Special Focus Facility (SFF) Initiative This webpage offers a list of nursing homes that (a) have had

a history of serious quality issues and (b) are included in a special program to stimulate improvements in their quality of care. Please take a minute to review this background information on our Special Focus Facility initiative. The background here will help you be as informed as possible when you discuss your long term care options with any nursing home that is listed here and what they are doing to improve their quality of care. Background The Centers for Medicare & Medicaid Services (CMS) and States visit nursing homes on a regular basis to determine if the nursing homes are providing the quality of care that Medicare and Medicaid requires. These survey or inspection teams will identify deficiencies in the quality of care that is provided. They also identify any deficiencies in meeting CMS safety requirements (such as protection from fire hazards). When deficiencies are identified, we require that the problems be corrected. If serious problems are not corrected, we may terminate the nursing homes participation in Medicare and Medicaid. Most nursing homes have some deficiencies, with the average being 6-7 deficiencies per survey. Most nursing homes correct their problems within a reasonable period of time. However, we have found that a minority of nursing homes have: More problems than other nursing homes (about twice the average number of deficiencies), More serious problems than most other nursing homes (including harm or injury experienced by residents), and A pattern of serious problems that has persisted over a long period of time (as measured over the three years before the date the nursing home was first put on the SFF list).

Although such nursing homes would periodically institute enough improvements in the presenting problems that they would be in substantial compliance on one survey, significant problems would often re-surface by the time of the next survey. Such facilities with a yo-yo or in and out compliance history rarely addressed underlying systemic problems that were giving rise to repeated cycles of serious deficiencies. To address this problem CMS created the Special Focus Facility (SFF) initiative. How the Special Focus Facility (SFF) Initiative Works CMS requires that SFF nursing homes be visited in person by survey teams twice as frequently as other nursing homes (about twice per year). The longer the problems persist, the more stringent we are in the enforcement actions that will be taken. Examples of such enforcement actions are civil monetary penalties (fines) or termination from Medicare and Medicaid. Within about 18-24 months after a facility is identified by CMS as an SFF nursing home, we expect that there will be one of 3 possible outcomes: (a) Improvement & Graduation: The nursing home graduates from the SFF program because it has made significant improvements in quality of care - and those improvements are continued over time;

(b) Termination from Medicare: The nursing home is terminated from participation in the Medicare and Medicaid programs. While such a nursing home may continue to operate (depending on State law), usually it will close once Medicare and Medicaid funding is discontinued. In such a case the State Medicaid Agency (and others) will assist all nursing home residents to transition to another residence that can provide a better and acceptable quality of care. This may include a variety of possibilities, such as another nursing home, a community-based setting, or apartment with good support services. (c) Extension of Time: The nursing home is provided with some additional time to continue in the SFF program because there has been very promising progress, such as the sale of the nursing home to another owner with a much better track record of providing quality care. How Can You Use This Information If you are considering admission to a nursing home included on this list you may want to: Above all, visit the nursing home. Talk to staff, residents, and other families. You may request to see the results from the last State or CMS survey (it should be in a place that is easily accessible.) Before your visit, look at the survey history of the nursing home on Nursing Home Compare to see what areas may be problematic. Ask the nursing home staff what they are doing to improve the quality of care for residents in the nursing home. Call the State survey agency (link to Nursing Home Compare) to find out more about the nursing home. Look at the length of time that a nursing home has been on the SFF list. This is particularly important if the nursing home has been an SFF nursing home for more than 18-24 months, since such nursing homes are closer to either graduating (due to improvements) or ending their participation in Medicare and Medicaid. Call your local State Ombudsman, Administration on Aging, and local groups to find out more about the nursing home. Use the Nursing Home Brochure found at http://www.medicare.gov/Publications/Pubs/pdf/nursinghome.pdf and Guide to Choosing a Nursing Home http://www.medicare.gov/Publications/Pubs/pdf/02174.pdf both publications are available on Nursing Home Compare. If you currently reside in a SFF nursing home, please know that this home is being closely monitored (it is inspected twice as often as other nursing homes). You may also direct any questions you have to the contacts above. The good news is that about 50% of the nursing homes in the SFF program significantly improve their quality of care within 24-30 months after being selected for the SFF initiative, while about 16% tend to be terminated from Medicare and Medicaid. How to Interpret the Tables Below we list nursing homes in five (5) different categories: A. Table A New Additions: Nursing homes newly added to the SFF (which have not yet had a standard survey since being added to the list).

B. Table B Not Improved: Nursing homes that have failed to show significant improvement despite having had the opportunity to show improvement in at least one survey after being named as a SFF nursing home. C. Table C Improving: Nursing homes that have shown significant improvement, as indicated by the most recent survey, and CMS is waiting to see if the improvement continues over time. If the improvement continues for about 12 months (through two standard surveys), these nursing homes will graduate from the SFF list. Significant improvement means that the most recent standard survey (and any later compliant investigations) found no deficiencies in which there was actual harm to any resident, and no deficiency in which there was systemic potential for harm (i.e. no deficiency above an E level). D. Table D Recently Graduated: These nursing homes not only improved, but they sustained significant improvement for about 12 months (through two standard surveys). CMS congratulates these nursing homes and list their names as graduates for a few months after they graduate so that anyone who has been tracking their progress will be informed. Graduation does not mean that there may not be problems in quality of care, but does generally indicate an upward trend in quality improvement compared to the nursing homes prior history of care. E. Table E No Longer in Medicare and Medicaid: These are nursing homes that were either terminated by CMS from participation in Medicare and Medicaid within the past few months, or voluntarily chose not to continue such participation. In most cases the nursing homes will have closed, although some nursing homes that leave Medicare later seek to show better quality and re-enter the Medicare program after demonstrating their ability to comply with all Federal health and safety requirements. Important Note about Information Delays The State survey agencies are responsible for entering survey information into CMS databases and providing updates as needed. Every attempt is made to assure the accuracy and timeliness of the information on the list. However, data lags of up to several months can occur between completion of a survey and posting of data on this list. We advise interpreting this information cautiously and supplementing it with information from the ombudsman's office, the State survey agency, or other sources. Continued Improvements in the Special Focus Facility Initiative This website is the latest in a series of improvements CMS is making to address the problem of chronically under-performing nursing homes. In 2005, for example, we increased the number of SFF nursing homes by 30% and strengthened enforcement. In November 2007 we began publishing the names of SFF nursing homes that had failed to improve significantly. In February 2008 we added all other SFF nursing homes in a format that allows consumers to distinguish between nursing homes that were improving compared with those that are not. In April 2008 we added cross-links between the individual nursing home pages on our NH Compare website with the full SFF list. In August 2008 we announced methods by which SFF nursing homes may obtain additional technical assistance from the local Quality Improvement Organizations (QIOs)

to help them improve quality. In December 2008 we began rating all nursing homes using a Five-Star Quality Rating System on the website www.medicare.gov/NHCompare.

Table A - New Additions: These are nursing homes newly added to the SFF initiative (but which have not yet had a standard survey since being added to the list). If you wish to learn more about a specific home, please contact the State survey agency or the Ombudsman's office in your area which can be found in the Helpful Contacts section of Nursing Home Compare. Table B Not Improved: These are nursing homes that have failed to show significant improvement despite having had the opportunity to show improvement in at least one survey after being named a SFF nursing home. Table C - Improving: These are nursing homes that have show significant improvement, as indicated by the most recent survey, and CMS is waiting to see if the improvement continues over time. If the improvement continues, these nursing homes will graduate from the SFF list. Table D Recently Graduated: These are nursing homes that not only improved, but they sustained significant improvement for about 12 months (through two surveys). We congratulate these nursing homes and list their names as graduates for a few months after they graduate so that anyone who has been tracking their progress will be informed. Table E No Longer in Medicare and Medicaid: These are nursing homes that were either terminated by CMS from participation in Medicare and Medicaid within the past few months, or voluntarily chose not to continue such participation. In most cases the nursing homes will have closed, although some nursing homes that leave Medicare later seek to show better quality and re-enter the Medicare program after demonstrating their ability to comply with all Federal health and safety requirements.

