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Census-For the entire report period. Patient Days by Level of Care and Primary Source of Payment Medicaid Recipient Private Pay Total SNF SNF/PED 23 472 ICF ICF/DD SC DD 16 OR LESS C. E.g. day care meals on wheels outpatient therapy None Beds at End of Bed Days During Skilled SNF Skilled Pediatric SNF/PED Intermediate ICF Intermediate/DD Sheltered Care SC ICF/DD 16 or Less TOTALS 24 455 B. Declaration of preparer other than provider is based on all information of which preparer has any...

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