206010796 |
DOWLING CONVALESCENT HOSPITAL |
4/1/96 |
3/31/97 |
365 |
AUDITED |
C |
1 |
5 |
417 |
SNF |
INVESTOR OWNED |
PROPRIETORSHIP |
(510)893-4066 |
451 28TH STREET |
OAKLAND |
94609-3602 |
ZZR18071F |
PONSELLE R. LANE |
NO |
None |
30 |
30 |
10665 |
97.4 |
30 |
31 |
0 |
10300 |
365 |
0 |
10665 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
909483 |
0 |
0 |
909483 |
755965 |
153518 |
0 |
0 |
0 |
153518 |
0 |
876633 |
32850 |
0 |
909483 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
473774 |
83967 |
198224 |
20897 |
398213 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
81198 |
26940 |
7820 |
95708 |
2205 |
6217 |
1031 |
94665 |
0 |
26665 |
4800 |
2500 |
0 |
8003 |
0 |
67844 |
0 |
11186 |
0 |
0 |
0 |
79030 |
43231 |
0 |
0 |
35799 |
79030 |
0 |
0 |
0 |
0 |
0 |
0 |
37544 |
87378 |
124922 |
-113736 |
0 |
0 |
0 |
0 |
0 |
1.57 |
1.01 |
10 |
0 |
20.18 |
16.88 |
2.85 |
11.51 |
2.21 |
373 |
0 |
0 |
2765 |
6674 |
23928 |
0 |
0 |
0 |
0 |
3284 |
4081 |
931 |
6422 |
0 |
739 |
69 |
4466 |
53359 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
57370 |
87599 |
160046 |
0 |
0 |
0 |
0 |
25349 |
22464 |
6520 |
44999 |
0 |
5184 |
881 |
63362 |
473774 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
34 |
73.53 |
30 |
206070935 |
DANVILLE VILLAGE |
1/1/97 |
6/30/97 |
181 |
AUDITED |
C |
7 |
5 |
411 |
SNF |
INVESTOR OWNED |
DIVISION |
(925)837-4566 |
336 DIABLO ROAD |
DANVILLE |
94526-3417 |
LTC55376I |
DAVID WALKER |
YES |
THE HILLSDALE GROUP |
54 |
54 |
8479 |
86.75 |
48 |
52 |
596 |
6021 |
1862 |
0 |
8479 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
838592 |
148801 |
3133 |
990526 |
960543 |
29983 |
0 |
0 |
0 |
29983 |
93500 |
512447 |
232645 |
0 |
838592 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
140186 |
0 |
8615 |
0 |
9317 |
51157 |
27191 |
5532 |
0 |
55604 |
466167 |
123552 |
370824 |
23440 |
431249 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
20998 |
28486 |
18189 |
2505 |
0 |
49124 |
38386 |
37397 |
17852 |
106610 |
7675 |
17019 |
25197 |
74516 |
4489 |
65827 |
11187 |
537 |
0 |
0 |
3300 |
386108 |
0 |
0 |
0 |
0 |
0 |
386108 |
31475 |
59299 |
0 |
295334 |
386108 |
125991 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
12.27 |
0.08 |
28 |
0 |
0 |
3.03 |
0.2 |
2.56 |
1.31 |
0 |
932 |
0 |
4427 |
2668 |
16471 |
0 |
0 |
0 |
0 |
731 |
3172 |
1392 |
5249 |
382 |
1245 |
1146 |
1712 |
39527 |
0 |
0 |
8 |
1293 |
0 |
0 |
1301 |
23999 |
0 |
85879 |
45711 |
150963 |
0 |
0 |
0 |
0 |
6525 |
23090 |
10764 |
48053 |
4973 |
12795 |
19176 |
34239 |
466167 |
0 |
0 |
232 |
24383 |
0 |
0 |
24615 |
50 |
44 |
36 |
206154031 |
DELANO DISTRICT SKILLED NURSING FACILITY |
7/1/96 |
6/30/97 |
365 |
AUDITED |
C |
15 |
9 |
617 |
SNF |
DISTRICT |
OTHER |
(805)725-0122 |
1509 TOKAY STREET |
DELANO |
93215-3603 |
LTC55479F |
DENNIS KARNOWSKI |
NO |
None |
99 |
99 |
35823 |
99.14 |
171 |
154 |
3352 |
30351 |
2120 |
0 |
35823 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3149904 |
1282830 |
1580 |
4434314 |
4139262 |
295052 |
-1449 |
0 |
0 |
293603 |
414658 |
2513268 |
221978 |
0 |
3149904 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
903930 |
228960 |
149940 |
0 |
160188 |
252502 |
249347 |
0 |
0 |
620793 |
1570418 |
447824 |
2121020 |
128410 |
1371572 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
108707 |
126603 |
215045 |
0 |
0 |
479876 |
285449 |
105823 |
72379 |
334433 |
57276 |
46707 |
61469 |
324975 |
226998 |
0 |
0 |
33741 |
286880 |
0 |
1329 |
556300 |
0 |
4929742 |
0 |
0 |
91285 |
5577327 |
313671 |
0 |
6836505 |
-1572849 |
5577327 |
0 |
0 |
0 |
2986305 |
350620 |
5184354 |
0 |
526664 |
6061638 |
-1131896 |
3926450 |
0 |
0 |
6912755 |
-76250 |
1.77 |
0.46 |
30 |
122.58 |
2.22 |
6.65 |
-0.17 |
0.81 |
-3.55 |
49795 |
2032 |
0 |
10787 |
12171 |
76707 |
0 |
0 |
0 |
1258 |
6447 |
11595 |
6621 |
20143 |
2688 |
4802 |
2032 |
11094 |
168377 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
59613 |
0 |
224770 |
186427 |
493615 |
0 |
0 |
0 |
7968 |
71915 |
68859 |
35516 |
142307 |
44149 |
36319 |
44158 |
154802 |
1570418 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
114 |
57.02 |
80 |
206190233 |
DEL MAR CONVALESCENT HOSPITAL |
4/1/96 |
3/31/97 |
365 |
AUDITED |
C |
19 |
11 |
913 |
SNF |
INVESTOR OWNED |
CORPORATION |
(626)288-8353 |
3136 NORTH DEL MAR AVENUE |
ROSEMEAD |
91770-2326 |
ZZT05588I |
FERNANDO HOSILLOS |
YES |
None |
59 |
59 |
20059 |
93.15 |
133 |
129 |
1709 |
17766 |
463 |
121 |
20059 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1605195 |
561172 |
379 |
2166746 |
2209906 |
-43160 |
0 |
800 |
0 |
-43960 |
198124 |
1348618 |
40503 |
17950 |
1605195 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
405227 |
147174 |
275 |
8496 |
23842 |
251649 |
24065 |
125 |
0 |
261491 |
859966 |
192974 |
1156966 |
26298 |
584583 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
26260 |
158371 |
27393 |
186 |
0 |
271152 |
102278 |
78309 |
56539 |
180507 |
30360 |
43015 |
20461 |
391009 |
23443 |
181719 |
16828 |
6565 |
0 |
351 |
10577 |
272952 |
0 |
106279 |
0 |
24175 |
0 |
403406 |
473600 |
0 |
8645 |
-78839 |
403406 |
0 |
0 |
0 |
38645 |
0 |
0 |
213811 |
76164 |
289975 |
-183696 |
0 |
0 |
0 |
38645 |
-30000 |
0.58 |
0.16 |
30 |
2.14 |
-0.66 |
-1.99 |
0.77 |
5.71 |
-5.12 |
1801 |
2088 |
0 |
1027 |
11260 |
35401 |
0 |
0 |
0 |
2609 |
2088 |
7894 |
4767 |
11303 |
2438 |
4021 |
1062 |
6904 |
92862 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
68156 |
0 |
20538 |
160048 |
202673 |
0 |
0 |
0 |
16935 |
23062 |
52290 |
36733 |
84255 |
23163 |
33778 |
16711 |
121624 |
859966 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
57 |
56.14 |
31 |
206190874 |
DOWNEY CARE CENTER |
4/1/96 |
3/31/97 |
365 |
AUDITED |
C |
19 |
11 |
921 |
SNF |
INVESTOR OWNED |
CORPORATION |
(562)923-9301 |
13007 PARAMOUNT BOULEVARD |
DOWNEY |
90242-4329 |
ZZT05519I |
MAROLYN STAHL |
YES |
None |
99 |
99 |
32775 |
90.7 |
286 |
275 |
1338 |
25867 |
2328 |
3242 |
32775 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2618450 |
730245 |
61399 |
3410094 |
3370210 |
39884 |
1116 |
6200 |
0 |
34800 |
182104 |
1907514 |
253562 |
275270 |
2618450 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
322887 |
77646 |
8993 |
320719 |
43571 |
227009 |
74236 |
18524 |
0 |
366905 |
1312352 |
299291 |
1758567 |
60253 |
1061731 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
80510 |
150482 |
75107 |
11599 |
0 |
377297 |
170410 |
81632 |
65130 |
266006 |
26745 |
43467 |
37804 |
546399 |
46440 |
277360 |
21409 |
21658 |
0 |
9024 |
0 |
1070959 |
0 |
210375 |
0 |
56560 |
0 |
1337894 |
922467 |
0 |
55458 |
359969 |
1337894 |
237244 |
0 |
0 |
0 |
0 |
0 |
245118 |
160450 |
405568 |
-195193 |
0 |
0 |
0 |
76958 |
-21500 |
1.16 |
0.13 |
62 |
4.15 |
2.96 |
1.17 |
0.1 |
2.61 |
3.72 |
2125 |
2088 |
0 |
7609 |
17768 |
60627 |
0 |
0 |
0 |
0 |
2332 |
0 |
5959 |
17052 |
1967 |
4349 |
2082 |
11268 |
133101 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
64108 |
0 |
162110 |
256442 |
359062 |
0 |
0 |
0 |
0 |
35896 |
0 |
38371 |
123587 |
21075 |
33299 |
34554 |
183848 |
1312352 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
83 |
119.28 |
42 |
206210891 |
DANISH HOME FOR SENIOR CITIZENS |
10/1/96 |
9/30/97 |
365 |
AUDITED |
C |
21 |
4 |
405 |
SNF/RES |
NOT-FOR-PROFIT |
CORPORATION |
(415)453-7425 |
326 MISSION AVENUE |
SAN RAFAEL |
94901-5700 |
LTC90075F |
JO ANNE MAXWELL |
NO |
None |
20 |
20 |
7127 |
97.63 |
18 |
17 |
6 |
1501 |
5620 |
0 |
7127 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
849716 |
0 |
27626 |
877342 |
1215122 |
-337780 |
1100515 |
0 |
0 |
762735 |
949 |
128007 |
720760 |
0 |
849716 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
955041 |
351434 |
1222585 |
94011 |
486548 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
34556 |
30178 |
25609 |
168904 |
3717 |
32803 |
9954 |
168249 |
121542 |
0 |
1743 |
5094 |
125225 |
0 |
1000 |
4540888 |
0 |
4518385 |
125331 |
211830 |
45744 |
9442178 |
312923 |
2036637 |
1823132 |
5269486 |
9442178 |
0 |
0 |
0 |
0 |
102001 |
6538318 |
0 |
746068 |
7386387 |
-2868002 |
0 |
0 |
0 |
1853132 |
-30000 |
14.51 |
14.16 |
33 |
19.31 |
6.5 |
-38.5 |
0.16 |
0.09 |
1.79 |
232186 |
1936 |
0 |
6131 |
1363 |
22151 |
0 |
0 |
0 |
0 |
1155 |
3667 |
0 |
6529 |
319 |
2315 |
486 |
3944 |
49996 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
38721 |
0 |
106303 |
20477 |
174897 |
0 |
0 |
0 |
0 |
12372 |
21165 |
0 |
42686 |
2714 |
23463 |
8431 |
91072 |
542301 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75 |
45.33 |
58 |
206331193 |
DEVONSHIRE CARE CENTER |
7/1/96 |
6/30/97 |
365 |
AUDITED |
C |
33 |
12 |
1109 |
SNF |
INVESTOR OWNED |
DIVISION |
(909)925-2571 |
1350 EAST DEVONSHIRE AVENUE |
HEMET |
92343-8629 |
ZZT06095F |
JACQUELINE ARCARA |
YES |
SUMMIT CARE CORPORATION |
99 |
99 |
34310 |
94.95 |
347 |
340 |
2076 |
21775 |
5174 |
5285 |
34310 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3283449 |
958356 |
2689 |
4244494 |
3978108 |
266386 |
0 |
106288 |
0 |
160098 |
235589 |
1805135 |
594189 |
648536 |
3283449 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
615987 |
13386 |
41343 |
287640 |
99569 |
352957 |
146866 |
9377 |
0 |
349587 |
1671033 |
417765 |
1889310 |
72550 |
1371943 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
113278 |
223776 |
195326 |
9284 |
0 |
300994 |
145404 |
97087 |
74520 |
297975 |
34972 |
58876 |
73630 |
549201 |
131613 |
0 |
25622 |
29285 |
204628 |
0 |
40694 |
796016 |
0 |
2570425 |
0 |
1901673 |
24661 |
5292775 |
144456 |
0 |
0 |
5148319 |
5292775 |
0 |
1901673 |
0 |
0 |
420728 |
2294952 |
0 |
534553 |
3250233 |
-679808 |
0 |
0 |
0 |
0 |
0 |
5.51 |
0.12 |
53 |
0 |
2.43 |
6.28 |
0.03 |
1.26 |
1.03 |
25964 |
4148 |
0 |
24219 |
