| Table | # | Values |
|---|---|---|
| licensed_facility_listing_02 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 01/19/1970 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility longitude: -121.29731 latitude: 37.96505 |
| licensed_facility_listing_03 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1/19/1970 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505 longitude: -121.29731 |
| licensed_facility_listing_04 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_facility_listing_05 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_facility_listing_06 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_facility_listing_07 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_facility_listing_08 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_facility_listing_11 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_facility_listing_12 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_facility_listing_13 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_facility_listing_14 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_facility_listing_15 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_facility_listing_16 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_facility_listing_17 | 1 |
oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| licensed_healthcare_facility_listing | 14 |
period: 2016-12-31 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2017-12-31 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2018-12-31 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2019-12-31 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2020-12-31 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2021-12-31 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2022-12-31 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2017-06-30 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2018-06-30 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2019-06-30 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 NORTH MADISON STREET dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: SAN JOAQUIN er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2020-06-30 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2021-06-30 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2022-06-30 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 period: 2023-06-30 oshpd_id: 206390987 facility_name: PLYMOUTH SQUARE license_num: 100000076 facility_level_desc: Parent Facility dba_address1: 1319 N MADISON ST dba_city: STOCKTON dba_zip_code: 95202 county_code: 39 county_name: San Joaquin er_service_level_desc: Not Applicable total_number_beds: 38 facility_status_desc: Open facility_status_date: 1970-01-19 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.96505000 longitude: -121.29731000 |
| long_term_care_facilities_utilization_data_2012 | 1 |
oshpd_id: 206390987 fac_name: PLYMOUTH SQUARE fac_address_one: 1319 NORTH MADISON STREET fac_address_two: None fac_city: STOCKTON fac_zipcode: 95202 fac_phone: 209-466-4341 fac_admin_name: Gary Wiemers fac_oper_curryr: Yes beg_date: 2012-01-01 00:00:00 end_date: 2012-12-31 00:00:00 parent_name: Retirement Housing Foundation parent_address_one: 911 N. Studebaker Road parent_address_two: None parent_city: Long Beach parent_state: CA parent_zip_9: 90815 report_prep_name: Gary Wiemers lic_status: Open lic_status_date: 1970-01-19 00:00:00 lic_orig_date: 1970-01-19 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000086 assembly_dist: 17 senate_dist: 5 congress_dist: 18 cens_tract: 6077000402 med_svc_study_area: 169b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin license_no: 100000076 longitude: -121.29731 latitude: 37.96505 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) 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: 38 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: 38 sn_gen_ltc_adm: 33 sn_md_ltc_adm: 0 |
| long_term_care_facilities_utilization_data_2012_sec_5 | 1 |
oshpd_id: 206390987 fac_name: PLYMOUTH SQUARE 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: 206390987 fac_name: PLYMOUTH SQUARE fac_address_one: 1319 NORTH MADISON STREET fac_address_two: None fac_city: STOCKTON fac_zipcode: 95202 fac_phone: 209-466-4341 fac_admin_name: Dennis Noss fac_oper_curryr: Yes beg_date: 2013-01-01 00:00:00 end_date: 2013-12-31 00:00:00 parent_name: Retirement Housing Foundation parent_address_one: 911 N Studebaker Road parent_address_two: None parent_city: Long Beach parent_state: CA parent_zip_9: 90815 report_prep_name: Dennis Noss lic_status: Open lic_status_date: 1970-01-19 00:00:00 lic_orig_date: 1970-01-19 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000086 assembly_dist: 13 senate_dist: 5 congress_dist: 9 cens_tract: 6077000402 med_svc_study_area: 169b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin license_no: 100000076 longitude: -121.29731 latitude: 37.96505 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) 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: 35 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: 35 sn_gen_ltc_adm: 46 sn_md_ltc_adm: 0 |
| long_term_care_faclts_util_data_2013_sec_5 | 1 |
oshpd_id: 206390987 fac_name: PLYMOUTH SQUARE 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: 206390987 fac_name: PLYMOUTH SQUARE fac_address_one: 1319 NORTH MADISON STREET fac_address_two: None fac_city: STOCKTON fac_zipcode: 95202 fac_phone: 209-466-4341 fac_admin_name: Dennis Noss fac_oper_curryr: Yes beg_date: 2014-01-01 00:00:00 end_date: 2014-12-31 00:00:00 parent_name: Retirement Housing Foundation parent_address_one: 911 N Studebaker Road parent_address_two: None parent_city: Long Beach parent_state: CA parent_zip_9: 90815 report_prep_name: Dennis Noss lic_status: Open lic_status_date: 1970-01-19 00:00:00 lic_orig_date: 1970-01-19 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000086 assembly_dist: 13 senate_dist: 5 congress_dist: 9 cens_tract: 6077000402 med_svc_study_area: 169b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin license_no: 100000076 longitude: -121.297323 latitude: 37.965211 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) 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: 31 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: 31 sn_gen_ltc_adm: 30 |
| long_term_care_faclts_util_data_2014_sec_5 | 1 |
oshpd_id: 206390987 fac_name: PLYMOUTH SQUARE 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: 206390987 fac_name: PLYMOUTH SQUARE fac_address_one: 1319 NORTH MADISON STREET fac_address_two: None fac_city: STOCKTON fac_zipcode: 95202 fac_phone: 209-466-4341 fac_admin_name: Psyche Johnson fac_oper_curryr: Yes beg_date: 2015-01-01 00:00:00 end_date: 2015-12-31 00:00:00 parent_name: Retirement Housing Foundation parent_address_one: 911 N.Studebaker Road parent_address_two: None parent_city: Long Beach parent_state: CA parent_zip_9: 90815 report_prep_name: Elaine Laguna lic_status: Open lic_status_date: 1970-01-19 00:00:00 lic_orig_date: 1970-01-19 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000086 assembly_dist: 13 senate_dist: 5 congress_dist: 9 cens_tract: 6077000402 med_svc_study_area: 169b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin license_no: 100000076 longitude: -121.29731 latitude: 37.96505 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) 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: 33 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: 33 sn_gen_ltc_adm: 51 |
| long_term_care_faclts_util_data_2015_sec_5 | 1 |
oshpd_id: 206390987 fac_name: PLYMOUTH SQUARE 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: 206390987 fac_name: PLYMOUTH SQUARE fac_address_one: 1319 NORTH MADISON STREET fac_address_two: None fac_city: STOCKTON fac_zipcode: 95202 fac_phone: 209-466-4341 fac_admin_name: Psyche Johnson fac_oper_curryr: Yes beg_date: 2017-01-01 00:00:00 end_date: 2017-12-31 00:00:00 parent_name: Retirement Housing Foundation parent_address_one: 911 N. Studebaker Road parent_address_two: None parent_city: Long Beach parent_state: CA parent_zip_9: 90815-4900 report_prep_name: Psyche Johnson lic_status: Open lic_status_date: 1970-01-19 00:00:00 lic_orig_date: 1970-01-19 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000086 assembly_dist: 13 senate_dist: 5 congress_dist: 9 cens_tract: 6077000402 med_svc_study_area: 169b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin license_no: 100000076 longitude: -121.29731 latitude: 37.96505 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) 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: 27 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: 27 sn_gen_ltc_adm: 39 |
| long_term_care_faclts_util_data_oct_2018_for_2017_sec5 | 1 |
