| Table | # | Values |
|---|---|---|
| licensed_facility_listing_02 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 08/09/1965 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility longitude: -120.987 latitude: 37.66952 |
| licensed_facility_listing_03 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 8/9/1965 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952 longitude: -120.987 |
| licensed_facility_listing_04 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_facility_listing_05 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_facility_listing_06 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_facility_listing_07 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_facility_listing_08 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_facility_listing_09 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67001710 longitude: -120.98773830 |
| licensed_facility_listing_11 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_facility_listing_12 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_facility_listing_13 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_facility_listing_14 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_facility_listing_15 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_facility_listing_16 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_facility_listing_17 | 1 |
oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| licensed_healthcare_facility_listing | 14 |
period: 2016-12-31 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2017-12-31 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2018-12-31 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2019-12-31 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2020-12-31 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2021-12-31 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2022-12-31 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2017-06-30 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2018-06-30 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2019-06-30 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2020-06-30 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2021-06-30 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2022-06-30 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 period: 2023-06-30 oshpd_id: 206500821 facility_name: CASA DE MODESTO license_num: 100000019 facility_level_desc: Parent Facility dba_address1: 1745 ELDENA WAY dba_city: MODESTO dba_zip_code: 95350 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 59 facility_status_desc: Open facility_status_date: 1965-08-09 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.66952000 longitude: -120.98700000 |
| long_term_care_facilities_utilization_data_2012 | 1 |
oshpd_id: 206500821 fac_name: CASA DE MODESTO fac_address_one: 1745 ELDENA WAY fac_address_two: None fac_city: MODESTO fac_zipcode: 95350 fac_phone: 209-529-4950 fac_admin_name: Carolyn Amaral fac_oper_curryr: Yes beg_date: 2012-01-01 00:00:00 end_date: 2012-12-31 00:00:00 parent_name: Fellowship Homes, Inc. parent_address_one: 1745 Eldena Way parent_address_two: None parent_city: Modesto parent_state: CA parent_zip_9: 95350 report_prep_name: Carolyn Amaral lic_status: Open lic_status_date: 1965-08-09 00:00:00 lic_orig_date: 1965-08-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000031 assembly_dist: 25 senate_dist: 12 congress_dist: 18 cens_tract: 6099000909 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000019 longitude: -120.987 latitude: 37.66952 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: None 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: 56 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: 56 sn_gen_ltc_adm: 45 sn_md_ltc_adm: 0 |
| long_term_care_facilities_utilization_data_2012_sec_5 | 1 |
oshpd_id: 206500821 fac_name: CASA DE MODESTO 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: 206500821 fac_name: CASA DE MODESTO fac_address_one: 1745 ELDENA WAY fac_address_two: None fac_city: MODESTO fac_zipcode: 95350 fac_phone: 209-529-4950 fac_admin_name: Carolyn Amaral fac_oper_curryr: Yes beg_date: 2013-01-01 00:00:00 end_date: 2013-12-31 00:00:00 parent_name: Fellowship Homes, Inc. parent_address_one: 1745 Eldena Way parent_address_two: None parent_city: Modesto parent_state: CA parent_zip_9: 95350 report_prep_name: Carolyn Amaral lic_status: Open lic_status_date: 1965-08-09 00:00:00 lic_orig_date: 1965-08-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000031 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000909 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000019 longitude: -120.987 latitude: 37.66952 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: None 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: 52 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: 52 sn_gen_ltc_adm: 45 sn_md_ltc_adm: 0 |
| long_term_care_faclts_util_data_2013_sec_5 | 1 |
oshpd_id: 206500821 fac_name: CASA DE MODESTO 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: 206500821 fac_name: CASA DE MODESTO fac_address_one: 1745 ELDENA WAY fac_address_two: None fac_city: MODESTO fac_zipcode: 95350 fac_phone: 209-529-4950 fac_admin_name: Kelly Wiest fac_oper_curryr: Yes beg_date: 2014-01-01 00:00:00 end_date: 2014-12-31 00:00:00 parent_name: Fellowship Homes, Inc. parent_address_one: 1745 Eldena Way parent_address_two: None parent_city: Modesto parent_state: CA parent_zip_9: 95350 report_prep_name: Kelly Wiest lic_status: Open lic_status_date: 1965-08-09 00:00:00 lic_orig_date: 1965-08-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000031 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000909 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000019 longitude: -120.986965 latitude: 37.6696 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: None 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: 54 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: 54 sn_gen_ltc_adm: 38 |
| long_term_care_faclts_util_data_2014_sec_5 | 1 |
oshpd_id: 206500821 fac_name: CASA DE MODESTO 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: 206500821 fac_name: CASA DE MODESTO fac_address_one: 1745 ELDENA WAY fac_address_two: None fac_city: MODESTO fac_zipcode: 95350 fac_phone: 209-529-4950 fac_admin_name: Kelly Wiest fac_oper_curryr: Yes beg_date: 2015-01-01 00:00:00 end_date: 2015-12-31 00:00:00 parent_name: Fellowship Homes, Inc parent_address_one: 1745 Eldena Way parent_address_two: None parent_city: Modesto parent_state: CA parent_zip_9: 95350 report_prep_name: Kelly Wiest lic_status: Open lic_status_date: 1965-08-09 00:00:00 lic_orig_date: 1965-08-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000031 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000909 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000019 longitude: -120.987 latitude: 37.66952 type_lic: Skilled Nursing Facility type_cntrl: Non-Profit Corporation (incl. Church-related) cert_mcar_sn: None 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: 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: 19 |
| long_term_care_faclts_util_data_2015_sec_5 | 1 |
oshpd_id: 206500821 fac_name: CASA DE MODESTO 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: 206500821 fac_name: CASA DE MODESTO fac_address_one: 1745 ELDENA WAY fac_address_two: None fac_city: MODESTO fac_zipcode: 95350 fac_phone: 209-529-4950 fac_admin_name: Dale Torry fac_oper_curryr: Yes beg_date: 2017-01-01 00:00:00 end_date: 2017-12-31 00:00:00 parent_name: Fellowship Homes Inc parent_address_one: 1745 Eldena Way parent_address_two: None parent_city: Modesto parent_state: CA parent_zip_9: 95350 report_prep_name: Curt Willems lic_status: Open lic_status_date: 1965-08-09 00:00:00 lic_orig_date: 1965-08-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000031 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000909 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000019 longitude: -120.987 latitude: 37.66952 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: 46 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: 6 ltc_cens_py_totl: 52 sn_gen_ltc_adm: 37 |
| long_term_care_faclts_util_data_oct_2018_for_2017_sec5 | 1 |
oshpd_id: 206500821 fac_name: CASA DE MODESTO 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: 206500821 fac_name: CASA DE MODESTO fac_address_one: 1745 ELDENA WAY fac_address_two: None fac_city: MODESTO fac_zipcode: 95350 fac_phone: 209-529-4950 fac_admin_name: Dale Torry fac_oper_curryr: Yes beg_date: 2016-01-01 00:00:00 end_date: 2016-12-31 00:00:00 parent_name: Fellowship Homes, Inc parent_address_one: 1745 Eldena Way parent_address_two: None parent_city: Modesto parent_state: CA parent_zip_9: 95350 report_prep_name: Curt Willems lic_status: Open lic_status_date: 1965-08-09 00:00:00 lic_orig_date: 1965-08-09 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000031 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000909 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000019 longitude: -120.987 latitude: 37.66952 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: 54 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: 54 sn_gen_ltc_adm: 29 |
| long_term_care_faclts_util_data_updated_2016_sec_5 | 1 |
oshpd_id: 206500821 fac_name: CASA DE MODESTO 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: 206500821 fac_name: CASA DE MODESTO fac_address_one: 1745 ELDENA WAY fac_city: MODESTO fac_zipcode: 95350 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: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000909 laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000019 longitude: -120.987 latitude: 37.66952 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: 54 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: 54 sn_gen_ltc_adm: 29 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: 29 sn_gen_ltc_dis: 31 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: 31 sn_gen_ltc_cens_cy: 52 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: 206500821 fac_name: CASA DE MODESTO fac_address_one: 1745 ELDENA WAY fac_city: MODESTO fac_zipcode: 95350 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: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000909 laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000019 longitude: -120.987 latitude: 37.66952 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: 46 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: 6 ltc_cens_py_totl: 52 sn_gen_ltc_adm: 37 sn_md_ltc_adm: 0 ic_gen_ltc_adm: 0 ic_dd_ltc_adm: 0 cl_ltc_adm: 0 hofa_ltc_adm: 6 ltc_adm_totl: 43 sn_gen_ltc_dis: 32 sn_md_ltc_dis: 0 ic_gen_ltc_dis: 0 ic_dd_ltc_dis: 0 cl_ltc_dis: 0 hofa_ltc_dis: 10 ltc_dis_totl: 42 sn_gen_ltc_cens_cy: 51 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: 206500821 fac_no: 206500821 fac_name: CASA DE MODESTO fac_str_addr: 1745 ELDENA WAY fac_city: MODESTO fac_zip: 95350 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: 100000019 license_status: Open facility_level: Parent Facility longitude: -120.987 latitude: 37.66952 assembly_dist: District 12 senate_dist: District 05 congress_dist: District 10 cens_tract: 06099000909 la_county_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus 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: 52 sn_nursing_plus_adm: 59 sn_minus_dsch: 58 sn_dec_31_cen: 53 sn_pat_days_for: 19243 sn_lic_beds: 59 sn_lic_bed_days: 21535 pats_adm_from_home: 1 pats_adm_from_hsp: 38 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 15 pats_adm_from_res_board_and_care: 3 pats_adm_from_other: 2 tot_pats_adm: 59 medicare_pats: 2 medi_cal_pats: 43 managed_care_pats: 1 private_insurance_pats: 0 self_pay_pats: 7 all_other_pats: 0 tot_pats: 53 dsch_lt_2_wks: 16 dsch_2_wks_and_lt_1_month: 9 dsch_1_month_and_lt_3_months: 18 dsch_3_months_and_lt_7_months: 6 |
| pivot_table_long_term_care_faclts_util_data_2019 | 1 |
oshpd_id: 206500821 fac_no: 206500821 fac_name: CASA DE MODESTO fac_str_addr: 1745 ELDENA WAY fac_city: MODESTO fac_zip: 95350 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: 100000019 license_status: Open facility_level: Parent Facility longitude: -120.987 latitude: 37.66952 assembly_dist: District 12 senate_dist: District 5 congress_dist: Walnut Creek -- District 10 cens_tract: 06099000909 la_county_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus 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: 53 sn_nursing_plus_adm: 30 sn_minus_dsch: 29 sn_dec_31_cen: 54 sn_pat_days_for: 20088 sn_lic_beds: 59 sn_lic_bed_days: 21535 pats_adm_from_home: 0 pats_adm_from_hsp: 19 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 6 pats_adm_from_res_board_and_care: 2 pats_adm_from_other: 3 tot_pats_adm: 30 medicare_pats: 2 medi_cal_pats: 42 managed_care_pats: 0 private_insurance_pats: 0 self_pay_pats: 10 all_other_pats: 0 tot_pats: 54 dsch_lt_2_wks: 8 dsch_2_wks_and_lt_1_month: 5 dsch_1_month_and_lt_3_months: 3 dsch_3_months_and_lt_7_months: 4 |
| pivot_table_long_term_care_faclts_util_data_2020 | 1 |
oshpd_id: 206500821 fac_no: 206500821 fac_name: CASA DE MODESTO fac_str_addr: 1745 ELDENA WAY fac_city: MODESTO fac_zip: 95350 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: 100000019 license_status: Open facility_level: Parent Facility longitude: -120.987 latitude: 37.66952 assembly_dist: District 12 senate_dist: District 5 congress_dist: District 10 cens_tract: 06099000909 la_county_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus 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: 13 sn_minus_dsch: 42 sn_dec_31_cen: 25 sn_pat_days_for: 15418 sn_lic_beds: 59 sn_lic_bed_days: 21594 pats_adm_from_home: 0 pats_adm_from_hsp: 5 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 4 pats_adm_from_res_board_and_care: 4 pats_adm_from_other: 0 tot_pats_adm: 13 medicare_pats: 0 medi_cal_pats: 24 managed_care_pats: 0 private_insurance_pats: 0 self_pay_pats: 1 all_other_pats: 0 tot_pats: 25 dsch_lt_2_wks: 7 dsch_2_wks_and_lt_1_month: 0 dsch_1_month_and_lt_3_months: 2 dsch_3_months_and_lt_7_months: 2 |
| pivot_table_long_term_care_faclts_util_data_2021 | 1 |
oshpd_id: 206500821 fac_no: 206500821 fac_name: CASA DE MODESTO fac_str_addr: 1745 ELDENA WAY fac_city: MODESTO fac_zip: 95350 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: 100000019 license_status: Open facility_level: Parent Facility longitude: -120.987738 latitude: 37.670017 assembly_dist: District 12 senate_dist: District 5 congress_dist: District 10 cens_tract: 06099000909 la_county_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus 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: 25 sn_nursing_plus_adm: 30 sn_minus_dsch: 22 sn_dec_31_cen: 33 sn_pat_days_for: 11165 sn_lic_beds: 59 sn_lic_bed_days: 21535 pats_adm_from_home: 4 pats_adm_from_hsp: 15 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 8 pats_adm_from_res_board_and_care: 3 pats_adm_from_other: 0 tot_pats_adm: 30 medicare_pats: 3 medi_cal_pats: 27 managed_care_pats: 1 private_insurance_pats: 0 self_pay_pats: 2 all_other_pats: 0 tot_pats: 33 dsch_lt_2_wks: 3 dsch_2_wks_and_lt_1_month: 4 dsch_1_month_and_lt_3_months: 6 dsch_3_months_and_lt_7_months: 2 |
| pivot_table_long_term_care_faclts_util_data_2022 | 1 |
oshpd_id: 206500821 fac_no: 206500821 fac_name: CASA DE MODESTO fac_str_addr: 1745 ELDENA WAY fac_city: MODESTO fac_zip: 95350 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: 100000019 license_status: Open facility_level: Parent Facility longitude: -120.987738 latitude: 37.670017 assembly_dist: District 12 senate_dist: District 5 congress_dist: District 10 census_key: 06099000909 la_county_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus lic_cat: Skilled Nursing Facility licee_toc: Non-Profit Corporation (including church-related) cert_medi_cal_sn_mentally_disord: None cert_fac_medi_cal_ic_gen: None cert_fac_medi_cal_ic_dev_dis: None cert_medi_cal_subacute_pediatric: None sn_dec_31_py_cen: 33 sn_nursing_plus_adm: 52 sn_minus_dsch: 34 sn_dec_31_cen: 51 sn_pat_days_for: 14487 sn_lic_beds: 59 sn_lic_bed_days: 21535 pats_adm_from_home: 2 pats_adm_from_hsp: 23 pats_adm_from_other_ltc: 18 pats_adm_from_res_board_and_care: 9 pats_adm_from_other: 0 tot_pats_adm: 52 medicare_pats: 3 medi_cal_pats: 43 managed_care_pats: 0 private_insurance_pats: 0 self_pay_pats: 5 all_other_pats: 0 tot_pats: 51 dsch_lt_2_wks: 6 dsch_2_wks_and_lt_1_month: 1 dsch_1_month_and_lt_3_months: 12 dsch_3_months_and_lt_7_months: 8 dsch_7_months_and_lt_1_yr: 2 |