STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

MiCA

AGENCY CLERK

2019 JUL I I P 12: Ob

Petitioner,

V.

DOAH No. 18-6270

AHCA No: 2018004735

LICENSE No.: 5777 FACIITY TYPE: ALF

RENDITION NO.: AHCA- I 9 · o 58 -S-OLC

BERSONN, LLC d/b/a RASTELLE MANOR,

Respondent.

/

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Petitioner,

V.

BERSONN, LLC d/b/a RASTELLE MANOR,

Respondent.

/

DOAH No. 18-6271

AHCA Nos. 2018008388

2018008366

FACILITY TYPE: ALF LICENSE No. 5777

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Petitioner,

V.

DOAH No. 19-1668

AHCA No. 2019002626 FACILITY TYPE: ALF LICENSE No. 5777

BERSONN, LLC d/b/a RASTELLE MANOR,

Respondent.

/

FINAL ORDER

Having reviewed the Administrative Complaint, and all other matters of record, the Agency for Health Care Administration finds and concludes as follows:

1. The Agency issued the attached Administrative Complaints and Election of Rights forms to the Respondent. (Ex. 1) The parties have since entered into the attached Settlement Agreement, which is adopted and incorporated by reference into this Final Order. (Ex. 2)

   
   

   Filed July 11, 2019 3:55 PM Division of Administrative Hearings

2. The Respondent shall pay the Agency $35,000.00. 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 60 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:

Central Intake Unit

Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 61

Tallahassee, Florida 32308

ORDERED at Tallahassee, Florida, on this _I_/_ day of_J=?f_-,_- ,2019.

M w, Secretary

A 1th Care Administration

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

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I CERTIFY that a true and correct copy of this Final Ordet:- rved on the below-named persons by the method designated on this of .,._k "'-------'f ._'-+ ' 2019.

oop, A c

Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 3

Tallahassee, Florida 32308

Telephone: (850) 412-3630

3

Docket for Case No: 19-001668

Orders for Case No: 19-001668