Table # Values
facility_profile_attributes 1 facility_desc: PRINCETON MANOR HEALTHCARE CENTER, LLC
site_address1: 2124 57TH AVENUE
site_address2: None
site_city: OAKLAND
site_zip: 94621
site_x_coordinate: -122.195446
site_y_coordinate: 37.769515
oshpd_id: 206010995
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
license_number: 020000123
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 82
facility_status_desc: Open
financial_facility_count: 0
consolidated_facility_desc_pipe: None
consolidated_facility_desc_comma: None
period_begin_date: None
period_end_date: None
net_pat_rev_medicare_traditional_ip: None
net_pat_rev_medicare_managed_ip: None
net_pat_rev_medi_cal_traditional_ip: None
net_pat_rev_medi_cal_managed_ip: None
net_pat_rev_county_indigent_traditional_ip: None
net_pat_rev_county_indigent_managed_ip: None
net_pat_rev_third_party_traditional_ip: None
net_pat_rev_third_party_managed_ip: None
net_pat_rev_other_indigent_ip: None
net_pat_rev_other_payer_ip: None
net_pat_rev_total_ip: None
net_pat_rev_medicare_traditional_op: None
net_pat_rev_medicare_managed_op: None
net_pat_rev_medi_cal_traditional_op: None
net_pat_rev_medi_cal_managed_op: None
net_pat_rev_county_indigent_traditional_op: None
net_pat_rev_county_indigent_managed_op: None
net_pat_rev_third_party_traditional_op: None
net_pat_rev_third_party_managed_op: None
net_pat_rev_other_indigent_op: None
net_pat_rev_other_payer_op: None
net_pat_rev_total_op: None
payer_mix_medicare_traditional_ip: .000000000000
payer_mix_medicare_traditional_ip_state: None
payer_mix_medicare_managed_ip: .000000000000
payer_mix_medicare_managed_ip_state: None
payer_mix_medi_cal_traditional_ip: .000000000000
payer_mix_medi_cal_traditional_ip_state: None
payer_mix_medi_cal_managed_ip: .000000000000
payer_mix_medi_cal_managed_ip_state: None
payer_mix_county_indigent_traditional_ip: .000000000000
payer_mix_county_indigent_traditional_ip_state: None
payer_mix_county_indigent_managed_ip: .000000000000
payer_mix_county_indigent_managed_ip_state: None
payer_mix_third_party_traditional_ip: .000000000000
payer_mix_third_party_traditional_ip_state: None
payer_mix_third_party_managed_ip: .000000000000
payer_mix_third_party_managed_ip_state: None
payer_mix_other_indigent_ip: .000000000000
payer_mix_other_indigent_ip_state: None
payer_mix_other_payer_ip: .000000000000
payer_mix_other_payer_ip_state: None
payer_mix_medicare_traditional_op: .000000000000
payer_mix_medicare_traditional_op_state: None
payer_mix_medicare_managed_op: .000000000000
payer_mix_medicare_managed_op_state: None
payer_mix_medi_cal_traditional_op: .000000000000
payer_mix_medi_cal_traditional_op_state: None
payer_mix_medi_cal_managed_op: .000000000000
payer_mix_medi_cal_managed_op_state: None
payer_mix_county_indigent_traditional_op: .000000000000
payer_mix_county_indigent_traditional_op_state: None
payer_mix_county_indigent_managed_op: .000000000000
payer_mix_county_indigent_managed_op_state: None
payer_mix_third_party_traditional_op: .000000000000
payer_mix_third_party_traditional_op_state: None
payer_mix_third_party_managed_op: .000000000000
payer_mix_third_party_managed_op_state: None
payer_mix_other_indigent_op: .000000000000
payer_mix_other_indigent_op_state: None
payer_mix_other_payer_op: .000000000000
payer_mix_other_payer_op_state: None
avg_stay_medicare_traditional: None
avg_stay_medicare_managed: None
avg_stay_medi_cal_traditional: None
avg_stay_medi_cal_managed: None
avg_stay_county_indigent_traditional: None
avg_stay_county_indigent_managed: None
avg_stay_third_party_traditional: None
avg_stay_third_party_managed: None
avg_stay_other_indigent_total: None
avg_stay_other_payer_total: None
avg_stay_total: None
active_projects: None
active_project_costs: None
active_projects_state: 4279
active_project_costs_state: 18558539344
spc_1: None
spc_2: None
spc_3: None
spc_4: None
spc_5: None
spc_1_state: 33
spc_2_state: 655
spc_3_state: 385
spc_4_state: 781
spc_5_state: 1446
sysdate: None

