Table # Values
facility_profile_attributes 1 facility_desc: PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP
site_address1: 5916 WEST PICO BOULEVARD
site_address2: None
site_city: LOS ANGELES
site_zip: 90035
site_x_coordinate: -118.368348
site_y_coordinate: 34.051577
oshpd_id: 206190295
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
license_number: 910000145
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 59
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: 25000
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: 206190295
facility_name: PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05157730
longitude: -118.36834840
licensed_facility_listing_02 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 07/28/1966
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
longitude: -118.368268
latitude: 34.051661
licensed_facility_listing_03 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 7/28/1966
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.051661
longitude: -118.368268
licensed_facility_listing_04 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_05 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_06 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_07 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_08 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_09 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05156420
longitude: -118.36833400
licensed_facility_listing_10 1 oshpd_id: 206190295
facility_name: PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05157730
longitude: -118.36834840
licensed_facility_listing_11 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_12 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_13 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_14 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_15 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_16 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_17 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
licensed_facility_listing_18 1 oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05156420
longitude: -118.36833400
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 206190295
facility_name: PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05157730
longitude: -118.36834840
period: 2016-12-31
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2017-12-31
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2018-12-31
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2019-12-31
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2020-12-31
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2021-12-31
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2022-12-31
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2017-06-30
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2018-06-30
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2019-06-30
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 WEST PICO BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2020-06-30
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2021-06-30
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2022-06-30
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
period: 2023-06-30
oshpd_id: 206190295
facility_name: COUNTRY VILLA PAVILION NURSING CENTER
license_num: 910000145
facility_level_desc: Parent Facility
dba_address1: 5916 W PICO BLVD
dba_city: LOS ANGELES
dba_zip_code: 90035
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-28
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.05166100
longitude: -118.36826800
long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206190295
fac_name: COUNTRY VILLA PAVILLION NURSING CENTER
fac_address_one: 5916 WEST PICO BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90035
fac_phone: 323-939-3184
fac_admin_name: Hugo Pena
fac_oper_curryr: Yes
beg_date: 2012-01-01 00:00:00
end_date: 2012-12-31 00:00:00
parent_name: Country Villa Health Services
parent_address_one: 5120 W. Goldleaf Circle
parent_address_two: Suite 400
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90056
report_prep_name: Hugo Pena
lic_status: Open
lic_status_date: 1966-07-28 00:00:00
lic_orig_date: 1966-07-28 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000318
assembly_dist: 47
senate_dist: 26
congress_dist: 33
cens_tract: 6037216700
med_svc_study_area: 78.2x
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000145
longitude: -118.368268
latitude: 34.051661
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: 52
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: 52
sn_gen_ltc_adm: 338
sn_md_ltc_adm: 0
long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206190295
fac_name: COUNTRY VILLA PAVILLION NURSING CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None
long_term_care_faclts_util_data_2013 1 oshpd_id: 206190295
fac_name: COUNTRY VILLA PAVILLION NURSING CENTER
fac_address_one: 5916 WEST PICO BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90035
fac_phone: 323-939-3184
fac_admin_name: Sonia Joshi
fac_oper_curryr: Yes
beg_date: 2013-01-01 00:00:00
end_date: 2013-12-31 00:00:00
parent_name: Country Villa Health Services
parent_address_one: 5120 W. Goldleaf Circle
parent_address_two: Suite 400
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90056
report_prep_name: Sonia Joshi
lic_status: Open
lic_status_date: 1966-07-28 00:00:00
lic_orig_date: 1966-07-28 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000318
assembly_dist: 54
senate_dist: 30
congress_dist: 37
cens_tract: 6037216700
med_svc_study_area: 78.2x
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000145
longitude: -118.368268
latitude: 34.051661
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: 56
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: 56
sn_gen_ltc_adm: 265
sn_md_ltc_adm: 0
long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206190295
fac_name: COUNTRY VILLA PAVILLION NURSING CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None
long_term_care_faclts_util_data_2014 1 oshpd_id: 206190295
fac_name: COUNTRY VILLA PAVILLION NURSING CENTER
fac_address_one: 5916 WEST PICO BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90035
fac_phone: 323-939-3184
fac_admin_name: Mariette Salama
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: Country Villa Health Services
parent_address_one: 5120 West Goldleaf Circle Suite 400
parent_address_two: None
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90056
report_prep_name: Mariette Salama
lic_status: Open
lic_status_date: 1966-07-28 00:00:00
lic_orig_date: 1966-07-28 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000318
assembly_dist: 54
senate_dist: 30
congress_dist: 37
cens_tract: 6037216700
med_svc_study_area: 78.2x
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000145
longitude: -118.368246
latitude: 34.051794
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: 52
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: 52
sn_gen_ltc_adm: 282
long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206190295
fac_name: COUNTRY VILLA PAVILLION NURSING CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None
long_term_care_faclts_util_data_2015 1 oshpd_id: 206190295
fac_name: PAVILION ON PICO HEALTHCARE AND WELLNESS CENTRE
fac_address_one: 5916 WEST PICO BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90035
fac_phone: 323-939-3184
fac_admin_name: Mariette Salama
fac_oper_curryr: Yes
beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
parent_name: Pavilion on Pico Healthcare Welolness Centre, LP
parent_address_one: 5916 W. Pico Blvd
parent_address_two: None
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90035
report_prep_name: Mariette Salama
lic_status: Open
lic_status_date: 1966-07-28 00:00:00
lic_orig_date: 1966-07-28 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000318
assembly_dist: 54
senate_dist: 30
congress_dist: 37
cens_tract: 6037216700
med_svc_study_area: 78.2x
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000145
longitude: -118.368268
latitude: 34.051661
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Partnership
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: 53
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: 53
sn_gen_ltc_adm: 254
long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206190295
fac_name: PAVILION ON PICO HEALTHCARE AND WELLNESS CENTRE
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: 206190295
fac_name: COUNTRY VILLA PAVILION NURSING CENTER
fac_address_one: 5916 WEST PICO BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90035
fac_phone: 323-939-3184-211
fac_admin_name: Charles E. Stern
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
parent_name: Country Villa Pavilion Nursing Center
parent_address_one: 5916 West Pico Blvd.
