Table # Values
facility_profile_attributes 1 facility_desc: WESTWOOD POST ACUTE CARE
site_address1: 12121 SANTA MONICA BOULEVARD
site_address2: None
site_city: LOS ANGELES
site_zip: 90025
site_x_coordinate: -118.464385
site_y_coordinate: 34.040347
oshpd_id: 206190875
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
license_number: 910000123
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 93
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: 206190875
facility_name: WESTWOOD POST ACUTE CARE
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04034740
longitude: -118.46438460
licensed_facility_listing_02 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 07/08/1966
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
longitude: -118.46355
latitude: 34.04055
licensed_facility_listing_03 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 7/8/1966
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055
longitude: -118.46355
licensed_facility_listing_04 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_05 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_06 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_07 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_08 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_09 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04034740
longitude: -118.46438460
licensed_facility_listing_10 1 oshpd_id: 206190875
facility_name: WESTWOOD POST ACUTE CARE
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04034740
longitude: -118.46438460
licensed_facility_listing_11 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_12 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_13 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_14 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_15 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_16 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_17 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
licensed_facility_listing_18 1 oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04034740
longitude: -118.46438460
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 206190875
facility_name: WESTWOOD POST ACUTE CARE
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04034740
longitude: -118.46438460
period: 2016-12-31
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2017-12-31
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2018-12-31
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2019-12-31
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2020-12-31
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2021-12-31
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2022-12-31
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2017-06-30
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2018-06-30
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2019-06-30
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BOULEVARD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2020-06-30
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2021-06-30
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2022-06-30
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
period: 2023-06-30
oshpd_id: 206190875
facility_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
license_num: 910000123
facility_level_desc: Parent Facility
dba_address1: 12121 SANTA MONICA BLVD
dba_city: LOS ANGELES
dba_zip_code: 90025
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 93
facility_status_desc: Open
facility_status_date: 1966-07-08
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.04055000
longitude: -118.46355000
long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_address_one: 12121 SANTA MONICA BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90025
fac_phone: 310-826-0821
fac_admin_name: FIONA B REYES
fac_oper_curryr: Yes
beg_date: 2012-01-01 00:00:00
end_date: 2012-12-31 00:00:00
parent_name: COUNTRY VILLA HEALTHCARE SERVICES
parent_address_one: 5120 GOLDLEAF CIRCLE
parent_address_two: None
parent_city: LOS ANGELES
parent_state: CA
parent_zip_9: 90056
report_prep_name: Fiona Reyes
lic_status: Open
lic_status_date: 1966-07-08 00:00:00
lic_orig_date: 1966-07-08 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000028
assembly_dist: 47
senate_dist: 28
congress_dist: 30
cens_tract: 6037267402
med_svc_study_area: 78.2kkkk
laco_svc_plan_area: West
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000123
longitude: -118.46355
latitude: 34.04055
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: 86
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: 86
sn_gen_ltc_adm: 368
sn_md_ltc_adm: 0
long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206190875
fac_name: COUNTRY VILLA WESTWOOD 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: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_address_one: 12121 SANTA MONICA BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90025
fac_phone: 310-826-0821
fac_admin_name: steeve henry
fac_oper_curryr: Yes
beg_date: 2013-01-01 00:00:00
end_date: 2013-12-31 00:00:00
parent_name: Country Villa
parent_address_one: Country Villa
parent_address_two: None
parent_city: Santa Monica
parent_state: CA
parent_zip_9: 90025
report_prep_name: Steeve Henry
lic_status: Open
lic_status_date: 1966-07-08 00:00:00
lic_orig_date: 1966-07-08 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000028
assembly_dist: 50
senate_dist: 26
congress_dist: 37
cens_tract: 6037267402
med_svc_study_area: 78.2kkkk
laco_svc_plan_area: West
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000123
longitude: -118.46355
latitude: 34.04055
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
ltc_cens_py_totl: 88
sn_gen_ltc_adm: 272
sn_md_ltc_adm: 0
long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206190875
fac_name: COUNTRY VILLA WESTWOOD 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: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_address_one: 12121 SANTA MONICA BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90025
fac_phone: 323-826-0821-616
fac_admin_name: Julio Cruz
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: Westwood Healthcare and Wellness Centre, LP
parent_address_one: 12121 Santa Monica Blvd
parent_address_two: None
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90025
report_prep_name: Julio Cruz
lic_status: Open
lic_status_date: 1966-07-08 00:00:00
lic_orig_date: 1966-07-08 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000028
assembly_dist: 50
senate_dist: 26
congress_dist: 37
cens_tract: 6037267402
med_svc_study_area: 78.2kkkk
laco_svc_plan_area: West
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000123
longitude: -118.464202
latitude: 34.040177
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: 85
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: 85
sn_gen_ltc_adm: 277
long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206190875
fac_name: COUNTRY VILLA WESTWOOD 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: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_address_one: 12121 SANTA MONICA BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90025
fac_phone: 310-826-0821
fac_admin_name: Louis Florin
fac_oper_curryr: Yes
beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
parent_name: Westwood Healthcare and Wellness Center, LP
parent_address_one: 12121 Santa Monica Blvd.,
parent_address_two: None
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90025
report_prep_name: Louis Florin
lic_status: Open
lic_status_date: 1966-07-08 00:00:00
lic_orig_date: 1966-07-08 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000028
assembly_dist: 50
senate_dist: 26
congress_dist: 37
cens_tract: 6037267402
med_svc_study_area: 78.2kkkk
laco_svc_plan_area: West
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000123
longitude: -118.46355
latitude: 34.04055
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: 80
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: 80
sn_gen_ltc_adm: 340
long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206190875
fac_name: COUNTRY VILLA WESTWOOD 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: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_address_one: 12121 SANTA MONICA BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90025
fac_phone: 310-826-0821
fac_admin_name: Saul Ackerman
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
parent_name: Country Villa Westwood Nursing Center
parent_address_one: 12121 Santa Monica Blvd.
