| Table | # | Values |
|---|---|---|
| licensed_healthcare_facility_listing | 15 |
period: current oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 EAST 8TH STREET dba_city: BEAUMONT dba_zip_code: 92223 county_code: 33 county_name: Riverside er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93209420 longitude: -116.94829540 period: 2016-12-31 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 EAST 8TH STREET dba_city: BEAUMONT dba_zip_code: 92223 county_code: 33 county_name: RIVERSIDE er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2017-12-31 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 EAST 8TH STREET dba_city: BEAUMONT dba_zip_code: 92223 county_code: 33 county_name: RIVERSIDE er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2018-12-31 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 EAST 8TH STREET dba_city: BEAUMONT dba_zip_code: 92223 county_code: 33 county_name: RIVERSIDE er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2019-12-31 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 EAST 8TH STREET dba_city: BEAUMONT dba_zip_code: 92223 county_code: 33 county_name: RIVERSIDE er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2020-12-31 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 E 8th St dba_city: Beaumont dba_zip_code: 92223 county_code: 33 county_name: Riverside er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2021-12-31 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 E 8th St dba_city: Beaumont dba_zip_code: 92223 county_code: 33 county_name: Riverside er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2022-12-31 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 E 8th St dba_city: Beaumont dba_zip_code: 92223 county_code: 33 county_name: Riverside er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2017-06-30 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 EAST 8TH STREET dba_city: BEAUMONT dba_zip_code: 92223 county_code: 33 county_name: RIVERSIDE er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2018-06-30 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 EAST 8TH STREET dba_city: BEAUMONT dba_zip_code: 92223 county_code: 33 county_name: RIVERSIDE er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2019-06-30 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 EAST 8TH STREET dba_city: BEAUMONT dba_zip_code: 92223 county_code: 33 county_name: RIVERSIDE er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2020-06-30 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 E 8th St dba_city: Beaumont dba_zip_code: 92223 county_code: 33 county_name: Riverside er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2021-06-30 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 E 8th St dba_city: Beaumont dba_zip_code: 92223 county_code: 33 county_name: Riverside er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2022-06-30 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 E 8th St dba_city: Beaumont dba_zip_code: 92223 county_code: 33 county_name: Riverside er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 period: 2023-06-30 oshpd_id: 206331214 facility_name: PALM GROVE HEALTHCARE license_num: 250000154 facility_level_desc: Parent Facility dba_address1: 1665 E 8th St dba_city: Beaumont dba_zip_code: 92223 county_code: 33 county_name: Riverside er_service_level_desc: Not Applicable total_number_beds: 57 facility_status_desc: Open facility_status_date: 1966-05-23 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 33.93259000 longitude: -116.94889000 |
| long_term_care_facilities_utilization_data_2012 | 1 |
oshpd_id: 206331214 fac_name: PALM GROVE HEALTHCARE fac_address_one: 1665 EAST EIGHTH STREET fac_address_two: None fac_city: BEAUMONT fac_zipcode: 92223 fac_phone: 951-845-3125 fac_admin_name: JUMER ROQUE fac_oper_curryr: Yes beg_date: 2012-01-01 00:00:00 end_date: 2012-12-31 00:00:00 parent_name: DAVID KLEIS II, LLC parent_address_one: 1665 E. EIGHTH STREET parent_address_two: None parent_city: BEAUMONT parent_state: CA parent_zip_9: 92223 report_prep_name: mae knight lic_status: Open lic_status_date: 1966-05-23 00:00:00 lic_orig_date: 1966-05-23 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 250000110 assembly_dist: 65 senate_dist: 37 congress_dist: 41 cens_tract: 6065043805 med_svc_study_area: 134 laco_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside license_no: 250000154 longitude: -116.947782 latitude: 33.932663 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 47 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: 47 sn_gen_ltc_adm: 59 sn_md_ltc_adm: 0 |
