Table # Values
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 206361383
facility_name: CREEKSIDE POST ACUTE
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.00970440
longitude: -117.03543070

period: 2016-12-31
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2017-12-31
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2018-12-31
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2019-12-31
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2020-12-31
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2021-12-31
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2022-12-31
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2017-06-30
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2018-06-30
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2019-06-30
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2020-06-30
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2021-06-30
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2022-06-30
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

period: 2023-06-30
oshpd_id: 206361383
facility_name: CREEKSIDE CARE CENTER
license_num: 240000224
facility_level_desc: Parent Facility
dba_address1: 35253 AVENUE H
dba_city: YUCAIPA
dba_zip_code: 92399
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: 59
facility_status_desc: Open
facility_status_date: 1966-07-22
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 34.01016300
longitude: -117.03555100

long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206361383
fac_name: BRASWELLS YUCAIPA VALLEY CONVALESCENT HOSPITAL
fac_address_one: 35253 AVENUE H
fac_address_two: None
fac_city: YUCAIPA
fac_zipcode: 92399
fac_phone: 909-795-2476
fac_admin_name: Keely Miller
fac_oper_curryr: Yes
beg_date: 2012-01-01 00:00:00
end_date: 2012-12-31 00:00:00
parent_name: Braswells Family Senior Care
parent_address_one: 1618 Laurel Avenue
parent_address_two: None
parent_city: Redlands
parent_state: CA
parent_zip_9: 92373
report_prep_name: Donna Dickey
lic_status: Open
lic_status_date: 1966-07-22 00:00:00
lic_orig_date: 1966-07-22 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 240000031
assembly_dist: 65
senate_dist: 31
congress_dist: 41
cens_tract: 6071008708
med_svc_study_area: 151j
laco_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
license_no: 240000224
longitude: -117.035551
latitude: 34.010163
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: 49
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: 49
sn_gen_ltc_adm: 190
sn_md_ltc_adm: 0

long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206361383
fac_name: BRASWELLS YUCAIPA VALLEY CONVALESCENT HOSPITAL
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: 206361383
fac_name: BRASWELLS YUCAIPA VALLEY CONVALESCENT HOSPITAL
fac_address_one: 35253 AVENUE H
fac_address_two: None
fac_city: YUCAIPA
fac_zipcode: 92399
fac_phone: 909-795-2476
fac_admin_name: Keely Miller
fac_oper_curryr: Yes
beg_date: 2013-01-01 00:00:00
end_date: 2013-12-31 00:00:00
parent_name: Braswells Family Senior Care
parent_address_one: 1618 Laurel Avenue
parent_address_two: None
parent_city: Redlands
parent_state: CA
parent_zip_9: 92373
report_prep_name: Donna Dickey
lic_status: Open
lic_status_date: 1966-07-22 00:00:00
lic_orig_date: 1966-07-22 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 240000031
assembly_dist: 42
senate_dist: 23
congress_dist: 8
cens_tract: 6071008708
med_svc_study_area: 151j
laco_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
license_no: 240000224
longitude: -117.035551
latitude: 34.010163
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: 52
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: 52
sn_gen_ltc_adm: 201
sn_md_ltc_adm: 0

long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206361383
fac_name: BRASWELLS YUCAIPA VALLEY CONVALESCENT HOSPITAL
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: 206361383
fac_name: BRASWELLS YUCAIPA VALLEY CONVALESCENT HOSPITAL
fac_address_one: 35253 AVENUE H
fac_address_two: None
fac_city: YUCAIPA
fac_zipcode: 92399
fac_phone: 909-795-2476
fac_admin_name: Keely Miller
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: Braswells Family Senior Care
parent_address_one: 1618 Laurel Ave
parent_address_two: None
parent_city: Redlands
parent_state: CA
parent_zip_9: 92373
report_prep_name: Donna Dickey
lic_status: Open
lic_status_date: 1966-07-22 00:00:00
lic_orig_date: 1966-07-22 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 240000031
assembly_dist: 42
senate_dist: 23
congress_dist: 8
cens_tract: 6071008708
med_svc_study_area: 151j
laco_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
license_no: 240000224
longitude: -117.035451
latitude: 34.010223
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: 43
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: 43
sn_gen_ltc_adm: 158