licensed_facility_listing_01 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76951540
longitude: -122.19544600

licensed_facility_listing_02 1 oshpd_id: 206010995
facility_name: WILLOW TREE NURSING CENTER
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 - 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 01/18/1968
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
longitude: -122.19627
latitude: 37.76977

licensed_facility_listing_03 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 20000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 1
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1/18/1968
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999
longitude: -122.19604

licensed_facility_listing_04 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_05 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_06 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_07 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_08 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_09 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76951540
longitude: -122.19544600

licensed_facility_listing_10 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76951540
longitude: -122.19544600

licensed_facility_listing_11 1 oshpd_id: 206010995
facility_name: WILLOW TREE NURSING & REHAB CENTER
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_12 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_13 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_14 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_15 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_16 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_17 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

licensed_facility_listing_18 1 oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76951540
longitude: -122.19544600

licensed_healthcare_facility_listing 15 period: current
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76951540
longitude: -122.19544600

period: 2016-12-31
oshpd_id: 206010995
facility_name: WILLOW TREE NURSING CENTER
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 - 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76977000
longitude: -122.19627000

period: 2017-12-31
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 20000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 1
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2018-12-31
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2019-12-31
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2020-12-31
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2021-12-31
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2022-12-31
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2017-06-30
oshpd_id: 206010995
facility_name: WILLOW TREE NURSING & REHAB CENTER
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2018-06-30
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2019-06-30
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57TH AVENUE
dba_city: OAKLAND
dba_zip_code: 94621
county_code: 01
county_name: ALAMEDA
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2020-06-30
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2021-06-30
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2022-06-30
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

period: 2023-06-30
oshpd_id: 206010995
facility_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
license_num: 020000123
facility_level_desc: Parent Facility
dba_address1: 2124 57th Ave
dba_city: Oakland
dba_zip_code: 94621
county_code: 01
county_name: Alameda
er_service_level_desc: Not Applicable
total_number_beds: 82
facility_status_desc: Open
facility_status_date: 1968-01-18
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.76999000
longitude: -122.19604000

long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206010995
fac_name: WILLOW TREE NURSING CENTER
fac_address_one: 2124 - 57TH AVENUE
fac_address_two: None
fac_city: OAKLAND
fac_zipcode: 94621
fac_phone: 510-227-0061
fac_admin_name: Dorothy Couto
fac_oper_curryr: Yes
beg_date: 2012-01-01 00:00:00
end_date: 2012-12-31 00:00:00
parent_name: Covenant Care Corporation LLC
parent_address_one: 27071 Aliso Viejo Road, Ste 100
parent_address_two: None
parent_city: Aliso Viejo
parent_state: CA
parent_zip_9: 92656
report_prep_name: Dorothy Couto
lic_status: Open
lic_status_date: 1968-01-18 00:00:00
lic_orig_date: 1968-01-18 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000054
assembly_dist: 16
senate_dist: 9
congress_dist: 9
cens_tract: 6001407500
med_svc_study_area: 2d
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000123
longitude: -122.19627
latitude: 37.76977
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: 64
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: 64
sn_gen_ltc_adm: 169
sn_md_ltc_adm: 0