Table A: Facilities Newly Added to the SFF Program Most Recent Survey Months as an SFF 3

Facility Name Pine Point Center

Address 67 Pine Point Rd

City Scarborough

State ME

ZIP 04074

Phone Number 207-883-2468

Updated September 19, 2013

Table B: Facilities That Have Not Improved Phone Number 334-727-1945 501-830-2273 707-425-0669 310-679-3344 714-547-7091 530-245-4112 626-798-1111 203-789-1650 302-234-5420 904-768-1506 712-322-9285 618-357-2493 219-756-0744 620-221-4660 785-825-5471 337-237-3940 508-679-0106 248-674-0903 517-629-5501 320-235-3181 816-524-3328 662-453-6323 856-468-2500 575-746-6006 702-565-8555 585-442-0450 315-474-4431 513-793-5222 513-793-5220 330-788-3038 405-733-1794 580-536-2866 405-685-4791 717-397-4281 570-474-6377 605-745-3460 Most Recent Survey 07/13/2013 07/12/2013 07/19/2013 05/15/2013 06/10/2013 07/08/2013 03/09/2013 06/03/2013 08/07/2013 08/22/2013 04/04/2013 04/11/2013 03/20/2013 07/03/2013 01/25/2013 02/04/2013 04/09/2013 08/09/2013 05/24/2013 12/04/2012 03/01/2013 03/22/2013 03/21/2013 07/30/2013 08/08/2013 08/08/2013 06/20/2013 05/03/2013 05/09/2013 06/25/2013 04/11/2013 05/17/2013 03/14/2013 03/05/2013 06/27/2013 03/27/2013 Months as an SFF 7 11 7 25 10 8 9 8 13 13 15 7 11 8 23 8 11 10 6 34 18 7 28 8 10 28 18 7 6 21 24 9 9 10 13 7

Facility Name Salem Nursing & Rehabilitation Center Of Tuskegee Chenal Heights Health And Rehabilitation Center Greenfield Care Center Of Fairfield Lawndale Healthcare & Wellness Centre Llc Park West Care And Rehabilitation Center Vibra Hospital Of Northern California D/P Snf Villa Oaks Conv Hospital Advanced Nursing & Rehab Center Of New Haven St. Francis Care/Brackenville Summer Brook Health Care Center Regency Rehab And Skilled Nursing Pinckneyville Health Care Ctr Spring Mill Health Campus Good Samaritan Society - Winfield Kenwood View Nursing Home Courtyard Manor Nurse Care Center & Assisted Liv Kimwell Clarkston Specialty Healthcare Center Magnumcare Of Albion, Llc Willmar Commons Nurs & Rehab Jefferson Health Care Golden Age Nh Inc Gloucester Manor Heartland Care Of Artesia Clearview Health And Rehabilitation Blossom South Nursing And Rehabilitation Center Rosewood Heights Health Center East Galbraith Health Care Center East Galbraith Nursing Home Pembrooke Place Nursing And Rehab Ctr Buena Vista Care And Rehabilitation Center Montevista Rehabilitation And Skilled Care South Park Care And Rehabilitation Center Golden Livingcenter-Lancaster Mountain Top Senior Care And Rehab Center Castle Manor

Address P O Drawer 830599 #3 Chenal Heights Drive 1260 Travis Blvd 15100 S Prairie 2210 E. First Street 2801 Eureka Way 1515 N.Fair Oaks Avenue 169 Davenport Ave 100 St. Claire Drive 5377 Moncrief Road 1600 Mcpherson 708 Virginia Court 101 W 87th Ave 1320 Wheat Rd 900 Elmhurst Blvd 306 Sydney Martin Road 495 New Boston Road 4800 Clintonville Rd 1000 W Erie St 500 Russell Street 615 Sw Oldham Parkway 2901 Highway 82 East 685 Salina Road 1402 West Gilchrist 1180 E. Lake Mead Drive 1175 Monroe Avenue 614 South Crouse Avenue 3889 East Galbraith Road 3875 East Galbraith Road 850 East Midlothian Blvd 1400 Buena Vista 7604 Quanah Parker Trailway 5725 South Ross 425 North Duke Street 185 South Mountain Boulevard 209 N 16th St

