office of statewide health senate bill 499 (sb 499) hospital … no data reported for section...

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As submitted to California's Office of Statewide Health Planning and Development in accordance with Senate Bill 499 (SB 499) requirement for all general acute care hospitals with Structural Performance Category 1 (SPC-1) buildings to report annually with seismic safety compliance status, beds and services. Senate Bill 499 (SB 499) Hospital Report Office of Statewide Health Planning and Development Facilities Development Division Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact 2 e-mail Address: Contact 3 e-mail Address:: Name of Submitter: Submission Date: 10009 Enloe Medical Center - Cohasset 560 Cohasset Rd Chico Mike Wiltermood 2016 [Confidential data left blank intentionally.] [Confidential data left blank intentionally.] Stephen A Gonsalves 10/7/2016 9:06:35 AM Provide the Hospital Owner and Year of Report per Section 130061(e) [Confidential data left blank intentionally.] OSHPD FDD SB499 Report 10/9/2016 6:30 AM Data Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

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Page 1: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

As submitted to California's Office of Statewide Health Planning and Development in accordance with Senate Bill 499 (SB 499) requirement for all general acute care hospitals with Structural Performance Category 1 (SPC-1) buildings to report annually with seismic safety compliance status, beds and services.

Senate Bill 499 (SB 499) Hospital ReportOffice of Statewide Health Planning and DevelopmentFacilities Development Division

Facility Number:

Hospital Owner/Licensee:

City:

Address:

Facility Name:

Year of Reporting:

Contact 1 e-mail Address:

Contact 2 e-mail Address:

Contact 3 e-mail Address::

Name of Submitter:

Submission Date:

10009

Enloe Medical Center - Cohasset

560 Cohasset Rd

Chico

Mike Wiltermood

2016

[Confidential data left blank intentionally.]

[Confidential data left blank intentionally.]

Stephen A Gonsalves

10/7/2016 9:06:35 AM

Provide the Hospital Owner and Year of Report per Section 130061(e)

[Confidential data left blank intentionally.]

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

Page 2: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

For buildings For buildings which are planned for rebuild, retrofit or replacement this report shall identify; Whether the hospital owner intends to rebuild, retrofit or replace the building to SPC2, SPC3, SPC4, SPC4D or SPC5 per 130061(c)(1)(A). The deadline, as described in Section 130060 or 130061.5,for rebuild, retrofit or replacement of the building that the hospital owner intends to meet, and the applicable extension for which the hospital owner has been approved per Section 130061(c)(1)(B)

Bldg.No. Building Name Alternate Building Address

Building Resolution

Final SPC RatingIf Required

Extension Date

Anticipated Completion Date

01/01/2013SPC5RebuildOriginal Hospital and Additions

BLD-00101

560 Cohasset Rd 12/31/2016

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:2 of 35Report Year:

Page 3: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Original Hospital and AdditionsBuilding No: BLD-00101 Yes-SubmittedRetrofit/Replacement Project:

10013 HS041907-0 0 FOUNDATIONS, SPREAD FOOTINGS & DRILLED PIERS/RE HS042981-04

8/16/2004 CLOS No 06/01/20128/31/2006 12:00:00

AM

09/19/2006

10013 HS042981-0 0 SITEWORK, UTIL, ARCH, PRIMARY STRUCTURE,MECH & PLUMBING/RE HS041907-04

12/17/2004

CLOS No 2/20/2007 12:00:00

AM

03/06/2007

Facility Number

Project Number

Sub Num Scope Date In

Plan Approved Date

Projected Start Date

Projected Completion Date Status

CEQA Review

For each building which is planned for rebuild, retrofit or replacement, provide the project numbers, per Section 130061(c)(1)(C). The projected construction start date or dates and projected Completion date or dates per Section 130061(c)(1)(D) and the most recent project status and approvals per Section 130061(c)(1)(E).

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:3 of 35Report Year:

Page 4: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

BLD-00101 Original Hospital and Additions

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

0

00

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Days

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

0

0

0

0

0

0

Total Beds this Building

Surgical ObstetricalRecovery

AnesthesiaNewborn/WellBaby

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

ObstetricalCesarean/Deliv

Provide the number of inpatient beds and patient days per type of service per building per Section 130061(c)(1)(F)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:4 of 35Report Year:

Page 5: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Building Number: Building Name:

Pediatric

Perinatal (excluse Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Card

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / development Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00101 Original Hospital and Additions

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0 0 0

0 0

0 0

0 0

0 0

Provide the number of Inpatient beds and patient days per type of unit per building per Section 130061(c)(1)(F)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:5 of 35Report Year:

Page 6: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

BLD-00101 Original Hospital and Additions Rebuild

BLD-00102 Radiology Addition Remain

BLD-00103 Behavioral Health & Administration Remain

BLD-00104 Radiology Addition Remain

BLD-00105 Central Stores Remain

BLD-00106 Cardiac Cath Lab Remain

BLD-00107 Administration Remain

BLD-00108 Surgery Addition Remain

For all buildings at the facility, indicate which ones are scheduled for general acute service removal.