oshpd_id: 206390987 fac_name: PLYMOUTH SQUARE 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: 206390987 fac_name: PLYMOUTH SQUARE fac_address_one: 1319 NORTH MADISON STREET fac_address_two: None fac_city: STOCKTON fac_zipcode: 95202 fac_phone: 209-466-4341 fac_admin_name: Psyche Johnson fac_oper_curryr: Yes beg_date: 2016-01-01 00:00:00 end_date: 2016-12-31 00:00:00 parent_name: Retirement Housing Foundation parent_address_one: 911 N.Studebaker Road parent_address_two: None parent_city: Long Beach parent_state: CA parent_zip_9: 90815 report_prep_name: Elaine Laguna lic_status: Open lic_status_date: 1970-01-19 00:00:00 lic_orig_date: 1970-01-19 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000086 assembly_dist: 13 senate_dist: 5 congress_dist: 9 cens_tract: 6077000402 med_svc_study_area: 169b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin license_no: 100000076 longitude: -121.29731 latitude: 37.96505 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) 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: 29 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: 29 sn_gen_ltc_adm: 31 |
| long_term_care_faclts_util_data_updated_2016_sec_5 | 1 |
oshpd_id: 206390987 fac_name: PLYMOUTH SQUARE 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: 206390987 fac_name: PLYMOUTH SQUARE fac_address_one: 1319 NORTH MADISON STREET fac_city: STOCKTON fac_zipcode: 95202 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: 13 senate_dist: 5 congress_dist: 9 cens_tract: 6077000402 laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin license_no: 100000076 longitude: -121.29731 latitude: 37.96505 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) 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: 29 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: 29 sn_gen_ltc_adm: 31 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: 31 sn_gen_ltc_dis: 33 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: 33 sn_gen_ltc_cens_cy: 27 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: 206390987 fac_name: PLYMOUTH SQUARE fac_address_one: 1319 NORTH MADISON STREET fac_city: STOCKTON fac_zipcode: 95202 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: 13 senate_dist: 5 congress_dist: 9 cens_tract: 6077000402 laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin license_no: 100000076 longitude: -121.29731 latitude: 37.96505 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) 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: 27 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: 27 sn_gen_ltc_adm: 39 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: 39 sn_gen_ltc_dis: 33 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: 33 sn_gen_ltc_cens_cy: 33 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: 206390987 fac_no: 206390987 fac_name: PLYMOUTH SQUARE fac_str_addr: 1319 NORTH MADISON STREET fac_city: STOCKTON fac_zip: 95202 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: 100000076 license_status: Open facility_level: Parent Facility longitude: -121.29731 latitude: 37.96505 assembly_dist: District 13 senate_dist: District 05 congress_dist: District 09 cens_tract: 06077000402 la_county_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin lic_cat: Skilled Nursing Facility licee_toc: Non-Profit Corporation (including church-related) 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: 33 sn_nursing_plus_adm: 181 sn_minus_dsch: 183 sn_dec_31_cen: 31 sn_pat_days_for: 11560 sn_lic_beds: 38 sn_lic_bed_days: 13870 pats_adm_from_home: 6 pats_adm_from_hsp: 171 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 0 pats_adm_from_res_board_and_care: 4 pats_adm_from_other: None tot_pats_adm: 181 medicare_pats: 5 medi_cal_pats: 19 managed_care_pats: 2 private_insurance_pats: None self_pay_pats: 3 all_other_pats: 2 tot_pats: 31 dsch_lt_2_wks: 65 dsch_2_wks_and_lt_1_month: 69 dsch_1_month_and_lt_3_months: 42 dsch_3_months_and_lt_7_months: 7 |
| pivot_table_long_term_care_faclts_util_data_2019 | 1 |