City Tuskegee Little Rock Fairfield Lawndale Santa Ana Redding Pasadena New Haven Hockessin Jacksonville Council Bluffs Pinckneyville Merrillville Winfield Salina Lafayette Fall River Clarkston Albion Willmar Lees Summit Greenwood Sewell Artesia Henderson Rochester Syracuse Cincinnati Cincinnati Youngstown Midwest City Lawton Oklahoma City Lancaster Mountain Top Hot Springs

State AL AR CA CA CA CA CA CT DE FL IA IL IN KS KS LA MA MI MI MN MO MS NJ NM NV NY NY OH OH OH OK OK OK PA PA SD

ZIP 36083 72223 94533 90260 92705 96001 91103 06519 19707 32209 51501 62274 46410 67156 67401 70507 02720 48346 49224 56201 64081 38930 08080 88210 89015 14620 13210 45236 45236 44507 73110 73505 73119 17602 18707 57747

Updated September 19, 2013

Table B: Facilities That Have Not Improved Phone Number 512-446-5893 512-756-6044 806-351-1000 214-372-1496 325-356-2571 801-479-8480 540-785-1120 802-447-6510 414-271-1020 715-344-1800 Most Recent Survey 04/19/2013 01/17/2013 06/13/2013 02/28/2013 06/13/2013 08/06/2013 06/21/2013 04/03/2013 06/05/2013 05/07/2013 Months as an SFF 11 24 17 34 9 11 20 9 21 15

Facility Name Manor Oaks Nursing Center Oaks Nursing Center Plum Creek Health Care Center Southaven Nursing Center Western Hills Healthcare Residence Ltd Mountain View Health Services Carriage Hill Health And Rehab Center Vermont Veterans Home Lake Terrace Health And Rehab Stevens Point Care Center

Address 222 S Fm 487 507 W Jackson St 5601 Plum Creek Dr 5300 University Hills Blvd 400 Old Sidney Rd 5865 South Wasatch Drive 6106 Health Center Lane 325 North Street 2115 E Woodstock Pl 1800 Sherman Ave

City Rockdale Burnet Amarillo Dallas Comanche Ogden Fredericksburg Bennington Milwaukee Stevens Point

State TX TX TX TX TX UT VA VT WI WI

ZIP 76567 78611 79124 75241 76442 84403 22407 05201 53202 54481

Updated September 19, 2013

Table C: Facilities That Have Shown Improvement Phone Number 205-655-3226 623-977-8373 949-496-5786 951-685-1531 661-327-7107 719-550-0200 386-677-7955 813-876-5141 305-556-9900 706-561-1371 770-967-2070 319-653-6526 641-856-2757 208-466-7803 217-543-2103 630-759-1112 574-287-6501 317-787-8951 859-744-1800 859-289-3492 270-843-3296 337-734-2555 337-365-2466 978-632-8776 508-853-6687 978-632-5477 410-987-1644 269-552-6500 269-792-2249 763-782-1611 218-744-7570 816-436-8940 417-334-6431 573-449-1448 601-833-2361 701-223-3040 402-752-3212 308-632-4342 603-627-4147 518-638-8274 315-435-5511 Most Recent Survey 04/26/2013 02/07/2013 07/24/2013 03/01/2013 06/20/2013 03/26/2013 08/22/2013 05/03/2013 08/15/2013 04/11/2013 06/06/2013 05/09/2013 05/09/2013 08/30/2013 04/04/2013 05/23/2013 04/04/2013 07/30/2013 08/08/2013 04/26/2013 08/23/2013 07/11/2013 08/15/2013 03/27/2013 07/16/2013 06/28/2013 05/16/2013 06/07/2013 06/07/2013 03/08/2013 04/04/2013 06/13/2013 02/25/2013 08/01/2013 05/09/2013 06/20/2013 08/13/2013 08/14/2013 01/04/2013 03/07/2013 03/15/2013 Months as an SFF 19 13 6 14 10 24 13 10 10 13 6 15 5 14 8 14 8 25 27 13 12 12 11 53 15 25 7 24 17 9 27 8 18 6 5 15 18 18 10 18 23

