Table # Values
facility_profile_attributes 1 facility_desc: MEADOWOOD A HEALTH AND REHABILITATION CENTER
site_address1: 3110 WAGNER HEIGHTS ROAD
site_address2: None
site_city: STOCKTON
site_zip: 95209
site_x_coordinate: -121.356441
site_y_coordinate: 38.031406
oshpd_id: 206394041
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
license_number: 100000631
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 100
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: 2
active_project_costs: 151766
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: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03140610
longitude: -121.35644140
licensed_facility_listing_02 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 09/17/1997
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
longitude: -121.35586253
latitude: 38.03201802
licensed_facility_listing_03 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 9/17/1997
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.3558625
licensed_facility_listing_04 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_05 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_06 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_07 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_08 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_09 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03140610
longitude: -121.35644140
licensed_facility_listing_10 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03140610
longitude: -121.35644140
licensed_facility_listing_11 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_12 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_13 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_14 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_15 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_16 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_17 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
licensed_facility_listing_18 1 oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03140610
longitude: -121.35644140
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03140610
longitude: -121.35644140
period: 2016-12-31
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2017-12-31
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586250
period: 2018-12-31
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2019-12-31
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2020-12-31
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2021-12-31
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2022-12-31
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2017-06-30
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2018-06-30
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2019-06-30
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2020-06-30
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2021-06-30
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2022-06-30
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
period: 2023-06-30
oshpd_id: 206394041
facility_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
license_num: 100000631
facility_level_desc: Parent Facility
dba_address1: 3110 WAGNER HEIGHTS ROAD
dba_city: STOCKTON
dba_zip_code: 95209
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 100
facility_status_desc: Open
facility_status_date: 1997-09-17
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 38.03201802
longitude: -121.35586253
long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_address_one: 3110 WAGNER HEIGHTS ROAD
fac_address_two: None
fac_city: STOCKTON
fac_zipcode: 95209
fac_phone: 209-956-3444
fac_admin_name: Catherine Otte
fac_oper_curryr: Yes
beg_date: 2012-01-01 00:00:00
end_date: 2012-12-31 00:00:00
parent_name: OConner Woods Housing Corporation
parent_address_one: 3400 Wagner Heights Rd
parent_address_two: None
parent_city: Stockton
parent_state: CA
parent_zip_9: 95209-4848
report_prep_name: Susan Morales
lic_status: Open
lic_status_date: 1997-09-17 00:00:00
lic_orig_date: 1997-09-17 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100001535
assembly_dist: 10
senate_dist: 5
congress_dist: 11
cens_tract: 6077003210
med_svc_study_area: 169c
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000631
longitude: -121.3558625
latitude: 38.03201802
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: 89
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: 89
sn_gen_ltc_adm: 516
sn_md_ltc_adm: 0
long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION 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_2013 1 oshpd_id: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_address_one: 3110 WAGNER HEIGHTS ROAD
fac_address_two: None
fac_city: STOCKTON
fac_zipcode: 95209
fac_phone: 209-956-3444
fac_admin_name: Cathy Otte
fac_oper_curryr: Yes
beg_date: 2013-01-01 00:00:00
end_date: 2013-12-31 00:00:00
parent_name: OConnor Woods Housing Corporation
parent_address_one: DBA Meadowood A Heatlh and Rehabilitation Center
parent_address_two: 3110 Wagner Heights Rd
parent_city: Stockton
parent_state: CA
parent_zip_9: 95209
report_prep_name: Susan Morales
lic_status: Open
lic_status_date: 1997-09-17 00:00:00
lic_orig_date: 1997-09-17 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100001535
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077003210
med_svc_study_area: 169c
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000631
longitude: -121.35586253
latitude: 38.03201802
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: 92
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: 92
sn_gen_ltc_adm: 591
sn_md_ltc_adm: 0
