Page 187 - Financial Workbook December

Towne Square Care of Puryear - SNF Page # 1 Rate 31 30 29 Type Room Semi 104-2 A A A A Pvt 115-1 A A A A Semi 112-1 Semi 112-1 A A A A Semi 102-2 A A A A Semi 173-1 A A A A Semi 114-1 Semi 114-1 HL HL HL HL Semi 169-1 A A A A Semi 171-2 A A A A Semi 106-2 - D Semi 173-2 A A A A Semi 168-1 A A A A S

25 28 27 26 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A
24 A A A A A A A A A A A A A A A A A A A A A A A A
23 A A A A A A A A A A A A A A A A A A A A A A A A
22 A A A A A A A A A A A A A A A A A A A A A A A A HL
21 A A A A A A A A A A A A A A A A A A A A A A A A A
20 A A A A A A A A A A A A A A A A A A A A A A A A A
19 A A A A A A A A A A A A A A A A A A A A A A A A A
18 A A A A A A A A A A A A A A A A A A A A A A A A A
17 A A A A A A A A A A A A A A A A A A A A A A A A A
16 A A A A A A A A A A A A A A A A A A A A A A A A A
15 14 13 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A
Detailed Census Report - By Payer Towne Square Care of Puryear - SNF Monthly Census - Ending December 2017 12 11 10 9 8 7 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A

12345 6 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A

Unit: All Floor: All Payers: All Bed Certification: All
Alt Care Level A A A A A A A A A A A A STD STD STD STD STD STD A A A A A A A A A A A
Care Level STD STD STD00 STD STD STD00 STD STD STD STD STD STD STD RVA10 RVA20 RHA0D RHA0D STD STD RHB10 UNK00 STD STD STD STD STD STD STD STD STD STD STD STD STD

# of Payer Code Days AMG 31 PP 31 MBC 27 4HMT AMG 31 MBC 31 MP 27 MP 4 UMC 31 AMG 31 HMT 27 0 AMG 31 MBC 31 MCA 4 MCA 15 MCA 1 MCA 11 MBC 5 MBC 8 MCA 14 4MCA UMC 28 0 MBC 31 AMG 31 MBC 31 PP 31 PP 31 UMC 31 MBC 31 HMT 31 HMT 31 AMG 31 MP 8 MP 1

Date: Jan 18, 2018 Time: 19:08:09 CT User: Karen Lancaster, RN Resident ResidentID Number Barker, Lori (BARK L) Barrera, Beatrice (BARR B) Beane, Jo Nell (BEANJ) Beazley, Rosalie (BEAZ R) Bell, Virginia (BELLV) BINKLEY, WILLIAM (BINKW) Boothe, Debra (BOOTD) Brunzel, Sandra (BRUN S) Cowsert, Frances (COWSF) Erwin, Wanda (ERWI W) Estes, Brenda (ESTEB) Fitzgerald, Thomas (FITZ T) Flanary, Dolores (FLAND) Hudson, Edith (HUDS E) Jeter, Daisy (JETED) Krolak, Donald