Embed Size (px)
Citation preview
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:
10935
Santa Clara Valley Medical Center
751 South Bascom Avenue
San Jose
Santa Clara County vVlley Medical Center
2010
Duane Oberquell
1/25/2011 3:00:00 PM
Provide the Hospital Owner and Year of Report per Section 130061(e)
Report Status: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:1 of 70Report Year:
For buildings which are planned for retrofit or replacement the report shall identify: Whether the hospital owner intends to retrofit or replace the building to SPC 2 or SPC 5 per section 130061(c)(1)(A). The deadline, as described in Section 130060 or 130061.5, for retrofit or replacement of the bulding 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
12/31/201001/01/2013SPC2RetrofitAncillary B (6043)01 751 South Bascom Avenue
12/31/201301/01/2013SPC2RetrofitOld Main Hospital C West (6001)
02 751 South Bascom Avenue
12/31/2013N/ARemoveOld Main Hospital C East (6002)
03 751 South Bascom Avenue
12/31/2010N/ARemoveAdministration D (6042)04 751 South Bascom Avenue
12/31/201001/01/2013SPC2RetrofitRehabilitation Center Str C (6004)
07 751 South Bascom Avenue
01/01/201301/01/2013SPC2RetrofitServices Bldg N (Unit 5) (6002)
41 751 South Bascom Avenue
01/01/201301/01/2013SPC2RetrofitServices Bldg S (Unit 4) (6002)
42 751 South Bascom Avenue
01/01/201301/01/2013SPC2RetrofitConnecting Corridor43 751 South Bascom Avenue
Report Status: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:2 of 70Report Year:
Ancillary B (6043)Building No: 01 Yes-SubmittedRetrofit/Replacement Project:
10935 HS000409 0 ANCILLARY BLDG. SEISMIC/SB1953 INCREMENTS 1 AND 2
03/02/2000 04/09/2001 03/03/2000 12/31/2012 OPEN No
10935 HS100053 0 PARTIAL DMOLITION & SEISMIC UPGRADE OF OLD MAIN, BLDG 'C'-FORMERLY "IS082439"
01/11/2010 01/01/2011 12/31/2012 OPEN No
10935 SF900160 0 LABOR/DELIVERY/NICU REMODEL 11/02/1990 06/25/1991 09/22/1995 09/22/1997 CLSD No
10935 SS021431 0 THIRD FLOOR ANCILLARY, DIALYSIS REMODEL
06/17/2002 01/10/2003 07/01/2003 09/23/2004 CLSD No
10935 SS031953 0 BASEMENT CLINICAL LAB REMODEL AT ANCILLARY BUILDING
08/15/2003 03/26/2004 05/10/2004 06/11/2007 CLSD No
10935 SS040801 0 URGENT CARE RELOCATION-1ST FLR 05/06/2004 04/28/2005 06/15/2005 10/18/2006 CLSD No
10935 SS041463 0 ANCILLARY BUILDING OUTPATIENT PHARMACY
07/20/2004 02/03/2005 04/04/2005 10/18/2006 CLSD No
10935 SS920642 0 LABOR/DELIVERY/NICU REMODEL PHASE III
09/03/1992 09/16/1993 09/03/1992 08/11/1998 CLSD No
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_
Old Main Hospital C West (6001)Building No: 02 Yes-SubmittedRetrofit/Replacement Project:
10935 HS100053 0 PARTIAL DMOLITION & SEISMIC UPGRADE OF OLD MAIN, BLDG 'C'-FORMERLY "IS082439"
01/11/2010 01/11/2010 12/31/2012 OPEN 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 retrofitting 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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:3 of 70Report Year:
Rehabilitation Center Str C (6004)Building No: 07 Yes-PlannedRetrofit/Replacement Project:
10935 HS080263 0 02/26/2008 05/28/2010 08/17/2010 06/01/2011 OPEN No
10935 SF900075 0 08/22/1990 01/10/1991 01/10/1991 01/03/1992 CLSD No
10935 SS011805 0 11/21/2001 12/11/2001 12/11/2001 12/28/2001 CLSD No
10935 SS930315 0 07/27/1993 10/28/1993 10/28/1993 01/17/1995 CLSD No
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_
Connecting CorridorBuilding No: 43 Yes-PlannedRetrofit/Replacement Project:
10935 HS100053 0 01/11/2010 01/11/2010 12/31/2012 OPEN No
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_
Report Status: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:4 of 70Report Year:
01 Ancillary B (6043)
Nursing
Building Number: Building Name:
IntensiveCare
X
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X X
XX
X
11
00
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Days
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
0
11
0
0
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
0
0
0
2812
0
0
Total Beds this Building
Surgical ObstetricalRecovery
X
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:5 of 70Report Year:
02 Old Main Hospital C West (6001)
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:6 of 70Report Year:
03 Old Main Hospital C East (6002)
X
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
75
936175
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:7 of 70Report Year:
04 Administration D (6042)
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:8 of 70Report Year:
07 Rehabilitation Center Str C (6004)
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:9 of 70Report Year:
41 Services Bldg N (Unit 5) (6002)
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:10 of 70Report Year:
42 Services Bldg S (Unit 4) (6002)
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:11 of 70Report Year:
43 Connecting Corridor
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:12 of 70Report 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
01 Ancillary B (6043)
11 2812
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 11 11
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:13 of 70Report 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
02 Old Main Hospital C West (6001)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:14 of 70Report 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
03 Old Main Hospital C East (6002)
75 9361
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 75 75
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:15 of 70Report 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
04 Administration D (6042)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:16 of 70Report 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
