Table # Values
facility_profile_attributes 1 facility_desc: WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP
site_address1: 855 NORTH FAIRFAX AVENUE
site_address2: None
site_city: LOS ANGELES
site_zip: 90046
site_x_coordinate: -118.361946
site_y_coordinate: 34.086914
oshpd_id: 206190443
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
license_number: 910000149
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 81
facility_status_desc: Open
financial_facility_count: 0
consolidated_facility_desc_pipe: None
consolidated_facility_desc_comma: None
period_begin_date: None
period_end_date: None
net_pat_rev_medicare_traditional_ip: None
net_pat_rev_medicare_managed_ip: None
net_pat_rev_medi_cal_traditional_ip: None
net_pat_rev_medi_cal_managed_ip: None
net_pat_rev_county_indigent_traditional_ip: None
net_pat_rev_county_indigent_managed_ip: None
net_pat_rev_third_party_traditional_ip: None
net_pat_rev_third_party_managed_ip: None
net_pat_rev_other_indigent_ip: None
net_pat_rev_other_payer_ip: None
net_pat_rev_total_ip: None
net_pat_rev_medicare_traditional_op: None
net_pat_rev_medicare_managed_op: None
net_pat_rev_medi_cal_traditional_op: None
net_pat_rev_medi_cal_managed_op: None
net_pat_rev_county_indigent_traditional_op: None
net_pat_rev_county_indigent_managed_op: None
net_pat_rev_third_party_traditional_op: None
net_pat_rev_third_party_managed_op: None
net_pat_rev_other_indigent_op: None
net_pat_rev_other_payer_op: None
net_pat_rev_total_op: None
payer_mix_medicare_traditional_ip: .000000000000
payer_mix_medicare_traditional_ip_state: None
payer_mix_medicare_managed_ip: .000000000000
payer_mix_medicare_managed_ip_state: None
payer_mix_medi_cal_traditional_ip: .000000000000
payer_mix_medi_cal_traditional_ip_state: None
payer_mix_medi_cal_managed_ip: .000000000000
payer_mix_medi_cal_managed_ip_state: None
payer_mix_county_indigent_traditional_ip: .000000000000
payer_mix_county_indigent_traditional_ip_state: None
payer_mix_county_indigent_managed_ip: .000000000000
payer_mix_county_indigent_managed_ip_state: None
payer_mix_third_party_traditional_ip: .000000000000
payer_mix_third_party_traditional_ip_state: None
payer_mix_third_party_managed_ip: .000000000000
payer_mix_third_party_managed_ip_state: None
payer_mix_other_indigent_ip: .000000000000
payer_mix_other_indigent_ip_state: None
payer_mix_other_payer_ip: .000000000000
payer_mix_other_payer_ip_state: None
payer_mix_medicare_traditional_op: .000000000000
payer_mix_medicare_traditional_op_state: None
payer_mix_medicare_managed_op: .000000000000
payer_mix_medicare_managed_op_state: None
payer_mix_medi_cal_traditional_op: .000000000000
payer_mix_medi_cal_traditional_op_state: None
payer_mix_medi_cal_managed_op: .000000000000
payer_mix_medi_cal_managed_op_state: None
payer_mix_county_indigent_traditional_op: .000000000000
payer_mix_county_indigent_traditional_op_state: None
payer_mix_county_indigent_managed_op: .000000000000
payer_mix_county_indigent_managed_op_state: None
payer_mix_third_party_traditional_op: .000000000000
payer_mix_third_party_traditional_op_state: None
payer_mix_third_party_managed_op: .000000000000
payer_mix_third_party_managed_op_state: None
payer_mix_other_indigent_op: .000000000000
payer_mix_other_indigent_op_state: None
payer_mix_other_payer_op: .000000000000
payer_mix_other_payer_op_state: None
avg_stay_medicare_traditional: None
avg_stay_medicare_managed: None
avg_stay_medi_cal_traditional: None
avg_stay_medi_cal_managed: None
avg_stay_county_indigent_traditional: None
avg_stay_county_indigent_managed: None
avg_stay_third_party_traditional: None
avg_stay_third_party_managed: None
avg_stay_other_indigent_total: None
avg_stay_other_payer_total: None
avg_stay_total: None
active_projects: 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: 206190443
facility_name: WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08691370
longitude: -118.36194600
licensed_facility_listing_02 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 12/30/1964
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
longitude: -118.36161
latitude: 34.08645
licensed_facility_listing_03 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 12/30/1964
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645
longitude: -118.36161
licensed_facility_listing_04 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_05 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_06 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_07 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_08 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_09 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08691370
longitude: -118.36194600
licensed_facility_listing_10 1 oshpd_id: 206190443
facility_name: WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08691370
longitude: -118.36194600
licensed_facility_listing_11 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_12 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_13 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_14 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_15 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_16 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_17 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
licensed_facility_listing_18 1 oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08691370
longitude: -118.36194600
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 206190443
facility_name: WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08691370
longitude: -118.36194600
period: 2016-12-31
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2017-12-31
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2018-12-31
