DATE: 09/03/17 @ 1616 The Burke Rehabilitation Hospital ADM PAGE 1

USER: IS.SCRIPT Date Census

From 09/03/17 Thru 09/03/17

MDS
Care Ref Valid Lock Hold Accom Hold Discharge
Account Num Patient Name Ins Grp Room-Bed Location Lvl Mod Date Days Date From Date Thru Date Days Rate Days Dispo

W00001219047 ALLEN,MICHAEL BC 135-02 B1NN 09/03/17 09/03/17 1 0

W00001219007 AMATO,DONNA HM 156-02 B1WE 09/03/17 09/03/17 1 0
W00001219622 ANNUNZIATA,THOMAS A BC 108-01 B1EA 09/03/17 09/03/17 1 0
W00001220412 ARONOFF,MILLICENT MCR 217-01 B2EA 09/03/17 09/03/17 1 0
W00001219538 BAKER,QUINTON BC 105-02 B1EA 09/03/17 09/03/17 1 0
W00001219364 BANIK,SUNIL HM 252-01 B2WEII 09/03/17 09/03/17 1 0
W00001219298 BARRETO,MARIA HM 219-02 B2EA 09/03/17 09/03/17 1 0
W00001219507 BARRON,CHRISTINE BC 244-02 B2WEII 09/03/17 09/03/17 1 0
W00001219446 BENTLEY,JANICE MCR 204-01 B2EA 09/03/17 09/03/17 1 0
W00001219011 BRAUN KLEINFELD,BETTY MCR 133-02 B1NN 09/03/17 09/03/17 0 0 01
W00001219739 BRECHT,GEORGE J MCR 107-02 B1EA 09/03/17 09/03/17 1 0
W00001219645 BROUTMAN,SHELDON MCR 125-02 B1NN 09/03/17 09/03/17 1 0
W00001219561 CALIDONIO,MANUEL A HM 252-02 B2WEII 09/03/17 09/03/17 1 0
W00001219115 CAMINITI,JOSEPH S MCR 215-01 B2EA 09/03/17 09/03/17 1 0
W00001219380 CAPUANO,JOHN J HM 135-01 B1NN 09/03/17 09/03/17 1 0
W00001219547 CARPENTER,JAMES HM 141-01 B1WE 09/03/17 09/03/17 1 0
W00001219284 CARTY,CHRISTELL HM 245-01 B2WEII 09/03/17 09/03/17 1 0
W00001218923 CASSAMAJOR,MARIE SP 205-02 B2EA 09/03/17 09/03/17 1 0
W00001219255 CHUNG,SOOKZA MCR 212-01 B2EA 09/03/17 09/03/17 1 0
W00001219323 COLBERT,JACK MCD 143-02 B1WE 09/03/17 09/03/17 1 0
W00001219160 COLLINS,JAMES F MCR 128-01 B1NN 09/03/17 09/03/17 1 0
W00001219465 COLLINS,JAMES R MCR 206-02 B2EA 09/03/17 09/03/17 1 0
W00001219544 COMSTOCK,GRAYDON E MCR 132-01 B1NN 09/03/17 09/03/17 1 0
W00001219483 CROUSSET,RAPHAEL BC 255-02 B2WEII 09/03/17 09/03/17 1 0
W00001217528 CUEVAS,YBERTO SP 122-02 B1NN 09/03/17 09/03/17 1 0
W00001219294 CUMMINGS,JOHN BC 114-02 B1EA 09/03/17 09/03/17 1 0
W00001219491 DANGELICA,DOMENICK MCR 157-02 B1WE 09/03/17 09/03/17 1 0
W00001217873 DELLACAVA,JANE MCR 207-02 B2EA 09/03/17 09/03/17 1 0
W00001219571 DIGGS,PATRICIA A MCR 156-01 B1WE 09/03/17 09/03/17 1 0
W00001219184 DIRKS,DONALD N MCR 134-01 B1NN 09/03/17 09/03/17 1 0
W00001219279 DUNBAR,RALPH HM 121-01 B1NN 09/03/17 09/03/17 1 0
W00001219163 EAPEN,EZHAMALIL I MCR 126-01 B1NN 09/03/17 09/03/17 1 0
W00001219760 EIDELMAN,SHARON MCR 145-01 B1WE 09/03/17 09/03/17 1 0
W00001219278 ELLIOTT JR,HENRY P MCR 123-01 B1NN 09/03/17 09/03/17 1 0
W00001219194 ENGLISH,JOHN MCR 213-01 B2EA 09/03/17 09/03/17 1 0
W00001219082 EPPS,KATRINA Y MCD 220-01 B2EA 09/03/17 09/03/17 1 0
W00001219590 EVANS,LUCINDA MCR 144-02 B1WE 09/03/17 09/03/17 1 0
W00001219749 FAY,ANNE T MCR 219-01 B2EA 09/03/17 09/03/17 1 0
W00001219328 FEDER,MORRIS J MCR 256-01 B2WEII 09/03/17 09/03/17 1 0
W00001219493 FERNANDES,VICTOR M HM 129-01 B1NN 09/03/17 09/03/17 1 0
W00001219081 FIGUEROA,ISABELLA A HM 214-01 B2EA 09/03/17 09/03/17 1 0
W00001219626 FLEISCHNER,MORTON J MCR 255-01 B2WEII 09/03/17 09/03/17 1 0
W00001219471 FRIES,FORTUNA MCR 136-02 B1NN 09/03/17 09/03/17 1 0
W00001219714 GALLUZZI,JOHN M BC 203-02 B2EA 09/03/17 09/03/17 1 0
W00001217463 GARCIA,EDWIN SP 251-01 B2WEII 09/03/17 09/03/17 1 0
W00001215931 GARCIA,JESUS D MCD 250-01 B2WEII 09/03/17 09/03/17 1 0
W00001219550 GAUDENZI,GENE HM 216-02 B2EA 09/03/17 09/03/17 1 0
W00001219543 GEISS,JOSEPH MCD 247-01 B2WEII 09/03/17 09/03/17 1 0
W00001219443 GILKAROV,YAKOV HM 243-01 B2WEII 09/03/17 09/03/17 1 0
W00001219474 GORELICK,VICTOR HM 154-01 B1WE 09/03/17 09/03/17 1 0
W00001218071 HALL,STEPHEN N MCR 154-02 B1WE 09/03/17 09/03/17 1 0
W00001219209 HARRIS,JOHN F HM 148-01 B1WE 09/03/17 09/03/17 1 0
DATE: 09/03/17 @ 1616 The Burke Rehabilitation Hospital ADM PAGE 2
USER: IS.SCRIPT Date Census
From 09/03/17 Thru 09/03/17

