wo li il il ne STATE OF FLORIDA ae AGENCY FOR HEALTH CARE ADMINISTRATION, | wk ST. ANNE’S NURSING CENTER, oo act 24 PH (2: anal Petitioner, i vs. AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. FINAL ORDER The Agency for Health Care Administration, having received an Order Closing File from the Division of Administrative Hearings and a Joint Stipulation having been entered into by the parties to these proceedings, and being otherwise well advised in the premises, decides as follows: 1. The attached Joint Stipulation is approved and adopted as a part of this Final Order. 2. The Order entered by Susan B. Kirkland, Administrative Law Judge, dated 20" September, 2000, closing the file that was opened in this matter by the Di not of Administrative Hearings, i is attached and made a part of this Final Order. — : THEREFORE it is ORDERED and ADJUDGED that the parties hereto are directed to comply with terms of the Joint Stipulation. DONE and ORDERED this sBfay of L)e10 feet » 2000, in Tallahassee, Leon County, Florida. od ealth Care Administration 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 AGENCY CLERK AND A SECOND COPY, ALONG WITH FILING FEE AS PRESCRIBED BY LAW, IN THE DISTRICT COURT OF APPEAL 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 THIRTY (30) DAYS OF RENDITION OF THE ORDER TO BE REVIEWED. Copies furnished to: Pury Lopez Santiago Agency for Health Care Administration 8355 N.W. 53” Street Miami, Florida 33166 Gloria Collins Finance and Accounting Agency for Health Care Administration 2727 Mahan Drive Ft.Knox #2 Tallahassee, Florida 32308 Nursing Home Program Unit Agency for Health Care Administration 2727 Mahan Drive Tallahassee, Florida 32308 Susan B. Kirkland Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida. 32399-3060 Tim Reardon, Administrator St. Anne’s Nursing Center 11855 Quail Roost Drive Miami, Fl 33177 CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true copy of the foregoing was mailed to the above-named addressees this Zay of Cot 2000. RS. ER, Agency Clerk Agency for Health Care Administration 2727 Mahan Drive Building #3 Tallahassee, Florida 32308 (850) 922-5865 sa ppp ee ee gen FILED STATE OF FLORIDA 00 OCT 2&4 PHI2: 35 AGENCY FOR HEALTH CARE ADMINISTRATION DIVISION OF AOMIRISFRATIVE ST. ANNE’S NURSING CENTER, HEARINGS . Petitioner, : vs : : AHCA NO: 11-00-107NH CASE NO: 00-1670 AGENCY FOR HEALTH CARE ADMINISTRATION Respondent / STIPULATION FOR SETTLEMENT Petitioner and Respondent hereby stipulate and agree as follows: 1. That a settlement has been reached in this matter. 2. That each will bear its own costs and attorney’s fees. 3. The terms and conditions contained in this Stipulation for Settlement shall govern the settlement. 4. The Respondent hereby agrees to pay a late fee in the amount of Three Thousand Seven Hundred and Fifty Dollars ($3,750.00) to the Agency for Health Care Administration, (AHCA) to be paid within thirty days (30) of entry of the Final Order. Failure by Respondent to ‘do so shall result in the accrual of interest at the rate of 12% per annum on any unpaid balance, which AHCA may collect against Respondent by any means authorized by law. FOR PETITIONER , — Executed on this 28 day of J unt , 2000 REARDON ST. ANNE’S NURSING CENTER 11855 Quail Roost Drive - Miami, Florida 33177 re gee gee meg ee ST. ANNE’S NURSING CENTER Case NO: 00-1670 AHCA NO: 11-00-107NH Page #2 FOR RESPONDENT Executed on this 74 day of _SepleFabes 2000 Quality Assurance Agency for Health Care Administration 2727 Mahan Drive Tallahassee, Florida 32308 / Wl \ vd | (A _ Executed on tig! day of =_2000. IE GALLAGHER General Counsel Agency for Health Care Administration 2727 Mahan Drive ; Tallahassee, Florida 32308 pe eg: ge pene aeecenrareemmmete eee or

Docket for Case No: 00-001670