provide the hospital owner and year of report per section ... · report year: 2012 10697 community...
TRANSCRIPT
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:
10697
Community Hospital of San Bernardino
1805 Medical Center Drive
San Bernardino
Community Hospital of San Bernardino
2012
Robert Omens
1/8/2013 8:39:24 AM
Provide the Hospital Owner and Year of Report per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:1 of 45Report Year:
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 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
06/12/201401/01/2015SPC2ReplaceOriginal HospitalBLD-01846
1805 Medical Center Drive
06/12/201401/01/2015N/ARemoveStorage BuildingBLD-01847
1805 Medical Center Drive
06/12/201401/01/2015SPC2RetrofitUtility/Central Plant 1/Service Buildings
BLD-01852
1805 Medical Center Drive
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:2 of 45Report Year:
Original HospitalBuilding No: BLD-01846 No Retrofit/Replacement Project:
10697 P-2012-01781
0 8/24/2012 12:00:00
AM
9/25/2012 12:00:00
AM
06/30/2014 PEND No
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date 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).
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:3 of 45Report Year:
BLD-01846 Original Hospital
X
Nursing
Building Number: Building Name:
IntensiveCare
X
X
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
125
015
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Days
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
22
0
88
0
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
0
0
6293
0
0
30808
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
Provide the number of inpaient beds and patient days per type of service per building per Section 130061(c)(1)(F)
ObstetricalCesarean/Deliv
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:4 of 45Report Year:
BLD-01847 Storage Building
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
Provide the number of inpaient beds and patient days per type of service per building per Section 130061(c)(1)(F)
ObstetricalCesarean/Deliv
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:5 of 45Report Year:
BLD-01852 Utility/Central Plant 1/Service Buildings
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X0
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
Provide the number of inpaient beds and patient days per type of service per building per Section 130061(c)(1)(F)
ObstetricalCesarean/Deliv
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:6 of 45Report Year:
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-01846 Original Hospital
15 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 125 125
22 6293
88 30808
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)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:7 of 45Report Year:
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-01847 Storage Building
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)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:8 of 45Report Year:
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-01852 Utility/Central Plant 1/Service Buildings
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)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:9 of 45Report Year:
BLD-01846 Original Hospital Replace
BLD-01847 Storage Building Remove
BLD-01848 Physical Therapy Remain
BLD-01849 South Hospital Remain
BLD-01850 North Hospital Remain
BLD-01851 Wings 700/800/900 Remain
BLD-01852 Utility/Central Plant 1/Service Buildings Retrofit
BLD-01853 Central Plant #2 Remain
BLD-01854 Central Plant #3 Remain
BLD-03223 Telecom Building 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
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:10 of 45Report Year:
Provide the number of inpaient beds and patient days per type of service for the year of 2009, 2010 and 2011 for buildings to be removed from acute care services per Section 130061(c)(2)(D)
BLD-01847Building Nrbr: Building Name:
Storage Building Year of Information: 2010
Type of Services Provided
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Surgical
Anesthesia
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Support Services
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
0
0
0
0
0
0
0
Total Beds this Building
0
Information Current As Of:
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:11 of 45Report Year:
Provide the number of inpaient beds and patient days per type of service for the year of 2009, 2010 and 2011 for buildings to be removed from acute care services per Section 130061(c)(2)(D)
BLD-01847Building Nrbr: Building Name:
Storage Building Year of Information: 2009
Type of Services Provided
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Surgical
Anesthesia
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Support Services
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
0
0
0
0
0
0
0
Total Beds this Building
0
Information Current As Of:
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:12 of 45Report Year:
Provide the number of inpaient beds and patient days per type of service for the year of 2009, 2010 and 2011 for buildings to be removed from acute care services per Section 130061(c)(2)(D)
BLD-01847Building Nrbr: Building Name:
Storage Building Year of Information: 2011
Type of Services Provided
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Surgical
Anesthesia
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Support Services
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
0
0
0
0
0
0
0
Total Beds this Building
0
Information Current As Of:
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:13 of 45Report Year:
BLD-01846 Original HospitalBuilding Number: Removal Date:
06/12/2014
Planned Uses for the building to be removed from acute care service:
Planned use for building: Skilled Nursing Facility
Inpatient services currently delivered in the building:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Surgical
Anesthesia
Support ServicesAdministration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
OutpatientSurgery
Central PlantEmergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
X
X
X
X
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)(20(C)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:14 of 45Report Year:
Report 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)
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?
BLD-01846 Original Hospital
Nursing Removed from hospital services
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?
BLD-01846 Original Hospital
Psychiatric Nursing Removed from hospital services
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?
BLD-01846 Original Hospital
Skilled Nursing Removed from hospital services
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:15 of 45Report Year:
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?
