| Table | # | Values |
|---|---|---|
| facility_profile_attributes | 1 |
facility_desc: SPRING LAKE VILLAGE site_address1: 5555 MONTGOMERY DRIVE site_address2: None site_city: SANTA ROSA site_zip: 95409 site_x_coordinate: -122.643454 site_y_coordinate: 38.458117 oshpd_id: 206494001 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility license_number: 010000147 facility_level_desc: Parent Facility er_service_level_desc: Not Specified licensed_beds: 70 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: 5 active_project_costs: 883165 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: 32 spc_2_state: 656 spc_3_state: 385 spc_4_state: 781 spc_5_state: 1446 sysdate: None |
| licensed_facility_listing_01 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45811740 longitude: -122.64345430 |
| licensed_facility_listing_02 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 11/14/1986 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility longitude: -122.64125 latitude: 38.45754 |
| licensed_facility_listing_03 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 10000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 11/14/1986 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754 longitude: -122.64125 |
| licensed_facility_listing_04 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_05 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_06 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_07 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_08 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_09 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45811740 longitude: -122.64345430 |
| licensed_facility_listing_10 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45811740 longitude: -122.64345430 |
| licensed_facility_listing_11 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_12 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_13 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_14 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_15 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_16 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_17 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| licensed_facility_listing_18 | 1 |
oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45811740 longitude: -122.64345430 |
| licensed_healthcare_facility_listing | 15 |
period: current oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45811740 longitude: -122.64345430 period: 2016-12-31 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2017-12-31 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 10000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2018-12-31 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2019-12-31 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2020-12-31 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2021-12-31 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2022-12-31 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2017-06-30 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2018-06-30 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2019-06-30 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 MONTGOMERY DRIVE dba_city: SANTA ROSA dba_zip_code: 95409 county_code: 49 county_name: SONOMA er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2020-06-30 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2021-06-30 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2022-06-30 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 period: 2023-06-30 oshpd_id: 206494001 facility_name: SPRING LAKE VILLAGE license_num: 010000147 facility_level_desc: Parent Facility dba_address1: 5555 Montgomery Dr dba_city: Santa Rosa dba_zip_code: 95409 county_code: 49 county_name: Sonoma er_service_level_desc: Not Applicable total_number_beds: 70 facility_status_desc: Open facility_status_date: 1986-11-14 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 38.45754000 longitude: -122.64125000 |
| long_term_care_facilities_utilization_data_2012 | 1 |
oshpd_id: 206494001 fac_name: SPRING LAKE VILLAGE fac_address_one: 5555 MONTGOMERY DRIVE fac_address_two: None fac_city: SANTA ROSA fac_zipcode: 95409 fac_phone: 707-579-6982 fac_admin_name: Kristin A. Hermanson fac_oper_curryr: Yes beg_date: 2012-01-01 00:00:00 end_date: 2012-12-31 00:00:00 parent_name: Episcopal Senior Communities parent_address_one: 5185 N. California Blvd. Suite 575 parent_address_two: None parent_city: Walnut Creek parent_state: CA parent_zip_9: 95409 report_prep_name: Kristin Hermanson lic_status: Open lic_status_date: 1986-11-14 00:00:00 lic_orig_date: 1986-11-14 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 10000208 assembly_dist: 7 senate_dist: 2 congress_dist: 6 cens_tract: 6097151700 med_svc_study_area: 210.1 laco_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma license_no: 10000147 longitude: -122.64595 latitude: 38.45749 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: YES cert_mcal_sn: None cert_mcal_sn_md: None cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 47 sn_md_ltc_cens_py: 0 ic_gen_ltc_cens_py: 0 ic_dd_ltc_cens_py: 0 cl_ltc_cens_py: 0 ltc_cens_py_totl: 47 sn_gen_ltc_adm: 422 sn_md_ltc_adm: 0 |
| long_term_care_facilities_utilization_data_2012_sec_5 | 1 |
oshpd_id: 206494001 fac_name: SPRING LAKE VILLAGE 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: 206494001 fac_name: SPRING LAKE VILLAGE fac_address_one: 5555 MONTGOMERY DRIVE fac_address_two: None fac_city: SANTA ROSA fac_zipcode: 95409 fac_phone: 707-579-6982 fac_admin_name: Kristin A. Hermanson fac_oper_curryr: Yes beg_date: 2013-01-01 00:00:00 end_date: 2013-12-31 00:00:00 parent_name: Episcopal Senior Communities parent_address_one: 5185 N. California Blvd. Suite 575 parent_address_two: None parent_city: Walnut Creek parent_state: CA parent_zip_9: 95409 report_prep_name: Kristin Hermanson lic_status: Open lic_status_date: 1986-11-14 00:00:00 lic_orig_date: 1986-11-14 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 10000208 assembly_dist: 2 senate_dist: 2 congress_dist: 5 cens_tract: 6097151700 med_svc_study_area: 210.1 laco_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma license_no: 10000147 longitude: -122.64595 latitude: 38.45749 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: YES cert_mcal_sn: None 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: 55 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: 55 sn_gen_ltc_adm: 382 sn_md_ltc_adm: 0 |
| long_term_care_faclts_util_data_2013_sec_5 | 1 |
oshpd_id: 206494001 fac_name: SPRING LAKE VILLAGE 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: 206494001 fac_name: SPRING LAKE VILLAGE fac_address_one: 5555 MONTGOMERY DRIVE fac_address_two: None fac_city: SANTA ROSA fac_zipcode: 95409 fac_phone: 707-579-6954 fac_admin_name: Kristin A. Hermanson fac_oper_curryr: Yes beg_date: 2014-01-01 00:00:00 end_date: 2014-12-31 00:00:00 parent_name: Episcopal Senior Communities parent_address_one: 2185 No. California Blvd. Suite 575 parent_address_two: None parent_city: Walnut Creek parent_state: CA parent_zip_9: 94596 report_prep_name: Kristin Hermanson lic_status: Open lic_status_date: 1986-11-14 00:00:00 lic_orig_date: 1986-11-14 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 10000208 assembly_dist: 2 senate_dist: 2 congress_dist: 5 cens_tract: 6097151700 med_svc_study_area: 210.1 laco_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma license_no: 10000147 longitude: -122.641249 latitude: 38.457538 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: YES cert_mcal_sn: None 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: 64 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: 64 sn_gen_ltc_adm: 284 |
| long_term_care_faclts_util_data_2014_sec_5 | 1 |
oshpd_id: 206494001 fac_name: SPRING LAKE VILLAGE 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: 206494001 fac_name: SPRING LAKE VILLAGE fac_address_one: 5555 MONTGOMERY DRIVE fac_address_two: None fac_city: SANTA ROSA fac_zipcode: 95409 fac_phone: 707-579-6982 fac_admin_name: Kristin A. Hermanson fac_oper_curryr: Yes beg_date: 2015-01-01 00:00:00 end_date: 2015-12-31 00:00:00 parent_name: Episcopal Senior Communities parent_address_one: 2185 No. California Blvd parent_address_two: Suite 575 parent_city: Walnust Creek parent_state: CA parent_zip_9: 94596 report_prep_name: Kristin Hermanson lic_status: Open lic_status_date: 1986-11-14 00:00:00 lic_orig_date: 1986-11-14 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 10000208 assembly_dist: 2 senate_dist: 2 congress_dist: 5 cens_tract: 6097151700 med_svc_study_area: 210.1 laco_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma license_no: 10000147 longitude: -122.64125 latitude: 38.45754 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: YES cert_mcal_sn: None 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: 62 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: 62 sn_gen_ltc_adm: 363 |