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2019-12-31
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2020-12-31
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2021-12-31
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2022-12-31
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2017-06-30
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2018-06-30
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2019-06-30
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 NORTH FAIRFAX AVENUE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2020-06-30
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2021-06-30
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2022-06-30
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
period: 2023-06-30
oshpd_id: 206190443
facility_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
license_num: 910000149
facility_level_desc: Parent Facility
dba_address1: 855 N FAIRFAX AVE
dba_city: LOS ANGELES
dba_zip_code: 90046
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 81
facility_status_desc: Open
facility_status_date: 1964-12-30
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.08645000
longitude: -118.36161000
long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_address_one: 855 NORTH FAIRFAX AVENUE
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90046
fac_phone: 323-653-1521
fac_admin_name: FANNY RODRIGUEZ
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 WEST GOLDLEAF CIRCLE
parent_address_two: SUITE 400
parent_city: LOS ANGELES
parent_state: CA
parent_zip_9: 90056
report_prep_name: Fanny Rodriguez
lic_status: Open
lic_status_date: 1964-12-30 00:00:00
lic_orig_date: 1964-12-30 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000326
assembly_dist: 42
senate_dist: 23
congress_dist: 30
cens_tract: 6037194400
med_svc_study_area: 78.2f
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000149
longitude: -118.36161
latitude: 34.08645
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: 72
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: 72
sn_gen_ltc_adm: 455
sn_md_ltc_adm: 0
long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT 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: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_address_one: 855 NORTH FAIRFAX AVENUE
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90046
fac_phone: 323-653-1521
fac_admin_name: Mariette Salama
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 WEST GOLDLEAF CIRCLE
parent_address_two: SUITE 400
parent_city: LOS ANGELES
parent_state: CA
parent_zip_9: 90056
report_prep_name: Mariette Salama
lic_status: Open
lic_status_date: 1964-12-30 00:00:00
lic_orig_date: 1964-12-30 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000326
assembly_dist: 50
senate_dist: 26
congress_dist: 28
cens_tract: 6037194400
med_svc_study_area: 78.2f
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000149
longitude: -118.36161
latitude: 34.08645
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: 79
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: 79
sn_gen_ltc_adm: 349
sn_md_ltc_adm: 0
long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT 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: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_address_one: 855 NORTH FAIRFAX AVENUE
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90046
fac_phone: 323-653-1521
fac_admin_name: Avi Saada
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: None
parent_address_one: None
parent_address_two: None
parent_city: None
parent_state: None
parent_zip_9: None
report_prep_name: Avi Saada
lic_status: Open
lic_status_date: 1964-12-30 00:00:00
lic_orig_date: 1964-12-30 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000326
assembly_dist: 50
senate_dist: 26
congress_dist: 28
cens_tract: 6037194400
med_svc_study_area: 78.2f
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000149
longitude: -118.361572
latitude: 34.086707
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: 71
sn_md_ltc_cens_py: 0
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 71
sn_gen_ltc_adm: 233
long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT 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: 206190443
fac_name: WEST HOLLYWOOD HEALTHCARE AND WELLNESS CENTRE
fac_address_one: 855 NORTH FAIRFAX AVENUE
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90046
fac_phone: 323-653-1521
fac_admin_name: Avi Saada
fac_oper_curryr: Yes
beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
parent_name: West Hollywood Healthcare Wellness Centre, LP
parent_address_one: 855 N Fairfax Avenue
parent_address_two: None
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90046
report_prep_name: Avi Saada
lic_status: Open
lic_status_date: 1964-12-30 00:00:00
lic_orig_date: 1964-12-30 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000326
assembly_dist: 50
senate_dist: 26
congress_dist: 28
cens_tract: 6037194401
med_svc_study_area: 78.2f
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000149
longitude: -118.36161
latitude: 34.08645
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: 68
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: 68
sn_gen_ltc_adm: 291
long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206190443
fac_name: WEST HOLLYWOOD 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: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_address_one: 855 NORTH FAIRFAX AVENUE
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90046
fac_phone: 323-653-1521
fac_admin_name: Avi Saada
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
parent_name: Country Villa Wilshire Nursing Center
parent_address_one: 855 N. Fairfax Ave.
