| Table | # | Values |
|---|---|---|
| licensed_healthcare_facility_listing | 15 |
period: current oshpd_id: 206190774 facility_name: THE REHABILITATION CENTER ON PICO license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 WEST PICO BOULEVARD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: Los Angeles er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04737860 longitude: -118.31345600 period: 2016-12-31 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 WEST PICO BOULEVARD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: LOS ANGELES er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2017-12-31 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 WEST PICO BOULEVARD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: LOS ANGELES er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2018-12-31 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 WEST PICO BOULEVARD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: LOS ANGELES er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2019-12-31 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 WEST PICO BOULEVARD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: LOS ANGELES er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2020-12-31 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 W PICO BLVD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: Los Angeles er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2021-12-31 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 W PICO BLVD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: Los Angeles er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2022-12-31 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 W PICO BLVD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: Los Angeles er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2017-06-30 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 WEST PICO BOULEVARD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: LOS ANGELES er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2018-06-30 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 WEST PICO BOULEVARD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: LOS ANGELES er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2019-06-30 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 WEST PICO BOULEVARD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: LOS ANGELES er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2020-06-30 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 W PICO BLVD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: Los Angeles er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2021-06-30 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 W PICO BLVD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: Los Angeles er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2022-06-30 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 W PICO BLVD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: Los Angeles er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 period: 2023-06-30 oshpd_id: 206190774 facility_name: COUNTRY VILLA NORTH CONVALESCENT CENTER license_num: 910000152 facility_level_desc: Parent Facility dba_address1: 3233 W PICO BLVD dba_city: LOS ANGELES dba_zip_code: 90019 county_code: 19 county_name: Los Angeles er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1964-10-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 34.04733700 longitude: -118.31322400 |
| long_term_care_facilities_utilization_data_2012 | 1 |
oshpd_id: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_address_one: 3233 WEST PICO BOULEVARD fac_address_two: None fac_city: LOS ANGELES fac_zipcode: 90019 fac_phone: 323-734-9122-403 fac_admin_name: Nicole Lewis 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: 90053 report_prep_name: Nicole Lewis lic_status: Open lic_status_date: 1964-10-09 00:00:00 lic_orig_date: 1964-10-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 910000332 assembly_dist: 48 senate_dist: 26 congress_dist: 33 cens_tract: 6037213100 med_svc_study_area: 78.2e laco_svc_plan_area: Metro health_svc_area: 11 - Los Angeles county: Los Angeles license_no: 910000152 longitude: -118.313224 latitude: 34.047337 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: 89 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: 89 sn_gen_ltc_adm: 231 sn_md_ltc_adm: 0 |