07 Rehabilitation Center Str C (6004)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:17 of 70Report 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
41 Services Bldg N (Unit 5) (6002)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:18 of 70Report 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
42 Services Bldg S (Unit 4) (6002)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:19 of 70Report 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
43 Connecting Corridor
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:20 of 70Report Year:
01 Ancillary B (6043)
02 Old Main Hospital C West (6001)
03 Old Main Hospital C East (6002) X
04 Administration D (6042) X
05 Rehabilitation Center Str A (6004)
07 Rehabilitation Center Str C (6004)
08 West Wing K Nursing (6006)
09 Main Hospital M (6010)
10 Energy Plant S1 - Boiler Rm (6016)
100 M/E Chiller Addition
11 Energy Plant S2 - Addition (6016)
12 Mech/Elec Bldg U (6017)
40 Rehabilitation Center Str B (6004)
41 Services Bldg N (Unit 5) (6002)
42 Services Bldg S (Unit 4) (6002)
43 Connecting Corridor
For all buildings at the facility, indicate which ones are scheduled for general acute service removal.
Building Number
Building Name
Building to be Removed
Report Status: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:21 of 70Report Year:
Provide the number of inpaient beds and patient days per type of service for the year of 2008, 2009 and 2010 for buildings to be removed from acute care services per Section 130061(c)(2)(D)
03Building Number:
Building Name:
Old Main Hospital C East (6002) Year of Information:
2008
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
X
75
0
0
0
0
0
0
Total Beds this Building
75
X
X
Information Current As Of:
10/01/2010
Report Status: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:22 of 70Report Year:
Provide the number of inpaient beds and patient days per type of service for the year of 2008, 2009 and 2010 for buildings to be removed from acute care services per Section 130061(c)(2)(D)
03Building Number:
Building Name:
Old Main Hospital C East (6002) 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
X
X
45
0
0
0
30
0
0
Total Beds this Building
75
X
X
Information Current As Of:
Report Status: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:23 of 70Report Year:
Provide the number of inpaient beds and patient days per type of service for the year of 2008, 2009 and 2010 for buildings to be removed from acute care services per Section 130061(c)(2)(D)
03Building Number:
Building Name:
Old Main Hospital C East (6002) 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
X
X
45
0
0
0
30
0
0
Total Beds this Building
75
X
X
Information Current As Of:
Report Status: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:24 of 70Report Year:
Provide the number of inpaient beds and patient days per type of service for the year of 2008, 2009 and 2010 for buildings to be removed from acute care services per Section 130061(c)(2)(D)
04Building Number:
Building Name:
Administration D (6042) Year of Information:
2008
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
X
X
Information Current As Of:
07/01/2010
Report Status: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:25 of 70Report Year:
Provide the number of inpaient beds and patient days per type of service for the year of 2008, 2009 and 2010 for buildings to be removed from acute care services per Section 130061(c)(2)(D)
04Building Number:
Building Name:
Administration D (6042) 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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:26 of 70Report Year:
Provide the number of inpaient beds and patient days per type of service for the year of 2008, 2009 and 2010 for buildings to be removed from acute care services per Section 130061(c)(2)(D)
04Building Number:
Building Name:
Administration D (6042) 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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:27 of 70Report Year:
Report whether the general acute care services and beds will be relocated to a new or retrofittrd building and any corresponding building sites or project numbers per Section 130061(c)(2)(E)
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new or retrofittrd building?
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date
10935 IS080219 0 PPR - REPLACEMENT BED BUILDINGS 02/08/2008 05/01/2009 05/10/2013 OPEN
03 Old Main Hospital C East (6002)
Nursing Relocated to new building
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new or retrofittrd building?
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date
10935 IS080219 0 PPR - REPLACEMENT BED BUILDINGS 02/08/2008 04/01/2009 12/31/2012 OPEN
03 Old Main Hospital C East (6002)
Obstetrical Ante Postprtum
Relocated to new building
Report Status: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:28 of 70Report Year:
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new or retrofittrd building?
03 Old Main Hospital C East (6002)
Administration Relocated to retrofitted building
New Building Bed Count RetroFitted Building Bed Count Other SPC2-SPC5 Building Bed Count
01-Ancillary B (6043) 05-Rehabilitation Center Str A (6004)
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new or retrofittrd building?
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date
10935 IS080219 0 PPR - REPLACEMENT BED BUILDINGS 02/08/2008 04/01/2009 12/31/2012 OPEN
03 Old Main Hospital C East (6002)
Support Services Relocated to new building
Report Status: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:29 of 70Report Year:
Building Number:
Building Name:
Will general acutr care services and beds will be relocated to a new or retrofittrd building?