parent_address_two: None
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90025
report_prep_name: Alisa Proffett
lic_status: Open
lic_status_date: 1966-07-08 00:00:00
lic_orig_date: 1966-07-08 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000028
assembly_dist: 50
senate_dist: 26
congress_dist: 37
cens_tract: 6037267402
med_svc_study_area: 78.2kkkk
laco_svc_plan_area: West
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000123
longitude: -118.46355
latitude: 34.04055
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: 85
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: 85
sn_gen_ltc_adm: 316
long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206190875
fac_name: COUNTRY VILLA WESTWOOD 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: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_address_one: 12121 SANTA MONICA BOULEVARD
fac_address_two: None
fac_city: LOS ANGELES
fac_zipcode: 90025
fac_phone: 310-826-0821
fac_admin_name: Alisa Proffett
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
parent_name: Country Villa Westwood Nursing Center
parent_address_one: 12121 Santa Monica Blvd.
parent_address_two: None
parent_city: Los Angeles
parent_state: CA
parent_zip_9: 90025
report_prep_name: Wendy Rose
lic_status: Open
lic_status_date: 1966-07-08 00:00:00
lic_orig_date: 1966-07-08 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 910000028
assembly_dist: 50
senate_dist: 26
congress_dist: 37
cens_tract: 6037267402
med_svc_study_area: 78.2kkkk
laco_svc_plan_area: West
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000123
longitude: -118.46355
latitude: 34.04055
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: 87
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: 87
sn_gen_ltc_adm: 242
long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206190875
fac_name: COUNTRY VILLA WESTWOOD 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: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_address_one: 12121 SANTA MONICA BOULEVARD
fac_city: LOS ANGELES
fac_zipcode: 90025
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: 37
cens_tract: 6037267402
laco_svc_plan_area: West
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000123
longitude: -118.46355
latitude: 34.04055
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: 87
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: 87
sn_gen_ltc_adm: 242
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: 242
sn_gen_ltc_dis: 244
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: 244
sn_gen_ltc_cens_cy: 85
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: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_address_one: 12121 SANTA MONICA BOULEVARD
fac_city: LOS ANGELES
fac_zipcode: 90025
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: 37
cens_tract: 6037267402
laco_svc_plan_area: West
health_svc_area: 11 - Los Angeles
county: Los Angeles
license_no: 910000123
longitude: -118.46355
latitude: 34.04055
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: 85
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: 85
sn_gen_ltc_adm: 316
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: 316
sn_gen_ltc_dis: 316
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: 316
sn_gen_ltc_cens_cy: 85
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: 206190875
fac_no: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_str_addr: 12121 SANTA MONICA BOULEVARD
fac_city: LOS ANGELES
fac_zip: 90025
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: 910000123
license_status: Open
facility_level: Parent Facility
longitude: -118.46355
latitude: 34.04055
assembly_dist: District 50
senate_dist: District 26
congress_dist: District 37
cens_tract: 06037267402
la_county_svc_plan_area: West
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: 85
sn_nursing_plus_adm: 363
sn_minus_dsch: 368
sn_dec_31_cen: 80
sn_pat_days_for: 29379
sn_lic_beds: 93
sn_lic_bed_days: 33945
pats_adm_from_home: 4
pats_adm_from_hsp: 347
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 12
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 0
tot_pats_adm: 363
medicare_pats: 11
medi_cal_pats: 59
managed_care_pats: 4
private_insurance_pats: 0
self_pay_pats: 2
all_other_pats: 4
tot_pats: 80
dsch_lt_2_wks: 127
dsch_2_wks_and_lt_1_month: 67
dsch_1_month_and_lt_3_months: 100
dsch_3_months_and_lt_7_months: 39
pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206190875