| long_term_care_facilities_utilization_data_2012_sec_5 | 1 |
oshpd_id: 206331214 fac_name: PALM GROVE HEALTHCARE 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: 206331214 fac_name: PALM GROVE HEALTHCARE fac_address_one: 1665 EAST EIGHTH STREET fac_address_two: None fac_city: BEAUMONT fac_zipcode: 92223 fac_phone: 951-845-3125-11 fac_admin_name: Elenita O. Perez fac_oper_curryr: Yes beg_date: 2013-01-01 00:00:00 end_date: 2013-12-31 00:00:00 parent_name: David Kleis II, LLC parent_address_one: 1665 E. Eight Street parent_address_two: None parent_city: Beaumont parent_state: CA parent_zip_9: 92223 report_prep_name: Elenita Perez lic_status: Open lic_status_date: 1966-05-23 00:00:00 lic_orig_date: 1966-05-23 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 250000110 assembly_dist: 42 senate_dist: 23 congress_dist: 36 cens_tract: 6065043805 med_svc_study_area: 134 laco_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside license_no: 250000154 longitude: -116.94889 latitude: 33.93259 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 46 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: 46 sn_gen_ltc_adm: 50 sn_md_ltc_adm: 0 |
| long_term_care_faclts_util_data_2013_sec_5 | 1 |
oshpd_id: 206331214 fac_name: PALM GROVE HEALTHCARE 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: 206331214 fac_name: PALM GROVE HEALTHCARE fac_address_one: 1665 EAST 8TH STREET fac_address_two: None fac_city: BEAUMONT fac_zipcode: 92223 fac_phone: 951-845-3125-11 fac_admin_name: Elenita Perez fac_oper_curryr: Yes beg_date: 2014-01-01 00:00:00 end_date: 2014-12-31 00:00:00 parent_name: David Kleis II, LLC parent_address_one: Palm Grove Healthcare parent_address_two: None parent_city: Beaumont parent_state: CA parent_zip_9: 92223 report_prep_name: Elenita Perez lic_status: Open lic_status_date: 1966-05-23 00:00:00 lic_orig_date: 1966-05-23 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 250000110 assembly_dist: 42 senate_dist: 23 congress_dist: 36 cens_tract: 6065043805 med_svc_study_area: 134 laco_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside license_no: 250000154 longitude: -116.948714 latitude: 33.932633 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 46 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: 46 sn_gen_ltc_adm: 68 |
| long_term_care_faclts_util_data_2014_sec_5 | 1 |
oshpd_id: 206331214 fac_name: PALM GROVE HEALTHCARE 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: 206331214 fac_name: PALM GROVE HEALTHCARE fac_address_one: 1665 EAST 8TH STREET fac_address_two: None fac_city: BEAUMONT fac_zipcode: 92223 fac_phone: 951-845-3125 fac_admin_name: Madelyn Smith fac_oper_curryr: Yes beg_date: 2015-01-01 00:00:00 end_date: 2015-12-31 00:00:00 parent_name: David Kleiss II , LLC parent_address_one: 1665 E. Eighth parent_address_two: None parent_city: Beaumont parent_state: CA parent_zip_9: 92223 report_prep_name: Madelyn Smith lic_status: Open lic_status_date: 1966-05-23 00:00:00 lic_orig_date: 1966-05-23 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 250000110 assembly_dist: 42 senate_dist: 23 congress_dist: 36 cens_tract: 6065043818 med_svc_study_area: 134 laco_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside license_no: 250000154 longitude: -116.94889 latitude: 33.93259 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 49 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: 49 sn_gen_ltc_adm: 58 |
| long_term_care_faclts_util_data_2015_sec_5 | 1 |
oshpd_id: 206331214 fac_name: PALM GROVE HEALTHCARE 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: 206331214 fac_name: PALM GROVE HEALTHCARE fac_address_one: 1665 EAST 8TH STREET fac_address_two: None fac_city: BEAUMONT fac_zipcode: 92223 fac_phone: 951-845-3125 fac_admin_name: Madelyn Smith fac_oper_curryr: Yes beg_date: 2017-01-01 00:00:00 end_date: 2017-12-31 00:00:00 parent_name: David KleissII LLC parent_address_one: 1665 W E. Eight Street parent_address_two: None parent_city: Beaumont parent_state: CA parent_zip_9: 92223 report_prep_name: Madelyn Smith lic_status: Open lic_status_date: 1966-05-23 00:00:00 lic_orig_date: 1966-05-23 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 250000110 assembly_dist: 42 senate_dist: 23 congress_dist: 36 cens_tract: 6065043818 med_svc_study_area: 134 laco_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside license_no: 250000154 longitude: -116.94889 latitude: 33.93259 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 44 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: 44 sn_gen_ltc_adm: 98 |
