Table # Values
facility_profile_attributes 1 facility_desc: LAKEPORT POST ACUTE
site_address1: 1291 CRAIG AVENUE
site_address2: None
site_city: LAKEPORT
site_zip: 95453
site_x_coordinate: -122.929768
site_y_coordinate: 39.035191
oshpd_id: 206172313
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
license_number: 110000512
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 81
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: 1
active_project_costs: 250000
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: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03519100
longitude: -122.92976770
licensed_facility_listing_02 1 oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 04/24/1986
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
longitude: -122.92994
latitude: 39.036763
licensed_facility_listing_03 1 oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 4/24/1986
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.036763
longitude: -122.92994
licensed_facility_listing_04 1 oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_05 1 oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_06 1 oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_07 1 oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_08 1 oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_09 1 oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03519100
longitude: -122.92976770
licensed_facility_listing_10 1 oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03519100
longitude: -122.92976770
licensed_facility_listing_11 1 oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_12 1 oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_13 1 oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_14 1 oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_15 1 oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_16 1 oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_17 1 oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
licensed_facility_listing_18 1 oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03519100
longitude: -122.92976770
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03519100
longitude: -122.92976770
period: 2016-12-31
oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2017-12-31
oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2018-12-31
oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2019-12-31
oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2020-12-31
oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2021-12-31
oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2022-12-31
oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2017-06-30
oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2018-06-30
oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2019-06-30
oshpd_id: 206172313
facility_name: EVERGREEN LAKEPORT HEALTHCARE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVENUE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2020-06-30
oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2021-06-30
oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2022-06-30
oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
period: 2023-06-30
oshpd_id: 206172313
facility_name: LAKEPORT POST ACUTE
license_num: 110000512
facility_level_desc: Parent Facility
dba_address1: 1291 CRAIG AVE
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1986-04-24
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 39.03676300
longitude: -122.92994000
long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
fac_address_one: 1291 CRAIG AVENUE
fac_address_two: None
fac_city: LAKEPORT
fac_zipcode: 95453
fac_phone: 707-263-6382
fac_admin_name: Paul Medlin
fac_oper_curryr: Yes
beg_date: 2012-01-01 00:00:00
end_date: 2012-12-31 00:00:00
parent_name: Empres Healthcare, LLC
parent_address_one: 4601 NE 77th Avenue
parent_address_two: Suite 300
parent_city: Vancouver
parent_state: WA
parent_zip_9: 98662
report_prep_name: Paul Medlin
lic_status: Open
lic_status_date: 1986-04-24 00:00:00
lic_orig_date: 1986-04-24 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 10000168
assembly_dist: 1
senate_dist: 2
congress_dist: 1
cens_tract: 6033000300
med_svc_study_area: 70.1
laco_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
license_no: 110000512
longitude: -122.92994
latitude: 39.036763
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
ltc_cens_py_totl: 67
sn_gen_ltc_adm: 187
sn_md_ltc_adm: 0
long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
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: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
fac_address_one: 1291 CRAIG AVENUE
fac_address_two: None
fac_city: LAKEPORT
fac_zipcode: 95453
fac_phone: 707-263-6382
fac_admin_name: Paul K. Medlin
fac_oper_curryr: Yes
beg_date: 2013-01-01 00:00:00
end_date: 2013-12-31 00:00:00
parent_name: Empres Healthcare, LLC
parent_address_one: 4601 NE 77th Avenue
parent_address_two: Suite 300
parent_city: Vancouver
parent_state: WA
parent_zip_9: 98662
report_prep_name: Paul Medlin
lic_status: Open
lic_status_date: 1986-04-24 00:00:00
lic_orig_date: 1986-04-24 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 10000168
assembly_dist: 4
senate_dist: 2
congress_dist: 5
cens_tract: 6033000300
med_svc_study_area: 70.1
laco_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
license_no: 110000512
longitude: -122.92994
latitude: 39.036763
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: 60
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: 60
sn_gen_ltc_adm: 198
sn_md_ltc_adm: 0
