| Table | # | Values |
|---|---|---|
| facility_profile_attributes | 1 |
facility_desc: CRESTWOOD MANOR - MODESTO site_address1: 1400 CELESTE DRIVE site_address2: None site_city: MODESTO site_zip: 95355 site_x_coordinate: -120.972160 site_y_coordinate: 37.671639 oshpd_id: 206502207 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility license_number: 100000264 facility_level_desc: Parent Facility er_service_level_desc: Not Specified licensed_beds: 194 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: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67163860 longitude: -120.97215980 |
| licensed_facility_listing_02 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 04/12/1971 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility longitude: -120.97126 latitude: 37.67247 |
| licensed_facility_listing_03 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 4/12/1971 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247 longitude: -120.97126 |
| licensed_facility_listing_04 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_05 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_06 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_07 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_08 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_09 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67163860 longitude: -120.97215980 |
| licensed_facility_listing_10 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67163860 longitude: -120.97215980 |
| licensed_facility_listing_11 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_12 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_13 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_14 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_15 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_16 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_17 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| licensed_facility_listing_18 | 1 |
oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67163860 longitude: -120.97215980 |
| licensed_healthcare_facility_listing | 15 |
period: current oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67163860 longitude: -120.97215980 period: 2016-12-31 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2017-12-31 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2018-12-31 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2019-12-31 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2020-12-31 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2021-12-31 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2022-12-31 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2017-06-30 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2018-06-30 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2019-06-30 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 CELESTE DRIVE dba_city: MODESTO dba_zip_code: 95355 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2020-06-30 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2021-06-30 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2022-06-30 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 period: 2023-06-30 oshpd_id: 206502207 facility_name: CRESTWOOD MANOR - MODESTO license_num: 100000264 facility_level_desc: Parent Facility dba_address1: 1400 Celeste Dr dba_city: Modesto dba_zip_code: 95355 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 194 facility_status_desc: Open facility_status_date: 1971-04-12 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.67247000 longitude: -120.97126000 |
| long_term_care_facilities_utilization_data_2012 | 1 |
oshpd_id: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_address_one: 1400 CELESTE DRIVE fac_address_two: None fac_city: MODESTO fac_zipcode: 95355 fac_phone: 209-526-8050-60 fac_admin_name: LAURI BLAUFUS fac_oper_curryr: Yes beg_date: 2012-01-01 00:00:00 end_date: 2012-12-31 00:00:00 parent_name: CRESTWOOD BEHAVIORAL HELATH parent_address_one: 520 CAPITAL MALL, SUITE 800 parent_address_two: None parent_city: SACRAMENTO parent_state: CA parent_zip_9: 95814 report_prep_name: Lauri Blaufus lic_status: Open lic_status_date: 1971-04-12 00:00:00 lic_orig_date: 1971-04-12 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000036 assembly_dist: 25 senate_dist: 12 congress_dist: 18 cens_tract: 6099000910 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000264 longitude: -120.97211 latitude: 37.6723 type_lic: Skilled Nursing Facility type_cntrl: Investor - Corporation cert_mcar_sn: None cert_mcal_sn: YES cert_mcal_sn_md: YES cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 0 sn_md_ltc_cens_py: 174 ic_gen_ltc_cens_py: 0 ic_dd_ltc_cens_py: 0 cl_ltc_cens_py: 0 ltc_cens_py_totl: 174 sn_gen_ltc_adm: 0 sn_md_ltc_adm: 109 |
