STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
SENIOR CARE GROUP, INC, d/b/a LAKESHORE VILLAS HEALTH CARE CENTER,
Petitioner,
AGHICY CLCRK
2014 HAR 31 /\ !!: 22
VS.
STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION,
Case No. 13-395PH AHCA No. 2013005471
RENDITION NO.: AHCA- /4 -DJ.15 -S-OLC
Respondent.
-----------------'/
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,
Petitioner,
VS. ACHA No. 2013006461
SENIOR CARE GROUP, INC. d/b/a LAKESHORE VILLAS HEALTH CARE CENTER,
Respondent.
I
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,
Petitioner,
VS. ACHA No. 2013006462
SENIOR CARE GROUP, INC. d/b/a LAKESHORE VILLAS HEALTH CARE CENTER,
Respondent.
I
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Filed April 16, 2014 11:17 AM Division of Administrative Hearings
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,
vs.
Petitioner,
DOAH No. 14-248
ACHA No. 2013006534
SENIOR CARE GROUP, INC. d/b/a LAKESHORE VILLAS HEALTH CARE CENTER,
Respondent.
./
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,
vs.
Petitioner,
DOAH No. 14-528
ACHA No. 2013007612
SENIOR CARE GROUP, INC. d/b/a LAKESHORE VILLAS HEALTH CARE CENTER,
Respondent.
!
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,
vs.
Petitioner,
DOAH No. 14-521
ACHA No. 2013010196
SENIOR CARE GROUP, INC. d/b/a LAKESHORE VILLAS HEALTH CARE CENTER,
Respondent.
I
FINAL ORDER
Having reviewed the Administrative Complaints and Notices of Intent to Deny, and all other matters of record, the Agency for Health Care Administration finds and concludes as follows:
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The Agency has jurisdiction over Senior Care Group, Inc. d/b/a Lakeshore Villas Health Care Center pursuant to Chapter 408, Part II, Florida Statutes, and the applicable authorizing statutes and administrative code provisions.
The Agency issued the attached Administrative Complaints and Notices of Intent to Deny and Election of Rights forms to Senior Care Group, Inc. d/b/a Lakeshore Villas Health Care Center. (Ex. 1) The Election of Rights forms advised of the right to an administrative hearing.
The parties have since entered into the attached Settlement Agreement. (Ex. 2) Based upon the foregoing, it is ORDERED:
The Settlement Agreement is adopted and incorporated by reference into this Final Order. The parties shall comply with the terms of the Settlement Agreement.
The Notice of Intent to Deny is superseded by this Agreement.
Senior Care Group, Inc. d/b/a Lakeshore Villas Health Care Center shall pay the Agency
$25,500.00. If full payment has been made, the cancelled check acts as receipt of payment and no further payment is required. If full payment has not been made, payment is due within 30 days of the Final Order. Overdue amounts are subject to statutory interest and may be referred to collections. A check made payable to the "Agency for Health Care Administration" and containing the AHCA ten-digit case number should be sent to:
Office of Finance and Accounting Revenue Management Unit
Agency for Health Care Administration 2727 Mahan Drive, MS 14
Tallahassee, Florida 32308
Conditional licensure status is imposed on Senior Care Group, Inc. d/b/a Lakeshore Villas Health Care Center beginning on April 12, 2013.
ORDERED at Tallahassee, Florida, on this z.J day of fA._l>l./'4... , 2014.
Eli retary
Agency for Health Care Administration
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NOTICE OF RIGHT TO JUDICIAL REVIEW
A party who is adversely affected by this Final Order is entitled to 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 of 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.
CERTIFICATE OF SERVICE
I CERTIFY that true and co_rrect .£912Y of this Final as served on the below-named persons by the method designated on this 5/ ay of .re ( · , 2014.
Richard Shoop, Agency Clerk
Agency for Health Care Administration 2727 Mahan Drive, Bldg. #3, Mail Stop #3
Tallahassee, Florida 32308-5403
Telephone: (850) 412-3630
Jan Mills Facilities Intake Unit (Electronic Mail) | Finance & Accounting Revenue Management Unit (Electronic Mail) |
Thomas J. Walsh II Office of the General Counsel Agency for Health Care Administration (Electronic Mail) | Anna G. Small, Esq. Allen Dell, P.A. 202 South Rome Avenue Tampa, Florida 33606 (U.S. Mail) |
Linzie F. Bogan Administrative Law Judge Division of Administrative Hearings (Electronic Mail) | Lynne A. Quimby-Pennock Administrative Law Judge Division of Administrative Hearings (Electronic Mail) |
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RICK SCOTT GOVERNOR
May 22, 2013
FLORIDA AGENCY FOR HEAlJH CARE ADMlN!STRATION
Better Health Care for all Floridians
Certified Article Number
719b 9008 9111 8922 9925
SENDERS RECORD
ELIZABETH DUDEK SECRETARY
ADMINISTRATOR /. ';p ttECErvr;u
LAKESHORE VILLAS HEALTH CARE CENTE1f-CtLITY fNTAKE UNiTLICENSE NUMBER: 1282096
16002 LAKESHORE VILLA DR FILE NUMBER: 62921
TAMPA, FL 33613 MAY 2 3 20f3 CASE#: 2013005471
Dear Ms. Johnson:
It is the decision of this Agency that Lakeshore Villas Health Care Center's license renewal application for a nursing home be DENIED.
