Table # Values
facility_profile_attributes 1 facility_desc: PACIFIC CARE II, INC.
site_address1: 1024 JAYHAWK WAY
site_address2: None
site_city: MODESTO
site_zip: 95358
site_x_coordinate: -121.033398
site_y_coordinate: 37.649101
oshpd_id: 206500318
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
license_number: 550006309
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 6
facility_status_desc: Open
financial_facility_count: 0
consolidated_facility_desc_pipe: None
consolidated_facility_desc_comma: None
period_begin_date: None
period_end_date: None
net_pat_rev_medicare_traditional_ip: None
net_pat_rev_medicare_managed_ip: None
net_pat_rev_medi_cal_traditional_ip: None
net_pat_rev_medi_cal_managed_ip: None
net_pat_rev_county_indigent_traditional_ip: None
net_pat_rev_county_indigent_managed_ip: None
net_pat_rev_third_party_traditional_ip: None
net_pat_rev_third_party_managed_ip: None
net_pat_rev_other_indigent_ip: None
net_pat_rev_other_payer_ip: None
net_pat_rev_total_ip: None
net_pat_rev_medicare_traditional_op: None
net_pat_rev_medicare_managed_op: None
net_pat_rev_medi_cal_traditional_op: None
net_pat_rev_medi_cal_managed_op: None
net_pat_rev_county_indigent_traditional_op: None
net_pat_rev_county_indigent_managed_op: None
net_pat_rev_third_party_traditional_op: None
net_pat_rev_third_party_managed_op: None
net_pat_rev_other_indigent_op: None
net_pat_rev_other_payer_op: None
net_pat_rev_total_op: None
payer_mix_medicare_traditional_ip: .000000000000
payer_mix_medicare_traditional_ip_state: None
payer_mix_medicare_managed_ip: .000000000000
payer_mix_medicare_managed_ip_state: None
payer_mix_medi_cal_traditional_ip: .000000000000
payer_mix_medi_cal_traditional_ip_state: None
payer_mix_medi_cal_managed_ip: .000000000000
payer_mix_medi_cal_managed_ip_state: None
payer_mix_county_indigent_traditional_ip: .000000000000
payer_mix_county_indigent_traditional_ip_state: None
payer_mix_county_indigent_managed_ip: .000000000000
payer_mix_county_indigent_managed_ip_state: None
payer_mix_third_party_traditional_ip: .000000000000
payer_mix_third_party_traditional_ip_state: None
payer_mix_third_party_managed_ip: .000000000000
payer_mix_third_party_managed_ip_state: None
payer_mix_other_indigent_ip: .000000000000
payer_mix_other_indigent_ip_state: None
payer_mix_other_payer_ip: .000000000000
payer_mix_other_payer_ip_state: None
payer_mix_medicare_traditional_op: .000000000000
payer_mix_medicare_traditional_op_state: None
payer_mix_medicare_managed_op: .000000000000
payer_mix_medicare_managed_op_state: None
payer_mix_medi_cal_traditional_op: .000000000000
payer_mix_medi_cal_traditional_op_state: None
payer_mix_medi_cal_managed_op: .000000000000
payer_mix_medi_cal_managed_op_state: None
payer_mix_county_indigent_traditional_op: .000000000000
payer_mix_county_indigent_traditional_op_state: None
payer_mix_county_indigent_managed_op: .000000000000
payer_mix_county_indigent_managed_op_state: None
payer_mix_third_party_traditional_op: .000000000000
payer_mix_third_party_traditional_op_state: None
payer_mix_third_party_managed_op: .000000000000
payer_mix_third_party_managed_op_state: None
payer_mix_other_indigent_op: .000000000000
payer_mix_other_indigent_op_state: None
payer_mix_other_payer_op: .000000000000
payer_mix_other_payer_op_state: None
avg_stay_medicare_traditional: None
avg_stay_medicare_managed: None
avg_stay_medi_cal_traditional: None
avg_stay_medi_cal_managed: None
avg_stay_county_indigent_traditional: None
avg_stay_county_indigent_managed: None
avg_stay_third_party_traditional: None
avg_stay_third_party_managed: None
avg_stay_other_indigent_total: None
avg_stay_other_payer_total: None
avg_stay_total: None
active_projects: None
active_project_costs: None
active_projects_state: 4279
active_project_costs_state: 18558539344
spc_1: None
spc_2: None
spc_3: None
spc_4: None
spc_5: None
spc_1_state: 33
spc_2_state: 655
spc_3_state: 385
spc_4_state: 781
spc_5_state: 1446
sysdate: None

licensed_facility_listing_01 1 oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 JAYHAWK WAY
dba_city: MODESTO
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910120
longitude: -121.03339810

licensed_facility_listing_07 1 oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 Jayhawk Way
dba_city: Modesto
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910000
longitude: -121.03343000

licensed_facility_listing_08 1 oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 Jayhawk Way
dba_city: Modesto
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910000
longitude: -121.03343000

licensed_facility_listing_09 1 oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 Jayhawk Way
dba_city: Modesto
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910120
longitude: -121.03339810

licensed_facility_listing_10 1 oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 JAYHAWK WAY
dba_city: MODESTO
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910120
longitude: -121.03339810

licensed_facility_listing_16 1 oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 Jayhawk Way
dba_city: Modesto
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910000
longitude: -121.03343000

licensed_facility_listing_17 1 oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 Jayhawk Way
dba_city: Modesto
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910000
longitude: -121.03343000

licensed_facility_listing_18 1 oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 Jayhawk Way
dba_city: Modesto
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910120
longitude: -121.03339810

licensed_healthcare_facility_listing 5 period: current
oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 JAYHAWK WAY
dba_city: MODESTO
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910120
longitude: -121.03339810

period: 2021-12-31
oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 Jayhawk Way
dba_city: Modesto
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910000
longitude: -121.03343000

period: 2022-12-31
oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 Jayhawk Way
dba_city: Modesto
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910000
longitude: -121.03343000

period: 2022-06-30
oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 Jayhawk Way
dba_city: Modesto
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910000
longitude: -121.03343000

period: 2023-06-30
oshpd_id: 206500318
facility_name: PACIFIC CARE II, INC.
license_num: 550006309
facility_level_desc: Parent Facility
dba_address1: 1024 Jayhawk Way
dba_city: Modesto
dba_zip_code: 95358
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2021-04-14
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.64910000
longitude: -121.03343000

pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206500318
fac_no: 206500318
fac_name: PACIFIC CARE II, INC.
fac_str_addr: 1024 JAYHAWK WAY
fac_city: MODESTO
fac_zip: 95358
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2021-04-01 00:00:00
fac_op_per_end_dt: 2021-12-31 00:00:00
license_no: 550006309
license_status: Open
facility_level: Parent Facility
longitude: -121.033398
latitude: 37.649101
assembly_dist: District 21
senate_dist: District 5
congress_dist: District 10
cens_tract: 06099000602
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
lic_cat: Congregate Living Health Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: 0
sn_lic_bed_days: 0
pats_adm_from_home: 1
pats_adm_from_hsp: 10
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 11
medicare_pats: None
medi_cal_pats: None
managed_care_pats: 4
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: 4
dsch_lt_2_wks: 2
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: 5
dsch_3_months_and_lt_7_months: None

pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206500318
fac_no: 206500318
fac_name: PACIFIC CARE II, INC.
fac_str_addr: 1024 JAYHAWK WAY
fac_city: MODESTO
fac_zip: 95358
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: 550006309
license_status: Open
facility_level: Parent Facility
longitude: -121.033398
latitude: 37.649101
assembly_dist: District 21
senate_dist: District 5
congress_dist: District 10
census_key: 06099000602
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
lic_cat: Congregate Living Health Facility
licee_toc: Investor - Corporation
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: 0
sn_nursing_plus_adm: 0
sn_minus_dsch: 0
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: 0
sn_lic_bed_days: 0
pats_adm_from_home: None
pats_adm_from_hsp: 22
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 22
medicare_pats: None
medi_cal_pats: 0
managed_care_pats: 5
private_insurance_pats: 1
self_pay_pats: None
all_other_pats: None
tot_pats: 6
dsch_lt_2_wks: 2
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: 18
dsch_3_months_and_lt_7_months: None
dsch_7_months_and_lt_1_yr: None