BLD-01846 Original Hospital
Pharmaceutical Relocated to other building
New Building RetroFitted Building Other SPC2-SPC5 Building
BLD-01851-Wings 700/800/900
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date
10697 P-2012-01781
0 SPC 1 Decommissioning : Original Hospital Bldg 01
2012-08-24 2012-09-25 06/30/2014 09/30/2014 PEND
BLD-01846 Original Hospital
Medical/Surgical(Include GYN)
Removed from hospital services
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:16 of 45Report Year:
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date
10697 P-2012-01781
0 SPC 1 Decommissioning : Original Hospital Bldg 01
2012-08-24 2012-09-25 06/30/2014 09/30/2014 PEND
BLD-01846 Original Hospital
Acute Psychiatric Removed from hospital services
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date
10697 P-2012-01781
0 SPC 1 Decommissioning : Original Hospital Bldg 01
2012-08-24 2012-09-25 06/30/2014 09/30/2014 PEND
BLD-01846 Original Hospital
Skilled Nursing Removed from hospital services
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:17 of 45Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
BLD-01846 Original Hospital
X
X
X
Type of Service Provided
Surgical
Anesthesia
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
X
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Report any general acute care hospital inpatient service that is provided in any genaral acute care hospital building that is rated SPC-1 per Section 130061(c)(4)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:18 of 45Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
BLD-01847 Storage Building
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 genaral acute care hospital building that is rated SPC-1 per Section 130061(c)(4)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:19 of 45Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
BLD-01852 Utility/Central Plant 1/Service Buildings
Type of Service Provided
Surgical
Anesthesia
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
X
X
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Report any general acute care hospital inpatient service that is provided in any genaral acute care hospital building that is rated SPC-1 per Section 130061(c)(4)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:20 of 45Report Year:
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
X
X
BLD-01846 Original Hospital
Remove from GAC service by 1/1/2015Configuration:
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 actue care hospital building per Section 130061(c)(5)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:21 of 45Report Year:
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-01847 Storage Building
Remove from GAC service by 1/1/2015Configuration:
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 actue care hospital building per Section 130061(c)(5)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:22 of 45Report Year:
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-01848 Physical Therapy
Retrofit Conforming building to NPC 4 or NPC 5Configuration:
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 actue care hospital building per Section 130061(c)(5)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:23 of 45Report Year:
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-01849 South Hospital
Retrofit Conforming building to NPC 4 or NPC 5Configuration:
X
X
X
X
X
X
X
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 actue care hospital building per Section 130061(c)(5)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:24 of 45Report Year:
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
X
BLD-01850 North Hospital
Retrofit Conforming building to NPC 4 or NPC 5Configuration:
X
X
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 actue care hospital building per Section 130061(c)(5)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:25 of 45Report Year:
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
X
X
BLD-01851 Wings 700/800/900
Remove from GAC service by 1/1/2030Configuration:
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 actue care hospital building per Section 130061(c)(5)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:26 of 45Report Year:
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-01852 Utility/Central Plant 1/Service Buildings
N/AConfiguration:
X
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 actue care hospital building per Section 130061(c)(5)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:27 of 45Report Year:
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-01853 Central Plant #2
Retrofit Conforming building to NPC 4 or NPC 5Configuration:
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 actue care hospital building per Section 130061(c)(5)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:28 of 45Report Year:
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-01854 Central Plant #3
Retrofit Conforming building to NPC 4 or NPC 5Configuration:
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 actue care hospital building per Section 130061(c)(5)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:29 of 45Report Year:
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-03223 Telecom Building
N/AConfiguration:
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 actue care hospital building per Section 130061(c)(5)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:30 of 45Report Year:
BLD-01848 Physical Therapy
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:31 of 45Report Year:
BLD-01849 South Hospital
X
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
X
X
X
X
X
X
26
0
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
26
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:32 of 45Report Year:
BLD-01850 North Hospital
X
Nursing
Building Number: Building Name:
IntensiveCare
X
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
113
89
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
0
24
0
0
Total Beds this Building
Surgical
X
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:33 of 45Report Year:
BLD-01851 Wings 700/800/900
X
Nursing
Building Number: Building Name:
IntensiveCare
X
X
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
79
15
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
27
37
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:34 of 45Report Year:
BLD-01853 Central Plant #2
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:35 of 45Report Year:
BLD-01854 Central Plant #3
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:36 of 45Report Year:
BLD-03223 Telecom Building
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:37 of 45Report Year:
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-01848 Physical Therapy
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
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:38 of 45Report Year:
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-01849 South Hospital
0 0
0 0
0 0
11 2255
10 2082
0 0
0 0
5 2230
0 0
0 0 26 26
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:39 of 45Report Year:
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-01850 North Hospital
89 20510
24 4119
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 113 113
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:40 of 45Report Year:
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-01851 Wings 700/800/900
15 2592
0 0
27 2590
0 0
0 0
0 0
0 0
0 0
0 0
0 0 79 79
37 8485
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:41 of 45Report Year:
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-01853 Central Plant #2
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
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:42 of 45Report Year:
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-01854 Central Plant #3
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
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:43 of 45Report Year:
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-03223 Telecom Building
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
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, and SPC-5 per Section 130061(e)
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:44 of 45Report Year:
Report Status: 1/9/2013 6:25 AMData Last Update: 01/02/2013 Submission Date: 01/08/2013 Print Date:
106972012 Community Hospital of San Bernardino San Bernardino Page:45 of 45Report Year: