As a result, soil organic materials become increasingly nutrient rich as decomposition occurs. Cereal straw, for example, is made up of carbon and nitrogen in the ratio of 100:1 when it is added to the soil. As this material decomposes and forms humus, its carbon to nitrogen ratio decreases to 12:1.
According to the 2015 Genworth Financial cost of care survey, the average cost of skilled nursing in Pennsylvania is $8,790 per month.
For the first 20 days of SNF coverage, Medicare beneficiaries have no copayment. Medicare beneficiaries have a daily SNF copayment for the 21st through the 100th day indexed. annually at one-eighth (12.5 percent) of the current Part A deductible. For 2012, the daily. copayment is $144.50. SNFs are reimbursed under a prospective payment system (PPS), which began on July 1, 1998. The PPS reimbursement is a per diem âper dayâ amount that covers most costs of furnishing SNF. services to Medicare beneficiaries.