Facility Name Golden Living Center - Trussville Immanuel Campus Of Care Capistrano Beach Care Center Lifehouse Of Riverside Healthcare Center Parkview Healthcare Center Parkmoor Village Healthcare Center Avante At Ormond Beach, Inc Habana Health Care Center Signature Healthcare Center Of Waterford River Towne Center Willowwood Nursing Center All-American Restorative Care Of Washington, Inc Golden Age Skilled Nursing & R Trinity Mission Health & Rehab Of Midland Arthur Home Meadowbrook Manor - Bolingbrook Cardinal Nursing And Rehabilitation Center Friendship Healthcare Fountain Circle Care And Rehabilitation Center Johnson Mathers Nursing Home Kindred Transitional Care And Rehabilitation Rosew Golden Age Of Welsh, Llc New Iberia Manor North Legend Rehabilitation & Nursing Center Odd Fellows Home Of Massachusetts Wachusett Manor Knollwood Manor Nursing Home Borgess Gardens Laurels Of Sandy Creek (The) Crest View Lutheran Home Eveleth Health Services Park Cherry Hills Community & Rehabilitation Center Golden Livingcenter-Branson Parkside Manor Silver Cross Nh Baptist Home Inc Haven Home Northfield Retirement Communities Care Center Laurel Center Pleasant Valley Van Duyn Home And Hospital

Address 119 Watterson Parkway 11301 North 99th Avenue 35410 Del Rey 8781 Lakeview Avenue 329 North Real Road 3625 Parkmoor Village Drive 170 North Kings Road 2916 Habana Way 8333 W Okeechobee Road 5131 Warm Springs Rd 4595 Cantrell Road 601 E Polk St 1915 South 18th Street 46 North Midland Boulevard 423 Eberhardt Drive 431 West Remington Boulevard 1121 E Lasalle Ave 2630 S Keystone Ave 200 Glenway Road 2323 Concrete Road 550 High St. 410 South Simmons Street 1803 Jane Street 59 Eastwood Circle, P O Box 310 104 Randolph Road 32 Hospital Hill Road 899 Cecil Avenue 3057 Gull Road 425 E Elm St 4444 Reservoir Boulevard Northeast 227 Mckinley Avenue 724 Northeast 79th Terrace 996 State Highway 248 1201 Hunt Avenue 503 Silver Cross Drive 1100 E Boulevard Ave P O Box 10, 100 West Elm Avenue 2100 Circle Drive 480 Donald Street Route 40 5075 West Seneca Turnpike

City Trussville Peoria Capistrano Beach Riverside Bakersfield Colorado Springs Ormond Beach Tampa Hialeah Gardens Columbus Flowery Branch Washington Centerville Nampa Arthur Bolingbrook South Bend Indianapolis Winchester Carlisle Bowling Green Welsh New Iberia Gardner Worcester Gardner Millersville Kalamazoo Wayland Columbia Heights Eveleth Kansas City Branson Columbia Brookhaven Bismarck Kenesaw Scottsbluff Bedford Argyle Syracuse

State AL AZ CA CA CA CO FL FL FL GA GA IA IA ID IL IL IN IN KY KY KY LA LA MA MA MA MD MI MI MN MN MO MO MO MS ND NE NE NH NY NY

ZIP 35173 85345 92624 92509 93309 80917 32174 33614 33016 31909 30542 52353 52544 83651 61911 60440 46617 46203 40391 40311 42101 70591 70563 01440 01606 01440 21108 49048 49348 55421 55734 64118 65616 65202 39601 58501 68956 69361 03110 12809 13215