long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION 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_2014 1 oshpd_id: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_address_one: 3110 WAGNER HEIGHTS ROAD
fac_address_two: None
fac_city: STOCKTON
fac_zipcode: 95209
fac_phone: 209-956-3444
fac_admin_name: Catherine Otte
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: OConnor Woods Housing Corporation
parent_address_one: 3400 Wagner Heights Rd
parent_address_two: None
parent_city: Stockton
parent_state: CA
parent_zip_9: 95209
report_prep_name: Cathy Otte
lic_status: Open
lic_status_date: 1997-09-17 00:00:00
lic_orig_date: 1997-09-17 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100001535
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077003210
med_svc_study_area: 169c
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000631
longitude: -121.356528
latitude: 38.032023
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: 84
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: 84
sn_gen_ltc_adm: 635
long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION 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_2015 1 oshpd_id: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_address_one: 3110 WAGNER HEIGHTS ROAD
fac_address_two: None
fac_city: STOCKTON
fac_zipcode: 95209
fac_phone: 209-956-3444
fac_admin_name: Chad Hardcastle
fac_oper_curryr: Yes
beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
parent_name: OConnor Woods Housing Corporation
parent_address_one: 3400 Wagner Heights Road
parent_address_two: None
parent_city: Stockton
parent_state: CA
parent_zip_9: 95209
report_prep_name: Admira Masic
lic_status: Open
lic_status_date: 1997-09-17 00:00:00
lic_orig_date: 1997-09-17 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100001535
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077003210
med_svc_study_area: 169c
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000631
longitude: -121.35586253
latitude: 38.03201802
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: 85
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: 85
sn_gen_ltc_adm: 560
long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION 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: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_address_one: 3110 WAGNER HEIGHTS ROAD
fac_address_two: None
fac_city: STOCKTON
fac_zipcode: 95209
fac_phone: 209-956-3444
fac_admin_name: MAXINE NIEL
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
parent_name: OCONNOR WOODS HOUSING CORPORATION
parent_address_one: 3400 WAGNER HEIGHTS ROAD
parent_address_two: None
parent_city: STOCKTON
parent_state: CA
parent_zip_9: 95209
report_prep_name: Patty Skarshaug
lic_status: Open
lic_status_date: 1997-09-17 00:00:00
lic_orig_date: 1997-09-17 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100001535
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077003210
med_svc_study_area: 169c
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000631
longitude: -121.35586253
latitude: 38.03201802
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: 84
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: 84
sn_gen_ltc_adm: 780
long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION 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
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equip_05_descrip: None
equip_05_value: None
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equip_05_acqui_means: 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
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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: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_address_one: 3110 WAGNER HEIGHTS ROAD
fac_address_two: None
fac_city: STOCKTON
fac_zipcode: 95209
fac_phone: 209-956-3444
fac_admin_name: CHAD HARDCASTLE
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
parent_name: OCONNOR WOODS HOUSING CORPORATION
parent_address_one: 3400 WAGNER HEIGHTS ROAD
parent_address_two: None
parent_city: STOCKTON
parent_state: CA
parent_zip_9: 95209
report_prep_name: Patty Skarshaug
lic_status: Open
lic_status_date: 1997-09-17 00:00:00
lic_orig_date: 1997-09-17 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100001535
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077003210
med_svc_study_area: 169c
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000631
longitude: -121.35586253
latitude: 38.03201802
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: 82
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: 82
sn_gen_ltc_adm: 472
long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION 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
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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
pivot_table_long_term_care_faclts_util_data_2016 1 oshpd_id: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_address_one: 3110 WAGNER HEIGHTS ROAD
fac_city: STOCKTON
fac_zipcode: 95209
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: 6077003210
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000631
longitude: -121.35586253
latitude: 38.03201802
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: 82
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: 82
sn_gen_ltc_adm: 472
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: 472
sn_gen_ltc_dis: 470
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: 470
sn_gen_ltc_cens_cy: 84
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: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_address_one: 3110 WAGNER HEIGHTS ROAD
fac_city: STOCKTON
fac_zipcode: 95209
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: 6077003210
