Table # Values
licensed_facility_listing_02 1 oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 020000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 03/19/1954
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
longitude: -122.084905
latitude: 37.69555

licensed_facility_listing_03 1 oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 20000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 1
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 3/19/1954
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.69555
longitude: -122.084905

licensed_facility_listing_04 1 oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 020000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 1954-03-19
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.69555000
longitude: -122.08490500

licensed_facility_listing_11 1 oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 020000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 1954-03-19
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.69555000
longitude: -122.08490500

licensed_facility_listing_12 1 oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 020000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 1954-03-19
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.69555000
longitude: -122.08490500

licensed_facility_listing_13 1 oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 020000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 1954-03-19
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.69555000
longitude: -122.08490500

licensed_healthcare_facility_listing 6 period: 2016-12-31
oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 020000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 1954-03-19
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.69555000
longitude: -122.08490500

period: 2017-12-31
oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 20000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 1
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 1954-03-19
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.69555000
longitude: -122.08490500

period: 2018-12-31
oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 020000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 1954-03-19
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.69555000
longitude: -122.08490500

period: 2017-06-30
oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 020000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 1954-03-19
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.69555000
longitude: -122.08490500

period: 2018-06-30
oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 020000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 1954-03-19
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.69555000
longitude: -122.08490500

period: 2019-06-30
oshpd_id: 206010862
facility_name: WISTERIA CARE CENTER
license_num: 020000054
facility_level_desc: Parent Facility
dba_address1: 20524 WISTERIA STREET
dba_city: CASTRO VALLEY
dba_zip_code: 94546
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 23
facility_status_desc: Open
facility_status_date: 1954-03-19
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.69555000
longitude: -122.08490500

long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
fac_address_one: 20524 WISTERIA STREET
fac_address_two: None
fac_city: CASTRO VALLEY
fac_zipcode: 94546
fac_phone: 510-727-9169
fac_admin_name: Ruth F. Hernandez
fac_oper_curryr: Yes
beg_date: 2012-01-01 00:00:00
end_date: 2012-12-31 00:00:00
parent_name: United Family Medical Supply
parent_address_one: 20524 Wisteria St
parent_address_two: None
parent_city: Castro Valley
parent_state: CA
parent_zip_9: 94546
report_prep_name: Ruth Hernandez
lic_status: Open
lic_status_date: 1954-03-19 00:00:00
lic_orig_date: 1954-03-19 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000004
assembly_dist: 18
senate_dist: 10
congress_dist: 9
cens_tract: 6001430900
med_svc_study_area: 2f
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000054
longitude: -122.084905
latitude: 37.69555
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: YES
cert_mcal_sn_md: None
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 22
sn_md_ltc_cens_py: 0
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
ltc_cens_py_totl: 22
sn_gen_ltc_adm: 6
sn_md_ltc_adm: 0

long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_2013 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
fac_address_one: 20524 WISTERIA STREET
fac_address_two: None
fac_city: CASTRO VALLEY
fac_zipcode: 94546
fac_phone: 510-727-9169
fac_admin_name: Ruth Floreza Hernandez
fac_oper_curryr: Yes
beg_date: 2013-01-01 00:00:00
end_date: 2013-12-31 00:00:00
parent_name: United Family Medical Supply,Inc.
parent_address_one: 20524 Wisteria St.
parent_address_two: None
parent_city: Castro Valley
parent_state: CA
parent_zip_9: 94546
report_prep_name: Ruth Hernandez
lic_status: Open
lic_status_date: 1954-03-19 00:00:00
lic_orig_date: 1954-03-19 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000004
assembly_dist: 20
senate_dist: 10
congress_dist: 15
cens_tract: 6001430900
med_svc_study_area: 2f
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000054
longitude: -122.084905
latitude: 37.69555
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: YES
cert_mcal_sn_md: None
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 23
sn_md_ltc_cens_py: 0
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
ltc_cens_py_totl: 23
sn_gen_ltc_adm: 3
sn_md_ltc_adm: 0

long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_2014 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
fac_address_one: 20524 WISTERIA STREET
fac_address_two: None
fac_city: CASTRO VALLEY
fac_zipcode: 94546
fac_phone: 510-727-9169
fac_admin_name: Ruth F. Hernandez
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: United Family Medical Supply, Inc.
parent_address_one: 20524 Wisteria Sreer
parent_address_two: None
parent_city: Castro Valley
parent_state: CA
parent_zip_9: 94546
report_prep_name: Ruth Hernandez
lic_status: Open
lic_status_date: 1954-03-19 00:00:00
lic_orig_date: 1954-03-19 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000004
assembly_dist: 20
senate_dist: 10
congress_dist: 15
cens_tract: 6001430900
med_svc_study_area: 2f
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000054
longitude: -122.085188
latitude: 37.696051
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: YES
cert_mcal_sn_md: None
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 23
sn_md_ltc_cens_py: 0
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 23
sn_gen_ltc_adm: 9

long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_2015 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
fac_address_one: 20524 WISTERIA STREET
fac_address_two: None
fac_city: CASTRO VALLEY
fac_zipcode: 94546
fac_phone: 510-727-9169
fac_admin_name: Ruth F. Hernandez
fac_oper_curryr: Yes
beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
parent_name: United Family Medical Supply, Inc
parent_address_one: 20524 Wisteria St
parent_address_two: None
parent_city: Castro Valley
parent_state: CA
parent_zip_9: 94546
report_prep_name: Ruth Hernandez
lic_status: Open
lic_status_date: 1954-03-19 00:00:00
lic_orig_date: 1954-03-19 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000004
assembly_dist: 20
senate_dist: 10
congress_dist: 15
cens_tract: 6001430900
med_svc_study_area: 2f
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000054
longitude: -122.084905
latitude: 37.69555
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: YES
cert_mcal_sn_md: None
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 20
sn_md_ltc_cens_py: 0
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 20
sn_gen_ltc_adm: 7

