| Table | # | Values |
|---|---|---|
| facility_profile_attributes | 1 |
facility_desc: VINTAGE FAIRE NURSING AND REHABILITATION CENTER site_address1: 3620 DALE ROAD, STE B site_address2: None site_city: MODESTO site_zip: 95356 site_x_coordinate: -121.049064 site_y_coordinate: 37.692003 oshpd_id: 206504004 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility license_number: 100000366 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: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69200290 longitude: -121.04906380 |
| licensed_facility_listing_02 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 05/04/1989 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility longitude: -121.04989 latitude: 37.69169 |
| licensed_facility_listing_03 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 5/4/1989 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169 longitude: -121.04989 |
| licensed_facility_listing_04 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_05 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_06 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_07 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_08 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_09 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69200290 longitude: -121.04906380 |
| licensed_facility_listing_10 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69200290 longitude: -121.04906380 |
| licensed_facility_listing_11 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_12 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_13 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_14 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_15 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_16 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_17 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| licensed_facility_listing_18 | 1 |
oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 0.00000000 longitude: 0.00000000 |
| licensed_healthcare_facility_listing | 15 |
period: current oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69200290 longitude: -121.04906380 period: 2016-12-31 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2017-12-31 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2018-12-31 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2019-12-31 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2020-12-31 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2021-12-31 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2022-12-31 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2017-06-30 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2018-06-30 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2019-06-30 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 DALE ROAD, STE B dba_city: MODESTO dba_zip_code: 95356 county_code: 50 county_name: STANISLAUS er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2020-06-30 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2021-06-30 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2022-06-30 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 period: 2023-06-30 oshpd_id: 206504004 facility_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER license_num: 100000366 facility_level_desc: Parent Facility dba_address1: 3620 Dale Rd dba_city: Modesto dba_zip_code: 95356 county_code: 50 county_name: Stanislaus er_service_level_desc: Not Applicable total_number_beds: 99 facility_status_desc: Open facility_status_date: 1989-05-04 license_type_desc: Long Term Care Facility license_category_desc: Skilled Nursing Facility latitude: 37.69169000 longitude: -121.04989000 |
| long_term_care_facilities_utilization_data_2012 | 1 |
oshpd_id: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_address_one: 3620 B DALE ROAD fac_address_two: None fac_city: MODESTO fac_zipcode: 95356 fac_phone: 209-521-2094 fac_admin_name: Stephanie Lerma fac_oper_curryr: Yes beg_date: 2012-01-01 00:00:00 end_date: 2012-12-31 00:00:00 parent_name: Covenant Care California, LLC parent_address_one: 27071 Aliso Creek Road parent_address_two: Suite 100 parent_city: Aliso Viejo parent_state: CA parent_zip_9: 95656 report_prep_name: Stephanie Lerma lic_status: Open lic_status_date: 1989-05-04 00:00:00 lic_orig_date: 1989-05-04 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000851 assembly_dist: 25 senate_dist: 14 congress_dist: 19 cens_tract: 6099000504 med_svc_study_area: 215a laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000366 longitude: -121.049726 latitude: 37.691001 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 91 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: 91 sn_gen_ltc_adm: 741 sn_md_ltc_adm: 0 |
