Table # Values
facility_profile_attributes 1 facility_desc: RIVER VIEW POST ACUTE
site_address1: 1611 SCENIC DRIVE
site_address2: None
site_city: MODESTO
site_zip: 95355
site_x_coordinate: -120.969654
site_y_coordinate: 37.651328
oshpd_id: 206500855
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
license_number: 100000028
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 99
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: 206500855
facility_name: RIVER VIEW POST ACUTE
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65132840
longitude: -120.96965350

licensed_facility_listing_02 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 01/06/1965
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
longitude: -120.969325
latitude: 37.650877

licensed_facility_listing_03 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1/6/1965
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.650877
longitude: -120.969325

licensed_facility_listing_04 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_05 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_06 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_07 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_08 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_09 1 oshpd_id: 206500855
facility_name: RIVER VIEW POST ACUTE
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65140150
longitude: -120.96960760

licensed_facility_listing_10 1 oshpd_id: 206500855
facility_name: RIVER VIEW POST ACUTE
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65132840
longitude: -120.96965350

licensed_facility_listing_11 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_12 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_13 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_14 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_15 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_16 1 oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_17 1 oshpd_id: 206500855
facility_name: RIVER VIEW POST ACUTE
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

licensed_facility_listing_18 1 oshpd_id: 206500855
facility_name: RIVER VIEW POST ACUTE
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65140150
longitude: -120.96960760

licensed_healthcare_facility_listing 15 period: current
oshpd_id: 206500855
facility_name: RIVER VIEW POST ACUTE
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65132840
longitude: -120.96965350

period: 2016-12-31
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2017-12-31
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2018-12-31
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2019-12-31
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2020-12-31
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2021-12-31
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2022-12-31
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2017-06-30
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2018-06-30
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2019-06-30
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DRIVE
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: STANISLAUS
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2020-06-30
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2021-06-30
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2022-06-30
oshpd_id: 206500855
facility_name: ACACIA PARK NURSING & REHAB CENTER
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

period: 2023-06-30
oshpd_id: 206500855
facility_name: RIVER VIEW POST ACUTE
license_num: 100000028
facility_level_desc: Parent Facility
dba_address1: 1611 SCENIC DR
dba_city: MODESTO
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: 99
facility_status_desc: Open
facility_status_date: 1965-01-06
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.65087700
longitude: -120.96932500

long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
fac_address_one: 1611 SCENIC DRIVE
fac_address_two: None
fac_city: MODESTO
fac_zipcode: 95355
fac_phone: 209-523-5667
fac_admin_name: Christopher Monroe
fac_oper_curryr: Yes
beg_date: 2012-01-01 00:00:00
end_date: 2012-12-31 00:00:00
parent_name: Skypark Healthcare, Inc.
parent_address_one: 1611 Scenic Drive
parent_address_two: None
parent_city: Modesto
parent_state: CA
parent_zip_9: 95355
report_prep_name: Christopher Monroe
lic_status: Open
lic_status_date: 1965-01-06 00:00:00
lic_orig_date: 1965-01-06 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100000042
assembly_dist: 26
senate_dist: 12
congress_dist: 18
cens_tract: 6099001001
med_svc_study_area: 215b
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
license_no: 100000028
longitude: -120.969325
latitude: 37.650877
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
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: 71
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: 71
sn_gen_ltc_adm: 114
sn_md_ltc_adm: 0

long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_2013 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
fac_address_one: 1611 SCENIC DRIVE
fac_address_two: None
fac_city: MODESTO
fac_zipcode: 95355
fac_phone: 209-523-5667
fac_admin_name: Thresiamma J Pallivathucal
fac_oper_curryr: Yes
beg_date: 2013-01-01 00:00:00
end_date: 2013-12-31 00:00:00
parent_name: Skypark Healthcare, Inc.
parent_address_one: 1611 Scenic Drive
parent_address_two: None
parent_city: Modesto
parent_state: CA
parent_zip_9: 95355
report_prep_name: Teresa Pallivathucal
lic_status: Open
lic_status_date: 1965-01-06 00:00:00
lic_orig_date: 1965-01-06 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100000042
assembly_dist: 21
senate_dist: 5
congress_dist: 10
cens_tract: 6099001001
med_svc_study_area: 215b
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
license_no: 100000028
longitude: -120.969325
latitude: 37.650877
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
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: 72
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: 72
sn_gen_ltc_adm: 105
sn_md_ltc_adm: 0

long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_2014 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
fac_address_one: 1611 SCENIC DRIVE
fac_address_two: None
fac_city: MODESTO
fac_zipcode: 95355
fac_phone: 209-523-5667-225
fac_admin_name: ELIZABETH KURIAKOSE
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: SKY PARK HEALTH CARE, INC.
parent_address_one: 1611 SCENIC DRIVE
parent_address_two: None
parent_city: MODESTO
parent_state: CA
parent_zip_9: 95355
report_prep_name: Teresa Pallivathucal
lic_status: Open
lic_status_date: 1965-01-06 00:00:00
lic_orig_date: 1965-01-06 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100000042
assembly_dist: 21
senate_dist: 5
congress_dist: 10
cens_tract: 6099001001
med_svc_study_area: 215b
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
license_no: 100000028
longitude: -120.969266
latitude: 37.650788
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
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: 74
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: 74
sn_gen_ltc_adm: 104

long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_2015 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
fac_address_one: 1611 SCENIC DRIVE
fac_address_two: None
fac_city: MODESTO
fac_zipcode: 95355
fac_phone: 209-523-5667-225
fac_admin_name: ELIZABETH KURIAKOSE
fac_oper_curryr: Yes
beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
parent_name: SKY PARK HEALTH CARE INC
parent_address_one: 1611 SCENIC DRIVE
parent_address_two: None
parent_city: MODESTO
parent_state: CA
parent_zip_9: 95355
report_prep_name: Teresa Pallivathucal
lic_status: Open
lic_status_date: 1965-01-06 00:00:00
lic_orig_date: 1965-01-06 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100000042
assembly_dist: 21
senate_dist: 5
congress_dist: 10
cens_tract: 6099001001
med_svc_study_area: 215b
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
license_no: 100000028
longitude: -120.969325
latitude: 37.650877
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
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: 74
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: 74
sn_gen_ltc_adm: 72

long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_oct_2018_for_2017 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
fac_address_one: 1611 SCENIC DRIVE
fac_address_two: None
fac_city: MODESTO
fac_zipcode: 95355
fac_phone: 209-523-5667-225
fac_admin_name: ELIZABETH KURIAKOSE
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
parent_name: SKY PARK HEALTH CARE INC
parent_address_one: 1611 SCENIC DRIVE
parent_address_two: None
parent_city: MODESTO
parent_state: CA
parent_zip_9: 95355
report_prep_name: Teresa Pallivathucal
lic_status: Open
lic_status_date: 1965-01-06 00:00:00
lic_orig_date: 1965-01-06 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100000042
assembly_dist: 21
senate_dist: 5
congress_dist: 10
cens_tract: 6099001001
med_svc_study_area: 215b
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
license_no: 100000028
longitude: -120.969325
latitude: 37.650877
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
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: 77
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: 77
sn_gen_ltc_adm: 108

long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

long_term_care_faclts_util_data_updated_2016 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
fac_address_one: 1611 SCENIC DRIVE
fac_address_two: None
fac_city: MODESTO
fac_zipcode: 95355
fac_phone: 209-523-5667-225
fac_admin_name: ELIZABETH KURIAKOSE
fac_oper_curryr: Yes
beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
parent_name: SKY PARK HEALTH CARE INC
parent_address_one: 1611 SCENIC DRIVE
parent_address_two: None
parent_city: MODESTO
parent_state: CA
parent_zip_9: 95355
report_prep_name: Teresa Pallivathucal
lic_status: Open
lic_status_date: 1965-01-06 00:00:00
lic_orig_date: 1965-01-06 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 100000042
assembly_dist: 21
senate_dist: 5
congress_dist: 10
cens_tract: 6099001001
med_svc_study_area: 215b
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
license_no: 100000028
longitude: -120.969325
latitude: 37.650877
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
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: 79
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: 79
sn_gen_ltc_adm: 86

long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
equip_acq_over_500k: No
equip_01_descrip: None
equip_01_value: None
equip_01_acqui_dt: None
equip_01_acqui_means: None
equip_02_descrip: None
equip_02_value: None
equip_02_acqui_dt: None
equip_02_acqui_means: None
equip_03_descrip: None
equip_03_value: None
equip_03_acqui_dt: None
equip_03_acqui_means: None
equip_04_descrip: None
equip_04_value: None
equip_04_acqui_dt: None
equip_04_acqui_means: None
equip_05_descrip: None
equip_05_value: None
equip_05_acqui_dt: None
equip_05_acqui_means: None
equip_06_descrip: None
equip_06_value: None
equip_06_acqui_dt: None
equip_06_acqui_means: None
equip_07_descrip: None
equip_07_value: None
equip_07_acqui_dt: None
equip_07_acqui_means: None
equip_08_descrip: None
equip_08_value: None
equip_08_acqui_dt: None
equip_08_acqui_means: None
equip_09_descrip: None
equip_09_value: None
equip_09_acqui_dt: None
equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
equip_10_acqui_dt: None
equip_10_acqui_means: None
cap_exp_over_1mil: No
proj_01_descrip_cap_exp: None
proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
proj_02_descrip_cap_exp: None
proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
proj_03_descrip_cap_exp: None
proj_03_projtd_cap_exp: None

pivot_table_long_term_care_faclts_util_data_2016 1 oshpd_id: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
fac_address_one: 1611 SCENIC DRIVE
fac_city: MODESTO
fac_zipcode: 95355
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: 21
senate_dist: 5
congress_dist: 10
cens_tract: 6099001001
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
license_no: 100000028
longitude: -120.969325
latitude: 37.650877
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
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: 79
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: 79
sn_gen_ltc_adm: 86
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: 86
sn_gen_ltc_dis: 88
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: 88
sn_gen_ltc_cens_cy: 77
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: 206500855
fac_name: ACACIA PARK NURSING AND REHAB CENTER
fac_address_one: 1611 SCENIC DRIVE
fac_city: MODESTO
fac_zipcode: 95355
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: 21
senate_dist: 5
congress_dist: 10
cens_tract: 6099001001
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
license_no: 100000028
longitude: -120.969325
latitude: 37.650877
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
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: 77
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: 77
sn_gen_ltc_adm: 108
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: 108
sn_gen_ltc_dis: 105
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: 105
sn_gen_ltc_cens_cy: 80
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: 206500855
fac_no: 206500855
fac_name: ACACIA PARK NURSING & REHAB CENTER
fac_str_addr: 1611 SCENIC DRIVE
fac_city: MODESTO
fac_zip: 95355
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: 100000028
license_status: Open
facility_level: Parent Facility
longitude: -120.969325
latitude: 37.650877
assembly_dist: District 21
senate_dist: District 05
congress_dist: District 10
cens_tract: 06099001001
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
lic_cat: Skilled Nursing 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: 80
sn_nursing_plus_adm: 89
sn_minus_dsch: 93
sn_dec_31_cen: 76
sn_pat_days_for: 27799
sn_lic_beds: 99
sn_lic_bed_days: 36135
pats_adm_from_home: 6
pats_adm_from_hsp: 67
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 6
pats_adm_from_res_board_and_care: 3
pats_adm_from_other: 7
tot_pats_adm: 89
medicare_pats: 7
medi_cal_pats: 62
managed_care_pats: 2
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 5
tot_pats: 76
dsch_lt_2_wks: 10
dsch_2_wks_and_lt_1_month: 21
dsch_1_month_and_lt_3_months: 16
dsch_3_months_and_lt_7_months: 11

pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206500855
fac_no: 206500855
fac_name: ACACIA PARK NURSING & REHAB CENTER
fac_str_addr: 1611 SCENIC DRIVE
fac_city: MODESTO
fac_zip: 95355
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: 100000028
license_status: Open
facility_level: Parent Facility
longitude: -120.969325
latitude: 37.650877
assembly_dist: District 21
senate_dist: District 5
congress_dist: Walnut Creek -- District 10
cens_tract: 06099001001
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
lic_cat: Skilled Nursing 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: 76
sn_nursing_plus_adm: 115
sn_minus_dsch: 118
sn_dec_31_cen: 73
sn_pat_days_for: 27141
sn_lic_beds: 99
sn_lic_bed_days: 36135
pats_adm_from_home: 7
pats_adm_from_hsp: 99
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 4
pats_adm_from_res_board_and_care: 3
pats_adm_from_other: 2
tot_pats_adm: 115
medicare_pats: 4
medi_cal_pats: 59
managed_care_pats: 1
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 9
tot_pats: 73
dsch_lt_2_wks: 27
dsch_2_wks_and_lt_1_month: 34
dsch_1_month_and_lt_3_months: 29
dsch_3_months_and_lt_7_months: 9

pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206500855
fac_no: 206500855
fac_name: ACACIA PARK NURSING & REHAB CENTER
fac_str_addr: 1611 SCENIC DRIVE
fac_city: MODESTO
fac_zip: 95355
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: 100000028
license_status: Open
facility_level: Parent Facility
longitude: -120.969325
latitude: 37.650877
assembly_dist: District 21
senate_dist: District 5
congress_dist: District 10
cens_tract: 06099001001
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
lic_cat: Skilled Nursing 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: 73
sn_nursing_plus_adm: 60
sn_minus_dsch: 90
sn_dec_31_cen: 43
sn_pat_days_for: 19983
sn_lic_beds: 99
sn_lic_bed_days: 36234
pats_adm_from_home: 1
pats_adm_from_hsp: 35
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 22
pats_adm_from_res_board_and_care: 1
pats_adm_from_other: 1
tot_pats_adm: 60
medicare_pats: 2
medi_cal_pats: 34
managed_care_pats: 1
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 6
tot_pats: 43
dsch_lt_2_wks: 7
dsch_2_wks_and_lt_1_month: 9
dsch_1_month_and_lt_3_months: 4
dsch_3_months_and_lt_7_months: 7

pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206500855
fac_no: 206500855
fac_name: ACACIA PARK NURSING & REHAB CENTER
fac_str_addr: 1611 SCENIC DRIVE
fac_city: MODESTO
fac_zip: 95355
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: 100000028
license_status: Open
facility_level: Parent Facility
longitude: -120.969572
latitude: 37.651402
assembly_dist: District 21
senate_dist: District 5
congress_dist: District 10
cens_tract: 06099001001
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
lic_cat: Skilled Nursing 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: 43
sn_nursing_plus_adm: 61
sn_minus_dsch: 60
sn_dec_31_cen: 44
sn_pat_days_for: 16724
sn_lic_beds: 99
sn_lic_bed_days: 36135
pats_adm_from_home: 3
pats_adm_from_hsp: 44
pats_adm_from_state_hsp: 0
pats_adm_from_other_ltc: 5
pats_adm_from_res_board_and_care: 2
pats_adm_from_other: 7
tot_pats_adm: 61
medicare_pats: 5
medi_cal_pats: 35
managed_care_pats: 0
private_insurance_pats: 0
self_pay_pats: 0
all_other_pats: 4
tot_pats: 44
dsch_lt_2_wks: 19
dsch_2_wks_and_lt_1_month: 9
dsch_1_month_and_lt_3_months: 18
dsch_3_months_and_lt_7_months: 14

pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206500855
fac_no: 206500855
fac_name: ACACIA PARK NURSING & REHAB CENTER
fac_str_addr: 1611 SCENIC DRIVE
fac_city: MODESTO
fac_zip: 95355
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2022-04-18 00:00:00
fac_op_per_end_dt: 2022-12-31 00:00:00
license_no: 100000028
license_status: Open
facility_level: Parent Facility
longitude: -120.969572
latitude: 37.651402
assembly_dist: District 21
senate_dist: District 5
congress_dist: District 10
census_key: 06099001001
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: Stanislaus
lic_cat: Skilled Nursing Facility
licee_toc: Investor - Limited Liability Company
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: 76
sn_nursing_plus_adm: 154
sn_minus_dsch: 154
sn_dec_31_cen: 76
sn_pat_days_for: 3818
sn_lic_beds: 99
sn_lic_bed_days: 25542
pats_adm_from_home: 14
pats_adm_from_hsp: 125
pats_adm_from_other_ltc: 16
pats_adm_from_res_board_and_care: 1
pats_adm_from_other: 3
tot_pats_adm: 159
medicare_pats: 9
medi_cal_pats: 49
managed_care_pats: 19
private_insurance_pats: 0
self_pay_pats: 4
all_other_pats: None
tot_pats: 81
dsch_lt_2_wks: 69
dsch_2_wks_and_lt_1_month: 43
dsch_1_month_and_lt_3_months: 39
dsch_3_months_and_lt_7_months: 8
dsch_7_months_and_lt_1_yr: 0