Roscoe Rehabilitation and Nursing Center

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Roscoe, NY

CMS overall rating

420 Rockland Road, Roscoe, NY 12776 View map

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Roscoe Rehabilitation and Nursing Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Roscoe Rehabilitation and Nursing Center accepts Medicaid, Medicare, and private pay.

Overview of Roscoe Rehabilitation and Nursing Center

Roscoe Rehabilitation and Nursing Center is a privately owned 85-bed skilled nursing and rehabilitation facility at 420 Rockland Road in Roscoe, Sullivan County, New York. It provides skilled nursing, post-acute rehabilitation, memory care, hospice and palliative care, and respite services. Medicare, Medicaid, and private pay are welcome.

CMS rates the facility five stars, with a health inspection sub-rating 76.1 percent above New York average. The latest inspection in August 2025 identified 20 deficiencies, a sharp increase from two to four in prior years, covering quality of care, ADL care, pressure ulcer treatment, care planning, and insufficient nursing staff, alongside broad life safety code issues. No fines or immediate jeopardy findings exist, and prior deficiencies were corrected within months. Nurse hours run 3h 7m per resident per day, 11 percent below New York average. Occupancy stands at 86 percent, in line with New York’s 88.3 percent average.

Clinical programs include cardiac rehabilitation, stroke recovery, joint replacement therapy, wound vac services, and TPN, a depth of post-acute services uncommon for a facility of this size in rural Sullivan County.

The community is ideal for residents seeking post-acute rehabilitation or long-term skilled nursing in Sullivan County, with strength in specialized clinical recovery programs.

Facility Direct Line (607) 498-4121 info@roscoegardenshc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to New York state averages

Total nursing care / resident

3h 7m per day

This facility New York avg (3h 35m per day)

vs New York avg

-13%

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	36m per day	▼ 14% State avg: 42m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	31m per day	▼ 34% State avg: 47m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 51m per day	▼ 16% State avg: 2h 11m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 37m per day	▼ 19% State avg: 3h 14m per day · National avg: 3h 27m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	7m per day	▼ 3% State avg: 7m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	28m per day	▼ 4% State avg: 29m per day · National avg: 29m per day

Capacity and availability

153 days

85-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 53 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

86%

Similar to the New York average: 88.3%

Occupied beds

73 / 85

Average occupied beds in New York homes 166 beds

Facility TypeNursing Home

StatusActive

CountySullivan

License Number5262301N

CMS Certification Number335316

Roscoe Rehabilitation and Nursing Center is legally operated by Roscoe Regional Healthcare, LLC (For Profit).

Owner NameRoscoe Regional Healthcare, LLC (For Profit)

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Pets not allowed

Private Suites

Wifi

Tv & Phone

Concierge Services

24 Hour Pharmacy

Inviting Lounges

Laundry & Housekeeping

Religious Services

Beauty Salon

Dining Hall

In-House Dietician

Community Outings

Game Groups

Art Therapy

Music Therapy

Holiday Celebrations

Religious Services

Operating Hours24/7 Admissions

Since 2022 · 4 years of data 0 enforcement actions 12 citations 20 complaints 5 inspections 6 complaint investigations

Inspection Score

13 points above the New York State average for nursing homes (83/100)

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. New York State state average

Overall vs. NY average

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	NY Average	vs. NY Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	12	13	This facility has 8% fewer total citations than a typical New York State nursing home (12 vs. NY avg 13).↓ 8% better
Health citations Citations related to resident care, clinical practices, and day-to-day operations.	8	20	This facility has 60% fewer health citations than a typical New York State nursing home (8 vs. NY avg 20).↓ 60% better
Life safety citations Citations related to building safety — fire prevention, emergency egress, and similar.	4	4	This facility has life safety citations in line with the New York State average (4 vs. NY avg 4).— At avg
Citations per inspection Average citations per inspection.	2.4	1.4	This facility has 71% more citations per inspection than a typical New York State nursing home (2.4 vs. NY avg 1.4).↑ 71% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NY Average	vs. NY Avg
Total inspections Combined count of all inspections conducted at this facility.	5	9	This facility has had 44% fewer total inspections than the New York State average (5 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 44% fewer
Inspections with citations Inspections that resulted in at least one regulatory citation.	4	4	This facility has inspections with citations in line with the New York State average (4 vs. NY avg 4).— At avg
Inspection citation rate Percentage of inspections that resulted in at least one citation.	80%	44%	This facility has 36 percentage points higher inspection citation rate than a typical New York State nursing home (80% vs. NY avg 44%).↑ 36% worse