7628 |
57674 |
0 |
0 |
0 |
0 |
2016 |
11493 |
5686 |
18853 |
2760 |
4541 |
2713 |
13316 |
155047 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
116290 |
0 |
455802 |
88256 |
389379 |
0 |
0 |
0 |
0 |
26834 |
64772 |
37347 |
134979 |
26563 |
38649 |
60031 |
232131 |
1671033 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
84 |
25 |
63 |
206360077 |
DEL ROSA VILLA |
2/1/96 |
1/31/97 |
366 |
AUDITED |
C |
36 |
12 |
1209 |
SNF |
INVESTOR OWNED |
CORPORATION |
(909)885-3261 |
2018 DEL ROSA AVE |
SAN BERNARDINO |
92404-5642 |
LTC90017F |
PEGGY BLUM |
YES |
None |
104 |
104 |
35420 |
93.05 |
67 |
64 |
810 |
32392 |
2211 |
7 |
35420 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2923383 |
185455 |
520 |
3109358 |
2712662 |
396696 |
0 |
11961 |
0 |
384735 |
89517 |
2666351 |
167344 |
171 |
2923383 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
167939 |
12967 |
3989 |
560 |
8564 |
47508 |
30807 |
4 |
0 |
98572 |
1263167 |
297380 |
1152115 |
94467 |
1205648 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
9156 |
28122 |
32432 |
412 |
0 |
60266 |
167228 |
108124 |
63070 |
263012 |
0 |
28295 |
46018 |
346045 |
17076 |
277715 |
7344 |
30876 |
0 |
0 |
21823 |
860744 |
0 |
51126 |
0 |
221034 |
0 |
1132904 |
666302 |
0 |
0 |
466602 |
1132904 |
0 |
0 |
579331 |
0 |
0 |
0 |
5666 |
222838 |
228504 |
-177378 |
0 |
0 |
0 |
0 |
0 |
1.29 |
0 |
34 |
0 |
0 |
12.76 |
1.4 |
3.41 |
2.43 |
492 |
1884 |
0 |
1462 |
22513 |
80967 |
0 |
0 |
0 |
0 |
1934 |
9456 |
4023 |
13465 |
0 |
2041 |
1780 |
1932 |
141457 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
47649 |
0 |
24700 |
299480 |
570646 |
0 |
0 |
0 |
0 |
17999 |
68331 |
24977 |
103963 |
0 |
18758 |
37873 |
48791 |
1263167 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
84 |
76.19 |
48 |
206391887 |
DELTA CONVALESCENT HOSPITAL - LODI |
11/1/96 |
10/31/97 |
365 |
AUDITED |
C |
39 |
6 |
505 |
SNF |
INVESTOR OWNED |
DIVISION |
(209)334-3825 |
1334 SOUTH HAM LANE |
LODI |
95242-3903 |
ZZR18503G |
AL CROSS |
YES |
SHADOWBROOK HEALTHCARE INC. |
74 |
74 |
23117 |
85.59 |
59 |
58 |
379 |
16087 |
6627 |
24 |
23117 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2032419 |
70342 |
1266 |
2104027 |
2108857 |
-4830 |
20 |
800 |
0 |
-5610 |
82671 |
1336366 |
611594 |
1788 |
2032419 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
51807 |
0 |
14841 |
3694 |
13436 |
25211 |
15523 |
0 |
0 |
16172 |
994484 |
379277 |
735096 |
200034 |
922271 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
7241 |
12402 |
12931 |
0 |
0 |
21230 |
78504 |
86766 |
66141 |
230243 |
28849 |
33243 |
8343 |
242404 |
3214 |
328764 |
22411 |
3900 |
0 |
0 |
0 |
107530 |
0 |
21293 |
0 |
0 |
0 |
128823 |
88691 |
0 |
0 |
40132 |
128823 |
0 |
0 |
0 |
0 |
0 |
0 |
4060 |
22841 |
26901 |
-5608 |
0 |
0 |
0 |
0 |
0 |
1.21 |
0.07 |
16 |
0 |
0 |
-0.23 |
-0.13 |
16.32 |
3.21 |
288 |
1950 |
0 |
6358 |
11020 |
44742 |
0 |
0 |
0 |
0 |
1680 |
6832 |
7111 |
12087 |
1679 |
2352 |
408 |
7255 |
103474 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
44888 |
0 |
115587 |
179069 |
294220 |
0 |
0 |
0 |
0 |
11194 |
52415 |
38524 |
82244 |
19525 |
20562 |
5663 |
130593 |
994484 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
63 |
44.44 |
45 |