parent_address_two: None
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90020
report_prep_name: Avi Saada
lic_status: Open
lic_status_date: 1964-12-30 00:00:00
lic_orig_date: 1964-12-30 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000326
assembly_dist: 50
senate_dist: 26
congress_dist: 28
cens_tract: 6037194401
med_svc_study_area: 78.2f
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000149
longitude: -118.36161
latitude: 34.08645
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: 71
sn_md_ltc_cens_py: 0
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 71
sn_gen_ltc_adm: 308
long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT 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: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_address_one: 855 NORTH FAIRFAX AVENUE
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90046
fac_phone: 323-653-1521
fac_admin_name: Avraham Saada
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
parent_name: Country Villa Wilshire Nursing Center
parent_address_one: 855 N Fairfax Ave
parent_address_two: None
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90046
report_prep_name: Avi Saada
lic_status: Open
lic_status_date: 1964-12-30 00:00:00
lic_orig_date: 1964-12-30 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000326
assembly_dist: 50
senate_dist: 26
congress_dist: 28
cens_tract: 6037194401
med_svc_study_area: 78.2f
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000149
longitude: -118.36161
latitude: 34.08645
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: 76
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: 76
sn_gen_ltc_adm: 287
long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT 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: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_address_one: 855 NORTH FAIRFAX AVENUE
fac_city: LOS ANGELES
fac_zipcode: 90046
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: 50
senate_dist: 26
congress_dist: 28
cens_tract: 6037194401
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000149
longitude: -118.36161
latitude: 34.08645
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: 76
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: 76
sn_gen_ltc_adm: 287
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: 287
sn_gen_ltc_dis: 292
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: 292
sn_gen_ltc_cens_cy: 71
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: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_address_one: 855 NORTH FAIRFAX AVENUE
fac_city: LOS ANGELES
fac_zipcode: 90046
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: 50
senate_dist: 26
congress_dist: 28
cens_tract: 6037194401
laco_svc_plan_area: Metro
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000149
longitude: -118.36161
latitude: 34.08645
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: 71
sn_md_ltc_cens_py: 0
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 71
sn_gen_ltc_adm: 308
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: 308
sn_gen_ltc_dis: 309
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: 309
sn_gen_ltc_cens_cy: 70
sn_md_ltc_cens_cy: 0
ic_gen_ltc_cens_cy: 0
ic_dd_ltc_cens_cy: 0
pivot_table_long_term_care_faclts_util_data_2018 1 oshpd_id: 206190443
fac_no: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_str_addr: 855 NORTH FAIRFAX AVENUE
fac_city: LOS ANGELES
fac_zip: 90046
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: 910000149
license_status: Open
facility_level: Parent Facility
longitude: -118.36161
latitude: 34.08645
assembly_dist: District 50
senate_dist: District 26
congress_dist: District 28
cens_tract: 06037194401
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: 70
sn_nursing_plus_adm: 343
sn_minus_dsch: 336
sn_dec_31_cen: 77
sn_pat_days_for: 26992
sn_lic_beds: 81
sn_lic_bed_days: 29565
pats_adm_from_home: 11
pats_adm_from_hsp: 301
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 19
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 12
tot_pats_adm: 343
medicare_pats: 17
medi_cal_pats: 55
managed_care_pats: 2
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 3
tot_pats: 77
dsch_lt_2_wks: 110
dsch_2_wks_and_lt_1_month: 98
dsch_1_month_and_lt_3_months: 75
dsch_3_months_and_lt_7_months: 21
pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206190443
fac_no: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_str_addr: 855 NORTH FAIRFAX AVENUE
fac_city: LOS ANGELES
fac_zip: 90046
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: 910000149
license_status: Open
facility_level: Parent Facility
longitude: -118.36161
latitude: 34.08645
assembly_dist: District 50
senate_dist: District 26
congress_dist: North Hollywood -- District 28
cens_tract: 06037194401
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: 77
sn_nursing_plus_adm: 376
sn_minus_dsch: 381
sn_dec_31_cen: 72
sn_pat_days_for: 26327
sn_lic_beds: 81
sn_lic_bed_days: 29565
pats_adm_from_home: 3
pats_adm_from_hsp: 358
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 2
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 13
tot_pats_adm: 376
medicare_pats: 16
medi_cal_pats: 44
managed_care_pats: 8
private_insurance_pats: 0
self_pay_pats: 3
all_other_pats: 1
tot_pats: 72
dsch_lt_2_wks: 125
dsch_2_wks_and_lt_1_month: 108
dsch_1_month_and_lt_3_months: 101
dsch_3_months_and_lt_7_months: 17
pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206190443
fac_no: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_str_addr: 855 NORTH FAIRFAX AVENUE
fac_city: LOS ANGELES
fac_zip: 90046
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: 910000149
license_status: Open
facility_level: Parent Facility
longitude: -118.36161
latitude: 34.08645
assembly_dist: District 50
senate_dist: District 26
congress_dist: District 28
cens_tract: 06037194401
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: 72
sn_nursing_plus_adm: 174
sn_minus_dsch: 176
sn_dec_31_cen: 70
sn_pat_days_for: 26436
sn_lic_beds: 81
sn_lic_bed_days: 29646
pats_adm_from_home: 3
pats_adm_from_hsp: 148
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 4
pats_adm_from_res_board_and_care: 11
pats_adm_from_other: 8
tot_pats_adm: 174
medicare_pats: 32
medi_cal_pats: 35
managed_care_pats: 2
private_insurance_pats: 0
self_pay_pats: 1
all_other_pats: 0
tot_pats: 70
dsch_lt_2_wks: 41
dsch_2_wks_and_lt_1_month: 52
dsch_1_month_and_lt_3_months: 9
dsch_3_months_and_lt_7_months: 12
pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206190443
fac_no: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_str_addr: 855 NORTH FAIRFAX AVENUE
fac_city: LOS ANGELES
fac_zip: 90046
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: 910000149
license_status: Open
facility_level: Parent Facility
longitude: -118.361946
latitude: 34.086914
assembly_dist: District 50
senate_dist: District 26
congress_dist: District 28
cens_tract: 06037194401
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: 70
sn_nursing_plus_adm: 285
sn_minus_dsch: 291
sn_dec_31_cen: 64
sn_pat_days_for: 25400
sn_lic_beds: 81
sn_lic_bed_days: 29565
pats_adm_from_home: 0
pats_adm_from_hsp: 279
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 0
pats_adm_from_res_board_and_care: 1
pats_adm_from_other: 5
tot_pats_adm: 285
medicare_pats: 31
medi_cal_pats: 29
managed_care_pats: 3
private_insurance_pats: 1
self_pay_pats: 0
all_other_pats: 0
tot_pats: 64
dsch_lt_2_wks: 291
dsch_2_wks_and_lt_1_month: 0
dsch_1_month_and_lt_3_months: 0
dsch_3_months_and_lt_7_months: 0
pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206190443
fac_no: 206190443
fac_name: COUNTRY VILLA WILSHIRE CONVALESCENT CENTER
fac_str_addr: 855 NORTH FAIRFAX AVENUE
fac_city: LOS ANGELES
fac_zip: 90046
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: 910000149
license_status: Open
facility_level: Parent Facility
longitude: -118.361946
latitude: 34.086914
assembly_dist: District 50
senate_dist: District 26
congress_dist: District 28
census_key: 06037194401
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: 64
sn_nursing_plus_adm: 221
sn_minus_dsch: 212
sn_dec_31_cen: 73
sn_pat_days_for: 28314
sn_lic_beds: 81
sn_lic_bed_days: 29565
pats_adm_from_home: 2
pats_adm_from_hsp: 201
pats_adm_from_other_ltc: 9
pats_adm_from_res_board_and_care: 1
pats_adm_from_other: 8
tot_pats_adm: 221
medicare_pats: 15
medi_cal_pats: 45
managed_care_pats: 10
private_insurance_pats: 3
self_pay_pats: 0
all_other_pats: 0
tot_pats: 73
dsch_lt_2_wks: 212
dsch_2_wks_and_lt_1_month: 0
dsch_1_month_and_lt_3_months: 0
dsch_3_months_and_lt_7_months: 0
dsch_7_months_and_lt_1_yr: 0