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	NY Average	vs. NY Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	20	79	This facility has 75% fewer total complaints than a typical New York State nursing home (20 vs. NY avg 79).↓ 75% better
Complaints per year Average complaints per year since 2022.	5	19.8	This facility has 75% fewer complaints per year than a typical New York State nursing home (5 vs. NY avg 19.8).↓ 75% better
Complaints per bed Size-adjusted complaint rate based on occupied beds.	0.27	0.50	This facility has 46% fewer complaints per bed than a typical New York State nursing home (0.27 vs. NY avg 0.5).↓ 46% better
Complaint investigations On-site investigations triggered by complaints filed with New York State regulators.	6	15	This facility has 60% fewer complaint investigations than a typical New York State nursing home (6 vs. NY avg 15).↓ 60% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

August 29, 2025 inspection found 20 Level 2 deficiencies including nursing staff sufficiency, care planning, food sanitation, and life safety system maintenance.
All deficiencies from February 10, 2023 Covid-19 survey on exits, lighting, doors, and sprinklers were corrected by March 31, 2023.
August 16, 2023 inspection cited 3 isolated Level 2 deficiencies in ADL care, garbage disposal, and infection control, all corrected by October 16, 2023.

Show Inspection Reports

Inspections since 2019

Total health inspections 4

New York State average 3.6

Last Health inspection on Aug 2025

Total health citations

New York State average 18.5

Citations per inspection

1.5

New York State average 5.05

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

4 of 6 citations resulted from standard inspections; and 2 of 6 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)

Critical health citations

100% better than New York State average

New York State average: 0.2

Serious health citations

100% better than New York State average

New York State average: 0.2

0 critical citations New York State average: 0.2

0 serious citations New York State average: 0.2

6 moderate citations New York State average: 17.4

0 minor citations New York State average: 0.7

Citations history (last 7 years)

Nursing Services moderate citation Aug 29, 2025

Corrected

Infection Control moderate citation Aug 16, 2023

Corrected

Nutrition moderate citation Aug 16, 2023

Corrected

Quality of Care moderate citation Aug 16, 2023

Corrected

Employee Flu Vaccination Rate: 99%

Percentage of facility employees vaccinated against influenza.

Total staff 88

Employees 87

Contractors 1

Staff to resident ratio 1.16 : 1

561% more staff per resident than New York average

Avg staff/day 33

Average shift 7.8 hours

0% compared with New York average

Total staff hours (quarter) 23,583

Nursing staff breakdown

9.1 hours

9.5 hours

7.4 hours

Contractor staffing

18 contractor hours this quarter

Medical Director: 1

Staff by category


Certified Nursing Assistant	50	0	50	11,262	92	100%	7.4
Licensed Practical Nurse	10	0	10	3,566	92	100%	9.5
Registered Nurse	9	0	9	3,247	92	100%	9.1
Nurse Aide in Training	7	0	7	1,585	34	37%	7.5
Other Dietary Services Staff	3	0	3	1,074	91	99%	7.3
Respiratory Therapy Technician	2	0	2	754	65	71%	7.6
Nurse Practitioner	1	0	1	491	67	73%	7.3
Clinical Nurse Specialist	1	0	1	424	57	62%	7.4
Physical Therapy Aide	1	0	1	391	52	57%	7.5
Administrator	1	0	1	368	50	54%	7.4
Dietitian	1	0	1	334	45	49%	7.4
Occupational Therapy Aide	1	0	1	71	38	41%	1.9
Medical Director	0	1	1	18	7	8%	2.6

50 Certified Nursing Assistant

% of Days 100%

10 Licensed Practical Nurse

% of Days 100%

9 Registered Nurse

% of Days 100%

7 Nurse Aide in Training

% of Days 37%

3 Other Dietary Services Staff

% of Days 99%

2 Respiratory Therapy Technician

% of Days 71%

1 Nurse Practitioner

% of Days 73%

1 Clinical Nurse Specialist

% of Days 62%

1 Physical Therapy Aide

% of Days 57%

1 Administrator

% of Days 54%

1 Dietitian

% of Days 49%

1 Occupational Therapy Aide

% of Days 41%

1 Medical Director

% of Days 8%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 12.7

29% worse than New York State average

New York State average: 9.8

Functional decline score 15.4

15% better than New York State average

New York State average: 18.1

Long-stay resident measures

Need for Help with Daily Activities Increased 15.1%

8% better than New York State average

New York State average: 16.4%

Walking Ability Worsened 20.2%

22% worse than New York State average

New York State average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence 10.9%

49% better than New York State average

New York State average: 21.4%

Falls with Major Injury 4.6%

55% worse than New York State average

New York State average: 3.0%

High Risk Residents with Pressure Ulcers 10.4%

45% worse than New York State average

New York State average: 7.2%

Urinary Tract Infection 0.4%

74% better than New York State average

New York State average: 1.4%

Lost Too Much Weight 13.1%

114% worse than New York State average

New York State average: 6.1%

Depressive Symptoms 0.4%

98% better than New York State average

New York State average: 18.1%

Antipsychotic Use 9.0%

29% better than New York State average

New York State average: 12.6%

Pneumococcal Vaccine 98.2%

8% better than New York State average

New York State average: 91.4%

Influenza Vaccine 96.2%

In line with New York State average

New York State average: 95.2%

Short-stay resident measures

Pneumococcal Vaccine 91.5%

19% better than New York State average

New York State average: 76.6%

Antipsychotic medication increase 1.6%

29% worse than New York State average

New York State average: 1.3%

Influenza Vaccine 81.5%

In line with New York State average

New York State average: 78.8%

Breakdown by payment type

Medicare

46% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

25% of new residents, often for short stays.

Typical stay 2 months

Medicaid

29% of new residents, often for long-term daily care.

Typical stay 1 years

Total residents 76

Medicare

6.6% of residents

Medicaid

78.9% of residents

Private pay or other

14.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Roscoe Rehabilitation and Nursing Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 86.9% ↑ 4.7pp vs 2022

Net Patient Income $87.6K ↑ ~$367.2K vs 2022

Payroll Costs $4.2M ↑ ~$293.3K vs 2022

Operating Margin 1.0% ↑ 4.4pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2019	2020	2021	2022	2023
Occupancy %	97.5%	98.3%	99.3%	98.8%	96.2%	97.0%	97.0%	90.2%	84.7%	81.2%	82.2%	86.9%
Beds	85	85	85	85	85	85	85	87	87	87	87	87
Net Income	-$144,975	-$1,703,833	-$323,091	-$82,470	-$151,905	-$13,445	-$59,894	-$830,860	$438,587	$1,412,397	-$235,468	$201,474
Gross Revenue	$8,261,879	$7,852,594	$7,999,683	$7,977,427	$7,611,054	$7,598,589	$7,590,515	$10,143,087	$9,258,828	$9,108,456	$10,124,688	$8,773,334
Operating Expenses	$8,406,854	$8,572,535	$8,229,412	$8,060,465	$7,764,323	$7,619,663	$7,661,761	$9,457,325	$8,425,503	$7,669,374	$8,541,890	$8,685,748
Net Patient Income	-$144,975	-$1,734,882	-$341,897	-$83,038	-$153,269	-$21,074	-$71,246	-$832,913	$76,985	$801,371	-$279,566	$87,586
Net Patient Revenue	$8,261,879	$6,837,653	$7,887,515	$7,977,427	$7,611,054	$7,598,589	$7,590,515	$8,624,412	$8,502,488	$8,470,745	$8,262,324	$8,773,334
Payroll Costs	$5,254,872	$5,415,754	$5,323,221	$5,271,162	$5,220,826	$5,059,417	$5,014,455	$5,105,187	$4,114,216	$3,382,194	$3,893,045	$4,186,330
Operating Margin %	-1.8%	-25.4%	-4.3%	-1.0%	-2.0%	-0.3%	-0.9%	-9.7%	0.9%	9.5%	-3.4%	1.0%
Medicare %	8.4%	7.6%	9.5%	9.2%	12.8%	9.9%	9.6%	6.6%	11.9%	15.9%	13.6%	8.6%
Medicaid %	0.0%	77.9%	75.0%	78.9%	74.9%	78.8%	78.3%	37.6%	77.1%	74.1%	79.4%	81.4%
Private %	91.6%	14.5%	15.5%	11.9%	12.3%	11.3%	12.1%	55.8%	11.0%	10.0%	6.9%	10.0%
Net Patient Revenue/Day	$273	$224	$256	$260	$255	$253	$252	$301	$315	$329	$316	$318
Cost/Day	$278	$280	$267	$263	$260	$253	$255	$330	$312	$298	$327	$315
Avg Length of Stay	817.7 days	419.1 days	389.8 days	438.1 days	304.5 days	334.3 days	183.5 days	353.6 days	380.0 days	218.4 days	190.6 days	153.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$8.8M

Net patient income

$87.6K

For-profit Operated by a single business entity.

Net patient revenue

$8.8M

Net patient income

$87.6K

Other income

$113.9K

Payroll costs

$4.2M 47.7% of net patient revenue

Other operating costs

$4.5M

Total costs

$8.7M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (46% of admissions), and a typical Medicare stay runs around 29 days.

Coverage residents most often arrive under.

Medicare 46%

Private pay 25%

Medicaid 29%

Coverage residents most often leave under.