long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206010995
fac_name: WILLOW TREE NURSING 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: 206010995
fac_name: WILLOW TREE NURSING CENTER
fac_address_one: 2124 - 57TH AVENUE
fac_address_two: None
fac_city: OAKLAND
fac_zipcode: 94621
fac_phone: 510-261-2628
fac_admin_name: Dorothy Couto
fac_oper_curryr: Yes
beg_date: 2013-01-01 00:00:00
end_date: 2013-12-31 00:00:00
parent_name: Covenant Care Corporation LLC
parent_address_one: 27071 Aliso Viejo Road, Ste 100
parent_address_two: None
parent_city: Aliso Viejo
parent_state: CA
parent_zip_9: 92656
report_prep_name: Dorothy Couto
lic_status: Open
lic_status_date: 1968-01-18 00:00:00
lic_orig_date: 1968-01-18 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000054
assembly_dist: 18
senate_dist: 9
congress_dist: 13
cens_tract: 6001407500
med_svc_study_area: 2d
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000123
longitude: -122.19627
latitude: 37.76977
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Limited Liability Company
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: 71
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: 71
sn_gen_ltc_adm: 159
sn_md_ltc_adm: 0

long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206010995
fac_name: WILLOW TREE NURSING 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: 206010995
fac_name: WILLOW TREE NURSING CENTER
fac_address_one: 2124 - 57TH AVENUE
fac_address_two: None
fac_city: OAKLAND
fac_zipcode: 94621
fac_phone: 510-261-2628
fac_admin_name: Nora Saulietis
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: Covenant Care
parent_address_one: 27071 Aliso Creek Rd., Ste 100
parent_address_two: None
parent_city: Aliso Viejo
parent_state: CA
parent_zip_9: 92656
report_prep_name: Nora Saulletis
lic_status: Open
lic_status_date: 1968-01-18 00:00:00
lic_orig_date: 1968-01-18 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000054
assembly_dist: 18
senate_dist: 9
congress_dist: 13
cens_tract: 6001407500
med_svc_study_area: 2d
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000123
longitude: -122.196039
latitude: 37.769991
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Limited Liability Company
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: 67
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: 2
ltc_cens_py_totl: 69
sn_gen_ltc_adm: 108

long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206010995
fac_name: WILLOW TREE NURSING 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: 206010995
fac_name: WILLOW TREE NURSING CENTER
fac_address_one: 2124 - 57TH AVENUE
fac_address_two: None
fac_city: OAKLAND
fac_zipcode: 94621
fac_phone: 510-261-2628
fac_admin_name: C. Preston-Foo
fac_oper_curryr: Yes
beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
parent_name: Covenant Care
parent_address_one: 27071 Aliso Creek Rd., Ste 100
parent_address_two: None
parent_city: Aliso Viejo
parent_state: CA
parent_zip_9: 92656
report_prep_name: C. Preston Foo
lic_status: Open
lic_status_date: 1968-01-18 00:00:00
lic_orig_date: 1968-01-18 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000054
assembly_dist: 18
senate_dist: 9
congress_dist: 13
cens_tract: 6001407500
med_svc_study_area: 2d
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000123
longitude: -122.19627
latitude: 37.76977
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Limited Liability Company
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: 67
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: 67
sn_gen_ltc_adm: 144

long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206010995
fac_name: WILLOW TREE NURSING 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: 206010995
fac_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
fac_address_one: 2124 57TH AVENUE
fac_address_two: None
fac_city: OAKLAND
fac_zipcode: 94621
fac_phone: 510-261-2628
fac_admin_name: C. Preston-Foo
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
parent_name: Covenant Care
parent_address_one: 27071 Aliso Creek Road
parent_address_two: None
parent_city: Aliso Viejo
parent_state: CA
parent_zip_9: 92656
report_prep_name: C. Preston Foo
lic_status: Open
lic_status_date: 1968-01-18 00:00:00
lic_orig_date: 1968-01-18 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000054
assembly_dist: 18
senate_dist: 9
congress_dist: 13
cens_tract: 6001407500
med_svc_study_area: 2d
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000123
longitude: -122.19604
latitude: 37.76999
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Limited Liability Company
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: 77
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: 77
sn_gen_ltc_adm: 168

