Table # Values
facility_profile_attributes 1 facility_desc: EVERGREEN CONGREGATE
site_address1: 823 TOWNE STREET
site_address2: None
site_city: COSTA MESA
site_zip: 92627
site_x_coordinate: -117.933008
site_y_coordinate: 33.640945
oshpd_id: 206300052
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
license_number: 550005686
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 6
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: 206300052
facility_name: EVERGREEN CONGREGATE
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 TOWNE STREET
dba_city: COSTA MESA
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64094460
longitude: -117.93300780

licensed_facility_listing_04 1 oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550004354
facility_level_desc: Parent Facility
dba_address1: 823 TOWNE STREET
dba_city: COSTA MESA
dba_zip_code: 92627
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-03-21
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

licensed_facility_listing_06 1 oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

licensed_facility_listing_07 1 oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

licensed_facility_listing_08 1 oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

licensed_facility_listing_09 1 oshpd_id: 206300052
facility_name: EVERGREEN CONGREGATE
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 TOWNE STREET
dba_city: COSTA MESA
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64094460
longitude: -117.93300780

licensed_facility_listing_10 1 oshpd_id: 206300052
facility_name: EVERGREEN CONGREGATE
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 TOWNE STREET
dba_city: COSTA MESA
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64094460
longitude: -117.93300780

licensed_facility_listing_15 1 oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

licensed_facility_listing_16 1 oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

licensed_facility_listing_17 1 oshpd_id: 206300052
facility_name: EVERGREEN CONGREGATE
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

licensed_facility_listing_18 1 oshpd_id: 206300052
facility_name: EVERGREEN CONGREGATE
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 TOWNE STREET
dba_city: COSTA MESA
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64094460
longitude: -117.93300780

licensed_healthcare_facility_listing 8 period: current
oshpd_id: 206300052
facility_name: EVERGREEN CONGREGATE
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 TOWNE STREET
dba_city: COSTA MESA
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64094460
longitude: -117.93300780

period: 2018-12-31
oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550004354
facility_level_desc: Parent Facility
dba_address1: 823 TOWNE STREET
dba_city: COSTA MESA
dba_zip_code: 92627
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-03-21
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

period: 2020-12-31
oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

period: 2021-12-31
oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

period: 2022-12-31
oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

period: 2021-06-30
oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

period: 2022-06-30
oshpd_id: 206300052
facility_name: ARIAS HOME
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

period: 2023-06-30
oshpd_id: 206300052
facility_name: EVERGREEN CONGREGATE
license_num: 550005686
facility_level_desc: Parent Facility
dba_address1: 823 Towne St
dba_city: Costa Mesa
dba_zip_code: 92627
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-08-19
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 33.64104000
longitude: -117.93305000

pivot_table_long_term_care_faclts_util_data_2018 1 oshpd_id: 206300052
fac_no: 206300052
fac_name: ARIAS HOME
fac_str_addr: 823 TOWNE STREET
fac_city: COSTA MESA
fac_zip: 92627
fac_operated_this_yr: No
fac_op_per_begin_dt: 2018-01-01 00:00:00
fac_op_per_end_dt: 2018-09-20 00:00:00
license_no: 550004354
license_status: Closed
facility_level: Parent Facility
longitude: -117.93305
latitude: 33.64104
assembly_dist: District 74
senate_dist: District 37
congress_dist: District 48
cens_tract: 06059063604
la_county_svc_plan_area: None
health_svc_area: 13 - Orange
county: Orange
lic_cat: Congregate Living Health Facility
licee_toc: None
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: 0
sn_lic_bed_days: 0
pats_adm_from_home: None
pats_adm_from_hsp: None
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: None
medicare_pats: None
medi_cal_pats: None
managed_care_pats: None
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: None
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: None
dsch_3_months_and_lt_7_months: None

pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206300052
fac_no: 206300052
fac_name: ARIAS HOME
fac_str_addr: 823 TOWNE STREET
fac_city: COSTA MESA
fac_zip: 92627
fac_operated_this_yr: None
fac_op_per_begin_dt: None
fac_op_per_end_dt: None
license_no: None
license_status: None
facility_level: None
longitude: None
latitude: None
assembly_dist: District 74
senate_dist: District 37
congress_dist: District 48
cens_tract: None
la_county_svc_plan_area: None
health_svc_area: 13 - Orange
county: Orange
lic_cat: Congregate Living Health Facility
licee_toc: None
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: None
sn_lic_bed_days: None
pats_adm_from_home: None
pats_adm_from_hsp: None
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: None
medicare_pats: None
medi_cal_pats: None
managed_care_pats: None
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: None
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: None
dsch_3_months_and_lt_7_months: None

pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206300052
fac_no: 206300052
fac_name: ARIAS HOME
fac_str_addr: 823 TOWNE STREET
fac_city: COSTA MESA
fac_zip: 92627
fac_operated_this_yr: None
fac_op_per_begin_dt: None
fac_op_per_end_dt: None
license_no: None
license_status: None
facility_level: None
longitude: None
latitude: None
assembly_dist: District 74
senate_dist: District 37
congress_dist: District 48
cens_tract: None
la_county_svc_plan_area: None
health_svc_area: 13 - Orange
county: Orange
lic_cat: Congregate Living Health Facility
licee_toc: None
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: None
sn_lic_bed_days: None
pats_adm_from_home: None
pats_adm_from_hsp: None
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: None
medicare_pats: None
medi_cal_pats: None
managed_care_pats: None
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: None
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: None
dsch_3_months_and_lt_7_months: None

pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206300052
fac_no: 206300052
fac_name: EVERGREEN CONGREGATE
fac_str_addr: 823 TOWNE STREET
fac_city: COSTA MESA
fac_zip: 92627
fac_operated_this_yr: None
fac_op_per_begin_dt: None
fac_op_per_end_dt: None
license_no: None
license_status: None
facility_level: None
longitude: None
latitude: None
assembly_dist: District 74
senate_dist: District 37
congress_dist: District 48
census_key: None
la_county_svc_plan_area: None
health_svc_area: 13 - Orange
county: Orange
lic_cat: Congregate Living Health Facility
licee_toc: None
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: None
sn_lic_bed_days: None
pats_adm_from_home: None
pats_adm_from_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: None
medicare_pats: None
medi_cal_pats: None
managed_care_pats: None
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: None
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: None
dsch_3_months_and_lt_7_months: None
dsch_7_months_and_lt_1_yr: None