parent_address_two: None
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90035
report_prep_name: Carleen Pare
lic_status: Open
lic_status_date: 1966-07-28 00:00:00
lic_orig_date: 1966-07-28 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000318
assembly_dist: 54
senate_dist: 30
congress_dist: 37
cens_tract: 6037216700
med_svc_study_area: 78.2x
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000145
longitude: -118.368268
latitude: 34.051661
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Partnership
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: 51
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: 51
sn_gen_ltc_adm: 206
long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206190295
fac_name: COUNTRY VILLA PAVILION NURSING CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None
long_term_care_faclts_util_data_updated_2016 1 oshpd_id: 206190295
fac_name: COUNTRY VILLA PAVILION NURSING CENTER
fac_address_one: 5916 WEST PICO BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90035
fac_phone: 323-939-3184-224
fac_admin_name: Charles Stern
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
parent_name: Country Villa Health Services
parent_address_one: 5916 West PIco blvd.
parent_address_two: None
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90035
report_prep_name: Carleen Pare
lic_status: Open
lic_status_date: 1966-07-28 00:00:00
lic_orig_date: 1966-07-28 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000318
assembly_dist: 54
senate_dist: 30
congress_dist: 37
cens_tract: 6037216700
med_svc_study_area: 78.2x
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000145
longitude: -118.368268
latitude: 34.051661
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Partnership
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
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 50
sn_gen_ltc_adm: 259
long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206190295
fac_name: COUNTRY VILLA PAVILION NURSING CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None
pivot_table_long_term_care_faclts_util_data_2016 1 oshpd_id: 206190295
fac_name: COUNTRY VILLA PAVILION NURSING CENTER
fac_address_one: 5916 WEST PICO BOULEVARD
fac_city: LOS ANGELES
fac_zipcode: 90035
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: 54
senate_dist: 30
congress_dist: 37
cens_tract: 6037216700
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000145
longitude: -118.368268
latitude: 34.051661
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Partnership
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
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 50
sn_gen_ltc_adm: 259
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: 259
sn_gen_ltc_dis: 258
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: 258
sn_gen_ltc_cens_cy: 51
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: 206190295
fac_name: COUNTRY VILLA PAVILION NURSING CENTER
fac_address_one: 5916 WEST PICO BOULEVARD
fac_city: LOS ANGELES
fac_zipcode: 90035
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: 54
senate_dist: 30
congress_dist: 37
cens_tract: 6037216700
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000145
longitude: -118.368268
latitude: 34.051661
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Partnership
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: 51
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: 51
sn_gen_ltc_adm: 206
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: 206
sn_gen_ltc_dis: 210
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: 210
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: 206190295
fac_no: 206190295
fac_name: COUNTRY VILLA PAVILION NURSING CENTER
fac_str_addr: 5916 WEST PICO BOULEVARD
fac_city: LOS ANGELES
fac_zip: 90035
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: 910000145
license_status: Open
facility_level: Parent Facility
longitude: -118.368268
latitude: 34.051661
assembly_dist: District 54
senate_dist: District 30
congress_dist: District 37
cens_tract: 06037216700
la_county_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Partnership
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: 46
sn_nursing_plus_adm: 216
sn_minus_dsch: 208
sn_dec_31_cen: 54
sn_pat_days_for: 19431
sn_lic_beds: 59
sn_lic_bed_days: 21535
pats_adm_from_home: 5
pats_adm_from_hsp: 189
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 16
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 6
tot_pats_adm: 216
medicare_pats: 12
medi_cal_pats: 38
managed_care_pats: 2
private_insurance_pats: 0
self_pay_pats: 1
all_other_pats: 1
tot_pats: 54
dsch_lt_2_wks: 66
dsch_2_wks_and_lt_1_month: 53
dsch_1_month_and_lt_3_months: 54
dsch_3_months_and_lt_7_months: 16
pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206190295
fac_no: 206190295
fac_name: COUNTRY VILLA PAVILION NURSING CENTER
fac_str_addr: 5916 WEST PICO BOULEVARD
fac_city: LOS ANGELES
fac_zip: 90035
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: 910000145
license_status: Open
facility_level: Parent Facility
longitude: -118.368268
latitude: 34.051661
assembly_dist: District 54
senate_dist: District 30
congress_dist: Carson -- District 37
cens_tract: 06037216700
la_county_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Partnership
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: 54
sn_nursing_plus_adm: 250
sn_minus_dsch: 255
sn_dec_31_cen: 49
sn_pat_days_for: 19297
sn_lic_beds: 59
sn_lic_bed_days: 21535
pats_adm_from_home: 6
pats_adm_from_hsp: 233
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 6
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 5
tot_pats_adm: 250
medicare_pats: 8
medi_cal_pats: 35
managed_care_pats: 2
private_insurance_pats: 0
self_pay_pats: 3
all_other_pats: 1
tot_pats: 49
dsch_lt_2_wks: 80
dsch_2_wks_and_lt_1_month: 65
dsch_1_month_and_lt_3_months: 57
dsch_3_months_and_lt_7_months: 29
pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206190295
fac_no: 206190295
fac_name: COUNTRY VILLA PAVILION NURSING CENTER
fac_str_addr: 5916 WEST PICO BOULEVARD
fac_city: LOS ANGELES
fac_zip: 90035
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: 910000145
license_status: Open
facility_level: Parent Facility
longitude: -118.368268
latitude: 34.051661
assembly_dist: District 54
senate_dist: District 30
congress_dist: District 37
cens_tract: 06037216700
la_county_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Partnership
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: 49
sn_nursing_plus_adm: 505
sn_minus_dsch: 504
sn_dec_31_cen: 50
sn_pat_days_for: 16480
sn_lic_beds: 59
sn_lic_bed_days: 21594
pats_adm_from_home: 2
pats_adm_from_hsp: 352
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 151
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 0
tot_pats_adm: 505
medicare_pats: 27
medi_cal_pats: 9
managed_care_pats: 11
private_insurance_pats: 0
self_pay_pats: 2
all_other_pats: 1
tot_pats: 50
dsch_lt_2_wks: 222
dsch_2_wks_and_lt_1_month: 153
dsch_1_month_and_lt_3_months: 74
dsch_3_months_and_lt_7_months: 27
pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206190295
fac_no: 206190295
fac_name: COUNTRY VILLA PAVILION NURSING CENTER
fac_str_addr: 5916 WEST PICO BOULEVARD
fac_city: LOS ANGELES
fac_zip: 90035
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: 910000145
license_status: Open
facility_level: Parent Facility
longitude: -118.36834
latitude: 34.051563
assembly_dist: District 54
senate_dist: District 30
congress_dist: District 37
cens_tract: 06037216700
la_county_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Partnership
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: 50
sn_nursing_plus_adm: 411
sn_minus_dsch: 419
sn_dec_31_cen: 42
sn_pat_days_for: 11653
sn_lic_beds: 59
sn_lic_bed_days: 21535
pats_adm_from_home: 1
pats_adm_from_hsp: 408
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 1
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 1
tot_pats_adm: 411
medicare_pats: 17
medi_cal_pats: 10
managed_care_pats: 10
private_insurance_pats: 0
self_pay_pats: 2
all_other_pats: 3
tot_pats: 42
dsch_lt_2_wks: 310
dsch_2_wks_and_lt_1_month: 88
dsch_1_month_and_lt_3_months: 10
dsch_3_months_and_lt_7_months: 5
pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206190295
fac_no: 206190295
fac_name: COUNTRY VILLA PAVILION NURSING CENTER
fac_str_addr: 5916 WEST PICO BOULEVARD
fac_city: LOS ANGELES
fac_zip: 90035
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: 910000145
license_status: Open
facility_level: Parent Facility
longitude: -118.36834
latitude: 34.051563
assembly_dist: District 54
senate_dist: District 30
congress_dist: District 37
census_key: 06037216700
la_county_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Partnership
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: 42
sn_nursing_plus_adm: 213
sn_minus_dsch: 212
sn_dec_31_cen: 43
sn_pat_days_for: 16709
sn_lic_beds: 59
sn_lic_bed_days: 21535
pats_adm_from_home: 2
pats_adm_from_hsp: 196
pats_adm_from_other_ltc: 8
pats_adm_from_res_board_and_care: 2
pats_adm_from_other: 5
tot_pats_adm: 213
medicare_pats: 9
medi_cal_pats: 29
managed_care_pats: 5
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 0
tot_pats: 43
dsch_lt_2_wks: 67
dsch_2_wks_and_lt_1_month: 58
dsch_1_month_and_lt_3_months: 47
dsch_3_months_and_lt_7_months: 23
dsch_7_months_and_lt_1_yr: 15