Medicare 32%

Private pay 22%

Medicaid 47%

0.0 miles from city center Estimated distance in miles from Roscoe's city center to Roscoe Rehabilitation and Nursing Center's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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United Hebrew of New Rochelle	NH AL IL MC SNF	New Rochelle	294 Facility 294 NY AVG 160 Rank #72 / 739	57.1% Facility 57.1% NY AVG 87.1 Rank #377 / 410	-34%	3.72 Facility 3.72 NY AVG 3.58 Rank #117 / 394	+31%	+4%	$0 Facility $0 NY AVG $67.6k Rank #1 / 402	96 Facility 96 NY AVG 83 Rank #43 / 608	7 Facility 7 NY AVG 18.5 Rank #31 / 401	2.3 Facility 2.3 NY AVG 5.1 Rank #29 / 401	-	168	-	80 Facility 80 NY AVG 63 Rank #454 / 1169	Rita Mabli	$31.9MFiscal year ending 12/2023 Facility $31.9MFiscal year ending 12/2023 NY AVG $32.0M Rank #127 / 388	$27.5MFiscal year ending 12/2023 Facility $27.5MFiscal year ending 12/2023 NY AVG $10.7M Rank #53 / 388	86%Fiscal year ending 12/2023 Facility 86%Fiscal year ending 12/2023 NY AVG 37% Rank #6 / 388	335621
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Roscoe Rehabilitation and Nursing Center	NH HOS PC RC SNF	Roscoe	85 Facility 85 NY AVG 160 Rank #554 / 739	85.9% Facility 85.9% NY AVG 87.1 Rank #330 / 410	-1%	3.11 Facility 3.11 NY AVG 3.58 Rank #238 / 394	-19%	-13%	$0 Facility $0 NY AVG $67.6k Rank #1 / 402	96 Facility 96 NY AVG 83 Rank #43 / 608	6 Facility 6 NY AVG 18.5 Rank #21 / 401	1.5 Facility 1.5 NY AVG 5.1 Rank #5 / 401	-	73	-	53 Facility 53 NY AVG 63 Rank #760 / 1169	Orly Lieberman	$8.8MFiscal year ending 12/2023 Facility $8.8MFiscal year ending 12/2023 NY AVG $32.0M Rank #376 / 388	$4.2MFiscal year ending 12/2023 Facility $4.2MFiscal year ending 12/2023 NY AVG $10.7M Rank #380 / 388	47.7%Fiscal year ending 12/2023 Facility 47.7%Fiscal year ending 12/2023 NY AVG 37% Rank #219 / 388	335316

Nursing Home Explorer

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled

General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $30,182 individual, higher due to NY Medicaid expansion

Higher asset limit; urban density increases demand.

Benefits

Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+

General New York resident, at risk of decline but not nursing home level.

Income Limits ~$2,500/month individual, varies

Asset Limits $15,000 individual

Cost-sharing required above certain income; urban/rural balance.

Benefits

In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Who is the owner of Roscoe Rehabilitation and Nursing Center?

Roscoe Rehabilitation and Nursing Center is legally operated by Roscoe Regional Healthcare, LLC (For Profit).

Is Roscoe Rehabilitation and Nursing Center in a walkable area?

Roscoe Rehabilitation and Nursing Center has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Roscoe Rehabilitation and Nursing Center?

According to NY state health department records, Roscoe Rehabilitation and Nursing Center's license number is 5262301N.

What is the occupancy rate at Roscoe Rehabilitation and Nursing Center?

Roscoe Rehabilitation and Nursing Center's occupancy is 86%.

Are pets allowed at Roscoe Rehabilitation and Nursing Center?

No, Roscoe Rehabilitation and Nursing Center has a no-pet policy.

Does Roscoe Rehabilitation and Nursing Center operate as a for-profit or non-profit?

Roscoe Rehabilitation and Nursing Center is registered as a for-profit in NY.

How many beds does Roscoe Rehabilitation and Nursing Center have?

Roscoe Rehabilitation and Nursing Center has 85 beds.

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Roscoe Rehabilitation and Nursing Center

Overview of Roscoe Rehabilitation and Nursing Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Roscoe Rehabilitation and Nursing Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Citations Citations are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Infection Prevention & Vaccination

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

50 Certified Nursing Assistant

10 Licensed Practical Nurse

9 Registered Nurse

7 Nurse Aide in Training

3 Other Dietary Services Staff

2 Respiratory Therapy Technician

1 Nurse Practitioner

1 Clinical Nurse Specialist

1 Physical Therapy Aide

1 Administrator

1 Dietitian

1 Occupational Therapy Aide

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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Community First Choice Option

Expanded In-Home Services for the Elderly Program (EISEP)

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