long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
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: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
fac_address_one: 1291 CRAIG AVENUE
fac_address_two: None
fac_city: LAKEPORT
fac_zipcode: 95453
fac_phone: 707-263-6382
fac_admin_name: Jason Brey
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: Empres Healthcare, LLC
parent_address_one: 4601 NE 77th Ave
parent_address_two: Suite 300
parent_city: Vancouver
parent_state: WA
parent_zip_9: 98662
report_prep_name: Kimberlee Armstrong
lic_status: Open
lic_status_date: 1986-04-24 00:00:00
lic_orig_date: 1986-04-24 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 10000168
assembly_dist: 4
senate_dist: 2
congress_dist: 5
cens_tract: 6033000300
med_svc_study_area: 70.1
laco_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
license_no: 110000512
longitude: -122.929339
latitude: 39.036913
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
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 71
sn_gen_ltc_adm: 239
long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
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: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
fac_address_one: 1291 CRAIG AVENUE
fac_address_two: None
fac_city: LAKEPORT
fac_zipcode: 95453
fac_phone: 707-263-6382
fac_admin_name: Jason Brey
fac_oper_curryr: Yes
beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
parent_name: Empres Healthcare, LLC
parent_address_one: 4301 NE 77th Ave
parent_address_two: Suite 300
parent_city: Vancouver
parent_state: WA
parent_zip_9: 98662
report_prep_name: Kimberlee Armstrong
lic_status: Open
lic_status_date: 1986-04-24 00:00:00
lic_orig_date: 1986-04-24 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 10000168
assembly_dist: 4
senate_dist: 2
congress_dist: 5
cens_tract: 6033000300
med_svc_study_area: 70.1
laco_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
license_no: 110000512
longitude: -122.92994
latitude: 39.036763
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: 248
long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
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: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
fac_address_one: 1291 CRAIG AVENUE
fac_address_two: None
fac_city: LAKEPORT
fac_zipcode: 95453
fac_phone: 707-263-6382
fac_admin_name: Jennifer Scott
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
parent_name: Empres Healthcare, LLC
parent_address_one: 4601 NE 77th Ave
parent_address_two: Suite 300
parent_city: Vancouver
parent_state: WA
parent_zip_9: 98662
report_prep_name: Jennifer Scott
lic_status: Open
lic_status_date: 1986-04-24 00:00:00
lic_orig_date: 1986-04-24 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 10000168
assembly_dist: 4
senate_dist: 2
congress_dist: 5
cens_tract: 6033000300
med_svc_study_area: 70.1
laco_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
license_no: 110000512
longitude: -122.92994
latitude: 39.036763
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: 75
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: 75
sn_gen_ltc_adm: 177
long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
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: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
fac_address_one: 1291 CRAIG AVENUE
fac_address_two: None
fac_city: LAKEPORT
fac_zipcode: 95453
fac_phone: 707-263-6382
fac_admin_name: Jason Brey
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
parent_name: Empres Healthcare, LLC
parent_address_one: 4601 NE 77th Ave
parent_address_two: Suite 300
parent_city: Vancouver
parent_state: WA
parent_zip_9: 98662
report_prep_name: Kimberlee Armstrong
lic_status: Open
lic_status_date: 1986-04-24 00:00:00
lic_orig_date: 1986-04-24 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 10000168
assembly_dist: 4
senate_dist: 2
congress_dist: 5
cens_tract: 6033000300
med_svc_study_area: 70.1
laco_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
license_no: 110000512
longitude: -122.92994
latitude: 39.036763
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: 70
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: 70
sn_gen_ltc_adm: 186
long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
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: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
fac_address_one: 1291 CRAIG AVENUE
fac_city: LAKEPORT
fac_zipcode: 95453
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: 4
senate_dist: 2
congress_dist: 5
cens_tract: 6033000300
laco_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
license_no: 110000512
longitude: -122.92994
latitude: 39.036763
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: 70
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: 70
sn_gen_ltc_adm: 186
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: 186
sn_gen_ltc_dis: 181
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: 181
sn_gen_ltc_cens_cy: 75
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: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
fac_address_one: 1291 CRAIG AVENUE
fac_city: LAKEPORT
fac_zipcode: 95453
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: 4
senate_dist: 2
congress_dist: 5
cens_tract: 6033000300
laco_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
license_no: 110000512
longitude: -122.92994
latitude: 39.036763
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: 75
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: 75
sn_gen_ltc_adm: 177
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: 177
sn_gen_ltc_dis: 182
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: 182
sn_gen_ltc_cens_cy: 70
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: 206172313
fac_no: 206172313
fac_name: EVERGREEN LAKEPORT HEALTHCARE
fac_str_addr: 1291 CRAIG AVENUE
fac_city: LAKEPORT
fac_zip: 95453
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: 110000512
license_status: Open
facility_level: Parent Facility
longitude: -122.92994
latitude: 39.036763
assembly_dist: District 04
senate_dist: District 02
congress_dist: District 05
cens_tract: 06033000300
la_county_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
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: 70
sn_nursing_plus_adm: 146
sn_minus_dsch: 146
sn_dec_31_cen: 70
sn_pat_days_for: 14783
sn_lic_beds: 81
sn_lic_bed_days: 29565
pats_adm_from_home: 0
pats_adm_from_hsp: 146
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: 146
medicare_pats: 15
medi_cal_pats: 3
managed_care_pats: 49
private_insurance_pats: 0
self_pay_pats: 3
all_other_pats: 0
tot_pats: 70
dsch_lt_2_wks: 26
dsch_2_wks_and_lt_1_month: 29
dsch_1_month_and_lt_3_months: 16
dsch_3_months_and_lt_7_months: 27
pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206172313
fac_no: 206172313
fac_name: LAKEPORT POST ACUTE
fac_str_addr: 1291 CRAIG AVENUE
fac_city: LAKEPORT
fac_zip: 95453
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: 110000512
license_status: Open
facility_level: Parent Facility
longitude: -122.92994
latitude: 39.036763
assembly_dist: District 4
senate_dist: District 2
congress_dist: Sacramento -- District 5
cens_tract: 06033000300
la_county_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
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: 190
sn_minus_dsch: 182
sn_dec_31_cen: 79
sn_pat_days_for: 24517
sn_lic_beds: 81
sn_lic_bed_days: 29565
pats_adm_from_home: 3
pats_adm_from_hsp: 184
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 3
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 0
tot_pats_adm: 190
medicare_pats: 31
medi_cal_pats: 45
managed_care_pats: 1
private_insurance_pats: 0
self_pay_pats: 2
all_other_pats: 0
tot_pats: 79
dsch_lt_2_wks: 42
dsch_2_wks_and_lt_1_month: 56
dsch_1_month_and_lt_3_months: 55
dsch_3_months_and_lt_7_months: 11
pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206172313
fac_no: 206172313
fac_name: LAKEPORT POST ACUTE
fac_str_addr: 1291 CRAIG AVENUE
fac_city: LAKEPORT
fac_zip: 95453
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: 110000512
license_status: Open
facility_level: Parent Facility
longitude: -122.92994
latitude: 39.036763
assembly_dist: District 4
senate_dist: District 2
congress_dist: District 5
cens_tract: 06033000300
la_county_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
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: 79
sn_nursing_plus_adm: 169
sn_minus_dsch: 177
sn_dec_31_cen: 71
sn_pat_days_for: 26808
sn_lic_beds: 81
sn_lic_bed_days: 29646
pats_adm_from_home: 4
pats_adm_from_hsp: 147
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: 7
pats_adm_from_res_board_and_care: None
pats_adm_from_other: 11
tot_pats_adm: 169
medicare_pats: 29
medi_cal_pats: 40
managed_care_pats: 1
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 1
tot_pats: 71
dsch_lt_2_wks: 35
dsch_2_wks_and_lt_1_month: 38
dsch_1_month_and_lt_3_months: 68
dsch_3_months_and_lt_7_months: 16
pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206172313
fac_no: 206172313
fac_name: LAKEPORT POST ACUTE
fac_str_addr: 1291 CRAIG AVENUE
fac_city: LAKEPORT
fac_zip: 95453
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: 110000512
license_status: Open
facility_level: Parent Facility
longitude: -122.929768
latitude: 39.035191
assembly_dist: District 4
senate_dist: District 2
congress_dist: District 5
cens_tract: 06033000300
la_county_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
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: 219
sn_minus_dsch: 218
sn_dec_31_cen: 72
sn_pat_days_for: 27980
sn_lic_beds: 81
sn_lic_bed_days: 29565
pats_adm_from_home: None
pats_adm_from_hsp: 213
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: 6
tot_pats_adm: 219
medicare_pats: 20
medi_cal_pats: 50
managed_care_pats: 1
private_insurance_pats: None
self_pay_pats: 1
all_other_pats: None
tot_pats: 72
dsch_lt_2_wks: 65
dsch_2_wks_and_lt_1_month: 82
dsch_1_month_and_lt_3_months: 71
dsch_3_months_and_lt_7_months: None
pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206172313
fac_no: 206172313
fac_name: LAKEPORT POST ACUTE
fac_str_addr: 1291 CRAIG AVENUE
fac_city: LAKEPORT
fac_zip: 95453
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: 110000512
license_status: Open
facility_level: Parent Facility
longitude: -122.929768
latitude: 39.035191
assembly_dist: District 4
senate_dist: District 2
congress_dist: District 5
census_key: 06033000300
la_county_svc_plan_area: None
health_svc_area: 01 - Northern California
county: Lake
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: 72
sn_nursing_plus_adm: 238
sn_minus_dsch: 243
sn_dec_31_cen: 67
sn_pat_days_for: 26563
sn_lic_beds: 81
sn_lic_bed_days: 29565
pats_adm_from_home: 0
pats_adm_from_hsp: 238
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 238
medicare_pats: 49
medi_cal_pats: 17
managed_care_pats: 1
private_insurance_pats: 0
self_pay_pats: None
all_other_pats: None
tot_pats: 67
dsch_lt_2_wks: 128
dsch_2_wks_and_lt_1_month: 77
dsch_1_month_and_lt_3_months: 38
dsch_3_months_and_lt_7_months: None
dsch_7_months_and_lt_1_yr: None