| long_term_care_facilities_utilization_data_2012_sec_5 | 1 |
oshpd_id: 206190774 fac_name: COUNTRY VILLA NORTH 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: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_address_one: 3233 WEST PICO BOULEVARD fac_address_two: None fac_city: LOS ANGELES fac_zipcode: 90019 fac_phone: 323-734-9122-403 fac_admin_name: nicole lewis 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: 90053 report_prep_name: Nicole Lewis lic_status: Open lic_status_date: 1964-10-09 00:00:00 lic_orig_date: 1964-10-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 910000332 assembly_dist: 53 senate_dist: 24 congress_dist: 34 cens_tract: 6037213100 med_svc_study_area: 78.2e laco_svc_plan_area: Metro health_svc_area: 11 - Los Angeles county: Los Angeles license_no: 910000152 longitude: -118.313224 latitude: 34.047337 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: 93 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: 93 sn_gen_ltc_adm: 241 sn_md_ltc_adm: 0 |
| long_term_care_faclts_util_data_2013_sec_5 | 1 |
oshpd_id: 206190774 fac_name: COUNTRY VILLA NORTH 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: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_address_one: 3233 WEST PICO BOULEVARD fac_address_two: None fac_city: LOS ANGELES fac_zipcode: 90019 fac_phone: 323-734-9122 fac_admin_name: Kent Berkey 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 parent_address_two: Suite 400 parent_city: Los Angeles parent_state: CA parent_zip_9: 90056 report_prep_name: Kent Berkey lic_status: Open lic_status_date: 1964-10-09 00:00:00 lic_orig_date: 1964-10-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 910000332 assembly_dist: 53 senate_dist: 24 congress_dist: 34 cens_tract: 6037213100 med_svc_study_area: 78.2e laco_svc_plan_area: Metro health_svc_area: 11 - Los Angeles county: Los Angeles license_no: 910000152 longitude: -118.31346 latitude: 34.047218 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: 88 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: 88 sn_gen_ltc_adm: 177 |
| long_term_care_faclts_util_data_2014_sec_5 | 1 |
oshpd_id: 206190774 fac_name: COUNTRY VILLA NORTH 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: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_address_one: 3233 WEST PICO BOULEVARD fac_address_two: None fac_city: LOS ANGELES fac_zipcode: 90019 fac_phone: 323-734-9122 fac_admin_name: Eric MCClellan fac_oper_curryr: Yes beg_date: 2015-01-01 00:00:00 end_date: 2015-12-31 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: Lena Broutian lic_status: Open lic_status_date: 1964-10-09 00:00:00 lic_orig_date: 1964-10-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 910000332 assembly_dist: 53 senate_dist: 24 congress_dist: 34 cens_tract: 6037213100 med_svc_study_area: 78.2e laco_svc_plan_area: Metro health_svc_area: 11 - Los Angeles county: Los Angeles license_no: 910000152 longitude: -118.313224 latitude: 34.047337 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: 91 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: 91 sn_gen_ltc_adm: 202 |
| long_term_care_faclts_util_data_2015_sec_5 | 1 |
oshpd_id: 206190774 fac_name: COUNTRY VILLA NORTH 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_oct_2018_for_2017 | 1 |
oshpd_id: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_address_one: 3233 WEST PICO BOULEVARD fac_address_two: None fac_city: LOS ANGELES fac_zipcode: 90019 fac_phone: 323-734-9122 fac_admin_name: Alejandro Lupercio fac_oper_curryr: Yes beg_date: 2017-01-01 00:00:00 end_date: 2017-12-31 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: Alejandro Lupercio lic_status: Open lic_status_date: 1964-10-09 00:00:00 lic_orig_date: 1964-10-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 910000332 assembly_dist: 53 senate_dist: 24 congress_dist: 34 cens_tract: 6037213100 med_svc_study_area: 78.2e laco_svc_plan_area: Metro health_svc_area: 11 - Los Angeles county: Los Angeles license_no: 910000152 longitude: -118.313224 latitude: 34.047337 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: 88 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: 88 sn_gen_ltc_adm: 438 |
| long_term_care_faclts_util_data_oct_2018_for_2017_sec5 | 1 |
oshpd_id: 206190774 fac_name: COUNTRY VILLA NORTH 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: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_address_one: 3233 WEST PICO BOULEVARD fac_address_two: None fac_city: LOS ANGELES fac_zipcode: 90019 fac_phone: 323-734-9122 fac_admin_name: Eric McClellan fac_oper_curryr: Yes beg_date: 2016-01-01 00:00:00 end_date: 2016-12-31 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: Lena Broutian lic_status: Open lic_status_date: 1964-10-09 00:00:00 lic_orig_date: 1964-10-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 910000332 assembly_dist: 53 senate_dist: 24 congress_dist: 34 cens_tract: 6037213100 med_svc_study_area: 78.2e laco_svc_plan_area: Metro health_svc_area: 11 - Los Angeles county: Los Angeles license_no: 910000152 longitude: -118.313224 latitude: 34.047337 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: 93 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: 93 sn_gen_ltc_adm: 402 |
| long_term_care_faclts_util_data_updated_2016_sec_5 | 1 |
oshpd_id: 206190774 fac_name: COUNTRY VILLA NORTH 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: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_address_one: 3233 WEST PICO BOULEVARD fac_city: LOS ANGELES fac_zipcode: 90019 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: 53 senate_dist: 24 congress_dist: 34 cens_tract: 6037213100 laco_svc_plan_area: Metro health_svc_area: 11 - Los Angeles county: Los Angeles license_no: 910000152 longitude: -118.313224 latitude: 34.047337 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: 93 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: 93 sn_gen_ltc_adm: 402 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: 402 sn_gen_ltc_dis: 407 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: 407 sn_gen_ltc_cens_cy: 88 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: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_address_one: 3233 WEST PICO BOULEVARD fac_city: LOS ANGELES fac_zipcode: 90019 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: 53 senate_dist: 24 congress_dist: 34 cens_tract: 6037213100 laco_svc_plan_area: Metro health_svc_area: 11 - Los Angeles county: Los Angeles license_no: 910000152 longitude: -118.313224 latitude: 34.047337 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: 88 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: 88 sn_gen_ltc_adm: 438 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: 438 sn_gen_ltc_dis: 440 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: 440 sn_gen_ltc_cens_cy: 86 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: 206190774 fac_no: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_str_addr: 3233 WEST PICO BOULEVARD fac_city: LOS ANGELES fac_zip: 90019 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: 910000152 license_status: Open facility_level: Parent Facility longitude: -118.313224 latitude: 34.047337 assembly_dist: District 53 senate_dist: District 24 congress_dist: District 34 cens_tract: 06037213100 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: 86 sn_nursing_plus_adm: 558 sn_minus_dsch: 557 sn_dec_31_cen: 87 sn_pat_days_for: 32546 sn_lic_beds: 99 sn_lic_bed_days: 36135 pats_adm_from_home: 3 pats_adm_from_hsp: 518 pats_adm_from_state_hsp: None pats_adm_from_other_ltc: 2 pats_adm_from_res_board_and_care: None pats_adm_from_other: 35 tot_pats_adm: 558 medicare_pats: 10 medi_cal_pats: 64 managed_care_pats: 12 private_insurance_pats: None self_pay_pats: 1 all_other_pats: None tot_pats: 87 dsch_lt_2_wks: 279 dsch_2_wks_and_lt_1_month: 120 dsch_1_month_and_lt_3_months: 74 dsch_3_months_and_lt_7_months: 33 |
| pivot_table_long_term_care_faclts_util_data_2019 | 1 |
oshpd_id: 206190774 fac_no: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_str_addr: 3233 WEST PICO BOULEVARD fac_city: LOS ANGELES fac_zip: 90019 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: 910000152 license_status: Open facility_level: Parent Facility longitude: -118.313224 latitude: 34.047337 assembly_dist: District 53 senate_dist: District 24 congress_dist: Los Angeles -- District 34 cens_tract: 06037213100 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: 87 sn_nursing_plus_adm: 373 sn_minus_dsch: 371 sn_dec_31_cen: 89 sn_pat_days_for: 31186 sn_lic_beds: 99 sn_lic_bed_days: 36135 pats_adm_from_home: 3 pats_adm_from_hsp: 362 pats_adm_from_state_hsp: None pats_adm_from_other_ltc: 3 pats_adm_from_res_board_and_care: None pats_adm_from_other: 5 tot_pats_adm: 373 medicare_pats: 10 medi_cal_pats: 69 managed_care_pats: 10 private_insurance_pats: None self_pay_pats: None all_other_pats: None tot_pats: 89 dsch_lt_2_wks: 95 dsch_2_wks_and_lt_1_month: 66 dsch_1_month_and_lt_3_months: 148 dsch_3_months_and_lt_7_months: 25 |
| pivot_table_long_term_care_faclts_util_data_2020 | 1 |
oshpd_id: 206190774 fac_no: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_str_addr: 3233 WEST PICO BOULEVARD fac_city: LOS ANGELES fac_zip: 90019 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: 910000152 license_status: Open facility_level: Parent Facility longitude: -118.313224 latitude: 34.047337 assembly_dist: District 53 senate_dist: District 24 congress_dist: District 34 cens_tract: 06037213100 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: 89 sn_nursing_plus_adm: 166 sn_minus_dsch: 204 sn_dec_31_cen: 51 sn_pat_days_for: 26618 sn_lic_beds: 99 sn_lic_bed_days: 36234 pats_adm_from_home: None pats_adm_from_hsp: 159 pats_adm_from_state_hsp: None pats_adm_from_other_ltc: 3 pats_adm_from_res_board_and_care: 1 pats_adm_from_other: 3 tot_pats_adm: 166 medicare_pats: 15 medi_cal_pats: 33 managed_care_pats: 3 private_insurance_pats: None self_pay_pats: None all_other_pats: None tot_pats: 51 dsch_lt_2_wks: 41 dsch_2_wks_and_lt_1_month: 23 dsch_1_month_and_lt_3_months: 75 dsch_3_months_and_lt_7_months: 17 |
| pivot_table_long_term_care_faclts_util_data_2021 | 1 |
oshpd_id: 206190774 fac_no: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_str_addr: 3233 WEST PICO BOULEVARD fac_city: LOS ANGELES fac_zip: 90019 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: 910000152 license_status: Open facility_level: Parent Facility longitude: -118.313456 latitude: 34.047379 assembly_dist: District 53 senate_dist: District 24 congress_dist: District 34 cens_tract: 06037213100 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: 51 sn_nursing_plus_adm: 227 sn_minus_dsch: 208 sn_dec_31_cen: 70 sn_pat_days_for: 24156 sn_lic_beds: 99 sn_lic_bed_days: 36135 pats_adm_from_home: 2 pats_adm_from_hsp: 214 pats_adm_from_state_hsp: None pats_adm_from_other_ltc: 4 pats_adm_from_res_board_and_care: None pats_adm_from_other: 7 tot_pats_adm: 227 medicare_pats: 5 medi_cal_pats: 55 managed_care_pats: 10 private_insurance_pats: None self_pay_pats: None all_other_pats: None tot_pats: 70 dsch_lt_2_wks: 60 dsch_2_wks_and_lt_1_month: 37 dsch_1_month_and_lt_3_months: 69 dsch_3_months_and_lt_7_months: 11 |
| pivot_table_long_term_care_faclts_util_data_2022 | 1 |
oshpd_id: 206190774 fac_no: 206190774 fac_name: COUNTRY VILLA NORTH CONVALESCENT CENTER fac_str_addr: 3233 WEST PICO BOULEVARD fac_city: LOS ANGELES fac_zip: 90019 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: 910000152 license_status: Open facility_level: Parent Facility longitude: -118.313456 latitude: 34.047379 assembly_dist: District 53 senate_dist: District 24 congress_dist: District 34 census_key: 06037213100 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: 265 sn_minus_dsch: 260 sn_dec_31_cen: 75 sn_pat_days_for: 26199 sn_lic_beds: 99 sn_lic_bed_days: 36135 pats_adm_from_home: 2 pats_adm_from_hsp: 236 pats_adm_from_other_ltc: 2 pats_adm_from_res_board_and_care: 2 pats_adm_from_other: 23 tot_pats_adm: 265 medicare_pats: 26 medi_cal_pats: 47 managed_care_pats: 0 private_insurance_pats: 0 self_pay_pats: 1 all_other_pats: 1 tot_pats: 75 dsch_lt_2_wks: 63 dsch_2_wks_and_lt_1_month: 43 dsch_1_month_and_lt_3_months: 97 dsch_3_months_and_lt_7_months: 16 dsch_7_months_and_lt_1_yr: 3 |