| long_term_care_facilities_utilization_data_2012_sec_5 | 1 |
oshpd_id: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION 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: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_address_one: 3620 B DALE ROAD fac_address_two: None fac_city: MODESTO fac_zipcode: 95356 fac_phone: 209-521-2094 fac_admin_name: Dawn Sughrue fac_oper_curryr: Yes beg_date: 2013-01-01 00:00:00 end_date: 2013-12-31 00:00:00 parent_name: Covenant Care of California LLC parent_address_one: 27071 Aliso Creek Road parent_address_two: Suite 100 parent_city: Aliso Viejo parent_state: CA parent_zip_9: 95656 report_prep_name: Dawn Sugbhrue lic_status: Open lic_status_date: 1989-05-04 00:00:00 lic_orig_date: 1989-05-04 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000851 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000504 med_svc_study_area: 215a laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000366 longitude: -121.049726 latitude: 37.691001 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 96 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: 96 sn_gen_ltc_adm: 614 sn_md_ltc_adm: 0 |
| long_term_care_faclts_util_data_2013_sec_5 | 1 |
oshpd_id: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION 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: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_address_one: 3620 B DALE ROAD fac_address_two: None fac_city: MODESTO fac_zipcode: 95356 fac_phone: 209-521-2094 fac_admin_name: Dorothy Couto fac_oper_curryr: Yes beg_date: 2014-01-01 00:00:00 end_date: 2014-12-31 00:00:00 parent_name: Covenant Care parent_address_one: 27071 Aliso Creek Rd parent_address_two: None parent_city: Aliso Viejo parent_state: CA parent_zip_9: 92656 report_prep_name: Dorthy Couto lic_status: Open lic_status_date: 1989-05-04 00:00:00 lic_orig_date: 1989-05-04 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000851 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000504 med_svc_study_area: 215a laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000366 longitude: -121.049871 latitude: 37.690963 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 97 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: 97 sn_gen_ltc_adm: 680 |
| long_term_care_faclts_util_data_2014_sec_5 | 1 |
oshpd_id: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION 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: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_address_one: 3620 DALE ROAD, STE B fac_address_two: None fac_city: MODESTO fac_zipcode: 95356 fac_phone: 209-521-2094-117 fac_admin_name: Angela Readd fac_oper_curryr: Yes beg_date: 2015-01-01 00:00:00 end_date: 2015-12-31 00:00:00 parent_name: Covenant Care parent_address_one: 27071 Aliso Creek Rd parent_address_two: None parent_city: Aliso Viejo parent_state: CA parent_zip_9: 92656 report_prep_name: Angela Readd lic_status: Open lic_status_date: 1989-05-04 00:00:00 lic_orig_date: 1989-05-04 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000851 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000504 med_svc_study_area: 215a laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000366 longitude: -121.04989 latitude: 37.69169 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 94 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: 94 sn_gen_ltc_adm: 787 |
| long_term_care_faclts_util_data_2015_sec_5 | 1 |
oshpd_id: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION 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: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_address_one: 3620 DALE ROAD, STE B fac_address_two: None fac_city: MODESTO fac_zipcode: 95356 fac_phone: 209-521-2094 fac_admin_name: LESLIE BECK fac_oper_curryr: Yes beg_date: 2017-01-01 00:00:00 end_date: 2017-12-31 00:00:00 parent_name: Covenant Care California, LLC. parent_address_one: 27071 Aliso Creek Rd parent_address_two: Suite 100 parent_city: Aliso Viejo parent_state: CA parent_zip_9: 95656 report_prep_name: Phar Yim lic_status: Open lic_status_date: 1989-05-04 00:00:00 lic_orig_date: 1989-05-04 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000851 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000504 med_svc_study_area: 215a laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000366 longitude: -121.04989 latitude: 37.69169 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 91 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: 91 sn_gen_ltc_adm: 509 |
| long_term_care_faclts_util_data_oct_2018_for_2017_sec5 | 1 |
oshpd_id: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION 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: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_address_one: 3620 DALE ROAD, STE B fac_address_two: None fac_city: MODESTO fac_zipcode: 95356 fac_phone: 209-521-2094 fac_admin_name: Belinda Guzman fac_oper_curryr: Yes beg_date: 2016-01-01 00:00:00 end_date: 2016-12-31 00:00:00 parent_name: Covenant Care parent_address_one: 27071 Aliso Creek Rd. parent_address_two: None parent_city: Aliso Viejo parent_state: CA parent_zip_9: 92656 report_prep_name: Belinda Guzman lic_status: Open lic_status_date: 1989-05-04 00:00:00 lic_orig_date: 1989-05-04 00:00:00 report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: 100000851 assembly_dist: 12 senate_dist: 5 congress_dist: 10 cens_tract: 6099000504 med_svc_study_area: 215a laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000366 longitude: -121.04989 latitude: 37.69169 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 90 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: 90 sn_gen_ltc_adm: 597 |
| long_term_care_faclts_util_data_updated_2016_sec_5 | 1 |
oshpd_id: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION 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: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_address_one: 3620 DALE ROAD, STE B fac_city: MODESTO fac_zipcode: 95356 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: 6099000504 laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000366 longitude: -121.04989 latitude: 37.69169 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 90 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: 90 sn_gen_ltc_adm: 597 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: 597 sn_gen_ltc_dis: 596 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: 596 sn_gen_ltc_cens_cy: 91 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: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_address_one: 3620 DALE ROAD, STE B fac_city: MODESTO fac_zipcode: 95356 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: 6099000504 laco_svc_plan_area: None health_svc_area: 06 - North San Joaquin county: Stanislaus license_no: 100000366 longitude: -121.04989 latitude: 37.69169 type_lic: Skilled Nursing Facility type_cntrl: Investor - Limited Liability Company 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: 91 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: 91 sn_gen_ltc_adm: 509 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: 509 sn_gen_ltc_dis: 512 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: 512 sn_gen_ltc_cens_cy: 88 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: 206504004 fac_no: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_str_addr: 3620 DALE ROAD, STE B fac_city: MODESTO fac_zip: 95356 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: 100000366 license_status: Open facility_level: Parent Facility longitude: -121.04989 latitude: 37.69169 assembly_dist: District 12 senate_dist: District 05 congress_dist: District 10 cens_tract: 06099000504 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: 88 sn_nursing_plus_adm: 510 sn_minus_dsch: 515 sn_dec_31_cen: 83 sn_pat_days_for: 31736 sn_lic_beds: 99 sn_lic_bed_days: 36135 pats_adm_from_home: 2 pats_adm_from_hsp: 502 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 2 pats_adm_from_res_board_and_care: 0 pats_adm_from_other: 4 tot_pats_adm: 510 medicare_pats: 12 medi_cal_pats: 53 managed_care_pats: 12 private_insurance_pats: 0 self_pay_pats: 0 all_other_pats: 6 tot_pats: 83 dsch_lt_2_wks: 191 dsch_2_wks_and_lt_1_month: 192 dsch_1_month_and_lt_3_months: 85 dsch_3_months_and_lt_7_months: 15 |