long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_oct_2018_for_2017 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
fac_address_one: 20524 WISTERIA STREET
fac_address_two: None
fac_city: CASTRO VALLEY
fac_zipcode: 94546
fac_phone: 510-727-9169
fac_admin_name: Ruth F. Hernandez
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
parent_name: United Family Medical Supply,Inc
parent_address_one: 20524 Wisteria Street
parent_address_two: None
parent_city: Castro Valley
parent_state: CA
parent_zip_9: 94546
report_prep_name: Ruth Hernandez
lic_status: Open
lic_status_date: 1954-03-19 00:00:00
lic_orig_date: 1954-03-19 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000004
assembly_dist: 20
senate_dist: 10
congress_dist: 15
cens_tract: 6001430900
med_svc_study_area: 2f
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000054
longitude: -122.084905
latitude: 37.69555
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: YES
cert_mcal_sn_md: None
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 21
sn_md_ltc_cens_py: 0
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 21
sn_gen_ltc_adm: 18

long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_updated_2016 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
fac_address_one: 20524 WISTERIA STREET
fac_address_two: None
fac_city: CASTRO VALLEY
fac_zipcode: 94546
fac_phone: 510-727-9169
fac_admin_name: Ruth F. Hernandez
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
parent_name: United Family Medical Supply, Inc
parent_address_one: 20524 Wisteria Street
parent_address_two: None
parent_city: Castro Valley
parent_state: CA
parent_zip_9: 94546
report_prep_name: Ruth Hernandez
lic_status: Open
lic_status_date: 1954-03-19 00:00:00
lic_orig_date: 1954-03-19 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000004
assembly_dist: 20
senate_dist: 10
congress_dist: 15
cens_tract: 6001430900
med_svc_study_area: 2f
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000054
longitude: -122.084905
latitude: 37.69555
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: YES
cert_mcal_sn_md: None
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 22
sn_md_ltc_cens_py: 0
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 22
sn_gen_ltc_adm: 12

long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

pivot_table_long_term_care_faclts_util_data_2016 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
fac_address_one: 20524 WISTERIA STREET
fac_city: CASTRO VALLEY
fac_zipcode: 94546
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
lic_status: Open
assembly_dist: 20
senate_dist: 10
congress_dist: 15
cens_tract: 6001430900
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000054
longitude: -122.084905
latitude: 37.69555
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: YES
cert_mcal_sn_md: None
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 22
sn_md_ltc_cens_py: 0
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 22
sn_gen_ltc_adm: 12
sn_md_ltc_adm: 0
ic_gen_ltc_adm: 0
ic_dd_ltc_adm: 0
cl_ltc_adm: 0
hofa_ltc_adm: 0
ltc_adm_totl: 12
sn_gen_ltc_dis: 13
sn_md_ltc_dis: 0
ic_gen_ltc_dis: 0
ic_dd_ltc_dis: 0
cl_ltc_dis: 0
hofa_ltc_dis: 0
ltc_dis_totl: 13
sn_gen_ltc_cens_cy: 21
sn_md_ltc_cens_cy: 0
ic_gen_ltc_cens_cy: 0
ic_dd_ltc_cens_cy: 0

pivot_table_long_term_care_faclts_util_data_2017 1 oshpd_id: 206010862
fac_name: WISTERIA CARE CENTER
fac_address_one: 20524 WISTERIA STREET
fac_city: CASTRO VALLEY
fac_zipcode: 94546
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
lic_status: Open
assembly_dist: 20
senate_dist: 10
congress_dist: 15
cens_tract: 6001430900
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000054
longitude: -122.084905
latitude: 37.69555
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: YES
cert_mcal_sn_md: None
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 21
sn_md_ltc_cens_py: 0
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 21
sn_gen_ltc_adm: 18
sn_md_ltc_adm: 0
ic_gen_ltc_adm: 0
ic_dd_ltc_adm: 0
cl_ltc_adm: 0
hofa_ltc_adm: 0
ltc_adm_totl: 18
sn_gen_ltc_dis: 20
sn_md_ltc_dis: 0
ic_gen_ltc_dis: 0
ic_dd_ltc_dis: 0
cl_ltc_dis: 0
hofa_ltc_dis: 0
ltc_dis_totl: 20
sn_gen_ltc_cens_cy: 19
sn_md_ltc_cens_cy: 0
ic_gen_ltc_cens_cy: 0
ic_dd_ltc_cens_cy: 0

pivot_table_long_term_care_faclts_util_data_2018 1 oshpd_id: 206010862
fac_no: 206010862
fac_name: WISTERIA CARE CENTER
fac_str_addr: 20524 WISTERIA STREET
fac_city: CASTRO VALLEY
fac_zip: 94546
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2018-01-01 00:00:00
fac_op_per_end_dt: 2018-12-31 00:00:00
license_no: 020000054
license_status: Open
facility_level: Parent Facility
longitude: -122.084905
latitude: 37.69555
assembly_dist: District 20
senate_dist: District 10
congress_dist: District 15
cens_tract: 06001430900
la_county_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: 19
sn_nursing_plus_adm: 7
sn_minus_dsch: 5
sn_dec_31_cen: 21
sn_pat_days_for: 7303
sn_lic_beds: 23
sn_lic_bed_days: 8395
pats_adm_from_home: None
pats_adm_from_hsp: 7
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 7
medicare_pats: None
medi_cal_pats: 21
managed_care_pats: None
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: 21
dsch_lt_2_wks: 1
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: None
dsch_3_months_and_lt_7_months: 3