MDS
Care Ref Valid Lock Hold Accom Hold Discharge
Account Num Patient Name Ins Grp Room-Bed Location Lvl Mod Date Days Date From Date Thru Date Days Rate Days Dispo

W00001219625 HERBERT,ROBERT A MCR 115-02 B1EA 09/03/17 09/03/17 1 0

W00001219372 HUGHES,PAUL BC 105-01 B1EA 09/03/17 09/03/17 1 0
W00001219385 JACKSON,ALGY A MCR 149-01 B1WE 09/03/17 09/03/17 1 0
W00001219376 JANOS,CLARE M HM 117-01 B1EA 09/03/17 09/03/17 1 0
W00001219741 JOHNSON,EFFIE M MCR 155-01 B1WE 09/03/17 09/03/17 1 0
W00001219468 JOHNSON,VERONICA A MCR 205-01 B2EA 09/03/17 09/03/17 1 0
W00001219370 KEIDAN,DAVID B MCR 109-01 B1EA 09/03/17 09/03/17 1 0
W00001219439 KINNIE,JAMES MCR 241-02 B2WEII 09/03/17 09/03/17 1 0
W00001219212 KOLOSKY,KEVIN BC 216-01 B2EA 09/03/17 09/03/17 1 0
W00001219394 KURCHE,ANTHONY T MCR 102-02 B1EA 09/03/17 09/03/17 1 0
W00001219397 LAING,RICHARD CO 253-01 B2WEII 09/03/17 09/03/17 1 0
W00001219533 LALUZ,NANCY CO 133-01 B1NN 09/03/17 09/03/17 1 0
W00001219460 LAVERY,BRIAN WC 114-01 B1EA 09/03/17 09/03/17 1 0
W00001219360 LERER,RICHARD MCR 153-01 B1WE 09/03/17 09/03/17 1 0
W00001218982 LOCKER,LOIS WC 150-01 B1WE 09/03/17 09/03/17 1 0
W00001219371 LOUDON KING,GAY W BC 240-01 B2WEII 09/03/17 09/03/17 1 0
W00001219369 LUCIA,DORA MCR 138-02 B1NN 09/03/17 09/03/17 1 0
W00001218927 MACMORAN,DOROTHY HM 151-01 B1WE 09/03/17 09/03/17 1 0
W00001219495 MACRI,JOAN M MCR 144-01 B1WE 09/03/17 09/03/17 1 0
W00001219349 MAGILL,JOHN A MCR 253-02 B2WEII 09/03/17 09/03/17 1 0
W00001218143 MAHARAJ,DEONARINE MCR 206-01 B2EA 09/03/17 09/03/17 1 0
W00001215850 MALONEY,PATRICK F CO 259-01 B2WEII 09/03/17 09/03/17 1 0
W00001219025 MANUELE,MICHAEL MCD 208-01 B2EA 09/03/17 09/03/17 1 0
W00001219306 MARTINEZ MAISONET,CARMEN HM 218-02 B2EA 09/03/17 09/03/17 1 0
W00001219134 MARTONE JR,RALPH MCR 254-01 B2WEII 09/03/17 09/03/17 1 0
W00001219225 MCCARTHY,ELIZABETH M MCR 145-02 B1WE 09/03/17 09/03/17 1 0
W00001219545 MCELHATTON,DENISE MCD 137-02 B1NN 09/03/17 09/03/17 1 0
W00001219131 MESSINA,JAMES J HM 110-01 B1EA 09/03/17 09/03/17 1 0
W00001218863 MEYER,ARTHUR BC 140-02 B1WE 09/03/17 09/03/17 1 0
W00001219262 MICHEL,ANN S MCR 103-02 B1EA 09/03/17 09/03/17 1 0
W00001219090 MONTAQUE,OREON O MCR 122-01 B1NN 09/03/17 09/03/17 1 0
W00001219133 MOORE,ANTHONY BC 203-01 B2EA 09/03/17 09/03/17 1 0
W00001219231 MORUZZI,JOAN P MCR 117-02 B1EA 09/03/17 09/03/17 1 0
W00001219205 MUCKLER,TYWON D MCR 113-01 B1EA 09/03/17 09/03/17 1 0
W00001219390 MULVEY,STEVEN CO 258-01 B2WEII 09/03/17 09/03/17 1 0
W00001219337 ONEILL,JAMIESON HM 126-02 B1NN 09/03/17 09/03/17 1 0
W00001219158 OSULLIVAN,PAULINE M MCR 104-02 B1EA 09/03/17 09/03/17 1 0
W00001219569 OVERING,FRED MCR 123-02 B1NN 09/03/17 09/03/17 1 0
W00001219466 PALADINO,DOLORES HM 207-01 B2EA 09/03/17 09/03/17 1 0
W00001219596 PANOFF,ALLAN P MCR 152-02 B1WE 09/03/17 09/03/17 1 0
W00001219492 PATTERSON,GREGORY P MCR 141-02 B1WE 09/03/17 09/03/17 1 0
W00001219317 PERL,HELEN MCR 137-01 B1NN 09/03/17 09/03/17 1 0
W00001219149 PERRAULT,ELLEN L MCR 244-01 B2WEII 09/03/17 09/03/17 1 0
W00001219441 POHL,SELMA G MCR 245-02 B2WEII 09/03/17 09/03/17 1 0
W00001219388 POMERANZ,PAULETTE MCR 147-01 B1WE 09/03/17 09/03/17 1 0
W00001219202 PORDY,EDWIN S MCR 140-01 B1WE 09/03/17 09/03/17 1 0
W00001219352 PRINGLE,GRACE C HM 220-02 B2EA 09/03/17 09/03/17 1 0
W00001219723 QUILLINAN,MARK T CO 118-01 B1EA 09/03/17 09/03/17 1 0
W00001219683 RASHKIN,RAPHAEL MCR 242-01 B2WEII 09/03/17 09/03/17 1 0
W00001219549 REDMAN,DAVID BC 134-02 B1NN 09/03/17 09/03/17 1 0
W00001219145 REID,HEADLEY G MCR 116-01 B1EA 09/03/17 09/03/17 1 0
W00001219303 RICKETTS,ALTIMAN MCR 125-01 B1NN 09/03/17 09/03/17 1 0
DATE: 09/03/17 @ 1616 The Burke Rehabilitation Hospital ADM PAGE 3
USER: IS.SCRIPT Date Census
From 09/03/17 Thru 09/03/17

MDS
Care Ref Valid Lock Hold Accom Hold Discharge
Account Num Patient Name Ins Grp Room-Bed Location Lvl Mod Date Days Date From Date Thru Date Days Rate Days Dispo