| long_term_care_facilities_utilization_data_2012_sec_5 | 1 |
oshpd_id: 206502207 fac_name: CRESTWOOD MANOR - 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: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_address_one: 1400 CELESTE DRIVE fac_address_two: None fac_city: MODESTO fac_zipcode: 95355 fac_phone: 209-526-8050-11260 fac_admin_name: LAURI BLAUFUS fac_oper_curryr: Yes beg_date: 2013-01-01 00:00:00 end_date: 2013-12-31 00:00:00 parent_name: Crestwood Behavioral Health parent_address_one: 520 CAPITOL MALL SUITE 800 parent_address_two: None parent_city: SACRAMENTOC parent_state: CA parent_zip_9: 95814 report_prep_name: Lauri Blaufus lic_status: Open lic_status_date: 1971-04-12 00:00:00 lic_orig_date: 1971-04-12 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000036 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000910 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000264 longitude: -120.97211 latitude: 37.6723 type_lic: Skilled Nursing Facility type_cntrl: Investor - Corporation cert_mcar_sn: None cert_mcal_sn: YES cert_mcal_sn_md: YES cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 0 sn_md_ltc_cens_py: 171 ic_gen_ltc_cens_py: 0 ic_dd_ltc_cens_py: 0 cl_ltc_cens_py: 0 ltc_cens_py_totl: 171 sn_gen_ltc_adm: 0 sn_md_ltc_adm: 91 |
| long_term_care_faclts_util_data_2013_sec_5 | 1 |
oshpd_id: 206502207 fac_name: CRESTWOOD MANOR - 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: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_address_one: 1400 CELESTE DRIVE fac_address_two: None fac_city: MODESTO fac_zipcode: 95355 fac_phone: 209-526-8050-11260 fac_admin_name: Lauri Blaufus fac_oper_curryr: Yes beg_date: 2014-01-01 00:00:00 end_date: 2014-12-31 00:00:00 parent_name: Crestwood Behavioral Health parent_address_one: 520 Capitol Mall parent_address_two: Suite 800 parent_city: Sacramento parent_state: CA parent_zip_9: 95814 report_prep_name: Lauri Blaufus lic_status: Open lic_status_date: 1971-04-12 00:00:00 lic_orig_date: 1971-04-12 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000036 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000910 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000264 longitude: -120.971258 latitude: 37.672473 type_lic: Skilled Nursing Facility type_cntrl: Investor - Corporation cert_mcar_sn: None cert_mcal_sn: YES cert_mcal_sn_md: YES cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 97 sn_md_ltc_cens_py: 72 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: 169 sn_gen_ltc_adm: 40 |
| long_term_care_faclts_util_data_2014_sec_5 | 1 |
oshpd_id: 206502207 fac_name: CRESTWOOD MANOR - 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: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_address_one: 1400 CELESTE DRIVE fac_address_two: None fac_city: MODESTO fac_zipcode: 95355 fac_phone: 209-526-8050-21 fac_admin_name: Lauri Blaufus fac_oper_curryr: Yes beg_date: 2015-01-01 00:00:00 end_date: 2015-12-31 00:00:00 parent_name: Crestwood Behavioral Health parent_address_one: 520 Capitol Mall, Suite 800 parent_address_two: None parent_city: Sacramento parent_state: CA parent_zip_9: 95814 report_prep_name: Lauri Blaufus lic_status: Open lic_status_date: 1971-04-12 00:00:00 lic_orig_date: 1971-04-12 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000036 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000910 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000264 longitude: -120.97126 latitude: 37.67247 type_lic: Skilled Nursing Facility type_cntrl: Investor - Corporation cert_mcar_sn: None cert_mcal_sn: None cert_mcal_sn_md: YES cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 103 sn_md_ltc_cens_py: 66 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: 169 sn_gen_ltc_adm: 32 |
| long_term_care_faclts_util_data_2015_sec_5 | 1 |