Building Number Building Name

Building to be Removed / Replaced / Rebuilt

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:6 of 35Report Year:

Page 7: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

N_1 Magnolia Tower X

Building Number

Building Name New Site

List ALL proposed new buildings to be constructed at this or another site.

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:7 of 35Report Year:

Page 8: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

BLD-00101 Original Hospital and AdditionsBuilding Number: Removal Date:

12/31/2016

Planned Uses for the building to be removed from acute care service:

Planned use for building: Medical Office Building Jurisdiction: Local Authority

Inpatient services currently delivered in the building:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

OutpatientSurgery

Central PlantEmergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

For the building or buildings to be replaced, rebuilt, removed from acute care service, provide the following:The projected date or dates the building will be removed from service per Section 130061 (c)(2)(A) and provide said date or dates for replaced or rebuild buildings as well.The planned uses of the building or buildings to be removed from acute care service per Section 130061(c)(2)(B) and provide said uses for replaced or rebuild buildings as well.The inpatient service currently delivered in the building or buildings per Section 130061(c)(2)(C)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:8 of 35Report Year:

Page 9: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

No data reported for Section 130061(c)(2)(D).

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:9 of 35Report Year:

Page 10: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

No data reported for Section 130061(c)(2)(D).

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:10 of 35Report Year:

Page 11: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

No data reported for whether the general acute care services and beds will be relocated to a new, existing or retrofitted building and any corresponding building sites or project numbers for buildings with a Building Resolution of "Rebuild" or "Replace" per Section 130061(c)(2)(E).

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:11 of 35Report Year:

Page 12: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

No data reported for Section 130061(c)(3).

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:12 of 35Report Year:

Page 13: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-00101 Original Hospital and Additions

Type of Service Provided

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Report any general acute care hospital inpatient service that is provided in any general acute care hospital building that is rated SPC-1 per Section 130061(c)(4)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:13 of 35Report Year:

Page 14: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00101 Original Hospital and Additions

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:14 of 35Report Year:

Page 15: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00102 Radiology Addition

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

X

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:15 of 35Report Year:

Page 16: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

X

BLD-00103 Behavioral Health & Administration

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:16 of 35Report Year:

Page 17: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00104 Radiology Addition

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

X

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:17 of 35Report Year:

Page 18: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00105 Central Stores

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:18 of 35Report Year:

Page 19: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00106 Cardiac Cath Lab

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:19 of 35Report Year:

Page 20: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00107 Administration

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

X

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:20 of 35Report Year:

Page 21: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00108 Surgery Addition

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

X

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:21 of 35Report Year:

Page 22: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

BLD-00102 Radiology Addition

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:22 of 35Report Year:

Page 23: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

BLD-00103 Behavioral Health & Administration

Nursing

Building Number: Building Name:

IntensiveCare

X

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

30

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

30

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:23 of 35Report Year:

Page 24: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

BLD-00104 Radiology Addition

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:24 of 35Report Year:

Page 25: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

BLD-00105 Central Stores

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:25 of 35Report Year:

Page 26: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

BLD-00106 Cardiac Cath Lab

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:26 of 35Report Year:

Page 27: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

BLD-00107 Administration

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:27 of 35Report Year:

Page 28: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

BLD-00108 Surgery Addition

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:28 of 35Report Year:

Page 29: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00102 Radiology Addition

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 0

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:29 of 35Report Year:

Page 30: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00103 Behavioral Health & Administration

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 030 30

30 3236

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:30 of 35Report Year:

Page 31: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00104 Radiology Addition

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 0

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:31 of 35Report Year:

Page 32: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00105 Central Stores

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 0

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:32 of 35Report Year:

Page 33: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00106 Cardiac Cath Lab

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 0

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:33 of 35Report Year:

Page 34: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00107 Administration

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 0

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:34 of 35Report Year:

Page 35: Office of Statewide Health Senate Bill 499 (SB 499) Hospital … No data reported for Section 130061(c)(2)(D). OSHPD FDD SB499 Report Data Last Update: 09/29/2016 Submission Date:

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00108 Surgery Addition

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 0

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, SPC-4D and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/9/2016 6:30 AMData Last Update: 09/29/2016 Submission Date: 10/07/2016 Printed:

100092016 Enloe Medical Center - Cohasset Chico Page:35 of 35Report Year: