Table # Values
facility_profile_attributes 1 facility_desc: CRESTWOOD MANOR - STOCKTON
site_address1: 1130 MONACO COURT
site_address2: None
site_city: STOCKTON
site_zip: 95207
site_x_coordinate: -121.319222
site_y_coordinate: 37.988309
oshpd_id: 206392343
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
license_number: 100000227
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 190
facility_status_desc: Open
financial_facility_count: 0
consolidated_facility_desc_pipe: None
consolidated_facility_desc_comma: None
period_begin_date: None
period_end_date: None
net_pat_rev_medicare_traditional_ip: None
net_pat_rev_medicare_managed_ip: None
net_pat_rev_medi_cal_traditional_ip: None
net_pat_rev_medi_cal_managed_ip: None
net_pat_rev_county_indigent_traditional_ip: None
net_pat_rev_county_indigent_managed_ip: None
net_pat_rev_third_party_traditional_ip: None
net_pat_rev_third_party_managed_ip: None
net_pat_rev_other_indigent_ip: None
net_pat_rev_other_payer_ip: None
net_pat_rev_total_ip: None
net_pat_rev_medicare_traditional_op: None
net_pat_rev_medicare_managed_op: None
net_pat_rev_medi_cal_traditional_op: None
net_pat_rev_medi_cal_managed_op: None
net_pat_rev_county_indigent_traditional_op: None
net_pat_rev_county_indigent_managed_op: None
net_pat_rev_third_party_traditional_op: None
net_pat_rev_third_party_managed_op: None
net_pat_rev_other_indigent_op: None
net_pat_rev_other_payer_op: None
net_pat_rev_total_op: None
payer_mix_medicare_traditional_ip: .000000000000
payer_mix_medicare_traditional_ip_state: None
payer_mix_medicare_managed_ip: .000000000000
payer_mix_medicare_managed_ip_state: None
payer_mix_medi_cal_traditional_ip: .000000000000
payer_mix_medi_cal_traditional_ip_state: None
payer_mix_medi_cal_managed_ip: .000000000000
payer_mix_medi_cal_managed_ip_state: None
payer_mix_county_indigent_traditional_ip: .000000000000
payer_mix_county_indigent_traditional_ip_state: None
payer_mix_county_indigent_managed_ip: .000000000000
payer_mix_county_indigent_managed_ip_state: None
payer_mix_third_party_traditional_ip: .000000000000
payer_mix_third_party_traditional_ip_state: None
payer_mix_third_party_managed_ip: .000000000000
payer_mix_third_party_managed_ip_state: None
payer_mix_other_indigent_ip: .000000000000
payer_mix_other_indigent_ip_state: None
payer_mix_other_payer_ip: .000000000000
payer_mix_other_payer_ip_state: None
payer_mix_medicare_traditional_op: .000000000000
payer_mix_medicare_traditional_op_state: None
payer_mix_medicare_managed_op: .000000000000
payer_mix_medicare_managed_op_state: None
payer_mix_medi_cal_traditional_op: .000000000000
payer_mix_medi_cal_traditional_op_state: None
payer_mix_medi_cal_managed_op: .000000000000
payer_mix_medi_cal_managed_op_state: None
payer_mix_county_indigent_traditional_op: .000000000000
payer_mix_county_indigent_traditional_op_state: None
payer_mix_county_indigent_managed_op: .000000000000
payer_mix_county_indigent_managed_op_state: None
payer_mix_third_party_traditional_op: .000000000000
payer_mix_third_party_traditional_op_state: None
payer_mix_third_party_managed_op: .000000000000
payer_mix_third_party_managed_op_state: None
payer_mix_other_indigent_op: .000000000000
payer_mix_other_indigent_op_state: None
payer_mix_other_payer_op: .000000000000
payer_mix_other_payer_op_state: None
avg_stay_medicare_traditional: None
avg_stay_medicare_managed: None
avg_stay_medi_cal_traditional: None
avg_stay_medi_cal_managed: None
avg_stay_county_indigent_traditional: None
avg_stay_county_indigent_managed: None
avg_stay_third_party_traditional: None
avg_stay_third_party_managed: None
avg_stay_other_indigent_total: None
avg_stay_other_payer_total: None
avg_stay_total: None
active_projects: None
active_project_costs: None
active_projects_state: 4279
active_project_costs_state: 18558539344
spc_1: None
spc_2: None
spc_3: None
spc_4: None
spc_5: None
spc_1_state: 33
spc_2_state: 655
spc_3_state: 385
spc_4_state: 781
spc_5_state: 1446
sysdate: None
licensed_facility_listing_01 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98830890
longitude: -121.31922150
licensed_facility_listing_02 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 10/02/1970
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
longitude: -121.320184
latitude: 37.98818
licensed_facility_listing_03 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 10/2/1970
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818
longitude: -121.320184
licensed_facility_listing_04 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_05 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_06 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_07 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_08 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_09 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98830890
longitude: -121.31922150
licensed_facility_listing_10 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98830890
longitude: -121.31922150
licensed_facility_listing_11 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_12 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_13 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_14 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_15 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_16 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_17 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
licensed_facility_listing_18 1 oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 0.00000000
longitude: 0.00000000
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98830890
longitude: -121.31922150
period: 2016-12-31
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2017-12-31
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2018-12-31
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2019-12-31
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2020-12-31
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2021-12-31
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2022-12-31
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2017-06-30
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2018-06-30
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2019-06-30
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO COURT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2020-06-30
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2021-06-30
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2022-06-30
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
period: 2023-06-30
oshpd_id: 206392343
facility_name: CRESTWOOD MANOR - STOCKTON
license_num: 100000227
facility_level_desc: Parent Facility
dba_address1: 1130 MONACO CT
dba_city: STOCKTON
dba_zip_code: 95207
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 190
facility_status_desc: Open
facility_status_date: 1970-10-02
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.98818000
longitude: -121.32018400
long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_address_one: 1130 MONACO COURT
fac_address_two: None
fac_city: STOCKTON
fac_zipcode: 95207
fac_phone: 209-478-2060
fac_admin_name: Derek Dobbins
fac_oper_curryr: Yes
beg_date: 2012-01-01 00:00:00
end_date: 2012-12-31 00:00:00
parent_name: Crestwood Behavior Health Inc.
parent_address_one: 520 Capitol Mall
parent_address_two: Ste. 800
parent_city: Sacramento
parent_state: CA
parent_zip_9: 95814
report_prep_name: Katherine Kelso
lic_status: Open
lic_status_date: 1970-10-02 00:00:00
lic_orig_date: 1970-10-02 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100000035
assembly_dist: 26
senate_dist: 5
congress_dist: 11
cens_tract: 6077003113
med_svc_study_area: 169a
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000227
longitude: -121.320184
latitude: 37.98818
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: None
cert_mcal_sn: None
cert_mcal_sn_md: YES
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 0
sn_md_ltc_cens_py: 183
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
ltc_cens_py_totl: 183
sn_gen_ltc_adm: 0
sn_md_ltc_adm: 72
long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
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: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_address_one: 1130 MONACO COURT
fac_address_two: None
fac_city: STOCKTON
fac_zipcode: 95207
fac_phone: 209-478-2060
fac_admin_name: Derek Dobbins
fac_oper_curryr: Yes
beg_date: 2013-01-01 00:00:00
end_date: 2013-12-31 00:00:00
parent_name: Crestwood Behavior Health Inc.
parent_address_one: 520 Capitol Mall, Ste. 800
parent_address_two: None
parent_city: Sacramento
parent_state: CA
parent_zip_9: 95814
report_prep_name: Katherine Kelso
lic_status: Open
lic_status_date: 1970-10-02 00:00:00
lic_orig_date: 1970-10-02 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100000035
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077003113
med_svc_study_area: 169a
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000227
longitude: -121.320184
latitude: 37.98818
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: None
cert_mcal_sn: None
cert_mcal_sn_md: YES
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 0
sn_md_ltc_cens_py: 185
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
cl_ltc_cens_py: 0
ltc_cens_py_totl: 185
sn_gen_ltc_adm: 0
sn_md_ltc_adm: 67
long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
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
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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: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_address_one: 1130 MONACO COURT
fac_address_two: ,
fac_city: STOCKTON
fac_zipcode: 95207
fac_phone: 209-478-2060
fac_admin_name: Derek Dobbins
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: Crestwood Behavioral Health, Inc.