| long_term_care_faclts_util_data_2015_sec_5 | 1 |
oshpd_id: 206494001 fac_name: SPRING LAKE VILLAGE 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: 206494001 fac_name: SPRING LAKE VILLAGE fac_address_one: 5555 MONTGOMERY DRIVE fac_address_two: None fac_city: SANTA ROSA fac_zipcode: 95409 fac_phone: 707-579-6982 fac_admin_name: Kristin A. Hermanson fac_oper_curryr: Yes beg_date: 2017-01-01 00:00:00 end_date: 2017-12-31 00:00:00 parent_name: Episcopal Senior Communities parent_address_one: 2185 No. California Blvd parent_address_two: Suite 575 parent_city: Walnut Creek parent_state: CA parent_zip_9: 94596 report_prep_name: Kristin Hermanson lic_status: Open lic_status_date: 1986-11-14 00:00:00 lic_orig_date: 1986-11-14 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 10000208 assembly_dist: 2 senate_dist: 2 congress_dist: 5 cens_tract: 6097151700 med_svc_study_area: 210.1 laco_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma license_no: 10000147 longitude: -122.64125 latitude: 38.45754 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: YES cert_mcal_sn: None cert_mcal_sn_md: None cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 57 sn_md_ltc_cens_py: 0 ic_gen_ltc_cens_py: 0 ic_dd_ltc_cens_py: 0 cl_ltc_cens_py: 0 hofa_ltc_cens_py: 0 ltc_cens_py_totl: 57 sn_gen_ltc_adm: 319 |
| long_term_care_faclts_util_data_oct_2018_for_2017_sec5 | 1 |
oshpd_id: 206494001 fac_name: SPRING LAKE VILLAGE equip_acq_over_500k: No equip_01_descrip: None equip_01_value: None equip_01_acqui_dt: None equip_01_acqui_means: None equip_02_descrip: None equip_02_value: None equip_02_acqui_dt: None equip_02_acqui_means: None equip_03_descrip: None equip_03_value: None equip_03_acqui_dt: None equip_03_acqui_means: None equip_04_descrip: None equip_04_value: None equip_04_acqui_dt: None equip_04_acqui_means: None equip_05_descrip: None equip_05_value: None equip_05_acqui_dt: None equip_05_acqui_means: None equip_06_descrip: None equip_06_value: None equip_06_acqui_dt: None equip_06_acqui_means: None equip_07_descrip: None equip_07_value: None equip_07_acqui_dt: None equip_07_acqui_means: None equip_08_descrip: None equip_08_value: None equip_08_acqui_dt: None equip_08_acqui_means: None equip_09_descrip: None equip_09_value: None equip_09_acqui_dt: None equip_09_acqui_means: None equip_10_descrip: None equip_10_value: None equip_10_acqui_dt: None equip_10_acqui_means: None cap_exp_over_1mil: No proj_01_descrip_cap_exp: None proj_01_projtd_cap_exp: None proj_01_oshpd_proj_no: None proj_02_descrip_cap_exp: None proj_02_projtd_cap_exp: None proj_02_oshpd_proj_no: None proj_03_descrip_cap_exp: None proj_03_projtd_cap_exp: None |
| long_term_care_faclts_util_data_updated_2016 | 1 |
oshpd_id: 206494001 fac_name: SPRING LAKE VILLAGE fac_address_one: 5555 MONTGOMERY DRIVE fac_address_two: None fac_city: SANTA ROSA fac_zipcode: 95409 fac_phone: 707-579-6982 fac_admin_name: Kristin A. Hermanson fac_oper_curryr: Yes beg_date: 2016-01-01 00:00:00 end_date: 2016-12-31 00:00:00 parent_name: Episcopal Senior Communities parent_address_one: 2185 No. California Blvd. Suite 575 parent_address_two: None parent_city: Walnut Creek parent_state: CA parent_zip_9: 94596 report_prep_name: Kristin Hermanson lic_status: Open lic_status_date: 1986-11-14 00:00:00 lic_orig_date: 1986-11-14 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 10000208 assembly_dist: 2 senate_dist: 2 congress_dist: 5 cens_tract: 6097151700 med_svc_study_area: 210.1 laco_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma license_no: 10000147 longitude: -122.64125 latitude: 38.45754 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: YES cert_mcal_sn: None 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: 64 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: 64 sn_gen_ltc_adm: 328 |
| long_term_care_faclts_util_data_updated_2016_sec_5 | 1 |