| long_term_care_faclts_util_data_oct_2018_for_2017_sec5 | 1 |
oshpd_id: 206331214 fac_name: PALM GROVE HEALTHCARE 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: 206331214 fac_name: PALM GROVE HEALTHCARE fac_address_one: 1665 EAST 8TH STREET fac_address_two: None fac_city: BEAUMONT fac_zipcode: 92223 fac_phone: 951-845-3125 fac_admin_name: Madelyn Smith fac_oper_curryr: Yes beg_date: 2016-01-01 00:00:00 end_date: 2016-12-31 00:00:00 parent_name: David Kleiss II LLC parent_address_one: 1665 E. Eigtht Street parent_address_two: None parent_city: BBEAUMONT parent_state: CA parent_zip_9: 92223 report_prep_name: Madelyn Smith lic_status: Open lic_status_date: 1966-05-23 00:00:00 lic_orig_date: 1966-05-23 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 250000110 assembly_dist: 42 senate_dist: 23 congress_dist: 36 cens_tract: 6065043818 med_svc_study_area: 134 laco_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside license_no: 250000154 longitude: -116.94889 latitude: 33.93259 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 44 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: 44 sn_gen_ltc_adm: 98 |
| long_term_care_faclts_util_data_updated_2016_sec_5 | 1 |
oshpd_id: 206331214 fac_name: PALM GROVE HEALTHCARE 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: 206331214 fac_name: PALM GROVE HEALTHCARE fac_address_one: 1665 EAST 8TH STREET fac_city: BEAUMONT fac_zipcode: 92223 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: 42 senate_dist: 23 congress_dist: 36 cens_tract: 6065043818 laco_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside license_no: 250000154 longitude: -116.94889 latitude: 33.93259 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 44 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: 44 sn_gen_ltc_adm: 98 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: 98 sn_gen_ltc_dis: 98 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: 98 sn_gen_ltc_cens_cy: 44 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: 206331214 fac_name: PALM GROVE HEALTHCARE fac_address_one: 1665 EAST 8TH STREET fac_city: BEAUMONT fac_zipcode: 92223 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: 42 senate_dist: 23 congress_dist: 36 cens_tract: 6065043818 laco_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside license_no: 250000154 longitude: -116.94889 latitude: 33.93259 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 44 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: 44 sn_gen_ltc_adm: 98 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: 98 sn_gen_ltc_dis: 92 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: 92 sn_gen_ltc_cens_cy: 50 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: 206331214 fac_no: 206331214 fac_name: PALM GROVE HEALTHCARE fac_str_addr: 1665 EAST 8TH STREET fac_city: BEAUMONT fac_zip: 92223 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: 250000154 license_status: Open facility_level: Parent Facility longitude: -116.94889 latitude: 33.93259 assembly_dist: District 42 senate_dist: District 23 congress_dist: District 36 cens_tract: 06065043818 la_county_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside lic_cat: Skilled Nursing Facility licee_toc: Investor - Limited Liability Company cert_medi_cal_sn_mentally_disord: None cert_fac_medi_cal_ic_gen: None cert_fac_medi_cal_ic_dev_dis: None cert_medi_cal_subacute_pediatric: None sn_dec_31_py_cen: 50 sn_nursing_plus_adm: 113 sn_minus_dsch: 107 sn_dec_31_cen: 56 sn_pat_days_for: 19571 sn_lic_beds: 57 sn_lic_bed_days: 20805 pats_adm_from_home: 34 pats_adm_from_hsp: 69 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 9 pats_adm_from_res_board_and_care: 1 pats_adm_from_other: 0 tot_pats_adm: 113 medicare_pats: 0 medi_cal_pats: 25 managed_care_pats: 0 private_insurance_pats: 0 self_pay_pats: 0 all_other_pats: 31 tot_pats: 56 dsch_lt_2_wks: 42 dsch_2_wks_and_lt_1_month: 17 dsch_1_month_and_lt_3_months: 24 dsch_3_months_and_lt_7_months: 8 |
| pivot_table_long_term_care_faclts_util_data_2019 | 1 |
oshpd_id: 206331214 fac_no: 206331214 fac_name: PALM GROVE HEALTHCARE fac_str_addr: 1665 EAST 8TH STREET fac_city: BEAUMONT fac_zip: 92223 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: 250000154 license_status: Open facility_level: Parent Facility longitude: -116.94889 latitude: 33.93259 assembly_dist: District 42 senate_dist: District 23 congress_dist: Rancho Palos Verdes -- District 36 cens_tract: 06065043818 la_county_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside lic_cat: Skilled Nursing Facility licee_toc: Investor - Limited Liability Company 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: 56 sn_nursing_plus_adm: 54 sn_minus_dsch: 58 sn_dec_31_cen: 52 sn_pat_days_for: 20430 sn_lic_beds: 57 sn_lic_bed_days: 20805 pats_adm_from_home: 10 pats_adm_from_hsp: 38 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 4 pats_adm_from_res_board_and_care: 2 pats_adm_from_other: 0 tot_pats_adm: 54 medicare_pats: 0 medi_cal_pats: 19 managed_care_pats: 0 private_insurance_pats: 0 self_pay_pats: 1 all_other_pats: 32 tot_pats: 52 dsch_lt_2_wks: 12 dsch_2_wks_and_lt_1_month: 11 dsch_1_month_and_lt_3_months: 6 dsch_3_months_and_lt_7_months: 13 |
| pivot_table_long_term_care_faclts_util_data_2020 | 1 |
oshpd_id: 206331214 fac_no: 206331214 fac_name: PALM GROVE HEALTHCARE fac_str_addr: 1665 EAST 8TH STREET fac_city: BEAUMONT fac_zip: 92223 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: 250000154 license_status: Open facility_level: Parent Facility longitude: -116.94889 latitude: 33.93259 assembly_dist: District 42 senate_dist: District 23 congress_dist: District 36 cens_tract: 06065043818 la_county_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside lic_cat: Skilled Nursing Facility licee_toc: Investor - Limited Liability Company 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: 52 sn_nursing_plus_adm: 96 sn_minus_dsch: 113 sn_dec_31_cen: 35 sn_pat_days_for: 17721 sn_lic_beds: 57 sn_lic_bed_days: 20862 pats_adm_from_home: 7 pats_adm_from_hsp: 38 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 29 pats_adm_from_res_board_and_care: 4 pats_adm_from_other: 18 tot_pats_adm: 96 medicare_pats: 6 medi_cal_pats: 4 managed_care_pats: 3 private_insurance_pats: 0 self_pay_pats: 0 all_other_pats: 22 tot_pats: 35 dsch_lt_2_wks: 15 dsch_2_wks_and_lt_1_month: 26 dsch_1_month_and_lt_3_months: 38 dsch_3_months_and_lt_7_months: 7 |
| pivot_table_long_term_care_faclts_util_data_2021 | 1 |
oshpd_id: 206331214 fac_no: 206331214 fac_name: PALM GROVE HEALTHCARE fac_str_addr: 1665 EAST 8TH STREET fac_city: BEAUMONT fac_zip: 92223 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: 250000154 license_status: Open facility_level: Parent Facility longitude: -116.948299 latitude: 33.932092 assembly_dist: District 42 senate_dist: District 23 congress_dist: District 36 cens_tract: 06065043818 la_county_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside lic_cat: Skilled Nursing Facility licee_toc: Investor - Limited Liability Company 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: 35 sn_nursing_plus_adm: 135 sn_minus_dsch: 119 sn_dec_31_cen: 51 sn_pat_days_for: 17398 sn_lic_beds: 57 sn_lic_bed_days: 20805 pats_adm_from_home: 44 pats_adm_from_hsp: 71 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 8 pats_adm_from_res_board_and_care: 3 pats_adm_from_other: 9 tot_pats_adm: 135 medicare_pats: 0 medi_cal_pats: 1 managed_care_pats: 10 private_insurance_pats: 0 self_pay_pats: 0 all_other_pats: 40 tot_pats: 51 dsch_lt_2_wks: 52 dsch_2_wks_and_lt_1_month: 23 dsch_1_month_and_lt_3_months: 20 dsch_3_months_and_lt_7_months: 13 |
| pivot_table_long_term_care_faclts_util_data_2022 | 1 |
oshpd_id: 206331214 fac_no: 206331214 fac_name: PALM GROVE HEALTHCARE fac_str_addr: 1665 EAST 8TH STREET fac_city: BEAUMONT fac_zip: 92223 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: 250000154 license_status: Open facility_level: Parent Facility longitude: -116.948299 latitude: 33.932092 assembly_dist: District 42 senate_dist: District 23 congress_dist: District 36 census_key: 06065043818 la_county_svc_plan_area: None health_svc_area: 12 - Inland Counties county: Riverside lic_cat: Skilled Nursing Facility licee_toc: Investor - Limited Liability Company 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: 80 sn_minus_dsch: 85 sn_dec_31_cen: 46 sn_pat_days_for: 18433 sn_lic_beds: 57 sn_lic_bed_days: 20805 pats_adm_from_home: 35 pats_adm_from_hsp: 37 pats_adm_from_other_ltc: 4 pats_adm_from_res_board_and_care: 4 pats_adm_from_other: 0 tot_pats_adm: 80 medicare_pats: 0 medi_cal_pats: 2 managed_care_pats: 6 private_insurance_pats: 0 self_pay_pats: 0 all_other_pats: 38 tot_pats: 46 dsch_lt_2_wks: 35 dsch_2_wks_and_lt_1_month: 11 dsch_1_month_and_lt_3_months: 10 dsch_3_months_and_lt_7_months: 8 dsch_7_months_and_lt_1_yr: 10 |