long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206361383
fac_name: BRASWELLS YUCAIPA VALLEY CONVALESCENT HOSPITAL
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: 206361383
fac_name: CREEKSIDE CARE CENTER
fac_address_one: 35253 AVENUE H
fac_address_two: None
fac_city: YUCAIPA
fac_zipcode: 92399
fac_phone: 909-795-2476
fac_admin_name: Brett Cook
fac_oper_curryr: Yes
beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
parent_name: Madison Creek Partners
parent_address_one: 114 Payton Sutie 230
parent_address_two: None
parent_city: Irvine
parent_state: CA
parent_zip_9: 92620
report_prep_name: Donna Dickey
lic_status: Open
lic_status_date: 1966-07-22 00:00:00
lic_orig_date: 1966-07-22 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 240000031
assembly_dist: 42
senate_dist: 23
congress_dist: 8
cens_tract: 6071008708
med_svc_study_area: 151j
laco_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
license_no: 240000224
longitude: -117.035551
latitude: 34.010163
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: 57
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: 57
sn_gen_ltc_adm: 126

long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206361383
fac_name: CREEKSIDE CARE 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: 206361383
fac_name: CREEKSIDE CARE CENTER
fac_address_one: 35253 AVENUE H
fac_address_two: None
fac_city: YUCAIPA
fac_zipcode: 92399
fac_phone: 909-795-2476
fac_admin_name: Mark Hansen
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
parent_name: Madison CreekPartners
parent_address_one: 114 Pacifica
parent_address_two: Suite 230
parent_city: Irvine
parent_state: CA
parent_zip_9: 92618-3317
report_prep_name: Donald Tidwell
lic_status: Open
lic_status_date: 1966-07-22 00:00:00
lic_orig_date: 1966-07-22 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 240000031
assembly_dist: 42
senate_dist: 23
congress_dist: 8
cens_tract: 6071008708
med_svc_study_area: 151j
laco_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
license_no: 240000224
longitude: -117.035551
latitude: 34.010163
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: 57
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: 57
sn_gen_ltc_adm: 89

long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206361383
fac_name: CREEKSIDE CARE 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: 206361383
fac_name: CREEKSIDE CARE CENTER
fac_address_one: 35253 AVENUE H
fac_address_two: None
fac_city: YUCAIPA
fac_zipcode: 92399
fac_phone: 909-795-2476
fac_admin_name: Covey Christensen
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
parent_name: Madison Creek Partners
parent_address_one: 114 Pacifica, Ste 230
parent_address_two: None
parent_city: Irvine
parent_state: CA
parent_zip_9: 92618
report_prep_name: Douglas Shoemaker
lic_status: Open
lic_status_date: 1966-07-22 00:00:00
lic_orig_date: 1966-07-22 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 240000031
assembly_dist: 42
senate_dist: 23
congress_dist: 8
cens_tract: 6071008708
med_svc_study_area: 151j
laco_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
license_no: 240000224
longitude: -117.035551
latitude: 34.010163
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: 58
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: 58
sn_gen_ltc_adm: 91

long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206361383
fac_name: CREEKSIDE CARE 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: 206361383
fac_name: CREEKSIDE CARE CENTER
fac_address_one: 35253 AVENUE H
fac_city: YUCAIPA
fac_zipcode: 92399
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: 8
cens_tract: 6071008708
laco_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
license_no: 240000224
longitude: -117.035551
latitude: 34.010163
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: 58
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: 58
sn_gen_ltc_adm: 91
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: 91
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: 57
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: 206361383
fac_name: CREEKSIDE CARE CENTER
fac_address_one: 35253 AVENUE H
fac_city: YUCAIPA
fac_zipcode: 92399
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: 8
cens_tract: 6071008708
laco_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
license_no: 240000224
longitude: -117.035551
latitude: 34.010163
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: 57
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: 57
sn_gen_ltc_adm: 89
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: 89
sn_gen_ltc_dis: 87
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: 87
sn_gen_ltc_cens_cy: 59
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: 206361383
fac_no: 206361383
fac_name: CREEKSIDE CARE CENTER
fac_str_addr: 35253 AVENUE H
fac_city: YUCAIPA
fac_zip: 92399
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: 240000224
license_status: Open
facility_level: Parent Facility
longitude: -117.035551
latitude: 34.010163
assembly_dist: District 42
senate_dist: District 23
congress_dist: District 08
cens_tract: 06071008708
la_county_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
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: 59
sn_nursing_plus_adm: 106
sn_minus_dsch: 114
sn_dec_31_cen: 51
sn_pat_days_for: 20503
sn_lic_beds: 59
sn_lic_bed_days: 21535
pats_adm_from_home: 14
pats_adm_from_hsp: 85
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 4
pats_adm_from_res_board_and_care: 3
pats_adm_from_other: 0
tot_pats_adm: 106
medicare_pats: 4
medi_cal_pats: 9
managed_care_pats: 29
private_insurance_pats: 4
self_pay_pats: 0
all_other_pats: 5
tot_pats: 51
dsch_lt_2_wks: 34
dsch_2_wks_and_lt_1_month: 15
dsch_1_month_and_lt_3_months: 28
dsch_3_months_and_lt_7_months: 26

pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206361383
fac_no: 206361383
fac_name: CREEKSIDE CARE CENTER
fac_str_addr: 35253 AVENUE H
fac_city: YUCAIPA
fac_zip: 92399
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: 240000224
license_status: Open
facility_level: Parent Facility
longitude: -117.035551
latitude: 34.010163
assembly_dist: District 42
senate_dist: District 23
congress_dist: San Francisco -- District 8
cens_tract: 06071008708
la_county_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Partnership
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: 51
sn_nursing_plus_adm: 160
sn_minus_dsch: 154
sn_dec_31_cen: 57
sn_pat_days_for: 19651
sn_lic_beds: 59
sn_lic_bed_days: 21535
pats_adm_from_home: 43
pats_adm_from_hsp: 105
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 10
pats_adm_from_res_board_and_care: 2
pats_adm_from_other: 0
tot_pats_adm: 160
medicare_pats: 5
medi_cal_pats: 43
managed_care_pats: 9
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 0
tot_pats: 57
dsch_lt_2_wks: 44
dsch_2_wks_and_lt_1_month: 25
dsch_1_month_and_lt_3_months: 33
dsch_3_months_and_lt_7_months: 31

pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206361383
fac_no: 206361383
fac_name: CREEKSIDE CARE CENTER
fac_str_addr: 35253 AVENUE H
fac_city: YUCAIPA
fac_zip: 92399
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 42
senate_dist: District 23
congress_dist: District 8
cens_tract: None
la_county_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
lic_cat: Skilled Nursing 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: 206361383
fac_no: 206361383
fac_name: CREEKSIDE CARE CENTER
fac_str_addr: 35253 AVENUE H
fac_city: YUCAIPA
fac_zip: 92399
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: 240000224
license_status: Open
facility_level: Parent Facility
longitude: -117.035411
latitude: 34.009705
assembly_dist: District 42
senate_dist: District 23
congress_dist: District 8
cens_tract: 06071008708
la_county_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
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: 209
sn_minus_dsch: 211
sn_dec_31_cen: 49
sn_pat_days_for: 15412
sn_lic_beds: 59
sn_lic_bed_days: 21535
pats_adm_from_home: 6
pats_adm_from_hsp: 139
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: 15
pats_adm_from_res_board_and_care: 9
pats_adm_from_other: 40
tot_pats_adm: 209
medicare_pats: 8
medi_cal_pats: 4
managed_care_pats: 35
private_insurance_pats: None
self_pay_pats: None
all_other_pats: 2
tot_pats: 49
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: 42
dsch_3_months_and_lt_7_months: 60

pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206361383
fac_no: 206361383
fac_name: CREEKSIDE CARE CENTER
fac_str_addr: 35253 AVENUE H
fac_city: YUCAIPA
fac_zip: 92399
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: 240000224
license_status: Open
facility_level: Parent Facility
longitude: -117.035411
latitude: 34.009705
assembly_dist: District 42
senate_dist: District 23
congress_dist: District 8
census_key: 06071008708
la_county_svc_plan_area: None
health_svc_area: 12 - Inland Counties
county: San Bernardino
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: 49
sn_nursing_plus_adm: 153
sn_minus_dsch: 151
sn_dec_31_cen: 51
sn_pat_days_for: 19086
sn_lic_beds: 59
sn_lic_bed_days: 21535
pats_adm_from_home: 4
pats_adm_from_hsp: 119
pats_adm_from_other_ltc: 7
pats_adm_from_res_board_and_care: 20
pats_adm_from_other: 3
tot_pats_adm: 153
medicare_pats: 16
medi_cal_pats: 25
managed_care_pats: 9
private_insurance_pats: None
self_pay_pats: None
all_other_pats: 1
tot_pats: 51
dsch_lt_2_wks: 36
dsch_2_wks_and_lt_1_month: 35
dsch_1_month_and_lt_3_months: 32
dsch_3_months_and_lt_7_months: 24
dsch_7_months_and_lt_1_yr: 16