VANGUARD SPECIALIZED REIT INDEX FUND

   Nursing Homes Affiliated with VANGUARD SPECIALIZED REIT INDEX FUND

Table below shows each skilled nursing home that VANGUARD SPECIALIZED REIT INDEX FUND is associated with, the nursing home's overall 5-star quality rating and provides a link to a comparison on the home to its local competition.

The Centers for Medicare and Medicaid uses nine categories to indicate how owners and managers are affiliated with skilled nursing facilities: 5% Or Greater Direct Ownership Interest, 5% Or Greater Indirect Ownership Interest, 5% Or Greater Mortgage Interest, 5% Or Greater Security Interest, Director, Managing Employee, Officer, Operational/managerial Control, and Partnership Interest. These categories are shown in the table below.

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Skilled Nursing Facility	Description
CALUSA HARBOUR Role: 5% or greater indirect ownership interest	No. of Beds: 60 FORT MYERS, FL Ranking: #11 out of 31 (Ranking List)
GARDENS OF PORT ST LUCIE, THE Role: 5% or greater indirect ownership interest	No. of Beds: 30 PORT SAINT LUCIE, FL Ranking: #9 out of 19 (Ranking List)
STRATFORD COURT OF PALM HARBOR Role: 5% or greater indirect ownership interest	No. of Beds: 60 PALM HARBOR, FL Ranking: #1 out of 105 (Ranking List)

Skilled nursing homes with the red icon () are homes where CMS had indicated that abuse has actually occurred or is likely to have occurred.

   Other Skilled Nursing Facilities Previously Associated with VANGUARD SPECIALIZED REIT INDEX FUND

Table below shows each skilled nursing home that VANGUARD SPECIALIZED REIT INDEX FUND was previously associated with, the nursing home's overall 5-star quality rating and provides a link to a comparison on the home to its local competition.

Skilled Nursing Facility	Description
THE GARDENS OF SCOTTSDALE Most Recent Record: 06/01/2021 Role: 5% or greater indirect ownership interest	No. of Beds: 44 SCOTTSDALE, AZ Ranking: #7 out of 84 (Ranking List)
THE GARDENS OF SUN CITY Most Recent Record: 01/01/2017 Role: 5% or greater indirect ownership interest	No. of Beds: 58 SUN CITY, AZ
BROOKDALE MOUNTAIN VIEW Most Recent Record: 01/01/2019 Role: 5% or greater indirect ownership interest	No. of Beds: 56 DENVER, CO
BARRINGTON TERRACE OF BOYNTON BEACH Most Recent Record: 09/01/2019 Role: 5% or greater indirect ownership interest	No. of Beds: 29 BOYNTON BEACH, FL Ranking: #14 out of 75 (Ranking List)
CHURCH CREEK Most Recent Record: 07/01/2021 Role: 5% or greater indirect ownership interest	No. of Beds: 56 ARLINGTON HTS, IL Ranking: #74 out of 262 (Ranking List)
SAVANNAH GRACE AT THE PALMS OF MT PLEASANT Most Recent Record: 08/01/2021 Role: 5% or greater indirect ownership interest	No. of Beds: 42 MOUNT PLEASANT, SC Ranking: #9 out of 17 (Ranking List)
THE GARDENS OF BELLAIRE Most Recent Record: 08/01/2021 Role: 5% or greater indirect ownership interest	No. of Beds: 46 BELLAIRE, TX Ranking: #34 out of 118 (Ranking List)
Villa Valencia Healthcare Center Most Recent Record: 09/01/2020 Role: 5% or greater indirect ownership interest	No. of Beds: 59 LAGUNA HILLS, CA Ranking: #5 out of 113 (Ranking List)

Skilled nursing homes with the red icon () are homes where CMS had indicated that abuse has actually occurred or is likely to have occurred.

  About the NursingHomeDatabase Skilled Nursing Owners Database

Our database of information about owners, managers, and directors of skilled nursing homes is based primarily on data provided by the Centers for Medicare & Medicaid ("CMS"). CMS updates this information eleven times a year, typically at the end of each calendar month except for December. We pull the data as soon as it is available, run through a series of data checks and calculations and make the new data available right away.

The ownership data is typically just over 155,000 records covering over 45,000 individuals and companies that either own or are managing skilled nursing homes. The number of nursing homes in the NursingHomeDatabase skilled nursing home database is just over 15,000 which suggests that most homes will have more than one owner or operator and that many individuals and companies are involved with more than one nursing home. There are nine unique roles that are reported on:

• 5% OR GREATER DIRECT OWNERSHIP INTEREST
• 5% OR GREATER INDIRECT OWNERSHIP INTEREST
• 5% OR GREATER MORTGAGE INTEREST
• 5% OR GREATER SECURITY INTEREST
• DIRECTOR
• MANAGING EMPLOYEE
• OFFICER
• OPERATIONAL/MANAGERIAL CONTROL
• PARTNERSHIP INTEREST

The data is based upon records submitted to CMS by the individual nursing homes. There is often a lag time between the reporting of a change and its appearance in our database.