fac_no: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_str_addr: 12121 SANTA MONICA BOULEVARD
fac_city: LOS ANGELES
fac_zip: 90025
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: 910000123
license_status: Open
facility_level: Parent Facility
longitude: -118.46355
latitude: 34.04055
assembly_dist: District 50
senate_dist: District 26
congress_dist: Carson -- District 37
cens_tract: 06037267402
la_county_svc_plan_area: West
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: 80
sn_nursing_plus_adm: 340
sn_minus_dsch: 334
sn_dec_31_cen: 86
sn_pat_days_for: 31011
sn_lic_beds: 93
sn_lic_bed_days: 33945
pats_adm_from_home: 3
pats_adm_from_hsp: 328
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: 9
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 340
medicare_pats: 8
medi_cal_pats: 63
managed_care_pats: 11
private_insurance_pats: 2
self_pay_pats: 2
all_other_pats: None
tot_pats: 86
dsch_lt_2_wks: 110
dsch_2_wks_and_lt_1_month: 108
dsch_1_month_and_lt_3_months: 90
dsch_3_months_and_lt_7_months: 17
pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206190875
fac_no: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_str_addr: 12121 SANTA MONICA BOULEVARD
fac_city: LOS ANGELES
fac_zip: 90025
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: 910000123
license_status: Open
facility_level: Parent Facility
longitude: -118.46355
latitude: 34.04055
assembly_dist: District 50
senate_dist: District 26
congress_dist: District 37
cens_tract: 06037267402
la_county_svc_plan_area: West
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: 218
sn_minus_dsch: 226
sn_dec_31_cen: 78
sn_pat_days_for: 29212
sn_lic_beds: 93
sn_lic_bed_days: 34038
pats_adm_from_home: 4
pats_adm_from_hsp: 204
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: 10
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 218
medicare_pats: 11
medi_cal_pats: 66
managed_care_pats: 0
private_insurance_pats: 0
self_pay_pats: 1
all_other_pats: 0
tot_pats: 78
dsch_lt_2_wks: 91
dsch_2_wks_and_lt_1_month: 51
dsch_1_month_and_lt_3_months: 38
dsch_3_months_and_lt_7_months: 29
pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206190875
fac_no: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_str_addr: 12121 SANTA MONICA BOULEVARD
fac_city: LOS ANGELES
fac_zip: 90025
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: 910000123
license_status: Open
facility_level: Parent Facility
longitude: -118.464361
latitude: 34.040335
assembly_dist: District 50
senate_dist: District 26
congress_dist: District 37
cens_tract: 06037267402
la_county_svc_plan_area: West
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: City or County
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: 76
sn_nursing_plus_adm: 292
sn_minus_dsch: 290
sn_dec_31_cen: 78
sn_pat_days_for: 28447
sn_lic_beds: 93
sn_lic_bed_days: 33945
pats_adm_from_home: 0
pats_adm_from_hsp: 80
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 1
pats_adm_from_res_board_and_care: 1
pats_adm_from_other: 210
tot_pats_adm: 292
medicare_pats: 18
medi_cal_pats: 45
managed_care_pats: 15
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 0
tot_pats: 78
dsch_lt_2_wks: 290
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: 206190875
fac_no: 206190875
fac_name: COUNTRY VILLA WESTWOOD CONVALESCENT CENTER
fac_str_addr: 12121 SANTA MONICA BOULEVARD
fac_city: LOS ANGELES
fac_zip: 90025
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: 910000123
license_status: Open
facility_level: Parent Facility
longitude: -118.464361
latitude: 34.040335
assembly_dist: District 50
senate_dist: District 26
congress_dist: District 37
census_key: 06037267402
la_county_svc_plan_area: West
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Skilled Nursing Facility
licee_toc: City or County
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: 79
sn_nursing_plus_adm: 250
sn_minus_dsch: 251
sn_dec_31_cen: 78
sn_pat_days_for: 27879
sn_lic_beds: 93
sn_lic_bed_days: 33945
pats_adm_from_home: 3
pats_adm_from_hsp: 204
pats_adm_from_other_ltc: 14
pats_adm_from_res_board_and_care: 4
pats_adm_from_other: 25
tot_pats_adm: 250
medicare_pats: 6
medi_cal_pats: 60
managed_care_pats: 11
private_insurance_pats: 1
self_pay_pats: 0
all_other_pats: 0
tot_pats: 78
dsch_lt_2_wks: 87
dsch_2_wks_and_lt_1_month: 60
dsch_1_month_and_lt_3_months: 55
dsch_3_months_and_lt_7_months: 21
dsch_7_months_and_lt_1_yr: 14