| pivot_table_long_term_care_faclts_util_data_2019 | 1 |
oshpd_id: 206504004 fac_no: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_str_addr: 3620 DALE ROAD, STE B fac_city: MODESTO fac_zip: 95356 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: 100000366 license_status: Open facility_level: Parent Facility longitude: -121.04989 latitude: 37.69169 assembly_dist: District 12 senate_dist: District 5 congress_dist: Walnut Creek -- District 10 cens_tract: 06099000504 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: 83 sn_nursing_plus_adm: 597 sn_minus_dsch: 583 sn_dec_31_cen: 97 sn_pat_days_for: 35500 sn_lic_beds: 99 sn_lic_bed_days: 36135 pats_adm_from_home: 7 pats_adm_from_hsp: 589 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 0 pats_adm_from_res_board_and_care: 0 pats_adm_from_other: 1 tot_pats_adm: 597 medicare_pats: 21 medi_cal_pats: 48 managed_care_pats: 15 private_insurance_pats: 1 self_pay_pats: 0 all_other_pats: 12 tot_pats: 97 dsch_lt_2_wks: 260 dsch_2_wks_and_lt_1_month: 189 dsch_1_month_and_lt_3_months: 97 dsch_3_months_and_lt_7_months: 12 |
| pivot_table_long_term_care_faclts_util_data_2020 | 1 |
oshpd_id: 206504004 fac_no: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_str_addr: 3620 DALE ROAD, STE B fac_city: MODESTO fac_zip: 95356 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: 100000366 license_status: Open facility_level: Parent Facility longitude: -121.04989 latitude: 37.69169 assembly_dist: District 12 senate_dist: District 5 congress_dist: District 10 cens_tract: 06099000504 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: 97 sn_nursing_plus_adm: 519 sn_minus_dsch: 545 sn_dec_31_cen: 71 sn_pat_days_for: 30197 sn_lic_beds: 99 sn_lic_bed_days: 36234 pats_adm_from_home: 9 pats_adm_from_hsp: 488 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 22 pats_adm_from_res_board_and_care: 0 pats_adm_from_other: 0 tot_pats_adm: 519 medicare_pats: 7 medi_cal_pats: 54 managed_care_pats: 10 private_insurance_pats: 0 self_pay_pats: 0 all_other_pats: 0 tot_pats: 71 dsch_lt_2_wks: 186 dsch_2_wks_and_lt_1_month: 184 dsch_1_month_and_lt_3_months: 116 dsch_3_months_and_lt_7_months: 30 |
| pivot_table_long_term_care_faclts_util_data_2021 | 1 |
oshpd_id: 206504004 fac_no: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_str_addr: 3620 DALE ROAD, STE B fac_city: MODESTO fac_zip: 95356 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: 100000366 license_status: Open facility_level: Parent Facility longitude: -121.049064 latitude: 37.692003 assembly_dist: District 12 senate_dist: District 5 congress_dist: District 10 cens_tract: 06099000504 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: 71 sn_nursing_plus_adm: 639 sn_minus_dsch: 622 sn_dec_31_cen: 88 sn_pat_days_for: 30543 sn_lic_beds: 99 sn_lic_bed_days: 36135 pats_adm_from_home: 12 pats_adm_from_hsp: 618 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 7 pats_adm_from_res_board_and_care: 0 pats_adm_from_other: 2 tot_pats_adm: 639 medicare_pats: 10 medi_cal_pats: 50 managed_care_pats: 25 private_insurance_pats: 0 self_pay_pats: 0 all_other_pats: 3 tot_pats: 88 dsch_lt_2_wks: 276 dsch_2_wks_and_lt_1_month: 190 dsch_1_month_and_lt_3_months: 108 dsch_3_months_and_lt_7_months: 21 |
| pivot_table_long_term_care_faclts_util_data_2022 | 1 |
oshpd_id: 206504004 fac_no: 206504004 fac_name: VINTAGE FAIRE NURSING AND REHABILITATION CENTER fac_str_addr: 3620 DALE ROAD, STE B fac_city: MODESTO fac_zip: 95356 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: 100000366 license_status: Open facility_level: Parent Facility longitude: -121.049064 latitude: 37.692003 assembly_dist: District 12 senate_dist: District 5 congress_dist: District 10 census_key: 06099000504 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: 88 sn_nursing_plus_adm: 668 sn_minus_dsch: 668 sn_dec_31_cen: 88 sn_pat_days_for: 33257 sn_lic_beds: 99 sn_lic_bed_days: 36135 pats_adm_from_home: 7 pats_adm_from_hsp: 656 pats_adm_from_other_ltc: 2 pats_adm_from_res_board_and_care: 0 pats_adm_from_other: 3 tot_pats_adm: 668 medicare_pats: 9 medi_cal_pats: 50 managed_care_pats: 22 private_insurance_pats: 4 self_pay_pats: 0 all_other_pats: 3 tot_pats: 88 dsch_lt_2_wks: 253 dsch_2_wks_and_lt_1_month: 248 dsch_1_month_and_lt_3_months: 120 dsch_3_months_and_lt_7_months: 25 dsch_7_months_and_lt_1_yr: 11 |