oshpd_id: 206494001 fac_name: SPRING LAKE VILLAGE equip_acq_over_500k: No equip_01_descrip: None equip_01_value: None equip_01_acqui_dt: None equip_01_acqui_means: None equip_02_descrip: None equip_02_value: None equip_02_acqui_dt: None equip_02_acqui_means: None equip_03_descrip: None equip_03_value: None equip_03_acqui_dt: None equip_03_acqui_means: None equip_04_descrip: None equip_04_value: None equip_04_acqui_dt: None equip_04_acqui_means: None equip_05_descrip: None equip_05_value: None equip_05_acqui_dt: None equip_05_acqui_means: None equip_06_descrip: None equip_06_value: None equip_06_acqui_dt: None equip_06_acqui_means: None equip_07_descrip: None equip_07_value: None equip_07_acqui_dt: None equip_07_acqui_means: None equip_08_descrip: None equip_08_value: None equip_08_acqui_dt: None equip_08_acqui_means: None equip_09_descrip: None equip_09_value: None equip_09_acqui_dt: None equip_09_acqui_means: None equip_10_descrip: None equip_10_value: None equip_10_acqui_dt: None equip_10_acqui_means: None cap_exp_over_1mil: No proj_01_descrip_cap_exp: None proj_01_projtd_cap_exp: None proj_01_oshpd_proj_no: None proj_02_descrip_cap_exp: None proj_02_projtd_cap_exp: None proj_02_oshpd_proj_no: None proj_03_descrip_cap_exp: None proj_03_projtd_cap_exp: None |
| pivot_table_long_term_care_faclts_util_data_2016 | 1 |
oshpd_id: 206494001 fac_name: SPRING LAKE VILLAGE fac_address_one: 5555 MONTGOMERY DRIVE fac_city: SANTA ROSA fac_zipcode: 95409 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: 2 senate_dist: 2 congress_dist: 5 cens_tract: 6097151700 laco_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma license_no: 10000147 longitude: -122.64125 latitude: 38.45754 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: YES cert_mcal_sn: NO 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: 64 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: 64 sn_gen_ltc_adm: 328 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: 328 sn_gen_ltc_dis: 335 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: 335 sn_gen_ltc_cens_cy: 57 sn_md_ltc_cens_cy: 0 ic_gen_ltc_cens_cy: 0 ic_dd_ltc_cens_cy: 0 |
| pivot_table_long_term_care_faclts_util_data_2017 | 1 |
oshpd_id: 206494001 fac_name: SPRING LAKE VILLAGE fac_address_one: 5555 MONTGOMERY DRIVE fac_city: SANTA ROSA fac_zipcode: 95409 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: 2 senate_dist: 2 congress_dist: 5 cens_tract: 6097151700 laco_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma license_no: 10000147 longitude: -122.64125 latitude: 38.45754 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: YES cert_mcal_sn: NO cert_mcal_sn_md: None cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 57 sn_md_ltc_cens_py: 0 ic_gen_ltc_cens_py: 0 ic_dd_ltc_cens_py: 0 cl_ltc_cens_py: 0 hofa_ltc_cens_py: 0 ltc_cens_py_totl: 57 sn_gen_ltc_adm: 319 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: 319 sn_gen_ltc_dis: 329 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: 329 sn_gen_ltc_cens_cy: 47 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: 206494001 fac_no: 206494001 fac_name: SPRING LAKE VILLAGE fac_str_addr: 5555 MONTGOMERY DRIVE fac_city: SANTA ROSA fac_zip: 95409 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: 010000147 license_status: Open facility_level: Parent Facility longitude: -122.64125 latitude: 38.45754 assembly_dist: District 02 senate_dist: District 02 congress_dist: District 05 cens_tract: 06097151700 la_county_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma 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: 47 sn_nursing_plus_adm: 317 sn_minus_dsch: 305 sn_dec_31_cen: 59 sn_pat_days_for: 21070 sn_lic_beds: 70 sn_lic_bed_days: 25550 pats_adm_from_home: 22 pats_adm_from_hsp: 285 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 9 pats_adm_from_res_board_and_care: 0 pats_adm_from_other: 1 tot_pats_adm: 317 medicare_pats: 20 medi_cal_pats: 0 managed_care_pats: 0 private_insurance_pats: 0 self_pay_pats: 8 all_other_pats: 31 tot_pats: 59 dsch_lt_2_wks: 85 dsch_2_wks_and_lt_1_month: 118 dsch_1_month_and_lt_3_months: 78 dsch_3_months_and_lt_7_months: 8 |
| pivot_table_long_term_care_faclts_util_data_2019 | 1 |
oshpd_id: 206494001 fac_no: 206494001 fac_name: SPRING LAKE VILLAGE fac_str_addr: 5555 MONTGOMERY DRIVE fac_city: SANTA ROSA fac_zip: 95409 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: 010000147 license_status: Open facility_level: Parent Facility longitude: -122.64125 latitude: 38.45754 assembly_dist: District 2 senate_dist: District 2 congress_dist: Sacramento -- District 5 cens_tract: 06097151700 la_county_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma 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: 59 sn_nursing_plus_adm: 300 sn_minus_dsch: 305 sn_dec_31_cen: 54 sn_pat_days_for: 25550 sn_lic_beds: 70 sn_lic_bed_days: 25550 pats_adm_from_home: 14 pats_adm_from_hsp: 282 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 4 pats_adm_from_res_board_and_care: 0 pats_adm_from_other: 0 tot_pats_adm: 300 medicare_pats: 12 medi_cal_pats: 0 managed_care_pats: 1 private_insurance_pats: 0 self_pay_pats: 9 all_other_pats: 32 tot_pats: 54 dsch_lt_2_wks: 103 dsch_2_wks_and_lt_1_month: 126 dsch_1_month_and_lt_3_months: 59 dsch_3_months_and_lt_7_months: 10 |
| pivot_table_long_term_care_faclts_util_data_2020 | 1 |
oshpd_id: 206494001 fac_no: 206494001 fac_name: SPRING LAKE VILLAGE fac_str_addr: 5555 MONTGOMERY DRIVE fac_city: SANTA ROSA fac_zip: 95409 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: 010000147 license_status: Open facility_level: Parent Facility longitude: -122.64125 latitude: 38.45754 assembly_dist: District 2 senate_dist: District 2 congress_dist: District 5 cens_tract: 06097151700 la_county_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma 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: 54 sn_nursing_plus_adm: 154 sn_minus_dsch: 160 sn_dec_31_cen: 48 sn_pat_days_for: 19002 sn_lic_beds: 70 sn_lic_bed_days: 25620 pats_adm_from_home: 1 pats_adm_from_hsp: 139 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 7 pats_adm_from_res_board_and_care: 7 pats_adm_from_other: 0 tot_pats_adm: 154 medicare_pats: 7 medi_cal_pats: 0 managed_care_pats: 1 private_insurance_pats: 0 self_pay_pats: 6 all_other_pats: 34 tot_pats: 48 dsch_lt_2_wks: 49 dsch_2_wks_and_lt_1_month: 56 dsch_1_month_and_lt_3_months: 25 dsch_3_months_and_lt_7_months: 9 |
| pivot_table_long_term_care_faclts_util_data_2021 | 1 |
oshpd_id: 206494001 fac_no: 206494001 fac_name: SPRING LAKE VILLAGE fac_str_addr: 5555 MONTGOMERY DRIVE fac_city: SANTA ROSA fac_zip: 95409 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: 010000147 license_status: Open facility_level: Parent Facility longitude: -122.643718 latitude: 38.457668 assembly_dist: District 2 senate_dist: District 2 congress_dist: District 5 cens_tract: 06097151700 la_county_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma 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: 48 sn_nursing_plus_adm: 140 sn_minus_dsch: 154 sn_dec_31_cen: 34 sn_pat_days_for: 15664 sn_lic_beds: 70 sn_lic_bed_days: 25550 pats_adm_from_home: 0 pats_adm_from_hsp: 129 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 5 pats_adm_from_res_board_and_care: 6 pats_adm_from_other: 0 tot_pats_adm: 140 medicare_pats: 4 medi_cal_pats: 0 managed_care_pats: 1 private_insurance_pats: 0 self_pay_pats: 2 all_other_pats: 27 tot_pats: 34 dsch_lt_2_wks: 42 dsch_2_wks_and_lt_1_month: 58 dsch_1_month_and_lt_3_months: 32 dsch_3_months_and_lt_7_months: 4 |
| pivot_table_long_term_care_faclts_util_data_2022 | 1 |
oshpd_id: 206494001 fac_no: 206494001 fac_name: SPRING LAKE VILLAGE fac_str_addr: 5555 MONTGOMERY DRIVE fac_city: SANTA ROSA fac_zip: 95409 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: 010000147 license_status: Open facility_level: Parent Facility longitude: -122.643718 latitude: 38.457668 assembly_dist: District 2 senate_dist: District 2 congress_dist: District 5 census_key: 06097151700 la_county_svc_plan_area: None health_svc_area: 03 - North Bay county: Sonoma 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: 34 sn_nursing_plus_adm: 128 sn_minus_dsch: 117 sn_dec_31_cen: 45 sn_pat_days_for: 15576 sn_lic_beds: 70 sn_lic_bed_days: 25550 pats_adm_from_home: 1 pats_adm_from_hsp: 121 pats_adm_from_other_ltc: 3 pats_adm_from_res_board_and_care: 3 pats_adm_from_other: 0 tot_pats_adm: 128 medicare_pats: 7 medi_cal_pats: 0 managed_care_pats: 0 private_insurance_pats: 0 self_pay_pats: 5 all_other_pats: 33 tot_pats: 45 dsch_lt_2_wks: 38 dsch_2_wks_and_lt_1_month: 38 dsch_1_month_and_lt_3_months: 31 dsch_3_months_and_lt_7_months: 1 dsch_7_months_and_lt_1_yr: 2 |