long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206010995
fac_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
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: 206010995
fac_name: WILLOW TREE NURSING CENTER
fac_address_one: 2124 - 57TH AVENUE
fac_address_two: None
fac_city: OAKLAND
fac_zipcode: 94621
fac_phone: 510-261-2628
fac_admin_name: C. PRESTON-FOO
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
parent_name: COVENANT CARE
parent_address_one: 27071 ALISO CREEK ROAD
parent_address_two: None
parent_city: ALISO VIEJO
parent_state: CA
parent_zip_9: 92656
report_prep_name: C. Preston Foo
lic_status: Open
lic_status_date: 1968-01-18 00:00:00
lic_orig_date: 1968-01-18 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 20000054
assembly_dist: 18
senate_dist: 9
congress_dist: 13
cens_tract: 6001407500
med_svc_study_area: 2d
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000123
longitude: -122.19604
latitude: 37.76999
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Limited Liability Company
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: 69
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: 69
sn_gen_ltc_adm: 178

long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206010995
fac_name: WILLOW TREE NURSING 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: 206010995
fac_name: WILLOW TREE NURSING CENTER
fac_address_one: 2124 - 57TH AVENUE
fac_city: OAKLAND
fac_zipcode: 94621
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: 18
senate_dist: 9
congress_dist: 13
cens_tract: 6001407500
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000123
longitude: -122.19604
latitude: 37.76999
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Limited Liability Company
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: 69
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: 69
sn_gen_ltc_adm: 178
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: 178
sn_gen_ltc_dis: 170
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: 170
sn_gen_ltc_cens_cy: 77
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: 206010995
fac_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
fac_address_one: 2124 57TH AVENUE
fac_city: OAKLAND
fac_zipcode: 94621
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: 18
senate_dist: 9
congress_dist: 13
cens_tract: 6001407500
laco_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
license_no: 20000123
longitude: -122.19604
latitude: 37.76999
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Limited Liability Company
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: 77
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: 77
sn_gen_ltc_adm: 168
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: 168
sn_gen_ltc_dis: 168
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: 168
sn_gen_ltc_cens_cy: 77
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: 206010995
fac_no: 206010995
fac_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
fac_str_addr: 2124 57TH AVENUE
fac_city: OAKLAND
fac_zip: 94621
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: 020000123
license_status: Open
facility_level: Parent Facility
longitude: -122.19604
latitude: 37.76999
assembly_dist: District 18
senate_dist: District 09
congress_dist: District 13
cens_tract: 06001407500
la_county_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Individual
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: 73
sn_nursing_plus_adm: 186
sn_minus_dsch: 194
sn_dec_31_cen: 65
sn_pat_days_for: 24670
sn_lic_beds: 82
sn_lic_bed_days: 29930
pats_adm_from_home: 4
pats_adm_from_hsp: 171
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 1
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 10
tot_pats_adm: 186
medicare_pats: 1
medi_cal_pats: 63
managed_care_pats: 0
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 1
tot_pats: 65
dsch_lt_2_wks: 62
dsch_2_wks_and_lt_1_month: 50
dsch_1_month_and_lt_3_months: 47
dsch_3_months_and_lt_7_months: 13

pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206010995
fac_no: 206010995
fac_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
fac_str_addr: 2124 57TH AVENUE
fac_city: OAKLAND
fac_zip: 94621
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2019-01-01 00:00:00
fac_op_per_end_dt: 2019-12-31 00:00:00
license_no: 020000123
license_status: Open
facility_level: Parent Facility
longitude: -122.19604
latitude: 37.76999
assembly_dist: District 18
senate_dist: District 9
congress_dist: Fremont -- District 13
cens_tract: 06001407500
la_county_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Individual
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: 65
sn_nursing_plus_adm: 137
sn_minus_dsch: 126
sn_dec_31_cen: 76
sn_pat_days_for: 26081
sn_lic_beds: 82
sn_lic_bed_days: 29930
pats_adm_from_home: 1
pats_adm_from_hsp: 136
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 0
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 0
tot_pats_adm: 137
medicare_pats: 7
medi_cal_pats: 57
managed_care_pats: 10
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 2
tot_pats: 76
dsch_lt_2_wks: 47
dsch_2_wks_and_lt_1_month: 36
dsch_1_month_and_lt_3_months: 24
dsch_3_months_and_lt_7_months: 6

pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206010995
fac_no: 206010995
fac_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
fac_str_addr: 2124 57TH AVENUE
fac_city: OAKLAND
fac_zip: 94621
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2020-01-01 00:00:00
fac_op_per_end_dt: 2020-12-31 00:00:00
license_no: 020000123
license_status: Open
facility_level: Parent Facility
longitude: -122.19604
latitude: 37.76999
assembly_dist: District 18
senate_dist: District 9
congress_dist: District 13
cens_tract: 06001407500
la_county_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Individual
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: 76
sn_nursing_plus_adm: 221
sn_minus_dsch: 226
sn_dec_31_cen: 71
sn_pat_days_for: 24430
sn_lic_beds: 82
sn_lic_bed_days: 30012
pats_adm_from_home: 0
pats_adm_from_hsp: 221
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 0
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 0
tot_pats_adm: 221
medicare_pats: 8
medi_cal_pats: 47
managed_care_pats: 5
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 11
tot_pats: 71
dsch_lt_2_wks: 78
dsch_2_wks_and_lt_1_month: 58
dsch_1_month_and_lt_3_months: 49
dsch_3_months_and_lt_7_months: 18

pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206010995
fac_no: 206010995
fac_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
fac_str_addr: 2124 57TH AVENUE
fac_city: OAKLAND
fac_zip: 94621
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2021-01-01 00:00:00
fac_op_per_end_dt: 2021-12-31 00:00:00
license_no: 020000123
license_status: Open
facility_level: Parent Facility
longitude: -122.195446
latitude: 37.769515
assembly_dist: District 18
senate_dist: District 9
congress_dist: District 13
cens_tract: 06001407500
la_county_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Limited Liability Company
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: 71
sn_nursing_plus_adm: 202
sn_minus_dsch: 205
sn_dec_31_cen: 68
sn_pat_days_for: 25495
sn_lic_beds: 82
sn_lic_bed_days: 29930
pats_adm_from_home: 0
pats_adm_from_hsp: 200
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 2
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 0
tot_pats_adm: 202
medicare_pats: 23
medi_cal_pats: 38
managed_care_pats: 6
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 1
tot_pats: 68
dsch_lt_2_wks: 83
dsch_2_wks_and_lt_1_month: 49
dsch_1_month_and_lt_3_months: 46
dsch_3_months_and_lt_7_months: 14

pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206010995
fac_no: 206010995
fac_name: PRINCETON MANOR HEALTHCARE CENTER, LLC
fac_str_addr: 2124 57TH AVENUE
fac_city: OAKLAND
fac_zip: 94621
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2022-01-01 00:00:00
fac_op_per_end_dt: 2022-12-31 00:00:00
license_no: 020000123
license_status: Open
facility_level: Parent Facility
longitude: -122.195446
latitude: 37.769515
assembly_dist: District 18
senate_dist: District 9
congress_dist: District 13
census_key: 06001407500
la_county_svc_plan_area: None
health_svc_area: 05 - East Bay
county: Alameda
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Limited Liability Company
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: 69
sn_nursing_plus_adm: 121
sn_minus_dsch: 123
sn_dec_31_cen: 67
sn_pat_days_for: 24185
sn_lic_beds: 82
sn_lic_bed_days: 29930
pats_adm_from_home: 1
pats_adm_from_hsp: 120
pats_adm_from_other_ltc: 0
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 0
tot_pats_adm: 121
medicare_pats: 8
medi_cal_pats: 51
managed_care_pats: 7
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 1
tot_pats: 67
dsch_lt_2_wks: 34
dsch_2_wks_and_lt_1_month: 31
dsch_1_month_and_lt_3_months: 29
dsch_3_months_and_lt_7_months: 7
dsch_7_months_and_lt_1_yr: 10