The specific basis for the Agency's decision is based on the following grounds:
Pursuant to section 400.121(3)(d), F.S., the Agency shall revoke or deny a nursing home license for two class I deficiencies arising from separate surveys within a 30 month period. Lakeshore Villas Health Care Center was cited for Class I deficiencies on October 13, 2011 and November 14, 2012.
Section 408.815(1), F.S., states that in addition to the grounds provided in authorizing statutes, grounds that may be used by the agency for denying and revoking a license or change of ownership application include any of the following actions by a controlling interest: (a) a violation of this part, authorizing statutes, or applicable rules; and (d) a demonstrated pattern of deficient performance.
EXPLANATION OF RIGHTS
Pursuant to Section 120.569, F.S., you have the right to request an administrative hearing. In order to obtain a formal proceeding before the Division of Administrative Hearings under Section 120.57(1), F.S., your request for an administrative hearing must conform to the requirements in Section 28-106.201, Florida Administrative Code (F.A.C), and must state the material facts you dispute.
SEE ATTACHED ELECTION AND EXPLANATION OF RIGHTS FORMS.
Manager Long Term Care Unit
cc: Agency Clerk, Mail Stop 3
EXHIBIT 1
2727 Mahan Drive,MS#33
Tallahassee, Florida 32308
Visit AHCA online at ahca.myflori da.com
RICK SCOTT GOVERNOR
FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION
ELIZABETH DUDEK SECRETARY
July 8, 2013
LAKESHORE VILLAS HEALTH CARE CENTER 16002 LAKESHORE VILLA DR
TAMPA, FL 336_13
RECEIVED GENERAL COUNSEL
JUL 12 2013
Agency for Health Care Administration
Dear Administrator:
The attached license with Certificate #18248 is being issued for the operation of your facility. Please review it thoroughly to ensure that all information is correct and consistent with your records. If errors or omissions are noted, please make corrections on a copy and mail to:
Agency for Health Care Administration Long Term Care Section, Mail Stop #33 2727 Mahan Drive, Building 3
Tallahassee, Florida 32308
Issued for status change to Conditional. Sincerely,
5 meet/ W pocn
Kathy Munn
Agency for Health Care Administration Division of Health Qu_ality Assurance
Enclosure
cc: Medicaid Contract Management
2727 Mahan Drive, MS#33 Tallahassee, Florida 32308
Visit AHCA online at ahca. myflorida.com
CERTIFICATE#: 18248
LICENSE#: SNF1282096
AGENCY FOR HEALTH CARE ADMINISTRATION
DIVISION OF HEALTH QUALITY ASSURANCE
CONDITIONAL
This is to confirm that SENIOR CARE GROUP, INC. has complied with the rules and regulations adopted by the State of Florida, Agency For Health Care Administration, authorized in Chapter 400, Paii II, Florida Statutes, and as the licensee is authorized to operate the following:
LAKESHORE VILLAS HEALTH CARE CENTER 16002 LAKESHORE VILLA DR
TAMPA, FL 33613
TOTAL: 179 BEDS
STATUS CHANGE EFFECTNE DATE: 06/04/2013
EXPIRATION DATE: 06/29/2013
Issue Date | Proceedings |
---|---|
Apr. 16, 2014 | Settlement Agreement filed. |
Apr. 16, 2014 | Agency Final Order filed. |
Feb. 21, 2014 | Order Closing File and Relinquishing Jurisdiction. CASE CLOSED. |
Feb. 20, 2014 | (Petitioner's) Motion to Relinquish Jurisdiction filed. |
Feb. 11, 2014 | Order Granting Extension of Time. |
Feb. 10, 2014 | Motion to Extend Time for Response or Place Action in Abeyance filed. |
Feb. 04, 2014 | Initial Order. |
Feb. 03, 2014 | Notice of Appearance (Anna Small). |
Feb. 03, 2014 | Administrative Complaint filed. |
Feb. 03, 2014 | Amended Petition for Formal Administrative Hearing filed. |
Feb. 03, 2014 | Notice (of Agency referral) filed. |
Issue Date | Document | Summary |
---|---|---|
Mar. 31, 2014 | Agency Final Order |