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date
10935 IS080219 0 PPR - REPLACEMENT BED BUILDINGS 02/08/2008 04/01/2009 12/31/2012 OPEN
03 Old Main Hospital C East (6002)
Medical/Surgical(Include GYN)
Relocated to new building
Report Status: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:30 of 70Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
01 Ancillary B (6043)
X
Type of Service Provided
Surgical
Anesthesia
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
X
X
X
X
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:31 of 70Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
02 Old Main Hospital C West (6001)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:32 of 70Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
03 Old Main Hospital C East (6002)
X
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:33 of 70Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
04 Administration D (6042)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:34 of 70Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
07 Rehabilitation Center Str C (6004)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:35 of 70Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
41 Services Bldg N (Unit 5) (6002)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:36 of 70Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
42 Services Bldg S (Unit 4) (6002)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:37 of 70Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
43 Connecting Corridor
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:38 of 70Report 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
01 Ancillary B (6043)
Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:39 of 70Report 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:
02 Old Main Hospital C West (6001)
Retrofit Non-Conforming building to SPC 2 and NPC 3 and remove from service by 2030Configuration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:40 of 70Report 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
03 Old Main Hospital C East (6002)
Remove from GAC service by 1/1/2015Configuration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:41 of 70Report 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:
04 Administration D (6042)
Remove from GAC service by 1/1/2013Configuration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:42 of 70Report 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
05 Rehabilitation Center Str A (6004)
Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:43 of 70Report 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:
07 Rehabilitation Center Str C (6004)
Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:44 of 70Report 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
08 West Wing K Nursing (6006)
Retrofit Conforming building to NPC 4 or NPC 5Configuration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:45 of 70Report 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
09 Main Hospital M (6010)
Retrofit Conforming building to NPC 4 or NPC 5Configuration:
X
XX
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:46 of 70Report 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:
10 Energy Plant S1 - Boiler Rm (6016)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:47 of 70Report 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:
100 M/E Chiller Addition
Retrofit Conforming building to NPC 4 or NPC 5Configuration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:48 of 70Report 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:
11 Energy Plant S2 - Addition (6016)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:49 of 70Report 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:
12 Mech/Elec Bldg U (6017)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:50 of 70Report 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:
40 Rehabilitation Center Str B (6004)
Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:51 of 70Report 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:
41 Services Bldg N (Unit 5) (6002)
Retrofit Non-Conforming building to SPC 2 and NPC 3 and remove from service by 2030Configuration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:52 of 70Report 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:
42 Services Bldg S (Unit 4) (6002)
Retrofit Non-Conforming building to SPC 2 and NPC 3 and remove from service by 2030Configuration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:53 of 70Report 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:
43 Connecting Corridor
Retrofit Non-Conforming building to SPC 2 and NPC 3 and remove from service by 2030Configuration:
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:54 of 70Report Year:
05 Rehabilitation Center Str A (6004)
X
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
186
186
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:55 of 70Report Year:
08 West Wing K Nursing (6006)
X
X
Nursing
Building Number: Building Name:
IntensiveCare
X
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
X
X
X
95
38
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
24
0
0
33
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:56 of 70Report Year:
09 Main Hospital M (6010)
X
X
Nursing
Building Number: Building Name:
IntensiveCare
X
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
X
X
X
X
X
X
154
41
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
68
37
0
8
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:57 of 70Report Year:
10 Energy Plant S1 - Boiler Rm (6016)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:58 of 70Report Year:
100 M/E Chiller Addition
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:59 of 70Report Year:
11 Energy Plant S2 - Addition (6016)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:60 of 70Report Year:
12 Mech/Elec Bldg U (6017)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:61 of 70Report Year:
40 Rehabilitation Center Str B (6004)
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:62 of 70Report 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
05 Rehabilitation Center Str A (6004)
116 21952
0 0
0 0
0 0
0 0
0 0
0 0
0 0
70 12368
0 0 186 186
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:63 of 70Report 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
08 West Wing K Nursing (6006)
30 11800
33 20891
0 0
16 3465
8 1730
0 0
8 2503
0 0
0 0
0 0 95 87
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:64 of 70Report 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
09 Main Hospital M (6010)
41 5216
8 2812
37 4526
28 4526
0 0
0 0
0 0
40 6631
0 0
0 0 154 154
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:65 of 70Report 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
10 Energy Plant S1 - Boiler Rm (6016)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:66 of 70Report 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
100 M/E Chiller Addition
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:67 of 70Report 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
11 Energy Plant S2 - Addition (6016)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:68 of 70Report 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
12 Mech/Elec Bldg U (6017)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:69 of 70Report 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
40 Rehabilitation Center Str B (6004)
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: 1/26/2011 8:38 AMData Last Update: 01/18/2011 Submission Date: 01/25/2011 Print Date:
109352010 Santa Clara Valley Medical Center San Jose Page:70 of 70Report Year:
