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Directory Results for 2017.08.15 CR4922 Franklin Care Center v. CMS. Franklin Care Center (Petitioner or facility) is a skilled nursing facility (SNF) that participates in the Medicare program. Based on a survey completed on November 3, 2014, the Centers for to 2017.08.31 CR4932 Brian Vacca, M.D. v. CMS. I sustain the determination of the Medicare contractor, as affirmed upon reconsideration, to assign an effective Medicare participation date to Brian Vacca, M.D., of December 22, 2016, with