W00001219238 RICKS,MILDRED J CO 249-01 B2WEII 09/03/17 09/03/17 1 0

W00001219509 RISPOLI,G LOIS MCR 204-02 B2EA 09/03/17 09/03/17 1 0
W00001218875 RIVERA,TICBEZAY HM 136-01 B1NN 09/03/17 09/03/17 1 0
W00001219285 RUBIN,CLIFFORD MCR 121-02 B1NN 09/03/17 09/03/17 1 0
W00001219481 RUDOLF,ROBERT J MCR 116-02 B1EA 09/03/17 09/03/17 1 0
W00001216447 RYCYK,LAWRENCE NF 124-02 B1NN 09/03/17 09/03/17 1 0
W00001219540 SCHOSBERG,PAUL A MCR 119-02 B1EA 09/03/17 09/03/17 1 0
W00001216573 SHERMAN,BERNARD HM 243-02 B2WEII 09/03/17 09/03/17 1 0
W00001219036 SILVER,JEFFREY HM 209-01 B2EA 09/03/17 09/03/17 1 0
W00001219504 SIMANOWITZ,SHEILA MCR 106-02 B1EA 09/03/17 09/03/17 0 0 07
W00001219592 SIMMONS,BEVERLEY T MCR 130-01 B1NN 09/03/17 09/03/17 1 0
W00001219651 SLADEK,BRIDGET J HM 106-01 B1EA 09/03/17 09/03/17 1 0
W00001219702 SPARNO,ROSARIO BC 210-01 B2EA 09/03/17 09/03/17 1 0
W00001219097 SPECHT,WALTER C MCR 112-01 B1EA 09/03/17 09/03/17 1 0
W00001219435 SPEDAFINO,FRANCIS P BC 107-01 B1EA 09/03/17 09/03/17 1 0
W00001219288 SPITALE,ALIDA MCR 146-01 B1WE 09/03/17 09/03/17 1 0
W00001219744 SPRIO,LOUIS MCR 111-01 B1EA 09/03/17 09/03/17 1 0
W00001219669 STAMELMAN,PETER MCR 115-01 B1EA 09/03/17 09/03/17 1 0
W00001219314 TASSINI,ELSIE MCR 217-02 B2EA 09/03/17 09/03/17 1 0
W00001219276 THOMPSON,CHINIKA MCD 240-02 B2WEII 09/03/17 09/03/17 1 0
W00001217979 TORRES,LUCY L HM 131-01 B1NN 09/03/17 09/03/17 1 0
W00001216345 URENA,JUAN E HM 143-01 B1WE 09/03/17 09/03/17 1 0
W00001219377 VARGAS,DONNY MCR 242-02 B2WEII 09/03/17 09/03/17 1 0
W00001219628 VELLANE,LOUISE B MCR 104-01 B1EA 09/03/17 09/03/17 1 0
W00001219444 VENTURINI,DOMINICK CO 215-02 B2EA 09/03/17 09/03/17 1 0
W00001219697 VIDAL,RENSO MCD 211-01 B2EA 09/03/17 09/03/17 1 0
W00001219310 VILLEGAS,CARLOS HM 257-01 B2WEII 09/03/17 09/03/17 1 0
W00001219612 VISSER,PRISCILLA MCR 127-01 B1NN 09/03/17 09/03/17 1 0
W00001219762 WEINER,ABBY A MCR 153-02 B1WE 09/03/17 09/03/17 1 0
W00001218883 WEITZ,HAROLD MCR 102-01 B1EA 09/03/17 09/03/17 1 0
W00001219508 WHITE,DOMINIQUE BC 246-01 B2WEII 09/03/17 09/03/17 1 0

TOTALS 133 0

Note: An asterisk (*) denotes a same day bed hold.

DATE: 09/03/17 @ 1616 The Burke Rehabilitation Hospital ADM PAGE 1
USER: IS.SCRIPT Date Census Summary
From 09/03/17 Thru 09/03/17

DATE RANGE FACILITY SUMMARY - BY LOCATION

Location BC CO HM MCD MCR NF SP WC TOTAL

--------------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
B1EA 5 1 3 0 16 0 0 1 26
B1NN 2 1 6 1 15 1 1 0 27
B1WE 1 0 6 1 16 0 0 1 25
B2EA 4 1 7 3 12 0 1 0 28
B2WEII 4 4 6 3 9 0 1 0 27
--------------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
TOTAL 16 7 28 8 68 1 3 2 133
DATE: 09/03/17 @ 1616 The Burke Rehabilitation Hospital ADM PAGE 2
USER: IS.SCRIPT Date Census Summary
From 09/03/17 Thru 09/03/17

DATE RANGE FACILITY SUMMARY - BY CARE LEVEL

Care Level BC CO HM MCD MCR NF SP WC TOTAL

--------------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
16 7 28 8 68 1 3 2 133
--------------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
TOTAL 16 7 28 8 68 1 3 2 133