oshpd_id: 206390987 fac_no: 206390987 fac_name: PLYMOUTH SQUARE fac_str_addr: 1319 NORTH MADISON STREET fac_city: STOCKTON fac_zip: 95202 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: 100000076 license_status: Open facility_level: Parent Facility longitude: -121.29731 latitude: 37.96505 assembly_dist: District 13 senate_dist: District 5 congress_dist: Oakland -- District 9 cens_tract: 06077000402 la_county_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin lic_cat: Skilled Nursing Facility licee_toc: Non-Profit Corporation (including church-related) 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: 33 sn_nursing_plus_adm: 177 sn_minus_dsch: 183 sn_dec_31_cen: 27 sn_pat_days_for: 11416 sn_lic_beds: 38 sn_lic_bed_days: 13870 pats_adm_from_home: 0 pats_adm_from_hsp: 175 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 2 pats_adm_from_res_board_and_care: 0 pats_adm_from_other: 0 tot_pats_adm: 177 medicare_pats: 3 medi_cal_pats: 22 managed_care_pats: 1 private_insurance_pats: 0 self_pay_pats: 1 all_other_pats: None tot_pats: 27 dsch_lt_2_wks: 40 dsch_2_wks_and_lt_1_month: 121 dsch_1_month_and_lt_3_months: 21 dsch_3_months_and_lt_7_months: 1 |
| pivot_table_long_term_care_faclts_util_data_2020 | 1 |
oshpd_id: 206390987 fac_no: 206390987 fac_name: PLYMOUTH SQUARE fac_str_addr: 1319 NORTH MADISON STREET fac_city: STOCKTON fac_zip: 95202 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: 100000076 license_status: Open facility_level: Parent Facility longitude: -121.29731 latitude: 37.96505 assembly_dist: District 13 senate_dist: District 5 congress_dist: District 9 cens_tract: 06077000402 la_county_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin lic_cat: Skilled Nursing Facility licee_toc: Non-Profit Corporation (including church-related) 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: 27 sn_nursing_plus_adm: 96 sn_minus_dsch: 106 sn_dec_31_cen: 17 sn_pat_days_for: 8867 sn_lic_beds: 38 sn_lic_bed_days: 13908 pats_adm_from_home: 0 pats_adm_from_hsp: 89 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 0 pats_adm_from_res_board_and_care: 3 pats_adm_from_other: 4 tot_pats_adm: 96 medicare_pats: 4 medi_cal_pats: 9 managed_care_pats: 2 private_insurance_pats: 0 self_pay_pats: 1 all_other_pats: 1 tot_pats: 17 dsch_lt_2_wks: 4 dsch_2_wks_and_lt_1_month: 9 dsch_1_month_and_lt_3_months: 93 dsch_3_months_and_lt_7_months: 0 |
| pivot_table_long_term_care_faclts_util_data_2021 | 1 |
oshpd_id: 206390987 fac_no: 206390987 fac_name: PLYMOUTH SQUARE fac_str_addr: 1319 NORTH MADISON STREET fac_city: STOCKTON fac_zip: 95202 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: 100000076 license_status: Open facility_level: Parent Facility longitude: -121.297548 latitude: 37.965196 assembly_dist: District 13 senate_dist: District 5 congress_dist: District 9 cens_tract: 06077000402 la_county_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin lic_cat: Skilled Nursing Facility licee_toc: Non-Profit Corporation (including church-related) 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: 17 sn_nursing_plus_adm: 110 sn_minus_dsch: 106 sn_dec_31_cen: 21 sn_pat_days_for: 7358 sn_lic_beds: 38 sn_lic_bed_days: 13870 pats_adm_from_home: 3 pats_adm_from_hsp: 103 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 4 pats_adm_from_res_board_and_care: 0 pats_adm_from_other: 0 tot_pats_adm: 110 medicare_pats: 0 medi_cal_pats: 14 managed_care_pats: 0 private_insurance_pats: 0 self_pay_pats: 3 all_other_pats: 4 tot_pats: 21 dsch_lt_2_wks: 21 dsch_2_wks_and_lt_1_month: 35 dsch_1_month_and_lt_3_months: 48 dsch_3_months_and_lt_7_months: 2 |
| pivot_table_long_term_care_faclts_util_data_2022 | 1 |
oshpd_id: 206390987 fac_no: 206390987 fac_name: PLYMOUTH SQUARE fac_str_addr: 1319 NORTH MADISON STREET fac_city: STOCKTON fac_zip: 95202 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: 100000076 license_status: Open facility_level: Parent Facility longitude: -121.297548 latitude: 37.965196 assembly_dist: District 13 senate_dist: District 5 congress_dist: District 9 census_key: 06077000402 la_county_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: San Joaquin lic_cat: Skilled Nursing Facility licee_toc: Non-Profit Corporation (including church-related) 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: 21 sn_nursing_plus_adm: 20 sn_minus_dsch: 25 sn_dec_31_cen: 16 sn_pat_days_for: 7326 sn_lic_beds: 38 sn_lic_bed_days: 13870 pats_adm_from_home: 2 pats_adm_from_hsp: 15 pats_adm_from_other_ltc: 3 pats_adm_from_res_board_and_care: None pats_adm_from_other: None tot_pats_adm: 20 medicare_pats: 0 medi_cal_pats: 15 managed_care_pats: None private_insurance_pats: None self_pay_pats: 1 all_other_pats: None tot_pats: 16 dsch_lt_2_wks: 7 dsch_2_wks_and_lt_1_month: 2 dsch_1_month_and_lt_3_months: 7 dsch_3_months_and_lt_7_months: 2 dsch_7_months_and_lt_1_yr: 4 |