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000631
longitude: -121.35586253
latitude: 38.03201802
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: 84
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: 84
sn_gen_ltc_adm: 780
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: 780
sn_gen_ltc_dis: 764
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: 764
sn_gen_ltc_cens_cy: 100
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: 206394041
fac_no: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_str_addr: 3110 WAGNER HEIGHTS ROAD
fac_city: STOCKTON
fac_zip: 95209
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: 100000631
license_status: Open
facility_level: Parent Facility
longitude: -121.355863
latitude: 38.032018
assembly_dist: District 13
senate_dist: District 05
congress_dist: District 09
cens_tract: 06077003210
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: 100
sn_nursing_plus_adm: 497
sn_minus_dsch: 497
sn_dec_31_cen: 100
sn_pat_days_for: 32630
sn_lic_beds: 100
sn_lic_bed_days: 36500
pats_adm_from_home: 37
pats_adm_from_hsp: 437
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: 4
pats_adm_from_other: 19
tot_pats_adm: 497
medicare_pats: 33
medi_cal_pats: 30
managed_care_pats: 14
private_insurance_pats: None
self_pay_pats: 22
all_other_pats: 1
tot_pats: 100
dsch_lt_2_wks: 134
dsch_2_wks_and_lt_1_month: 223
dsch_1_month_and_lt_3_months: 112
dsch_3_months_and_lt_7_months: 16
pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206394041
fac_no: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_str_addr: 3110 WAGNER HEIGHTS ROAD
fac_city: STOCKTON
fac_zip: 95209
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: 100000631
license_status: Open
facility_level: Parent Facility
longitude: -121.355863
latitude: 38.032018
assembly_dist: District 13
senate_dist: District 5
congress_dist: Oakland -- District 9
cens_tract: 06077003210
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: 100
sn_nursing_plus_adm: 781
sn_minus_dsch: 795
sn_dec_31_cen: 86
sn_pat_days_for: 31693
sn_lic_beds: 100
sn_lic_bed_days: 36500
pats_adm_from_home: 100
pats_adm_from_hsp: 576
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: 0
pats_adm_from_res_board_and_care: 97
pats_adm_from_other: 8
tot_pats_adm: 781
medicare_pats: 15
medi_cal_pats: 35
managed_care_pats: 6
private_insurance_pats: 7
self_pay_pats: 23
all_other_pats: None
tot_pats: 86
dsch_lt_2_wks: 247
dsch_2_wks_and_lt_1_month: 326
dsch_1_month_and_lt_3_months: 126
dsch_3_months_and_lt_7_months: 33
pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206394041
fac_no: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_str_addr: 3110 WAGNER HEIGHTS ROAD
fac_city: STOCKTON
fac_zip: 95209
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: 100000631
license_status: Open
facility_level: Parent Facility
longitude: -121.355863
latitude: 38.032018
assembly_dist: District 13
senate_dist: District 5
congress_dist: District 9
cens_tract: 06077003210
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: 86
sn_nursing_plus_adm: 541
sn_minus_dsch: 555
sn_dec_31_cen: 72
sn_pat_days_for: 27241
sn_lic_beds: 100
sn_lic_bed_days: 36600
pats_adm_from_home: 26
pats_adm_from_hsp: 412
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: 80
pats_adm_from_other: 23
tot_pats_adm: 541
medicare_pats: 7
medi_cal_pats: 34
managed_care_pats: 18
private_insurance_pats: 8
self_pay_pats: 5
all_other_pats: None
tot_pats: 72
dsch_lt_2_wks: 179
dsch_2_wks_and_lt_1_month: 221
dsch_1_month_and_lt_3_months: 68
dsch_3_months_and_lt_7_months: 16
pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206394041
fac_no: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_str_addr: 3110 WAGNER HEIGHTS ROAD
fac_city: STOCKTON
fac_zip: 95209
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: 100000631
license_status: Open
facility_level: Parent Facility
longitude: -121.356441
latitude: 38.031406
assembly_dist: District 13
senate_dist: District 5
congress_dist: District 9
cens_tract: 06077003210
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: 72
sn_nursing_plus_adm: 285
sn_minus_dsch: 291
sn_dec_31_cen: 66
sn_pat_days_for: 25575
sn_lic_beds: 100
sn_lic_bed_days: 36500
pats_adm_from_home: 2
pats_adm_from_hsp: 261
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 6
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 16
tot_pats_adm: 285
medicare_pats: 10
medi_cal_pats: 37
managed_care_pats: 12
private_insurance_pats: 0
self_pay_pats: 7
all_other_pats: 0
tot_pats: 66
dsch_lt_2_wks: 100
dsch_2_wks_and_lt_1_month: 128
dsch_1_month_and_lt_3_months: 42
dsch_3_months_and_lt_7_months: 6
pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206394041
fac_no: 206394041
fac_name: MEADOWOOD A HEALTH AND REHABILITATION CENTER
fac_str_addr: 3110 WAGNER HEIGHTS ROAD
fac_city: STOCKTON
fac_zip: 95209
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: 100000631
license_status: Open
facility_level: Parent Facility
longitude: -121.356441
latitude: 38.031406
assembly_dist: District 13
senate_dist: District 5
congress_dist: District 9
census_key: 06077003210
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: 66
sn_nursing_plus_adm: 340
sn_minus_dsch: 333
sn_dec_31_cen: 73
sn_pat_days_for: 23859
sn_lic_beds: 100
sn_lic_bed_days: 36500
pats_adm_from_home: 0
pats_adm_from_hsp: 329
pats_adm_from_other_ltc: 6
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 5
tot_pats_adm: 340
medicare_pats: 14
medi_cal_pats: 32
managed_care_pats: 19
private_insurance_pats: 0
self_pay_pats: 8
all_other_pats: 0
tot_pats: 73
dsch_lt_2_wks: 111
dsch_2_wks_and_lt_1_month: 151
dsch_1_month_and_lt_3_months: 48
dsch_3_months_and_lt_7_months: 8
dsch_7_months_and_lt_1_yr: 3