parent_address_one: 520 Capitol Mall
parent_address_two: Ste. 800
parent_city: Sacramento
parent_state: CA
parent_zip_9: 95814
report_prep_name: Katherine Kelso
lic_status: Open
lic_status_date: 1970-10-02 00:00:00
lic_orig_date: 1970-10-02 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100000035
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077003113
med_svc_study_area: 169a
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000227
longitude: -121.319804
latitude: 37.988424
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: None
cert_mcal_sn: None
cert_mcal_sn_md: YES
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 0
sn_md_ltc_cens_py: 184
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: 184
sn_gen_ltc_adm: 0
long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
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
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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
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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: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_address_one: 1130 MONACO COURT
fac_address_two: None
fac_city: STOCKTON
fac_zipcode: 95207
fac_phone: 209-478-2060
fac_admin_name: Derek Dobbins
fac_oper_curryr: Yes
beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
parent_name: Crestwood Behavior Health, Inc.
parent_address_one: 520 Capitol Mall
parent_address_two: Ste. 800
parent_city: Sacramento
parent_state: CA
parent_zip_9: 95814
report_prep_name: Katherine Kelso
lic_status: Open
lic_status_date: 1970-10-02 00:00:00
lic_orig_date: 1970-10-02 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100000035
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077003113
med_svc_study_area: 169a
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000227
longitude: -121.320184
latitude: 37.98818
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: None
cert_mcal_sn: None
cert_mcal_sn_md: YES
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 113
sn_md_ltc_cens_py: 70
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: 183
sn_gen_ltc_adm: 24
long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
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
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equip_06_acqui_means: None
equip_07_descrip: None
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equip_08_descrip: None
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equip_10_descrip: None
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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: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_address_one: 1130 MONACO COURT
fac_address_two: None
fac_city: STOCKTON
fac_zipcode: 95207
fac_phone: 209-478-2060
fac_admin_name: Mary Carrick
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
parent_name: Crestwood Behavior Health, Inc.
parent_address_one: 520 Capitol Mall
parent_address_two: St.e 800
parent_city: Sacramento
parent_state: CA
parent_zip_9: 95814
report_prep_name: Katherine Kelso
lic_status: Open
lic_status_date: 1970-10-02 00:00:00
lic_orig_date: 1970-10-02 00:00:00
report_status: None
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mcare_provider_no: None
aclaims_no: 100000035
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077003113
med_svc_study_area: 169a
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000227
longitude: -121.320184
latitude: 37.98818
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: None
cert_mcal_sn: None
cert_mcal_sn_md: YES
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 104
sn_md_ltc_cens_py: 82
ic_gen_ltc_cens_py: 0
ic_dd_ltc_cens_py: 0
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hofa_ltc_cens_py: 0
ltc_cens_py_totl: 186
sn_gen_ltc_adm: 19
long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
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
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equip_03_descrip: None
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equip_04_descrip: None
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equip_10_descrip: None
equip_10_value: None
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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: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_address_one: 1130 MONACO COURT
fac_address_two: None
fac_city: STOCKTON
fac_zipcode: 95207
fac_phone: 209-478-2060
fac_admin_name: Mary Carrick
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
parent_name: Crestwood Behavioral Health, Inc.
