Table # Values
facility_profile_attributes 1 facility_desc: LAKE BALBOA CARE CENTER
site_address1: 16955 VANOWEN STREET
site_address2: None
site_city: VAN NUYS
site_zip: 91406
site_x_coordinate: -118.503117
site_y_coordinate: 34.194294
oshpd_id: 206190051
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
license_number: 920000005
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 50
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: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19429410
longitude: -118.50311690

licensed_facility_listing_02 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 11/12/1958
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
longitude: -118.50228
latitude: 34.19397

licensed_facility_listing_03 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 11/12/1958
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397
longitude: -118.50228

licensed_facility_listing_04 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_05 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_06 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_07 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_08 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_09 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19429410
longitude: -118.50311690

licensed_facility_listing_10 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19429410
longitude: -118.50311690

licensed_facility_listing_11 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_12 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_13 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_14 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_15 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_16 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_17 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

licensed_facility_listing_18 1 oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 0.00000000
longitude: 0.00000000

licensed_healthcare_facility_listing 15 period: current
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19429410
longitude: -118.50311690

period: 2016-12-31
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2017-12-31
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2018-12-31
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2019-12-31
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2020-12-31
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2021-12-31
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2022-12-31
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2017-06-30
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2018-06-30
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2019-06-30
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN STREET
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2020-06-30
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2021-06-30
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2022-06-30
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

period: 2023-06-30
oshpd_id: 206190051
facility_name: LAKE BALBOA CARE CENTER
license_num: 920000005
facility_level_desc: Parent Facility
dba_address1: 16955 VANOWEN ST
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 50
facility_status_desc: Open
facility_status_date: 1958-11-12
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.19397000
longitude: -118.50228000

long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_address_one: 16955 VANOWEN STREET
fac_address_two: None
fac_city: VAN NUYS
fac_zipcode: 91406
fac_phone: 818-343-0700
fac_admin_name: Craig Barron
fac_oper_curryr: Yes
beg_date: 2012-01-01 00:00:00
end_date: 2012-12-31 00:00:00
parent_name: Lake Balboa Health Care
parent_address_one: 16955 Vanowen St.
parent_address_two: None
parent_city: Van Nuys
parent_state: CA
parent_zip_9: 91406
report_prep_name: Craig Barron
lic_status: Open
lic_status_date: 1958-11-12 00:00:00
lic_orig_date: 1958-11-12 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 920000059
assembly_dist: 40
senate_dist: 20
congress_dist: 27
cens_tract: 6037132000
med_svc_study_area: 78.2zz
laco_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 920000005
longitude: -118.50228
latitude: 34.19397
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: 50
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: 50
sn_gen_ltc_adm: 523
sn_md_ltc_adm: 0

long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_2013 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_address_one: 16955 VANOWEN STREET
fac_address_two: None
fac_city: VAN NUYS
fac_zipcode: 91406
fac_phone: 818-343-0700
fac_admin_name: Craig Barron
fac_oper_curryr: Yes
beg_date: 2013-01-01 00:00:00
end_date: 2013-12-31 00:00:00
parent_name: Lake Balboa Healthcare
parent_address_one: 16955 Vanowen St
parent_address_two: None
parent_city: Van Nuys
parent_state: CA
parent_zip_9: 91406
report_prep_name: Craig Barron
lic_status: Open
lic_status_date: 1958-11-12 00:00:00
lic_orig_date: 1958-11-12 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 920000059
assembly_dist: 46
senate_dist: 27
congress_dist: 30
cens_tract: 6037132000
med_svc_study_area: 78.2zz
laco_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 920000005
longitude: -118.50228
latitude: 34.19397
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: 44
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: 44
sn_gen_ltc_adm: 573
sn_md_ltc_adm: 0

long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_2014 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_address_one: 16955 VANOWEN STREET
fac_address_two: None
fac_city: VAN NUYS
fac_zipcode: 91406
fac_phone: 818-343-0700
fac_admin_name: Craig Barron
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: Lake Balboa Healthcare Inc.
parent_address_one: 16955 Vanowen St
parent_address_two: None
parent_city: Van Nuys
parent_state: CA
parent_zip_9: 91406
report_prep_name: Craig Barron
lic_status: Open
lic_status_date: 1958-11-12 00:00:00
lic_orig_date: 1958-11-12 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 920000059
assembly_dist: 46
senate_dist: 27
congress_dist: 30
cens_tract: 6037132000
med_svc_study_area: 78.2zz
laco_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 920000005
longitude: -118.50304
latitude: 34.193898
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: None
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: 46
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: 46
sn_gen_ltc_adm: 576

long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_2015 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_address_one: 16955 VANOWEN STREET
fac_address_two: None
fac_city: VAN NUYS
fac_zipcode: 91406
fac_phone: 818-343-0700-207
fac_admin_name: Craig Barron
fac_oper_curryr: Yes
beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
parent_name: Lake Balboa Care Health Inc.
parent_address_one: 16955 Vanowen St.
parent_address_two: None
parent_city: Van Nuys
parent_state: CA
parent_zip_9: 91406
report_prep_name: Craig Barron
lic_status: Open
lic_status_date: 1958-11-12 00:00:00
lic_orig_date: 1958-11-12 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 920000059
assembly_dist: 46
senate_dist: 27
congress_dist: 30
cens_tract: 6037132002
med_svc_study_area: 78.2zz
laco_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 920000005
longitude: -118.50228
latitude: 34.19397
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: None
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: 47
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: 47
sn_gen_ltc_adm: 563

long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_oct_2018_for_2017 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_address_one: 16955 VANOWEN STREET
fac_address_two: None
fac_city: VAN NUYS
fac_zipcode: 91406
fac_phone: 818-343-0700
fac_admin_name: Craig Barron
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
parent_name: Lake Balboa Health Care Inc.
parent_address_one: 16955 Vanowen St
parent_address_two: None
parent_city: Van Nuys
parent_state: CA
parent_zip_9: 91406
report_prep_name: Craig Barron
lic_status: Open
lic_status_date: 1958-11-12 00:00:00
lic_orig_date: 1958-11-12 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 920000059
assembly_dist: 46
senate_dist: 27
congress_dist: 30
cens_tract: 6037132002
med_svc_study_area: 78.2zz
laco_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 920000005
longitude: -118.50228
latitude: 34.19397
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: None
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: 48
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: 48
sn_gen_ltc_adm: 560

long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_updated_2016 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_address_one: 16955 VANOWEN STREET
fac_address_two: None
fac_city: VAN NUYS
fac_zipcode: 91406
fac_phone: 818-343-0700
fac_admin_name: Craig Barron
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
parent_name: Lake Balboa Health Care Inc.
parent_address_one: 16955 Vanowen St
parent_address_two: None
parent_city: Van Nuys
parent_state: CA
parent_zip_9: 91406
report_prep_name: Craig Barron
lic_status: Open
lic_status_date: 1958-11-12 00:00:00
lic_orig_date: 1958-11-12 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 920000059
assembly_dist: 46
senate_dist: 27
congress_dist: 30
cens_tract: 6037132002
med_svc_study_area: 78.2zz
laco_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 920000005
longitude: -118.50228
latitude: 34.19397
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: None
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: 42
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: 42
sn_gen_ltc_adm: 587

long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

pivot_table_long_term_care_faclts_util_data_2016 1 oshpd_id: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_address_one: 16955 VANOWEN STREET
fac_city: VAN NUYS
fac_zipcode: 91406
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: 46
senate_dist: 27
congress_dist: 30
cens_tract: 6037132002
laco_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 920000005
longitude: -118.50228
latitude: 34.19397
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: NO
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: 42
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: 42
sn_gen_ltc_adm: 587
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: 587
sn_gen_ltc_dis: 581
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: 581
sn_gen_ltc_cens_cy: 48
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: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_address_one: 16955 VANOWEN STREET
fac_city: VAN NUYS
fac_zipcode: 91406
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: 46
senate_dist: 27
congress_dist: 30
cens_tract: 6037132002
laco_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 920000005
longitude: -118.50228
latitude: 34.19397
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: YES
cert_mcal_sn: NO
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: 48
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: 48
sn_gen_ltc_adm: 560
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: 560
sn_gen_ltc_dis: 561
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: 561
sn_gen_ltc_cens_cy: 47
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: 206190051
fac_no: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_str_addr: 16955 VANOWEN STREET
fac_city: VAN NUYS
fac_zip: 91406
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: 920000005
license_status: Open
facility_level: Parent Facility
longitude: -118.50228
latitude: 34.19397
assembly_dist: District 46
senate_dist: District 27
congress_dist: District 30
cens_tract: 06037132002
la_county_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: 47
sn_nursing_plus_adm: 563
sn_minus_dsch: 565
sn_dec_31_cen: 45
sn_pat_days_for: 16632
sn_lic_beds: 50
sn_lic_bed_days: 18250
pats_adm_from_home: 0
pats_adm_from_hsp: 546
pats_adm_from_state_hsp: 5
pats_adm_from_other_ltc: 12
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 563
medicare_pats: 43
medi_cal_pats: None
managed_care_pats: 2
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: 45
dsch_lt_2_wks: 169
dsch_2_wks_and_lt_1_month: 172
dsch_1_month_and_lt_3_months: 214
dsch_3_months_and_lt_7_months: 9

pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206190051
fac_no: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_str_addr: 16955 VANOWEN STREET
fac_city: VAN NUYS
fac_zip: 91406
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: 920000005
license_status: Open
facility_level: Parent Facility
longitude: -118.50228
latitude: 34.19397
assembly_dist: District 46
senate_dist: District 27
congress_dist: Los Angeles -- District 30
cens_tract: 06037132002
la_county_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: 45
sn_nursing_plus_adm: 566
sn_minus_dsch: 567
sn_dec_31_cen: 44
sn_pat_days_for: 16648
sn_lic_beds: 50
sn_lic_bed_days: 18250
pats_adm_from_home: 1
pats_adm_from_hsp: 551
pats_adm_from_state_hsp: 5
pats_adm_from_other_ltc: 9
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 0
tot_pats_adm: 566
medicare_pats: 40
medi_cal_pats: None
managed_care_pats: 3
private_insurance_pats: 1
self_pay_pats: None
all_other_pats: None
tot_pats: 44
dsch_lt_2_wks: 184
dsch_2_wks_and_lt_1_month: 160
dsch_1_month_and_lt_3_months: 209
dsch_3_months_and_lt_7_months: 12

pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206190051
fac_no: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_str_addr: 16955 VANOWEN STREET
fac_city: VAN NUYS
fac_zip: 91406
fac_operated_this_yr: None
fac_op_per_begin_dt: None
fac_op_per_end_dt: None
license_no: None
license_status: None
facility_level: None
longitude: None
latitude: None
assembly_dist: District 46
senate_dist: District 27
congress_dist: District 30
cens_tract: None
la_county_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: None
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: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: None
sn_lic_bed_days: None
pats_adm_from_home: None
pats_adm_from_hsp: None
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: None
medicare_pats: None
medi_cal_pats: None
managed_care_pats: None
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: None
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: None
dsch_3_months_and_lt_7_months: None

pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206190051
fac_no: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_str_addr: 16955 VANOWEN STREET
fac_city: VAN NUYS
fac_zip: 91406
fac_operated_this_yr: None
fac_op_per_begin_dt: None
fac_op_per_end_dt: None
license_no: None
license_status: None
facility_level: None
longitude: None
latitude: None
assembly_dist: District 46
senate_dist: District 27
congress_dist: District 30
cens_tract: None
la_county_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: None
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: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: None
sn_lic_bed_days: None
pats_adm_from_home: None
pats_adm_from_hsp: None
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: None
medicare_pats: None
medi_cal_pats: None
managed_care_pats: None
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: None
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: None
dsch_3_months_and_lt_7_months: None

pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206190051
fac_no: 206190051
fac_name: LAKE BALBOA CARE CENTER
fac_str_addr: 16955 VANOWEN STREET
fac_city: VAN NUYS
fac_zip: 91406
fac_operated_this_yr: None
fac_op_per_begin_dt: None
fac_op_per_end_dt: None
license_no: None
license_status: None
facility_level: None
longitude: None
latitude: None
assembly_dist: District 46
senate_dist: District 27
congress_dist: District 30
census_key: None
la_county_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: None
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: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: None
sn_lic_bed_days: None
pats_adm_from_home: None
pats_adm_from_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: None
medicare_pats: None
medi_cal_pats: None
managed_care_pats: None
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: None
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: None
dsch_3_months_and_lt_7_months: None
dsch_7_months_and_lt_1_yr: None