STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

BREA PALMER RANCH, LLC d/b/a PALMER RANCH HEALTHCARE & REHABILITATION CENTER,

2014 APR - 3 P 3: I 0

vs.

Petitioner,

ENGAGEMENT NO.: NH10-041C PROVIDER NO.: 319244

RENDITION NO.: AHCA - /'f.- OJ..31 -5-MDA

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Respondent.

                                                                      I

FINAL ORDER

THE PARTIES resolved all disputed issues and executed a Settlement Agreement after the Agency reviewed additional materials. The parties are directed to comply with the terms of the attached settlement agreement. Based on the foregoing, this file is CLOSED.

DONE and ORDERED on this the 3d   day of-       f.}_p,_t •·/                    , 2014, m

f

Ta llahassee , Florida.

ELIZi3/BETH D .

Agency for Health Care Administration

1

Filed April 4, 2014 11:10 AM Division of Administrative Hearings

A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A SECOND COPY ALONG WITH FILING FEE AS PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.

Copies furnished to:

Donald Freeman, Esquire Agency for Health Care Administration (Interoffice Mail)

Theodore E. Mack, Esquire Powell & Mack

803 North Calhoun Street Tallahassee, FL 32303 (U.S. Mail)

Karen Chang, Chief, Medicaid Program Analysis Zainab Day, Acting AHCA Administrator Finance and Accounting

HQA

Agency for Persons with Disabilities (Facility)

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct co,py of the foregoing has been furnished to the above named addressees by U.S. Mail on this the3--Jay of c,,,_4:2--+= " ',1-/--, 2014.

c                                                                             

Agency Clerk State of Florida

Agency for Health Care Administration 2727 Mahan Drive, Building #3

Tallahassee, Florida 32308-5403

(850) 412-3630

Docket for Case No: 13-004727

Orders for Case No: 13-004727