3955 375425 GREGSTON NURSING HOME, INC. 711 SOUTH BROADWAY MARLOW OK 73055 (580) 658-2319 375426 MERIDIAN NURSING HOME MERIDIAN ROAD ROUTE 2 BOX 335 COMANCHE OK 73529 (580) 439-2398 375427 FAIRVIEW FELLOWSHIP HOME FOR SENIOR CITIZENS, INC 605 EAST STATE ROAD FAIRVIEW OK 73737 (580) 227-3783 375428 TUTTLE CARE CENTER 104 SOUTHEAST 4TH STREET TUTTLE OK 73089 (405) 381-3363 375429 TEMPLE MANOR NURSING HOME 100 WEST GREEN AVENUE TEMPLE OK 73568 (580) 342-6228 375431 WILLOW PARK HEALTH CARE CENTER 7019 NORTHWEST CACHE ROAD LAWTON OK 73505 (580) 536-1279 375432 SHAWNEE COLONIAL ESTATES NURSING HOME 535 WEST FEDERAL STREET SHAWNEE OK 74801 (405) 273-7661 375433 VIAN NURSING & REHAB, LLC 305 NORTH THORNTON VIAN OK 74962 (918) 773-5258 375439 PONCA CITY NURSING & REHABILITATION CENTER 1400 NORTH WAVERLY PONCA CITY OK 74601 (580) 762-6668 375440 SUNSET ESTATES OF PURCELL 915 NORTH 7TH AVENUE PURCELL OK 73080 (405) 527-2122 375443 CLEVELAND MANOR NURSING & REHAB 900 NORTH DIVISION CLEVELAND OK 74020 (918) 358-3135 375452 SOUTH PARK EAST 225 SOUTHWEST 35TH STREET OKLAHOMA CITY OK 73109 (405) 631-7444 375454 OKLAHOMA METHODIST MANOR, INC. 4134 EAST 31ST STREET TULSA OK 74135 (918) 743-2565 375457 BETTY ANN NURSING CENTER 1400 SOUTH MAIN STREET GROVE OK 74344 (918) 786-2275 375460 MONTEREAU, INC 6800 SOUTH GRANITE AVENUE TULSA OK 74136 (918) 491-5250 375463 PAULS VALLEY CARE CENTER 1413 SOUTH CHICKASAW PAULS VALLEY OK 73075 (405) 238-6411 375467 FAIRFAX MANOR 282 COUNTY ROAD 6300 FAIRFAX OK 74637 (918) 642-3234 375470 CHANDLER NURSING CENTER 601 WEST 1ST STREET CHANDLER OK 74834 (405) 258-1131 375473 EPWORTH VILLA HEALTH SERVICES 14901 NORTH PENN AVENUE OKLAHOMA CITY OK 73134 (405) 752-1200 375474 OSAGE NURSING HOME, LLC 822 WEST OSAGE NOWATA OK 74048 (918) 273-2012 375475 CHEROKEE MANOR 1100 MEMORIAL DRIVE CHEROKEE OK 73728 (580) 596-2141 375476 INVERNESS VILLAGE 3800 WEST 71ST STREET SOUTH TULSA OK 74132 (918) 481-9988 375478 SUMMERS HEALTHCARE, LLC 119 NORTH 6TH STREET OKEENE OK 73763 (580) 822-4441 375480 CRESCENT CARE CENTER 208 EAST SANDERSON STREET CRESCENT OK 73028 (405) 969-2698 375481 PAWHUSKA NURSING HOME, LLC 1228 SOUTH PECAN PAWHUSKA OK 74056 (918) 287-3940 375482 BARNSDALL NURSING HOME 411 S 4TH STREET BARNSDALL OK 74002 (918) 847-2572 375485 HENNESSEY MANOR NURSING HOME 705 EAST 3RD STREET HENNESSEY OK 73742 (405) 853-6027 375487 MCALESTER MANOR 615 EAST MORRIS STREET MCALESTER OK 74501 (918) 426-4010 375488 THE COMMONS 301 SOUTH OAKWOOD ROAD ENID OK 73706 (580) 237-6164 375490 MARLOW MANOR 702 SOUTH 9TH MARLOW OK 73055 (580) 658-5468 375491 BROADWAY LIVING CENTER 301 BROADWAY LEXINGTON OK 73051 (405) 527-6519 375493 HEARTSWORTH CENTER FOR NURSING & REHABILITATION 1200 WEST CANADIAN AVENUE VINITA OK 74301 (918) 256-8768 375495 COUNTRY CLUB CARE 1904 NORTH HIGHWAY 81 DUNCAN OK 73533 (580) 255-4600 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

375498 BRADFORD VILLAGE 906 NORTH BLVD EDMOND OK 73034 (405) 341-0810 375502 HERITAGE MANOR 3714 N PORTLAND AVE OKLAHOMA CITY OK 73112 (405) 789-7103 375505 PLANTATION VILLAGE NURSING CENTER 2610 CEDAR CREEK DRIVE ALTUS OK 73521 (580) 480-1800 375506 QUINTON MANOR 1209 WEST MAIN QUINTON OK 74561 (918) 469-2600 375510 CEDAR CREST MANOR 1700 NORTHWEST FORT SILL BLVD LAWTON OK 73507 (580) 355-1616 375511 HERITAGE PARK 6912 NORTHWEST 23RD STREET BETHANY OK 73008 (405) 789-7208 375512 MITCHELL MANOR CONVALESCENT HOME LLC 315 WEST ELECTRIC AVENUE MCALESTER OK 74501 (918) 423-4661 375514 LEXINGTON NURSING HOME, INC. 632 SOUTHEAST 3RD STREET LEXINGTON OK 73051 (405) 527-6531 375515 FAMILY CARE CENTER OF FAIRLAND 12 EAST CONNER FAIRLAND OK 74343 (918) 676-3685 375518 THE HEALTH CENTER AT CONCORDIA 7707 WEST BRITTON ROAD OKLAHOMA CITY OK 73132 (405) 720-7200 375519 CALERA MANOR, LLC 1061 NORTH ACCESS ROAD CALERA OK 74730 (580) 434-5727 375524 BEADLES NURSING HOME 916 NOBLE ALVA OK 73717 (580) 327-1274 375525 FRANCISCAN VILLA 17110 EAST 51ST STREET BROKEN ARROW OK 74012 (918) 355-1596 375526 DR W F & MADA DUNAWAY MANOR 1401 NORTH LELIA GUYMON OK 73942 (580) 338-3186 375528 SENIOR SUITES HEALTHCARE 3501 W WASHINGTON BROKEN ARROW OK 74012 (918) 250-5405 375529 EASTWOOD MANOR 6TH AND HIGHWAY 69 COMMERCE OK 74339 (918) 675-4455 375530 CORN HERITAGE VILLAGE OF WEATHERFORD AND REHAB 801 NORTH WASHINGTON WEATHERFORD OK 73096 (580) 772-3993 375531 UNIVERSITY VILLAGE RETIREMENT COMMUNITY 8555 SOUTH LEWIS AVENUE TULSA OK 74137 (918) 299-2661 375532 HENSLEY NURSING HOME HIGHWAY 152, BOX 465 SAYRE OK 73662 (580) 928-2494 375535 LATIMER NURSING HOME 103 SOUTHWEST 9TH STREET WILBURTON OK 74578 (918) 465-2255 375541 CHICKASHA NURSING CENTER, INC 2701 SOUTH 9TH STREET CHICKASHA OK 73018 (405) 224-3593 375543 MOORELAND HERITAGE MANOR 402 SOUTHEAST 6TH STREET MOORELAND OK 73852 (580) 994-5570 375545 TOWN OF VICI NURSING HOME 619 SPECK VICI OK 73859 (580) 995-4216 375546 THE VILLAGES AT SOUTHERN HILLS 5721 S LEWIS AVE TULSA OK 74105 (918) 447-6447 375548 AYERS NURSING HOME 801 B STREET SNYDER OK 73566 (580) 569-2258 375549 ADAMS PARC 6006 SE ADAMS BLVD BARTLESVILLE OK 74006 (918) 331-0550 375550 SHARE MEDICAL CENTER 730 SHARE DRIVE ALVA OK 73717 (580) 327-2800 375551 MEDICAL PARK WEST REHABILITATION & SKILLED CARE 3110 HEALTHPLEX DRIVE NORMAN OK 73072 (405) 321-2188 375553 AUTUMN WOOD MEMORY CARE 2700 NORTH HICKORY STREET CLAREMORE OK 74017 (918) 283-4949 375554 SAINT SIMEONS EPISCOPAL HOME 3701 MARTIN LUTHER KING JR BLVD TULSA OK 74106 (918) 425-3583 375555 WILLOW HAVEN NURSING HOME 1301 NORTH 5TH STREET TONKAWA OK 74653 (580) 628-2529 375556 SHERWOOD MANOR NURSING HOME 2416 WEST 51STSOUTH TULSA OK 74107 (918) 446-4284 375558 THE HIGHLANDS AT OWASSO 10098 N 123 E AVE OWASSO OK 74055 (918) 928-4800 375559 BEAVER COUNTY NURSING HOME 200 EAST 8TH STREET BEAVER OK 73932 (580) 625-4571 375560 SPANISH COVE HOUSING AUTHORITY 11 PALM STREET YUKON OK 73099 (405) 354-1901 375561 ST ANN'S HOME 9400 ST ANN'S DRIVE OKLAHOMA CITY OK 73162 (405) 728-7888 385008 PRESBYTERIAN COMMUNITY CARE CE 1085 N. OREGON STREET ONTARIO OR 97914 (541) 889-9133 385010 LAURELHURST VILLAGE REHABILITATION CENTER 3060 SE STARK STREET PORTLAND OR 97214 (503) 535-4700 385015 REGENCY GRESHAM NURSING & REHAB CENTER 5905 SE POWELL VALLEY RD GRESHAM OR 97080 (503) 665-1151 385024 AVAMERE HEALTH SERVICES OF ROGUE VALLEY 625 STEVENS STREET MEDFORD OR 97504 (541) 779-3551 385031 AVAMERE CRESTVIEW OF PORTLAND 6530 SW 30TH AVENUE PORTLAND OR 97239 (503) 244-7533 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

385045 PORTHAVEN HEALTHCARE CENTER 5330 NE PRESCOTT STREET PORTLAND OR 97218 (503) 288-6585 385046 HILLSIDE HEIGHTS REHAB CT 1201 MCLEAN BLVD. EUGENE OR 97405 (541) 683-2155 385049 COLUMBIA BASIN CARE FACILITY 1015 WEBBER ROAD THE DALLES OR 97058 (541) 296-2156 385055 PRESTIGE CARE AND REHABILITATION OF REEDWOOD 3540 SE FRANCIS STREET PORTLAND OR 97202 (503) 232-5767 385064 REGENCY CARE OF ROGUE VALLEY 1710 NE FAIRVIEW AVENUE GRANTS PASS OR 97526 (541) 479-2606 385068 VILLAGE HEALTH CARE 3955 SE 182ND AVENUE GRESHAM OR 97030 (503) 665-0183 385072 CORVALLIS MANOR 160 NE CONIFER BLVD CORVALLIS OR 97330 (541) 757-1651 385104 HOOD RIVER CARE CENTER 729 HENDERSON ROAD HOOD RIVER OR 97031 (541) 386-2688 385107 TIMBERVIEW CARE CENTER 1023 6TH AVE SW ALBANY OR 97321 (541) 926-8664 385112 WEST HILLS HEALTH & REHABILITATION CENTER 5701 SW MULTNOMAH BLVD PORTLAND OR 97219 (503) 244-1107 385120 VALLEY WEST HEALTH CARE 2300 WARREN STREET EUGENE OR 97405 (541) 686-2828 385121 FRIENDSHIP HEALTH CENTER 3320 SE HOLGATE PORTLAND OR 97202 (503) 231-1411 385125 AVAMERE REHABILITATION OF OREGON CITY 1400 DIVISION STREET OREGON CITY OR 97045 (503) 656-0367 385132 AVAMERE REHABILITATION OF KING CITY 16485 SW PACIFIC HIGHWAY TIGARD OR 97224 (503) 620-5141 385133 GOOD SAMARITAN SOCIETY - FAIRLAWN VILLAGE 3457 NE DIVISION GRESHAM OR 97030 (503) 667-1965 385137 MARQUIS PLUM RIDGE 1401 BRYANT WILLIAMS DR. KLAMATH FALLS OR 97601 (541) 882-6691 385138 PILOT BUTTE REHABILITATION CENTER 1876 NE HIGHWAY 20 BEND OR 97701 (541) 382-5531 385142 REGENCY FLORENCE 1951 E. 21ST STREET FLORENCE OR 97439 (541) 997-8436 385143 UMPQUA VALLEY NURSING & REHABILITATION CENTER 525 W. UMPQUA STREET ROSEBURG OR 97470 (541) 464-7100 385144 CLATSOP CARE CENTER 646 16TH STREET ASTORIA OR 97103 (503) 325-0313 385145 ROBISON JEWISH HEALTH CENTER 6125 SW BOUNDARY STREET PORTLAND OR 97221 (503) 535-4300 385147 GOOD SAMARITAN SOCIETY - EUGENE VILLAGE 3500 HILYARD STREET EUGENE OR 97405 (541) 687-9211 385152 COAST FORK NURSING CENTER 515 GRANT STREET COTTAGE GROVE OR 97424 (541) 942-5528 385156 GREEN VALLEY REHABILITATION HEALTH CENTER 1735 ADKINS STREET EUGENE OR 97401 (541) 683-5032 385162 AVAMERE REHABILITATION OF NEWPORT 835 SW 11TH STREET NEWPORT OR 97365 (541) 265-5356 385164 AIDAN SENIOR LIVING AT REEDSPORT 600 RANCH ROAD REEDSPORT OR 97467 (541) 271-5841 385165 GOOD SAMARITAN SOCIETY - CURRY VILLAGE 1 PARK AVENUE BROOKINGS OR 97415 (541) 469-3111 385166 MARYVILLE NURSING HOME 14645 SW FARMINGTON ROAD BEAVERTON OR 97007 (503) 643-8626 385167 SOUTH HILLS REHABILITATION CEN 1166 E. 28TH AVENUE EUGENE OR 97403 (541) 345-0534 385171 LIFE CARE CENTER OF MCMINNVILLE 1309 E. 27TH STREET MCMINNVILLE OR 97128 (503) 472-4678 385172 THE DALLES HEALTH AND REHABILITATION CENTER 1023 W. 25TH STREET THE DALLES OR 97058 (541) 298-5158 385180 MARQUIS NEWBERG 441 WERTH BLVD NEWBERG OR 97132 (503) 538-9436 385182 CRESWELL HEALTH AND REHABILITATION CENTER 735 SOUTH 2ND STREET CRESWELL OR 97426 (541) 895-3333 385183 MARQUIS CENTENNIAL POST ACUTE REHAB 725 SE 202ND AVENUE PORTLAND OR 97233 (503) 665-3118 385185 AVAMERE RIVERPARK OF EUGENE 425 ALEXANDER LOOP EUGENE OR 97401 (541) 345-6199 385187 CASCADE TERRACE 5601 SE 122ND AVENUE PORTLAND OR 97236 (503) 761-3181 385188 INDEPENDENCE HEALTH AND REHABILITATION CENTER 1525 MONMOUTH STREET INDEPENDENCE OR 97351 (503) 838-0001 385189 AVAMERE TRANSITIONAL CARE AT SUNNYSIDE 4515 SUNNYSIDE ROAD SE SALEM OR 97302 (503) 370-8284 385195 AVAMERE REHABILITATION OF BEAVERTON 11850 SW ALLEN BLVD. BEAVERTON OR 97008 (503) 646-7164 385200 WILLAMETTE VIEW HEALTH CENTER 13145 SE RIVER ROAD MILWAUKIE OR 97222 (503) 353-7000 385201 WILLOWBROOK TERRACE 707 SW 37TH STREET PENDLETON OR 97801 (541) 276-3374 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

385203 AVAMERE REHABILITATION OF CLACKAMAS 220 E. HEREFORD GLADSTONE OR 97027 (503) 656-0393 385204 MARQUIS FOREST GROVE POST ACUTE REHAB 3300 19TH AVENUE FOREST GROVE OR 97116 (503) 357-7119 385206 MENNONITE HOME 5353 COLUMBUS STREET SE ALBANY OR 97321 (541) 928-7232 385207 DALLAS RET VILLAGE HEALTH CENTER 377 NW JASPER STREET DALLAS OR 97338 (503) 623-5581 385208 MARQUIS PIEDMONT POST ACUTE REHAB 319 NE RUSSET PORTLAND OR 97211 (503) 289-5571 385211 LAGRANDE POST ACUTE REHAB 91 ARIES LANE LA GRANDE OR 97850 (541) 963-8678 385214 MARQUIS MILL PARK 1475 SE 100TH AVENUE PORTLAND OR 97216 (503) 761-1533 385217 EMPRES HILLSBORO HEALTH AND REHABILITATION CENTER 1778 NE CORNELL ROAD HILLSBORO OR 97124 (503) 648-6621 385218 MARQUIS VERMONT HILLS 6010 SW SHATTUCK ROAD PORTLAND OR 97221 (503) 246-8811 385219 CARE CENTER EAST HLTH 11325 NE WEIDLER PORTLAND OR 97220 (503) 253-1181 385221 MARQUIS OREGON CITY POST ACUTE REHAB 1680 MOLALLA AVENUE OREGON CITY OR 97045 (503) 655-2588 385222 MEADOW PARK HEALTH AND SPECIALTY 75 SHORE DRIVE SAINT HELENS OR 97051 (503) 397-2713 385228 PORTLAND HEALTH & REHABILITATION CENTER 12441 SE STARK STREET PORTLAND OR 97233 (503) 255-7040 385229 AVAMERE REHABILITATION OF JUNCTION CITY 530 BIRCH STREET JUNCTION CITY OR 97448 (541) 998-2395 385230 REGENCY REDMOND REHABILITATION AND NURSING CENTER 3025 SW RESERVOIR DRIVE REDMOND OR 97756 (541) 548-5066 385233 AVAMERE COURT AT KEIZER 5210 RIVER ROAD N. KEIZER OR 97303 (503) 393-3624 385236 TOWN CENTER VILLAGE 8607 SE CAUSEY AVENUE HAPPY VALLEY OR 97086 (503) 654-4500 385237 FERNHILL ESTATES 5737 NE 37TH AVENUE PORTLAND OR 97211 (503) 288-5967 385239 AVAMERE REHABILITATION OF COOS BAY 2625 KOOS BAY BLVD COOS BAY OR 97420 (541) 267-2161 385240 MARIAN ESTATES 390 SE CHURCH STREET SUBLIMITY OR 97385 (503) 769-3499 385242 AVAMERE TWIN OAKS OF SWEET HOME 950 NANDINA DRIVE SWEET HOME OR 97386 (541) 367-2191 385245 OREGON CITY HEALTH CARE CENTER 148 HOOD STREET OREGON CITY OR 97045 (503) 656-4035 385250 ROGUE VALLEY MANOR 1200 MIRA MAR AVENUE MEDFORD OR 97504 (541) 857-7777 385251 AVAMERE REHABILITATION OF HILLSBORO 650 SE OAK STREET HILLSBORO OR 97123 (503) 648-8588 385253 BEND TRANSITIONAL CARE 900 NE 27TH STREET BEND OR 97701 (541) 382-0479 385257 OREGON VETERANS HOME 700 VETERANS DRIVE THE DALLES OR 97058 (541) 296-7190 385258 PARK FOREST CARE CENTER 8643 NE BEECH STREET PORTLAND OR 97220 (503) 256-2151 385259 HOLLADAY PARK PLAZA 1300 NE 16TH AVENUE PORTLAND OR 97232 (503) 288-6671 385260 MARQUIS HOPE VILLAGE 1577 S IVY CANBY OR 97013 (503) 266-5541 385261 REGENCY PRINEVILLE REHABILITATION & NURSING CENTER 950 N. ELM STREET PRINEVILLE OR 97754 (541) 447-7667 385262 MARQUIS SILVER GARDENS 115 S. JAMES STREET SILVERTON OR 97381 (503) 873-5362 385265 MARY'S WOODS AT MARYLHURST 17360 HOLY NAMES DRIVE LAKE OSWEGO OR 97034 (503) 675-2004 385266 MARQUIS WILSONVILLE POST ACUTE REHAB 30900 SW PARKWAY AVENUE WILSONVILLE OR 97070 (503) 682-2840 385268 GATEWAY CARE AND RETIREMENT 39 NE 102ND AVENUE PORTLAND OR 97220 (503) 252-2461 385269 VILLAGE AT HILLSIDE 440 NW HILLSIDE PARKWAY MCMINNVILLE OR 97128 (503) 472-9534 385270 PRESTIGE POST-ACUTE & REHAB CENTER - MILWAUKIE 12045 SE STANLEY AVENUE MILWAUKIE OR 97222 (503) 659-2323 385271 PEARL AT KRUSE WAY, THE 4550 CARMAN DRIVE LAKE OSWEGO OR 97035 (503) 675-6055 385273 PIONEER NURSING HOME 1060 D STREET WEST VALE OR 97918 (541) 473-3131 385274 MIRABELLA PORTLAND 3550 SW BOND AVE PORTLAND OR 97239 (503) 245-4742 385275 SHERIDAN CARE CENTER 411 SE SHERIDAN ROAD SHERIDAN OR 97378 (503) 843-2204 385276 CASCADE MANOR 65 WEST 30TH AVENUE EUGENE OR 97405 (541) 342-5901 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

385277 LAWRENCE CONVALESCENT CTR 812 SE 48TH AVENUE PORTLAND OR 97215 (503) 236-2624 385279 MARQUIS TUALATIN POST ACUTE REHAB 19945 SW BOONES FERRY ROAD TUALATIN OR 97062 (503) 612-5400 385280 LEBANON VETERANS HOME 600 NORTH 5TH STREET LEBANON OR 97355 (541) 497-7265 395001 PASSAVANT RETIREMENT AND HEALT 105 BURGESS DRIVE ZELIENOPLE PA 16063 (724) 452-5400 395003 GOLDEN HILL NURSING AND REHAB 520 FRIENDSHIP STREET NEW CASTLE PA 16101 (412) 654-7791 395006 ST JOSEPH'S MANOR (DBA ENTITY OF HRHS) 1616 HUNTINGDON PIKE MEADOWBROOK PA 19046 (215) 938-4000 395010 NESHAMINY MANOR HOME 1660 EASTON ROAD WARRINGTON PA 18976 (215) 345-3810 395012 MENNO-HAVEN, INC. 2075 SCOTLAND AVENUE CHAMBERSBURG PA 17201 (717) 263-8545 395018 GOOD SHEPHERD HOME RAKER CENTER 601 ST JOHN STREET ALLENTOWN PA 18103 (610) 776-3136 395019 ARISTACARE AT MEADOW SPRINGS 845 GERMANTOWN PIKE PLYMOUTH MEETING PA 19462 (610) 279-7300 395020 BAPTIST HOMES OF WESTERN PENNSYLVANIA 489 CASTLE SHANNON BLVD PITTSBURGH PA 15234 (412) 563-6550 395023 PHOEBE RICHLAND HCC 108 SOUTH MAIN STREET RICHLANDTOWN PA 18955 (267) 371-4512 395032 MCMURRAY HILLS MANOR 249 WEST MCMURRAY ROAD MCMURRAY PA 15317 (724) 941-7150 395034 VINCENTIAN HOME 111 PERRYMONT ROAD PITTSBURGH PA 15237 (412) 366-5600 395041 MANORCARE HEALTH SERVICES-ERIE 3805 FIELD STREET ERIE PA 16511 (814) 898-5600 395042 SAINT MARY'S EAST 607 EAST 26TH STREET ERIE PA 16504 (814) 459-0621 395044 OAKMONT CENTER FOR NURSING & REHABILITATION 26 ANN STREET OAKMONT PA 15139 (412) 828-7300 395050 GARVEY MANOR 1037 SOUTH LOGAN BOULEVARD HOLLIDAYSBURG PA 16648 (814) 695-5571 395052 BROOMALL PRESBYTERIAN VILLAGE 146 MARPLE ROAD BROOMALL PA 19008 (610) 356-0100 395075 NEW EASTWOOD HEALTHCARE AND REHABILITATION CENTER 2125 FAIRVIEW AVENUE EASTON PA 18042 (610) 258-2801 395077 GARDEN SPRING CENTER 1113 NORTH EASTON ROAD WILLOW GROVE PA 19090 (215) 659-3060 395080 PHOEBE ALLENTOWN HEALTH CARE CENTER 1925 TURNER STREET ALLENTOWN PA 18104 (610) 794-5300 395094 BERKS HEIM NURSING & REHABILITATION 1011 BERKS ROAD LEESPORT PA 19533 (610) 376-4841 395095 BRYN MAWR TERRACE, THE 773 EAST HAVERFORD ROAD BRYN MAWR PA 19010 (610) 525-8300 395104 SAINT MARY'S VILLA NURSING HOM 516 ST. MARY'S VILLA ROAD MOSCOW PA 18444 (570) 842-7621 395105 MOSSER NURSING HOME 1175 MOSSER ROAD TREXLERTOWN PA 18087 (610) 395-5661 395109 BEAVER HEALTHCARE AND REHABILITATION CENTER 616 GOLF COURSE ROAD ALIQUIPPA PA 15001 (724) 375-0345 395110 OAKWOOD HEALTHCARE & REHABILITATION CENTER 2109 RED LION ROAD PHILADELPHIA PA 19115 (215) 673-7000 395117 LUTHERAN HOME AT TOPTON, THE ONE SOUTH HOME AVENUE TOPTON PA 19562 (610) 682-1400 395134 INGLIS HOUSE 2600 BELMONT AVENUE PHILADELPHIA PA 19131 (215) 581-0713 395135 PENNYPACK CENTER 8015 LAWNDALE AVENUE PHILADELPHIA PA 19111 (215) 725-2525 395138 MIFFLIN CENTER 500 EAST PHILADELPHIA AVENUE SHILLINGTON PA 19607 (610) 777-7841 395146 CANTERBURY PLACE 310 FISK STREET PITTSBURGH PA 15201 (412) 622-9000 395158 THE GROVE AT GREENVILLE 110 FREDONIA ROAD GREENVILLE PA 16125 (724) 588-8090 395164 ST JOHN SPECIALTY CARE CENTER P O BOX 928 500 WITTENBERG WAY MARS PA 16046 (724) 625-1571 395171 WESTMINSTER VILLAGE 803 NORTH WAHNETA ST ALLENTOWN PA 18103 (610) 782-8300 395173 WESTGATE HILLS REHABILITATION AND NURSING CTR 2050 OLD WEST CHESTER PIKE HAVERTOWN PA 19083 (610) 449-8600 395176 AMBLER EXTENDED CARE CENTER 32 SOUTH BETHLEHEM PIKE AMBLER PA 19002 (215) 646-7050 395180 CORNWALL MANOR BOYD STREET CORNWALL PA 17016 (717) 273-2647 395182 ST JOHN NEUMANN CTR FOR REHAB & HEALTHCARE 10400 ROOSEVELT AVENUE PHILADELPHIA PA 19116 (215) 698-5600 395188 BUCKINGHAM VALLEY REHAB & NURSING CENTER 820 DURHAM ROAD P.O. BOX 447 BUCKINGHAM PA 18912 (215) 598-7181 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

395194 FOX SUBACUTE CENTER 2644 BRISTOL ROAD WARRINGTON PA 18976 (215) 343-2700 395197 THE GROVE AT NEW WILMINGTON 520 NEW CASTLE STREET NEW WILMINGTON PA 16142 (724) 946-3511 395200 GOLDEN LIVINGCENTER-WALNUT CREEK 4850 ZUCK ROAD ERIE PA 16506 (814) 453-6641 395202 BROOMALL MANOR 43 CHURCH LANE BROOMALL PA 19008 (610) 356-3003 395206 SARAH REED SENIOR LIVING 227 WEST 22ND STREET ERIE PA 16502 (814) 878-2600 395208 BELAIR HEALTH AND REHABILITATION CENTER 100 LITTLE ROAD LOWER BURRELL PA 15068 (724) 339-1071 395221 DONAHOE MANOR 136 DONAHOE MANOR ROAD BEDFORD PA 15522 (814) 623-9075 395224 HAMILTON ARMS CENTER 336 SOUTH WEST END AVENUE LANCASTER PA 17603 (717) 393-0419 395226 SPRUCE MANOR NURSING AND REHAB 220 S. FOURTH AVENUE WEST READING PA 19611 (610) 374-5175 395227 BROOKSIDE HEALTHCARE & REHABILITATION CENTER 2630 WOODLAND ROAD ROSLYN PA 19001 (215) 884-6776 395228 CHARLES COLE MEMORIAL HOSPITAL 1001 EAST SECOND STREET COUDERSPORT PA 16915 (814) 274-9300 395235 FOULKEWAYS AT GWYNEDD 1120 MEETINGHOUSE ROAD GWYNEDD PA 19436 (215) 643-2200 395237 WYOMISSING HEALTH AND REHABILITATION CENTER 1000 EAST WYOMISSING BLVD READING PA 19611 (610) 376-3991 395244 SAINT PAUL HOMES 339 EAST JAMESTOWN ROAD GREENVILLE PA 16125 (724) 588-7610 395247 GOLDEN LIVINGCENTER-GETTYSBURG 741 CHAMBERSBURG ROAD GETTYSBURG PA 17325 (717) 334-6764 395250 HOLY FAMILY MANOR 1200 SPRING STREET BETHLEHEM PA 18018 (610) 865-5595 395251 MANORCARE HEALTH SERVICES-SHADYSIDE 5609 FIFTH AVENUE PITTSBURGH PA 15232 (412) 362-3500 395252 GOLDEN LIVINGCENTER-YORK TERRACE 2401 WEST MARKET STREET POTTSVILLE PA 17901 (570) 622-3982 395256 GOLDEN LIVINGCENTER-LANSDALE 25 WEST FIFTH STREET LANSDALE PA 19446 (215) 855-9765 395258 SILVER LAKE CENTER 905 TOWER ROAD BRISTOL PA 19007 (215) 785-3201 395262 GOLDEN LIVINGCENTER-WESTERN RESERVE 1521 WEST 54TH STREET ERIE PA 16509 (814) 864-0671 395264 MANORCARE HEALTH SERVICES-WEST ALLEN 535 NORTH 17TH STREET ALLENTOWN PA 18104 (610) 432-4351 395276 SUMMIT AT BLUE MOUNTAIN NURSING & REHAB CTR, THE 211 NORTH 12TH STREET LEHIGHTON PA 18235 (610) 377-7206 395277 GOLDEN LIVINGCENTER-DOYLESTOWN 432 MAPLE STREET DOYLESTOWN PA 18901 (215) 345-1452 395278 SAINT JOSEPH VILLA 110 WEST WISSAHICKON AVE FLOURTOWN PA 19031 (215) 836-4179 395298 GUARDIAN HEALTHCARE AND REHABILITATION CENTER 147 OLD NEWPORT STREET NANTICOKE PA 18634 (570) 735-7300 395300 WEXFORD HEALTHCARE CENTER 9850 OLD PERRY HIGHWAY WEXFORD PA 15090 (412) 366-7900 395307 KENDAL AT LONGWOOD BOX 100 KENNETT SQUARE PA 19348 (610) 388-7001 395311 BRYN MAWR EXTENDED CARE CENTER 956 RAILROAD AVENUE BRYN MAWR PA 19010 (610) 525-8412 395316 ST LUKE'S REHABILITATION AND NURSING CENTER 360 WEST RUDDLE STREET COALDALE PA 18218 (570) 645-8208 395321 RYDAL PARK OF PHILADELPHIA PRS 1515 FAIRWAY RYDAL PA 19046 (215) 885-6800 395324 LITTLE FLOWER MANOR OF DIOCESE 200 S. MEADE STREET WILKES BARRE PA 18702 (570) 823-6131 395325 MORAVIAN MANOR 300 WEST LEMON STREET LITITZ PA 17543 (717) 626-0214 395328 BRETHREN VILLAGE 3001 LITITZ PIKE LANCASTER PA 17606 (717) 569-2657 395329 WILLIAM HOOD DUNWOODY CARE CTR 3500 WEST CHESTER PIKE NEWTOWN SQUARE PA 19073 (215) 359-4401 395333 GUTHRIE TOWANDA MEMORIAL HOSPITAL SKILLED NURSING 91 HOSPITAL DRIVE TOWANDA PA 18848 (570) 268-2239 395335 GOLDEN LIVINGCENTER-WILLIAM PENN 163 SUMMIT DRIVE LEWISTOWN PA 17044 (717) 248-3941 395336 QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITY 625 ROBERT FULTON HIGHWAY QUARRYVILLE PA 17566 (717) 786-7321 395338 IMMACULATEMARYCENTER FOR REHABILITATION&HEALTHCARE 2990 HOLME AVENUE PHILADELPHIA PA 19136 (215) 335-2100 395341 ELK HAVEN NURSING HOME 785 JOHNSONBURG ROAD SAINT MARYS PA 15857 (814) 234-2618 395343 STONERIDGE TOWNE CENTRE 7 WEST PARK AVENUE MYERSTOWN PA 17067 (717) 866-6541 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

395346 TOWNE MANOR WEST 205 EAST JOHNSON HIGHWAY NORRISTOWN PA 19401 (610) 275-6410 395349 CALVARY FELLOWSHIP HOMES INC 502 ELIZABETH DRIVE LANCASTER PA 17601 (717) 393-0711 395351 MANORCARE HEALTH SERVICES-WEST READING NORTH 425 BUTTONWOOD STREET WEST READING PA 19611 (610) 373-5166 395354 SILVER STREAM CENTER 905 PENLLYN PIKE SPRING HOUSE PA 19477 (215) 646-1500 395356 GUY AND MARY FELT MANOR, INC 110 EAST FOURTH STREET EMPORIUM PA 15834 (814) 486-3736 395360 GERMANTOWN HOME 6950 GERMANTOWN AVENUE PHILADELPHIA PA 19119 (215) 848-3306 395363 GOLDEN LIVINGCENTER-KINZUA 205 WATER STREET WARREN PA 16365 (814) 726-0820 395365 SPANG CREST MANOR 945 DUKE STREET LEBANON PA 17042 (717) 274-1495 395366 PINE RUN HEALTH CENTER 777 FERRY ROAD DOYLESTOWN PA 18901 (215) 340-5200 395370 LUTHER WOODS NURSING AND REHABILITATION CENTER 313 COUNTY LINE ROAD HATBORO PA 19040 (215) 675-5005 395380 SAUNDERS HOUSE 100 LANCASTER AVENUE WYNNEWOOD PA 19096 (610) 658-5100 395381 VALENCIA WOODS AT ST BARNABAS 85 CHARITY PLACE VALENCIA PA 16059 (724) 625-4000 395386 BETHANY VILLAGE RETIREMENT CENTER 5225 WILSON LANE MECHANICSBURG PA 17055 (717) 766-0279 395387 FULTON COUNTY MEDICAL CENTER 214 PEACH ORCHARD ROAD MCCONNELLSBURG PA 17233 (717) 485-3155 395388 CROSSLANDS PO BOX 100 RT 926 KENNETT SQUARE PA 19348 (610) 388-1441 395390 NOTTINGHAM VILLAGE 58 NEITZ ROAD NORTHUMBERLAND PA 17857 (570) 473-8366 395391 ASBURY HEALTH CENTER 700 BOWER HILL ROAD PITTSBURGH PA 15243 (412) 341-1030 395393 EPWORTH HEALTHCARE AND REHABILITATION CENTER 951 WASHINGTON AVENUE TYRONE PA 16686 (814) 684-0320 395401 BALL PAVILION, THE 5416 EAST LAKE ROAD ERIE PA 16511 (814) 899-8600 395402 MANORCARE HEALTH SERVICES-POTTSTOWN 724 NORTH CHARLOTTE ST POTTSTOWN PA 19464 (610) 323-1837 395405 QUAKERTOWN CENTER 1020 SOUTH MAIN STREET QUAKERTOWN PA 18951 (215) 536-9300 395406 LUTHER ACRES MANOR 400 SAINT LUKE DR LITITZ PA 17543 (717) 626-6884 395408 LAUREL CENTER 125 HOLLY ROAD HAMBURG PA 19526 (610) 562-2284 395409 BRIARLEAF NURSING AND CONVAL C 252 BELMONT AVENUE DOYLESTOWN PA 18901 (215) 348-2983 395413 WESLEY ENHANCED LIVING PENNYPACK PARK 8401 ROOSEVELT BOULEVARD PHILADELPHIA PA 19152 (215) 624-5800 395416 ROSEWOOD REHABILITATION & NURSING CENTER 401 UNIVERSITY DRIVE SCHUYLKILL HAVEN PA 17972 (570) 385-0331 395427 LUTHERAN HOME AT HOLLIDAYSBURG 916 HICKORY STREET HOLLIDAYSBURG PA 16648 (814) 696-4527 395429 MANORCARE HEALTH SERVICES-BETHLEHEM (2021) 2021 WESTGATE DRIVE BETHLEHEM PA 18017 (610) 865-6077 395430 DUBOIS NURSING HOME P O BOX 307 DUBOIS PA 15801 (814) 375-9100 395432 TWINING HALL 280 MIDDLE HOLLAND ROAD HOLLAND PA 18966 (215) 322-6100 395433 GOLDEN LIVINGCENTER-TUNKHANNOCK 30 VIRGINIA DRIVE TUNKHANNOCK PA 18657 (570) 836-5166 395437 LEBANON VALLEY BRETHREN HOME 1200 GRUBB STREET PALMYRA PA 17078 (717) 838-5406 395438 SPIRITRUST LUTHERAN THE VILLAGE AT SHREWSBURY 200 LUTHER ROAD SHREWSBURY PA 17361 (717) 235-6895 395445 MESSIAH LIFEWAYS AT MESSIAH VILLAGE 100 MOUNT ALLEN DRIVE MECHANICSBURG PA 17055 (717) 697-4666 395448 BUCKTAIL MEDICAL CENTER 1001 PINE STREET RENOVO PA 17764 (570) 923-1000 395454 PARKHOUSE NURSING AND REHABILITATION CENTER 1600 BLACK ROCK ROAD ROYERSFORD PA 19468 (610) 948-8800 395459 CRESTVIEW CENTER 262 TOLL GATE ROAD LANGHORNE PA 19047 (215) 968-4650 395461 TUCKER HOUSE NURSING AND REHABILITATION CENTER 1001-11 WALLACE STREET PHILADELPHIA PA 19123 (215) 235-1600 395465 CEDARBROOK NURSING HOMES 350 S. CEDARBROOK ROAD ALLENTOWN PA 18104 (610) 395-3727 395467 CATHEDRAL VILLAGE 600 EAST CATHEDRAL ROAD PHILADELPHIA PA 19128 (215) 487-1300 395471 ARMSTRONG COUNTY HEALTH CENTER 265 SOUTH MCKEAN STREET KITTANNING PA 16201 (724) 548-2222 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

395472 MANORCARE HEALTH SERVICES-LEBANON 900 TUCK STREET LEBANON PA 17042 (717) 273-8595 395473 PENNSWOOD VILLAGE ROUTE 413 NEWTOWN PA 18940 (215) 968-9110 395474 ELMWOOD GARDENS 2628 ELMWOOD AVENUE ERIE PA 16508 (814) 864-4802 395475 HOMELAND CENTER 1901 NORTH FIFTH STREET HARRISBURG PA 17102 (717) 221-7900 395476 GRACEDALE - NORTHAMPTON COUNTY GRACEDALE AVENUE NAZARETH PA 18064 (610) 746-1900 395477 MANORCARE HEALTH SERVICES-LAURELDALE 2125 ELIZABETH AVENUE LAURELDALE PA 19605 (610) 921-9292 395478 PHILADELPHIA NURSING HOME GIRARD AND CORINTHIAN AVE PHILADELPHIA PA 19130 (215) 685-0800 395479 GWYNEDD SQUARE CTR FOR NSG & C 773 SUMNEYTOWN PIKE LANSDALE PA 19446 (215) 699-5000 395481 HILLCREST CENTER 1245 CHURCH ROAD WYNCOTE PA 19095 (215) 884-9990 395482 GOLDEN LIVINGCENTER-MANSION 1040-52 MARKET STREET SUNBURY PA 17801 (570) 286-6922 395483 REGINA COMMUNITY NURSING CENTE 550 EAST FURNANCE STREET NORRISTOWN PA 19401 (610) 272-5600 395484 GARDENS AT DRUMS, THE 463 NORTH HUNTER HWY DRUMS PA 18222 (570) 788-4175 395485 POWERBACK REHABILITATION 1526 LOMBARD STREET 1526 LOMBARD STREET PHILADELPHIA PA 19146 (215) 546-5960 395489 CORRY MANOR 640 WORTH STREET CORRY PA 16407 (814) 664-9606 395490 WILLOWBROOKE COURT-SOUTHAMPTON 238 STREET ROAD SOUTHAMPTON PA 18966 (215) 364-2550 395492 WILLOWBROOKE COURT-LIMA ESTATE 411 N. MIDDLETOWN ROAD LIMA PA 19037 (610) 565-8717 395494 SLATE BELT HEALTH AND REHABILITATION CENTER 701 SLATE BELT BLVD, RD 3 BANGOR PA 18013 (610) 588-6161 395495 WILLOWBROOKE COURT-SPRING HOUS 728 NORRISTOWN ROAD LOWER GWYNEDD PA 19002 (215) 628-3545 395496 WILLOWBROOKE COURT-FORT WASH 735 SUSQUEHANNA ROAD FORT WASHINGTON PA 19034 (215) 542-8110 395497 COMMUNITY AT ROCKHILL, THE 3250 STATE ROAD SELLERSVILLE PA 18960 (215) 257-2751 395499 TREMONT HEALTH AND REHABILITATION CENTER 44 DONALDSON ROAD TREMONT PA 17981 (570) 695-3141 395502 OAKWOOD HEIGHTS 10 VO TECH DRIVE OIL CITY PA 16301 (814) 676-8686 395506 GARDENS AT PALMYRA, THE 341 NORTH RAILROAD ST PALMYRA PA 17078 (717) 838-3011 395507 ELM TERRACE GARDENS 660 NORTH BROAD STREET LANSDALE PA 19446 (215) 361-5600 395509 DRESHER HILL HEALTH AND REHAB 1390 CAMP HILL ROAD FORT WASHINGTON PA 19034 (215) 628-3800 395510 GROVE MANOR 435 NORTH BROAD STREET GROVE CITY PA 16127 (412) 458-7800 395515 WILLOWCREST ALBERT EINSTEIN MED CTR PHILADELPHIA PA 19141 (215) 456-8615 395518 COURTYARD GARDENS NURSING AND REHAB CTR 999 WEST HARRISBURG PIKE MIDDLETOWN PA 17057 (717) 944-3351 395520 WESLEY ENHANCED LIVING - DOYLESTOWN 200 VETERANS LANE DOYLESTOWN PA 18901 (215) 345-4300 395521 LANGHORNE GARDENS HEALTH AND REHABILITATION CENTER 350 MANOR AVENUE LANGHORNE PA 19047 (215) 757-7667 395524 THE GROVE AT NEW CASTLE 715 HARBOR STREET NEW CASTLE PA 16101 (724) 652-3863 395527 MANORCARE HEALTH SERVICES-BETHLEHEM (2029) 2029 WESTGATE DRIVE BETHLEHEM PA 18017 (610) 861-0100 395530 PRESBYTERIAN HOMES-PRESBY 220 NEWRY STREET HOLLIDAYSBURG PA 16648 (814) 695-5095 395533 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 100 DOGWOOD DRIVE PHILIPSBURG PA 16866 (814) 342-6090 395534 FAIR WINDS MANOR 126 IRON BRIDGE ROAD SARVER PA 16055 (724) 353-1531 395536 EDISON MANOR NURSING & REHABILITATION CENTER 222 WEST EDISON AVENUE NEW CASTLE PA 16101 (724) 652-6340 395539 SAINT ANNE HOME 685 ANGELA DRIVE GREENSBURG PA 15601 (724) 837-6070 395541 MANORCARE HEALTH SERVICES-SINKING SPRING 3000 WINDMILL ROAD SINKING SPRING PA 19608 (610) 670-2100 395545 FAIRVIEW CARE CENTER OF PAPERMILL ROAD 850 PAPERMILL ROAD GLENSIDE PA 19038 (215) 233-5830 395549 SHERWOOD OAKS 100 NORMAN DRIVE CRANBERRY TOWNSHIP PA 16066 (724) 776-8100 395550 DR ARTHUR CLIFTON MCKINLEY CTR 133 LAURELBROOKE DRIVE BROOKVILLE PA 15825 (814) 849-3615 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

395555 PENNSBURG MANOR 530 MACOBY STREET PENNSBURG PA 18073 (215) 679-8076 395557 DOCK TERRACE 275 DOCK DRIVE LANSDALE PA 19446 (215) 368-4438 395558 ST MONICA CENTER FOR REHABILITATION & HEALTHCARE 2509 SOUTH FOURTH STREET PHILADELPHIA PA 19148 (215) 271-1080 395559 MENNONITE HOME, THE 1520 HARRISBURG PIKE LANCASTER PA 17601 (717) 393-1301 395560 MASONIC VILLAGE AT ELIZABETHTOWN ONE MASONIC DRIVE ELIZABETHTOWN PA 17022 (717) 367-1121 395563 MORRISONS COVE HOME 429 SOUTH MARKET STREET MARTINSBURG PA 16662 (814) 793-2104 395568 JULIA POUND CARE CENTER 1155 INDIAN SPRINGS ROAD INDIANA PA 15701 (724) 464-1600 395571 SUSQUEHANNA HEALTH SKILLED NURSING & REHABILITATIO 215 EAST WATER STREET MUNCY PA 17756 (570) 546-4040 395574 BELLE HAVEN HEALTHCARE AND REHABILITATION CEN 1320 MILL ROAD QUAKERTOWN PA 18951 (215) 536-7666 395577 WASHINGTON COUNTY HEALTH CENTE 36 OLD HICKORY RIDGE RD WASHINGTON PA 15301 (724) 228-5010 395581 ST LUKES VILLA 80 E. NORTHAMPTON STREET WILKES BARRE PA 18701 (570) 826-1031 395583 SOUTH MOUNTAIN RESTORATION CEN BUILDING #1 SOUTH MOUNTAIN PA 17261 (717) 749-3121 395586 BRADFORD COUNTY MANOR 15900 ROUTE 6 TROY PA 16947 (570) 297-4111 395587 MEADOWS NURSING AND REHABILITATION CENTER 4 EAST CENTER STREET DALLAS PA 18612 (570) 675-8600 395591 LUTHER CREST NURSING FACILITY 800 HAUSMAN ROAD ALLENTOWN PA 18104 (610) 398-8011 395592 GOLDEN LIVINGCENTER-HAIDA THIRD AVENUE EXTENSION HASTINGS PA 16646 (814) 247-6578 395594 GOLDEN LIVINGCENTER-OIL CITY 1293 GRANDVIEW ROAD OIL CITY PA 16301 (814) 676-8208 395596 BRIDGEVILLE REHABILITATION & CARE CENTER 3590 WASHINGTON PIKE BRIDGEVILLE PA 15017 (412) 257-2474 395597 PICKERING MANOR HOME 226 NORTH LINCOLN AVE NEWTOWN PA 18940 (215) 968-3878 395599 BLOUGH HEALTH CARE CENTER INC 316 EAST MARKET STREET BETHLEHEM PA 18018 (610) 868-4982 395602 WESLEY VILLAGE 209 ROBERTS ROAD PITTSTON PA 18640 (570) 655-2891 395603 CARING HEIGHTS COMMUNITY CARE & REHAB CTR 234 CORAOPOLIS ROAD CORAOPOLIS PA 15108 (412) 331-6060 395609 ROUSE WARREN COUNTY HOME 701 ROUSE AVENUE YOUNGSVILLE PA 16371 (814) 563-7565 395610 GOLDEN LIVINGCENTER-RICHLAND 349 VOTECH DRIVE JOHNSTOWN PA 15904 (814) 266-9702 395612 SPIRITRUST LUTHERAN THE VILLAGE AT SPRENKLE DRIVE 1801 FOLKEMER CIRCLE YORK PA 17404 (717) 767-5404 395616 SUSQUE VIEW HOME, INC 22 CREE DRIVE LOCK HAVEN PA 17745 (570) 748-9377 395621 ST MARY CENTER FOR REHABILITATION & HEALTHCARE 701 LANSDALE AVENUE LANSDALE PA 19446 (215) 368-0900 395625 HOLY FAMILY RESIDENCE 2500 ADAMS AVENUE SCRANTON PA 18509 (570) 343-4065 395628 RENAISSANCE HEALTHCARE & REHABILITATION CENTER 4712 CHESTER AVENUE PHILADELPHIA PA 19143 (215) 727-4450 395629 MT MACRINA MANOR 520 WEST MAIN STREET UNIONTOWN PA 15401 (724) 430-1120 395631 UNITED ZION RETIREMENT COMMUNI 722 FURNACE HILL PIKE LITITZ PA 17543 (717) 626-2071 395633 HAVENCREST NURSING CENTER 1277 COUNTRY CLUB ROAD MONONGAHELA PA 15063 (724) 258-3000 395634 SOUDERTON MENNONITE HOMES 207 WEST SUMMIT AVENUE SOUDERTON PA 18964 (215) 723-9881 395637 HOLY FAMILY HOME 5300 CHESTER AVENUE PHILADELPHIA PA 19143 (215) 729-5153 395638 MASONIC VILLAGE AT SEWICKLEY 1000 MASONIC DRIVE SEWICKLEY PA 15143 (412) 741-1400 395643 JOHN J KANE REGIONAL CENTER-GL 955 RIVERMONT DRIVE PITTSBURGH PA 15207 (412) 422-6800 395644 MID-VALLEY HEALTH CARE CENTER 81 STURGES ROAD PECKVILLE PA 18452 (570) 383-7320 395647 SPIRITRUST LUTHERAN THE VILLAGE AT GETTYSBURG 1075 OLD HARRISBURG ROAD GETTYSBURG PA 17325 (717) 334-6204 395648 PETER BECKER COMMUNITY 800 MAPLE AVENUE HARLEYSVILLE PA 19438 (215) 256-9501 395654 BONHAM NURSING CENTER 477 BONNIEVILLE ROAD STILLWATER PA 17878 (570) 864-3174 395656 FREDERICK LIVING - CEDARWOOD 2849 BIG ROAD FREDERICK PA 19435 (610) 754-7878 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

395662 SPRINGS AT THE WATERMARK, THE 2 FRANKLIN TOWN BLVD PHILADELPHIA PA 19103 (215) 563-1800 395665 WILLOWBROOKE COURT-NORMANDY 8000 TWIN SILO DRIVE BLUE BELL PA 19422 (215) 699-8727 395670 GOLDEN LIVINGCENTER-MONROEVILLE 4142 MONROEVILLE BLVD MONROEVILLE PA 15146 (412) 856-7570 395671 SOUTHMONT OF PRESBYTERIAN SENIORCARE 835 SOUTH MAIN STREET WASHINGTON PA 15301 (724) 222-4300 395672 VILLAGE AT LUTHER SQUARE, THE 149 WEST 22ND STREET ERIE PA 16502 (814) 452-3271 395674 GOLDEN LIVINGCENTER-UNIONTOWN 129 FRANKLIN AVENUE UNIONTOWN PA 15401 (724) 439-5700 395677 SARAH A TODD MEMORIAL HOME 1000 WEST SOUTH STREET CARLISLE PA 17013 (717) 245-2187 395678 WILLIAMSPORT HOME, THE 1900 RAVINE ROAD WILLIAMSPORT PA 17701 (570) 323-8781 395680 KUTZTOWN MANOR 120 TREXLER AVENUE KUTZTOWN PA 19530 (610) 683-6220 395681 COUNTRYSIDE CHRISTIAN COMMUNITY 200 BELLANN COURT ANNVILLE PA 17003 (717) 867-4636 395682 PROVIDENCE CARE CENTER 900 THIRD AVE BEAVER FALLS PA 15010 (724) 846-8504 395684 CONCORDIA LUTHERAN HEALTH AND HUMAN CARE 134 MARWOOD ROAD CABOT PA 16023 (724) 352-1571 395686 ST IGNATIUS NURSING & REHAB CENTER 4401 HAVERFORD AVENUE PHILADELPHIA PA 19104 (215) 349-8800 395687 YORK NURSING AND REHABILITATION CENTER 7101 OLD YORK ROAD OAK LANE PA 19126 (215) 424-4090 395688 FRIENDSHIP VILLAGE OF SOUTH HI 1290 BOYCE ROAD PITTSBURGH PA 15241 (724) 941-3100 395690 HARLEE MANOR 463 SPROUL ROAD SPRINGFIELD PA 19064 (610) 544-2200 395691 RIVERSTREET MANOR 440 NORTH RIVER STREET WILKES-BARRE PA 18702 (570) 825-5611 395698 MEADOWCREST NURSING CENTER 1200 BRAUN ROAD BETHEL PARK PA 15102 (412) 854-5500 395699 SWEDEN VALLEY MANOR 1028 EAST SECOND STREET COUDERSPORT PA 16915 (814) 274-7610 395702 BEACON RIDGE, A CHOICE COMM 1515 WAYNE AVENUE INDIANA PA 15701 (724) 349-5300 395704 LAFAYETTE-REDEEMER, THE 8580 VERREE ROAD PHILADELPHIA PA 19111 (215) 214-2820 395705 HEMPFIELD MANOR 1118 WOODWARD DRIVE GREENSBURG PA 15601 (724) 836-4424 395707 GOLDEN LIVINGCENTER-CLARION 999 HEIDRICK STREET CLARION PA 16214 (814) 226-6380 395708 GARDENS FOR MEMORY CARE AT EASTON, THE 500 WASHINGTON STREET EASTON PA 18042 (610) 253-3573 395710 ATTLEBORO NURSING AND REHAB CE 300 EAST WINCHESTER AVE LANGHORNE PA 19047 (215) 757-3739 395712 CARLETON HEALTHCARE AND REHABILITATION CENTER 10 WEST AVENUE WELLSBORO PA 16901 (570) 724-2631 395713 WILLOWS OF PRESBYTERIAN SENIOR 1215 HULTON ROAD OAKMONT PA 15139 (412) 828-5600 395716 SMITH HEALTH CARE LTD 453 SOUTH MAIN ROAD MOUNTAIN TOP PA 18707 (570) 868-3664 395718 WAVERLY HEIGHTS 1400 WAVERLY ROAD GLADWYNE PA 19035 (610) 645-8600 395719 RIVERSIDE CARE CENTER 100 EIGHTH AVENUE MCKEESPORT PA 15132 (412) 664-8860 395720 HOMESTEAD VILLAGE, INC 1800 VILLAGE CIRCLE LANCASTER PA 17604 (717) 397-4831 395721 LAUREL CARE NURSING AND REHAB 6375 CHAMBERSBURG ROAD FAYETTEVILLE PA 17222 (717) 352-2721 395722 PENN CENTER FOR REHABILITATION 3609 CHESTNUT STREET PHILADELPHIA PA 19104 (215) 386-2942 395728 SNYDER MEMORIAL HEALTH CARE CE PO BOX 680, S CHERRY ST MARIENVILLE PA 16239 (814) 927-6670 395729 GARDENS AT EASTON, THE 498 WASHINGTON STREET EASTON PA 18042 (610) 258-2985 395730 GARDENS AT DALLAS, THE 245 OLD LAKE ROAD DALLAS PA 18612 (570) 639-1885 395731 MANORCARE HEALTH SERVICES-BETHEL PARK 60 HIGHLAND ROAD BETHEL PARK PA 15102 (412) 831-6050 395732 UPMC HERITAGE PLACE 5701 PHILLIPS AVENUE PITTSBURGH PA 15217 (412) 422-5100 395735 LIFEQUEST NURSING CENTER 2450 JOHN FRIES HIGHWAY QUAKERTOWN PA 18951 (215) 536-0770 395736 WILLOWBROOKE COURT-GRANITE 1343 WEST BALTIMORE PIKE MEDIA PA 19063 (610) 358-0510 395738 PAUL'S RUN 9896 BUSTLETON AVENUE PHILADELPHIA PA 19115 (215) 934-3000 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

395740 BRANDYWINE HALL 800 WEST MINER STREET WEST CHESTER PA 19382 (610) 696-3120 395741 RIDDLE MEMORIAL HOSP HB SNF U.S. ROUTE 1 MEDIA PA 19063 (610) 891-3406 395742 SOUTHWESTERN NURSING CARE CENTER 500 LEWIS RUN ROAD PITTSBURGH PA 15122 (412) 466-0600 395749 PRESBYTERIAN CTR FOR CONT CARE 39TH AND MARKET STREETS PHILADELPHIA PA 19104 (215) 662-8186 395752 MORAVIAN HALL SQUARE HEALTH AND WELLNESS CENTER 175 WEST NORTH STREET NAZARETH PA 18064 (610) 746-1000 395753 BEAUMONT AT BRYN MAWR 601 NORTH ITHAN AVENUE BRYN MAWR PA 19010 (610) 526-7000 395754 SHARON REGIONAL HEALTH SYSTEM TCU 740 E. STATE STREET SHARON PA 16146 (724) 983-3914 395760 MANORCARE HEALTH SERVICES-ALLENTOWN 1265 SOUTH CEDAR CREST BLVD ALLENTOWN PA 18103 (610) 776-7522 395762 WILLOWBROOKE COURT AT BRITTANY 1001 VALLEY FORGE ROAD LANSDALE PA 19446 (215) 855-9700 395763 FELLOWSHIP MANOR 3000 FELLOWSHIP DRIVE WHITEHALL PA 18052 (610) 799-3000 395765 MARIAN MANOR CORPORATION 2695 WINCHESTER DRIVE PITTSBURGH PA 15220 (412) 563-6866 395768 MEADOWOOD 3205 SKIPPACK PIKE PO BOX 670 WORCESTER PA 19490 (610) 584-1000 395770 CEDAR HAVEN HEALTHCARE CENTER 590 SOUTH FIFTH AVENUE LEBANON PA 17042 (717) 274-0421 395771 LAKESIDE AT WILLOW VALLEY 300 WILLOW VALLEY LAKES DRIVE WILLOW STREET PA 17584 (717) 464-9542 395778 COMMUNITIES AT INDIAN HAVEN, 1675 SALTSBURG AVENUE INDIANA PA 15701 (724) 465-3900 395782 FAIRVIEW CARE CENTER OF BETHLEHEM PIKE 184 BETHLEHEM PIKE PHILADELPHIA PA 19118 (215) 247-5311 395783 MANORCARE HEALTH SERVICES-PETERS TOWNSHIP 113 WEST MCMURRAY ROAD MCMURRAY PA 15317 (724) 941-3080 395784 CHURCH OF GOD HOME, INC 801 N. HANOVER STREET CARLISLE PA 17013 (717) 249-5322 395786 PLEASANT VIEW RETIREMENT COMMUNITY 544 NORTH PENRYN ROAD MANHEIM PA 17545 (717) 665-2445 395787 VALLEY VIEW HAVEN, INC 4702 EAST MAIN STREET BELLEVILLE PA 17004 (717) 935-2105 395788 SUNNYVIEW NURSING AND REHABILITATION CENTER 107 SUNNYVIEW CIRCLE BUTLER PA 16001 (724) 282-1800 395790 SENECA PLACE 5360 SALTSBURG ROAD VERONA PA 15147 (412) 798-8000 395791 HARSTON HALL 350 HAWS LANE FLOURTOWN PA 19031 (215) 233-0700 395794 SAINT JOHN XXIII HOME 2250 SHENANGO FREEWAY HERMITAGE PA 16148 (724) 981-3200 395795 LAFAYETTE MANOR, INC 147 LAFAYETTE MANOR ROAD UNIONTOWN PA 15401 (724) 430-4848 395796 MANORCARE HEALTH SERVICES-MONTGOMERYVILLE 640 BETHLEHEM PIKE MONTGOMERYVILLE PA 18936 (215) 368-4350 395797 LANDIS HOMES 1001 EAST OREGON ROAD LITITZ PA 17543 (717) 569-3271 395800 HIGHLANDS AT WYOMISSING 2000 CAMBRIDGE AVENUE WYOMISSING PA 19610 (610) 775-2300 395801 QUADRANGLE 3300 DARBY ROAD HAVERFORD PA 19041 (610) 642-3000 395802 THORNWALD HOME 442 WALNUT BOTTOM ROAD CARLISLE PA 17013 (717) 249-4118 395804 LUTHERAN COMMUNITY AT TELFORD 12 LUTHERAN HOME DRIVE TELFORD PA 18969 (215) 723-9819 395806 ST ANNE'S RETIREMENT COMMUNITY 3952 COLUMBIA AVENUE COLUMBIA PA 17512 (717) 285-5443 395815 ST MARTHA CENTER FOR REHABILITATION & HEALTHCARE 470 MANOR AVE DOWNINGTOWN PA 19335 (610) 873-8490 395817 MANORCARE HEALTH SERVICES-OXFORD VALLEY 1480 OXFORD VALLEY ROAD YARDLEY PA 19067 (215) 321-3921 395818 MASONIC VILLAGE AT LAFAYETTE HILL 801 RIDGE PIKE LAFAYETTE HILL PA 19444 (610) 825-6100 395821 LITTLE FLOWER MANOR 1201 SPRINGFIELD ROAD DARBY PA 19023 (610) 534-6000 395823 TOWNVIEW HEALTH AND REHABILITATION CENTER 300 BARR STREET CANONSBURG PA 15317 (724) 746-5040 395826 MANORCARE HEALTH SERVICES-NORTH HILLS 1105 PERRY HIGHWAY PITTSBURGH PA 15237 (412) 369-9955 395831 SCHUYLKILL CENTER 1000 SCHUYLKILL MANOR RD POTTSVILLE PA 17901 (570) 622-9666 395832 LEBANON VALLEY HOME THE 550 EAST MAIN STREET ANNVILLE PA 17003 (717) 867-4467 395834 MANORCARE HEALTH SERVICES-KING OF PRUSSIA 600 WEST VALLEY FORGE ROAD KING OF PRUSSIA PA 19406 (610) 337-1775 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

395838 FOXDALE VILLAGE 500 E. MARYLYN AVENUE STATE COLLEGE PA 16801 (814) 238-3322 395840 PATRIOT, A CHOICE COMMUNITY THE 495 WEST PATRIOT STREET SOMERSET PA 15501 (814) 445-4549 395842 VINCENTIAN DE MARILLAC 5300 STANTON AVENUE PITTSBURGH PA 15206 (412) 361-2833 395844 ELIZABETHTOWN NURSING AND REHABILITATION CENTER 141 HEISEY AVENUE ELIZABETHTOWN PA 17022 (717) 367-1831 395845 CRANBERRY PLACE 5 SAINT FRANCIS WAY CRANBERRY TOWNSHIP PA 16066 (724) 772-5350 395846 GARDENS AT CAMPBELLTOWN, THE 2880 HORSESHOE PIKE PO BOX 137 PALMYRA PA 17078 (717) 838-2231 395847 FOX SUBACUTE AT CLARA BURKE 251 STENTON AVENUE PLYMOUTH MEETING PA 19462 (610) 828-2272 395848 BARCLAY FRIENDS 700 NORTH FRANKLIN WEST CHESTER PA 19380 (610) 696-5211 395850 MERCY CENTER NURSING UNIT INC P O BOX 370, LAKE STREET DALLAS PA 18612 (570) 675-2131 395852 CLIVEDEN NURSING AND REHABILITATION CENTER 6400 GREENE STREET PHILADELPHIA PA 19119 (215) 844-6400 395857 EPHRATA MANOR 99 BETHANY ROAD EPHRATA PA 17522 (717) 738-4940 395861 HRH TRANSITIONAL CARE UNIT(A D/B/A ENTITY OF HRHS) 1648 HUNTINGDON PIKE MEADOWBROOK PA 19046 (215) 938-4076 395864 WOOD RIVER VILLAGE 3200 BENSALEM BOULEVARD BENSALEM PA 19020 (215) 752-2370 395867 LAKEVIEW HEALTHCARE AND REHABILITATION CENTER 15 WEST WILLOW STREET SMETHPORT PA 16749 (814) 887-5716 395869 BUTLER MEMORIAL HOSP TCF ONE HOSPITAL WAY BUTLER PA 16001 (724) 284-4526 395870 SOUTH FAYETTE NURSING CENTER 252 MAIN STREET MARKLEYSBURG PA 15459 (724) 329-4830 395873 LGAR HEALTH AND REHABILITATION 800 ELSIE STREET TURTLE CREEK PA 15145 (412) 825-9000 395875 HOMETOWN NURSING AND REHAB CEN 149 LAFAYETTE AVENUE TAMAQUA PA 18252 (570) 668-1775 395876 CUMBERLAND CROSSINGS RETIREMENT COMMUNITY 1 LONGSDORF WAY CARLISLE PA 17013 (717) 245-9941 395877 HIGHLAND VIEW HEALTHCARE AND REHABILITATION CENTER 90 MAIN STREET BROCKWAY PA 15824 (814) 265-8265 395878 ORWIGSBURG CENTER 1000 ORWIGSBURG MANOR DR ORWIGSBURG PA 17961 (570) 366-2999 395879 COUNTRYSIDE CONVAL HOME LTD PA 8221 LAMOR ROAD MERCER PA 16137 (724) 662-5860 395880 PHOEBE BERKS HEALTH CARE CENTE 1 HEIDELBERG DRIVE WERNERSVILLE PA 19565 (610) 678-4002 395882 LONGWOOD AT OAKMONT 500 ROUTE 909 VERONA PA 15147 (412) 826-5900 395883 VILLAGE AT PENNWOOD 909 WEST STREET PITTSBURGH PA 15221 (412) 723-3662 395889 UPMC JAMESON TRANSITIONAL CARE UNTI 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 (724) 656-4025 395890 SNU ARMSTRONG CO MEMORIAL HOSP ONE NOLTE DRIVE KITTANNING PA 16201 (724) 543-8458 395891 LAUREL VIEW VILLAGE 2000 CAMBRIDGE DRIVE DAVIDSVILLE PA 15928 (814) 288-2724 395893 CARE PAVILION NURSING AND REHABILITATION CENTER 6212 WALNUT STREET PHILADELPHIA PA 19139 (215) 476-6264 395894 MEADVILLE MEDICAL CTR TCU 1034 GROVE STREET MEADVILLE PA 16335 (814) 333-5961 395896 HOMEWOOD AT MARTINSBURG PA INC 437 GIVLER DRIVE MARTINSBURG PA 16662 (814) 793-3728 395898 HOMEWOOD AT PLUM CREEK 425 WESTMINSTER AVENUE HANOVER PA 17331 (717) 637-4166 395901 GOLDEN LIVINGCENTER-TITUSVILLE 81 DILLON DRIVE TITUSVILLE PA 16354 (814) 827-2727 395903 NORTH HILLS HEALTH AND REHABILITATION CENTER 194 SWINDERMAN ROAD WEXFORD PA 15090 (724) 935-3781 395904 SANATOGA CENTER 225 EVERGREEN ROAD POTTSTOWN PA 19464 (610) 323-1800 395906 HENRY CLAY VILLA, LP 5253 NATIONAL PIKE MARKLEYSBURG PA 15459 (412) 329-5545 395907 FORESTVIEW 2301 EDINBORO ROAD ERIE PA 16509 (814) 866-7002 395908 BRADFORD ECUMENICAL HOME, INC 100 SAINT FRANCIS DRIVE BRADFORD PA 16701 (814) 368-5648 395913 MANORCARE HEALTH SERVICES-HUNTINGDON VALLEY 3430 HUNTINGDON PIKE HUNTINGDON VALLEY PA 19006 (215) 938-7171 395915 KINKORA PYTHIAN HOME 25 COVE ROAD DUNCANNON PA 17020 (717) 834-4887 395916 KIRKLAND VILLAGE 2335 MADISON AVENUE BETHLEHEM PA 18017 (610) 691-4500 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

395917 BRINTON MANOR 549 BALTIMORE PIKE GLEN MILLS PA 19342 (610) 358-6005 395918 SHOOK HOME THE 55 SOUTH SECOND STREET CHAMBERSBURG PA 17201 (717) 264-6815 395922 ARTMAN LUTHERAN HOME 250 NORTH BETHLEHEM PIKE AMBLER PA 19002 (215) 643-6333 395923 CHAPEL POINTE AT CARLISLE 770 S. HANOVER STREET CARLISLE PA 17013 (717) 249-1363 395925 UPMC MCKEESPORT LONG TERM CARE 1500 FIFTH AVENUE MCKEESPORT PA 15132 (412) 664-2984 395926 SACRED HEART HOSPITAL TCF 421 CHEW STREET ALLENTOWN PA 18102 (610) 776-4500 395927 STONERIDGE POPLAR RUN 450 EAST LINCOLN AVENUE MYERSTOWN PA 17067 (717) 866-3200 395933 ROTHERMEL L CAPLAN TCU WILLOW AT FOURTH ST POB 1282 LEBANON PA 17046 (717) 270-7729 395938 BERKSHIRE CENTER 5501 PERKIOMEN AVENUE READING PA 19606 (610) 779-0600 395939 LEHIGH CENTER 1718 SPRING CREEK ROAD MACUNGIE PA 18062 (610) 366-0500 395941 TRANSITIONAL SUB-ACUTE UNIT 2802 PAPERMILL ROAD WYOMISSING PA 19610 (484) 388-2721 395944 PENN HALL AT MENNO-HAVEN 1425 PHILADELPHIA AVENUE CHAMBERSBURG PA 17201 (717) 261-0220 395950 CENTENNIAL HEALTHCARE AND REHABILITATION CENTER 4400 WEST GIRARD AVENUE PHILADELPHIA PA 19104 (215) 477-1170 395951 LEHIGH VALLEY HOSPITAL TSU 17TH & CHEW STS ALLENTOWN PA 18105 (610) 969-4225 395956 GLEN AT WILLOW VALLEY 675 WILLOW VALLEY SQUARE LANCASTER PA 17602 (717) 464-6161 395961 PHILADELPHIA PROTESTANT HOME 700 E GILHAM ST PHILADELPHIA PA 19111 (215) 697-8000 395966 UPMC NORTHWEST TRANSITIONAL CARE UNIT 100 FAIRFIELD DRIVE SENECA PA 16346 (814) 678-4642 395974 MONTICELLO HOUSE 1048 W BALTIMORE AVENUE MEDIA PA 19063 (610) 891-3803 395977 CHERRY TREE NURSING CENTER 410 TERRACE DRIVE UNIONTOWN PA 15401 (724) 438-6000 395983 KEARSLEY REHABILITATION AND NURSING CENTER 2100 NORTH 49TH STREET PHILADELPHIA PA 19131 (215) 877-1565 395985 ALTOONA CENTER FOR NURSING CARE 1020 GREEN AVENUE ALTOONA PA 16601 (814) 946-2700 395986 KITTANNING CARE CENTER 120 KITTANNING CARE DRIVE KITTANNING PA 16201 (724) 545-2273 395987 GEISINGER-SHAMOKIN AREA COMMUNITY HOSPITAL SNF 4200 HOSPITAL ROAD COAL RUN PA 17866 (570) 644-4574 395990 GROVE CITY MEDICAL CENTER TCC 631 NORTH BROAD ST GROVE CITY PA 16127 (724) 458-4845 395996 MANCHESTER COMMONS 6351 WEST LAKE ROAD ERIE PA 16505 (814) 838-9191 395998 MISERICORDIA NURSING & REHABILITATION CENTER 998 SOUTH RUSSELL STREET YORK PA 17402 (717) 755-1964 396001 LANKENAU HOSPITAL TCC 100 LANCASTER AVENUE WYNNEWOOD PA 19096 (610) 645-6400 396002 TCU AT NAZARETH HOSPITAL, THE 2601 HOLME AVENUE PHILA PA 19152 (215) 335-6367 396009 NORRITON SQUARE NURSING AND REHABILITATION CENTER 1700 PINE STREET NORRISTOWN PA 19401 (610) 239-7100 396015 WESTMINSTER WOODS AT HUNTINGDO 360 WESTMINSTER DRIVE HUNTINGDON PA 16652 (814) 643-3160 396017 POWERBACK REHABILITATION 3485 DAVISVILLE ROAD 3485 DAVISVILLE ROAD HATBORO PA 19040 (215) 830-0400 396021 REDSTONE HIGHLANDS HEALTH CARE 6 GARDEN CENTER DRIVE GREENSBURG PA 15601 (724) 832-8400 396024 WESTON REHABILITATION & NURSING CENTER 1896 LEITHSVILLE ROAD HELLERTOWN PA 18055 (610) 838-7901 396026 VILLA SAINT JOSEPH OF BADEN IN 1030 STATE STREET BADEN PA 15005 (724) 869-6300 396035 SCOTTDALE HEALTHCARE AND REHABILITATION CENTER 900 PORTER AVENUE SCOTTDALE PA 15683 (724) 887-0100 396040 UPMC TCU 200 LOTHROP STREET PITTSBURGH PA 15213 (412) 692-4260 396048 HARMAR VILLAGE CARE CENTER 715 FREEPORT ROAD CHESWICK PA 15024 (724) 274-3773 396053 COUNTRY MEADOWS NURSING CENTER OF BETHLEHEM 4025 GREEN POND ROAD BETHLEHEM PA 18020 (610) 882-4110 396054 MASONIC VILLAGE AT WARMINSTER 850 NORRISTOWN ROAD WARMINSTER PA 18974 (215) 672-2500 396058 AVALON SPRINGS NURSING CENTER 745 GREENVILLE ROAD MERCER PA 16137 (724) 662-5400 396062 INN AT FREEDOM VILLAGE,THE 35 FREEDOM BOULEVARD WEST BRANDYWINE PA 19320 (484) 288-2300 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

396063 SETON MANOR INC 1000 SETON DRIVE ORWIGSBURG PA 17961 (570) 366-0400 396064 MARGARET E. MOUL HOME 2050 BARLEY ROAD YORK PA 17404 (717) 767-6463 396066 MANORCARE HEALTH SERVICES-WHITEHALL BOROUGH 505 WEYMAN ROAD PITTSBURGH PA 15236 (412) 884-3500 396067 CONCORDIA AT REBECCA RESIDENCE 3746 CEDAR RIDGE ROAD ALLISON PARK PA 15101 (724) 444-0600 396069 ARBUTUS PARK MANOR 207 OTTAWA STREET JOHNSTOWN PA 15904 (814) 266-8621 396070 ANGELA JANE PAVILION 8410 ROOSEVELT BLVD PHILADELPHIA PA 19152 (215) 708-1200 396074 ALLIED SERVICES SKILLED NURSING CENTER 303 SMALLACOMBE DRIVE SCRANTON PA 18501 (570) 348-1424 396075 AVALON NURSING CENTER 3410 W. PITTSBURGH RD NEW CASTLE PA 16101 (724) 658-4781 396077 OLD ORCHARD HEALTH CARE CENTER 4100 FREEMANSBURG AVENUE EASTON PA 18045 (610) 330-9030 396078 ABRAMSON RESIDENCE 1425 HORSHAM ROAD NORTH WALES PA 19454 (215) 371-3000 396079 GARDEN SPOT VILLAGE 433 S KINZER AVENUE NEW HOLLAND PA 17557 (717) 355-6247 396081 SAINT MARY'S AT ASBURY RIDGE 4855 WEST RIDGE ROAD ERIE PA 16506 (814) 836-5300 396085 MON VALLEY CARE CENTER 200 STOOPS DRIVE MONONGAHELA PA 15063 (724) 310-1111 396086 GREEN VALLEY SKILLED NURSING AND REHABILITATION CE 200 TAYLORSVILLE MOUNTAIN ROAD PITMAN PA 17964 (570) 644-0489 396089 CONCORDIA OF THE SOUTH HILLS 1300 BOWER HILL ROAD PITTSBURGH PA 15243 (412) 278-1300 396090 PRESTON RESIDENCE 200 SYCAMORE DRIVE WEST GROVE PA 19390 (610) 869-6767 396092 VILLAGE AT PENN STATE, THE 260 LION'S HILL ROAD STATE COLLEGE PA 16803 (814) 238-1949 396095 SCRANTON HEALTH CARE CENTER 2933 MCCARTHY STREET SCRANTON PA 18505 (570) 341-6676 396096 MORAVIAN VILLAGE OF BETHLEHEM 634 EAST BROAD STREET BETHLEHEM PA 18018 (610) 625-4885 396098 UPMC MAGEE-WOMENS HOSPITAL TCU 300 HALKET STREET PITTSBURGH PA 15213 (412) 641-3318 396099 CONNER-WILLIAMS NURSING HOME 105 MORTON AVENUE RIDLEY PARK PA 19078 (610) 521-1331 396101 REHAB AT SHANNONDELL 5000 SHANNONDELL DRIVE AUDUBON PA 19403 (610) 728-5400 396102 CONEMAUGH MEMORIAL MEDICAL CENTER TCU 320 MAIN STREET JOHNSTOWN PA 15901 (814) 534-6111 396105 SHENANGO PRESBYTERIAN SENIORCARE 238 SOUTH MARKET STREET NEW WILMINGTON PA 16142 (724) 946-3516 396106 HAVEN CONVALESCENT HOME, INC 725 PAUL STREET NEW CASTLE PA 16101 (724) 654-8833 396107 ANN'S CHOICE 16000 ANN'S CHOICE WAY WARMINSTER PA 18974 (215) 443-3900 396108 GOOD SHEPHERD HOME-BETHLEHEM 2855 SCHOENERSVILLE ROAD BETHLEHEM PA 18017 (610) 807-5600 396109 HEINZ TRANSITIONAL REHABILITATION UNIT 150 MUNDY STREET WILKES-BARRE PA 18702 (570) 830-8995 396111 SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE 2100 UTZ TERRACE HANOVER PA 17331 (717) 637-0633 396112 KEPLER CENTER FOR NURSING AND REHABILITATION 44 SOUTH MARKET STREET ELIZABETHVILLE PA 17023 (717) 362-8370 396113 HEALTH CENTER AT THE HILL AT WHITEMARSH, THE 4000 FOX HOUND DRIVE LAFAYETTE HILL PA 19444 (215) 402-8600 396115 WYNDMOOR HILLS HEALTH CARE & REHAB CENTER 8601 STENTON AVENUE WYNDMOOR PA 19038 (215) 233-6200 396116 LITTLE SISTERS OF THE POOR 1028 BENTON AVENUE PITTSBURGH PA 15212 (412) 307-1100 396117 WELLINGTON TERRACE 1361 EAST BOOT ROAD WEST CHESTER PA 19380 (484) 653-1200 396119 MT HOPE NAZARENE RETIREMENT COMMUNITY 3026 MOUNT HOPE HOME ROAD MANHEIM PA 17545 (717) 665-6365 396120 PHOEBE WYNCOTE 208 FERNBROOK AVENUE WYNCOTE PA 19095 (215) 885-2620 396121 MILLCREEK COMMUNITY HOSPITAL TRANSITIONAL CARE 5515 PEACH STREET ERIE PA 16509 (814) 868-7658 396123 CONTINUING CARE AT MARIS GROVE 500 MARIS GROVE WAY GLEN MILLS PA 19342 (610) 387-4700 396124 PROVIDENCE POINT HEALTHCARE RESIDENCE 200 ADAMS AVE PITTSBURGH PA 15243 (412) 489-3560 396125 CHRIST'S HOME RETIREMENT COMMUNITY 1 SHEPHERD'S WAY SUITE 100 WARMINSTER PA 18974 (215) 956-2270 396126 POWERBACK REHABILITATION PHOENIXVILLE 3000 BALFOUR CIRCLE PHOENIXVILLE PA 19460 (484) 920-6200 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

396128 MAPLE FARM 604 OAK STREET AKRON PA 17501 (717) 859-1191 396129 WILLOW TERRACE ONE PENN BOULEVARD PHILADELPHIA PA 19144 (215) 951-8500 396131 LIFECARE HOSPITALS OF PITTSBURGH SNF UNIT 100 S JACKSON AVE PITTSBURGH PA 15202 (412) 734-7600 396134 PENN STATE HERSHEY TRANSITIONAL CARE 1135 WEST CHOCOLATE AVENUE 2ND FLOOR HUMMELSTOWN PA 17036 (717) 832-2600 396135 ALLIED SERVICES TRANSITIONAL REHAB UNIT 475 MORGAN HIGHWAY SCRANTON PA 18508 (570) 348-1300 396136 CH SKILLED NURSING FACILITY OF ALLENTOWN 1503 N CEDAR CREST BLVD ALLENTOWN PA 18104 (610) 861-8080 396138 HARMONY PHYSICAL REHABILITATION 4365 NORTHERN PIKE MONROEVILLE PA 15146 (724) 352-1571 405018 RYDER MEMORIAL HOSPITAL INC 355 AVE FONT MARTELO HUMACAO PR 792 (787) 852-0768 405023 DAMAS HOSPITAL SNF 2213 PONCE BY PASS PONCE PR 717 (787) 840-8686 405025 CENTRO MEDICO WILMA N VAZQUEZ SNF ROAD 2 KM 39 5 BO ALGARROBO VEGA BAJA PR 693 (787) 858-1580 405030 MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC CALLE COSME REPARTO SAN LUCAS ENTRADA SECTOR CANEJ RIO PIEDRAS PR 926 (787) 708-0138 415002 HATTIE IDE CHAFFEE HOME 200 WAMPANOAG TRAIL EAST PROVIDENCE RI 2914 (401) 434-1520 415004 ROYAL OF WESTERLY NURSING CENTER 79 BEACH STREET WESTERLY RI 2891 (401) 596-4925 415007 ELDERWOOD AT RIVERSIDE 100 WAMPANOAG TRAIL RIVERSIDE RI 2915 (401) 438-4275 415008 GREENWOOD CENTER 1139 MAIN AVENUE WARWICK RI 2886 (401) 739-6600 415009 KENT REGENCY CENTER 660 COMMONWEALTH AVENUE WARWICK RI 2886 (401) 739-4241 415010 SAINT ELIZABETH HOME, EAST GREENWICH 1 SAINT ELIZABETH WAY EAST GREENWICH RI 2818 (401) 471-6060 415012 BRIARCLIFFE MANOR 49 OLD POCASSET ROAD JOHNSTON RI 2919 (401) 944-2450 415014 GRACE BARKER NURSING CENTER INC. 54 BARKER AVENUE WARREN RI 2885 (401) 245-9100 415015 APPLE REHAB WATCH HILL 79 WATCH HILL ROAD WESTERLY RI 2891 (401) 596-2664 415020 GRANDVIEW CENTER 100 CHAMBERS STREET CUMBERLAND RI 2864 (401) 724-7500 415023 SUNNY VIEW NURSING HOME 83 CORONA STREET WARWICK RI 2886 (401) 737-9193 415024 HALLWORTH HOUSE 66 BENEFIT STREET PROVIDENCE RI 2904 (401) 274-4505 415029 GOLDEN CREST NURSING CENTRE 100 SMITHFIELD ROAD NORTH PROVIDENCE RI 2904 (401) 353-1710 415031 SILVER CREEK MANOR 7 CREEK LANE BRISTOL RI 2809 (401) 253-3000 415032 CEDAR CREST NURSING CENTRE INC 125 SCITUATE AVENUE CRANSTON RI 2920 (401) 944-8500 415033 HEATHERWOOD REHABILITATION & HEALTH CARE CENTER 398 BELLEVUE AVENUE NEWPORT RI 2840 (401) 849-6600 415034 GRAND ISLANDER CENTER 333 GREEN END AVENUE MIDDLETOWN RI 2842 (401) 849-7100 415035 HOPKINS MANOR LTD 610 SMITHFIELD ROAD NORTH PROVIDENCE RI 2904 (401) 353-6300 415036 PARK VIEW CTR FOR REHABILITATION AND HEALTH CARE 31 PARADE STREET PROVIDENCE RI 2909 (401) 351-2600 415039 HERITAGE HILLS NURSING & REHABILITATION CENTER 80 DOUGLAS PIKE SMITHFIELD RI 2917 (401) 231-2700 415040 FOREST FARM HEALTH CARE CENTER 193 FOREST AVENUE MIDDLETOWN RI 2842 (401) 847-2777 415041 WOONSOCKET HEALTH CENTRE 262 POPLAR STREET WOONSOCKET RI 2895 (401) 765-2100 415042 WATERVIEW VILLA REHABILITATION & HEALTH CARE CENTE 1275 SOUTH BROADWAY EAST PROVIDENCE RI 2914 (401) 438-7020 415044 FRIENDLY HOME INC, THE 303 RHODES AVENUE WOONSOCKET RI 2895 (401) 769-7220 415045 OVERLOOK NURSING & REHABILITATION CENTER 14 ROCK AVENUE PASCOAG RI 2859 (401) 568-2549 415050 SAINT ELIZABETH MANOR, EAST BAY 1 DAWN HILL BRISTOL RI 2809 (401) 253-2300 415051 SCANDINAVIAN HOME INC 1811 BROAD STREET CRANSTON RI 2905 (401) 461-1433 415053 CHERRY HILL MANOR 2 CHERRY HILL ROAD JOHNSTON RI 2919 (401) 231-3102 415054 SOUTH KINGSTOWN NURSING & REHABILITATION CENTER 2115 SOUTH COUNTY TRAIL, PO BOX 307 WEST KINGSTON RI 2892 (401) 783-8568 415056 EVERGREEN HOUSE HEALTH CENTER 1 EVERGREEN DRIVE EAST PROVIDENCE RI 2914 (401) 438-3250 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

415057 ELDERWOOD OF SCALLOP SHELL AT WAKEFIELD 981 KINGSTOWN ROAD SOUTH KINGSTOWN RI 2883 (401) 789-3006 415059 ORCHARD VIEW MANOR NURSING & REHABILITATION CENTER 135 TRIPPS LANE EAST PROVIDENCE RI 2915 (401) 438-2250 415060 AVALON NURSING HOME 57 STOKES STREET WARWICK RI 2889 (401) 738-1200 415061 BRENTWOOD NURSING HOME 4000 POST ROAD WARWICK RI 2886 (401) 884-8020 415063 SCALABRINI VILLA 860 NORTH QUIDESSET ROAD NORTH KINGSTOWN RI 2852 (401) 884-1802 415064 PAWTUCKET SKILLED NURSING & REHABILITATION 70 GILL AVENUE PAWTUCKET RI 2861 (401) 722-7900 415067 WEST VIEW HEALTH CARE CENTER 239 LEGRIS AVENUE WEST WARWICK RI 2893 (401) 828-9000 415068 WARREN SKILLED NURSING & REHABILITATION 642 METACOM AVENUE WARREN RI 2885 (401) 245-2860 415070 CRESTWOOD NURSING & REHABILITATION CENTER 568 CHILD STREET WARREN RI 2885 (401) 245-1574 415071 SOUTH COUNTY NURSING & REHABILITATION CENTER 740 OAK HILL ROAD NORTH KINGSTOWN RI 2852 (401) 294-4545 415072 ELMWOOD NURISNG AND REHABILITATION CENTER 225 ELMWOOD AVENUE PROVIDENCE RI 2907 (401) 272-0600 415073 JEANNE JUGAN RESIDENCE- LITTLE SISTERS OF THE POOR 964 MAIN STREET PAWTUCKET RI 2860 (401) 723-4314 415074 VILLAGE HOUSE CONVALESCENT HOME INC 70 HARRISON AVENUE NEWPORT RI 2840 (401) 849-5222 415075 HOLIDAY RETIREMENT HOME INC 30 SAYLES HILL ROAD MANVILLE RI 2838 (401) 765-1440 415076 JOHN CLARKE RETIREMENT CTR, THE 600 VALLEY ROAD MIDDLETOWN RI 2842 (401) 846-0743 415078 COVENTRY SKILLED NURSING & REHABILITATION 10 WOODLAND DRIVE COVENTRY RI 2816 (401) 826-2000 415079 TRINITY HEALTH AND REHABILITATION CENTER 4 ST JOSEPH STREET WOONSOCKET RI 2895 (401) 765-5844 415080 BAYBERRY COMMONS 181 DAVIS DRIVE PASCOAG RI 2859 (401) 568-0600 415085 MOUNT ST RITA HEALTH CENTRE 15 SUMNER BROWN ROAD CUMBERLAND RI 2864 (401) 333-6352 415089 ALPINE NURSING HOME INC 557 WEAVER HILL ROAD COVENTRY RI 2816 (401) 397-5001 415090 LINN HEALTH CARE CENTER 30 ALEXANDER AVENUE EAST PROVIDENCE RI 2914 (401) 438-7210 415091 STEERE HOUSE NURSING & REHABILITATION CENTER 100 BORDEN STREET PROVIDENCE RI 2903 (401) 454-7970 415094 BALLOU HOME FOR THE AGED 60 MENDON ROAD WOONSOCKET RI 2895 (401) 769-0437 415096 BETHANY HOME OF RHODE ISLAND 111 SOUTH ANGELL STREET PROVIDENCE RI 2906 (401) 831-2870 415097 MANSION NURSING AND REHABILITATION CENTER 104 CLAY STREET CENTRAL FALLS RI 2863 (401) 722-0830 415098 HARRIS HEALTH CENTER, LLC 833 BROADWAY EAST PROVIDENCE RI 2914 (401) 434-7404 415104 ROBERTS HEALTH CENTRE INC 25 ROBERTS WAY NORTH KINGSTOWN RI 2852 (401) 294-3587 415105 WOODPECKER HILL HEALTH CENTER 2052 PLAINFIELD PIKE GREENE RI 2827 (401) 397-7504 415107 SHADY ACRES INC 415 GARDNER ROAD WEST KINGSTON RI 2892 (401) 295-8520 415108 HARRIS HEALTH CARE CENTER-NORTH 60 EBEN BROWN LANE CENTRAL FALLS RI 2863 (401) 722-6000 415111 ST CLARE HOME 309 SPRING STREET NEWPORT RI 2840 (401) 849-3204 415113 TOCKWOTTON ON THE WATERFRONT 500 WATERFRONT DRIVE EAST PROVIDENCE RI 2914 (401) 272-5280 415115 NANCY ANN NURSING HOME, INC. 47 EAST KILLINGLY ROAD FOSTER RI 2825 (401) 647-2170 415120 APPLE REHAB CLIPPER 161 POST ROAD WESTERLY RI 2891 (401) 322-8081 425004 THE COTTAGES AT BRUSHY CREEK 101 COTTAGE CREEK CIRCLE GREER SC 29650 (864) 797-8800 425005 CHERAW HEALTHCARE 400 MOFFAT ROAD CHERAW SC 29520 (843) 537-5253 425008 HEARTLAND OF COLUMBIA REHAB AND NURSING CENTER 2601 FOREST DRIVE COLUMBIA SC 29204 (803) 256-4983 425013 PRUITTHEALTH- COLUMBIA 2451 FOREST DRIVE COLUMBIA SC 29204 (803) 254-5960 425016 FELLOWSHIP HEALTH & REHAB OF ANDERSON, LLC 208 JAMES STREET ANDERSON SC 29625 (864) 226-3427 425017 WHITE OAK MANOR - LANCASTER 253 CRAIG MANOR ROAD LANCASTER SC 29720 (803) 286-1464 425024 WHITE OAK MANOR - SPARTANBURG 295 EAST PEARL STREET SPARTANBURG SC 29303 (864) 585-0241 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

425027 MOUNTAINVIEW NURSING HOME 340 CEDAR SPRINGS ROAD SPARTANBURG SC 29302 (864) 582-4175 425035 J F HAWKINS NURSING HOME 1330 KINARD STREET NEWBERRY SC 29108 (803) 276-2601 425042 LAUREL BAYE HEALTHCARE OF GREENVILLE 661 RUTHERFORD RD GREENVILLE SC 29609 (864) 232-2442 425052 NHC HEALTHCARE - ANDERSON 1501 EAST GREENVILLE STREET ANDERSON SC 29621 (864) 226-8356 425053 PRUITTHEALTH-WALTERBORO 401 WITSELL STREET WALTERBORO SC 29488 (843) 549-5546 425054 NHC HEALTHCARE - LAURENS 379 PINEHAVEN STREET EXTENSION LAURENS SC 29360 (864) 984-6584 425055 JOLLEY ACRES HEALTHCARE CENTER 1180 WOLFE TRAIL ORANGEBURG SC 29115 (803) 534-1001 425057 ABBEVILLE NURSING HOME, INC. 83 THOMSON CIRCLE ABBEVILLE SC 29620 (864) 366-5122 425062 BLUE RIDGE IN BROOKVIEW HOUSE, LLC 510 THOMPSON STREET GAFFNEY SC 29340 (864) 489-3101 425063 NHC HEALTHCARE - GREENWOOD 437 EAST CAMBRIDGE STREET GREENWOOD SC 29646 (864) 223-1950 425064 OAKHAVEN NURSING CENTER 123 OAK STREET DARLINGTON SC 29532 (843) 398-7041 425068 WHITE OAK MANOR - COLUMBIA 3001 BEECHAVEN ROAD COLUMBIA SC 29204 (803) 782-4363 425070 MYRTLE BEACH MANOR 9547 HIGHWAY 17, NORTH MYRTLE BEACH SC 29572 (843) 449-5283 425071 NHC HEALTHCARE - CLINTON 304 JACOBS HIGHWAY CLINTON SC 29325 (864) 833-2550 425074 C M TUCKER JR NURSING CARE 2200 HARDEN STREET COLUMBIA SC 29203 (803) 737-5300 425077 WHITE OAK MANOR - NEWBERRY 2555 KINARD STREET NEWBERRY SC 29108 (803) 276-6060 425078 HEALTHCARE CENTER OF WESLEY COMMONS 1110 MARSHALL ROAD GREENWOOD SC 29646 (864) 227-7250 425080 KERSHAWHEALTH KARESH LONG TERM CARE 1315 ROBERTS STREET CAMDEN SC 29020 (803) 432-4311 425081 SALUDA NURSING CENTER 581 NEWBERRY HIGHWAY SALUDA SC 29138 (864) 445-2146 425084 MANNA REHABILITATION & HEALTHCARE CENTER, LLC 716 E CEDAR ROCK ST PICKENS SC 29671 (864) 878-4739 425085 PRUITTHEALTH-ORANGEBURG 755 WHITMAN STREET SE ORANGEBURG SC 29115 (803) 534-7036 425086 LORIS REHAB AND NURSING CENTER, LLC 3620 STEVENS STREET LORIS SC 29569 (843) 716-7106 425088 WHITE OAK MANOR - ROCK HILL 1915 EBENEZER RD ROCK HILL SC 29732 (803) 366-8155 425089 WHITE OAK MANOR - YORK 111 SOUTH CONGRESS STREET YORK SC 29745 (803) 684-0035 425096 VALLEY FALLS TERRACE 400 LOCUST GROVE ROAD SPARTANBURG SC 29303 (864) 503-0377 425097 PRUITTHEALTH-BARNWELL 31 WREN STREET BARNWELL SC 29812 (803) 259-5547 425100 THE HERITAGE AT LOWMAN REHAB AND HEALTHCARE 201 FORTRESS DRIVE WHITE ROCK SC 29177 (803) 732-3000 425103 JOHN EDWARD HARTER NURSING CENTER 185 REVOLUTIONARY TRAIL FAIRFAX SC 29827 (803) 632-3334 425104 PRUITTHEALTH BAMBERG 439 NORTH STREET BAMBERG SC 29003 (803) 245-7525 425105 MILLENNIUM POST ACUTE REHABILITATION 2416 SUNSET BOULEVARD WEST COLUMBIA SC 29169 (803) 796-8024 425106 HEARTLAND HEALTH CARE CENTER - GREENVILLE EAST 601 SULPHUR SPRINGS ROAD GREENVILLE SC 29611 (864) 246-2721 425109 NHC HEALTHCARE - SUMTER 1018 N GUIGNARD SUMTER SC 29150 (803) 773-5567 425111 MORRELL NURSING CENTER 900 NORTH MARQUIS HWY HARTSVILLE SC 29551 (843) 383-5164 425113 PRUITTHEALTH-DILLON 413 LAKESIDE COURT DILLON SC 29536 (843) 774-2741 425115 HONORAGE NURSING CENTER 1207 NORTH CASHUA ROAD FLORENCE SC 29501 (843) 665-6172 425119 COMMANDER NURSING CENTER 4438 PAMPLICO HIGHWAY FLORENCE SC 29505 (843) 669-3502 425121 CONWAY MANOR 3300 4TH AVENUE CONWAY SC 29527 (843) 248-5728 425122 INMAN HEALTHCARE 51 N MAIN ST INMAN SC 29349 (864) 472-9370 425127 PRUITTHEALTH- ROCK HILL 261 S HERLONG AVE ROCK HILL SC 29732 (803) 366-7133 425128 WHITE OAK MANOR - CHARLESTON 9285 MEDICAL PLAZA DR CHARLESTON SC 29418 (843) 797-8282 425129 BRIAN CENTER NURSING CARE - ST ANDREWS 3514 SIDNEY ROAD COLUMBIA SC 29210 (803) 798-9715 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