parent_address_one: 520 Capitol Mall
parent_address_two: Ste. 800
parent_city: Sacramento
parent_state: CA
parent_zip_9: 95814
report_prep_name: Katherine Kelso
lic_status: Open
lic_status_date: 1970-10-02 00:00:00
lic_orig_date: 1970-10-02 00:00:00
report_status: None
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mcare_provider_no: None
aclaims_no: 100000035
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077003113
med_svc_study_area: 169a
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health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000227
longitude: -121.320184
latitude: 37.98818
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: None
cert_mcal_sn: None
cert_mcal_sn_md: YES
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 109
sn_md_ltc_cens_py: 76
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ic_dd_ltc_cens_py: 0
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hofa_ltc_cens_py: 0
ltc_cens_py_totl: 185
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long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
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
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equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
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equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
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equip_05_descrip: None
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equip_07_descrip: None
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equip_07_acqui_means: None
equip_08_descrip: None
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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: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_address_one: 1130 MONACO COURT
fac_city: STOCKTON
fac_zipcode: 95207
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: 6077003113
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000227
longitude: -121.320184
latitude: 37.98818
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: NO
cert_mcal_sn: NO
cert_mcal_sn_md: YES
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 109
sn_md_ltc_cens_py: 76
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: 185
sn_gen_ltc_adm: 26
sn_md_ltc_adm: 19
ic_gen_ltc_adm: 0
ic_dd_ltc_adm: 0
cl_ltc_adm: 0
hofa_ltc_adm: 0
ltc_adm_totl: 45
sn_gen_ltc_dis: 31
sn_md_ltc_dis: 13
ic_gen_ltc_dis: 0
ic_dd_ltc_dis: 0
cl_ltc_dis: 0
hofa_ltc_dis: 0
ltc_dis_totl: 44
sn_gen_ltc_cens_cy: 104
sn_md_ltc_cens_cy: 82
ic_gen_ltc_cens_cy: 0
ic_dd_ltc_cens_cy: 0
pivot_table_long_term_care_faclts_util_data_2017 1 oshpd_id: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_address_one: 1130 MONACO COURT
fac_city: STOCKTON
fac_zipcode: 95207
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: 6077003113
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000227
longitude: -121.320184
latitude: 37.98818
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: NO
cert_mcal_sn: NO
cert_mcal_sn_md: YES
cert_mcal_ic: None
cert_mcal_icdd: None
cert_mcal_sub_or_sub_ped: None
sn_gen_ltc_cens_py: 104
sn_md_ltc_cens_py: 82
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: 186
sn_gen_ltc_adm: 19
sn_md_ltc_adm: 19
ic_gen_ltc_adm: 0
ic_dd_ltc_adm: 0
cl_ltc_adm: 0
hofa_ltc_adm: 0
ltc_adm_totl: 38
sn_gen_ltc_dis: 23
sn_md_ltc_dis: 15
ic_gen_ltc_dis: 0
ic_dd_ltc_dis: 0
cl_ltc_dis: 0
hofa_ltc_dis: 0
ltc_dis_totl: 38
sn_gen_ltc_cens_cy: 100
sn_md_ltc_cens_cy: 86
ic_gen_ltc_cens_cy: 0
ic_dd_ltc_cens_cy: 0
pivot_table_long_term_care_faclts_util_data_2018 1 oshpd_id: 206392343
fac_no: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_str_addr: 1130 MONACO COURT
fac_city: STOCKTON
fac_zip: 95207
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: 100000227
license_status: Open
facility_level: Parent Facility
longitude: -121.320184
latitude: 37.98818
assembly_dist: District 13
senate_dist: District 05
congress_dist: District 09
cens_tract: 06077003113
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: X
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: 100
sn_nursing_plus_adm: 14
sn_minus_dsch: 16
sn_dec_31_cen: 98
sn_pat_days_for: 43000
sn_lic_beds: 190
sn_lic_bed_days: 69350
pats_adm_from_home: 0
pats_adm_from_hsp: 21
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 7
pats_adm_from_res_board_and_care: 4
pats_adm_from_other: 9
tot_pats_adm: 41
medicare_pats: 0
medi_cal_pats: 160
managed_care_pats: 15
private_insurance_pats: 0
self_pay_pats: 3
all_other_pats: 10
tot_pats: 188
dsch_lt_2_wks: 2