oshpd_id: 206502207 fac_name: CRESTWOOD MANOR - 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: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_address_one: 1400 CELESTE DRIVE fac_address_two: None fac_city: MODESTO fac_zipcode: 95355 fac_phone: 209-526-8050-11260 fac_admin_name: Lauri Blaufus fac_oper_curryr: Yes beg_date: 2017-01-01 00:00:00 end_date: 2017-12-31 00:00:00 parent_name: Crestwood Behavioral Health parent_address_one: 520 Capitol Mall parent_address_two: Suite 800 parent_city: Sacramento parent_state: CA parent_zip_9: 95814 report_prep_name: Lauri Blaufus lic_status: Open lic_status_date: 1971-04-12 00:00:00 lic_orig_date: 1971-04-12 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000036 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000910 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000264 longitude: -120.97126 latitude: 37.67247 type_lic: Skilled Nursing Facility type_cntrl: Investor - Corporation cert_mcar_sn: None cert_mcal_sn: YES cert_mcal_sn_md: YES cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 166 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: 166 sn_gen_ltc_adm: 67 |
| long_term_care_faclts_util_data_oct_2018_for_2017_sec5 | 1 |
oshpd_id: 206502207 fac_name: CRESTWOOD MANOR - 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: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_address_one: 1400 CELESTE DRIVE fac_address_two: None fac_city: MODESTO fac_zipcode: 95355 fac_phone: 209-526-8050-11260 fac_admin_name: Lauri Blaufus fac_oper_curryr: Yes beg_date: 2016-01-01 00:00:00 end_date: 2016-12-31 00:00:00 parent_name: Crestwood Behavioral Health, Inc. parent_address_one: 520 Capitol Mall, Suite 800 parent_address_two: None parent_city: Sacramento parent_state: CA parent_zip_9: 95814 report_prep_name: Lauri Blaufus lic_status: Open lic_status_date: 1971-04-12 00:00:00 lic_orig_date: 1971-04-12 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000036 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000910 med_svc_study_area: 215b laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000264 longitude: -120.97126 latitude: 37.67247 type_lic: Skilled Nursing Facility type_cntrl: Investor - Corporation cert_mcar_sn: None cert_mcal_sn: None cert_mcal_sn_md: YES cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 166 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: 166 sn_gen_ltc_adm: 87 |
| long_term_care_faclts_util_data_updated_2016_sec_5 | 1 |
oshpd_id: 206502207 fac_name: CRESTWOOD MANOR - 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: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_address_one: 1400 CELESTE 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: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000910 laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000264 longitude: -120.97126 latitude: 37.67247 type_lic: Skilled Nursing Facility type_cntrl: Investor - Corporation cert_mcar_sn: NO cert_mcal_sn: NO cert_mcal_sn_md: YES cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 166 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: 166 sn_gen_ltc_adm: 87 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: 87 sn_gen_ltc_dis: 87 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: 87 sn_gen_ltc_cens_cy: 166 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: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_address_one: 1400 CELESTE 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: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000910 laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000264 longitude: -120.97126 latitude: 37.67247 type_lic: Skilled Nursing Facility type_cntrl: Investor - Corporation cert_mcar_sn: NO cert_mcal_sn: YES cert_mcal_sn_md: YES cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 166 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: 166 sn_gen_ltc_adm: 67 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: 67 sn_gen_ltc_dis: 64 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: 64 sn_gen_ltc_cens_cy: 169 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: 206502207 fac_no: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_str_addr: 1400 CELESTE 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: 100000264 license_status: Open facility_level: Parent Facility longitude: -120.97126 latitude: 37.67247 assembly_dist: District 12 senate_dist: District 05 congress_dist: District 10 cens_tract: 06099000910 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: X 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: 169 sn_nursing_plus_adm: 81 sn_minus_dsch: 86 sn_dec_31_cen: 164 sn_pat_days_for: 61306 sn_lic_beds: 194 sn_lic_bed_days: 70810 pats_adm_from_home: 2 pats_adm_from_hsp: 47 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 17 pats_adm_from_res_board_and_care: 13 pats_adm_from_other: 2 tot_pats_adm: 81 medicare_pats: None medi_cal_pats: 145 managed_care_pats: 4 private_insurance_pats: None self_pay_pats: 1 all_other_pats: 14 tot_pats: 164 dsch_lt_2_wks: 2 dsch_2_wks_and_lt_1_month: 2 dsch_1_month_and_lt_3_months: 6 dsch_3_months_and_lt_7_months: 14 |
| pivot_table_long_term_care_faclts_util_data_2019 | 1 |
oshpd_id: 206502207 fac_no: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_str_addr: 1400 CELESTE 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: 100000264 license_status: Open facility_level: Parent Facility longitude: -120.97126 latitude: 37.67247 assembly_dist: District 12 senate_dist: District 5 congress_dist: Walnut Creek -- District 10 cens_tract: 06099000910 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: X 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: 164 sn_nursing_plus_adm: 67 sn_minus_dsch: 60 sn_dec_31_cen: 171 sn_pat_days_for: 62461 sn_lic_beds: 194 sn_lic_bed_days: 70810 pats_adm_from_home: None pats_adm_from_hsp: 42 pats_adm_from_state_hsp: None pats_adm_from_other_ltc: 11 pats_adm_from_res_board_and_care: 8 pats_adm_from_other: 6 tot_pats_adm: 67 medicare_pats: None medi_cal_pats: 153 managed_care_pats: 7 private_insurance_pats: 2 self_pay_pats: None all_other_pats: 9 tot_pats: 171 dsch_lt_2_wks: 1 dsch_2_wks_and_lt_1_month: 3 dsch_1_month_and_lt_3_months: 6 dsch_3_months_and_lt_7_months: 12 |
| pivot_table_long_term_care_faclts_util_data_2020 | 1 |
oshpd_id: 206502207 fac_no: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_str_addr: 1400 CELESTE 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: 100000264 license_status: Open facility_level: Parent Facility longitude: -120.97126 latitude: 37.67247 assembly_dist: District 12 senate_dist: District 5 congress_dist: District 10 cens_tract: 06099000910 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: X 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: 171 sn_nursing_plus_adm: 34 sn_minus_dsch: 64 sn_dec_31_cen: 141 sn_pat_days_for: 59077 sn_lic_beds: 194 sn_lic_bed_days: 71004 pats_adm_from_home: 1 pats_adm_from_hsp: 30 pats_adm_from_state_hsp: None pats_adm_from_other_ltc: None pats_adm_from_res_board_and_care: 3 pats_adm_from_other: None tot_pats_adm: 34 medicare_pats: None medi_cal_pats: 127 managed_care_pats: 4 private_insurance_pats: None self_pay_pats: 1 all_other_pats: 9 tot_pats: 141 dsch_lt_2_wks: None dsch_2_wks_and_lt_1_month: 1 dsch_1_month_and_lt_3_months: 1 dsch_3_months_and_lt_7_months: 6 |
| pivot_table_long_term_care_faclts_util_data_2021 | 1 |
oshpd_id: 206502207 fac_no: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_str_addr: 1400 CELESTE 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: 100000264 license_status: Open facility_level: Parent Facility longitude: -120.972126 latitude: 37.671635 assembly_dist: District 12 senate_dist: District 5 congress_dist: District 10 cens_tract: 06099000910 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: X 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: 141 sn_nursing_plus_adm: 68 sn_minus_dsch: 57 sn_dec_31_cen: 152 sn_pat_days_for: 55649 sn_lic_beds: 194 sn_lic_bed_days: 70810 pats_adm_from_home: 28 pats_adm_from_hsp: 28 pats_adm_from_state_hsp: None pats_adm_from_other_ltc: 3 pats_adm_from_res_board_and_care: 9 pats_adm_from_other: None tot_pats_adm: 68 medicare_pats: None medi_cal_pats: 138 managed_care_pats: 4 private_insurance_pats: None self_pay_pats: 1 all_other_pats: 9 tot_pats: 152 dsch_lt_2_wks: 2 dsch_2_wks_and_lt_1_month: 3 dsch_1_month_and_lt_3_months: 9 dsch_3_months_and_lt_7_months: 10 |
| pivot_table_long_term_care_faclts_util_data_2022 | 1 |
oshpd_id: 206502207 fac_no: 206502207 fac_name: CRESTWOOD MANOR - MODESTO fac_str_addr: 1400 CELESTE DRIVE fac_city: MODESTO fac_zip: 95355 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: 100000264 license_status: Open facility_level: Parent Facility longitude: -120.972126 latitude: 37.671635 assembly_dist: District 12 senate_dist: District 5 congress_dist: District 10 census_key: 06099000910 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: X 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: 152 sn_nursing_plus_adm: 47 sn_minus_dsch: 42 sn_dec_31_cen: 157 sn_pat_days_for: 55846 sn_lic_beds: 194 sn_lic_bed_days: 70810 pats_adm_from_home: 1 pats_adm_from_hsp: 34 pats_adm_from_other_ltc: 4 pats_adm_from_res_board_and_care: 7 pats_adm_from_other: 1 tot_pats_adm: 47 medicare_pats: None medi_cal_pats: 146 managed_care_pats: 3 private_insurance_pats: 1 self_pay_pats: None all_other_pats: 7 tot_pats: 157 dsch_lt_2_wks: 3 dsch_2_wks_and_lt_1_month: 1 dsch_1_month_and_lt_3_months: 1 dsch_3_months_and_lt_7_months: 5 dsch_7_months_and_lt_1_yr: 5 |