425140 UNIHEALTH POST ACUTE CARE OF MONCKS CORNER 505 SOUTH LIVE OAK DRIVE MONCKS CORNER SC 29461 (843) 761-8368 425142 HEARTLAND HEALTH CARE CENTER - UNION 709 RICE AVENUE UNION SC 29379 (864) 427-0306 425145 PRUITTHEALTH-AIKEN 830 LAURENS STREET NORTH AIKEN SC 29801 (803) 649-6264 425146 SANDPIPER REHAB & NURSING 1049 ANNA KNAPP BOULEVARD MOUNT PLEASANT SC 29464 (843) 881-3210 425149 LAKE CITY SCRANTON HEALTHCARE CENTER 1940 BOYD ROAD SCRANTON SC 29591 (843) 389-9201 425150 FRASER HEALTH CENTER 300 WOOD HAVEN DRIVE HILTON HEAD ISLAND SC 29928 (843) 842-3747 425154 HERITAGE HOME OF FLORENCE INC 515 SOUTH WARLEY STREET FLORENCE SC 29501 (843) 662-4573 425155 LANCASTER CONVALESCENT CENTER 2044 PAGELAND HWY LANCASTER SC 29721 (803) 285-7907 425156 OAKBROOK HEALTH AND REHABILITATION CENTER 920 TRAVELERS BOULEVARD SUMMERVILLE SC 29485 (843) 875-9053 425157 SOUTHLAND HEALTH CARE CENTER 722 SOUTH DARGAN STREET FLORENCE SC 29506 (843) 669-4403 425159 AGAPE REHABILITATION OF ROCK HILL 159 SEDGEWOOD DR ROCK HILL SC 29732 (803) 329-6565 425160 ROLLING GREEN VILLAGE 1 HOKE SMITH BOULEVARD GREENVILLE SC 29615 (864) 987-9800 425170 SAINT MATTHEWS HEALTH CARE, LLC 601 DANTZLER STREET SAINT MATTHEWS SC 29135 (803) 655-7101 425171 PETRA HEALTH & REHAB OF MCCORMICK 204 HOLIDAY ROAD MC CORMICK SC 29835 (864) 391-2390 425172 MAGNOLIA MANOR - GREENWOOD 1415 PARKWAY DRIVE GREENWOOD SC 29646 (864) 227-9500 425173 KINGSTON NURSING CENTER 2379 CYPRESS CIRCLE CONWAY SC 29526 (843) 347-8179 425289 HEARTLAND HEALTH AND REHABILITATION CARE CENTER-HA 1800 EAGLE LANDING BLVD HANAHAN SC 29406 (843) 553-0656 425290 WHITE OAK ESTATES 400 WEBBER ROAD SPARTANBURG SC 29302 (864) 579-7004 425291 WESTMINSTER HEALTH & REHAB CENTER 831 MCDOW DRIVE ROCK HILL SC 29732 (803) 328-5000 425295 PRINCE GEORGE HEALTHCARE CENTER 901 MAPLE STREET GEORGETOWN SC 29440 (843) 546-6101 425296 PRUITTHEALTH NORTH AUGUSTA 1200 TALISMAN DRIVE NORTH AUGUSTA SC 29841 (803) 278-2170 425297 LAUREL BAYE HEALTHCARE OF WILLISTON LLC 5721 SPRINGFIELD HWY WILLISTON SC 29853 (803) 266-3229 425298 CAPSTONE HEALTH & REHAB OF EASLEY 1850 CRESTVIEW ROAD EASLEY SC 29642 (864) 859-3236 425301 RICHARD M CAMPBELL VETERANS NURSING HOME 4605 BELTON HIGHWAY ANDERSON SC 29621 (864) 261-6734 425302 CHESTERFIELD CONVALESCENT CENTER 1150 STATE ROAD CHERAW SC 29520 (843) 537-2060 425303 LAKE EMORY POST ACUTE CARE 59 BLACKSTOCK ROAD INMAN SC 29349 (864) 472-2028 425306 HERITAGE HEALTHCARE OF PICKENS 163 LOVE & CARE ROAD SIX MILE SC 29682 (864) 868-2307 425307 HOPE HEALTH & REHAB OF MARIETTA, 2906 GEER HWY MARIETTA SC 29661 (864) 836-6381 425311 ANCHOR HEALTH & REHAB OF AIKEN 550 EAST GATE DRIVE AIKEN SC 29803 (803) 643-3694 425312 MULLINS NURSING CENTER 518 S MAIN STREET MULLINS SC 29574 (843) 464-8211 425314 HOSANNA HEALTH AND REHAB OF PIEDMONT 109 BENTZ ROAD PIEDMONT SC 29673 (864) 845-5177 425315 PRUITTHEALTH ESTILL 252 LIBERTY STREET SOUTH ESTILL SC 29918 (803) 625-3852 425317 IVA REHABILITATION AND HEALTHCARE CENTER, LLC 406 WEST BROAD STREET IVA SC 29655 (864) 348-7433 425318 REDEEMER HEALTH & REHAB OF PICKENS 138 ROSEMOND STREET PICKENS SC 29671 (864) 878-9620 425319 LAUREL BAYE HEALTHCARE BLACKVILLE 1612 JONES BRIDGE ROAD BLACKVILLE SC 29817 (803) 284-4313 425320 NHC HEALTHCARE - NORTH AUGUSTA 350 AUSTIN GRAYBILL NORTH AUGUSTA SC 29841 (803) 278-4272 425321 L.M.C.- EXTENDED CARE 815 OLD CHEROKEE ROAD LEXINGTON SC 29072 (803) 359-5181 425322 NHC HEALTHCARE - GREENVILLE 1305 BOILING SPRINGS ROAD GREER SC 29650 (864) 458-7566 425324 NHC HEALTHCARE - GARDEN CITY 9405 HWY 17 BYPASS GARDEN CITY SC 29576 (843) 650-2213 425325 THE PRESTON HEALTH CENTER 87 BIRD SONG WAY HILTON HEAD ISLAND SC 29926 (843) 689-7077 425326 HALLMARK HEALTHCARE CENTER 255 MIDLAND PARKWAY SUMMERVILLE SC 29485 (843) 821-5005 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

425333 NHC HEALTHCARE - LEXINGTON 2993 SUNSET BLVD WEST COLUMBIA SC 29169 (803) 939-0026 425334 MARTHA FRANKS BAPTIST RETIREMENT CENTER ONE MARTHA FRANKS DRIVE LAURENS SC 29360 (864) 984-4541 425340 BMC SUBACUTE REHAB CENTER 1330 TAYLOR AT MARION STREET COLUMBIA SC 29203 (803) 296-5963 425341 LAKE MOULTRIE NURSING HOME 1038 MCGILL LANE SAINT STEPHEN SC 29479 (843) 567-2307 425346 PALMETTO HEALTH TUOMEY SUBACUTE SKILLED CARE 129 N WASHINGTON ST SUMTER SC 29150 (803) 774-9456 425351 BROAD CREEK CARE CENTER 801 LEMON GRASS COURT HILTON HEAD ISLAND SC 29928 (843) 341-7311 425352 NHC HEALTHCARE - PARKLANE 7601 PARKLANE ROAD COLUMBIA SC 29223 (803) 741-9090 425353 SPRINGS MEMORIAL HOSPITAL TCU 800 WEST MEETING STREET LANCASTER SC 29720 (803) 286-1837 425359 NHC HEALTHCARE - MAULDIN 850 E. BUTLER RD. GREENVILLE SC 29607 (864) 675-6421 425362 HEARTLAND OF WEST ASHLEY REHAB AND NURSING CENTER 1137 SAM RITTENBURG BLVD CHARLESTON SC 29407 (843) 763-0233 425368 HARVEST HEALTH & REHAB OF JOHNS ISLAND 3647 MAYBANK HIGHWAY JOHNS ISLAND SC 29455 (843) 559-5888 425369 GHS LAURENS COUNTY MEMORIAL SUBACUTE UNIT 22725 HIGHWAY 76 EAST CLINTON SC 29325 (864) 833-9100 425372 BETHEA BAPTIST HEALTHCARE CENTER 157 HOME AVENUE DARLINGTON SC 29532 (843) 393-2867 425373 EMERITUS AT GREENVILLE 1306 PELHAM RD GREENVILLE SC 29615 (864) 286-6600 425374 FRANKE HEALTH CARE CENTER 1885 RIFLE RANGE ROAD MOUNT PLEASANT SC 29464 (843) 856-4700 425375 WILLOW BROOK COURT AT PARK POINTE VILLAGE 3025 CHESBROUGH BLVD ROCK HILL SC 29732 (803) 980-8605 425380 THE LAKES AT LITCHFIELD SNF 120 LAKES AT LITCHFIELD DRIVE PAWLEYS ISLAND SC 29585 (843) 235-9393 425381 NHC HEALTH CARE, CHARLESTON 2230 ASHLEY CROSSING DRIVE CHARLESTON SC 29414 (843) 766-5228 425382 COVENANT TOWERS HEALTHCARE CENTER 5001 LITTLE RIVER ROAD MYRTLE BEACH SC 29577 (843) 449-2484 425383 GHS GREENVILLE MEDICAL CENTER SUBACUTE UNIT 807 NORTH MAIN STREET TRAVELERS REST SC 29690 (864) 834-5132 425384 SPARTANBURG HOSPITAL FOR RESTORATIVE CARE SNF 389 SERPENTINE DRIVE SPARTANBURG SC 29303 (864) 560-3265 425386 VETERANS VICTORY HOUSE 2461 SIDNEY ROAD WALTERBORO SC 29488 (843) 538-3000 425387 RICE NURSING HOME 100 FINLEY ROAD COLUMBIA SC 29203 (803) 691-5720 425388 GREENWOOD TRANSITIONAL REHABILITATION UNIT 1530 PARKWAY GREENWOOD SC 29646 (864) 330-9070 425389 PRESBYTERIAN HOME OF SC - SUMMERVILLE 201 W 9TH NORTH STREET SUMMERVILLE SC 29483 (843) 873-2550 425392 LINVILLE COURT AT THE CASCADES VERDAE 30 SPRINGCREST COURT GREENVILLE SC 29607 (864) 528-5500 425393 PRESBYTERIAN HOME OF SC - CLINTON 801 MUSGROVE STREET CLINTON SC 29325 (864) 833-5190 425394 THE ARBORETUM AT THE WOODLANDS 50 ARBORTEUM WAY GREENVILLE SC 29617 (864) 371-3100 425396 PRESBYTERIAN HOME OF SC - COLUMBIA 700 DAVEGA DRIVE LEXINGTON SC 29073 (803) 796-8700 425397 NHC HEALTHCARE - BLUFFTON 3039 OKATIE HIGHWAY OKATIE SC 29909 (843) 705-8220 425398 BROOKDALE ANDERSON 311 SIMPSON RD ANDERSON SC 29621 (864) 261-3875 425400 PRUITTHEALTH-BLYTHEWOOD 1075 HEATHER GREEN DRIVE COLUMBIA SC 29229 (803) 419-9863 425401 STILL HOPES EPISCOPAL RETIREMENT COMMUNITY 1 STILL HOPES DRIVE WEST COLUMBIA SC 29169 (803) 796-6490 425402 COVENANT PLACE NURSING CENTER 2825 CARTER ROAD SUMTER SC 29150 (803) 469-7007 425403 PRESBYTERIAN HOME OF SC - FOOTHILLS 205 BUD NALLEY DRIVE EASLEY SC 29642 (864) 859-3367 425404 SAVANNAH GRACE AT THE PALMS OF MT PLEASANT 1010 LAKE HUNTER CIRCLE MOUNT PLEASANT SC 29464 (843) 388-2030 435004 MANORCARE HEALTH SERVICES 400 8TH AVENUE NW ABERDEEN SD 57401 (605) 225-2550 435009 GOLDEN LIVINGCENTER - MILBANK 1103 SOUTH SECOND STREET MILBANK SD 57252 (605) 432-4556 435020 SUNQUEST HEALTHCARE CENTER 1345 MICHIGAN AVENUE SW HURON SD 57350 (605) 352-8471 435029 AVERA ROSEBUD COUNTRY CARE CENTER 300 PARK STREET POST OFFICE BOX 408 GREGORY SD 57533 (605) 835-8296 435033 WESTHILLS VILLAGE HEALTH CARE FACILITY 255 TEXAS ST RAPID CITY SD 57701 (605) 342-0255 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

435034 AVERA MARYHOUSE LONG TERM CARE 717 EAST DAKOTA PIERRE SD 57501 (605) 224-3163 435036 JENKINS LIVING CENTER 215 SOUTH MAPLE STREET WATERTOWN SD 57201 (605) 886-5777 435037 CLARKSON HEALTH CARE 1015 MT VIEW RD RAPID CITY SD 57702 (605) 343-5882 435042 AVERA MOTHER JOSEPH MANOR RETIREMENT COMMUNITY 1002 NORTH JAY STREET ABERDEEN SD 57401 (605) 622-5850 435044 GOOD SAMARITAN SOCIETY LUTHER MANOR 1500 W 38TH ST SIOUX FALLS SD 57105 (605) 336-1997 435045 GOOD SAMARITAN SOCIETY SIOUX FALLS VILLAGE 3901 S MARION RD SIOUX FALLS SD 57106 (605) 361-3311 435046 GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER 401 WEST SECOND STREET SIOUX FALLS SD 57104 (605) 336-6252 435048 GOLDEN LIVINGCENTER - GROTON 1106 NORTH SECOND STREET GROTON SD 57445 (605) 397-2365 435050 GOLDEN LIVINGCENTER - ARLINGTON 120 CARE CENTER ROAD POST OFFICE BOX 280 ARLINGTON SD 57212 (605) 983-5796 435052 GOLDEN LIVINGCENTER - MOBRIDGE 1100 4TH AVENUE EAST POST OFFICE BOX 937 MOBRIDGE SD 57601 (605) 845-7201 435057 GOLDEN LIVINGCENTER - ARMOUR 106 BRADDOCK POST OFFICE BOX 489 ARMOUR SD 57313 (605) 724-2911 435058 GOLDEN LIVINGCENTER - CLARK 201 8TH AVENUE NW CLARK SD 57225 (605) 532-3431 435059 GOLDEN LIVINGCENTER - LAKE NORDEN 803 PARK STREET POST OFFICE BOX 139 LAKE NORDEN SD 57248 (605) 785-3654 435061 AVERA BRADY HEALTH AND REHAB 500 S OHLMAN MITCHELL SD 57301 (605) 996-7701 435062 ALCESTER CARE AND REHAB CENTER, INC 101 CHURCH STREET ALCESTER SD 57001 (605) 934-2011 435065 PRAIRIE ESTATES HEALTHCARE COMMUNITY 600 SOUTH FRANKLIN ST POST OFFICE BOX 486 ELK POINT SD 57025 (605) 356-2622 435066 AVERA PRINCE OF PEACE 4513 SOUTH PRINCE OF PEACE PLACE SIOUX FALLS SD 57103 (605) 322-5600 435068 GOLDEN LIVINGCENTER - WATERTOWN 415 FOURTH AVE NE WATERTOWN SD 57201 (605) 886-8431 435069 TIESZEN MEMORIAL HOME 312 EAST STATE ST MARION SD 57043 (605) 648-3611 435070 AVERA SR JAMES CARE CENTER/AVERA YANKTON CARE CENT 2111 WEST 11TH STREET YANKTON SD 57078 (605) 668-8900 435071 BETHESDA HOME 129 W HWY 12 WEBSTER SD 57274 (605) 345-3331 435073 BETHESDA HOME OF ABERDEEN 1224 S HIGH ST ABERDEEN SD 57401 (605) 225-7580 435074 GOOD SAMARITAN SOCIETY DE SMET 411 CALUMET AVENUE NW DE SMET SD 57231 (605) 854-3327 435075 GOOD SAMARITAN SOCIETY HOWARD 300 WEST HAZEL AVENUE HOWARD SD 57349 (605) 772-4481 435076 BETHEL LUTHERAN HOME 1001 S EGAN AVE MADISON SD 57042 (605) 256-4539 435077 BRYANT PARKVIEW CARE CENTER 303 W 6TH AVE POST OFFICE BOX 247 BRYANT SD 57221 (605) 628-2771 435080 BETHESDA OF BERESFORD 606 W CEDAR BERESFORD SD 57004 (605) 763-2050 435083 THE NEIGHBORHOODS AT BROOKVIEW 2421 YORKSHIRE DR BROOKINGS SD 57006 (605) 696-8700 435084 FAULKTON SENIOR LIVING 1401 PEARL ST FAULKTON SD 57438 (605) 598-6214 435086 RIVERVIEW HEALTHCARE COMMUNITY 611 EAST 2ND AVE FLANDREAU SD 57028 (605) 997-2481 435087 GOOD SAMARITAN SOCIETY CANISTOTA 700 WEST MAIN ST CANISTOTA SD 57012 (605) 296-3442 435089 GOOD SAMARITAN SOCIETY CORSICA 455 NORTH DAKOTA CORSICA SD 57328 (605) 946-5467 435091 GOOD SAMARITAN SOCIETY TRIPP 300 N DOBSON ST TRIPP SD 57376 (605) 935-6101 435092 HIGHMORE HEALTH 410 8TH STREET SE HIGHMORE SD 57345 (605) 852-2255 435093 SUN DIAL MANOR 410 SECOND STREET POST OFFICE BOX 337 BRISTOL SD 57219 (605) 492-3615 435094 WAKONDA HERITAGE MANOR 515 OHIO STREET WAKONDA SD 57073 (605) 267-2081 435095 GOOD SAMARITAN SOCIETY SCOTLAND 130 6TH STREET SCOTLAND SD 57059 (605) 583-2216 435096 BETHANY HOME SIOUX FALLS 1901 SOUTH HOLLY AVENUE SIOUX FALLS SD 57105 (605) 338-2351 435097 LAKE ANDES SENIOR LIVING 740 EAST LAKE ST POST OFFICE BOX 130 LAKE ANDES SD 57356 (605) 487-7674 435098 GOOD SAMARITAN SOCIETY TYNDALL 2304 LAUREL STREET TYNDALL SD 57066 (605) 589-3350 435099 ESTELLINE NURSING AND CARE CENTER 205 FJERESTAD AVENUE EAST POST OFFICE BOX 130 ESTELLINE SD 57234 (605) 873-2278 435100 SUNSET MANOR AVERA HEALTH 129 E CLAY ST IRENE SD 57037 (605) 263-3318 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

435101 GOOD SAMARITAN SOCIETY CANTON 1022 NORTH DAKOTA AVENUE CANTON SD 57013 (605) 987-2696 435104 GOOD SAMARITAN SOCIETY NEW UNDERWOOD 412 SOUTH MADISON POST OFFICE BOX 327 NEW UNDERWOOD SD 57761 (605) 754-6489 435105 WHEATCREST HILLS HEALTHCARE COMMUNITY 1311 VANDER HORCK POST OFFICE BOX 939 BRITTON SD 57430 (605) 448-2251 435106 GOOD SAMARITAN SOCIETY WAGNER 515 W HWY 46 WAGNER SD 57380 (605) 384-3661 435107 BOWDLE NURSING HOME 8001 W 5TH STREET POST OFFICE BOX 556 BOWDLE SD 57428 (605) 285-6146 435111 WHITE SENIOR LIVING 200 SOUTH PATRICK AVENUE WHITE SD 57276 (605) 629-2881 435112 OAKVIEW TERRACE 510 E 8TH ST POST OFFICE BOX 370 FREEMAN SD 57029 (605) 925-4000 435113 MENNO-OLIVET CARE CENTER 402 S PINE STREET MENNO SD 57045 (605) 387-5139 435114 DIAMOND CARE CENTER 901 N MAIN ST POST OFFICE BOX 300 BRIDGEWATER SD 57319 (605) 729-2525 435115 PALISADE HEALTHCARE COMMUNITY 920 4TH ST GARRETSON SD 57030 (605) 594-3466 435117 GOOD SAMARITAN SOCIETY DEUEL COUNTY 913 COLONEL PETE STREET CLEAR LAKE SD 57226 (605) 874-2159 435119 WILMOT CARE CENTER INC 501 4TH ST WILMOT SD 57279 (605) 938-4418 435120 PIONEER MEMORIAL NURSING HOME 315 NORTH WASHINGTON ST POST OFFICE BOX 368 VIBORG SD 57070 (605) 326-5161 435121 NORTHEAST CARE CENTER 85 1ST AVENUE EAST POST OFFICE BOX 108 ROSHOLT SD 57260 (605) 537-4272 435122 ST WILLIAM'S CARE CENTER 103 N VIOLA ST MILBANK SD 57252 (605) 432-5811 435123 GOOD SAMARITAN SOCIETY SELBY 4861 LINCOLN AVENUE SELBY SD 57472 (605) 649-7663 435124 GOOD SAMARITAN SOCIETY MILLER 421 EAST 4TH ST MILLER SD 57362 (605) 853-2701 435127 DOW RUMMEL VILLAGE 1321 W DOW RUMMEL ST SIOUX FALLS SD 57104 (605) 336-1490 435130 BETHANY HOME - BRANDON 3012 E ASPEN BLVD BRANDON SD 57005 (605) 582-5200 435131 HUDSON CARE AND REHAB CENTER 720 PARKWAY HUDSON SD 57034 (605) 984-2244 435132 AURORA BRULE NURSING HOME INC 408 SOUTH JOHNSTON STREET WHITE LAKE SD 57383 (605) 249-2216 445002 NHC HEALTHCARE, OAKWOOD 244 OAKWOOD DR LEWISBURG TN 37091 (931) 359-3563 445004 NHC HEALTHCARE, DICKSON 812 CHARLOTTE ST DICKSON TN 37055 (615) 446-8046 445008 ST BARNABAS AT SISKIN HOSPITAL 1 SISKEN PLAZA CHATTANOOGA TN 37403 (423) 847-4100 445013 NHC HEALTHCARE, CHATTANOOGA 2700 PARKWOOD AVE CHATTANOOGA TN 37404 (423) 624-1533 445017 ASBURY PLACE AT MARYVILLE 2648 SEVIERVILLE RD MARYVILLE TN 37804 (865) 984-1660 445024 NHC HEALTHCARE, JOHNSON CITY 3209 BRISTOL HWY JOHNSON CITY TN 37601 (423) 282-3311 445030 NHC HEALTHCARE, HILLVIEW 2710 TROTWOOD AVE COLUMBIA TN 38401 (931) 388-7182 445069 NHC HEALTHCARE, MILAN 8017 DOGWOOD LANE P O BOX A MILAN TN 38358 (731) 686-8373 445071 CLAIBORNE COUNTY NURSING HOME 1850 OLD KNOXVILLE ROAD TAZEWELL TN 37879 (423) 626-4211 445076 NHC HEALTHCARE, MCMINNVILLE 928 OLD SMITHVILLE RD MC MINNVILLE TN 37110 (931) 473-8431 445077 UNICOI CO NURSING HOME 100 GREENWAY CIRCLE ERWIN TN 37650 (423) 743-3141 445088 NHC HEALTHCARE, SPRINGFIELD 608 8TH AVE EAST SPRINGFIELD TN 37172 (615) 384-8453 445094 NHC HEALTHCARE, LEWISBURG 1653 MOORESVILLE HIGHWAY LEWISBURG TN 37091 (931) 359-4506 445099 NHC HEALTHCARE, ATHENS 1204 FRYE ST ATHENS TN 37303 (423) 745-0434 445101 NHC HEALTHCARE, PULASKI 993 E COLLEGE ST PULASKI TN 38478 (931) 363-3572 445105 SHANNONDALE HEALTH CARE CENTER 7424 MIDDLEBROOK PIKE KNOXVILLE TN 37909 (865) 690-3411 445107 NHC HEALTHCARE, FT SANDERS 2120 HIGHLAND AVE KNOXVILLE TN 37916 (865) 525-4131 445108 NHC HEALTHCARE, MURFREESBORO 420 N UNIVERSITY ST MURFREESBORO TN 37130 (615) 893-2602 445110 NHC HEALTHCARE, COOKEVILLE 815 SOUTH WALNUT AVENUE COOKEVILLE TN 38501 (931) 528-5516 445112 TREVECCA HEALTH CARE CENTER 329 MURFREESBORO RD NASHVILLE TN 37210 (615) 244-6900 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

445116 NHC HEALTHCARE, SMITHVILLE 825 FISHER AVE P O BOX 549 SMITHVILLE TN 37166 (615) 597-4284 445117 NHC HEALTHCARE, SCOTT 2380 BUFFALO ROAD LAWRENCEBURG TN 38464 (931) 762-9418 445119 NHC HEALTHCARE, SOMERVILLE 308 LAKE DRIVE, PO BOX 550 SOMERVILLE TN 38068 (901) 465-9861 445126 NHC HEALTHCARE, SEQUATCHIE 360 DELL TRAIL, PO BOX 878 DUNLAP TN 37327 (423) 949-4651 445127 NHC HEALTHCARE, FRANKLIN 216 FAIRGROUND ST FRANKLIN TN 37064 (615) 790-0154 445128 NHC HEALTHCARE, OAK RIDGE 300 LABORATORY RD OAK RIDGE TN 37831 (865) 482-7698 445130 NHC HEALTHCARE, SPARTA 34 GRACEY ST SPARTA TN 38583 (931) 836-2211 445131 BEVERLY PARK PLACE HEALTH AND REHAB 5321 BEVERLY PARK CIRCLE KNOXVILLE TN 37918 (865) 687-1321 445132 SEVIERVILLE HEALTH AND REHABILITATION CENTER 415 CATLETT RD SEVIERVILLE TN 37862 (865) 453-4747 445133 ALLEN MORGAN HEALTH AND REHABILITATION CENTER 177 NORTH HIGHLAND MEMPHIS TN 38111 (901) 325-4003 445140 SIGNATURE HEALTHCARE OF PRIMACY 6025 PRIMACY PARKWAY MEMPHIS TN 38119 (901) 767-1040 445154 QUALITY CARE HEALTH CENTER 932 BADDOUR PARKWAY LEBANON TN 37087 (615) 444-1836 445155 DIVERSICARE OF DOVER 537 SPRING STREET, PO BOX 399 DOVER TN 37058 (931) 232-6902 445156 LAUREL MANOR HEALTH CARE 902 BUCHANAN RD NEW TAZEWELL TN 37825 (423) 626-8215 445159 BETHANY HEALTH CARE CENTER 421 OCALA DRIVE NASHVILLE TN 37211 (615) 834-4214 445160 MAYFIELD REHABILITATION CENTER 200 MAYFIELD DRIVE SMYRNA TN 37167 (615) 355-0350 445166 THE HEALTH CENTER AT RICHLAND PLACE 504 ELMINGTON AVENUE NASHVILLE TN 37205 (615) 269-4200 445173 LINCOLN DONALSON CARE CENTERS 501 AMANA AVENUE FAYETTEVILLE TN 37334 (931) 433-6146 445180 NHC HEALTHCARE, LAWRENCEBURG 374 BRINK ST PO BOX 906 LAWRENCEBURG TN 38464 (931) 762-6548 445183 GALLATIN HEALTH CARE CENTER, LLC 438 NORTH WATER AVE GALLATIN TN 37066 (615) 452-2322 445187 WEST TN TRANSITIONAL CARE 597 WEST FOREST AVENUE JACKSON TN 38301 (731) 300-4800 445189 KIRBY PINES MANOR 3535 KIRBY ROAD MEMPHIS TN 38115 (901) 365-0772 445203 WEST MEADE PLACE 1000 ST LUKE DRIVE NASHVILLE TN 37205 (615) 352-3430 445207 WEXFORD HOUSE, THE 2421 JOHN B DENNIS HIGHWAY KINGSPORT TN 37660 (423) 288-3988 445209 SPRING CITY CARE AND REHABILITATION CENTER 331 HINCH STREET SPRING CITY TN 37381 (423) 365-4355 445214 MOUNTAIN CITY CARE & REHABILITATION CENTER 919 MEDICAL PARK DRIVE MOUNTAIN CITY TN 37683 (423) 727-7800 445215 HERITAGE CENTER, THE 1026 MCFARLAND STREET MORRISTOWN TN 37814 (423) 581-5100 445216 RAINTREE MANOR 415 PACE STREET MC MINNVILLE TN 37110 (931) 668-2011 445217 PINE RIDGE CARE & REHABILITATION CENTER 1200 SPRUCE LANE ELIZABETHTON TN 37643 (423) 543-3202 445220 SPRING GATE REHAB & HEALTHCARE CENTER 3909 COVINGTON PIKE MEMPHIS TN 38135 (901) 377-1011 445222 SOUTHERN TENN MEDICAL CENTER SNF 629 HOSPITAL ROAD WINCHESTER TN 37398 (931) 967-8249 445224 HENRY COUNTY HEALTHCARE CTR 239 HOSPITAL CIRCLE PARIS TN 38242 (731) 642-5700 445225 SIGNATURE HEALTHCARE AT METHODIST 1265 UNION AVENUE MEMPHIS TN 38104 (901) 516-7925 445228 LIFE CARE CENTER OF GREENEVILLE 725 CRUM STREET GREENEVILLE TN 37743 (423) 639-8131 445232 PINE MEADOWS HEALTH CARE AND REHABILITATION CENTER 700 NUCKOLLS ROAD BOLIVAR TN 38008 (731) 658-4707 445235 BOULEVARD TERRACE REHABILITATION AND NURSING HOME 1530 MIDDLE TENNESSEE BLVD MURFREESBORO TN 37130 (615) 896-4505 445238 LIFE CARE CENTER OF TULLAHOMA 1715 N JACKSON ST TULLAHOMA TN 37388 (931) 455-8557 445239 LIFE CARE CENTER OF MORGAN COUNTY 419 SOUTH KINGSTON STREET WARTBURG TN 37887 (423) 346-6691 445241 SIGNATURE HEALTHCARE OF MEMPHIS 1150 DOVECREST RD MEMPHIS TN 38134 (901) 382-1700 445244 LIFE CARE CENTER OF CLEVELAND 3530 KEITH ST NW CLEVELAND TN 37311 (423) 476-3254 445246 JEFFERSON CITY HEALTH AND REHAB CENTER 283 W BROADWAY BLVD JEFFERSON CITY TN 37760 (865) 475-9037 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

445249 DIVERSICARE OF MARTIN 158 MT PELIA RD MARTIN TN 38237 (731) 587-0503 445251 WAVERLY HEALTH CARE & REHABILITATION CENTER 895 POWERS BLVD WAVERLY TN 37185 (931) 296-7552 445252 LIFE CARE CENTER OF CENTERVILLE 112 OLD DICKSON RD CENTERVILLE TN 37033 (931) 729-4236 445254 ONEIDA NURSING AND REHAB CENTER 18805 ALBERTA DR ONEIDA TN 37841 (423) 569-8382 445259 SUMMIT VIEW OF ROCKY TOP 204 INDUSTRIAL PARK RD ROCKY TOP TN 37769 (865) 426-2147 445260 BRIARCLIFF HEALTH CARE CENTER 100 ELMHURST DR OAK RIDGE TN 37830 (865) 481-3367 445263 TRI STATE HEALTH AND REHABILITATION CENTER 600 SHAWANEE RD HARROGATE TN 37752 (423) 869-5376 445264 LAUGHLIN HEALTH CARE CENTER 801 E MCKEE ST GREENEVILLE TN 37743 (423) 638-9226 445270 TENNESSEE VETERANS HOME PO BOX 10299 MURFREESBORO TN 37129 (615) 895-8850 445272 MABRY HEALTH CARE 1340 N GRUNDY QUARLES HWY P O BOX 7 GAINESBORO TN 38562 (931) 268-0291 445274 CAMDEN HEALTHCARE & REHAB CENTER 197 HOSPITAL DR CAMDEN TN 38320 (731) 584-3500 445275 LIFE CARE CENTER OF JEFFERSON CITY 336 WEST OLD ANDREW JOHNSON HWY JEFFERSON CITY TN 37760 (865) 475-6097 445276 CUMBERLAND VILLAGE GENESIS HEALTHCARE 136 DAVIS LANE LAFOLLETTE TN 37766 (423) 562-0760 445279 LYNCHBURG NURSING CENTER 40 NURSING HOME ROAD LYNCHBURG TN 37352 (931) 759-6000 445281 GRACE HEALTHCARE OF WHITES CREEK 3425 KNIGHT DRIVE WHITES CREEK TN 37189 (615) 876-2754 445284 WILLOW RIDGE CENTER 215 RICHARDSON WAY MAYNARDVILLE TN 37807 (865) 992-5816 445288 HUNTSVILLE MANOR 287 BAKER STREET HUNTSVILLE TN 37756 (423) 663-3600 445291 ERWIN HEALTH CARE CENTER 100 STALLING LANE ERWIN TN 37650 (423) 743-4131 445292 BEECH TREE MANOR 240 HOSPITAL LANE, PO BOX 300 JELLICO TN 37762 (423) 784-6626 445293 MEMPHIS JEWISH HOME 36 BAZEBERRY ROAD CORDOVA TN 38018 (901) 758-0036 445298 LIFE CARE CENTER OF ATHENS 1234 FRYE STREET, PO BOX 786 ATHENS TN 37371 (423) 745-8181 445300 RIDGEVIEW TERRACE OF LIFE CARE PO BOX 26 COFFEY LANE RUTLEDGE TN 37861 (865) 828-5295 445302 LIFE CARE CENTER OF ELIZABETHTON 1641 HIGHWAY 19E ELIZABETHTON TN 37643 (423) 542-4133 445306 THE BRIDGE AT HIGHLAND 215 HIGHLAND CIRCLE DRIVE PORTLAND TN 37148 (615) 325-9263 445310 LIFE CARE CENTER OF COPPER BASIN 166 COPPER BASIN INDUSTRIAL PARK PO BOX 518 DUCKTOWN TN 37326 (423) 496-3245 445314 LIFE CARE CENTER OF MORRISTOWN 501 WEST ECONOMY ROAD MORRISTOWN TN 37814 (423) 581-5435 445318 CHRISTIAN CARE CENTER OF CHEATHAM COUNTY, INC 2501 RIVER ROAD ASHLAND CITY TN 37015 (615) 792-4948 445320 FAYETTEVILLE HEALTH AND REHABILITATION CENTER 4081 THORNTON TAYLOR PARKWAY FAYETTEVILLE TN 37334 (931) 433-9973 445322 WOOD PRESBYTERIAN HOME 520 OLD HIGHWAY 68 SWEETWATER TN 37874 (423) 351-1105 445326 LIFE CARE CENTER OF BRUCETON-HOLLOW ROCK 105 ROWLAND BRUCETON TN 38317 (731) 586-2061 445328 FORT SANDERS TCU 1901 CLINCH AVE KNOXVILLE TN 37916 (865) 541-1581 445329 THE PALACE HEALTH CARE AND REHABILITATION CENTER 309 MAIN ST RED BOILING SPRINGS TN 37150 (615) 699-2238 445330 COVINGTON CARE NURSING & REHABILITATION CENTER INC 765 BERT JOHNSTON AVE P O BOX 544 COVINGTON TN 38019 (901) 475-0027 445333 BRIARWOOD COMMUNITY LIVING CTR 41 HOSPITAL DRIVE, PO BOX 1067 LEXINGTON TN 38351 (731) 968-6629 445342 WESTMORELAND CARE & REHAB CTR 1559 NEW HIGHWAY 52 WESTMORELAND TN 37186 (615) 644-5111 445344 HOLSTON HEALTH & REHABILITATION CENTER 3916 BOYDS BRIDGE PIKE KNOXVILLE TN 37914 (865) 524-1500 445356 PRINCETON TRANS CARE AT NORTH 400 NORTH STATE OF FRANKLIN ROAD JOHNSON CITY TN 37601 (423) 431-6111 445358 LAKEBRIDGE HEALTH CARE CENTER 115 WOODLAWN DRIVE JOHNSON CITY TN 37604 (423) 975-0095 445359 ROGERSVILLE CARE & REHABILITATION CENTER 109 HWY 70 NORTH ROGERSVILLE TN 37857 (423) 272-3099 445360 TENNOVA HEALTH CARE-TENNOVA TCU 900 EAST OAK HILL AVENUE KNOXVILLE TN 37917 (865) 545-7778 445362 SIGNATURE HEALTHCARE OF FENTRESS COUNTY 208 DUNCAN ST N JAMESTOWN TN 38556 (931) 879-5859 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

445366 W D BILL MANNING TENNESSEE STATE VETERANS HOME 2865 MAIN STREET HUMBOLDT TN 38343 (731) 784-8405 445368 HARRIMAN CARE & REHAB CENTER 240 HANNAH ROAD HARRIMAN TN 37748 (865) 882-9159 445369 SIGNATURE HEALTHCARE OF CLEVELAND 2750 EXECUTIVE PARK PLACE CLEVELAND TN 37312 (423) 476-4444 445377 SIGNATURE HEALTHCARE OF ERIN 278 ROCKY HOLLOW ROAD ERIN TN 37061 (931) 289-4141 445378 WOODCREST AT BLAKEFORD 11 BURTON HILLS BLVD NASHVILLE TN 37215 (615) 665-2524 445380 LIFE CARE CENTER OF HIXSON 5798 HIXSON HOME PLACE HIXSON TN 37343 (423) 842-0049 445381 UNION CITY NURSING AND REHABILITATION CENTER INC 1630 E REELFOOT AVE UNION CITY TN 38261 (731) 885-8095 445383 HORIZON HEALTH AND REHAB CENTER 811 KEYLON STREET MANCHESTER TN 37355 (931) 461-3425 445388 GENERATIONS CENTER OF SPENCER 87 GENERATIONS DRIVE SPENCER TN 38585 (931) 946-7768 445390 PICKETT CARE AND REHABILITATION CENTER 129 HILLCREST DRIVE BYRDSTOWN TN 38549 (931) 864-3162 445391 MANCHESTER HEALTH CARE CENTER 395 INTERSTATE DRIVE MANCHESTER TN 37355 (931) 723-8744 445392 ADAMSPLACE, LLC 1927 MEMORIAL BOULEVARD MURFREESBORO TN 37129 (615) 904-9111 445393 BRIDGE AT MONTEAGLE (THE) 26 SECOND STREET MONTEAGLE TN 37356 (931) 924-2041 445396 ROAN HIGHLANDS NURSING CENTER 146 BUCK CREEK ROAD ROAN MOUNTAIN TN 37687 (423) 772-0161 445397 ADAMSVILLE HEALTHCARE AND REHABILITATION CENTER 409 PARK AVENUE ADAMSVILLE TN 38310 (731) 632-3301 445401 NORTHBROOKE HEALTH CARE CENTER 121 PHYSICIANS DR JACKSON TN 38305 (731) 664-5050 445408 SODDY-DAISY HEALTH CARE CENTER 701 SEQUOYAH ROAD SODDY-DAISY TN 37379 (423) 332-0060 445410 KNOLLWOOD MANOR 405 TIMES AVE LAFAYETTE TN 37083 (615) 666-3170 445411 APPLINGWOOD HEALTH CARE CENTER 1536 APPLING CARE LANE CORDOVA TN 38018 (901) 385-1803 445412 MAPLEWOOD HEALTH CARE CENTER 100 CHERRYWOOD PLACE JACKSON TN 38305 (731) 668-1900 445415 NHC HEALTHCARE, FARRAGUT 120 CAVETT HILL LANE KNOXVILLE TN 37922 (865) 777-4000 445419 OVERTON COUNTY HEALTH AND REHAB CENTER 318 BILBREY STREET LIVINGSTON TN 38570 (931) 823-6403 445420 SISKIN HOSPITAL SUBACUTE REHAB ONE SISKIN PLAZA CHATTANOOGA TN 37403 (423) 634-1587 445421 LIFE CARE CENTER OF SPARTA 508 MOSE DRIVE SPARTA TN 38583 (931) 738-9430 445423 VANAYER HEALTHCARE AND REHAB CENTER, INC 460 HANNINGS LANE MARTIN TN 38237 (731) 587-3193 445426 BRIGHT GLADE HEALTH AND REHABILITATION CENTER INC 5070 SANDERLIN AVENUE MEMPHIS TN 38117 (901) 682-5677 445427 BETHESDA HEALTH CARE CENTER 444 ONE ELEVEN PLACE COOKEVILLE TN 38501 (931) 525-6655 445428 HARBOR VIEW NURSING AND REHABILITATION CENTER, INC 1513 N 2ND STREET MEMPHIS TN 38107 (901) 272-2494 445429 MCKENZIE HEALTH CARE CENTER 175 HOSPITAL DRIVE MC KENZIE TN 38201 (731) 352-3908 445431 LEXINGTON HEALTH CARE AND REHABILITATION, INC 727 EAST CHURCH STREET LEXINGTON TN 38351 (731) 968-2004 445435 WOODBURY HEALTH AND REHABILITATION CENTER 119 WEST HIGH STREET WOODBURY TN 37190 (615) 563-5939 445437 WEAKLEY COUNTY NURSING HOME 700 WEAKLEY COUNTY NURSING HOME ROAD DRESDEN TN 38225 (731) 364-3158 445439 MT JULIET HEALTH CARE CENTER 2650 NORTH MT JULIET ROAD MOUNT JULIET TN 37122 (615) 758-4100 445442 CRESTVIEW HEALTH CARE CENTER OF BROWNSVILLE, INC 704 DUPREE ST BROWNSVILLE TN 38012 (731) 772-3356 445444 SAVANNAH HEALTH CARE AND REHABILITATION CENTER, IN 1645 FLORENCE RD SAVANNAH TN 38372 (731) 926-4200 445445 CELINA HEALTH AND REHABILITATION CENTER 120 PITCOCK LANE CELINA TN 38551 (931) 243-3139 445446 DYERSBURG NURSING AND REHABILITATION, INC 1900 PARR AVENUE DYERSBURG TN 38024 (731) 286-1221 445447 MISSION CONVALESCENT HOME 118 GLASS ST JACKSON TN 38301 (731) 424-2951 445449 WESTWOOD HEALTH CARE AND REHABILITATION CENTER 524 WEST MAIN STREET DECATURVILLE TN 38329 (731) 852-3591 445451 DECATUR COUNTY HEALTH CARE AND REHABILITATION, INC 726 KENTUCKY AVE PARSONS TN 38363 (731) 847-6371 445452 MCNAIRY COUNTY HEALTH CARE CENTER 835 EAST POPLAR AVENUE SELMER TN 38375 (731) 645-3201 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

445453 FOREST COVE NURSING AND REHAB CENTER 45 FOREST COVE JACKSON TN 38301 (731) 424-4200 445454 HUMBOLDT HEALTHCARE REHAB CENTER, INC 2031 AVONDALE RD PBOX 446 HUMBOLDT TN 38343 (731) 784-3655 445457 MADISONVILLE HEALTH AND REHAB CENTER 465 ISBILL RD MADISONVILLE TN 37354 (423) 442-3990 445458 FOUR OAKS HEALTH CARE CENTER 1101 PERSIMMON RIDGE RD JONESBOROUGH TN 37659 (423) 753-8711 445459 HANCOCK MANOR NURSING HOME 1423 MAIN STREET SNEEDVILLE TN 37869 (423) 733-4783 445460 VANCO MANOR NURSING AND REHABILITATION CENTER, INC 813 S DICKERSON RD GOODLETTSVILLE TN 37072 (615) 859-6600 445462 PARIS HEALTH CARE NURSING & REHABILITATION CTR 800 VOLUNTEER DRIVE PARIS TN 38242 (731) 642-2535 445463 BELLS NURSING AND REHABILITATION CENTER 213 HERNDON DRIVE BELLS TN 38006 (731) 663-2335 445464 HILLVIEW HEALTH CENTER 1666 HILLVIEW DRIVE ELIZABETHTON TN 37643 (423) 542-5061 445467 ALAMO NURSING AND REHABILITATION CENTER 580 W MAIN STREET ALAMO TN 38001 (731) 696-4541 445468 DYER NURSING AND REHABILITATION CENTER 1124 NORTH MAIN DYER TN 38330 (731) 692-4545 445469 IVY HALL NURSING HOME 301 WATAUGA AVE ELIZABETHTON TN 37643 (423) 542-6512 445471 HENDERSON HEALTH AND REHABILITATION CENTER 412 JUANITA DRIVE HENDERSON TN 38340 (731) 989-7598 445472 SHANNONDALE OF MARYVILLE HEALTH CARE CENTER 803 SHANNONDALE WAY MARYVILLE TN 37803 (865) 982-4599 445473 JEFFERSON COUNTY NURSING HOME 914 INDUSTRIAL PARK RD DANDRIDGE TN 37725 (865) 397-3163 445474 HERMITAGE HEALTH CENTER 1633 HILLVIEW DRIVE ELIZABETHTON TN 37643 (423) 543-2571 445476 ISLAND HOME PARK HEALTH AND REHAB 1758 HILLWOOD DRIVE KNOXVILLE TN 37920 (865) 573-9621 445478 DURHAM-HENSLEY HEALTH AND REHABILITATION 55 NURSING HOME RD CHUCKEY TN 37641 (423) 257-6761 445479 LIFE CARE CENTER OF GRAY 791 OLD GRAY STATION ROAD GRAY TN 37615 (423) 477-7146 445480 CHRISTIAN CARE CENTER OF SPRINGFIELD, LLC 704 5TH AVENUE EAST SPRINGFIELD TN 37172 (615) 384-7977 445481 ASBURY PLACE AT KINGSPORT 100 NETHERLAND LANE KINGSPORT TN 37660 (423) 245-0360 445482 THE VILLAGE AT GERMANTOWN 7930 WALKING HORSE CIRCLE GERMANTOWN TN 38138 (901) 752-2580 445483 APPALACHIAN CHRISTIAN VILLAGE 2012 SHERWOOD DRIVE JOHNSON CITY TN 37601 (423) 928-3168 445484 SENATOR BEN ATCHLEY STATE VETERANS' HOME ONE VETERANS WAY KNOXVILLE TN 37931 (865) 862-8100 445485 ALLENBROOKE NURSING AND REHABILITATION CENTER 3933 ALLENBROOKE COVE MEMPHIS TN 38118 (901) 795-2444 445486 RIDGETOP HAVEN HEALTH CARE CENTER 2002 GREER ROAD RIDGETOP TN 37152 (615) 859-5895 445487 CHRISTIAN CARE CENTER OF JOHNSON CITY, INC 140 TECHNOLOGY LANE JOHNSON CITY TN 37604 (423) 434-2016 445488 SOMERFIELD AT THE HERITAGE 900 HERITAGE WAY BRENTWOOD TN 37027 (615) 564-4900 445489 HUMPHREYS CO NURSING HOME 670 HIGHWAY 13 SOUTH WAVERLY TN 37185 (931) 296-2532 445490 AVE MARIA HOME 2805 CHARLES BRYAN RD BARTLETT TN 38134 (901) 386-3211 445491 MCKENDREE VILLAGE INC 4347 LEBANON ROAD HERMITAGE TN 37076 (615) 871-8200 445496 THE MEADOWS 8044 COLEY DAVIS ROAD NASHVILLE TN 37221 (615) 646-4466 445500 PAVILION-THS, LLC 1406 MEDICAL CENTER DRIVE LEBANON TN 37087 (615) 444-2882 445501 WEST HILLS HEALTH AND REHAB 6801 MIDDLEBROOK PIKE KNOXVILLE TN 37919 (865) 588-7661 445506 GOOD SAMARITAN SOCIETY - FAIRFIELD GLADE 100 SAMARITAN WAY CROSSVILLE TN 38558 (931) 456-1576 445507 LIFE CARE CENTER OF HICKORY WOODS 4200 MURFREESBORO PIKE ANTIOCH TN 37013 (615) 501-3500 445508 OBION COUNTY NURSING HOME 1084 EAST COUNTY HOME ROAD UNION CITY TN 38261 (731) 885-9065 445509 LIFE CARE CENTER OF OLD HICKORY VILLAGE 1250 ROBINSON ROAD OLD HICKORY TN 37138 (615) 847-1502 445510 WHARTON NURSING HOME 878-880 WEST MAIN STREET PLEASANT HILL TN 38578 (931) 277-3511 445513 WHITE HOUSE HEALTH CARE INC 2871 HIGHWAY 31W WHITE HOUSE TN 37188 (615) 672-3636 445514 JOHN M REED HEALTH AND REHAB 124 JOHN REED HOME RD LIMESTONE TN 37681 (423) 257-6122 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

445515 NHC HEALTHCARE, TULLAHOMA 1321 CEDAR LANE TULLAHOMA TN 37388 (931) 222-4207 445517 NHC HEALTHCARE, KINGSPORT 2300 PAVILION DRIVE KINGSPORT TN 37660 (423) 480-7048 455061 ELSIE GAYER HEALTH CARE CENTER 902 N MAIN ST SAN ANGELO TX 76903 (325) 655-7391 455069 SCOTT AND WHITE MEMORIAL HOSPITAL 2401 SOUTH 31ST ST TEMPLE TX 76504 (254) 771-8200 455278 KNOPP HEALTHCARE AND REHAB CENTER INC 1208 N LLANO FREDERICKSBURG TX 78624 (830) 997-3704 455333 SHARPVIEW RESIDENCE AND REHABILITATION CENTER 7505 BELLERIVE HOUSTON TX 77036 (713) 774-9611 455351 SHERWOOD HEALTH CARE INC 2817 KENT STREET BRYAN TX 77802 (979) 776-7521 455412 BROOKHAVEN NURSING AND REHABILITATION CENTER 1855 CHEYENNE CARROLLTON TX 75010 (972) 394-7141 455450 MERIDIAN CARE MONTE VISTA 616 W RUSSELL PL SAN ANTONIO TX 78212 (210) 735-9233 455456 BIVINS MEMORIAL NURSING HOME 1001 WALLACE BLVD AMARILLO TX 79106 (806) 355-7453 455457 MANORCARE HEALTH SERVICES 2129 SKYLINE DR FORT WORTH TX 76114 (817) 626-1956 455463 THE MEADOWS HEALTH AND REHABILITATION CENTER 8383 MEADOW RD DALLAS TX 75231 (214) 239-6000 455472 WEBSTER RESIDENCE AND REHABILITATION CENTER 750 W TEXAS AVE WEBSTER TX 77598 (281) 332-3496 455475 WHITE SETTLEMENT NURSING CENTER 7820 SKYLINE PARK DR WHITE SETTLEMENT TX 76108 (817) 246-4671 455486 ENNIS CARE CENTER 1200 S HALL ST ENNIS TX 75119 (972) 875-9051 455494 MANORCARE HEALTH SERVICES 7625 GLENVIEW DR NORTH RICHLAND HILLS TX 76180 (817) 284-1427 455503 THE ROSEWOOD RETIREMENT COMMUNITY 5700 E CENTRAL TEXAS EXPWY KILLEEN TX 76543 (254) 690-6169 455513 LAMPASAS NURSING AND REHABILITATION CENTER 611 N BROAD ST LAMPASAS TX 76550 (512) 556-3588 455515 COPPERAS COVE LTC PARTNERS INC 607 W AVE B COPPERAS COVE TX 76522 (254) 547-1033 455516 LAKEWOOD VILLAGE HEALTH CARE CENTER 5100 RANDOL MILL RD FORT WORTH TX 76112 (817) 451-8001 455522 SENIOR CARE OF MARLANDWOOD WEST 1700 MARLANDWOOD RD TEMPLE TX 76502 (254) 743-6200 455523 MORNINGSIDE MANOR 602 BABCOCK RD SAN ANTONIO TX 78201 (210) 731-1000 455534 HONDO NURSING AND REHABILITATION LP 3002 AVE Q HONDO TX 78861 (830) 426-3056 455536 AMISTAD NURSING AND REHABILITATION CENTER 200 RIVERSIDE DR UVALDE TX 78801 (830) 278-5641 455538 MAGNOLIA MANOR 4400 GULF ST GROVES TX 77619 (409) 962-5785 455544 STEVENS HEALTH CARE AND REHAB CENTER 204 WALTER ST YOAKUM TX 77995 (361) 293-3544 455554 WESTVIEW MANOR AND REHABILITATION CENTER 414 JOHNSON DR MC GREGOR TX 76657 (254) 840-3281 455563 DENISON NURSING AND REHABILITATION LP 601 E HWY 69 DENISON TX 75021 (903) 465-2438 455570 MINERAL WELLS NURSING & REHABILITATION 316 SW 25TH AVE MINERAL WELLS TX 76067 (940) 325-1358 455572 WEDGEWOOD NURSING HOME 6621 DAN DANCIGER RD FORT WORTH TX 76133 (817) 292-6330 455574 WEATHERFORD HEALTH CARE CENTER 521 W 7TH ST WEATHERFORD TX 76086 (817) 594-8713 455576 RICHLAND HILLS REHABILITATION AND HEALTHCARE CENTE 3109 KINGS CT FORT WORTH TX 76118 (817) 589-2431 455577 COMMUNITY CARE CENTER OF CROCKETT 1150 E LOOP 304 CROCKETT TX 75835 (936) 544-2051 455591 RENFRO HEALTHCARE CENTER 1413 W MAIN ST WAXAHACHIE TX 75165 (972) 937-2298 455594 KOUNTZE NURSING CENTER 604 FM 1293 KOUNTZE TX 77625 (409) 246-3418 455599 HERITAGE PARK REHABILITATION AND SKILLED NURSING C 2806 REAL ST AUSTIN TX 78722 (512) 474-1411 455601 ALVARADO LTC PARTNERS INC 101 N PARKWAY ALVARADO TX 76009 (817) 790-3304 455602 WESTERN HILLS HEALTHCARE RESIDENCE 400 OLD SIDNEY RD COMANCHE TX 76442 (325) 356-2571 455608 HACIENDA OAKS AT BEEVILLE 4713 BUSINESS 181 N BEEVILLE TX 78102 (361) 358-5612 455613 COURTYARD CONVALESCENT CENTER 7499 STANWICK DR HOUSTON TX 77087 (713) 644-8048 455617 CHRISTIAN CARE CENTER 1000 WIGGINS PKWY MESQUITE TX 75150 (972) 686-3000 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

455621 VALLEY GRANDE MANOR 1212 S BRIDGE WESLACO TX 78596 (956) 968-2121 455626 BISHOP DAVIES NURSING CENTER 2712 N HURSTVIEW HURST TX 76054 (817) 281-6707 455627 GOOD SAMARITAN SOCIETY-DENTON VILLAGE 2500 HINKLE DR DENTON TX 76201 (940) 383-2651 455628 HILLTOP VILLAGE NURSING AND REHABILITATION CENTER 1400 HILLTOP RD KERRVILLE TX 78028 (830) 895-3200 455637 WELLINGTON REHABILITATION AND HEALTHCARE 1802 S 31ST TEMPLE TX 76504 (254) 778-4231 455638 GREENVIEW MANOR 401 OWEN LN WACO TX 76710 (254) 772-8900 455646 MARSHALL MANOR NURSING & REHABILITATION CENTER 1007 S WASHINGTON AVE MARSHALL TX 75670 (903) 935-7971 455651 DOWNTOWN HEALTH AND REHABILITATION CENTER 424 S ADAMS ST FORT WORTH TX 76104 (817) 335-5781 455652 SILVER CREEK MANOR 9014 TIMBER PATH SAN ANTONIO TX 78250 (210) 523-2455 455653 SKYLINE NURSING CENTER 3326 BURGOYNE DALLAS TX 75233 (214) 330-9291 455670 RIDGECREST RETIREMENT AND HEALTHCARE COMMUNITY 1900 W STATE HWY 6 WACO TX 76712 (254) 776-9681 455672 GOLDEN PALMS RETIREMENT & HEALTH CENTER 2101 TREASURE HILLS BLVD HARLINGEN TX 78550 (956) 430-3100 455674 WELLINGTON OAKS NURSING AND REHABILITATION LP 701 SAINT LOUIS AVE FORT WORTH TX 76104 (817) 332-9962 455676 COMMUNITY CARE CENTER 2001 AVE E HONDO TX 78861 (830) 426-3087 455678 SUMMER MEADOWS 301 HOLLYBROOK DR LONGVIEW TX 75605 (903) 758-7764 455683 HENDRICK SKILLED NURSING FACILITY 1900 PINE ABILENE TX 79601 (325) 670-6151 455685 GOOD SAMARITAN SOCIETY -- LAKE FOREST VILLAGE 3901 MONTECITO DR DENTON TX 76210 (940) 891-0856 455687 ALAMEDA OAKS NURSING CENTER 1101 S ALAMEDA CORPUS CHRISTI TX 78404 (361) 882-2711 455691 SHANNON MEDICAL CENTER 2018 PULLIAM SAN ANGELO TX 76903 (325) 653-6741 455702 KARNES CITY HEALTH AND REHABILITATION CENTER 209 COUNTRY CLUB DR KARNES CITY TX 78118 (830) 780-2426 455703 OAKMONT HEALTHCARE AND REHABILITATION CENTER OF KA 1525 TULL DR KATY TX 77449 (281) 578-1600 455709 POTEET MANOR 329 SCHOOL DR POTEET TX 78065 (830) 742-3525 455712 GOLDEN AGE MANOR NURSING CENTER 704 DOBKINS DUBLIN TX 76446 (254) 445-3370 455725 OAKMONT HEALTHCARE AND REHABILITATION CENTER OF HU 8450 WILL CLAYTON PKWY HUMBLE TX 77338 (281) 446-8484 455731 ADVANCED HEALTH & REHAB CENTER OF GARLAND 505 W CENTERVILLE RD GARLAND TX 75041 (972) 278-3566 455732 KIRKWOOD MANOR 2590 LOOP 337 N NEW BRAUNFELS TX 78130 (830) 620-0509 455733 HERITAGE AT TURNER PARK HEALTH & REHAB 820 SMALL ST GRAND PRAIRIE TX 75050 (972) 262-1351 455736 SAN JACINTO METHODIST HOSPITAL 4401 GARTH RD BAYTOWN TX 77521 (281) 420-8600 455742 SAN ANTONIO RESIDENCE AND REHABILITATION CENTER 7703 BRIARIDGE SAN ANTONIO TX 78230 (210) 341-6121 455756 ROYAL OAKS RESIDENCE AND REHABILITATION CENTER 2939 WOODLAND PARK DR HOUSTON TX 77082 (281) 870-9100 455757 CLAIRMONT BEAUMONT 1020 S 23RD ST BEAUMONT TX 77707 (409) 842-9700 455762 HEARTLAND OF SAN ANTONIO ONE HEARTLAND DR SAN ANTONIO TX 78247 (210) 653-1219 455770 OAK BEND MEDICAL CENTER 1705 JACKSON ST RICHMOND TX 77469 (281) 341-4847 455771 HEARTHSTONE SN HEALTH CENTER 401 OAKWOOD BLVD ROUND ROCK TX 78681 (512) 388-7494 455785 SENIOR CARE OF WESTERN HILLS 512 DRAPER DR TEMPLE TX 76504 (254) 742-7500 455794 WILLOWBROOK RESIDENCE AND REHABILITATION CENTER 13631 ARDFIELD DR HOUSTON TX 77070 (281) 955-9572 455796 TOWN AND COUNTRY MANOR 625 N MAIN ST BOERNE TX 78006 (830) 249-3085 455798 HEARTLAND HEALTH CARE CENTER 2001 FOREST RIDGE DR BEDFORD TX 76021 (817) 571-6804 455799 HEARTLAND HEALTHCARE CENTER 11406 RUSTIC ROCK DRIVE AUSTIN TX 78750 (512) 335-5028 455805 ST JOSEPH MEDICAL CENTER 1401 ST JOSEPH PARKWAY HOUSTON TX 77002 (713) 757-1000 455806 THE TERRACE AT DENISON 1300 MEMORIAL DR DENISON TX 75020 (903) 465-7442 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

455808 JACKSBORO HEALTHCARE CENTER 211 E JASPER ST JACKSBORO TX 76458 (940) 567-2686 455810 BROOKDALE BROADWAY CITYVIEW 5301 BRYANT IRVIN RD FORT WORTH TX 76132 (817) 346-9407 455819 ARLINGTON HEIGHTS HEALTH AND REHABILITATION CENTER 4825 WELLESLEY ST FORT WORTH TX 76107 (817) 732-6608 455832 WINDSOR GARDENS 2535 W PLEASANT RUN LANCASTER TX 75146 (972) 228-8029 455834 SOUTH PLACE NURSING CENTER 150 GIBSON RD ATHENS TX 75751 (903) 677-5864 455835 INTERLOCHEN HEALTH AND REHABILITATION CENTER 2645 W RANDOL MILL RD ARLINGTON TX 76012 (817) 277-6789 455838 RETAMA MANOR NURSING CENTER/ROBSTOWN 603 E AVE J ROBSTOWN TX 78380 (361) 387-1568 455848 BROWNWOOD REGIONAL MEDICAL CENTER SNF 1501 BURNET DRIVE BROWNWOOD TX 76801 (325) 646-8541 455850 HURST PLAZA NURSING & REHAB 215 E PLAZA BLVD HURST TX 76053 (817) 282-6777 455854 THE FORUM AT MEMORIAL WOODS HEALTHCARE CENTER 777 N POST OAK RD HOUSTON TX 77024 (713) 956-6407 455861 HERITAGE MANOR HEALTHCARE RESIDENCE 1621 COIT RD PLANO TX 75075 (972) 596-7930 455864 LIFE CARE CENTER OF PLANO 3800 W PARK BLVD PLANO TX 75075 (972) 612-1700 455869 GUADALUPE VALLEY NURSING CENTER 1210 EASTWOOD DR SEGUIN TX 78155 (830) 379-9308 455870 THE FORUM AT LINCOLN HEIGHTS 311 W NOTTINGHAM SAN ANTONIO TX 78209 (210) 824-2314 455872 ARLINGTON RESIDENCE AND REHABILITATION CENTER 405 DUNCAN PERRY RD ARLINGTON TX 76011 (817) 649-3366 455879 MARSHALL MANOR WEST 207 W MERRITT ST MARSHALL TX 75670 (903) 938-3793 455881 DFW NURSING & REHAB 900 W LEUDA ST FORT WORTH TX 76104 (817) 332-7003 455891 RENAISSANCE PARK MULTI CARE CENTER 4252 BRYANT IRVIN RD FORT WORTH TX 76109 (817) 738-2975 455892 HARBOURVIEW CARE CENTER INC 300 ENTERPRISE AVE LEAGUE CITY TX 77573 (281) 334-4243 455893 GRACE CARE CENTER OF HENRIETTA 807 W BOIS D ARC HENRIETTA TX 76365 (940) 538-4303 455895 DIVERSICARE OF LAKE HIGHLANDS 9009 WHITE ROCK TR DALLAS TX 75238 (214) 348-8100 455901 PROMISE SKILLED NURSING FACILITY OF WICHITA FALLS 1101 GRACE ST WICHITA FALLS TX 76301 (940) 322-3393 455903 LAKE LODGE NURSING AND REHABILITATION LP 3800 MARINA DR LAKE WORTH TX 76135 (817) 237-7231 455906 SENIOR CARE AT STEPHENVILLE 2601 NORTHWEST LOOP STEPHENVILLE TX 76401 (254) 968-4649 455908 SCHULENBURG REGENCY NURSING CENTER 111 COLLEGE ST SCHULENBURG TX 78956 (979) 743-6537 455910 CHANDLER NURSING CENTER 300 CHERRY ST CHANDLER TX 75758 (903) 849-2485 455913 HEALTHCARE CENTER AT THE FORUM AT PARK LANE 7827 PARK LN DALLAS TX 75225 (214) 369-9905 455929 GRANBURY REHAB & NURSING 2124 PALUXY HWY GRANBURY TX 76048 (817) 279-7600 455930 COUNTRYSIDE NURSING AND REHABILITATION LP 1700 N WASHINGTON PILOT POINT TX 76258 (940) 686-5556 455941 WINDCREST NURSING AND REHABILITATION CENTER 210 WEST WINDCREST ST FREDERICKSBURG TX 78624 (830) 997-7422 455944 REGENCY HEALTHCARE AND REHABILITATION CENTER AT RE 2407 WEST MAIN STREET CLARKSVILLE TX 75426 (903) 427-3821 455946 SWEETWATER HEALTHCARE CENTER 1600 JOSEPHINE ST SWEETWATER TX 79556 (325) 236-6653 455951 REGAL HEALTHCARE RESIDENCE 1000 AVE J LAMPASAS TX 76550 (512) 556-6267 455954 HAMILTON HEALTHCARE CENTER 910 E PIERSON ST HAMILTON TX 76531 (254) 386-8113 455957 SANTA FE HEALTH & REHABILITATION CENTER 1205 SANTA FE DR WEATHERFORD TX 76086 (817) 594-2786 455958 HILL COUNTRY HEALTHCARE CENTER 507 E GREEN ST LLANO TX 78643 (325) 247-4115 455961 PALO PINTO NURSING CENTER 200 SOUTHWEST 25TH AVE MINERAL WELLS TX 76067 (940) 325-7813 455965 TEXHOMA CHRISTIAN CARE CENTER INC 300 LOOP 11 WICHITA FALLS TX 76306 (940) 723-8420 455975 THE GARDENS OF BELLAIRE 4620 BELLAIRE BLVD BELLAIRE TX 77401 (713) 665-3888 455981 HERMANN HOSPITAL 6411 FANNIN HOUSTON TX 77030 (713) 704-6090 455983 ST. CATHERINE CENTER 300 WEST HIGHWAY 6 WACO TX 76712 (254) 761-8500 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

455985 CLARKSVILLE NURSING CENTER 300 E BAKER ST CLARKSVILLE TX 75426 (903) 427-2236 455987 CANTON HEALTHCARE CENTER 1661 S BUFFALO CANTON TX 75103 (903) 567-4135 455996 THE RENAISSANCE AT KESSLER PARK 2428 BAHAMA DR DALLAS TX 75211 (214) 948-3811 455999 PORT LAVACA NURSING AND REHABILITATION CENTER 524 VILLAGE RD PORT LAVACA TX 77979 (361) 552-3741 465003 HERITAGE PARK CARE CENTER 2700 WEST 5600 SOUTH ROY UT 84067 (801) 825-9731 465020 PIONEER CARE CENTER 815 SOUTH 200 WEST BRIGHAM CITY UT 84302 (435) 723-5289 465049 SPRING CREEK HEALTHCARE CENTER 4600 SOUTH HIGHLAND DRIVE SALT LAKE CITY UT 84117 (801) 272-1892 465057 FOUR CORNERS REGIONAL CARE CENTER 818 NORTH 400 WEST BLANDING UT 84511 (435) 678-2251 465059 RICHFIELD REHABILITATION AND CARE CENTER 163 EAST 1000 NORTH RICHFIELD UT 84701 (435) 896-8211 465062 SOUTH DAVIS COMMUNITY CARE CENTER 401 SOUTH 400 EAST BOUNTIFUL UT 84010 (801) 295-2361 465064 ST GEORGE REHABILITATION 1032 EAST 100 SOUTH ST GEORGE UT 84770 (435) 628-0488 465066 AVALON WEST HEALTH & REHABILITATION 6246 SOUTH REDWOOD ROAD SALT LAKE CITY UT 84123 (801) 969-1420 465067 ROCKY MOUNTAIN CARE - CLEARFIELD 1481 EAST 1450 SOUTH CLEARFIELD UT 84015 (801) 397-4300 465069 MT OGDEN HEALTH AND REHABILITATION CENTER 375 EAST 5350 SOUTH WASHINGTON TERRACE UT 84405 (801) 479-5700 465074 WILLOW WOOD CARE CENTER 1205 EAST 4725 SOUTH SALT LAKE CITY UT 84117 (801) 262-2908 465075 ROCKY MOUNTAIN CARE - HUNTER HOLLOW 4090 WEST PIONEER PARKWAY WEST VALLEY CITY UT 84120 (801) 980-9270 465078 HIGHLAND CARE CENTER 4285 SOUTH HIGHLAND DRIVE SALT LAKE CITY UT 84124 (801) 278-2839 465083 CRESTWOOD REHABILITATION AND NURSING 3665 BRINKER AVENUE OGDEN UT 84403 (801) 627-2273 465084 UINTAH BASIN REHABILITATION AND SENIOR VILLA 265 NORTH 300 WEST ROOSEVELT UT 84066 (435) 725-2070 465088 ALPINE VALLEY CARE CENTER 25 EAST ALPINE DRIVE PLEASANT GROVE UT 84062 (801) 785-3568 465089 ROCKY MOUNTAIN CARE - WILLOW SPRINGS 140 EAST 200 SOUTH TOOELE UT 84074 (801) 397-4200 465090 ORCHARD PARK POST - ACUTE REHAB 740 NORTH 300 EAST OREM UT 84057 (801) 224-0919 465091 DRAPER REHABILITATION AND CARE CENTER 12702 SOUTH FORT STREET DRAPER UT 84020 (801) 571-2704 465092 UINTAH CARE CENTER 510 SOUTH 500 WEST VERNAL UT 84078 (435) 781-3500 465093 WILLOW GLEN HEALTH AND REHAB 775 NORTH 200 EAST BRIGHAM CITY UT 84302 (435) 723-7777 465095 ST JOSEPH VILLA 451 EAST BISHOP FEDERAL LANE SALT LAKE CITY UT 84115 (801) 487-7557 465097 HERITAGE CARE CENTER 350 EAST 300 NORTH AMERICAN FORK UT 84003 (801) 756-5293 465101 HURRICANE HEALTH AND REHABILITATION 416 NORTH STATE STREET HURRICANE UT 84737 (435) 635-9833 465107 HERITAGE HILLS REHABILITATION AND CARE CENTER 1100 NORTH 400 EAST NEPHI UT 84648 (435) 623-1721 465108 COPPER RIDGE HEALTH CARE 3706 WEST 9000 SOUTH WEST JORDAN UT 84088 (801) 280-2273 465109 HOLLADAY HEALTHCARE CENTER 4782 SOUTH HOLLADAY BOULEVARD SALT LAKE CITY UT 84117 (801) 277-7002 465112 LIFE CARE CENTER OF BOUNTIFUL 460 WEST 2600 SOUTH BOUNTIFUL UT 84010 (801) 295-3135 465117 SOUTH OGDEN POST ACUTE 5540 SOUTH 1050 EAST OGDEN UT 84405 (801) 479-8455 465119 PROVO REHABILITATION AND NURSING 1001 NORTH 500 WEST PROVO UT 84604 (801) 377-9661 465123 LOGAN REGIONAL HOSPITAL TRANSITIONAL CARE UNIT 500 EAST 1400 NORTH LOGAN UT 84341 (435) 716-1000 465124 MIDTOWN MANOR 125 SOUTH 900 WEST SALT LAKE CITY UT 84104 (801) 363-6340 465125 ROCKY MOUNTAIN CARE - COTTAGE ON VINE 835 EAST VINE STREET MURRAY UT 84107 (801) 693-3801 465128 HILLSIDE REHABILITATION CENTER 1216 EAST 1300 SOUTH SALT LAKE CITY UT 84105 (801) 487-5865 465137 RED CLIFFS HEALTH AND REHAB 1745 EAST 280 NORTH ST GEORGE UT 84790 (435) 628-7770 465139 LIFE CARE CENTER OF SALT LAKE CITY 1201 EAST 4500 SOUTH SALT LAKE CITY UT 84117 (801) 261-3664 465140 ST MARK'S HOSPITAL TRANSITIONAL CARE 1200 EAST 3900 SOUTH SALT LAKE CITY UT 84124 (801) 293-6821 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

465143 BELLA TERRA CEDAR CITY 411 WEST 1325 NORTH CEDAR CITY UT 84721 (435) 586-6481 465144 SEASONS HEALTH AND REHABILITATION 242 NORTH 200 WEST ST GEORGE UT 84770 (435) 628-1601 465146 AVALON VALLEY REHABILITATION 2472 SOUTH 300 EAST SALT LAKE CITY UT 84115 (801) 466-2211 465147 ROCKY MOUNTAIN CARE - MOUNTAIN VIEW 160 WEST 500 NORTH HEBER CITY UT 84032 (435) 654-5500 465149 EMERITUS AT SALT LAKE CITY 76 SOUTH 500 EAST SALT LAKE CITY UT 84102 (801) 359-0050 465150 WILLIAM E CHRISTOFFERSEN SALT LAKE VETERANS HOME 700 SOUTH FOOTHILL DRIVE SALT LAKE CITY UT 84113 (801) 584-1900 465155 PINE VIEW TRANSITIONAL REHAB 1497 EAST SKYLINE DRIVE OGDEN UT 84405 (801) 689-1600 465156 AVALON CARE CENTER-BOUNTIFUL 523 NORTH MAIN STREET BOUNTIFUL UT 84010 (801) 951-2273 465157 MILLARD COUNTY CARE AND REHABILITATION 150 SOUTH WHITE SAGE AVENUE DELTA UT 84624 (435) 864-2944 465159 ASPEN RIDGE TRANSITIONAL REHAB 963 EAST 6600 SOUTH MURRAY UT 84121 (801) 713-3100 465160 CORAL DESERT REHABILITATION AND CARE 1490 EAST FOREMASTER DRIVE ST GEORGE UT 84790 (435) 674-5195 465162 ASPEN PARK REHABILITATION 1430 EAST 4500 SOUTH SALT LAKE CITY UT 84117 (801) 272-8000 465163 NORTH CANYON CARE CENTER 350 SOUTH 400 EAST BOUNTIFUL UT 84010 (801) 397-4700 465165 MISSION AT BEAR RIVER REHABILITATION CENTER 460 WEST 600 NORTH TREMONTON UT 84337 (435) 257-4400 465166 ASPEN RIDGE WEST TRANSITIONAL REHAB 5323 SOUTH MURRAY BOULEVARD MURRAY UT 84123 (801) 713-3200 465167 STONEHENGE OF OREM 435 WEST CENTER STREET OREM UT 84057 (801) 850-5454 465168 ROCKY MOUNTAIN CARE - RIVERTON 3419 WEST 12600 SOUTH RIVERTON UT 84065 (801) 693-3900 465169 THATCHER BROOK REHABILITATION & CARE 1795 SOUTH CHELEMES WAY CLEARFIELD UT 84015 (801) 614-5700 465170 ASPEN RIDGE OF UTAH VALLEY 1992 SOUTH COLUMBIA LANE OREM UT 84097 (801) 724-6500 465171 LEGACY VILLAGE REHABILITATION 3251 WEST 5400 SOUTH TAYLORSVILLE UT 84129 (801) 613-4600 465172 GEORGE E WAHLEN OGDEN VETERANS HOME 1102 NORTH 1200 WEST OGDEN UT 84404 (801) 334-4300 465173 STONEHENGE OF RICHFIELD 125 EAST 600 NORTH RICHFIELD UT 84701 (435) 896-2000 465174 FAIRFIELD VILLAGE REHABILITATION 1203 NORTH FAIRFIELD ROAD LAYTON UT 84041 (801) 807-0113 465176 STONEHENGE OF SOUTH JORDAN, LLC 1371 W SOUTH JORDAN PARKWAY SOUTH JORDAN UT 84095 (801) 253-1370 465177 THE PEAKS CARE AND REHAB 370 WEST 500 NORTH OREM UT 84057 (801) 223-4344 465178 STONEHENGE OF AMERICAN FORK 538 SOUTH 500 EAST AMERICAN FORK UT 84003 (801) 642-2000 465179 COUNTRY LIFE CARE CENTER 13747 SOUTH REDWOOD ROAD RIVERTON UT 84065 (801) 417-9400 465180 SOUTHERN UTAH VETERANS HOME - IVINS 160 N 200 E IVINS UT 84738 (435) 634-5220 465181 CENTRAL UTAH VETERANS HOME - PAYSON 1551 N MAIN STREET PAYSON UT 84651 (801) 465-5400 465182 STONEHENGE OF OGDEN, LLC 5648 SOUTH ADAMS AVE WASHINGTON TERRACE UT 84405 (801) 475-0500 475008 VERNON GREEN NURSING HOME 61 GREENWAY DRIVE VERNON VT 5354 (802) 254-6041 475010 BROOKSIDE HEALTH AND REHABILITATION 1200 CHRISTIAN STREET WHITE RIVER JUNCTION VT 5001 (802) 295-7511 475012 MOUNTAIN VIEW CENTER GENESIS HEALTHCARE 9 HAYWOOD AVENUE RUTLAND VT 5701 (802) 775-0007 475017 HELEN PORTER HEALTHCARE & REHAB 30 PORTER DRIVE MIDDLEBURY VT 5753 (802) 388-4001 475018 THE PINES AT RUTLAND CENTER FOR NURSING AND REHABI 99 ALLEN STREET RUTLAND VT 5701 (802) 775-2331 475019 ST JOHNSBURY HEALTH & REHAB 1248 HOSPITAL DRIVE SAINT JOHNSBURY VT 5819 (802) 748-8757 475023 PINE HEIGHTS AT BRATTLEBORO CENTER FOR NURSING & R 187 OAK GROVE AVENUE BRATTLEBORO VT 5301 (802) 257-0307 475025 SPRINGFIELD HEALTH & REHAB 105 CHESTER RD SPRINGFIELD VT 5156 (802) 885-5741 475026 NEWPORT HEALTH CARE CENTER 148 PROUTY DRIVE NEWPORT VT 5855 (802) 334-7321 475027 BENNINGTON HEALTH & REHAB 2 BLACKBERRY LANE BENNINGTON VT 5201 (802) 442-8525 475029 CENTERS FOR LIVING AND REHAB 160 HOSPITAL DRIVE BENNINGTON VT 5201 (802) 447-1547 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

475032 VERMONT VETERANS' HOME 325 NORTH STREET BENNINGTON VT 5201 (802) 447-6510 475036 UNION HOUSE NURSING HOME 3086 GLOVER STREET GLOVER VT 5839 (802) 525-6600 475040 GREEN MOUNTAIN NURSING AND REHABILITATION 475 ETHAN ALLEN AVENUE COLCHESTER VT 5446 (802) 655-1025 475042 MAPLE LANE NURSING HOME 60 MAPLE LANE BARTON VT 5822 (802) 754-8575 475043 GREENSBORO NURSING HOME 47 MAGGIE'S POND ROAD GREENSBORO VT 5841 (802) 533-7051 475045 WOODRIDGE NURSING HOME P.O. BOX 550 BARRE VT 5641 (802) 371-4700 475046 CEDAR HILL HEALTH CARE CENTER 49 CEDAR HILL DRIVE WINDSOR VT 5089 (802) 674-6609 475047 FRANKLIN COUNTY REHAB CENTER LLC 110 FAIRFAX ROAD ST ALBANS VT 5478 (802) 752-1600 475048 DERBY GREEN NURSING HOME PO BOX 24 DERBY VT 5829 (802) 766-2201 475049 BELAIRE QUALITY CENTER 35 BEL-AIRE DRIVE NEWPORT VT 5855 (802) 334-2878 475052 GILL ODD FELLOWS HOME 8 GILL TERRACE LUDLOW VT 5149 (802) 228-4571 475053 MAYO HEALTHCARE INC. 71 RICHARDSON AVE NORTHFIELD VT 5663 (802) 485-3161 475055 THE VILLA REHAB 7 FOREST HILL DRIVE ST ALBANS VT 5478 (802) 524-3498 475056 WAKE ROBIN-LINDEN NURSING HOME 200 WAKE ROBIN DRIVE SHELBURNE VT 5482 (802) 264-5100 475057 THE MANOR, INC 577 WASHINGTON HIGHWAY MORRISVILLE VT 5661 (802) 888-8700 475058 MENIG NURSING HOME 215 TOM WICKER LANE RANDOLPH CENTER VT 5061 (802) 728-7800 495002 SOUTH ROANOKE NURSING HOME INC 3823 FRANKLIN RD, SW ROANOKE VA 24014 (540) 344-4325 495011 MANORCARE HEALTH SERVICES-ALEXANDRIA 1510 COLLINGWOOD ROAD ALEXANDRIA VA 22308 (703) 765-6107 495015 ROMAN EAGLE REHABILITATION AND HEALTH CARE CENTER 2526 NORTH MAIN STREET DANVILLE VA 24540 (434) 836-9510 495019 WOODBINE REHABILITATION & HEALTHCARE CENTER 2729 KING ST ALEXANDRIA VA 22302 (703) 836-8838 495034 KENDAL AT LEXINGTON 170 KENDAL DRIVE LEXINGTON VA 24450 (540) 463-1910 495046 OAKWOOD MANOR BEDFORD MEM 1613 OAKWOOD STREET BEDFORD VA 24523 (540) 587-3439 495057 GOODWIN HOUSE ALEXANDRIA 4800 FILLMORE AVE ALEXANDRIA VA 22311 (703) 824-1157 495085 RIVER VIEW ON THE APPOMATTOX HEALTH & REHAB CENTER 201 EPPS STREET HOPEWELL VA 23860 (804) 541-1445 495086 KINDRED TCC AND REHABILITATION-BAY POINTE 1148 FIRST COLONIAL RD VIRGINIA BEACH VA 23454 (757) 481-3321 495087 SALEM HEALTH & REHABILITATION 1945 ROANOKE BLVD SALEM VA 24153 (540) 345-3894 495096 WESTMINSTER-CANTERBURY HOUSE 1600 WESTBROOK AVE RICHMOND VA 23227 (804) 264-6000 495097 PARHAM HEALTH CARE & REHAB CEN 2400 E PARHAM ROAD RICHMOND VA 23228 (804) 264-9185 495099 FAIRFAX REHABILITATION AND NURSING CENTER 10701 MAIN STREET FAIRFAX VA 22030 (703) 273-7705 495102 MANORCARE HEALTH SERVICES-ARLINGTON 550 SOUTH CARLIN SPRINGS ROAD ARLINGTON VA 22204 (703) 379-7200 495106 CENTRAL VIRGINIA TRAINING CENT PO BOX 1098 LYNCHBURG VA 24505 (434) 947-6960 495107 PINEY FOREST HEALTH AND REHABILITATION CENTER 450 PINEY FOREST RD DANVILLE VA 24540 (434) 799-1565 495112 VA BAP HOSP DIV CEN 3300 RIVERMONT AVE LYNCHBURG VA 24503 (434) 947-5103 495113 HIRAM W DAVIS MEDICAL CTR 26317 WEST WASHINGTON STREET PETERSBURG VA 23803 (804) 524-7420 495114 REGENCY CARE OF ARLINGTON, LLC 1785 SOUTH HAYES STREET ARLINGTON VA 22202 (703) 920-5700 495117 LAKE TAYLOR HOSP 1309 KEMPSVILLE RD NORFOLK VA 23502 (757) 461-5001 495118 ROCKY MOUNT REHABILITATION & HEALTHCARE CENTER LLC 300 HATCHER STREET ROCKY MOUNT VA 24151 (540) 483-9261 495120 WESTMINSTER-CANTERBURY -LYNCHB 501 VES RD LYNCHBURG VA 24503 (434) 386-3500 495123 HOPEWELL HEALTH CARE CENTER 905 COUSINS AVENUE HOPEWELL VA 23860 (804) 458-6325 495126 WADDELL NURSING AND REHAB CENTER 202 PAINTER ST GALAX VA 24333 (276) 236-5164 495127 WESTMINSTER CANTERBURY CHESAP 3100 SHORE DRIVE VIRGINIA BEACH VA 23451 (757) 496-1158 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

495131 NHC HEALTHCARE,BRISTOL 245 NORTH STREET BRISTOL VA 24201 (276) 669-4711 495133 VALLEY HEALTH CARE CENTER 940 EAST LEE HIGHWAY CHILHOWIE VA 24319 (276) 646-8911 495135 HERITAGE HALL BIG STONE GAP 2045 VALLEY VIEW DRIVE BIG STONE GAP VA 24219 (276) 523-3000 495147 AVANTE AT WAYNESBORO 1221 ROSSER AVE WAYNESBORO VA 22980 (540) 949-7191 495156 AVANTE AT ROANOKE 324 KING GEORGE AVE SW ROANOKE VA 24016 (540) 345-8139 495157 SOUTHAMPTON MEMORIAL HOSP 100 FAIRVIEW DR FRANKLIN VA 23851 (757) 569-6287 495160 RAPPAHANNOCK WESTMINSTER CANTE 132 LANCASTER DRIVE IRVINGTON VA 22480 (804) 438-4000 495165 SHENANDOAH VLY WESTMINSTER-CANTERBURY 300 WESTMINSTER CANTERBURY DR WINCHESTER VA 22603 (540) 665-0156 495166 STRATFORD HEALTHCARE CENTER 508 RISON STREET DANVILLE VA 24541 (434) 799-4540 495167 WYTHE CNTY COMMUNITY HOSP ECU 600 W RIDGE RD WYTHEVILLE VA 24382 (276) 228-0200 495168 GOLDEN LIVINGCENTER-SHENANDOAH VALLEY 3737 CATALPA AVE, PO BOX 711 BUENA VISTA VA 24416 (540) 261-7444 495171 GOODWIN HOUSE BAILEY'S CROSSROADS 3440 S JEFFERSON STREET FALLS CHURCH VA 22041 (703) 578-7262 495179 POTOMAC FALLS HEALTH & REHAB CENTER 46531 HARY BYRD HIGHWAY STERLING VA 20164 (703) 834-5800 495181 CLINCH VALLEY MEDICAL CENTER 2949 W FRONT ST RICHLANDS VA 24641 (276) 596-6000 495183 HEALTH CARE CENTER AT BRANDERM 2100 BRANDERMILL PKWY MIDLOTHIAN VA 23112 (804) 379-7100 495184 WOODHAVEN HALL AT WILLIAMSBURG LANDING 5500 WILLIAMSBURG LANDING DR WILLIAMSBURG VA 23185 (757) 258-2196 495186 BETH SHOLOM HOME OF EASTERN VI 6401 AUBURN DR VIRGINIA BEACH VA 23464 (757) 420-2512 495187 HILLSVILLE REHABILITATION & HEALTHCARE CENTER LLC 222 FULCHER STREET HILLSVILLE VA 24343 (276) 728-2486 495188 APPOMATTOX HEALTH AND REHABILITATON CENTER 215 EVERGREEN AVE APPOMATTOX VA 24522 (434) 352-7420 495190 CONSULATE HEALTHCARE OF WILLIAMSBURG 1811 JAMESTOWN ROAD WILLIAMSBURG VA 23185 (757) 229-9991 495191 AFS OF BASTIAN, INC 12185 GRAPEFIELD ROAD BASTIAN VA 24314 (276) 688-4141 495192 ENVOY OF LAWRENCEVILLE, LLC 1722 LAWRENCEVILLE PLANK ROAD LAWRENCEVILLE VA 23868 (434) 848-4766 495194 AUTUMN CARE OF PORTSMOUTH 3610 WINCHESTER DR PORTSMOUTH VA 23707 (757) 397-0725 495196 AUTUMN CARE OF ALTAVISTA 1317 LOLA AVE ALTAVISTA VA 24517 (434) 369-6651 495197 BELVOIR WOODS HEALTH CARE CENTER AT THE FAIRFAX 9160 BELVOIR WOODS PKWY FORT BELVOIR VA 22060 (703) 799-1333 495200 WESTWOOD CENTER WESTWOOD MEDICAL PARK BLUEFIELD VA 24605 (276) 322-5439 495202 GRETNA HEALTH AND REHABILITATION CENTER 595 VADEN DRIVE GRETNA VA 24557 (434) 656-1206 495205 ILIFF NURSING AND REHAB CENTER 8000 ILIFF DRIVE DUNN LORING VA 22027 (703) 560-1000 495207 FRANKLIN HEALTH AND REHABILITATION CENTER 720 ORCHARD AVENUE ROCKY MOUNT VA 24151 (540) 489-3467 495209 RALEIGH COURT HEALTH AND REHABILITATION CENTER 1527 GRANDIN ROAD SOUTHWEST ROANOKE VA 24015 (540) 342-9525 495210 NORFOLK HEALTH AND REHABILITATION CENTER 901 EAST PRINCESS ANNE ROAD NORFOLK VA 23504 (757) 626-1642 495211 MOUNT VERNON NURSING AND REHABILITATION CENTER 8111 TISWELL DRIVE ALEXANDRIA VA 22306 (703) 360-4000 495213 BAYSIDE HEALTH & REHABILITATION CENTER 1004 INDEPENDENCE BLVD VIRGINIA BEACH VA 23455 (757) 464-4058 495214 AUGUSTA MEDICAL CTR SKILLED CA 78 MEDICAL CENTER DRIVE FISHERSVILLE VA 22939 (540) 332-4020 495215 SENTARA NSG CNTR CHESAPEAKE 776 OAK GROVE RD PO BOX 1277 CHESAPEAKE VA 23320 (757) 204-4000 495216 STANLEYTOWN HEALTH AND REHABILITATION CENTER 240 RIVERSIDE DRIVE BASSETT VA 24055 (276) 629-1772 495217 MANORCARE HEALTH SERVICES-FAIR OAKS 12475 LEE JACKSON MEMORIAL HIGHWAY FAIRFAX VA 22033 (703) 352-7172 495220 THE SPRINGS NURSING CENTER 167 SPRING STREET HOT SPRINGS VA 24445 (540) 839-2299 495221 BRIAN CENTER REHABILITATION AND NURSING CARE 100 ALLEGHANY REGIONAL HOSPITAL LANE LOW MOOR VA 24457 (540) 862-3610 495225 WESTMINSTER CANTERBURY BLUE RI 250 PANTOPS MOUNTAIN RD CHARLOTTESVILLE VA 22911 (434) 972-3100 495227 WESTPORT REHABILITATION AND NURSING CENTER 7300 FOREST AVE RICHMOND VA 23226 (804) 288-3152 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

495232 KEMPSVILLE HEALTH & REHAB CENTER 5520 INDIAN RIVER ROAD VIRGINIA BEACH VA 23464 (757) 420-3600 495241 KINDRED NURSING AND REHABILITATION-RIVER POINTE 4142 BONNEY ROAD VIRGINIA BEACH VA 23452 (757) 340-0620 495242 HERITAGE HALL - BROOKNEAL 633 COOK AVENUE BROOKNEAL VA 24528 (434) 376-3717 495244 AUTUMN CARE OF MADISON NUMBER ONE AUTUMN COURT MADISON VA 22727 (540) 948-3054 495245 ARCADIA NURSING & REHAB CENT 17405 LANKFORD HIGHWAY NELSONIA VA 23414 (757) 665-5555 495246 WOODMONT CENTER 11 DAIRY LANE FREDERICKSBURG VA 22405 (540) 371-9414 495247 KINDRED TCC AND REHABILITATION-NANSEMOND POINT 200 WEST CONSTANCE ROAD SUFFOLK VA 23434 (757) 539-8744 495248 BURKE HEALTH AND REHABILITATION CENTER 9640 BURKE LAKE ROAD BURKE VA 22015 (703) 425-9765 495257 THE LAURELS OF WILLOW CREEK 11611 ROBIOUS ROAD MIDLOTHIAN VA 23113 (804) 379-4771 495262 SHENANDOAH NURSING HOME 339 WESTMINISTER DRIVE FISHERSVILLE VA 22939 (540) 949-8665 495266 HANOVER HEALTH AND REHABILITATION CENTER 8139 LEE DAVIS ROAD MECHANICSVILLE VA 23111 (804) 559-5030 495269 THE JEFFERSON 900 NORTH TAYLOR STREET ARLINGTON VA 22203 (703) 741-7582 495270 SENTARA NURSING CENTER VA BEAC 3750 SENTARA WAY VIRGINIA BEACH VA 23452 (757) 306-2700 495271 LEWISGALE HOSPITAL PULASKI 2400 LEE HIGHWAY, NORTH PULASKI VA 24301 (540) 994-8420 495274 VIRGINIA VETERANS CARE CENTER 4550 SHENANDOAH AVE N W ROANOKE VA 24017 (540) 982-2860 495275 LOUDOUN NURSING AND REHAB CNTR 235 OLD WATERFORD ROAD, NORTHWEST LEESBURG VA 20176 (703) 771-2841 495280 WESTMINSTER AT LAKE RIDGE 12185 CLIPPER DRIVE LAKE RIDGE VA 22192 (703) 643-9017 495282 LOUISA HEALTH & REHABILITATION CENTER 210 ELM STREET LOUISA VA 23093 (540) 967-2250 495283 MANORCARE HEALTH SERVICES-IMPERIAL 1719 BELLEVUE AVENUE RICHMOND VA 23227 (804) 262-7364 495288 THE FOUNTAINS AT WASHINGTON HOUSE 5100 FILLMORE AVENUE ALEXANDRIA VA 22311 (703) 845-5000 495291 BETH SHOLOM HOME OF VIRGINIA 1600 JOHN ROLFE PARKWAY RICHMOND VA 23233 (804) 750-2183 495293 BERKSHIRE HEALTH & REHABILITATION CENTER 705 CLEARVIEW DRIVE VINTON VA 24179 (540) 982-6691 495294 PULASKI HLTH & REHAB CNTR 2401 LEE HIGHWAY PULASKI VA 24301 (540) 980-3111 495295 RIVERSIDE HEALTH & REHAB CNTR 2344 RIVERSIDE DRIVE DANVILLE VA 24540 (434) 791-3800 495296 COURTLAND HEALTH & REHABILITATION CENTER 23020 MAIN STREET COURTLAND VA 23837 (757) 653-0908 495297 BOWLING GREEN HEALTH & REHABILITATION CENTER 120 ANDERSON AVENUE BOWLING GREEN VA 22427 (804) 633-4839 495301 HERITAGE HALL FRONT ROYAL 400 WEST STRASBURG ROAD FRONT ROYAL VA 22630 (540) 636-3700 495303 RIVERSIDE CONVALESCENT CNTR WE 2960 CHELSEA ROAD WEST POINT VA 23181 (757) 843-4323 495305 COLISEUM CONVALESCENT AND REHABILITATION CENTER 305 MARCELLA ROAD HAMPTON VA 23666 (757) 827-8953 495306 BLUE RIDGE NURSING THERAPY CONNECTION 834 COMMERCE ST STUART VA 24171 (276) 694-7161 495308 RIVERSIDE REHABILITATION CENTER AT HAMPTON 414 ALGONQUIN RD HAMPTON VA 23661 (757) 722-9881 495311 OUR LADY OF HOPE HEALTH CENTER 13700 NORTH GAYTON ROAD RICHMOND VA 23233 (804) 360-1960 495312 JOHNSON CNTR/FALCONS LANDING 20535 EARHART PLACE STERLING VA 20165 (703) 404-5201 495316 WARREN MEMORIAL HOSP LYNN CARE 1000 SHENANDOAH AVENUE FRONT ROYAL VA 22630 (540) 636-0300 495319 THE VIRGINIAN 9229 ARLINGTON BLVD FAIRFAX VA 22031 (703) 385-0555 495320 HERITAGE HALL CLINTWOOD 1225 CLINTWOOD MAIN STREET, ROUTE 607 PO BOX 909 CLINTWOOD VA 24228 (276) 926-4693 495321 HERITAGE HALL LEXINGTON 205 HOUSTON STREET EAST LEXINGTON VA 24450 (540) 464-8181 495323 HERITAGE HALL - LAUREL MEADOWS 16600 DANVILLE PIKE LAUREL FORK VA 24352 (276) 398-2117 495324 SEASIDE HHC @ ATLANTIC SHORE 1200 ATLANTIC SHORES DRIVE VIRGINIA BEACH VA 23454 (757) 716-2060 495328 CARRINGTON PLACE OF TAPPAHANNOCK 1150 MARSH STREET TAPPAHANNOCK VA 22560 (804) 443-4308 495331 GRAYSON REHABILITATION AND HEALTH CARE CENTER 400 SOUTH INDEPENDENCE AVENUE INDEPENDENCE VA 24348 (276) 773-0303 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

495332 RIVERSIDE HEALTHY LIVING COMMUNITY-SMITHFIELD 101 JOHN ROLFE DRIVE SMITHFIELD VA 23430 (757) 357-3282 495333 HIGHLAND RIDGE REHAB CENTER 5872 HANKS STREET PO BOX 1087 DUBLIN VA 24084 (540) 674-4193 495334 RIVERSIDE SHORE REHABILITATION CENTER 26181 PARKSLEY ROAD PARKSLEY VA 23421 (757) 665-5133 495339 HOLLY MANOR NURSING HOME 2003 COBB STREET FARMVILLE VA 23901 (434) 392-6106 495342 YORK CONVALESCENT AND REHABILITATION CENTER 113 BATTLE ROAD YORKTOWN VA 23692 (757) 898-1491 495343 GRACE HEALTH AND REHAB CENTER OF GREENE COUNTY 355 WILLIAM MILLS DRIVE STANARDSVILLE VA 22973 (434) 985-4434 495346 BON SECOURS DEPAUL,TCC 150 KINGSLEY LANE NORFOLK VA 23505 (757) 889-5020 495348 SKYLINE NURSING & REHABILITATION CENTER 237 FRANKLIN PIKE ROAD, SE FLOYD VA 24091 (540) 745-2016 495354 GREENSPRING VILLAGE 7470 SPRING VILLAGE DR SPRINGFIELD VA 22150 (703) 923-4663 495355 RADFORD HEALTH AND REHAB CENTER 700 RANDOLPH STREET RADFORD VA 24141 (540) 633-6533 495356 HERITAGE HALL BLACKSBURG 3610 SOUTH MAIN STREET BLACKSBURG VA 24060 (540) 951-7000 495357 OUR LADY OF THE VALLEY 650 NORTH JEFFERSON STREET ROANOKE VA 24016 (540) 345-5111 495358 AMELIA NURSING CENTER 8830 VIRGINIA STREET AMELIA VA 23002 (804) 561-5611 495359 DOGWOOD VILLAGE OF ORANGE COUNTY HEALTH AND REHAB 120 DOGWOOD LANE ORANGE VA 22960 (540) 672-2611 495360 THE WOODLANDS HEALTH AND REHAB CENTER 1000 FAIRVIEW HEIGHTS CLIFTON FORGE VA 24422 (540) 863-4096 495363 FAIRMONT CROSSING 173 BROCKMAN PARK DRIVE AMHERST VA 24521 (434) 946-2861 495364 THE ORCHARD 20 DELFAE DRIVE WARSAW VA 22572 (804) 313-2568 495365 MAPLE GROVE HEALTH CARE CENTER POST OFFICE BOX 2409 LEBANON VA 24266 (276) 889-0733 495366 LAKE PRINCE WOODS, INC 100 ANNA GOODE WAY SUFFOLK VA 23434 (757) 923-5500 495367 NORTHAMPTON CONVALESCENT AND REHABILITATION CENTER 1028 TOPPING LANE HAMPTON VA 23666 (757) 826-4922 495368 THE NEWPORT 11141 WARWICK BLVD NEWPORT NEWS VA 23601 (757) 595-3733 495369 THE CONVALESCENT CENTER AT PATRIOTS COLONY 6000 PATRIOTS COLONY DRIVE WILLIAMSBURG VA 23188 (757) 220-9000 495370 BRIDGEWATER HOME , INC. 302 NORTH SECOND STREET BRIDGEWATER VA 22812 (540) 828-2531 495371 HERITAGE HALL-RICH CREEK 120 OLD VIRGINIA AVENUE RICH CREEK VA 24147 (540) 726-2328 495373 BRANDON OAKS NURSING AND REHABILITATION CENTER 3837 BRANDON AVENUE ROANOKE VA 24018 (540) 776-2616 495374 MOUNTAIN VIEW REGIONAL MEDICAL CENTER 310 THIRD STREET, NE NORTON VA 24273 (276) 679-9100 495378 SPRINGTREE HEALTHCARE & REHAB CENTER 3433 SPRINGTREE DRIVE ROANOKE VA 24012 (540) 981-2790 495379 SENTARA MEADOWVIEW TERRACE 184 BUFFALO ROAD CLARKSVILLE VA 23927 (434) 374-4141 495380 CHASE CITY HEALTH AND REHAB CENTER 5539 HIGHWAY FORTY SEVEN CHASE CITY VA 23924 (434) 372-8885 495381 SUMMIT HEALTH & REHABILITATION CENTER 1300 ENTERPRISE DRIVE LYNCHBURG VA 24502 (434) 845-6045 495383 FRANCIS N SANDERS NURSING HOME, INC 7385 WALKER AVE GLOUCESTER VA 23061 (804) 693-2000 495384 FRANCIS MARION MANOR HEALTH & REHABILITATION 100 FRANCIS MARION LANE, PO BOX 880 MARION VA 24354 (276) 782-1396 495385 VMRC, COMPLETE LIVING CARE 1475 VIRGINIA AVENUE HARRISONBURG VA 22802 (540) 564-3500 495386 CARRINGTON PLACE AT BOTETOURT COMMONS 290 COMMONS PARKWAY DALEVILLE VA 24083 (540) 966-0056 495387 SUNNYSIDE PRESBYTERIAN RETIREMENT COMMUNITY 3935 SUNNYSIDE DRIVE, SUITE A HARRISONBURG VA 22801 (540) 568-8200 495389 ENVOY OF WINCHESTER, LLC 110 LAUCK DR WINCHESTER VA 22603 (540) 667-7830 495390 BIRMINGHAM GREEN 8605 CENTREVILLE ROAD MANASSAS VA 20110 (703) 257-0935 495393 SITTER AND BARFOOT VETERANS CARE CENTER 1601 BROADROCK BLVD RICHMOND VA 23224 (804) 371-8000 495395 HARBOR'S EDGE ONE COLLEY AVENUE NORFOLK VA 23510 (757) 233-0475 495397 THE CHESAPEAKE 955 HARPERSVILLE RD NEWPORT NEWS VA 23601 (757) 599-4376 495400 CULPEPER BAPTIST RETIRE COMMUN PO BOX 191 RTE 15 CULPEPER VA 22701 (540) 825-2411 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

495401 TYLER'S RETREAT AT IRON BRIDGE 12001 IRON BRIDGE RD CHESTER VA 23831 (804) 706-1023 495402 WINDSORMEADE OF WILLIAMSBURG 3900 WINDSOR HALL DRIVE WILLIAMSBURG VA 23188 (757) 941-3600 495403 LAKEWOOD MANOR 1900 LAUDERDALE DRIVE RICHMOND VA 23238 (804) 740-2900 495404 THE GLEBE 250 GLEBE ROAD DALEVILLE VA 24083 (540) 591-2176 495405 SUMMIT SQUARE 501 OAK AVENUE WAYNESBORO VA 22980 (540) 941-3100 495406 THE WYBE AND MARIETJE KROONTJE HEALTH CARE CENTER 1000 LITTON LANE BLACKSBURG VA 24060 (540) 953-3200 495408 KING'S GRANT RETIREMENT COMMUN 350 KING'S WAY ROAD MARTINSVILLE VA 24112 (276) 634-1000 495409 ABINGDON HEALTH CARE LLC 15051 HARMONY HILLS LANE ABINGDON VA 24211 (540) 597-6923 495410 ARLEIGH BURKE PAVILION 1739 KIRBY ROAD MC LEAN VA 22101 (703) 506-6900 495412 NOVA HEALTH AND REHAB 377 CLONCE ST WEBER CITY VA 24290 (276) 477-5640 495414 SENTARA OBICI SPECIALTY REHABILITATION CENTER 2800 GODWIN BOULEVARD SUFFOLK VA 23434 (757) 892-5400 495415 THE VILLAGE AT ORCHARD RIDGE 100 PROCESSION WAY WINCHESTER VA 22603 (540) 431-2800 495416 ASHBY PONDS INC 21160 MAPLE BRANCH TERRACE ASHBURN VA 20147 (571) 291-6200 505004 ISSAQUAH NURSING AND REHABILITATION CENTER 805 FRONT STREET ISSAQUAH WA 98027 (425) 392-1271 505009 PARK RIDGE CARE CENTER 1250 NORTHEAST 145TH STREET SEATTLE WA 98155 (206) 363-5856 505016 GRAYS HARBOR HEALTH & REHABILITATION CENTER 920 ANDERSON DRIVE ABERDEEN WA 98520 (360) 532-5122 505017 WASHINGTON CENTER FOR COMPREHE 2821 SOUTH WALDEN STREET SEATTLE WA 98144 (206) 725-2800 505024 FRANKLIN HILLS HEALTH & REHAB CENTER 6021 NORTH LIDGERWOOD SPOKANE WA 99207 (509) 489-3323 505033 ROCKWOOD SOUTH HILL EAST 2903 25TH AVENUE SPOKANE WA 99223 (509) 536-6650 505059 PANORAMA CITY CONV & REHAB CTR 1600 SLEATER KINNEY ROAD SE LACEY WA 98503 (360) 456-0111 505069 CRISTWOOD NURSING AND REHABILITATION 19301 KINGS GARDEN DRIVE NORTH SEATTLE WA 98133 (206) 546-7400 505070 LIFE CARE CENTER OF RICHLAND 44 GOETHALS DRIVE RICHLAND WA 99352 (509) 943-1117 505074 PARK MANOR REHABILITATION CTR 1710 PLAZA WAY WALLA WALLA WA 99362 (509) 529-4218 505075 REGENCY AT THE PARK 420 SOUTHEAST MYRA ROAD COLLEGE PLACE WA 99324 (509) 529-4480 505081 PACIFIC CARE AND REHABILITATION 3035 CHERRY STREET HOQUIAM WA 98550 (360) 532-7882 505085 CRESCENT HEALTH CARE, INC 505 NORTH 40TH AVENUE YAKIMA WA 98908 (509) 248-4446 505086 LANDMARK CARE AND REHABILITATION 710 NORTH 39TH AVENUE YAKIMA WA 98902 (509) 248-4102 505093 ORCHARD PARK HEALTH CARE & REHAB CENTER 4755 SOUTH 48TH TACOMA WA 98409 (253) 475-4611 505098 SHUKSAN HEALTHCARE CENTER 1530 JAMES STREET BELLINGHAM WA 98225 (360) 733-9161 505099 GOOD SAMARITAN SOCIETY - SPOKANE VALLEY EAST 17121 EIGHTH AVENUE SPOKANE VALLEY WA 99016 (509) 924-6161 505123 BREMERTON CONVALESCENT & REHABILITATION CENTER 2701 CLARE AVENUE BREMERTON WA 98310 (360) 377-3951 505126 AVALON HEALTH & REHABILITATION CENTER - PASCO 2004 N 22ND AVENUE PASCO WA 99301 (509) 547-8811 505128 SEQUIM HEALTH & REHABILITATION 650 WEST HEMLOCK ST SEQUIM WA 98382 (360) 582-2400 505140 HIGHLAND HEALTH AND REHABILITATION 2400 SAMISH WAY BELLINGHAM WA 98225 (360) 734-4800 505181 REDMOND CARE AND REHABILITATION CENTER 7900 WILLOWS ROAD NORTHEAST REDMOND WA 98052 (425) 885-0808 505182 PROVIDENCE MOUNT ST VINCENT 4831 35TH AVENUE SOUTHWEST SEATTLE WA 98126 (206) 937-3700 505183 AVAMERE HERITAGE REHABILITATION OF TACOMA 7411 PACIFIC AVENUE TACOMA WA 98408 (253) 474-8456 505204 QUEEN ANNE HEALTHCARE 2717 DEXTER AVENUE NORTH SEATTLE WA 98109 (206) 284-7012 505210 LIFE CARE CENTER OF PORT ORCHARD 2031 POTTERY AVENUE PORT ORCHARD WA 98366 (360) 876-8035 505211 PUYALLUP NURSING AND REHABILITATION CENTER 516 23RD AVE SE PUYALLUP WA 98372 (253) 845-6631 505216 FIDALGO CARE CENTER 1105 27TH STREET ANACORTES WA 98221 (360) 293-3174 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

505217 STAFFORD HEALTHCARE AT RIDGEMONT 2051 POTTERY AVENUE PORT ORCHARD WA 98366 (360) 876-4461 505232 WOODLAND CONVALESCENT CENTER 310 FOURTH STREET WOODLAND WA 98674 (360) 225-9443 505239 PARK ROSE CARE CENTER 3919 SOUTH 19TH STREET TACOMA WA 98405 (253) 752-5677 505240 FOREST RIDGE HEALTH & REHAB 140 SOUTH MARION AVENUE BREMERTON WA 98312 (360) 479-4747 505246 AVALON CARE CENTER - PULLMAN NORTHWEST 1310 DEANE PULLMAN WA 99163 (509) 332-1566 505251 WHITMAN HEALTH & REHAB CENTER 1150 WEST FAIRVIEW ROAD COLFAX WA 99111 (509) 397-4603 505252 BURIEN NURSING AND REHABILITATION CENTER 1031 SOUTHWEST 130TH STREET BURIEN WA 98146 (206) 242-3213 505254 ROO-LAN HEALTHCARE CENTER 1505 SOUTHEAST CARPENTER ROAD LACEY WA 98503 (360) 491-1765 505255 AVALON CARE CENTER - OTHELLO LLC 495 NORTH THIRTEENTH STREET OTHELLO WA 99344 (509) 488-9609 505257 ALDERWOOD MANOR 3600 EAST HARTSON AVENUE SPOKANE WA 99202 (509) 535-2071 505260 FORT VANCOUVER POST ACUTE 8507 NORTHEAST 8TH WAY VANCOUVER WA 98664 (360) 254-5335 505261 LAKE RIDGE CENTER 817 EAST PLUM STREET MOSES LAKE WA 98837 (509) 765-7835 505262 SHORELINE HEALTH AND REHABILITATION 2818 NORTHEAST 145TH STREET SEATTLE WA 98155 (206) 418-2900 505263 PRESTIGE POST-ACUTE & REHAB CTR - KITTITAS VALLLEY 1050 E MOUNTAIN VIEW ELLENSBURG WA 98926 (509) 925-4171 505265 EMERALD CARE 209 NORTH AHTANUM AVENUE WAPATO WA 98951 (509) 877-3175 505270 PARK WEST CARE CENTER 1703 CALIFORNIA AVENUE SOUTHWEST SEATTLE WA 98116 (206) 937-9750 505273 PRESTIGE CARE & REHABILITATION - CAMAS 740 NE DALLAS STREET CAMAS WA 98607 (360) 834-5055 505275 PRESTIGE CARE & REHABILITATION - PINEWOOD TERRACE 1000 EAST ELEP STREET COLVILLE WA 99114 (509) 684-2573 505276 FRONTIER REHAB & EXTENDED CARE 1500 3RD AVENUE LONGVIEW WA 98632 (360) 423-8800 505280 RENTON NURSING AND REHABILITATION CENTER 80 SOUTHWEST SECOND STREET RENTON WA 98057 (425) 226-4610 505282 EAST ADAMS CARE CENTER, LLC 506 SOUTH JACKSON RITZVILLE WA 99169 (509) 659-1600 505283 PRESTIGE CARE & REHABILITATION - CLARKSTON 1242 ELEVENTH STREET CLARKSTON WA 99403 (509) 758-2523 505288 PARK ROYAL HEALTH & REHAB CENTER 910 16TH AVENUE LONGVIEW WA 98632 (360) 423-2890 505289 MANOR CARE OF TACOMA WA, LLC 5601 S ORCHARD STREET TACOMA WA 98409 (253) 474-8421 505290 STAFFORD HEALTHCARE AT BELMONT 560 LEBO BOULEVARD BREMERTON WA 98310 (360) 479-1515 505294 BEACON HILL REHABILITATION 128 BEACON HILL DRIVE LONGVIEW WA 98632 (360) 423-4060 505296 ST FRANCIS OF BELLINGHAM 3121 SQUALICUM PARKWAY BELLINGHAM WA 98225 (360) 734-6760 505303 REGENCY OMAK 901 SHUMWAY RD OMAK WA 98841 (509) 846-7700 505311 SEATTLE MEDICAL POST ACUTE CARE 555 16TH AVENUE SEATTLE WA 98122 (206) 324-8200 505315 MIRA VISTA CARE CENTER 300 SOUTH 18TH STREET MOUNT VERNON WA 98274 (360) 424-1320 505319 MANOR CARE HEALTH SERVICES 3701 188TH STREET SOUTHWEST LYNNWOOD WA 98037 (425) 775-9222 505320 COLUMBIA CREST CENTER 1100 EAST NELSON ROAD MOSES LAKE WA 98837 (509) 765-6788 505322 MANOR CARE HEALTH SERVICES-SPO NORTH 6025 ASSEMBLY SPOKANE WA 99205 (509) 326-8282 505324 LIFE CARE CENTER OF PUYALLUP 511 10TH AVENUE SOUTHEAST PUYALLUP WA 98372 (253) 845-7566 505325 BAINBRIDGE ISLAND HEALTH & REHAB CENTER 835 MADISON AVENUE NORTH BAINBRIDGE ISLAND WA 98110 (206) 842-4765 505326 HEARTWOOD EXTENDED HEALTHCARE 1649 EAST 72ND TACOMA WA 98404 (253) 472-9027 505327 AVAMERE OLYMPIC REHABILITATION OF SEQUIM 1000 5TH AVENUE SOUTH SEQUIM WA 98382 (360) 582-3900 505329 BUENA VISTA HEALTHCARE 151 BUENA VISTA DRIVE COLVILLE WA 99114 (509) 684-4539 505332 LIFE CARE CENTER OF THE SAN JUAN ISLANDS 660 SPRING STREET FRIDAY HARBOR WA 98250 (360) 378-2117 505334 LIFE CARE CENTER OF KIRKLAND 10101 NORTHEAST 120TH STREET KIRKLAND WA 98034 (425) 823-2323 505341 DISCOVERY NURSING & REHAB OF VANCOUVER 5220 NORTHEAST HAZEL DELL AVENUE VANCOUVER WA 98663 (360) 693-1474 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

505346 CHENEY CARE CENTER 2219 NORTH 6TH STREET CHENEY WA 99004 (509) 235-6196 505348 GOOD SAMARITAN HEALTH CARE CTR 702 NORTH 16TH AVENUE YAKIMA WA 98902 (509) 248-5320 505349 WILLAPA HARBOR HEALTH AND REHAB 1100 JACKSON STREET RAYMOND WA 98577 (360) 942-2424 505350 REGENCY CARE CENTER AT MONROE 1355 WEST MAIN STREET MONROE WA 98272 (360) 794-4011 505351 ARLINGTON HEALTH AND REHABILITATION 620 SOUTH HAZEL STREET ARLINGTON WA 98223 (360) 403-8247 505367 WILLOW SPRINGS CARE AND REHABILITATION 4007 TIETON DRIVE YAKIMA WA 98908 (509) 966-4500 505369 REGENCY AT NORTHPOINTE 1224 EAST WESTVIEW COURT SPOKANE WA 99218 (509) 465-8800 505372 REGENCY KENNEWICK REHAB & NURSING CENTER 2702 SOUTH ELY KENNEWICK WA 99337 (509) 582-5900 505376 MT BAKER CARE CENTER 2905 CONNELLY AVENUE BELLINGHAM WA 98225 (360) 734-4181 505377 IDA CULVER HOUSE BROADVIEW NCC 12509 GREENWOOD AVENUE NORTH SEATTLE WA 98133 (206) 361-1989 505378 PRESTIGE CARE & REHABILITATION - BURLINGTON 1036 EAST VICTORIA AVENUE BURLINGTON WA 98233 (360) 755-0711 505379 ROYAL PARK HEALTH AND REHABILITATION 7411 NORTH NEVADA SPOKANE WA 99208 (509) 489-2273 505381 SAN JUAN REHAB AND CARE CENTER 911 21ST STREET ANACORTES WA 98221 (360) 293-7222 505382 REGENCY WENATCHEE REHABILIATION & NURSING CENTER 1326 RED APPLE RD WENATCHEE WA 98801 (509) 682-2551 505386 MARYSVILLE CARE CENTER 1821 GROVE STREET MARYSVILLE WA 98270 (360) 659-3926 505387 PROVIDENCE MOTHER JOSEPH CARE 3333 ENSIGN ROAD NORTHEAST OLYMPIA WA 98506 (360) 493-4900 505389 AVAMERE REHABILITATION OF CASCADE PARK 801 SOUTHEAST PARK CREST AVENUE VANCOUVER WA 98683 (360) 260-2200 505390 MCKAY HEALTHCARE & REHAB CTR 127 SECOND AVENUE SOUTHWEST SOAP LAKE WA 98851 (509) 246-1111 505395 STAFHOLT GOOD SAMARITAN CENTER 456 C STREET BLAINE WA 98230 (360) 332-8733 505399 VASHON COMMUNITY CARE CENTER 15333 VASHON HIGHWAY SOUTHWEST VASHON WA 98070 (206) 567-4421 505401 PRESTIGE CARE & REHABILITATION - PARKSIDE 308 WEST EMMA UNION GAP WA 98903 (509) 248-1985 505403 BETHANY AT SILVER LAKE 2235 LAKE HEIGHTS DRIVE EVERETT WA 98208 (425) 338-3000 505404 BETHANY AT PACIFIC 916 PACIFIC AVENUE 3RD-5TH FLOORS EVERETT WA 98201 (425) 259-5508 505405 WARM BEACH HEALTH CARE CENTER 20420 MARINE DRIVE NORTHWEST STANWOOD WA 98292 (360) 652-7585 505406 CHRISTIAN HEALTH CARE CENTER 855 AARON DRIVE LYNDEN WA 98264 (360) 354-4434 505407 MOUNTAIN VIEW REHABILITATION AND CARE CENTER 5925 47TH AVENUE NE MARYSVILLE WA 98270 (360) 659-1259 505409 SUMMITVIEW HEALTHCARE CENTER 3801 SUMMITVIEW AVENUE YAKIMA WA 98902 (509) 966-6240 505410 SELAH CARE AND REHABILITATION 203 WEST NACHES AVENUE SELAH WA 98942 (509) 697-8503 505411 SUNSHINE GARDENS EAST 10410 NINTH AVENUE SPOKANE WA 99206 (509) 926-3547 505412 COLVILLE TRIBAL CONVALESCENT C PO BOX 150 NESPELEM WA 99155 (509) 634-2878 505413 COLONIAL VISTA CARE CENTERS 625 OKANOGAN WENATCHEE WA 98801 (509) 663-1171 505414 PROVIDENCE ST JOSEPH CARE CENTER 17 EAST 8TH AVENUE SPOKANE WA 99202 (509) 474-5678 505415 TEKOA CARE CENTER 330 NORTH MADISON TEKOA WA 99033 (509) 284-4501 505416 FOSS HOME & VILLAGE 13023 GREENWOOD AVENUE NORTH SEATTLE WA 98133 (206) 364-1300 505417 SAINT ANNE NURSING AND REHABILITATION CENTER 3540 NORTHEAST 110TH STREET SEATTLE WA 98125 (206) 363-7733 505421 WASHINGTON ODD FELLOWS HOME 534 BOYER AVENUE WALLA WALLA WA 99362 (509) 535-6463 505422 NEWPORT COMMUNITY HOSPITAL LTC 714 WEST PINE STREET NEWPORT WA 99156 (509) 477-2464 505429 SHARON CARE CENTER 1509 HARRISON AVENUE CENTRALIA WA 98531 (360) 736-0112 505430 REGENCY HARMONY HOUSE REHAB & NURSING 100 RIVER PLAZA BREWSTER WA 98812 (509) 689-2546 505431 BOTHELL HEALTH CARE 707 - 228TH SOUTHWEST BOTHELL WA 98021 (425) 481-8500 505435 TACOMA LUTHERAN HOME 1301 N HIGHLANDS PARKWAY TACOMA WA 98406 (253) 752-7112 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

505436 MANOR CARE OF GIG HARBOR WA, LLC 3309 45TH STREET COURT NORTHWEST GIG HARBOR WA 98335 (253) 858-8688 505437 BOOKER REST HOME ANNEX 1012 SOUTH 3RD STREET DAYTON WA 99328 (509) 382-3212 505438 SEATTLE KEIRO 1601 EAST YESLER WAY SEATTLE WA 98122 (206) 323-7100 505441 NORTH CENTRAL CARE AND REHABILITATION N 1812 WALL STREET SPOKANE WA 99205 (509) 328-6030 505442 CAROLINE KLINE GALLAND HOME 7500 SEWARD PARK AVENUE SOUTH SEATTLE WA 98118 (206) 725-8800 505452 MESSENGER HOUSE CARE CENTER 10861 NE MANITOU PARK BLVD BAINBRIDGE ISLAND WA 98110 (206) 842-2654 505453 KIN ON HEALTH CARE CENTER 4416 SOUTH BRANDON STREET SEATTLE WA 98118 (206) 721-3630 505454 NORTH VALLEY HOSPITAL 22 W 1ST STREET TONASKET WA 98855 (509) 486-2151 505455 JUDSON PARK HEALTH CENTER 23620 MARINE VIEW DRIVE SOUTH DES MOINES WA 98198 (206) 824-4000 505459 NISQUALLY VALLEY CARE CENTER P O BOX 370 MCKENNA WA 98558 (360) 458-3801 505462 ANDERSON HOUSE 17127 15TH AVENUE NORTHEAST SEATTLE WA 98155 (206) 364-7131 505463 SUNRISE VIEW CONVALESCENT CTR 2520 MADISON EVERETT WA 98203 (425) 353-4040 505465 JOSEPHINE SUNSET HOME 9901 272ND PLACE NORTHWEST STANWOOD WA 98292 (360) 629-2126 505466 KENNEY, THE 7125 FAUNTLEROY WAY SOUTHWEST SEATTLE WA 98136 (206) 937-2800 505467 DELTA REHABILITATION CENTER 1705 TERRACE AVENUE SNOHOMISH WA 98290 (360) 568-2168 505469 THE TERRACES AT SKYLINE 715 9TH AVENUE SEATTLE WA 98104 (206) 407-1725 505470 COLUMBIA LUTHERAN HOME 4700 PHINNEY AVENUE NORTH SEATTLE WA 98103 (206) 632-7400 505473 UNIVERSITY PLACE CARE CENTER 5520 BRIDGEPORT WAY WEST UNIVERSITY PLACE WA 98467 (253) 566-7166 505474 MARTHA AND MARY HEALTH SERVICE 19160 FRONT STREET NORTHEAST POULSBO WA 98370 (360) 779-7500 505475 WESLEY HOMES HEALTH CENTER 1122 SOUTH 216TH STREET DES MOINES WA 98198 (206) 824-3663 505476 BAILEY-BOUSHAY HOUSE 2720 EAST MADISON SEATTLE WA 98112 (206) 322-5300 505478 CORWIN CENTER AT EMERALD HEIGHTS 10901 - 176TH CIRCLE NORTHEAST REDMOND WA 98052 (425) 556-8192 505483 ALASKA GARDENS HEALTH AND REHABILITATION 6220 SOUTH ALASKA STREET TACOMA WA 98408 (253) 476-5300 505484 NORTHWOODS LODGE 2321 SCHOLD PLACE NORTHWEST SILVERDALE WA 98383 (360) 698-3930 505493 PARK SHORE 1630 43RD AVENUE EAST SEATTLE WA 98112 (206) 329-0770 505498 TOUCHMARK ON SOUTH HILL NURSING 2929 SOUTH WATERFORD DRIVE SPOKANE WA 99203 (509) 536-2929 505499 COTTESMORE OF LIFE CARE 2909 14TH AVENUE NORTHWEST GIG HARBOR WA 98335 (253) 851-5433 505500 MISSION HEALTHCARE AT BELLEVUE 2424 156TH AVENUE NORTHEAST BELLEVUE WA 98007 (425) 641-1166 505503 MONTESANO HEALTH & REHABILITATION 800 NORTH MEDCALF MONTESANO WA 98563 (360) 249-2273 505504 COVENANT SHORES HEALTH CENTER 9107 FORTUNA DRIVE MERCER ISLAND WA 98040 (206) 268-3039 505505 EVERETT TRANSITIONAL CARE SERV 916 PACIFIC AVENUE - 6TH FLOOR EVERETT WA 98201 (425) 258-7552 505507 SHELTON HEALTH & REHAB CENTER 153 JOHNS COURT SHELTON WA 98584 (360) 427-2575 505508 ROCKWOOD AT HAWTHORNE 101 EAST HAWTHORNE ROAD SPOKANE WA 99218 (509) 466-0411 505509 SPOKANE VETERANS HOME 222 EAST FIFTH SPOKANE WA 99202 (509) 344-5770 505512 GARDEN TERRACE HEALTHCARE CENTER OF FEDERAL WAY 491 SOUTH 338TH STREET FEDERAL WAY WA 98003 (253) 661-2226 505513 STAFFORD HEALTHCARE 2800 SOUTH 224TH STREET, DES MOINES WA 98198 (206) 824-0600 505514 RICHLAND REHABILITATION CENTER 1745 PIKE AVENUE RICHLAND WA 99352 (509) 946-8095 505516 WASHINGTON SOLDIERS HOME 1301 ORTING - KAPOWSIN HIGHWAY ORTING WA 98360 (360) 893-4515 505517 WASHINGTON VETERAN HOME-RETSIL 1141 BEACH DRIVE RETSIL WA 98378 (360) 895-4700 505518 BRIARWOOD AT TIMBER RIDGE 100 TIMBER RIDGE WAY NW ISSAQUAH WA 98027 (425) 427-5200 505519 BENSON HEIGHTS REHABILITATION CENTER 22410 BENSON ROAD SE KENT WA 98031 (253) 852-7755 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

505520 MIRABELLA SEATTLE 116 FAIRVIEW AVENUE N SEATTLE WA 98109 (206) 254-1452 505522 MANORCARE HEALTH SERVICES - SALMON CREEK 2811 NE 139TH STREET VANCOUVER WA 98686 (360) 574-5247 505523 CENTRAL WASHINGTON HOSPITAL TRANSITIONAL CARE UNIT 1201 SOUTH MILLER STREET WENATCHEE WA 98801 (509) 662-1511 505524 KINDRED SEATTLE - FIRST HILL 1334 TERRY AVE SEATTLE WA 98101 (206) 682-2661 505525 MANORCARE HEALTH SERVICES - LACEY 4524 INTELCO LOOP SE LACEY WA 98503 (360) 491-9890 515007 HUNTINGTON HEALTH AND REHABILITATION CENTER 1720 17TH STREET HUNTINGTON WV 25701 (304) 529-6031 515012 ST. BARBARA'S MEM NURSING HOME 31 SAINT BARBARA'S ROAD FAIRMONT WV 26555 (304) 534-5220 515021 MADISON PARK HEALTHCARE 700 MADISON AVENUE HUNTINGTON WV 25727 (304) 522-0032 515037 WEIRTON GERIATRIC CENTER 2525 PENNSYLVANIA AVENUE WEIRTON WV 26062 (304) 723-4300 515038 GOOD SHEPHERD NURSING HOME 159 EDGINGTON LANE WHEELING WV 26003 (304) 242-1093 515045 GRANT MEMORIAL HOSPITAL 117 HOSPITAL DRIVE PETERSBURG WV 26847 (304) 257-1026 515047 WORTHINGTON NURSING AND REHABILITATION CENTER, LLC 2675 36TH STREET PARKERSBURG WV 26104 (304) 485-7447 515051 ST. JOSEPH'S HOSPITAL, D/P AMALIA DRIVE #1 BUCKHANNON WV 26201 (304) 473-2000 515052 MERCER NURSING AND REHABILITATION CENTER, LLC 1275 SOUTHVIEW DRIVE BLUEFIELD WV 24701 (304) 325-5448 515053 TYGART CENTER AT FAIRMONT CAMPUS 1539 COUNTRY CLUB ROAD FAIRMONT WV 26554 (304) 366-9100 515055 BISHOP JOSEPH HODGES CONTINUOUS CARE CENTER 600 MEDICAL PARK WHEELING WV 26003 (304) 243-3800 515058 MAPLESHIRE NURSING AND REHABILITATION CENTER 30 MON GENERAL DRIVE MORGANTOWN WV 26505 (304) 285-2720 515063 CORTLAND ACRES NURSING HOME 39 CORTLAND ACRES LANE THOMAS WV 26292 (304) 463-4181 515067 MOUND VIEW HEALTH CARE 2200 FLORAL STREET MOUNDSVILLE WV 26041 (304) 843-1035 515069 TRINITY HEALTH CARE OF MINGO 100 HILLCREST DRIVE WILLIAMSON WV 25661 (304) 235-7005 515072 PINERIDGE 300 MILLER ROAD KINGWOOD WV 26537 (304) 329-3195 515074 NEW MARTINSVILLE CENTER 225 RUSSELL AVENUE NEW MARTINSVILLE WV 26155 (304) 455-2600 515075 JOHN MANCHIN SR HEALTH CARE CENTER 401 GUFFEY STREET FAIRMONT WV 26554 (304) 363-2500 515076 HOLBROOK NURSING HOME 183 HOLBROOK ROAD BUCKHANNON WV 26201 (304) 472-3280 515077 WEIRTON MEDICAL CENTER, D/P 601 COLLIERS WAY WEIRTON WV 26062 (304) 797-6000 515080 HAMPSHIRE MEMORIAL HOSPITAL., D/P 363 SUNRISE BLVD ROMNEY WV 26757 (304) 822-4561 515081 MONTGOMERY GENERAL HOSP., D/P WASHINGTON STREET AND 6TH AVENUE MONTGOMERY WV 25136 (304) 442-5151 515083 SUNDALE NURSING HOME 800 J D ANDERSON DRIVE MORGANTOWN WV 26505 (304) 599-0497 515085 WILLOWS CENTER 723 SUMMERS STREET PARKERSBURG WV 26101 (304) 428-5573 515089 EASTBROOK CENTER LLC 3819 CHESTERFIELD AVENUE CHARLESTON WV 25304 (304) 925-4771 515104 MADISON, THE 161 BAKERS RIDGE ROAD MORGANTOWN WV 26508 (304) 285-0692 515105 ROSEWOOD CENTER 8 ROSE STREET GRAFTON WV 26354 (304) 265-0095 515107 UNITED TRANSITIONAL CARE CENTER 327 MEDICAL PARK DRIVE BRIDGEPORT WV 26330 (681) 342-5174 515110 COLUMBIA ST. FRANCIS HOSPITAL 333 LAIDLEY STREET CHARLESTON WV 25322 (304) 347-6500 515112 REYNOLDS MEMORIAL HOSPITAL, D/P 800 WHEELING AVENUE GLEN DALE WV 26038 (304) 843-3404 515113 ST. MARY'S HOSPITAL 2900 FIRST STREET HUNTINGTON WV 25702 (304) 526-8983 515123 WELLSBURG CENTER LLC 70 VALLEY HAVEN DR WELLSBURG WV 26070 (304) 394-5322 515124 PENDLETON MANOR INC 68 GOOD SAMARITAN DRIVE FRANKLIN WV 26807 (304) 358-2322 515125 CAMERON NURSING AND REHABILITATION CENTER, LLC ROUTE 4, BOX 20 CAMERON WV 26033 (304) 686-3318 515126 CABELL HUNTINGTON HOSPITAL TCU 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 (304) 526-2380 515133 ANSTED CENTER 106 TYREE STREET ANSTED WV 25812 (304) 658-5271 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

515134 MEADOWBROOK ACRES 2149 GREENBRIER STREET CHARLESTON WV 25311 (304) 344-4268 515137 BERKELEY SPRINGS CENTER 456 AUTUMN ACRES ROAD BERKELEY SPRINGS WV 25411 (304) 258-3673 515147 HIDDEN VALLEY CENTER 422 23RD STREET OAK HILL WV 25901 (304) 465-1903 515151 GRANT COUNTY NURSING HOME 127 EARLY AVENUE PETERSBURG WV 26847 (304) 257-4233 515163 DAWN VIEW CENTER DIANE DRIVE FORT ASHBY WV 26719 (304) 298-3602 515164 WYOMING NURSING AND REHABILITATION CENTER, LLC 236 WARRIOR WAY NEW RICHMOND WV 24867 (304) 294-7586 515165 WEBSTER NURSING AND REHABILITATION CENTER, LLC 411 ERBACON ROAD COWEN WV 26206 (304) 226-5301 515166 CLARKSBURG NURSING AND REHABILITATION CENTER, LLC 801 DAVISSON RUN ROAD CLARKSBURG WV 26301 (304) 624-6500 515167 SHENANDOAH CENTER 50 MULBERRY TREE STREET CHARLES TOWN WV 25414 (304) 724-1101 515168 WAYNE NURSING AND REHABILITATION CENTER, LLC 6999 ROUTE 152 WAYNE WV 25570 (304) 697-7007 515171 LINCOLN NURSING AND REHABILITATION CENTER, LLC 200 MONDAY DRIVE HAMLIN WV 25523 (304) 824-3133 515173 E.A. HAWSE NURSING AND REHABILITATION CENTER, LLC 18086 STATE ROUTE 55 BAKER WV 26801 (304) 897-5903 515176 HAMPSHIRE CENTER 260 SUNRISE BOULEVARD ROMNEY WV 26757 (304) 822-7527 515177 RAVENSWOOD VILLAGE 200 RITCHIE AVENUE RAVENSWOOD WV 26164 (304) 273-9385 515182 MILETREE CENTER 825 SUMMIT STREET SPENCER WV 25276 (304) 927-1007 515183 POCAHONTAS CENTER 5 EVERETT TIBBS ROAD MARLINTON WV 24954 (304) 799-7375 515184 PINE VIEW NURSING AND REHABILITATION CENTER 400 MCKINLEY STREET HARRISVILLE WV 26362 (304) 643-2712 515187 PRINCETON HEALTH CARE CENTER 315 COURTHOUSE RD. PRINCETON WV 24740 (304) 487-3458 515188 SPRINGFIELD CENTER ROUTE 1 BOX 101-A LINDSIDE WV 24951 (304) 753-4332 515190 NICHOLAS COUNTY NURSING AND REHABILITATION CENTER 18 FOURTH STREET RICHWOOD WV 26261 (304) 846-2668 515191 CAREHAVEN OF PLEASANTS 506 RIVERVIEW ROAD BELMONT WV 26134 (304) 665-2065 515193 THE ARTHUR B HODGES CENTER 300 BAKER LANE CHARLESTON WV 25302 (304) 346-2323 525009 MANORCARE HEALTH SERVICES-EAST 600 S WEBSTER AVE GREEN BAY WI 54301 (920) 432-3213 525019 DEERFIELD CARE CENTER, LLC 575 HOSPITAL RD NEW RICHMOND WI 54017 (715) 243-3930 525064 LINDENGROVE NEW BERLIN 13755 W FIELDPOINTE DR NEW BERLIN WI 53151 (262) 796-3660 525069 MAPLEWOOD CENTER 8615 W BELOIT RD WEST ALLIS WI 53227 (414) 607-4100 525085 EASTCASTLE PL BRADFORD TER CONV CTR 2505 E BRADFORD AVE MILWAUKEE WI 53211 (414) 963-6151 525088 EDGEWATER HAVEN NURSING HOME 1351 WISCONSIN RIVER DR PORT EDWARDS WI 54469 (715) 885-8300 525108 ALLIS CARE CENTER 9047 W GREENFIELD AVE WEST ALLIS WI 53214 (414) 453-9290 525114 SAUK CO HEALTH CARE CENTER 1051 CLARK ST REEDSBURG WI 53959 (608) 524-7500 525165 SAMARITAN HEALTH CENTER 531 E WASHINGTON ST WEST BEND WI 53095 (262) 335-4500 525172 JEWISH HOME AND CARE CENTER 1414 N PROSPECT AVE MILWAUKEE WI 53202 (414) 276-2627 525179 MANORCARE HEALTH SERVICES-KENOSHA 3100 WASHINGTON RD KENOSHA WI 53144 (262) 658-4622 525209 MULDER HEALTH CARE FACILITY 713 N LEONARD ST WEST SALEM WI 54669 (608) 786-1600 525219 MANORCARE HEALTH SERVICES-PLATTEVILLE 1300 N WATER ST PLATTEVILLE WI 53818 (608) 348-2453 525241 EDGERTON CARE CENTER, INC 313 STOUGHTON RD EDGERTON WI 53534 (608) 884-1330 525265 BETHANY ST JOSEPH CARE CTR 2501 SHELBY RD LA CROSSE WI 54601 (608) 788-5700 525270 ALL ABOUT LIFE REHAB CENTER 115 E ARNDT ST FOND DU LAC WI 54935 (920) 923-7040 525271 ALDEN ESTATES OF JEFFERSON 1130 COLLINS ROAD JEFFERSON WI 53549 (920) 674-3170 525274 MANORCARE HEALTH SERVICES 265 S NATIONAL AVE FOND DU LAC WI 54935 (920) 922-7342 525276 ST MARYS CARE CENTER 3401 MAPLE GROVE DR MADISON WI 53719 (608) 845-1000 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

525282 HOSPITALITY NURSING AND REHAB CTR 8633 32ND AVE KENOSHA WI 53142 (262) 694-8300 525286 JULIETTE MANOR 482 OAK STREET BERLIN WI 54923 (920) 361-3092 525304 ATRIUM POST ACUTE CARE OF MARSHFIELD 814 W 14TH ST MARSHFIELD WI 54449 (715) 387-1188 525305 CAPITOL LAKES HEALTH CENTER 333 W MAIN ST MADISON WI 53703 (608) 283-2100 525306 GOLDEN LIVINGCENTER-DORCHESTER 200 N SEVENTH AVE STURGEON BAY WI 54235 (920) 743-6274 525314 WILLOWBROOK NURSING & REHABILITATION CENTER 901 MULBERRY ST LAKE MILLS WI 53551 (920) 648-8344 525315 CROSSROADS CARE CENTER OF WEYAUWEGA 717 E ALFRED ST WEYAUWEGA WI 54983 (920) 867-3121 525316 MANAWA COM NUR CTR 400 EAST 4TH ST MANAWA WI 54949 (920) 596-2566 525317 ST CLARE MEADOWS CARE CTR 1414 JEFFERSON ST BARABOO WI 53913 (608) 356-4838 525324 WILLOWFIELD NURSING & REHABILITATION CENTER 905 E GENEVA ST DELAVAN WI 53115 (262) 728-6319 525326 PINE CREST NURSING HOME 2100 E SIXTH ST MERRILL WI 54452 (715) 536-0355 525327 CLEMENT MANOR HEALTH CARE CENTER 3939 S 92ND ST GREENFIELD WI 53228 (414) 321-1800 525328 GOLDEN LIVINGCENTER-COURT MANOR 911 3RD ST WEST ASHLAND WI 54806 (715) 682-8172 525329 GOLDEN LIVINGCENTER-RIB LAKE 650 PEARL ST PO BOX 308 RIB LAKE WI 54470 (715) 427-5291 525331 INGLESIDE MANOR 407 N EIGHTH ST MOUNT HOREB WI 53572 (608) 437-5511 525332 GOLDEN LIVINGCENTER-RIVERVIEW 428 N 6TH ST TOMAHAWK WI 54487 (715) 453-2511 525335 SHAWANO HEALTH SERVICES 1436 S LINCOLN ST SHAWANO WI 54166 (715) 526-6111 525336 ATRIUM POST ACUTE CARE OF CHILTON 810 MEMORIAL DR CHILTON WI 53014 (920) 849-2308 525337 ROCKY KNOLL HEALTH CARE N7135 ROCKY KNOLL PARKWAY PLYMOUTH WI 53073 (920) 893-6441 525339 CROSSROADS CARE CENTER OF CRYSTAL RIVER 1401 CHURCHILL ST WAUPACA WI 54981 (715) 258-8131 525343 ATRIUM POST ACUTE CARE OF SHAWANO AT EVERGREEN 1250 EVERGREEN ST SHAWANO WI 54166 (715) 526-3107 525346 ATRIUM POST ACUTE CARE OF WILLIAMS BAY 146 CLOVER ST WILLIAMS BAY WI 53191 (262) 245-6400 525348 GREENTREE HEALTH AND REHAB CTR 70 GREENTREE RD CLINTONVILLE WI 54929 (715) 823-2194 525350 COLONIAL CENTER 702 W DOLF ST COLBY WI 54421 (715) 223-2352 525352 ATRIUM POST ACUTE CARE OF LANCASTER 1350 S MADISON ST LANCASTER WI 53813 (608) 723-4143 525353 ATRIUM POST ACUTE CARE OF STEVENS POINT 1800 SHERMAN AVE STEVENS POINT WI 54481 (715) 344-1800 525355 GOLDEN LIVINGCENTER-CONTINENTAL MANOR OF RANDOLPH 502 S HIGH ST RANDOLPH WI 53956 (920) 326-3171 525357 ATRIUM POST ACUTE CARE OF KEWAUNEE 1308 LINCOLN ST KEWAUNEE WI 54216 (920) 388-4111 525358 GOLDEN LIVINGCENTER-FLORENCE 5778 CHAPIN ST FLORENCE WI 54121 (715) 528-4833 525359 MAPLE RIDGE HEALTH AND REHABILITATION CENTER 2730 W RAMSEY AVE MILWAUKEE WI 53221 (414) 282-2600 525362 LAFAYETTE MANOR 719 E CATHERINE ST BOX 167 DARLINGTON WI 53530 (608) 776-4210 525363 WOODLAND VILLAGE NURSING HOME 430 MANOR DR SURING WI 54174 (920) 842-2191 525365 PINE VALLEY COMMUNITY VILLAGE 25951 CIRCLE VIEW LANE RICHLAND CENTER WI 53581 (608) 647-2138 525369 WAUSAU MANOR 3107 WESTHILL DR WAUSAU WI 54401 (715) 842-0575 525370 GOLDEN LIVINGCENTER-SUPERIOR 1612 N 37TH ST SUPERIOR WI 54880 (715) 392-5144 525372 COLUMBIA HEALTH CARE CENTER 323 W MONROE ST PO BOX 895 WYOCENA WI 53969 (608) 429-2181 525373 BOSCOBEL CARE AND REHAB 207 PARKER ST BOSCOBEL WI 53805 (608) 375-6342 525374 HERITAGE MANOR 19 W NEWTON ST PO BOX 311 RICE LAKE WI 54868 (715) 234-2161 525375 OAKWOOD LUTHERAN HOMES ASSOC 6201 MINERAL POINT RD MADISON WI 53705 (608) 230-4699 525376 UPLAND HILLS NURSING AND REHAB 800 COMPASSION WAY DODGEVILLE WI 53533 (608) 930-7600 525377 DOOR COUNTY MEMORIAL HOSPITAL SNF 323 S 18TH AVE STURGEON BAY WI 54235 (920) 743-5566 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

525379 WISSOTA HEALTH AND REGIONAL VENT CENTER 2815 COUNTY HIGHWAY I CHIPPEWA FALLS WI 54729 (715) 723-9341 525380 SUN PRAIRIE HEALTH CARE CTR 228 W MAIN ST SUN PRAIRIE WI 53590 (608) 837-5959 525382 ST CAMILLUS HEALTH CENTER 10101 W WISCONSIN AVE WAUWATOSA WI 53226 (414) 258-1814 525383 AMERICAN LUTHERAN HOME-MONDOVI 200 MEMORIAL DR MONDOVI WI 54755 (715) 926-4962 525387 DOVE HEALTHCARE-WEST 1405 TRUAX BLVD EAU CLAIRE WI 54703 (715) 552-1030 525395 EPIONE PAVILLION 808 S WASHINGTON ST CUBA CITY WI 53807 (608) 744-2161 525396 GREENWAY MANOR 501 S WINSTED PO BOX 759 SPRING GREEN WI 53588 (608) 588-2586 525403 CLARK COUNTY REHABILITATION & LIVING CENTER W4266 COUNTY HIGHWAY X OWEN WI 54460 (715) 229-2172 525407 ATRIUM POST ACUTE CARE OF APPLETON 601 N BRIARCLIFF DR APPLETON WI 54915 (920) 739-4466 525409 PINE VIEW CARE CENTER 400 COUNTY RD R BLACK RIVER FALLS WI 54615 (715) 284-5396 525410 EASTVIEW MEDICAL AND REHABILITATION CENTER 729 PARK ST ANTIGO WI 54409 (715) 623-2356 525411 WILLOWDALE NURSING & REHABILITATION CENTER 1610 HOOVER ST NEW HOLSTEIN WI 53061 (920) 898-5706 525412 ATRIUM POST ACUTE CARE OF SHAWANO AT BIRCH HILL 1475 BIRCH HILL LANE SHAWANO WI 54166 (715) 526-3161 525414 MERCY RESIDENTIAL & REHAB CTR 2727 W MITCHELL ST MILWAUKEE WI 53215 (414) 383-3699 525416 LADYSMITH CARE & REHAB 900 COLLEGE AVE W LADYSMITH WI 54848 (715) 532-5015 525418 EVANSVILLE MANOR 470 GARFIELD AVE EVANSVILLE WI 53536 (608) 882-5700 525419 CHIPPEWA MANOR NURSING HOME 222 CHAPMAN RD CHIPPEWA FALLS WI 54729 (715) 723-4437 525421 LINDENGROVE MENOMONEE FALLS W180 N8071 TOWN HALL RD MENOMONEE FALLS WI 53051 (262) 253-2700 525424 BROOKFIELD REHAB AND SPECIALTY CARE CTR 18740 W BLUEMOUND RD BROOKFIELD WI 53045 (262) 782-0230 525425 GOOD SAMARITAN SOCIETY-FENNIMORE 1850 11TH ST FENNIMORE WI 53809 (608) 822-6100 525426 HILLVIEW HEALTH CARE CTR 3501 PARK LANE DR LA CROSSE WI 54601 (608) 789-4800 525427 MAPLE RIDGE REHABILITATION AND CARE CENTER 2305 SAN LUIS PLACE GREEN BAY WI 54304 (920) 494-5231 525428 CRANDON NURSING HOME 105 W PIONEER AVE CRANDON WI 54520 (715) 478-3324 525430 ROLLING HILLS REHAB CTR 14345 CTY HWY B SPARTA WI 54656 (608) 269-8800 525431 CLAIRIDGE HOUSE 1519 60TH ST KENOSHA WI 53140 (262) 656-7500 525433 NEIGHBORS - CENTRAL NEIGHBORHOOD (THE) 2901 FORBES AVE MENOMONIE WI 54751 (715) 232-2661 525434 GOLDEN LIVINGCENTER-VALLEY OF HAYWARD 10775 NYMAN AVE HAYWARD WI 54843 (715) 634-2202 525435 GOLDEN LIVINGCENTER-CONTINENTAL MANOR 600 E ELM ST ABBOTSFORD WI 54405 (715) 223-2359 525437 FAIR VIEW NURSING AND REHABILITATION CENTER 1050 DIVISION ST MAUSTON WI 53948 (608) 847-6161 525440 PLUM CITY CARE CTR 301 CHERRY AVENUE WEST PLUM CITY WI 54761 (715) 647-2401 525441 MANITOWOC HEALTH CARE CENTER 2021 S ALVERNO RD MANITOWOC WI 54220 (920) 683-4100 525445 COLUMBUS HEALTH AND REHAB 825 WESTERN AVE COLUMBUS WI 53925 (920) 623-2520 525447 HILLSIDE MANOR 803 S UNIVERSITY AVE BEAVER DAM WI 53916 (920) 887-6295 525449 ATRIUM POST ACUTE CARE OF OCONTO FALLS 100 E HIGHLAND DR OCONTO FALLS WI 54154 (920) 848-3272 525451 RENNES HEALTH AND REHAB CENTER-WEST 501 N LAKE ST PESHTIGO WI 54157 (715) 582-3906 525453 CLEARVIEW 198 COUNTY DF JUNEAU WI 53039 (920) 386-3400 525454 OAKWOOD VILLA 2512 NEW PINE DR ALTOONA WI 54720 (715) 833-0400 525456 GOLDEN LIVINGCENTER-SHEBOYGAN 3129 MICHIGAN AVE SHEBOYGAN WI 53082 (920) 458-1155 525457 RENNES HEALTH AND REHAB CENTER-EAST 701 WILLOW ST PESHTIGO WI 54157 (715) 582-3962 525458 PARK VIEW HOME 220 LOCKWOOD ST WOODVILLE WI 54028 (715) 698-2451 525460 FALL CREEK VALLEY CARE CTR 344 LINCOLN AVE FALL CREEK WI 54742 (715) 877-2411 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

525461 PAVILION AT GLACIER VALLEY 1900 AMERICAN EAGLE DR SLINGER WI 53086 (262) 297-6300 525462 MAPLEWOOD OF SAUK PRAIRIE 245 SYCAMORE ST SAUK CITY WI 53583 (608) 643-3383 525463 OAKRIDGE GARDENS NUR CTR, INC 1700 MIDWAY RD MENASHA WI 54952 (920) 739-0111 525465 CEDAR LAKE HEALTH AND REHAB CENTER 5595 CTY RD Z WEST BEND WI 53095 (262) 306-2100 525466 SPRING VALLEY HEALTH AND REHAB CENTER S830 - WESTLAND DR SPRING VALLEY WI 54767 (715) 778-5545 525467 MARYHILL MANOR 501 MADISON AVE NIAGARA WI 54151 (715) 251-3172 525468 ST CROIX HEALTH CENTER 1445 N FOURTH ST NEW RICHMOND WI 54017 (715) 246-8211 525472 OAKBROOK HEALTH AND REHABILITATION 206 W PROSPECT ST THORP WI 54771 (715) 669-5321 525474 BLOOMFIELD HEALTHCARE AND REHAB CENTER 3151 CTY RD CH DODGEVILLE WI 53533 (608) 935-3321 525475 RIVER'S BEND HEALTH AND REHABILITATION 960 S RAPIDS RD MANITOWOC WI 54220 (920) 684-1144 525476 LUTHER HOME 831 PINE BEACH RD MARINETTE WI 54143 (715) 732-0155 525477 GOLDEN LIVINGCENTER-SOUTH SHORE 1915 E TRIPOLI AVE SAINT FRANCIS WI 53235 (414) 483-3611 525479 DOVE HEALTHCARE - BLOOMER 1501 THOMPSON ST BLOOMER WI 54724 (715) 568-2000 525483 ATRIUM POST ACUTE CARE OF ELLSWORTH 403 N MAPLE ST ELLSWORTH WI 54011 (715) 273-5821 525485 REST HAVEN HEALTH CARE CENTER 7672 W MINERAL POINT RD VERONA WI 53593 (608) 833-1691 525486 GRANCARE NURSING CENTER 1555 DOUSMAN ST GREEN BAY WI 54303 (920) 494-4525 525487 IOLA LIVING ASSISTANCE, INC 185 CHET KRAUSE DR PO BOX 237 IOLA WI 54945 (715) 445-2412 525490 VIRGINIA HEALTH AND REHAB CTR 1451 CLEVELAND AVE WAUKESHA WI 53186 (262) 547-2123 525494 GOOD SAMARITAN SOCIETY-SCANDIA VILLAGE 10560 APPLEWOOD RD SISTER BAY WI 54234 (920) 854-2317 525495 WHEATON FRANCISCAN HC - LAKESHORE MANOR 1320 WISCONSIN AVE RACINE WI 53403 (262) 687-2241 525502 BALDWIN CARE CENTER 650 BIRCH ST BALDWIN WI 54002 (715) 684-3231 525505 SYVERSON LUTHERAN HOME 816 PORTER AVE EAU CLAIRE WI 54701 (715) 832-1644 525509 GOOD SHEPHERD SERVICES LTD 607 BRONSON RD SEYMOUR WI 54165 (920) 833-6856 525511 SHEBOYGAN PROGRESSIVE CARE CTR 1902 MEAD AVE SHEBOYGAN WI 53081 (920) 458-8333 525512 SKAALEN NURSING AND REHABILITATION CENTER 400 N MORRIS ST STOUGHTON WI 53589 (608) 873-5651 525513 KINNIC HEALTH AND REHAB 1663 E DIVISION ST RIVER FALLS WI 54022 (715) 426-6000 525515 LEDGE VIEW NURSING CENTER 3737 DICKINSON RD DE PERE WI 54115 (920) 336-7733 525516 BADGER PRAIRIE HCC 1100 E VERONA AVE VERONA WI 53593 (608) 845-6601 525518 TIVOLI AT DIVINE SAVIOR HEALTHCARE 2805 HUNTERS TRAIL PORTAGE WI 53901 (608) 745-5900 525519 CARE AGE OF BROOKFIELD 1755 N BARKER RD BROOKFIELD WI 53045 (262) 821-3939 525520 GOOD SAMARITAN SOCIETY-LODI 700 CLARK ST LODI WI 53555 (608) 592-3241 525521 HEARTLAND COUNTRY VILLAGE 634 CENTER ST BLACK EARTH WI 53515 (608) 767-2572 525522 GRANCARE NURSING AND REHAB CTR 517 E DIVISION ST FOND DU LAC WI 54935 (920) 921-6800 525523 ALEXIAN VILLAGE OF MILWAUKEE 9255 N 76TH ST MILWAUKEE WI 53223 (414) 355-9300 525524 ST ANNE'S SALVATORIAN CAMPUS 3800 N 92ND ST MILWAUKEE WI 53222 (414) 463-7570 525527 HOMME HOME FOR THE AGING 604 S WEBB ST WITTENBERG WI 54499 (715) 253-2125 525528 WHEATON FRANCISCAN HC - FRANCISCAN WOODS 19525 W NORTH AVE BROOKFIELD WI 53045 (262) 785-1114 525531 CHRISTIAN HOME AND REHAB CTR 331 BLY ST WAUPUN WI 53963 (920) 324-9051 525532 GOOD SAMARITAN SOCIETY-ST CROIX VALLEY 750 E LOUISIANA ST ST CROIX FALLS WI 54024 (715) 483-9815 525533 ALGOMA MEDICAL CENTER 1510 FREMONT ST ALGOMA WI 54201 (920) 487-5511 525535 AUGUSTA HEALTH AND REHABILITATION 901 BRIDGE CREEK LANE AUGUSTA WI 54722 (715) 286-2266 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

525536 OREGON MANOR 354 N MAIN ST OREGON WI 53575 (608) 835-3535 525537 LASATA CARE CENTER W76 N677 WAUWATOSA RD CEDARBURG WI 53012 (262) 377-5060 525538 BETHANY HOME 1226 BERLIN ST WAUPACA WI 54981 (715) 258-5521 525539 SAINT JOHNS ON THE LAKE 1840 N PROSPECT AVE MILWAUKEE WI 53202 (414) 272-2022 525540 VILLA MARIA HEALTH AND REHAB CTR 300 VILLA DR HURLEY WI 54534 (715) 561-3200 525541 HOLTON MANOR 645 N CHURCH ST ELKHORN WI 53121 (262) 723-4963 525542 OAK RIDGE CARE CENTER 1400 8TH AVE UNION GROVE WI 53182 (262) 878-2788 525545 LUTHERAN HOME 7500 W NORTH AVE WAUWATOSA WI 53213 (414) 258-6170 525546 ATRIUM POST ACUTE CARE OF NEW HOLSTEIN 1712 MONROE ST NEW HOLSTEIN WI 53061 (920) 898-4296 525548 PEABODY MANOR 2600 S HERITAGE WOODS DR APPLETON WI 54915 (920) 738-3000 525549 GOLDEN LIVINGCENTER-HERITAGE SQUARE 5404 W LOOMIS RD GREENDALE WI 53129 (414) 421-0088 525550 MARKESAN RESIDENT HOME 1130 N MARGARET MARKESAN WI 53946 (920) 398-2751 525552 WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS 3200 S 20TH ST MILWAUKEE WI 53215 (414) 389-3200 525553 SHELL LAKE HEALTH CARE CENTER 802 E CTY HWY B SHELL LAKE WI 54871 (715) 468-7292 525554 BETHEL HOME 225 N EAGLE ST OSHKOSH WI 54902 (920) 235-4653 525556 BROOKSIDE CARE CTR 3506 WASHINGTON RD KENOSHA WI 53144 (262) 653-3800 525557 WOODSIDE LUTHERAN HOME 1040 PILGRIM WAY GREEN BAY WI 54304 (920) 499-1481 525558 BURNETT MEDICAL CENTER 257 W ST GEORGE AVE GRANTSBURG WI 54840 (715) 463-5355 525559 ODD FELLOW HOME 1229 S JACKSON ST GREEN BAY WI 54301 (920) 437-6523 525560 SHOREHAVEN HLTH & REHAB CTR 1305 W WISCONSIN AVE OCONOMOWOC WI 53066 (262) 567-8341 525561 EAST TROY MANOR 3271 NORTH ST EAST TROY WI 53120 (262) 642-3995 525562 VERNON MANOR E7404A COUNTY RD BB VIROQUA WI 54665 (608) 637-5400 525565 GENEVA LAKE MANOR 211 S CURTIS ST LAKE GENEVA WI 53147 (262) 248-3145 525571 BORNEMANN NURSING HOME 226 BORNEMANN ST GREEN BAY WI 54302 (920) 468-8675 525572 MASONIC CENTER FOR HEALTH & REHAB INC 400 N MAIN ST DOUSMAN WI 53118 (262) 965-7245 525573 RENNES HEALTH AND REHAB CENTER-DEPERE 200 S NINTH ST DE PERE WI 54115 (920) 336-5680 525574 BREWSTER VILLAGE 3300 W BREWSTER ST APPLETON WI 54914 (920) 832-5400 525575 SHADY LANE NURSING CARE CENTER 1235 S 24TH ST MANITOWOC WI 54220 (920) 682-8254 525580 ATRIUM POST ACUTE CARE OF BLOOMER 1840 PRIDDY ST BLOOMER WI 54724 (715) 568-2503 525581 CREST VIEW NURSING HOME 612 VIEW ST NEW LISBON WI 53950 (608) 562-3667 525583 RENNES HEALTH AND REHAB CENTER- APPLETON 325 E FLORIDA AVE APPLETON WI 54911 (920) 731-7310 525586 HERITAGE NURSING AND REHAB CTR 1119 N WISCONSIN ST PORT WASHINGTON WI 53074 (262) 284-5892 525587 FAIRHAVEN CORPORATION 435 W STARIN RD WHITEWATER WI 53190 (262) 473-2140 525588 LUTHER MANOR 4545 N 92ND ST MILWAUKEE WI 53225 (414) 464-3880 525589 RENNES HEALTH AND REHAB CENTER-RHINELANDER 1970 NAVAJO ST RHINELANDER WI 54501 (715) 420-0728 525590 SANTA MARIA NURSING HOME 430 S CLAY ST GREEN BAY WI 54301 (920) 432-5231 525591 BETHEL HOME AND SERVICES 614 S ROCK AVE VIROQUA WI 54665 (608) 637-2171 525592 LADYSMITH NURSING HOME 1001 E 11TH ST N LADYSMITH WI 54848 (715) 532-5546 525595 ST FRANCIS HOME 33 EVERETT ST FOND DU LAC WI 54935 (920) 923-7980 525596 HALES CORNERS CARE CTR 9449 W FOREST HOME AVE HALES CORNERS WI 53130 (414) 529-6888 525598 SHEBOYGAN SENIOR COMMUNITY INC 3505 COUNTY ROAD Y SHEBOYGAN WI 53083 (920) 458-2137 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

525599 ST JOSEPH RESIDENCE 107 E BECKERT RD NEW LONDON WI 54961 (920) 982-5354 525602 GLENHAVEN 612 E OAK ST GLENWOOD CITY WI 54013 (715) 265-4555 525603 ST JOSEPH'S HOME AND REHABILITATION CENTER 9244 29TH AVE KENOSHA WI 53143 (262) 694-0080 525605 MEADOW VIEW MANOR NURSING HOME 3613 S 13TH ST SHEBOYGAN WI 53081 (920) 458-4040 525607 MORNINGSIDE HEALTH CENTER 3431 N 13TH ST SHEBOYGAN WI 53083 (920) 457-5046 525608 RIDGEWOOD CARE CTR 3205 WOOD RD RACINE WI 53406 (262) 554-6440 525609 ST MARYS HOME FOR THE AGED 1635 S 21ST STREET MANITOWOC WI 54220 (920) 684-7171 525611 PORTAGE CTY HLTH CARE CTR 825 WHITING AVE STEVENS POINT WI 54481 (715) 346-1374 525612 PARK MANOR LTD 250 LAWRENCE AVE PARK FALLS WI 54552 (715) 762-2449 525613 VILLA MARINA HEALTH AND REHAB CTR 35 N 28TH ST SUPERIOR WI 54880 (715) 392-3300 525616 CROSSROADS CARE CENTER OF MAYVILLE 305 S CLARK ST MAYVILLE WI 53050 (920) 387-0354 525617 ST PAUL ELDER SERVICES, INC 316 EAST 14TH STREET KAUKAUNA WI 54130 (920) 766-6020 525618 SAMARITAN'S CEDAR CROSSING SUBACUTE UNIT 3200 W PLEASANT VALLEY RD WEST BEND WI 53095 (262) 677-6800 525619 NORSELAND NURSING HOME 323 BLACK RIVER AVE WESTBY WI 54667 (608) 634-3747 525621 VILLA LORETTO NURSING HOME N8114 COUNTY WW MOUNT CALVARY WI 53057 (920) 753-3211 525622 SANNES SKOGDALEN HEIM 101 SUNSHINE BLVD PO BOX 177 SOLDIERS GROVE WI 54655 (608) 624-5244 525623 NU ROC COMMUNITY HEALTHCARE 3576A NU ROC LN LAONA WI 54541 (715) 674-4477 525624 GRAND VIEW CARE CTR 620 GRAND VIEW AVE PO BOX 27 BLAIR WI 54616 (608) 989-2511 525625 LAKELAND HEALTH CARE CTR 1922 CTY RD NN ELKHORN WI 53121 (262) 741-3600 525626 CHRISTIAN COMMUNITY HOME 1320 WISCONSIN ST HUDSON WI 54016 (715) 386-9303 525627 ASPIRUS PLEASANT VIEW 595 PETERSON DR PHILLIPS WI 54555 (715) 339-3113 525628 MARINUKA MANOR 19475 SILVER CREEK RD GALESVILLE WI 54630 (608) 582-2211 525629 NEILLSVILLE CARE AND REHAB 316 SUNSET PLACE NEILLSVILLE WI 54456 (715) 743-5444 525630 NEW GLARUS HOME 600 2ND AVE NEW GLARUS WI 53574 (608) 527-2126 525632 WATER'S EDGE 11040 NORTH STATE RD 77 HAYWARD WI 54843 (715) 934-4321 525635 MILWAUKEE CATHOLIC HOME 2330 N PROSPECT AVE MILWAUKEE WI 53211 (414) 220-4610 525637 CORNELL AREA CARE CENTER 320 N 7TH ST CORNELL WI 54732 (715) 239-6288 525638 PARK VIEW HEALTH CENTER 725 BUTLER AVE OSHKOSH WI 54901 (920) 237-6300 525640 TRANSITIONAL CARE UNIT 430 E DIVISION ST FOND DU LAC WI 54935 (920) 926-4700 525641 ASPIRUS CARE & REHAB-MEDFORD 135 S GIBSON ST MEDFORD WI 54451 (715) 748-8100 525642 HOPE HEALTH AND REHAB 438 ASHFORD AVE PO BOX 280 LOMIRA WI 53048 (920) 269-4386 525643 PLEASANT VIEW NURSING HOME N3150 HWY 81 PO BOX 768 MONROE WI 53566 (608) 325-2171 525644 ATTIC ANGEL PLACE HEALTH CENTER 8301 OLD SAUK RD MIDDLETON WI 53562 (608) 662-8842 525645 LINDENGROVE MUKWONAGO 837 CTY RD NN E MUKWONAGO WI 53149 (262) 363-6830 525646 MANORCARE HEALTH SERVICES-PEWAUKEE N26 W23977 WATERTOWN RD WAUKESHA WI 53188 (262) 523-0933 525647 EVERGREEN HEALTH CENTER 1130 N WESTFIELD ST OSHKOSH WI 54902 (920) 233-2340 525648 BARRON CARE AND REHABILITATION 660 E BIRCH AVE BARRON WI 54812 (715) 537-5643 525649 CEDAR CREST HEALTH CENTER 1702 S RIVER RD JANESVILLE WI 53546 (608) 756-0344 525652 PIONEER NURSING HOME 530 RIVER AVE S PRAIRIE FARM WI 54762 (715) 455-1178 525653 VIRGINIA HIGHLANDS HLTH AND REHAB W173 N10915 BERNIES WAY GERMANTOWN WI 53022 (262) 509-3300 525655 FOND DU LAC LUTHERAN HOME 244 N MACY ST FOND DU LAC WI 54935 (920) 921-9520 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

525656 FOUR WINDS MANOR 303 S JEFFERSON ST VERONA WI 53593 (608) 845-6465 525657 MONTELLO CARE CENTER 251 FOREST LANE MONTELLO WI 53949 (608) 297-2153 525660 ST DOMINIC VILLA 2375 SINSINAWA RD HAZEL GREEN WI 53811 (608) 748-9814 525661 WOODLANDS OF GILLETT 330 ROBIN HOOD LN GILLETT WI 54124 (920) 855-2136 525662 MORROW MEMORIAL HOME 331 S WATER ST SPARTA WI 54656 (608) 269-3168 525664 ATRIUM POST ACUTE CARE OF TWO RIVERS 1 HAMILTON DR TWO RIVERS WI 54241 (920) 793-2261 525665 FREDERIC NURSING AND REHAB COMMUNITY 205 UNITED WAY FREDERIC WI 54837 (715) 327-4297 525666 MERCY MANOR TRANSITION CENTER 1000 MINERAL POINT AVE PO BOX 5003 JANESVILLE WI 53547 (608) 756-6050 525667 RIDGEVIEW TERRACE LONG TERM CARE 2350 N DEWEY AVE REEDSBURG WI 53959 (608) 524-6577 525668 HIGHLANDS AT NEWCASTLE PL 12600 N PORT WASHINGTON RD #300 MEQUON WI 53092 (262) 387-8850 525669 BECKER SHOOP CENTER 6101 16TH ST RACINE WI 53406 (262) 637-7486 525670 WOODLANDS OF OCONTO 101 FIRST ST OCONTO WI 54153 (920) 834-4575 525671 SCHMITT WOODLAND HILLS 1400 W SEMINARY ST RICHLAND CENTER WI 53581 (608) 647-8931 525672 ATRIUM POST ACUTE CARE OF CHETEK 725 KNAPP ST CHETEK WI 54728 (715) 924-4891 525676 PINE HAVEN CHRISTIAN HOME 220 HAVEN DRIVE SHEBOYGAN FALLS WI 53085 (920) 467-2401 525677 GOLDEN YEARS HEALTH CENTER 270 RIDGE ROAD WALWORTH WI 53184 (262) 275-6103 525679 GUNDERSEN TRI-COUNTY CARE CENTER 18601 LINCOLN ST WHITEHALL WI 54773 (715) 538-4361 525682 SARAH CHUDNOW CAMPUS 10995 N MARKET ST MEQUON WI 53092 (262) 478-1501 525683 WOODS CROSSING AT WOODS POINT E401 23RD ST PO BOX 34 BRODHEAD WI 53520 (608) 897-3031 525685 ATRIUM POST ACUTE CARE OF PLYMOUTH 916 E CLIFFORD ST PLYMOUTH WI 53073 (920) 893-4777 525686 MUSKEGO HEALTH CARE CENTER S77 W18690 JANESVILLE RD MUSKEGO WI 53150 (262) 679-0246 525687 PIGEON FALLS HCC 13197 CHURCH ST PIGEON FALLS WI 54760 (715) 983-2293 525688 WI VETERANS HOME-BOLAND HALL 21425 E SPRING ST UNION GROVE WI 53182 (262) 878-6702 525689 ATRIUM POST ACUTE CARE OF SHAWANO AT MAPLE LANE N4231 STATE HWY 22 SHAWANO WI 54166 (715) 526-3158 525691 COLFAX HEALTH AND REHABILITATION CENTER 110 PARK DRIVE COLFAX WI 54730 (715) 962-3186 525692 OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER 5833 AMERICAN PARKWAY MADISON WI 53718 (608) 230-4000 525693 BROWN CTY COMM TREATMENT CTR-BAYSHORE VILLAGE 3150 GERSHWIN DRIVE GREEN BAY WI 54311 (920) 391-4700 525694 DALLAS CARE AND REHAB 104 E DALLAS ST BOX 220 DALLAS WI 54733 (715) 837-1222 525695 ANNA JOHN RESIDENT CENTERED CARE COMMUNITY 2901 SOUTH OVERLAND ROAD ONEIDA WI 54155 (920) 869-2797 525697 MELLEN MANOR 450 LAKE DR MELLEN WI 54546 (715) 274-5706 525698 LAKEVIEW MANOR 912 MANOR DRIVE WEYAUWEGA WI 54983 (920) 867-2183 525699 RENNES HEALTH AND REHAB CENTER-WESTON 4810 BARBICAN AVE WESTON WI 54476 (715) 393-0400 525700 CONGREGATIONAL HOME, INC 13900 W BURLEIGH RD BROOKFIELD WI 53005 (262) 781-0550 525701 DOVE HEALTHCARE-SOUTH 3656 MALL DRIVE EAU CLAIRE WI 54701 (715) 552-1035 525702 LAKE COUNTRY HEALTH AND REHAB CENTER 2195 NORTH SUMMIT VILLAGE WAY OCONOMOWOC WI 53066 (262) 567-4662 525704 EDEN REHAB SUITES AND GREEN HOUSE HOMES 3151 EDEN CT OSHKOSH WI 54904 (920) 651-4000 525706 CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC 2650 65TH AVE OSCEOLA WI 54020 (715) 294-1100 525708 WI VETERANS HOME AT CHIPPEWA FALLS 2175 E PARK AVE CHIPPEWA FALLS WI 54729 (715) 720-6775 525709 DOVE HEALTHCARE - OSSEO 13025 EIGHTH ST OSSEO WI 54758 (715) 597-2493 525710 LADYSMITH LIVING CENTER, INC 1001 E 11TH ST N LADYSMITH WI 54848 (715) 532-5546 525711 STONEY RIVER REHAB 7805 BIRCH ST WESTON WI 54476 (715) 298-3833 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

525712 CUMBERLAND MEM HSPTL ECU 1110 7TH AVE CUMBERLAND WI 54829 (715) 822-6194 525713 NEIGHBORS - EAST NEIGHBORHOOD (THE) 658 HOWISON CIRCLE MENOMONIE WI 54751 (715) 232-2661 525714 NEIGHBORS - WEST NEIGHBORHOOD (THE) 651 HOWISON CIRCLE MENOMONIE WI 54751 (715) 232-2661 525715 DOVE HEALTHCARE - RICE LAKE 910 BEAR PAW AVE RICE LAKE WI 54868 (715) 234-2604 525717 WI VETERANS HM MACARTHUR 422 N2665 CTY RD QQ KING WI 54946 (715) 258-5586 525718 WI VETERANS HM OLSON 600 N2665 CTY RD QQ KING WI 54946 (715) 258-5586 525719 WI VETERANS HM AINSWORTH 800 N2665 CTY RD QQ KING WI 54946 (715) 258-5586 535017 SUBLETTE CENTER 333 N BRIDGER AVE PINEDALE WY 82941 (307) 367-4161 535019 BONNIE BLUEJACKET MEMORIAL NURSING HOME 388 SOUTH US HWY 20 BASIN WY 82410 (307) 568-3311 535021 WYOMING RETIREMENT CENTER 890 US HWY 20 SOUTH BASIN WY 82410 (307) 568-2431 535022 PIONEER MANOR NURSING HOME 900 W 8TH ST GILLETTE WY 82716 (307) 682-4709 535023 WESTON COUNTY HEALTH SERVICES 1124 WASHINGTON BLVD NEWCASTLE WY 82701 (307) 746-4491 535026 SHERIDAN MANOR 1851 BIG HORN AVE SHERIDAN WY 82801 (307) 674-4416 535027 WEST PARK LONG TERM CARE CENTER 707 SHERIDAN AVENUE CODY WY 82414 (307) 578-2434 535030 NEW HORIZONS CARE CENTER 1111 LANE 12 LOVELL WY 82431 (307) 548-5200 535032 LIFE CARE CENTER OF CHEYENNE 1330 PRAIRIE AVENUE CHEYENNE WY 82009 (307) 778-8997 535033 MISSION AT CASTLE ROCK REHABILITATION CENTER 1445 UINTA DRIVE GREEN RIVER WY 82935 (307) 872-4600 535034 WESTWARD HEIGHTS CARE CENTER 150 CARING WAY LANDER WY 82520 (307) 332-5560 535035 IVINSON MEMORIAL HOSPITAL EXTENDED CARE FACILITY 255 N 30TH STREET LARAMIE WY 82072 (307) 742-2141 535036 RAWLINS REHABILITATION AND WELLNESS 542 16TH STREET RAWLINS WY 82301 (307) 324-2759 535038 ROCKY MOUNTAIN CARE - EVANSTON 475 YELLOW CREEK ROAD EVANSTON WY 82930 (307) 789-0726 535040 DOUGLAS CARE CENTER LLC 1108 BIRCH STREET DOUGLAS WY 82633 (307) 358-3397 535043 LARAMIE CARE CENTER 503 S 18TH ST LARAMIE WY 82070 (307) 742-3728 535044 CHEYENNE REG MEDICAL CTR TRANSITIONAL CARE UNIT 214 EAST 23RD STREET CHEYENNE WY 82001 (307) 633-7365 535045 POWELL VALLEY CARE CENTER 777 AVENUE H POWELL WY 82435 (307) 754-2267 535046 ST JOHN'S NURSING HOME 625 EAST BROADWAY JACKSON WY 83001 (307) 739-7450 535048 WORLAND HEALTHCARE AND REHABILITATION CENTER 1901 HOWELL AVENUE WORLAND WY 82401 (307) 347-4285 535051 THERMOPOLIS HEALTH CARE INC PO BOX 1325 THERMOPOLIS WY 82443 (307) 864-5591 535053 PLATTE COUNTY LEGACY HOME 100 19TH ST WHEATLAND WY 82201 (307) 322-7400 535054 GREEN HOUSE LIVING FOR SHERIDAN 2311 SHIRLEY COVE SHERIDAN WY 82801 (307) 672-0600 555010 LONG BEACH POST ACUTE 1201 WALNUT AVENUE LONG BEACH CA 90813 (562) 599-0486 555011 GOLDEN STATE COLONIAL HEALTHCARE CENTER 10830 OXNARD STREET NORTH HOLLYWOOD CA 91606 (818) 763-8247 555012 WINDSOR GARDENS HEALTHCARE OF THE VALLEY 13000 VICTORY BLVD, NORTH HOLLYWOOD CA 91606 (818) 985-5990 555016 ST JOHN KRONSTADT CONVALESCENT CENTER 4432 JAMES AVENUE CASTRO VALLEY CA 94546 (510) 889-7000 555020 LAGUNA HONDA HOSPITAL & REHABILITATION CTR D/P SNF 375 LAGUNA HONDA BLVD. SAN FRANCISCO CA 94116 (415) 759-2300 555021 ORANGEGROVE REHABILITATION HOSPITAL 12332 GARDEN GROVE BLVD. GARDEN GROVE CA 92843 (714) 534-1041 555022 SENECA DISTRICT HOSPITAL 130 BRENTWOOD DR CHESTER CA 96020 (530) 258-2151 555023 CASA DORINDA 300 HOT SPRINGS RD SANTA BARBARA CA 93108 (805) 969-8051 555027 BEACHSIDE NURSING CENTER 7781 GARFIELD AVENUE HUNTINGTON BEACH CA 92648 (714) 847-9671 555028 PALOS VERDES HEALTH CARE CENTER 26303 WESTERN AVE. LOMITA CA 90717 (310) 784-5440 555030 COLLEGE VISTA CONVALESCENT HOSPITAL 4681 EAGLE ROCK BLVD. LOS ANGELES CA 90041 (213) 257-8151 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

555039 FIRESIDE CONVALESCENT HOSPITAL 947 THIRD STREET SANTA MONICA CA 90403 (310) 393-7117 555040 LOTUS CARE CENTER 6011 WEST BLVD LOS ANGELES CA 90043 (323) 292-0749 555045 SHADOW HILLS CONV. HOSPITAL 10158 SUNLAND BLVD SUNLAND CA 91040 (818) 353-7800 555049 LODI NURSING & REHABILITATION 1334 S. HAM LANE LODI CA 95242 (209) 334-3825 555053 DELANO POSTACUTE CARE 729 BROWNING ROAD DELANO CA 93215 (661) 725-2501 555054 PACIFIC POST ACUTE 1323 17TH STREET SANTA MONICA CA 90404 (310) 453-5456 555055 BALDWIN GARDENS NURSING CENTER 10786 LIVE OAK AVENUE TEMPLE CITY CA 91780 (626) 447-3553 555060 WINDSOR THE RIDGE REHABILITATION CENTER 350 IRIS DRIVE SALINAS CA 93906 (831) 449-1515 555061 GOOD SHEPHERD HLTH CARE CTR OF SANTA MONICA 1131 ARIZONA AVE. SANTA MONICA CA 90401 (310) 451-4800 555067 PROVIDENCE MCCLURE 2910 MCCLURE STREET OAKLAND CA 94609 (510) 836-3677 555068 WHITE BLOSSOM CARE CENTER 1990 FRUITDALE AVENUE SAN JOSE CA 95128 (408) 998-8447 555070 SOUTHLAND 11701 STUDEBAKER ROAD NORWALK CA 90650 (562) 868-9761 555071 SUNNYVIEW CARE CENTER 2000 W WASHINGTON BL LOS ANGELES CA 90018 (323) 735-5146 555074 PROVIDENCE HOLY CROSS MED CTR D/P SNF 11600A INDIAN HILLS ROAD, MISSION HILLS, CA 91345 MISSION HILLS CA 91345 (818) 898-4630 555076 ELDORADO CARE CENTER, LLC 510 E. WASHINGTON AVENUE EL CAJON CA 92020 (619) 440-1211 555080 TRACY NURSING AND REHABILITATION CENTER 545 WEST BEVERLY PLACE TRACY CA 95376 (209) 835-6034 555081 DEL MAR CONVALESCENT HOSPITAL 3136 NORTH DEL MAR AVENUE ROSEMEAD CA 91770 (626) 288-8353 555082 PROVIDENCE VALLEY POINTE 20090 STANTON AVENUE CASTRO VALLEY CA 94546 (510) 538-8464 555083 ESKATON CARE CENTER MANZANITA 5318 MANZANITA AVENUE CARMICHAEL CA 95608 (916) 331-8513 555085 CLAREMONT MANOR CARE CENTER 621 W BONITA AVE CLAREMONT CA 91711 (909) 626-3490 555086 KINGSLEY MANOR CARE CENTER 1055 N KINGSLEY DR LOS ANGELES CA 90029 (213) 661-1128 555093 ST EDNA SUBACUTE AND REHABILITATION CENTER 1929 N. FAIRVIEW STREET SANTA ANA CA 92706 (714) 554-9700 555095 VETERANS HOME OF CALIFORNIA - YOUNTVILLE - SNF 100 CALIFORNIA DRIVE YOUNTVILLE CA 94599 (707) 944-4600 555098 ESKATON CARE CENTER GREENHAVEN 455 FLORIN ROAD SACRAMENTO CA 95831 (916) 393-2550 555105 GOLDEN LIVING CENTER - PORTSIDE 2740 NORTH CALIFORNIA STREET STOCKTON CA 95204 (209) 466-3522 555106 ALLIANCE CHERRYLEE CENTER 5053 NORTH PECK RD. EL MONTE CA 91732 (626) 448-4248 555107 VICTORIA CARE CENTER 3541 PUENTE AVENUE BALDWIN PARK CA 91706 (626) 962-1043 555108 INLAND CHRISTIAN HOME 1950 S. MOUNTAIN AVE ONTARIO CA 91762 (909) 983-2315 555113 LAKE PARK RETIREMENT RESIDENCE 1850 ALICE STREET OAKLAND CA 94612 (510) 835-5511 555114 DRIFTWOOD HEALTHCARE CENTER 4109 EMERALD ST TORRANCE CA 90503 (310) 371-4628 555115 OAKHURST HEALTHCARE & WELLNESS CENTRE 40131 HIGHWAY 49 OAKHURST CA 93644 (559) 683-2244 555116 ROSEWOOD HEALTH FACILITY 1401 NEW STINE ROAD BAKERSFIELD CA 93309 (661) 834-0620 555117 SKYLINE HEALTHCARE CENTER - LA 3032 ROWENA AVE LOS ANGELES CA 90039 (323) 665-1185 555118 WINDSOR POST-ACUTE HEALTHCARE CENTER OF MODESTO 2030 EVERGREEN AVENUE MODESTO CA 95350 (209) 577-1055 555119 SAINT VINCENT HEALTHCARE 1810 N. FAIR OAKS AVE PASADENA CA 91103 (626) 398-8182 555122 MCKINLEY PARK CARE CENTER 3700 H STREET SACRAMENTO CA 95816 (916) 452-3592 555125 LINWOOD MEADOWS CARE CENTER 4444 WEST MEADOW VISALIA CA 93277 (559) 627-1241 555126 ARARAT CONVALESCENT HOSPITAL 2373 COLORADO BLVD. LOS ANGELES CA 90041 (323) 256-8012 555127 OAKS, THE 450 HAYES LANE PETALUMA CA 94952 (707) 778-8686 555128 DOWNEY COMMUNITY HEALTH CENTER 8425 IOWA STREET DOWNEY CA 90241 (562) 862-6506 555132 VALLEY MANOR CONV HOSP 6120 N. VINELAND AVE NORTH HOLLYWOOD CA 91606 (818) 763-6275 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

555134 MOUNT MIGUEL COVENANT VILLAGE 325 KEMPTON ST. SPRING VALLEY CA 91977 (619) 479-4790 555135 HIGHLAND SPRINGS CARE CENTER 1441 N MICHIGAN AVENUE BEAUMONT CA 92223 (951) 769-2500 555136 POWAY HEALTHCARE CENTER 15632 POMERADO ROAD POWAY CA 92064 (858) 485-5153 555137 GRANCELL VILLAGE OF THE JEWISH HOMES FOR THE AGING 7150 TAMPA AVE RESEDA CA 91335 (818) 774-3000 555140 THE BRADLEY COURT 675 E BRADLEY EL CAJON CA 92021 (619) 448-6633 555141 TOWN AND COUNTRY MANOR 555 EAST MEMORY LANE SANTA ANA CA 92706 (714) 547-7157 555143 WESTLAND HOUSE 100 BARNET SEGAL LANE MONTEREY CA 93940 (831) 658-3737 555144 ST. PAULS HEALTH CARE CENTER 235 NUTMEG STREET SAN DIEGO CA 92103 (619) 239-8687 555146 REDWOOD TERRACE HEALTH CENTER 710 W 13TH AVE ESCONDIDO CA 92025 (760) 747-4306 555147 OAK RIVER REHAB 3300 FRANKLIN STREET ANDERSON CA 96007 (530) 365-0025 555153 ESKATON CARE CENTER FAIR OAKS 11300 FAIR OAKS BLVD. FAIR OAKS CA 95628 (916) 965-4663 555156 WEBSTER HOUSE 437 WEBSTER STREET PALO ALTO CA 94301 (650) 328-3300 555160 SAINT CLAIRE'S NURSING CENTER 6248 66TH AVENUE SACRAMENTO CA 95823 (916) 392-4440 555162 RIMROCK VILLA CONVALESCENT HOSPITAL 27555 RIMROCK ROAD BARSTOW CA 92311 (760) 252-2515 555163 SHORELINE CARE CENTER 5225 SOUTH J ST OXNARD CA 93033 (805) 488-3696 555164 ARBOR REHABILITATION & NURSING CENTER 900 NORTH CHURCH STREET LODI CA 95240 (209) 333-1222 555165 HIGHLAND PARK SKILLED NURSING AND WELLNESS CENTER 5125 MONTE VISTA ST. LOS ANGELES CA 90042 (323) 254-6125 555179 NORTHPOINTE HEALTHCARE CENTRE 668 E. BULLARD FRESNO CA 93710 (559) 320-2281 555180 GOLD COUNTRY HEALTH CENTER 4301 GOLDEN CENTER DRIVE PLACERVILLE CA 95667 (530) 621-1100 555184 HEARTWOOD AVENUE HEALTHCARE 1044 HEARTWOOD AVE. VALLEJO CA 94590 (707) 643-2267 555186 LINCOLN SQUARE POST ACUTE CARE 1032 N. LINCOLN STREET STOCKTON CA 95203 (209) 466-5341 555189 MERCY RETIREMENT & CARE CENTER 3431 FOOTHILL BLVD. OAKLAND CA 94601 (510) 534-8540 555190 ENGLISH OAKS CONV & REHAB HOSPITAL 2633 WEST RUMBLE RD MODESTO CA 95350 (209) 577-1001 555200 VALLEY WEST CARE CENTER 1224 E STREET WILLIAMS CA 95987 (530) 473-5321 555204 SUBACUTE/SARATOGA 13425 SOUSA LANE SARATOGA CA 95070 (408) 378-8875 555206 BOULDER CREEK POST ACUTE 12696 MONTE VISTA ROAD POWAY CA 92064 (858) 487-6242 555209 SONORA REGIONAL MEDICAL CENTER D/P SNF 179 SOUTH FAIRVIEW LANE SONORA CA 95370 (209) 536-5000 555211 EXTENDED CARE HOSP WESTMINSTER 206 HOSPITAL CIRCLE WESTMINSTER CA 92683 (714) 891-2769 555214 PROFESSIONAL POST ACUTE CENTER 81 PROFESSIONAL CENTER PARKWAY SAN RAFAEL CA 94903 (415) 479-5161 555216 SHARP CHULA VISTA MED CTR SNF 751 MEDICAL CENTER COURT CHULA VISTA CA 91911 (619) 502-3540 555218 ST ANDREWS HEALTHCARE 2300 W. WASHINGTON BLVD. LOS ANGELES CA 90018 (323) 731-0861 555219 AUBURN OAKS CARE CENTER 3400 BELL ROAD AUBURN CA 95603 (530) 888-6257 555220 VINEYARD HILLS HEALTH CENTER 290 HEATHER CT TEMPLETON CA 93465 (805) 434-3035 555221 SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF 741 N. MAIN STREET CEDARVILLE CA 96104 (530) 279-6111 555223 ST JOHNS PLEASANT VALLEY HOSPITAL D/P SNF 2309 ANTONIO AVE CAMARILLO CA 93010 (805) 389-5853 555226 THE SPRINGS AT THE CARLOTTA 41-505 CARLOTTA DRIVE PALM DESERT CA 92211 (760) 346-5420 555227 VILLA MARIN 100 THORNDALE DRIVE SAN RAFAEL CA 94903 (415) 492-2408 555231 TAHOE FOREST HOSPITAL D/P SNF 10121 PINE AVE. TRUCKEE CA 96160 (530) 582-3251 555236 MARIAN MEDICAL CENTER D/P SNF 1530 E CYPRESS WY SANTA MARIA CA 93454 (805) 739-3650 555237 SAN GABRIEL VALLEY MEDICAL CTR D/P SNF 438 W. LAS TUNAS DRIVE SAN GABRIEL CA 91776 (626) 457-7143 555238 SAINT FRANCIS MED CTR DP 3630 IMPERIAL HWY. LYNWOOD CA 90262 (310) 603-6084 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

555240 TURLOCK NURSING & REHABILITATION CENTER 1111 E TUOLUMNE ROAD TURLOCK CA 95380 (209) 632-7577 555243 CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS 3555 CESAR CHAVEZ STREET SAN FRANCISCO CA 94110 (415) 647-8600 555244 ANBERRY NURSING AND REHABILITATION CENTER 1685 SHAFFER RD ATWATER CA 95301 (209) 357-3420 555245 NEW HOPE POST ACUTE CARE 2586 BUTHMANN AVE TRACY CA 95376 (209) 832-2273 555246 LIFE CARE CENTER OF VISTA 304 N. MELROSE DR VISTA CA 92083 (760) 724-8222 555247 RANCHO MIRAGE HEALTH AND REHABILITATION CENTER 39950 VISTA DEL SOL RANCHO MIRAGE CA 92270 (760) 340-0053 555255 EAST LOS ANGELES DOCTORS HOSP 4060 E. WHITTIER BLVD. LOS ANGELES CA 90023 (323) 260-4230 555257 PALM TERRACE HEALTHCARE & REHABILITATION CENTER 24962 CALLE ARAGON LAGUNA HILLS CA 92653 (949) 587-9000 555258 SONOMA VALLEY HOSPITAL DP/SNF 347 ANDRIEUX ST SONOMA CA 95476 (707) 935-5122 555261 ACC CARE CENTER 7801 RUSH RIVER DRIVE SACRAMENTO CA 95831 (916) 393-9020 555263 CASTLE MANOR CONVALESCENT CENTER 541 V AVENUE NATIONAL CITY CA 91950 (619) 791-7900 555265 UNIVERSITY POST-ACUTE REHAB 2120 STOCKTON BLVD SACRAMENTO CA 95817 (916) 452-6631 555266 SUN MAR NURSING CENTER 1720 WEST ORANGE AVENUE ANAHEIM CA 92804 (714) 776-1720 555268 SPRING LAKE VILLAGE 5555 MONTGOMERY DRIVE SANTA ROSA CA 95409 (707) 538-8400 555272 ATHERTON BAPTIST HOME 214 SOUTH ATLANTIC BLVD. ALHAMBRA CA 91801 (626) 289-4178 555273 MANCHESTER MANOR CONV HOSPITAL 837 W. MANCHESTER AVE. LOS ANGELES CA 90044 (323) 753-1789 555276 PROVIDENCE SAN BRUNO 890 EL CAMINO REAL SAN BRUNO CA 94066 (650) 583-7768 555281 OROVILLE HOSPITAL POST-ACUTE CENTER 1000 EXECUTIVE PARKWAY OROVILLE CA 95966 (530) 533-7335 555283 CRYSTAL RIDGE CARE CENTER 396 DORSEY DRIVE GRASS VALLEY CA 95945 (530) 272-2273 555287 DIAMOND RIDGE HEALTHCARE CENTER 2351 LOVERIDGE ROAD PITTSBURG CA 94565 (925) 427-4444 555290 STANFORD COURT SKILLED NURSING & REHAB CENTER 8778 CUYAMACA STREET SANTEE CA 92071 (619) 449-5555 555292 ALHAMBRA CONVALESCENT HOSPITAL 331 ILENE STREET MARTINEZ CA 94553 (925) 228-2020 555295 REGENTS POINT - WINDCREST 19191 HARVARD AVENUE IRVINE CA 92612 (949) 509-2274 555296 REMINGTON CLUB HEALTH CENTER 16915 HIERBA DRIVE SAN DIEGO CA 92128 (858) 673-6305 555297 MANORCARE HEALTH SERVICES-HEMET 1717 WEST STETSON AVENUE HEMET CA 92545 (951) 925-9171 555301 VILLA POMERADO D/P SNF 15615 POMERADO RD POWAY CA 92064 (858) 613-4545 555309 CHERRY VALLEY HEALTHCARE 5800 WEST WILSON STREET BANNING CA 92220 (951) 845-1606 555312 WHITE MEMORIAL MEDICAL CTR DP 1720 CESAR E. CHAVEZ AVENUE LOS ANGELES CA 90033 (323) 268-5000 555313 THE REHABILITATION CENTER OF OAKLAND 210 40TH STREET WAY OAKLAND CA 94611 (510) 658-2041 555316 COPPER RIDGE CARE CENTER 201 HARTNELL AVENUE REDDING CA 96002 (530) 222-2273 555318 VILLA RANCHO BERNARDO CARE CENTER 15720 BERNARDO CENTER DRIVE SAN DIEGO CA 92127 (858) 672-3900 555319 BANNING HEALTHCARE 3476 W. WILSON ST. BANNING CA 92220 (951) 849-4723 555323 AVIARA HEALTHCARE CENTER 944 REGAL ROAD ENCINITAS CA 92024 (760) 944-0331 555326 CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER 11895 AVENUE OF INDUSTRY SAN DIEGO CA 92128 (858) 673-0101 555328 MANORCARE HEALTH SERVICES (FOUNTAIN VALLEY) 11680 WARNER AVENUE FOUNTAIN VALLEY CA 92708 (714) 241-9800 555329 LA PALMA NURSING CENTER 1130 LA PALMA AVE ANAHEIM CA 92801 (714) 772-7480 555331 VALENCIA GARDENS HEALTH CARE CENTER 4301 CAROLINE COURT RIVERSIDE CA 92506 (951) 683-7111 555333 LINCOLN MEADOWS CARE CENTER 1550 THIRD STREET LINCOLN CA 95648 (916) 645-7761 555335 VALLEY MEMORIAL HOSPITAL SNF 1111 E STANLEY BOULEVARD LIVERMORE CA 94550 (925) 373-4060 555337 MANORCARE HEALTH SERVICES (CITRUS HEIGHTS) 7807 UPLANDS WAY CITRUS HEIGHTS CA 95610 (916) 967-2929 555341 REDWOOD CONVALESCENT HOSPITAL, INC 22103 REDWOOD ROAD CASTRO VALLEY CA 94546 (510) 537-8848 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

555342 SUNNY VIEW MANOR 22445 CUPERTINO ROAD CUPERTINO CA 95014 (408) 253-4300 555343 SARATOGA RETIREMENT COMMUNITY HEALTH CENTER 14500 FRUITVALE AVENUE SARATOGA CA 95070 (408) 741-7200 555344 BRUCEVILLE TERRACE-D/P SNF OF METHODIST HOSP 8151 BRUCEVILLE ROAD SACRAMENTO CA 95823 (916) 423-6000 555347 NORTH STARR POSTACUTE CARE 180 STARR AVENUE TURLOCK CA 95380 (209) 632-1075 555349 VACAVILLE CONVALESCENT & REHAB 585 NUT TREE COURT VACAVILLE CA 95687 (707) 449-8000 555352 SUNNYSIDE CONV. HOSPITAL 2939 S. PEACH AVENUE FRESNO CA 93725 (559) 233-6248 555353 VILLA HEALTH CARE CENTER 8965 MAGNOLIA AVENUE RIVERSIDE CA 92503 (951) 689-5788 555354 DELTA NURSING & REHABILITATION CENTER 514 NORTH BRIDGE STREET VISALIA CA 93291 (559) 732-8614 555358 FRUITVALE HEALTHCARE CENTER 3020 EAST 15TH STREET OAKLAND CA 94601 (510) 261-5613 555362 CASA DE LAS CAMPANAS 18655 W. BERNARDO DRIVE SAN DIEGO CA 92127 (858) 451-9152 555363 LINCOLN GLEN SKILLED NURSING 2671 PLUMMER AVENUE SAN JOSE CA 95125 (408) 265-3222 555364 SHIELDS NURSING CENTER 3230 CARLSON BOULEVARD EL CERRITO CA 94530 (510) 525-3212 555365 PALM TERRACE CARE CENTER 11162 PALM TERRACE LANE RIVERSIDE CA 92505 (951) 687-7330 555368 CENTURY VILLA, INC 301 CENTINELA AVE INGLEWOOD CA 90302 (310) 672-1012 555371 BAYSIDE CARE CENTER 1405 TERESA DR MORRO BAY CA 93442 (805) 772-2237 555374 ALLIANCE EL MONTE CARE CENTER 5043 N. PECK RD EL MONTE CA 91732 (626) 579-1602 555376 DANVILLE REHABILITATION 336 DIABLO ROAD DANVILLE CA 94526 (925) 837-4566 555380 ENCINO HOSPITAL MEDICAL CENTER D/P SNF 16237 VENTURA BLVD ENCINO CA 91436 (818) 995-5141 555381 ALAMEDA HOSPITAL D/P SNF 2070 CLINTON AVE ALAMEDA CA 94501 (510) 814-4049 555383 BLYTHE POST ACUTE LLC 285 WEST CHANSLOR WAY BLYTHE CA 92225 (760) 922-8176 555387 CREEKSIDE CENTER 9107 N. DAVIS ROAD STOCKTON CA 95209 (209) 478-6488 555388 WEST ANAHEIM EXTENDED CARE 645 SOUTH BEACH BLVD. ANAHEIM CA 92804 (714) 821-1993 555390 CORONA REGIONAL MEDICAL CENTER D/P SNF 730 MAGNOLIA AVENUE CORONA CA 92879 (951) 736-7200 555391 FREEDOM VILLAGE HEALTHCARE CENTER 23442 EL TORO ROAD LAKE FOREST CA 92630 (949) 472-0277 555396 KAWEAH DELTA SKILLED NURSING CENTER 1633 SOUTH COURT STREET VISALIA CA 93277 (559) 624-6037 555398 WINDSOR POST-ACUTE CARE CENTER OF HAYWARD 25919 GADING ROAD HAYWARD CA 94544 (510) 782-8424 555399 SILVER OAK MANOR 788 HOLMES STREET LIVERMORE CA 94550 (925) 447-2280 555400 NORWOOD PINES ALZHEIMERS CENTER 500 JESSIE AVENUE SACRAMENTO CA 95838 (916) 922-7177 555404 AFVW HEALTH CENTER 17040 ARNOLD DR. RIVERSIDE CA 92518 (951) 238-6803 555410 GREENFIELD CARE CENTER OF GARDENA 16530 S BROADWAY STREET GARDENA CA 90248 (310) 329-9929 555418 ST FRANCIS EXTENDED CARE 718 BARTLETT AVE. HAYWARD CA 94541 (510) 785-3630 555421 STONEBROOK HEALTHCARE CENTER 4367 CONCORD BOULEVARD CONCORD CA 94521 (925) 689-7457 555423 VISTA DEL MONTE 3775 MODOC RD SANTA BARBARA CA 93105 (805) 687-0793 555424 THE DOROTHY & JOSEPH GOLDBERG HEALTHCARE CENTER 211 SAXONY ROAD ENCINITAS CA 92024 (760) 632-0081 555425 VISTA KNOLL SPECIALIZED CARE FACILITY 2000 WESTWOOD ROAD VISTA CA 92083 (760) 630-2273 555426 FRESNO POSTACUTE CARE 1233 A STREET FRESNO CA 93706 (559) 268-6317 555429 VILLA GARDENS HEALTH CARE UNIT 842 EAST VILLA STREET PASADENA CA 91101 (626) 796-8162 555432 SOLHEIM LUTHERAN HOME 2236 MERTON AVE. LOS ANGELES CA 90041 (323) 257-7518 555435 RECHE CANYON REGIONAL REHAB CENTER 1350 RECHE CANYON RD COLTON CA 92324 (909) 370-4411 555437 SAINT VINCENT MED CTR DP SNF 2131 WEST 3RD STREET LOS ANGELES CA 90057 (213) 484-7111 555438 KEIRO NURSING HOME II 2221 LINCOLN PARK AVE LOS ANGELES CA 90031 (323) 276-5700 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

555442 CAPITAL TRANSITIONAL CARE 6821 24TH STREET SACRAMENTO CA 95822 (916) 391-6011 555444 MANORCARE HEALTH SERVICES (SUNNYVALE) 1150 TILTON DRIVE SUNNYVALE CA 94087 (408) 735-7200 555445 ANAHEIM CREST NURSING CENTER 3067 W ORANGE AVENUE ANAHEIM CA 92804 (714) 827-2440 555446 MANORCARE HEALTH SERVICES-WALNUT CREEK 1226 ROSSMOOR PARKWAY WALNUT CREEK CA 94595 (925) 975-5000 555450 AMERICAN RIVER CENTER 3900 GARFIELD AVENUE CARMICHAEL CA 95608 (916) 481-6455 555458 GLENWOOD CARE CENTER 1300 NORTH C ST OXNARD CA 93030 (805) 983-0305 555461 MARINA GARDEN NURSING CENTER 3201 FERNSIDE BLVD. ALAMEDA CA 94501 (510) 523-2363 555462 VILLA VALENCIA 24552 PASEO DE VALENCIA LAGUNA HILLS CA 92653 (949) 458-8880 555467 MOUNTAINS COMMUNITY HOSP DPSNF 29101 HOSPITAL ROAD LAKE ARROWHEAD CA 92352 (909) 336-3651 555468 BEAR VALLEY COMMUNITY HOSPITAL 41870 GARSTIN RD BIG BEAR LAKE CA 92315 (909) 866-6501 555470 WAGNER HEIGHTS NURSING & REHABILITATION CENTER 9289 BRANSTETTER PLACE STOCKTON CA 95209 (209) 477-5252 555472 WALNUT VILLAGE REHABILITATION AND CARE CENTER 1401 W BALL ROAD ANAHEIM CA 92802 (714) 776-7150 555473 ALTA GARDENS CARE CENTER 13075 BLACKBIRD STREET GARDEN GROVE CA 92843 (714) 530-6322 555478 VICTORIA CARE CENTER 5445 EVERGLADES ST VENTURA CA 93003 (805) 642-1736 555479 DELANO DISTRICT SKILLED NURSING FACILITY 1509 TOKAY STREET DELANO CA 93215 (661) 720-2100 555481 MARSHALL MEDICAL CENTER D/P SNF 1100 MARSHALL WAY PLACERVILLE CA 95667 (530) 626-2822 555483 VISTA MANOR NURSING CENTER 120 JOSE FIGUERES AVENUE SAN JOSE CA 95116 (408) 272-1400 555484 USC VERDUGO HILLS HOSPITAL DP/SNF 1812 VERDUGO BLVD GLENDALE CA 91208 (818) 790-7100 555485 KINGS NURSING & REHABILITATION CENTER 851 LESLIE LANE HANFORD CA 93230 (559) 582-4414 555486 ALAMEDA HEALTHCARE & WELLNESS CENTER 430 WILLOW STREET ALAMEDA CA 94501 (510) 523-8857 555487 MISSION DE LA CASA NURSING & REHABILITATION CENTER 2501 ALVIN AVENUE SAN JOSE CA 95121 (408) 238-9751 555490 MEADOWOOD NURSING CENTER 3805 DEXTER LANE CLEARLAKE CA 95422 (707) 994-7738 555492 MIRAVILLA CARE CENTER 9246 AVENIDA MIRAVILLA CHERRY VALLEY CA 92223 (951) 845-3194 555494 CEDAR MOUNTAIN POST ACUTE 11970 4TH STREET YUCAIPA CA 92399 (909) 790-2273 555496 RIVERWOOD HEALTHCARE CENTER 5320 CARRINGTON CIRCLE STOCKTON CA 95210 (209) 473-3004 555499 OAKHILL SPRINGS CARE CENTER 3145 HIGH STREET OAKLAND CA 94619 (510) 533-9970 555503 ROYAL OAKS MANOR-BRADBURY OAKS 1763 ROYAL OAKS DRIVE DUARTE CA 91010 (626) 305-2430 555513 PALM VILLAGE RETIREMENT COMM. 703 W HERBERT AVE REEDLEY CA 93654 (559) 638-6933 555514 HERITAGE PARK NURSING CENTER 275 GARNET WAY UPLAND CA 91786 (909) 949-4887 555515 PARK VISTA AT MORNINGSIDE 2525 BREA BLVD. FULLERTON CA 92835 (714) 256-1000 555516 JEROLD PHELPS COMM HOSP SNF 733 CEDAR STREET GARBERVILLE CA 95542 (707) 923-3921 555519 VAN NUYS HEALTH CARE CENTER 6835 HAZELTINE AVE. VAN NUYS CA 91405 (818) 997-1841 555520 LEISURE COURT NURSING CENTER 1135 LEISURE COURT ANAHEIM CA 92801 (714) 772-1353 555521 RANCHO MESA CARE CENTER 9333 LA MESA DRIVE ALTA LOMA CA 91701 (909) 987-2501 555522 COMM. HOSP. OF SAN BERNARDINO DP SNF 1805 MEDICAL CTR DR. SAN BERNARDINO CA 92411 (909) 887-6333 555524 HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO 23600 VIA ESPLENDOR CUPERTINO CA 95014 (650) 944-0280 555527 SOUTHERN INYO HOSPITAL D/P SNF 501 E LOCUST LONE PINE CA 93545 (760) 876-5501 555530 CHOWCHILLA MEMORIAL HEALTHCARE DISTRICT 1104 VENTURA AVE. CHOWCHILLA CA 93610 (559) 665-3781 555533 DRIFTWOOD HEALTHCARE CENTER - HAYWARD 19700 HESPERIAN BOULEVARD HAYWARD CA 94541 (510) 785-2880 555536 PARK REGENCY CARE CENTER 1770 W. LA HABRA BLVD. LA HABRA CA 90631 (714) 773-0750 555538 EDEN VALLEY CARE CENTER 612 MAIN STREET SOLEDAD CA 93960 (831) 678-2462 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

555539 COALINGA REGIONAL MEDICAL CTR DP/SNF 1191 PHELPS AVE. COALINGA CA 93210 (559) 935-6500 555542 PIONEER HOUSE 415 P STREET SACRAMENTO CA 95814 (916) 442-4906 555545 THE COVE AT LA JOLLA 7160 FAY AVENUE LA JOLLA CA 92037 (858) 459-4361 555547 THE TERRACES OF LOS GATOS 800 BLOSSOM HILL ROAD LOS GATOS CA 95032 (408) 356-1006 555554 DANISH CARE CENTER 10805 EL CAMINO REAL ATASCADERO CA 93422 (805) 466-9254 555555 ESKATON VILLAGE CARE CENTER 3939 WALNUT AVE. CARMICHAEL CA 95608 (916) 974-2060 555557 IMPERIAL HEIGHTS HEALTHCARE & WELLNESS CENTRE, LLC 320 CATTLE CALL DR. BRAWLEY CA 92227 (760) 344-5431 555567 SOUTH COAST GLOBAL MEDICAL CENTER D/P SNF 2701 SOUTH BRISTOL STREET SANTA ANA CA 92704 (714) 754-5454 555570 OAKLAND HEIGHTS NURSING AND REHABILITATION 2361 EAST 29TH STREET OAKLAND CA 94606 (510) 534-3637 555572 GROSSMONT HOSPITAL D/P SNF 5555 GROSSMONT CENTER DRIVE LA MESA CA 91941 (619) 465-0711 555578 HOLIDAY MANOR CARE CENTER 20554 ROSCOE BLVD CANOGA PARK CA 91306 (818) 341-9800 555579 ARARAT NURSING FACILITY 15099 MISSION HILLS ROAD MISSION HILLS CA 91345 (818) 837-1800 555585 SAN DIEGO HEALTHCARE CENTER 2828 MEADOWLARK DRIVE SAN DIEGO CA 92123 (858) 277-6460 555587 TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF 1720 MOUNTAIN VIEW LOMA LINDA CA 92354 (909) 796-6915 555588 VIBRA HOSPITAL OF NORTHERN CALIFORNIA D/P SNF 2801 EUREKA WAY REDDING CA 96001 (530) 245-4112 555589 WHITTIER HOSPITAL MEDICAL CTR D/P SNF 9080 COLIMA ROAD WHITTIER CA 90605 (562) 907-7159 555590 HEALDSBURG DISTRICT HOSPITAL DP/SNF 1375 UNIVERSITY AVENUE HEALDSBURG CA 95448 (707) 431-6500 555592 SAN LUIS TRANSITIONAL CARE 1575 BISHOP ST SAN LUIS OBISPO CA 93401 (805) 545-7575 555594 O'CONNOR HOSPITAL DP/SNF 2105 FOREST AVENUE SAN JOSE CA 95128 (408) 947-2831 555595 KINDRED TRANSITIONAL CARE AND REHAB - SMITH RANCH 1550 SILVEIRA PARKWAY SAN RAFAEL CA 94903 (415) 499-1000 555596 PARKSIDE HEALTH AND WELLNESS CENTER 444 W LEXINGTON EL CAJON CA 92020 (619) 442-7744 555599 TORRANCE MEMORIAL MED CTR SNF/DP 3330 WEST LOMITA BLVD TORRANCE CA 90505 (310) 784-4924 555601 KAISER FOUNDATION HOSPITAL MANTECA D/P SNF 1777 WEST YOSEMITE AVENUE MANTECA CA 95336 (209) 825-3625 555605 GLENHAVEN HEALTHCARE 212 WEST CHEVY CHASE DRIVE GLENDALE CA 91204 (818) 240-6720 555609 GLENDALE HEALTHCARE CENTER 1208 S. CENTRAL AVE GLENDALE CA 91204 (818) 246-5516 555610 CITRUS VALLEY MEDICAL CENTER - IC CAMPUS - D/P SNF 210 W. SAN BERNARDINO RD. COVINA CA 91723 (626) 331-7331 555611 MORTON BAKAR CENTER 494 BLOSSOM WAY HAYWARD CA 94541 (510) 582-7676 555613 THE GROVE CARE AND WELLNESS 3401 LEMON STREET RIVERSIDE CA 92501 (951) 686-8202 555616 WINDSOR MANOR 1230 E. WINDSOR RD. GLENDALE CA 91205 (818) 244-7219 555618 COUNTRY CARE CONVALESCENT HOSPITAL 14900 EL CAMINO REAL ATASCADERO CA 93422 (805) 466-0282 555619 ARROYO GRANDE CARE CENTER 1212 FARROLL AVE ARROYO GRANDE CA 93420 (805) 489-8137 555623 HEMET VALLEY HEALTHCARE CENTER 1117 E DEVONSHIRE AVENUE HEMET CA 92543 (951) 766-1199 555634 GREATER EL MONTE COMMUNITY HOS 1701 SANTA ANITA AVENUE EL MONTE CA 91733 (626) 350-7953 555635 COURTYARD CARE CENTER 340 NORTHLAKE DRIVE SAN JOSE CA 95117 (408) 249-0344 555642 REDLANDS COMM HOSP D/P SNF 350 TERRACINA BLVD. REDLANDS CA 92373 (909) 335-5644 555645 AUBURN RAVINE TERRACE 750 AUBURN RAVINE ROAD AUBURN CA 95603 (530) 823-6131 555649 WEST COVINA MEDICAL CENTER D/P SNF 725 S. ORANGE AVENUE WEST COVINA CA 91790 (818) 338-8481 555650 MONTE VISTA GROVE HOMES 2889 SAN PASQUAL STREET PASADENA CA 91107 (626) 792-2712 555651 STANLEY HEALTHCARE CENTER 14102 SPRINGDALE STREET WESTMINSTER CA 92683 (714) 893-0026 555652 WILLOW CREEK HEALTHCARE CENTER 650 W. ALLUVIAL CLOVIS CA 93611 (559) 323-6200 555654 PRESBYTERIAN INTERCOMM HOSP DP/SNF 12401 WASHINGTON BLVD. WHITTIER CA 90602 (562) 698-0811 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

555657 CARLMONT GARDENS NURSING CENTER 2140 CARLMONT DRIVE BELMONT CA 94002 (650) 591-9601 555658 PORTERVILLE CONVALESCENT HOSPITAL 1100 WEST MORTON AVENUE PORTERVILLE CA 93257 (559) 782-1509 555659 SAN DIEGO POST-ACUTE CENTER 1201 SOUTH ORANGE AVE. EL CAJON CA 92020 (619) 441-1988 555660 SAN FRANCISCO GENERAL HOSPITAL D/P SNF 1001 POTRERO AVENUE SAN FRANCISCO CA 94110 (415) 206-8283 555664 LOS ROBLES HOSPITAL & MEDICAL CENTER D/P SNF 150 VIA MERIDA WESTLAKE VILLAGE CA 91362 (805) 370-4531 555668 NORWALK SKILLED NURSING & WELLNESS CENTRE, LLC 11510 IMPERIAL HIGHWAY NORWALK CA 90650 (562) 868-6791 555671 TERRACE VIEW CARE CENTER 201 EAST BASTANCHURY FULLERTON CA 92835 (714) 870-0060 555673 ASBURY PARK NURSING & REHABILITATION CENTER 2257 FAIR OAKS BLVD. SACRAMENTO CA 95825 (916) 649-2000 555684 LEGACY NURSING AND REHABILITATION CENTER 1790 MUIR ROAD MARTINEZ CA 94553 (925) 228-8383 555690 ALAMEDA CARE CENTER 925 W. ALAMEDA AVE. BURBANK CA 91506 (818) 843-1771 555692 PLYMOUTH SQUARE 1319 N. MADISON STREET STOCKTON CA 95202 (209) 466-4341 555694 ALDERSLY SKILLED NURSING FACILITY 326 MISSION AVENUE SAN RAFAEL CA 94901 (415) 453-5686 555698 BARTON MEMORIAL SKILLED NURSING 2170 SOUTH AVENUE SOUTH LAKE TAHOE CA 96150 (530) 543-5885 555700 THE REHABILITATION CENTRE OF BEVERLY HILLS 580 SOUTH SAN VICENTE BLVD. LOS ANGELES CA 90048 (323) 782-1500 555701 SIMI VALLEY CARE CENTER 5270 E LOS ANGELES AVE SIMI VALLEY CA 93063 (805) 522-9155 555706 DEL AMO GARDENS CONVALESCENT 22419 KENT AVENUE TORRANCE CA 90505 (310) 378-4233 555709 CHAPMAN GLOBAL MEDICAL CENTER D/P SNF 2601 EAST CHAPMAN AVENUE ORANGE CA 92869 (714) 633-0011 555710 MANORCARE HEALTH SERVICES - TICE VALLEY 1975 TICE VALLEY BLVD. WALNUT CREEK CA 94595 (925) 906-0200 555712 HILLVIEW CONVALESCENT HOSPITAL 530 WEST DUNNE AVENUE & LA SELVA MORGAN HILL CA 95037 (408) 779-3633 555713 MEADOWOOD A HEALTH AND REHABILITATION CENTER 3110 WAGNER HEIGHTS ROAD STOCKTON CA 95209 (209) 956-3444 555716 PARKWEST HEALTHCARE CENTER 6740 WILBUR AVE RESEDA CA 91335 (818) 708-3533 555718 ROWNTREE GARDENS 12151 DALE AVENUE STANTON CA 90680 (714) 971-6865 555720 LOS GATOS OAKS CONVALESCENT HOSPITAL 16605 LARK AVENUE LOS GATOS CA 95030 (408) 356-9146 555723 VISTA HEALTHCARE CENTER 247 E. BOBIER DRIVE VISTA CA 92084 (760) 945-3033 555726 COUNTRY VILLA MAR VISTA NRS CT 3966 MARCASEL AVE LOS ANGELES CA 90066 (310) 397-2372 555727 PARADISE VALLEY ESTATES 2800 ESTATES DRIVE FAIRFIELD CA 94533 (707) 432-1200 555728 SAN FRANCISCO TOWERS 1661 PINE STREET SAN FRANCISCO CA 94109 (415) 776-0500 555729 ARCADIA HEALTH CARE CENTER 1601 S BALDWIN AVE. ARCADIA CA 91006 (626) 445-2170 555730 FOOTHILL REGIONAL MEDICAL CENTER D/P SNF 14662 NEWPORT AVENUE TUSTIN CA 92780 (714) 619-7700 555734 CHILDREN'S RECOVERY CENTER OF NO CA D/P SNF 3777 SOUTH BASCOM AVENUE CAMPBELL CA 95008 (408) 558-3640 555735 VINTAGE ESTATES OF RICHMOND 955 23RD STREET RICHMOND CA 94804 (510) 237-5182 555736 AVALON CARE CENTER - SONORA 19929 GREENLEY ROAD SONORA CA 95370 (209) 533-2500 555737 BROOKDALE SAN DIMAS 1740 SAN DIMAS AVENUE SAN DIMAS CA 91773 (909) 394-0304 555738 WINDSOR TERRACE HEALTH CARE 7447 SEPULVEDA BLVD VAN NUYS CA 91405 (818) 787-3400 555739 THE SPRINGS AT PACIFIC REGENT 3884 NOBEL DRIVE SAN DIEGO CA 92122 (858) 625-8700 555740 PALM GROVE HEALTH CARE 1665 EAST EIGHTH STREET BEAUMONT CA 92223 (951) 845-3125 555742 INDIO NURSING AND REHABILITATION CENTER 47-763 MONROE AVENUE INDIO CA 92201 (760) 347-0750 555744 KINDRED TRANSITIONAL CARE & REHAB - SIENA 11600 EDUCATION STREET AUBURN CA 95603 (530) 889-0707 555745 BROOKDALE CARLSBAD 3140 EL CAMINO REAL CARLSBAD CA 92008 (760) 720-9898 555746 BROOKDALE CARMEL VALLEY 13101 HARTFIELD AVE SAN DIEGO CA 92130 (858) 259-2222 555747 MURRIETA HEALTH AND REHABILITATION CENTER 24100 MONROE AVENUE MURRIETA CA 92562 (951) 600-4640 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

555748 BERKLEY EAST CONVALESCENT HOSP 2021 ARIZONA AVE SANTA MONICA CA 90404 (310) 829-5377 555749 COVENANT VILLAGE CARE CENTER 2125 NORTH OLIVE AVENUE TURLOCK CA 95382 (209) 664-5300 555751 NEWPORT SUBACUTE HEALTHCARE CENTER 2570 NEWPORT BLVD COSTA MESA CA 92627 (949) 631-4282 555753 HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF 393 S TUSTIN ST ORANGE CA 92866 (714) 289-2400 555754 KINDRED TRANSITIONAL CARE AND REHABILITATION-VILLA 1586 W. SAN MARCOS BLVD SAN MARCOS CA 92078 (760) 471-2986 555755 GREEN ACRES LODGE 8101 E HILL DRIVE ROSEMEAD CA 91770 (626) 280-2293 555757 MILPITAS CARE CENTER 120 CORNING AVENUE MILPITAS CA 95035 (408) 262-0217 555758 NEW BETHANY SKILLED NURSING 1441 BERKELEY DR LOS BANOS CA 93635 (209) 827-8949 555761 WISTERIA CARE CENTER 20524 WISTERIA STREET CASTRO VALLEY CA 94546 (510) 727-9169 555762 SAMARKAND SKILLED NURSING FACILITY 2566 TREASURE DR SANTA BARBARA CA 93105 (805) 687-0701 555764 PALOMAR HEIGHTS POST ACUTE REHAB 1260 E OHIO AVENUE ESCONDIDO CA 92027 (760) 746-1100 555766 SIERRA VIEW MEDICAL CENTER 465 W PUTNAM AVE PORTERVILLE CA 93257 (559) 788-6151 555767 BELLAKEN SKILLED NURSING CTR 2780 26TH AVENUE OAKLAND CA 94601 (510) 536-1838 555769 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS 1515 SHASTA DRIVE DAVIS CA 95616 (530) 747-7000 555770 CAMARILLO HEALTHCARE CENTER 205 GRANADA ST CAMARILLO CA 93010 (805) 482-9805 555772 DESERT MANOR 8515 CHOLLA AVE YUCCA VALLEY CA 92284 (760) 365-0717 555775 BROOKDALE RANCHO MIRAGE 72-201 COUNTRY CLUB DRIVE RANCHO MIRAGE CA 92270 (760) 340-5999 555779 KAISER PERMANENTE POST-ACUTE CARE CENTER 1440 168TH AVENUE SAN LEANDRO CA 94578 (510) 481-8575 555780 DEL RIO GARDENS CARE CENTER 7002-4 EAST GAGE AVENUE BELL GARDENS CA 90201 (562) 927-6586 555785 COURTYARD CARE CENTER 1880 DAWSON AVENUE SIGNAL HILL CA 90806 (562) 494-5188 555786 SANTA MONICA CONV CTR I 2828 PICO BOULEVARD SANTA MONICA CA 90405 (310) 450-7694 555787 WHITTIER NURSING AND WELLNESS CENTER, INC 7926 S PAINTER AVE WHITTIER CA 90602 (562) 693-5618 555790 CEDAR CREST NURSING AND REHABILITATION CENTER 797 E FREMONT AVENUE SUNNYVALE CA 94087 (408) 738-4880 555791 BROOKDALE NORTHRIDGE 17650 DEVONSHIRE STREET NORTHRIDGE CA 91325 (818) 886-1616 555792 SUNNYVALE POST-ACUTE CENTER 1291 S BERNARDO AVENUE SUNNYVALE CA 94087 (408) 245-8070 555793 VI AT LA JOLLA VILLAGE 4171 LAS PALMAS SQUARE SAN DIEGO CA 92122 (858) 646-3400 555796 MISSION CARE CENTER 4800 DELTA AVENUE ROSEMEAD CA 91770 (626) 607-2400 555797 GORDON LANE CARE CENTER 1821 E CHAPMAN AVE FULLERTON CA 92831 (714) 879-7301 555798 WOODSIDE HEALTHCARE CENTER 2240 NORTHROP AVE SACRAMENTO CA 95825 (916) 927-1337 555799 MT. PLEASANT NURSING CENTER 1355 CLAYTON ROAD SAN JOSE CA 95127 (408) 251-3070 555801 PINE CREEK CARE CENTER 1139 CIRBY WAY ROSEVILLE CA 95661 (916) 782-7007 555804 VICTORIA POST ACUTE CARE 654 S. ANZA EL CAJON CA 92020 (619) 440-5005 555805 BEL VISTA HEALTHCARE CENTER 5001 EAST ANAHEIM STREET EAST LONG BEACH CA 90804 (562) 494-5001 555806 GLENBROOK 1950 CALLE BARCELONA CARLSBAD CA 92009 (760) 704-6800 555809 PROVIDENCE ALL SAINT'S SUBACUTE 1652 MONO AVENUE SAN LEANDRO CA 94578 (510) 481-3200 555810 LAS VILLAS DEL NORTE HEALTH CENTER 1335 LAS VILLAS WAY ESCONDIDO CA 92026 (760) 741-1046 555811 THE COVINGTON CARE CENTER 3 PURSUIT ALISO VIEJO CA 92656 (949) 362-9662 555812 LAS VILLAS DE CARLSBAD HEALTH CENTER 1094 LAGUNA DRIVE CARLSBAD CA 92008 (760) 434-4322 555813 DEVONSHIRE OAKS NURSING CENTER 3635 JEFFERSON AVENUE REDWOOD CITY CA 94062 (650) 366-9503 555815 TOTALLY KIDS SPECIALITY HEALTHCARE - SUN VALLEY 10716 LA TUNA CANYON ROAD SUN VALLEY CA 91352 (818) 252-5863 555816 LAWNDALE HEALTHCARE & WELLNESS CENTRE LLC 15100 S PRAIRIE LAWNDALE CA 90260 (310) 679-3344 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

555819 ELMWOOD CARE CENTER 2829 SHATTUCK AVENUE BERKELEY CA 94705 (510) 665-2800 555820 HEALDSBURG SENIOR LIVING COMMUNITY 725 GROVE STREET HEALDSBURG CA 95448 (707) 433-4877 555821 MARTINEZ CONVALESCENT HOSPITAL 4110 ALHAMBRA WAY MARTINEZ CA 94553 (925) 228-4260 555822 CANYON OAKS NURSING AND REHABILITATION CENTER 22029 SATICOY STREET CANOGA PARK CA 91303 (818) 887-7050 555826 THE REDWOODS, A COMMUNITY OF SENIORS 40 CAMINO ALTO MILL VALLEY CA 94941 (415) 383-2741 555830 LOMPOC SKILLED NURSING & REHABILITATION CENTER 1428 W NORTH AVE LOMPOC CA 93436 (805) 735-4010 555831 HERMAN HEALTH CARE CENTER 2295 PLUMMER AVENUE SAN JOSE CA 95125 (408) 269-0701 555832 CLARA BALDWIN STOCKER HOME 527 S VALINDA AVENUE WEST COVINA CA 91790 (626) 962-7151 555834 SHEFFIELD CONVALESCENT HOSPITAL 1133 SOUTH VAN NESS AVENUE SAN FRANCISCO CA 94110 (415) 647-3117 555835 VI AT PALO ALTO 600 SAND HILL ROAD PALO ALTO CA 94304 (650) 853-5001 555836 BROOKDALE FOUNTAINGROVE 300 FOUNTAINGROVE PARKWAY SANTA ROSA CA 95403 (707) 566-8600 555839 DREIER'S NURSING CARE CENTER 1400 WEST GLENOAKS BLVD GLENDALE CA 91201 (818) 242-1183 555841 GREENHILLS MANOR 238 VIRGINIA AVENUE CAMPBELL CA 95008 (408) 379-8114 555842 JONES CONVALESCENT HOSPITAL 524 CALLAN AVENUE SAN LEANDRO CA 94577 (510) 483-6200 555843 MASONIC HOME 34400 MISSION BLVD UNION CITY CA 94587 (510) 471-3434 555844 NOVATO HEALTHCARE CENTER 1565 HILL ROAD NOVATO CA 94947 (415) 897-6161 555849 VISTA DEL SOL CARE CENTER 11620 WASHINGTON BLVD LOS ANGELES CA 90066 (310) 390-9045 555850 ALHAMBRA HOSPITAL MED CTR DP/SNF 100 S RAYMOND AVE ALHAMBRA CA 91801 (626) 570-1606 555851 BAY AREA HEALTHCARE CENTER 1833 10TH AVENUE OAKLAND CA 94606 (510) 536-6512 555854 MESA GLEN CARE CENTER 638 E COLORADO AVENUE GLENDORA CA 91740 (626) 963-6091 555855 BAYWOOD COURT HEALTH CENTER 21966 DOLORES STREET CASTRO VALLEY CA 94546 (510) 733-2102 555856 PENINSULA POST-ACUTE 1609 TROUSDALE DRIVE BURLINGAME CA 94010 (650) 696-3560 555857 OAKVIEW SKILLED NURSING 3557 CAMPUS DR THOUSAND OAKS CA 91360 (805) 241-2000 555859 KINDRED HOSPITAL BREA D/P SNF 875 N BREA BLVD BREA CA 92821 (714) 529-6842 555862 VILLA SCALABRINI SPECIAL CARE 10631 VINEDALE STREET SUN VALLEY CA 91352 (818) 768-6500 555865 HUNTINGTON HEALTHCARE CENTER 4515 HUNTINGTON DRIVE SOUTH LOS ANGELES CA 90032 (323) 225-5991 555866 SIERRA VISTA HEALTHCARE 1715 SOUTH CEDAR FRESNO CA 93702 (559) 237-8377 555867 FOREST HILL MANOR HEALTH CENTER 551 GIBSON AVENUE PACIFIC GROVE CA 93950 (831) 657-5200 555868 HAYWARD SPRINGS CARE CENTER 21863 VALLEJO STREET HAYWARD CA 94541 (510) 690-0600 555869 LAUREL HEIGHTS COMMUNITY CARE 2740 CALIFORNIA ST SAN FRANCISCO CA 94115 (415) 567-3133 555870 BELLA VISTA HEALTH CENTER 7922 PALM STREET LEMON GROVE CA 91945 (619) 644-1000 555871 SOMERSET SUBACUTE AND CARE 151 CLAYDELLE AVE EL CAJON CA 92020 (619) 442-0245 555872 CHAPARRAL HOUSE 1309 ALLSTON WAY BERKELEY CA 94702 (510) 848-8774 555874 SOUTHERN CALIFORNIA HOSP AT CULVER CITY D/P SNF 3828 DELMAS TERRACE CULVER CITY CA 90230 (323) 836-7000 555875 ALTO LUCERO TRANSITIONAL CARE 3880 VIA LUCERO SANTA BARBARA CA 93110 (805) 687-6651 555876 BROOKDALE CAMARILLO 6000 SANTA ROSA ROAD CAMARILLO CA 93012 (805) 388-8086 555877 RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILI 1081 NORTH CHINA LAKE BOULEVARD RIDGECREST CA 93555 (760) 446-3551 555878 GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC 1340 E MADISON AVE EL CAJON CA 92021 (619) 447-1020 555879 PROVIDENCE ALL SAINT'S MAUBERT 15731 MAUBERT AVENUE SAN LEANDRO CA 94578 (510) 481-3200 555880 CLEAR VIEW CONVALESCENT CENTER 15823 SO. WESTERN AVE. GARDENA CA 90247 (310) 538-2323 555881 CLEAR VIEW SANITARIUM 15823 SO. WESTERN AVE. GARDENA CA 90247 (310) 538-2323 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

555882 CENTRAL VALLEY SPECIALTY HOSPITAL - SNF 730 17TH STREET MODESTO CA 95354 (209) 248-7700 555883 WEST ANAHEIM MEDICAL CENTER D/P SNF 3033 W ORANGE AVE ANAHEIM CA 92804 (714) 827-3000 555885 SHERMAN OAKS HOSPITAL SNF DP 4929 VAN NUYS BLVD SHERMAN OAKS CA 91403 (818) 907-4540 555887 LAKESIDE SPECIAL CARE CENTER 11962 WOODSIDE AVENUE LAKESIDE CA 92040 (619) 561-1222 555888 THE HERITAGE 3400 LAGUNA STREET SAN FRANCISCO CA 94123 (415) 202-0300 555889 MOUNTAIN MANOR SENIOR RESIDENCE 6101 FAIR OAKS BOULEVARD CARMICHAEL CA 95608 (916) 488-7211 655000 GUAM MEMORIAL HOSPITAL AUTHORITY 499 NORTH SABANA DRIVE BARRIGADA GU 96913 (671) 633-1800 675003 HILLCREST NURSING AND REHABILITATION LP 300 E BROWN ST WYLIE TX 75098 (972) 442-3553 675004 MCKINNEY HEALTHCARE AND REHABILITATION CENTER 253 ENTERPRISE DR MCKINNEY TX 75069 (972) 542-2695 675008 CHEROKEE ROSE NURSING AND REHABILITATION 203 GIBBS BLVD GLEN ROSE TX 76043 (254) 897-7361 675011 JACKSONVILLE HEALTHCARE CENTER 305 BONITA ST JACKSONVILLE TX 75766 (903) 586-3616 675013 CROWELL NURSING CENTER 200 SOUTH B AVE CROWELL TX 79227 (940) 684-1511 675021 ELECTRA HEALTHCARE CENTER 511 S BAILEY ST ELECTRA TX 76360 (940) 495-2184 675025 GOOD SAMARITAN SOCIETY--WHITE ACRES 7304 GOOD SAMARITAN CT EL PASO TX 79912 (915) 581-4683 675028 ESTATES HEALTHCARE AND REHABILITATION CENTER 201 SYCAMORE SCHOOL RD FORT WORTH TX 76134 (817) 293-7610 675029 RIVER OAKS CARE CENTER 100 BAILEY AVE WICHITA FALLS TX 76301 (940) 766-0279 675030 REGENT CARE CENTER OF LAREDO 7001 MCPHERSON RD LAREDO TX 78041 (956) 723-7001 675033 MESQUITE TREE NURSING CENTER 434 PAZA DR MESQUITE TX 75149 (972) 288-6489 675034 PENNSYLVANIA REHAB LP 901 PENNSYLVANIA AVE FORT WORTH TX 76104 (817) 335-3030 675035 EVERGREEN HEALTHCARE CENTER 406 E SEVENTH ST BURKBURNETT TX 76354 (940) 569-2236 675038 CLYDE NURSING CENTER 806 STEPHENS ST CLYDE TX 79510 (325) 893-4288 675040 FRANKSTON HEALTHCARE CENTER LP 303 MURCHISON FRANKSTON TX 75763 (903) 481-5848 675042 SEYMOUR REHABILITATION AND HEALTHCARE 1110 WESTVIEW DR SEYMOUR TX 76380 (940) 889-3176 675044 COLONIAL MANOR 209 W HACKBERRY AVE MCALLEN TX 78501 (956) 686-2243 675049 CORONADO HEALTHCARE CENTER 1504 W KENTUCKY AVE PAMPA TX 79065 (806) 665-5746 675053 CHISOLM TRAIL NURSING AND REHABILITATION CENTER 107 N MEDINA LOCKHART TX 78644 (512) 398-5213 675058 HOMEPLACE MANOR 425 SW AVE F HAMLIN TX 79520 (325) 576-3643 675061 MUNDAY NURSING CENTER 421 WEST F ST MUNDAY TX 76371 (940) 422-4541 675066 HONEY GROVE NURSING CENTER 1303 E MAIN ST HONEY GROVE TX 75446 (903) 378-2293 675067 GAINESVILLE CONVALESCENT CENTER 1900 O'NEAL ST GAINESVILLE TX 76240 (940) 665-2826 675071 YORKTOWN NURSING AND REHABILITATION CENTER 670 W FOURTH ST YORKTOWN TX 78164 (361) 564-2275 675075 HILLCREST MANOR NURSING AND REHABILITATION CENTER 208 MAPLE ST LULING TX 78648 (830) 875-5219 675079 ALLENBROOK HEALTHCARE CENTER 4109 ALLENBROOK DR BAYTOWN TX 77521 (281) 422-3546 675080 THE VOSSWOOD NURSING CENTER 815 S VOSS RD HOUSTON TX 77057 (713) 827-0883 675084 TRINITY NURSING AND REHABILITATION OF GRANBURY LP 600 REUNION COURT GRANBURY TX 76048 (817) 573-3773 675086 CITIZENS MEDICAL CENTER 2701 HOSPITAL DR VICTORIA TX 77901 (361) 572-5113 675089 SHERMAN HEALTHCARE CENTER 817 W CENTER SHERMAN TX 75090 (903) 893-6348 675095 HALLETTSVILLE REHABILITATION AND NURSING CENTER 825 W FAIRWINDS HALLETTSVILLE TX 77964 (361) 798-3268 675103 TRINITY NURSING AND REHABILITATION OF ITALY LP 220 DAVENPORT ST ITALY TX 76651 (972) 483-6369 675104 LIVE OAK NURSING CENTER 2951 HWY 281 GEORGE WEST TX 78022 (361) 449-2532 675110 CUERO NURSING AND REHABILITATION CENTER 1310 E BROADWAY CUERO TX 77954 (361) 275-9133 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

675113 THE PARK IN PLANO 3208 THUNDERBIRD LN PLANO TX 75075 (972) 422-2214 675119 WEST LAKE HEALTHCARE RESIDENCE 825 W KEARNEY MESQUITE TX 75149 (972) 288-7668 675120 WOODVILLE HEALTH AND REHABILITATION CENTER 102 N BEECH ST WOODVILLE TX 75979 (409) 283-2555 675136 DENTON REHABILITATION AND NURSING CENTER 2229 N CARROLL BLVD DENTON TX 76201 (940) 387-8508 675138 PRINCETON PLACE REHABILITATION & HEALTHCARE BANDER 1939 BANDERA RD SAN ANTONIO TX 78228 (210) 434-0671 675139 WINDSOR HEALTHCARE RESIDENCE LTD 1025 W YEAGUA GROESBECK TX 76642 (254) 729-3366 675140 DOVE HILL CARE CENTER AND VILLAS 1315 EAST STATE HWY 22 HAMILTON TX 76531 (254) 386-3171 675144 TRINITY NURSING AND REHABILITATION OF BURLESON LP 600 MAPLE ST BURLESON TX 76028 (817) 295-8118 675145 BUENA VIDA NURSING AND REHAB ODESSA 3800 ENGLEWOOD LN ODESSA TX 79762 (432) 362-2583 675148 ORANGE VILLA NURSING AND REHABILITATION LP 510 N 3RD ST ORANGE TX 77630 (409) 886-8677 675149 ROCKPORT COASTAL CARE CENTER INC 1004 S YOUNG ROCKPORT TX 78382 (361) 729-1228 675151 MEADOWBROOK CARE CENTER 632 WINDSOR WAY VAN ALSTYNE TX 75495 (903) 482-6455 675152 DOGWOOD TRAILS MANOR 647 US HWY 190 W WOODVILLE TX 75979 (409) 283-8147 675153 HERITAGE HOUSE AT KELLER REHAB & NURSING 1150 WHITLEY ROAD KELLER TX 76248 (817) 431-2518 675159 SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTE 1401 W MAIN ST EDNA TX 77957 (361) 782-7614 675169 FREDERICKSBURG NURSING AND REHABILITATION LP 1117 S ADAMS ST FREDERICKSBURG TX 78624 (830) 997-4364 675175 PARK MANOR OF MCKINNEY 1801 PEARSON AVE MCKINNEY TX 75069 (972) 562-8880 675176 MCCULLOUGH HALL NURSING CENTER INC 603 S W 24TH ST SAN ANTONIO TX 78207 (210) 435-7711 675177 PINE TREE LODGE NURSING CENTER 2711 PINE TREE RD LONGVIEW TX 75604 (903) 759-3994 675183 TWIN OAKS HEALTH AND REHABILITATION CENTER 1123 N BOLTON ST JACKSONVILLE TX 75766 (903) 586-9031 675185 LONGMEADOW HEALTHCARE CENTER 120 MEADOWVIEW DR JUSTIN TX 76247 (940) 648-2731 675191 FORT WORTH MANOR 4900 E BERRY FORT WORTH TX 76105 (817) 531-3707 675196 NORTH PARK HEALTH AND REHABILITATION CENTER 1720 N MCDONALD MCKINNEY TX 75069 (972) 562-7969 675201 HILLSIDE NURSING AND REHABILITATION LP 101 S 34TH ST GATESVILLE TX 76528 (254) 865-7575 675204 PARK PLAZA NURSING HOME 1244 STATE PARK RD WHITNEY TX 76692 (254) 694-2239 675206 HOMESTEAD NURSING AND REHABILITATION OF COLLINSVIL 501 N MAIN ST COLLINSVILLE TX 76233 (903) 429-6426 675212 THE HOMESTEAD OF DENISON 1101 REBA MCENTIRE LN DENISON TX 75020 (903) 463-4663 675222 SEABREEZE NURSING AND REHABILITATION LP 6602 MEMORIAL DR TEXAS CITY TX 77590 (409) 935-2451 675238 TRINITY TERRACE 1600 TEXAS ST FORT WORTH TX 76102 (817) 338-2400 675251 COUNTRY MEADOWS NURSING & REHABILITATION CENTER 3301 PARK ROW BLVD CORSICANA TX 75110 (903) 872-2455 675253 AZALEA TRAIL NURSING AND REHABILITATION CENTER 411 SPRING CREEK RD GRAND SALINE TX 75140 (903) 962-4226 675254 GULF HEALTH CARE CENTER IN GALVESTON 3702 COVE VIEW BLVD GALVESTON TX 77554 (409) 740-7330 675268 LAREDO MEDICAL CENTER 1700 E SAUNDERS ST LAREDO TX 78044 (956) 718-8730 675270 PECAN MANOR NURSING AND REHABILITATION LP 413 E MANSFIELD CARDINAL KENNEDALE TX 76060 (817) 561-4495 675272 WILLOWBEND NURSING AND REHABILITATION CENTER 2231 HIGHWAY 80 E MESQUITE TX 75150 (972) 279-3601 675273 VALLEY MILLS NURSING AND REHABILITATION LP 101 W. AVENUE E VALLEY MILLS TX 76689 (254) 932-6288 675274 WILLIS NURSING AND REHABILITATION LP 3000 N DANVILLE ST WILLIS TX 77378 (936) 856-4312 675281 COTTONWOOD CREEK HEALTHCARE COMMUNITY 1111 W SHORE DR RICHARDSON TX 75080 (972) 783-8000 675293 LINDEN HEALTHCARE CENTER 1201 W HOUSTON ST LINDEN TX 75563 (903) 756-5537 675297 HOUSTON NURSING AND REHABILITATION LP 4225 DENMARK HOUSTON TX 77016 (713) 631-0200 675305 PLEASANT VALLEY HEALTHCARE AND REHABILITATION CENT 1525 PLEASANT VALLEY RD GARLAND TX 75040 (972) 496-8800 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

675311 FAIRVIEW HEALTHCARE RESIDENCE 601 E REUNION ST FAIRFIELD TX 75840 (903) 389-4121 675320 ANDERSON NURSING CENTER 520 BRADBURN RD GRAND SALINE TX 75140 (903) 962-4234 675323 BAYWIND VILLAGE CONVALESCENT CENTER 411 ALABAMA AVE LEAGUE CITY TX 77573 (281) 332-9588 675329 LEVELLAND NURSING & REHABILITATION CENTER 210 WEST AVE LEVELLAND TX 79336 (806) 894-7011 675338 SILSBEE CONVALESCENT CENTER 1105 W HWY 418 SILSBEE TX 77656 (409) 385-3784 675358 COLONIAL PINES HEALTHCARE CENTER 1203 F M 1277 SAN AUGUSTINE TX 75972 (936) 275-3412 675360 WOODLAND SPRINGS NURSING CENTER 1010 DALLAS ST WACO TX 76704 (254) 752-9774 675363 RETAMA MANOR NURSING CENTER/WESLACO 721 AIRPORT DR WESLACO TX 78596 (956) 968-8502 675369 GRANDVIEW NURSING AND REHABILITATION CENTER 301 W CRINER ST GRANDVIEW TX 76050 (817) 866-3367 675370 THE METHODIST HOSPITAL SNF 6565 FANNIN HOUSTON TX 77030 (713) 441-7828 675372 LA BAHIA NURSING AND REHABILITATION LP 225 E WARD ST GOLIAD TX 77963 (361) 645-8902 675373 CARRIZO SPRINGS NURSING AND REHABILITATION LP 506 S 7TH ST CARRIZO SPRINGS TX 78834 (830) 876-5011 675374 IRVING NURSING AND REHABILITATION LP 619 N BRITAIN RD IRVING TX 75061 (972) 785-9300 675377 BANGS NURSING HOME 1105 FITZGERALD BANGS TX 76823 (325) 752-6321 675380 WINDSOR NURSING AND REHABILITATION CENTER OF SEGUI 1219 EASTWOOD DR SEGUIN TX 78155 (830) 379-7777 675388 HILLVIEW MANOR 1110 RICE ST GOLDTHWAITE TX 76844 (325) 648-2247 675390 SUNFLOWER PARK HEALTH CARE 1803 HIGHWAY 243 EAST KAUFMAN TX 75142 (972) 932-7776 675394 OAKWOOD MANOR NURSING HOME 225 S MAIN ST VIDOR TX 77662 (409) 769-5697 675398 GREEN ACRES OF CENTER 501 TIMPSON ST CENTER TX 75935 (936) 598-2483 675401 LONGVIEW REGIONAL MEDICAL CENTER 2901 N 4TH ST LONGVIEW TX 75605 (903) 553-7600 675406 GOLDEN YEARS NURSING AND REHABILITATION CENTER 318 CHAMBERS ST MARLIN TX 76661 (254) 883-5508 675418 THE MANOR AT SEAGOVILLE 2416 ELIZABETH LN SEAGOVILLE TX 75159 (972) 287-2491 675429 ABILENE REGIONAL MEDICAL CENTER SKILLED NURSING UN 6250 HWY 83 84 AT ANTILLEY RD ABILENE TX 79606 (325) 428-5205 675431 RED OAK HEALTH AND REHABILITATION CENTER 101 REESE DR RED OAK TX 75154 (469) 552-0500 675437 STONEBROOK MANOR AT BROADWAY 1841 FLAMINGO SAN ANTONIO TX 78209 (210) 824-5324 675438 LAKE SHORE VILLAGE HEALTHCARE CENTER 2320 LAKE SHORE DR WACO TX 76708 (254) 752-1075 675439 MULLICAN CARE CENTER 105 N MAIN ST SAVOY TX 75479 (903) 965-0200 675440 SOUTH DALLAS NURSING & REHABILITATION 3808 S CENTRAL EXPWY DALLAS TX 75215 (214) 428-2851 675441 RENAISSANCE CARE CENTER 1400 BLACKSHILL DR GAINESVILLE TX 76240 (940) 665-5221 675443 PRAIRIE ACRES 201 E 15TH FRIONA TX 79035 (806) 250-3922 675445 OAK MANOR NURSING CENTER 624 N CONVERSE ST FLATONIA TX 78941 (361) 865-3571 675447 THE HIGHLANDS OF DALLAS 9009 FOREST LN DALLAS TX 75243 (972) 783-1771 675453 COLLINWOOD CARE CENTER 3100 S RIGSBEE RD PLANO TX 75074 (972) 423-6217 675471 BONHAM NURSING AND REHABILITATION LP 709 W FIFTH ST BONHAM TX 75418 (903) 583-8551 675479 FRANKLIN HEIGHTS NURSING & REHABILITATION CENTER 223 S RESLER EL PASO TX 79912 (915) 584-9417 675487 CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI 2606 HOSPITAL BVLD CORPUS CHRISTI TX 78405 (512) 881-3218 675489 DEVINE HEALTH & REHABILITATION 104 ENTERPRISE AVE DEVINE TX 78016 (830) 663-4451 675490 GOLDEN VILLA 1104 S WILLIAM ST ATLANTA TX 75551 (903) 796-0290 675498 HILLSIDE HEIGHTS REHABILITATION SUITES 6650 SOUTH SONCY ROAD AMARILLO TX 79119 (806) 457-6700 675501 HERITAGE OAKS WEST RETIREMENT VILLAGE 3300 W 2ND AVE CORSICANA TX 75110 (903) 874-5333 675502 RETAMA MANOR NURSING CENTER/PLEASANTON NORTH 404 GOODWIN ST PLEASANTON TX 78064 (830) 569-2138 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

675503 BEACON HILL 3515 S PARK AVE DENISON TX 75020 (903) 327-8537 675509 PARKLANE WEST HEALTHCARE CENTER 2 TOWERS PARK LN SAN ANTONIO TX 78209 (210) 829-1400 675513 DECATUR NURSING AND REHABILITATION LP 605 W MULBERRY DECATUR TX 76234 (940) 627-5444 675525 CLIFTON NURSING AND REHABILITATION LP 1000 FM 3220 CLIFTON TX 76634 (254) 675-2828 675527 WHISPERWOOD NURSING & REHABILITATION CENTER 5502 W 4TH ST LUBBOCK TX 79416 (806) 793-1111 675533 BROOKDALE SPICEWOOD SPRINGS 4401 SPICEWOOD SPRINGS RD AUSTIN TX 78759 (512) 418-8822 675534 WHEELER NURSING AND REHABILITATION LP 1000 S KIOWA ST WHEELER TX 79096 (806) 826-3505 675536 HILL COUNTRY REHAB AND NURSING CENTER 810 INDUSTRIAL AVE COPPERAS COVE TX 76522 (254) 547-9552 675539 THE BRADFORD AT BROOKSIDE 301 WEST PARK DRIVE LIVINGSTON TX 77351 (936) 328-5021 675542 BROOKDALE ALAMO HEIGHTS 855 E BASSE RD SAN ANTONIO TX 78209 (210) 930-1040 675546 TRINITY CARE CENTER 1000 E MAIN ST ROUND ROCK TX 78664 (512) 634-3000 675550 PECAN TREE REHAB AND HEALTHCARE CENTER 1900 E CALIFORNIA ST GAINESVILLE TX 76240 (940) 668-6263 675554 GRACE CARE CENTER OF NOCONA 306 CAROLYN RD NOCONA TX 76255 (940) 825-3288 675555 QUENTIN MEASE COMMUNITY HOSPITAL 3601 N MACGREGOR HOUSTON TX 77004 (713) 942-3801 675556 CYPRESS WOODS CARE CENTER 135 1/2 HOSPITAL DR ANGLETON TX 77515 (979) 849-8221 675557 WINDSONG VILLAGE CONVALESCENT CENTER INC 3400 E WALNUT PEARLAND TX 77581 (281) 485-2776 675560 LAKE VILLAGE INC DBA LAKE VILLAGE NURSING AND REHA 169 LAKE PARK RD LEWISVILLE TX 75057 (972) 436-7571 675579 SENIOR CARE AT LAKE POINTE 6700 HERITAGE PARKWAY ROCKWALL TX 75087 (972) 412-4000 675581 HERITAGE OAKS RETIREMENT VILLAGE 3002 W 2ND AVE CORSICANA TX 75110 (903) 872-5130 675592 C C YOUNG MEMORIAL HOME 4829 W LAWTHER DR DALLAS TX 75214 (214) 827-8080 675593 WISTERIA PLACE 3202 S WILLIS ST ABILENE TX 79605 (325) 692-6145 675595 SPRING CREEK NURSING AND REHABILITATION LP 2660 BRICKYARD RD BEAUMONT TX 77703 (409) 892-1533 675599 ROBERT LEE CARE CENTER 307 WEST 8TH ST ROBERT LEE TX 76945 (325) 453-2511 675603 ROSE HAVEN RETREAT 200 LIVE OAK ST ATLANTA TX 75551 (903) 796-4127 675606 HARLINGEN NURSING AND REHABILITATION CENTER 3810 HALE ST HARLINGEN TX 78550 (956) 412-8660 675611 GRACE PRESBYTERIAN VILLAGE 550 E ANN ARBOR AVE DALLAS TX 75216 (214) 376-1701 675614 BALLINGER HEALTHCARE AND REHABILITATION CENTER 2001 6TH ST BALLINGER TX 76821 (325) 365-5766 675615 MERIDIAN CARE AT GRAYSON SQUARE 815 E GRAYSON ST SAN ANTONIO TX 78208 (210) 226-8181 675619 OAKS NURSING CENTER 507 W JACKSON ST BURNET TX 78611 (512) 756-6044 675620 BEAUMONT NURSING AND REHABILITATION 1175 DENTON DR BEAUMONT TX 77707 (409) 842-3120 675625 VISTA CONTINUING CARE CENTER 4300 VISTA RD PASADENA TX 77504 (713) 946-6787 675633 SENIOR CARE AT HOLLAND LAKE 1201 HOLLAND LAKE DR WEATHERFORD TX 76086 (817) 598-0160 675635 EBONY LAKE NURSING AND REHABILITATION CENTER 1001 CENTRAL BLVD BROWNSVILLE TX 78520 (956) 541-0917 675648 CONROE HEALTH CARE CENTER 2019 N FRAZIER CONROE TX 77301 (936) 441-2120 675649 STONEBRIDGE SN HEALTH CENTER 11127 CIRCLE DR AUSTIN TX 78736 (512) 288-8844 675650 GARDEN TERRACE ALZHEIMERS CENTER OF EXCELLENCE 7500 OAKMONT BLVD FORT WORTH TX 76132 (817) 346-8080 675655 TARRANT COUNTY HOSPITAL DISTRICT 1500 S MAIN ST FORT WORTH TX 76104 (817) 927-4177 675666 BRIARCLIFF HEALTH CENTER OF GREENVILLE INC 4400 WALNUT ST GREENVILLE TX 75401 (903) 455-8729 675667 UNIVERSITY PLACE NURSING CENTER 7480 BEECHNUT HOUSTON TX 77074 (713) 541-2900 675668 WOOD MEMORIAL NURSING HOME 320 GREENVILLE HIGHWAY MINEOLA TX 75773 (903) 569-3852 675671 GARDEN TERRACE ALZHEIMERS CENTER OF EXCELLENCE 7887 CAMBRIDGE ST HOUSTON TX 77054 (713) 796-2777 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

675672 TRISUN CARE CENTER-RIVER RIDGE 3922 W RIVER DR CORPUS CHRISTI TX 78410 (361) 767-2000 675677 DEL RIO NURSING AND REHABILITATION CENTER 301 W MARTIN ST DEL RIO TX 78840 (830) 775-2459 675678 CARECHOICE OF BOERNE 200 E RYAN ST BOERNE TX 78006 (830) 249-2594 675681 BRONTE HEALTH AND REHAB CENTER 900 S STATE ST BRONTE TX 76933 (325) 473-3621 675690 GOLDEN ESTATES REHABILITATION CENTER 130 SPENCER LN SAN ANTONIO TX 78201 (210) 736-4544 675695 COLLEGE STREET HEALTH CARE CENTER 4150 COLLEGE ST BEAUMONT TX 77707 (409) 842-2244 675696 COUNTRY VILLAGE CARE 721 W MULBERRY ANGLETON TX 77515 (979) 849-8281 675697 THE ARMY RESIDENCE COMMUNITY HEALTH CARE CENTER 7400 CRESTWAY DR SAN ANTONIO TX 78239 (210) 646-5200 675702 BRENTWOOD PLACE TWO 3505 S BUCKNER BLVD BLDG 3 DALLAS TX 75227 (214) 388-0519 675703 CROSS TIMBERS REHABILITATION AND HEALTHCARE CENTER 3315 CROSS TIMBERS RD FLOWER MOUND TX 75028 (972) 724-0996 675708 KEENELAND NURSING AND REHABILITATION LP 700 S BOWIE DR WEATHERFORD TX 76086 (817) 594-2715 675709 TIMBERIDGE NURSING AND REHABILITATION CENTER 315 W GIBSON JASPER TX 75951 (409) 384-5768 675712 HOMESTEAD NURSING AND REHABILITATION OF ITASCA 409 S FILES ST ITASCA TX 76055 (254) 687-2383 675723 NAZARETH LIVING CARE CENTER 1475 RAYNOLDS ST EL PASO TX 79903 (915) 565-4677 675727 THE WESLEYAN AT SCENIC 2001 SCENIC DR GEORGETOWN TX 78626 (512) 863-9511 675729 TWIN LAKES REHABILITATION AND CARE CENTER 451 S EL CAMINO CROSSING SAN AUGUSTINE TX 75972 (936) 275-2900 675736 YOAKUM NURSING AND REHABILITATION CENTER 1300 CARL RAMERT DR YOAKUM TX 77995 (361) 293-2801 675740 KNOPP NURSING & REHAB CENTER INC 202 BILLIE DR FREDERICKSBURG TX 78624 (830) 997-8840 675748 HERITAGE TRAILS NURSING AND REHABILITATION CENTER 301 LINCOLN PARK DR CLEBURNE TX 76033 (817) 558-8999 675751 SEABURY CENTER NCU 2443 W 16TH ST ODESSA TX 79763 (432) 333-2904 675754 TRAYMORE NURSING CENTER 4315 HOPKINS AVE DALLAS TX 75209 (214) 358-3131 675757 SIGNATURE POINTE ON THE LAKE HEALTHCARE COMMUNITY 14655 PRESTON RD DALLAS TX 75254 (972) 726-7575 675759 SENIOR CARE OF STONEGATE 4201 STONEGATE BLVD FORT WORTH TX 76109 (817) 924-5440 675766 THE COURTYARD REHABILITATION AND HEALTHCARE CENTER 3401 E AIRLINE DR VICTORIA TX 77901 (361) 573-2467 675773 HOLMGREEN CENTER 317 N CARANCAHUA CORPUS CHRISTI TX 78401 (361) 887-2000 675777 PARKWAY PLACE 1321 PARK BAYOU DR HOUSTON TX 77077 (281) 556-9200 675783 THE VILLA AT MOUNTAIN VIEW 2918 DUNCANVILLE RD DALLAS TX 75211 (214) 467-7090 675786 AFV II HEALTH CARE CENTER 5100 JOHN D RYAN BLVD SAN ANTONIO TX 78245 (210) 568-3401 675788 OAK MANOR NURSING AND REHABILITATION LP 2901 STERLING HART DR COMMERCE TX 75428 (903) 886-2510 675790 GARLAND NURSING AND REHABILITATION LP 321 N SHILOH RD GARLAND TX 75042 (972) 276-9571 675795 THE CHANDLER ESTATE IN LAUREL HEIGHTS 1502 HOWARD ST SAN ANTONIO TX 78212 (210) 737-5100 675798 ARBORETUM NURSING AND REHABILITATION CENTER OF WIN 1215 HIGHWAY 124 WINNIE TX 77665 (409) 296-8200 675800 LA VIDA SERENA NURSING AND REHABILITATION 711 KINGS WAY DEL RIO TX 78840 (830) 774-0698 675802 KEMP CARE CENTER 1351 SOUTH ELM STREET KEMP TX 75143 (903) 498-8073 675808 WINDSOR CARE CENTER 250 W BRITISH FLYING SCHOOL BLVD TERRELL TX 75160 (972) 551-0122 675809 WESTRIDGE NURSING AND REHABILITATION LP 1241 WESTRIDGE AVE LANCASTER TX 75146 (972) 227-5110 675811 VICTORIA GARDENS OF FRISCO 10700 ROLATER DR FRISCO TX 75035 (972) 712-8652 675815 KINGSVILLE NURSING AND REHABILITATION CENTER 3130 S BRAHMA BLVD KINGSVILLE TX 78363 (361) 592-8700 675817 FT WORTH SOUTHWEST NURSING CENTER 5300 ALTA MESA BLVD FORT WORTH TX 76133 (817) 346-1800 675821 MADISONVILLE CARE CENTER 411 E COLLARD MADISONVILLE TX 77864 (936) 348-2735 675822 SENIOR CARE BELTLINE 106 N BELTLINE RD GARLAND TX 75040 (972) 495-7700 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

675826 SUNSET HOME 1800 WEST 9TH ST CLIFTON TX 76634 (254) 675-8637 675830 AUTUMN LEAVES 1010 EMERALD ISLE DR DALLAS TX 75218 (214) 328-4161 675834 THE HAMPTON AT POST OAK 2929 POST OAK BLVD HOUSTON TX 77056 (713) 993-9999 675840 LEXINGTON PLACE NURSING & REHABILITATION 7146 BAKER BLVD RICHLAND HILLS TX 76118 (817) 589-1734 675844 ROYAL MANOR 9114 ROYAL LN WACO TX 76712 (254) 666-2164 675845 CEDAR CREST CARE CENTER 1901 W ELLIOTT BRECKENRIDGE TX 76424 (254) 559-3302 675847 WINTERS HEALTHCARE RESIDENCE 506 VAN NESS WINTERS TX 79567 (325) 754-4566 675848 THE POINTE NURSING & REHAB CENTER 17231 MILL FOREST WEBSTER TX 77598 (281) 488-5224 675849 BAYTOWN NURSING & REHAB CENTER 3921 N MAIN BAYTOWN TX 77521 (281) 422-9541 675852 ADVANCED REHABILITATION AND HEALTHCARE OF WICHITA 4810 KEMP BLVD WICHITA FALLS TX 76308 (940) 766-0281 675857 WILLIAM R COURTNEY TEXAS STATE VETERANS HOME 1424 MARTIN LUTHER KING JR LN TEMPLE TX 76504 (254) 791-8280 675858 PARAMOUNT SENIOR CARE CENTERS AT SAN ANTONIO 5437 EISENHAUER RD SAN ANTONIO TX 78218 (210) 646-9576 675862 PARK BEND SN HEALTH CENTER 2122 PARK BEND DR AUSTIN TX 78758 (512) 836-9777 675863 FRANK M TEJEDA TEXAS STATE VETERANS HOME 200 VETERANS DR FLORESVILLE TX 78114 (830) 216-9456 675866 STEPHENVILLE NURSING AND REHABILITATION 2311 WEST WASHINGTON STEPHENVILLE TX 76401 (254) 968-3313 675871 TRINITY NURSING AND REHABILITATION OF COMFORT LP 615 FALTIN AVE COMFORT TX 78013 (830) 995-3757 675873 CLYDE W COSPER TEXAS STATE VETERANS HOME 1300 SEVEN OAKS RD BONHAM TX 75418 (903) 640-8387 675879 TERRELL HEALTHCARE CENTER 204 W NASH TERRELL TX 75160 (972) 563-7668 675880 STERLING COUNTY NURSING HOME 309 FIFTH ST STERLING CITY TX 76951 (325) 378-2134 675882 VICTORIA GARDENS OF ALLEN 310 S JUPITER ALLEN TX 75002 (972) 727-5850 675884 TEAGUE LTC PARTNERS INC 884 HWY 84 W TEAGUE TX 75860 (254) 739-2541 675885 BURLESON ST JOSEPH MANOR 1022 PRESIDENTIAL CORRIDOR HWY 21 E CALDWELL TX 77836 (979) 567-0920 675886 THE MEADOWS 110 CHICKTOWN RD GATESVILLE TX 76528 (254) 404-2500 675887 ST JOSEPH MANOR 2333 MANOR DR BRYAN TX 77802 (979) 821-7330 675888 REUNION PLAZA HEALTHCARE & REHABILITATION 1401 RICE RD TYLER TX 75703 (903) 561-6060 675889 PLEASANT MANOR HEALTH & REHABILITATION CENTER 3650 S IH 35 E WAXAHACHIE TX 75165 (972) 937-7320 675890 REGENT CARE AT MEDICAL CENTER 3935 MEDICAL DR SAN ANTONIO TX 78229 (210) 614-4888 675893 CRYSTAL CREEK AT PRESTON HOLLOW 11409 N CENTRAL EXPWY DALLAS TX 75243 (214) 363-5100 675894 PARK MANOR OF CONROE 1600 GRAND LAKE DR CONROE TX 77301 (936) 441-8266 675899 MATAGORDA NURSING & REHABILITATION CENTER 4521 AVE F BAY CITY TX 77414 (979) 245-7369 675901 CAMBRIDGE HEALTH AND REHABILITATION CENTER 1106 GOLFVIEW RICHMOND TX 77469 (281) 344-9191 675903 MEXIA LTC NURSING AND REHABILITATION 601 TERRACE LN MEXIA TX 76667 (254) 562-5400 675904 WINDFLOWER HEALTH CENTER 5500 SW 9TH AVE AMARILLO TX 79106 (806) 352-7244 675905 WOODRIDGE NURSING & REHABILITATION 1500 AUTUMN DR GRAPEVINE TX 76051 (817) 488-8585 675907 TRINITY NURSING AND REHABILITATION OF DIBOLL LP 900 S TEMPLE DR DIBOLL TX 75941 (936) 829-5501 675908 AVANTE REHABILITATION CENTER 225 N SOWERS RD IRVING TX 75061 (972) 253-4173 675915 PARK PLACE CARE CENTER 121 FM 971 GEORGETOWN TX 78626 (512) 868-6200 675916 ARLINGTON VILLA RETIREMENT COMMUNITY 2601 W RANDOL MILL RD ARLINGTON TX 76012 (817) 274-5571 675918 GRACY WOODS NURSING CENTER 12021 METRIC BLVD AUSTIN TX 78758 (512) 228-3300 675923 MARBRIDGE VILLA 2504 BLISS SPILLAR ROAD MANCHACA TX 78652 (512) 282-1811 675929 CEDAR CREEK NURSING AND REHABILITATION CENTER 159 MONTAGUE AVE BANDERA TX 78003 (830) 460-3767 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

675930 ARBROOK PLAZA 401 W ARBROOK BLVD ARLINGTON TX 76014 (817) 466-3094 675933 LA HACIENDA HEALTHCARE 2204 PEASE ST HARLINGEN TX 78550 (956) 425-2812 675934 LA DORA NURSING AND REHABILITATION CENTER 1960 BEDFORD RD BEDFORD TX 76021 (817) 283-4771 675935 LIFE CARE CENTER OF HALTOM 2936 MARKUM DR FORT WORTH TX 76117 (817) 831-0545 675937 SAGEBROOK SN HEALTH CENTER 901 DISCOVERY BLVD CEDAR PARK TX 78613 (512) 259-9993 675938 SHINER NURSING AND REHABILITATION CENTER INC 1213 N AVE B SHINER TX 77984 (361) 594-3353 675939 VINTAGE HEALTH CARE CENTER 205 N BONNIE BRAE DENTON TX 76201 (940) 383-2361 675943 NEW HOPE MANOR 1623 W NEW HOPE DR CEDAR PARK TX 78613 (512) 259-3999 675944 OAK RIDGE MANOR 2501 MORRIS SHEPPARD DR BROWNWOOD TX 76801 (325) 643-2746 675945 WELLINGTON CARE CENTER 1506 CHILDRESS ST WELLINGTON TX 79095 (806) 447-2777 675946 SENIOR CARE OF MARLANDWOOD EAST 1511 MARLANDWOOD RD TEMPLE TX 76502 (254) 899-6500 675947 COUNTRY CARE MANOR 2736 FARM TO MARKET 775 LA VERNIA TX 78121 (830) 779-2355 675948 PARK PLACE MANOR INC 810 E 13TH AVE BELTON TX 76513 (254) 939-1876 675949 MSHC THE WATERTON AT COWHORN CREEK LLC 5524 COWHORN CREEK TEXARKANA TX 75503 (903) 223-1188 675952 JULIETTE FOWLER COMMUNITIES 1260 ABRAMS RD DALLAS TX 75214 (214) 827-0813 675954 SENIOR VILLAGE NURSING HOME 3101 S. MAIN ST PERRYTON TX 79070 (806) 435-5403 675958 CHRISTIAN CARE CENTER 1008 CITIZENS TRAIL TEXARKANA TX 75501 (903) 838-9526 675959 SONGBIRD LODGE 2500 SONGBIRD CIR BROWNWOOD TX 76801 (325) 646-4750 675961 REGENCY VILLAGE 409 W GREEN WEBSTER TX 77598 (281) 332-4738 675967 NORTHGATE PLAZA NURSING & REHABILITATION CENTER 2101 NORTHGATE DR IRVING TX 75062 (972) 255-4460 675968 STONE OAK CARE CENTER 505 MADISON OAK DR SAN ANTONIO TX 78258 (210) 481-9000 675969 SETTLERS RIDGE CARE CENTER 1280 SETTLERS RIDGE RD CELINA TX 75009 (972) 382-8600 675970 MEMPHIS CONVALESCENT CENTER 1415 N 18TH ST MEMPHIS TX 79245 (806) 259-3566 675971 COLONIAL CARE CENTER 507 WEST AVE SCHULENBURG TX 78956 (979) 743-4150 675973 MCLEAN CARE CENTER 605 W SEVENTH ST MCLEAN TX 79057 (806) 779-2469 675977 VILLAGE CREEK NURSING HOME 3825 VILLAGE CREEK RD FORT WORTH TX 76119 (817) 534-9933 675979 CRESTVIEW RETIREMENT COMMUNITY 2505 E VILLA MARIA RD BRYAN TX 77802 (979) 776-4778 675980 HILL COUNTRY CARE 1505 W HWY 290 DRIPPING SPRINGS TX 78620 (512) 858-5624 675981 MINEOLA HEALTHCARE RESIDENCE 716 MIMOSA STREET MINEOLA TX 75773 (903) 569-5366 675989 BRAZOS VALLEY CARE HOME 605 S AVE F KNOX CITY TX 79529 (940) 658-3543 675995 SENIOR CARE HEALTH & REHABILITATION CENTER-DENTON 2244 BRINKER RD DENTON TX 76208 (940) 320-6300 675997 CARILLON INC 1717 A NORFOLK AVE LUBBOCK TX 79416 (806) 281-6114 675998 CARTMELL HOME FOR AGED, INC. 2212 W REAGAN ST PALESTINE TX 75801 (903) 727-8500 676000 PINE RIDGE HEALTH CARE LLP 1620 US 59 N LIVINGSTON TX 77351 (936) 327-5415 676002 THE PLAZA AT EDGEMERE HEALTH CARE 8502 EDGEMERE DALLAS TX 75225 (214) 615-7045 676003 AZLE MANOR HEALTH CARE AND REHABILITATION 721 DUNAWAY LN AZLE TX 76020 (817) 444-2536 676004 THE HILLS NURSING & REHABILITATION 201 E THOMPSON ST DECATUR TX 76234 (940) 627-2165 676005 PARK PLACE NURSING & REHABILITATION CENTER 2450 E FIFTH ST TYLER TX 75701 (903) 592-6745 676009 TREEMONT HEALTH CARE CENTER 2501 WESTERLAND DR HOUSTON TX 77063 (713) 783-4100 676013 BUCKNER VILLA SIESTA HOME 11110 TOM ADAMS DR AUSTIN TX 78753 (512) 836-1515 676014 TWILIGHT HOME 3001 W FOURTH AVE CORSICANA TX 75110 (903) 872-2521 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

676015 MABEE HEALTH CARE CENTER 2208 N LOOP 250 W MIDLAND TX 79707 (432) 699-3401 676016 LEONARD MANOR 902 E HACKBERRY ST LEONARD TX 75452 (903) 587-2282 676017 RANGER CARE CENTER 460 W MAIN ST RANGER TX 76470 (254) 647-3111 676020 MENARD MANOR 100 GAY ST MENARD TX 76859 (325) 396-4515 676021 CLAREWOOD HOUSE EXTENDED CARE CENTER 7400 CLAREWOOD DR HOUSTON TX 77036 (713) 774-5821 676023 KELLER OAKS HEALTHCARE CENTER 8703 DAVIS BLVD KELLER TX 76248 (817) 577-9999 676026 WILL-O-BELL 412 N DALTON BARTLETT TX 76511 (254) 527-3371 676029 LEGEND HEALTHCARE AND REHABILITATION - EULESS 900 WESTPARK WAY EULESS TX 76040 (817) 545-4071 676030 SHADY OAK NURSING AND REHABILITATION 101 S LANCASTER MOULTON TX 77975 (361) 596-7373 676033 TOWN HALL ESTATES 300 HAPPY LN HILLSBORO TX 76645 (254) 582-8482 676035 KINGSLAND HILLS CARE CENTER 3727 W RANCH RD 1431 KINGSLAND TX 78639 (325) 388-4538 676039 WINTERS PARK NURSING AND REHABILITATION CENTER 3737 N GARLAND AVENUE GARLAND TX 75044 (972) 495-7000 676040 GARDEN VILLA NURSING HOME 106 DEL NORTE DR EL CAMPO TX 77437 (979) 543-6762 676041 THE MISSION AT AIR FORCE VILLAGE 4949 RAVENSWOOD DR SAN ANTONIO TX 78227 (210) 673-0325 676042 MCALLEN TRANSITIONAL CARE CENTER 2109 SOUTH K ST MC ALLEN TX 78503 (956) 686-9100 676043 HOUSTON COUNTY NURSING HOME 100 N E LOOP 304 CROCKETT TX 75835 (936) 544-7884 676046 CARE NURSING & REHABILITATION 200 COUNTY RD 616 BROWNWOOD TX 76802 (325) 646-5521 676047 TOWN HALL ESTATES KEENE INC 207 S OLD BETSY RD KEENE TX 76051 (817) 645-8888 676049 LEGEND HEALTHCARE AND REHABILITATION - PARIS 520 SE 8TH ST PARIS TX 75460 (903) 737-9820 676050 PARAMOUNT SENIOR CARE CENTERS AT PASADENA 3434 WATTERS RD PASADENA TX 77504 (713) 941-9155 676051 BRIARCLIFF SKILLED NURSING FACILITY 4054 NORTHWEST LOOP CARTHAGE TX 75633 (903) 693-8504 676057 ASHTON PARKE CARE CENTER INC 210 GULF FREEWAY TEXAS CITY TX 77591 (409) 935-0300 676064 SPANISH MEADOWS NURSING & REHAB 1480 KATY FLEWELLEN KATY TX 77494 (281) 394-0088 676066 THE CONCIERGE 2310 SOUTH ELDRIDGE PARKWAY HOUSTON TX 77077 (281) 558-3900 676071 GROESBECK LTC PARTNERS INC 607 PARKSIDE DR GROESBECK TX 76642 (254) 729-3245 676073 PARK MANOR OF QUAIL VALLEY 2350 FM 1092 MISSOURI CITY TX 77459 (281) 499-9333 676074 TOWN HALL ESTATES WHITNEY INC 101 SAN MARCUS WHITNEY TX 76692 (254) 694-2233 676077 GIBSON CARE CENTER 931 N BROADWAY ASPERMONT TX 79502 (940) 989-3526 676080 TOWN HALL ESTATES ARLINGTON INC 824 W MAYFIELD RD ARLINGTON TX 76015 (817) 465-2222 676084 WARM SPRINGS REHABILITATION HOSPITAL OF SAN ANTONI 5101 MEDICAL DR SAN ANTONIO TX 78229 (210) 616-0100 676085 THE ARBORS 1910 MEDI PARK DR AMARILLO TX 79106 (806) 457-4700 676086 GOLDTHWAITE HEALTH & REHAB CENTER 1207 S REYNOLDS ST GOLDTHWAITE TX 76844 (325) 648-2258 676090 WESLEY COURT HEALTH CENTER 2617 ANTILLEY ROAD ABILENE TX 79606 (325) 437-1184 676091 SAGECREST ALZHEIMERS CARE CENTER 438 HOUSTON-HARTE SAN ANGELO TX 76903 (325) 486-3702 676092 BONNER STREET PLAZA HEALTHCARE & REHABILITATION 421 S BONNER JACKSONVILLE TX 75766 (903) 586-9871 676094 THE MEADOWS OF ORANGE 4201 FM 105 ORANGE TX 77630 (409) 883-8803 676096 BAYBROOKE VILLAGE CARE AND REHAB CENTER 8300 ELDORADO PKWY WEST MCKINNEY TX 75070 (972) 548-9339 676098 THE PLAZA AT RICHARDSON 1301 RICHARDSON DR RICHARDSON TX 75080 (972) 759-2180 676099 THE ARBOUR AT WESTMINSTER MANOR 4200 JACKSON AVE AUSTIN TX 78731 (512) 454-2140 676100 SENIOR CARE OF SAN ANGELO 5455 KNICKERBOCKER RD SAN ANGELO TX 76904 (325) 944-1600 676102 SENIOR CARE OF JACKSONVILLE 810 BELAIRE STREET JACKSONVILLE TX 75766 (903) 589-5300 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

676104 KINDRED TRANSITIONAL CARE AND REHABILITATION-GRAPE 1005 IRA E. WOODS PARKWAY GRAPEVINE TX 76051 (817) 421-1313 676109 CALDER WOODS 7080 CALDER BEAUMONT TX 77706 (409) 861-1123 676111 THE BUCKINGHAM 8530 WOODWAY DRIVE HOUSTON TX 77063 (713) 979-3777 676112 CRESTVIEW COURT 224 W PLEASANT RUN RD CEDAR HILL TX 75104 (972) 291-5977 676116 SENIOR CARE OF WESTWOOD 8702 S COURSE DR HOUSTON TX 77099 (281) 498-5796 676117 BERTRAM NURSING AND REHAB CENTER 540 HWY 29 E BERTRAM TX 78605 (512) 355-2116 676122 OAK GROVE NURSING HOME 6230 WARREN ST GROVES TX 77619 (409) 963-1266 676124 PINECREST RETIREMENT COMMUNITY 1302 TOM TEMPLE DR LUFKIN TX 75904 (936) 634-1054 676125 WINDSOR ATRIUM 1814 ATRIUM PLACE HARLINGEN TX 78550 (956) 230-2300 676128 THE MADISON ON MARSH 2245 MARSH LN CARROLLTON TX 75006 (972) 416-1764 676130 TITUS REGIONAL MEDICAL CENTER 2001 N JEFFERSON MOUNT PLEASANT TX 75455 (903) 577-6000 676131 THE SUMMIT AT LAKEWAY HEALTHCARE CENTER 1917 LOHMANS CROSSING RD LAKEWAY TX 78734 (512) 261-3211 676132 TRAIL LAKE NURSING & REHABILITATION 7100 TRAIL LAKE DR FORT WORTH TX 76133 (817) 263-2224 676135 PRESBYTERIAN VILLAGE NORTH SPECIAL CARE CTR 8600 SKYLINE DR DALLAS TX 75243 (214) 355-9600 676140 REFUGIO NURSING & REHAB CENTER 201 SWIFT ST REFUGIO TX 78377 (361) 526-4641 676141 MATLOCK PLACE HEALTH AND REHABILITATION CENTER 7100 MATLOCK RD ARLINGTON TX 76002 (817) 466-2511 676143 KINDRED TRANSITIONAL CARE AND REHABILITATION-MANSF 301 N MILLER RD MANSFIELD TX 76063 (817) 276-4800 676145 PRAIRIE ESTATES 1350 MAIN ST FRISCO TX 75034 (214) 705-9108 676146 TOWN EAST REHABILITATION AND HEALTHCARE CENTER 3617 O'HARE DR MESQUITE TX 75150 (972) 284-8600 676148 PEACH TREE PLACE 315 W ANDERSON ST WEATHERFORD TX 76086 (817) 599-4181 676152 SEVEN ACRES JEWISH SENIOR CARE SERVICES INC 6200 N BRAESWOOD HOUSTON TX 77074 (713) 778-5700 676153 REGENT CARE CENTER OF LEAGUE CITY 2620 W WALKER LEAGUE CITY TX 77573 (281) 309-5400 676156 PRESTONWOOD REHABILITATION & NURSING CENTER INC 2460 MARSH LN PLANO TX 75093 (214) 731-5955 676158 SONTERRA HEALTH CENTER 18514 SONTERRA PLACE SAN ANTONIO TX 78258 (210) 545-4800 676161 GREEN VALLEY HEALTHCARE AND REHABILITATION CENTER 6850 RUFE SNOW DR FORT WORTH TX 76148 (817) 514-4940 676163 BENDER TERRACE 4510 27TH ST LUBBOCK TX 79410 (806) 795-4368 676164 COLONIAL BELLE NURSING HOME 106 N BARON BELLVILLE TX 77418 (979) 865-3689 676167 BUCKNER WESTMINSTER PLACE 2201 HORSESHOE LN LONGVIEW TX 75605 (903) 234-0000 676168 RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY 112 BARNETT BLVD HIGHLAND VILLAGE TX 75077 (972) 317-1174 676169 PREMONT REHAB AND NURSING CENTER 431 N W 3RD ST PREMONT TX 78375 (361) 348-3553 676172 GROVETON NURSING HOME 1020 W 1ST ST GROVETON TX 75845 (936) 642-1221 676173 KENEDY HEALTH & REHABILITATION 7882 S HWY 181 (NO MAIL SERVICE) KENEDY TX 78119 (830) 583-9101 676176 SENIOR CARE OF CROWLEY 920 E FM 1187 CROWLEY TX 76036 (817) 297-5600 676177 GARRISON NURSING HOME & REHABILITATION CENTER 333 NORTH FM 95 GARRISON TX 75946 (936) 347-2234 676183 HUNTINGTON HEALTH CARE & REHABILITATION CENTER 220 E ASH STREET HUNTINGTON TX 75949 (936) 876-2273 676184 PROVIDENCE PARK REHABILITATION AND SKILLED NURSING 5505 NEW COPELAND RD TYLER TX 75703 (903) 939-2443 676185 SENIOR CARE OF HARBOR LAKES 1300 2ND ST GRANBURY TX 76048 (817) 408-3800 676189 THE LEGACY AT WILLOW BEND 6101 OHIO STE 500 PLANO TX 75024 (972) 468-6300 676192 GARNET HILL REHABILITATION AND SKILLED CARE 1420 MCCREARY RD WYLIE TX 75098 (972) 442-6776 676193 THE WATERTON HEALTHCARE & REHABILITATION 2875 SHILOH ROAD TYLER TX 75703 (903) 561-1300 676195 THE GRACE CARE CENTER OF KATY 23553 WEST FERNHURST DRIVE KATY TX 77494 (281) 394-1300 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

676196 CORNERSTONE GARDENS LLP 763 MARLANDWOOD RD TEMPLE TX 76505 (254) 771-5950 676197 RIDGEVIEW REHABILITATION AND SKILLED NURSING 206 WALLS DR CLEBURNE TX 76033 (817) 645-0668 676198 QUERENCIA AT BARTON CREEK 2500 BARTON CREEK BLVD AUSTIN TX 78735 (512) 610-9400 676199 VALLEY BAPTIST MEDICAL CENTER BROWNSVILLE 1040 W JEFFERSON ST BROWNSVILLE TX 78520 (956) 698-5400 676200 GOLDEN AGE NURSING HOME 2613 34TH ST LUBBOCK TX 79410 (806) 792-2196 676201 TUSCANY VILLAGE 2750 MILLER RANCH RD PEARLAND TX 77584 (713) 770-5300 676203 ROLLING MEADOWS 3006 MCNIEL WICHITA FALLS TX 76309 (940) 691-7511 676205 RELIANT REHABILITATION HOSPITAL CENTRAL TEXAS 1400 HESTERS CROSSING ROUND ROCK TX 78681 (512) 244-4400 676209 SENIOR CARE HEALTH AND REHABILITATION CENTER - DEC 701 W BENNETT RD DECATUR TX 76234 (940) 626-2800 676211 WESLEY WOODS HEALTH & REHABILITATION 1700 WOODGATE DRIVE WACO TX 76712 (254) 666-5454 676212 COLLEGE PARK REHABILITATION AND CARE CENTER 1715 MARTIN DR WEATHERFORD TX 76086 (817) 458-3100 676215 THE REHABILITATION & WELLNESS CENTRE OF DALLAS LLC 4200 LIVE OAK ST DALLAS TX 75204 (214) 821-0050 676216 POWERBACK REHABILITATION SAN ANTONIO 5423 HAMILTON WOLFE RD SAN ANTONIO TX 78240 (210) 694-9494 676217 ROYSE CITY HEALTH AND REHABILITATION CENTER 901 W INTERSTATE 30 ROYSE CITY TX 75189 (972) 636-9100 676218 JEFFERSON NURSING AND REHABILITATION CENTER 3840 POINTE PARKWAY BEAUMONT TX 77706 (409) 892-6811 676220 GRANITE MESA HEALTH CENTER 1401 MAX COPELAND DR MARBLE FALLS TX 78654 (830) 693-0022 676223 BAYOU PINES CARE CENTER 4905 FLEMING STREET LA MARQUE TX 77568 (409) 938-8282 676226 REGENT CARE CENTER OF SAN MARCOS 1351 SADLER SAN MARCOS TX 78666 (512) 805-5000 676228 KENDALL HOUSE WELLNESS & REHABILITATION 1050 GRAND BLVD. BOERNE TX 78006 (830) 816-4100 676230 LEGEND OAKS HEALTHCARE AND REHABILITATION-WEST HOU 7107 QUEENSTON BLVD HOUSTON TX 77095 (281) 463-7333 676231 HILLCREST BAPTIST MEDICAL CENTER 3000 HERRING AVE WACO TX 76708 (254) 202-4400 676233 BANDERA NURSING & REHAB CENTER 222 FM 1077 BANDERA TX 78003 (830) 796-4077 676234 THE VILLAGE AT GLEANNLOCH FARMS 9505 NORTH POINTE BLVD SPRING TX 77379 (281) 569-2999 676236 BROOKDALE PLACE WILLOWBROOK 13500 BRETON RIDGE HOUSTON TX 77070 (281) 807-4744 676237 THE BELMONT AT TWIN CREEKS 999 RAINTREE CIRCLE ALLEN TX 75013 (972) 390-8088 676238 LEGEND OAKS HEALTHCARE AND REHABILITATION NORTH 11020 DESSAU RD AUSTIN TX 78754 (512) 873-2244 676240 CIBOLO CREEK 1440 RIVER RD BOERNE TX 78006 (830) 816-5095 676242 GANADO NURSING AND REHABILITATION CENTER 107 E ROGERS GANADO TX 77962 (361) 771-3315 676243 POWERBACK REHABILITATION RICHARDSON 1350 E LOOKOUT DR RICHARDSON TX 75082 (972) 479-1111 676244 GRACE CARE CENTER AT NORTHPOINTE 11830 NORTHPOINTE BOULEVARD TOMBALL TX 77377 (281) 205-9400 676245 PFLUGERVILLE NURSING AND REHABILITATION CENTER 104 REX KERWIN COURT PFLUGERVILLE TX 78660 (512) 251-3915 676246 RIVERSIDE NURSING & REHAB CENTER 6801 E RIVERSIDE DR AUSTIN TX 78741 (512) 247-9000 676247 SANDY LAKE REHABILITATION AND CARE CENTER 1410 E SANDY LAKE RD COPPELL TX 75019 (972) 304-4444 676248 FOUNDERS PLAZA NURSING & REHAB 721 S HWY 78 WYLIE TX 75098 (972) 303-8100 676249 THE CARLYLE AT STONEBRIDGE PARK 170 STONEBRIDGE LANE SOUTHLAKE TX 76092 (817) 431-5778 676255 FORT WORTH CENTER OF REHABILITATION 850 12TH AVENUE FORT WORTH TX 76104 (817) 882-8289 676256 SAN REMO 3550 N SHILOH RD RICHARDSON TX 75082 (972) 231-4810 676257 TRUCARE LIVING CENTERS 2265 S SYCAMORE ST PALESTINE TX 75801 (903) 723-2592 676259 SHINNERY OAKS COMMUNITY 711 WEST BROADWAY DENVER CITY TX 79323 (806) 592-2551 676262 THE HEIGHTS OF TYLER 2650 ELKTON TRAIL TYLER TX 75703 (903) 266-7200 676266 LONGHORN VILLAGE 12001 LONGHORN PARKWAY AUSTIN TX 78732 (512) 266-5600 CJR Approved SNF List for First Quarter of 2017: Effective 1/1/2017 to 3/31/2017

CCN SNF NAME ADDRESS CITY STATE ZIP CODE PHONE NUMBER

676267 BRODIE RANCH NURSING & REHAB CENTER 2101 FRATE BARKER RD AUSTIN TX 78748 (512) 444-5627 676268 VILLAGES OF LAKE HIGHLANDS 8615 LULLWATER DR DALLAS TX 75238 (214) 221-0444 676270 BRENTWOOD PLACE FOUR 3505 S BUCKNER BLVD BLDG 5 DALLAS TX 75227 (214) 237-3250 676272 LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE 1640 FAIRWAY KYLE TX 78640 (512) 268-1003 676275 RIDGECREST HEALTHCARE AND REHABILITATION CENTER 561 E RIDGECREST RD FORNEY TX 75126 (972) 552-2420 676277 ISLE AT WATERCREST - BRYAN 4091 EASTCHESTER DRIVE BRYAN TX 77802 (979) 774-3401 676279 CROWN POINT HEALTH SUITES 6640 IOLA AVENUE LUBBOCK TX 79424 (806) 687-6640 676281 SCC AT WESTOVER HILLS REHABILITATION AND HEALTHCAR 9922 STATE HWY. 151 SAN ANTONIO TX 78251 (210) 546-2273 676282 BAYOU MANOR 4141 S BRAESWOOD BLVD HOUSTON TX 77025 (713) 666-2651 676283 TRISUN CARE CENTER- NORTHEAST EL PASO 11169 SEAN HAGGERTY EL PASO TX 79934 (915) 849-3000 676284 KINDRED HOSPITAL - DALLAS 9525 GREENVILLE AVE DALLAS TX 75243 (214) 355-2600 676285 REMARKABLE HEALTHCARE OF FORT WORTH 6649 N RIVERSIDE DR FORT WORTH TX 76137 (817) 847-1860 676288 LAS PALMAS 369 MARS DR COTULLA TX 78014 (830) 879-4483 676289 THE ATRIUM OF BELLMEAD LLC 2401 DEVELOPMENT BLVD. BELLMEAD TX 76705 (254) 296-8976 676290 SPJST REST HOME 1 501 E LAKE DR TAYLOR TX 76574 (512) 352-6337 676294 HERITAGE HOUSE AT PARIS REHAB & NURSING 150 S.E. 47TH STREET PARIS TX 75462 (903) 784-3100 676295 TRISUN CARE CENTER - CORSICANA 3210 W HWY 22 CORSICANA TX 75110 (903) 872-4880 676298 SPJST REST HOME NO 2 8611 MAIN ST NEEDVILLE TX 77461 (979) 793-4256 676300 CANTON OAKS 1901 S TRADE DAYS BLVD CANTON TX 75103 (903) 567-0444 676301 AUTUMN WINDS LIVING & REHABILITATION 3301 FM 3009 SCHERTZ TX 78154 (210) 658-6338 676302 ISLE AT CEDAR RIDGE 2200 S LAKELINE BLVD CEDAR PARK TX 78613 (512) 219-0200 676303 MIRADOR 5857 TIMBERGATE DR CORPUS CHRISTI TX 78414 (361) 994-0905 676304 CREEKSIDE VILLAGE HEALTHCARE 914 N BRAZOSPORT BLVD CLUTE TX 77531 (979) 265-4794 676306 HOLLY HALL 2000 HOLLY HALL ST HOUSTON TX 77054 (713) 799-9031 676309 BAYWOOD CROSSING REHABILITATION & HEALTHCARE CENTE 5020 SPACE CENTER BLVD PASADENA TX 77505 (713) 575-1800 676312 LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST 222 BERTETTI DR SAN ANTONIO TX 78227 (210) 673-1700 676315 THE HILLCREST OF NORTH DALLAS 18648 HILLCREST RD DALLAS TX 75252 (972) 517-7771 676317 THE HARRISON AT HERITAGE 4600 HERITAGE TRACE PARKWAY FORT WORTH TX 76244 (817) 741-9360 676319 CORINTH REHABILITATION SUITES ON THE PARKWAY 3511 CORINTH PARKWAY CORINTH TX 76208 (940) 270-3400 676320 CONTINUUM REHABILITATION HOSPITAL OF NORTH TEXAS L 3100 PETERS COLONY ROAD FLOWER MOUND TX 75022 (214) 513-0310