dsch_2_wks_and_lt_1_month: 0
dsch_1_month_and_lt_3_months: 2
dsch_3_months_and_lt_7_months: 5
pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206392343
fac_no: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_str_addr: 1130 MONACO COURT
fac_city: STOCKTON
fac_zip: 95207
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: 100000227
license_status: Open
facility_level: Parent Facility
longitude: -121.320184
latitude: 37.98818
assembly_dist: District 13
senate_dist: District 5
congress_dist: Oakland -- District 9
cens_tract: 06077003113
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: X
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: 98
sn_nursing_plus_adm: 33
sn_minus_dsch: 37
sn_dec_31_cen: 94
sn_pat_days_for: 42440
sn_lic_beds: 118
sn_lic_bed_days: 43070
pats_adm_from_home: 0
pats_adm_from_hsp: 26
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 18
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 8
tot_pats_adm: 52
medicare_pats: 0
medi_cal_pats: 160
managed_care_pats: 17
private_insurance_pats: 0
self_pay_pats: 2
all_other_pats: 11
tot_pats: 190
dsch_lt_2_wks: 5
dsch_2_wks_and_lt_1_month: 2
dsch_1_month_and_lt_3_months: 3
dsch_3_months_and_lt_7_months: 4
pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206392343
fac_no: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_str_addr: 1130 MONACO COURT
fac_city: STOCKTON
fac_zip: 95207
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: 100000227
license_status: Open
facility_level: Parent Facility
longitude: -121.320184
latitude: 37.98818
assembly_dist: District 13
senate_dist: District 5
congress_dist: District 9
cens_tract: 06077003113
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: X
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: 94
sn_nursing_plus_adm: 19
sn_minus_dsch: 38
sn_dec_31_cen: 75
sn_pat_days_for: 40419
sn_lic_beds: 118
sn_lic_bed_days: 43188
pats_adm_from_home: 0
pats_adm_from_hsp: 12
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 9
pats_adm_from_res_board_and_care: 2
pats_adm_from_other: 9
tot_pats_adm: 32
medicare_pats: 0
medi_cal_pats: 139
managed_care_pats: 17
private_insurance_pats: 0
self_pay_pats: 2
all_other_pats: 10
tot_pats: 168
dsch_lt_2_wks: 4
dsch_2_wks_and_lt_1_month: 1
dsch_1_month_and_lt_3_months: 3
dsch_3_months_and_lt_7_months: 6
pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206392343
fac_no: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_str_addr: 1130 MONACO COURT
fac_city: STOCKTON
fac_zip: 95207
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: 100000227
license_status: Open
facility_level: Parent Facility
longitude: -121.319222
latitude: 37.988309
assembly_dist: District 13
senate_dist: District 5
congress_dist: District 9
cens_tract: 06077003113
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: X
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: 75
sn_nursing_plus_adm: 38
sn_minus_dsch: 32
sn_dec_31_cen: 81
sn_pat_days_for: 39155
sn_lic_beds: 118
sn_lic_bed_days: 43070
pats_adm_from_home: 0
pats_adm_from_hsp: 27
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 17
pats_adm_from_res_board_and_care: 2
pats_adm_from_other: 10
tot_pats_adm: 56
medicare_pats: 0
medi_cal_pats: 158
managed_care_pats: 14
private_insurance_pats: 0
self_pay_pats: 1
all_other_pats: 10
tot_pats: 183
dsch_lt_2_wks: 7
dsch_2_wks_and_lt_1_month: 3
dsch_1_month_and_lt_3_months: 4
dsch_3_months_and_lt_7_months: 4
pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206392343
fac_no: 206392343
fac_name: CRESTWOOD MANOR - STOCKTON
fac_str_addr: 1130 MONACO COURT
fac_city: STOCKTON
fac_zip: 95207
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: 100000227
license_status: Open
facility_level: Parent Facility
longitude: -121.319222
latitude: 37.988309
assembly_dist: District 13
senate_dist: District 5
congress_dist: District 9
census_key: 06077003113
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: X
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: 81
sn_nursing_plus_adm: 30
sn_minus_dsch: 33
sn_dec_31_cen: 78
sn_pat_days_for: 40685
sn_lic_beds: 118
sn_lic_bed_days: 43070
pats_adm_from_home: 0
pats_adm_from_hsp: 21
pats_adm_from_other_ltc: 7
pats_adm_from_res_board_and_care: 2
pats_adm_from_other: 20
tot_pats_adm: 50
medicare_pats: 0
medi_cal_pats: 152
managed_care_pats: 13
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 14
tot_pats: 179
dsch_lt_2_wks: 7
dsch_2_wks_and_lt_1_month: 4
dsch_1_month_and_lt_3_months: 4
dsch_3_months_and_lt_7_months: 3
dsch_7_months_and_lt_1_yr: 6