Updated September 19, 2013

Table C: Facilities That Have Shown Improvement Phone Number 845-440-1600 614-258-6623 740-574-8441 503-244-1107 570-454-8888 412-727-3451 401-949-3880 803-278-2170 615-256-4697 423-775-0771 325-365-2538 817-831-0545 281-354-2155 757-827-8953 804-320-7901 253-475-2507 509-925-4171 304-252-6317 307-283-2725 Most Recent Survey 02/26/2013 05/23/2013 03/08/2013 07/29/2013 07/25/2013 05/02/2013 05/02/2013 06/19/2013 06/27/2013 05/30/2013 04/18/2013 06/21/2013 06/21/2013 03/22/2013 08/08/2013 07/31/2013 09/04/2013 03/28/2013 08/22/2013 Months as an SFF 9 27 11 22 13 8 15 11 11 7 10 31 12 9 13 11 11 14 7

Facility Name Wingate At Beacon Bryden Place, Inc Concord Health & Rehab Ctr West Hills Health & Rehabilitation Center Mountain City Nursing And Rehabilitation Center West Haven Manor Cortland Place Unihealth Post-Acute Care - North Augusta Crestview Health And Rehabilitation Laurelbrook Sanitarium Central Texas Nursing & Rehabilitation Life Care Center Of Haltom Pine Shadow Retreat Coliseum Park Nursing Home Envoy Of Stratford Hills Avamere Skilled Nursing Of Tacoma Kittitas Valley Health & Rehab Center Pine Lodge Care And Rehabilitation Center Crook Co Medical Service District Long Term Care

Address 10 Hastings Drive 1169 Bryden Road 1242 Crescent Drive 5701 Sw Multnomah Blvd 403 Hazle Township Boulevard 151 Goodview Drive 20 Austin Avenue 1200 Talisman Drive 2030 25th Ave N 114 Campus Drive 1800 N Broadway St 2936 Markum Dr 23450 Pine Shadow Ln 305 Marcella Road 7246 Forest Hill Avenue 3625 East B Street 1050 E Mountain View 405 Stanaford Road 713 Oak Street

City Beacon Columbus Wheelersburg Portland Hazleton Apollo Greenville North Augusta Nashville Dayton Ballinger Fort Worth Porter Hampton Richmond Tacoma Ellensburg Beckley Sundance

State NY OH OH OR PA PA RI SC TN TN TX TX TX VA VA WA WA WV WY

ZIP 12508 43205 45694 97219 18202 15613 02828 29841 37208 37321 76821 76117 77365 23666 23225 98404 98926 25801 82729

Updated September 19, 2013

Table D: Facilities That Have Recently Graduated from the SFF Program Phone Number 479-754-2052 760-245-6477 559-268-6317 530-533-7335 510-261-2628 719-564-1735 203-932-2247 772-466-3322 229-382-7342 808-537-3371 641-791-1127 708-863-0500 618-344-7750 815-725-0443 708-389-3141 317-845-0032 317-876-9955 410-461-7577 207-725-7495 573-635-3131 662-494-6011 406-741-2992 704-633-2781 252-443-7666 252-459-3014 828-286-7200 856-451-5000 609-567-3100 518-359-3355 614-252-4987 740-532-0449 216-721-1400 412-329-5545 717-565-7000 864-489-3101 972-708-8800 608-776-4210 920-387-0354 Most Recent Survey 02/08/2013 07/12/2013 07/15/2013 05/23/2013 06/13/2013 02/14/2013 07/18/2013 04/11/2013 05/23/2013 04/08/2013 05/16/2013 03/29/2013 08/16/2013 03/01/2013 08/22/2013 07/16/2013 03/27/2013 08/19/2013 05/02/2013 02/28/2013 02/21/2013 04/25/2013 08/01/2013 05/09/2013 04/25/2013 06/14/2013 08/15/2013 04/17/2013 07/31/2013 06/20/2013 04/19/2013 03/08/2013 07/03/2013 06/06/2013 04/17/2013 04/10/2013 08/06/2013 03/19/2013 Months as an SFF 11 30 9 10 10 48 19 19 30 8 11 24 8 11 7 21 7 16 12 12 44 17 10 16 15 12 18 25 9 20 16 13 11 25 13 7 12 11

Facility Name Countryside Manor Desert Knolls Conv. Hospital Golden Cross Health Care Of Fresno Olive Ridge Post Acute Care Willow Tree Nursing Center Pueblo Care And Rehab Paradigm Healthcare Center Of West Haven, Llc Laurel Pointe Health And Rehabilitation Rehabilitation Center Of South Georgia Hale Nani Rehabilitation And Nursing Center Careage Of Newton Alden Town Manor Rehab & Hcc Elmwood Nursing & Rehab Center Fairview Care Center Of Joliet Plaza Nursing And Rehab Ctr Castleton Health Care Center Pyramid Point Post-Acute Rehabilitation Center Ellicott City Health & Rehabilitation Center Horizons Living And Rehab Center Jefferson City Nursing And Rehabilitation Ctr, Llc West Point Community Living Center Hot Springs Health & Rehabilitation Center Brightmoor Nursing Center Kindred Transitional Care & Rehab-Rocky Mount Universal Health Care/Nashville Willow Ridge Of Nc Llc Eagleview Health And Rehabilitation Hammonton Center For Rehabilitation And Healthcare Mercy Living Center Summit's Trace Healthcare Center Sunset Nursing Center University Manor Health & Reha Henry Clay Villa, Lp Spring Creek Rehabilitation And Health Care Center Brookview Healthcare Center Duncanville Healthcare And Rehabilitation Center Lafayette Manor Mayville Nur Rehab Ctr

Address 300 South Thompson Road 14973 Hesperia Road 1233 A Street 1000 Executive Parkway 2124 57th Ave. 2611 Jones Avenue 310 Terrace Ave 703 South 29th Street 2002 Tift Avenue North 1677 Pensacola Street 2130 West 18th Street South 6120 West Ogden 152 Wilma Drive 222 North Hammes 3249 West 147th Street 7630 E 86th St 8530 Township Line Rd 3000 North Ridge Rd. 29 Maurice Drive 1221 Southgate Lane 1122 N Eshman Avenue/P.O. Box 817 600 1st Ave N 610 West Fisher Street 160 Winstead Ave 1022 Eastern Avenue 237 Tryon Road 849 Big Oak Road 43 N White Horse Pike 114 Wawbeek Ave 935 North Cassady Avenue 813 1/2 Marion Pike 2186 Ambleside Rd 5253 National Pike 1205 South 28th Street 510 Thompson Street 419 S Cockrell Hill Rd 719 E Catherine St Box 167 305 S Clark St

City Lamar Victorville Fresno Oroville Oakland Pueblo West Haven Fort Pierce Tifton Honolulu Newton Cicero Maryville Joliet Midlothian Indianapolis Indianapolis Ellicott City Brunswick Jefferson City West Point Hot Springs Salisbury Rocky Mount Nashville Rutherfordton Pittsgrove Hammonton Tupper Lake Columbus Coal Grove Cleveland Markleysburg Harrisburg Gaffney Duncanville Darlington Mayville

State AR CA CA CA CA CO CT FL GA HI IA IL IL IL IL IN IN MD ME MO MS MT NC NC NC NC NJ NJ NY OH OH OH PA PA SC TX WI WI

ZIP 72846 92392 93706 95966 94621 81004 06516 34947 31794 96822 50208 60804 62062 60435 60445 46256 46260 21043 04011 65110 39773 59845 28145 27804 27856 28139 08318 08037 12986 43219 45638 44106 15459 17111 29340 75116 53530 53050

Updated September 19, 2013

Table E: Facilities No Longer Participating in the Medicare and Medicaid Program Phone Number 813-968-5093 785-234-0018 740-452-4351 570-888-5805 423-764-6151 Most Recent Survey 04/12/2013 05/03/2013 06/03/2013 12/20/2012 03/06/2013 Months as an SFF 15 35 56 31 16

Facility Name Lakeshore Villas Health Care Center Topeka Community Healthcare Autumn Healthcare Of Zanesville Ashton Healthcare Bristol Nursing Home

Address 16002 Lakeshore Villa Dr 1821 Se 21st St 1420 Autumn Drive 200 South Main Street 261 North Street

City Tampa Topeka Zanesville Athens Bristol

State FL KS OH PA TN

ZIP 33613 66607 43701 18810 37625

Updated September 19, 2013