Petitioner: AGENCY FOR HEALTH CARE ADMINISTRATION
Respondent: WESTMINSTER CARE OF ORLANDO
Judges: DANIEL MANRY
Agency: Agency for Health Care Administration
Locations: Orlando, Florida
Filed: Sep. 10, 2003
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Thursday, September 25, 2003.
Latest Update: Dec. 23, 2024
Division of Administrative Hearings
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINI TRAT}
li
AGENCY FOR HEALTH CARE ;
ADMINISTRATION, dd lp
Petitioner, O03 _ 22 q {
AHCA NO: 2003001802
vs.
WESTMINSTER CARE OR ORLANDO,
Respondent.
/
ee
ADMINISTRATIVE COMPLAINT
COMES NOW the AGENCY FOR HEALTH CARE ADMINISTRATION ("AHCA’), by and
through its undersigned counsel, and files this Administrative Complaint against
WESTMINSTER CARE OF ORLANDO, {hereinafter “Respondent’}] pursuant to Section
420.569, and 120.57, Florida Statutes (2002), and alleges:
NATURE OF THE ACTION
ph lek B18 SS ll
1. This is an action to assign a conditional license to WESTMINSTER CARE OF
ORLANDO, pursuant to Section 400.23(7)(b), Florida Statutes (2002), and to assess costs
related to the investigation and prosecution of this case pursuant to Section 400.121(10),
Florida Statutes (2002). A copy of the conditional license is attached hereto as Exhibit “A” and
incorporated herein by reference.
JURISDICTION AND VENUE
JURISDICTION ANV VEN
2. This Court has jurisdiction pursuant to Sections 120.569 and 120.57, Florida
Statutes (2002).
3. AHCA has jurisdiction pursuant to Chapter 400, Part Il, Florida Statutes (2002).
4. Venue shall be determined pursuant to Rule 28-106.207, Florida Administrative
Code (2002).
Chapter 59A-4, Florida Administrative Code, respectively.
PARTIES
5. AHCA is the regulatory agency responsible for licensure of nursing homes and
enforcement of all applicable Florida laws and rules governing skilled nursing facilities pursuant
to Chapter 400, Part lI, Florida Statutes, and Chapter 59A-4, Florida Administrative Code.
6. WESTMINSTER CARE OF ORLANDO is a Florida corporation with a principal
address of 80 West Lucerne Circle, Orlando, Florida 32801.
7. WESTMINSTER CARE OF ORLANDO is a 420-bed skilled nursing facility
located at 830 West 29" Street, Orlando, Florida 32805. WESTMINSTER CARE OF
ORLANDO is licensed by AHCA as a skilled nursing facility
SNF1156096, certificate number 10084, with an effective date of February 5, 2003 and an
expiration date of September 28, 2003.
8. WESTMINSTER CARE OF ORLANDO is and was at all times material hereto a
licensed skilled nursing facility required to comply with Chapter 400, Part Il, Florida Statutes and
COUNT
EFFECTIVE FEBRUARY 5, 2003, AHCA ASSIGNED A CONDITIONAL LICENSURE STATUS
TO WESTMINSTER CARE OF ORLANDO BASED UPON THE DETERMINATION THAT
WESTMINSTER CARE OF ORLANDO WAS NOT IN SUBSTANTIAL COMPLIANCE WITH
APPLICABLE LAWS AND RULES DUE TO THE PRESENCE OF ONE (1) GLASS tt
DEFICIENCY A COMPLAINT SURVEY CONDUCTED ON FEBRUARY 5, 2003.
§ 400.23(7)(b) and (8)(a) and 400.022(1) Florida Statutes
4.1288; Rule 59-A4.123(1); Rule 59A-4.106(4)(aa), F.A.C. and Rule 59A~1 09(2),
Rule 59A
F.A.C., 42 CFR 483.13(c)(1)(i) and 483.25(a) — (m)
9. AHCA re-alleges and incorporates by reference paragraphs one (1) through eight
(8) above as if fully set forth herein.
10. The regulatory provisions of the Florida Statutes, Code of Federal Regulations
and Florida Administrative Code that are pertinent to these alleged violations read as follows:
400.23 Rules, evaluation and deficiencies; licensure status. —
t least every 15 months, evaluate all nursing home facilitizs and make a
e of compliance by each licensee with the established rules adopted
assigning a licensure status to that facility. The agency shall base its
(7) The agency shall, a
determination as to the degre
under this part as a basis for
having been issued license number —
nsideration findings from other official
evaluation on the most recent inspection report, taking into col
The agency shall assign a licensure
reports, surveys, interviews, investigations, and inspections.
status of standard or conditional to each nursing home.
(b) Acconditional licensure status means that a facility, due to the presence of one or more class |
or class |! deficiencies, or class III deficiencies not corrected within the time established by the
agency, is not in substantial compliance at the time of the survey with criteria established
under this part or with rules adopted by the agency. If the facility has no class }, class I or
class III deficiencies at the time of the follow-up survey, a standard licensure status may be
assigned.
(8) The agency shall adopt rules to provide that, when the criteria established under subsection (2) are not
met, such deficiencies shall be classified according to the nature and the scope of the deficiency. The
scope shall be cited as isolated, patterned, or widespread. An isolated deficiency is a deficiency
affecting one or a very limited number of residents, or involving one or a very limited number of staff, or
a situation that occurred only occasionally or in a very limited number of locatioris. A patterned
deficiency is a deficiency where more than a very limited number of residents are effected, or more
than a very limited number of staff are involved, or the situation has occurred in several locations, or
the same resident or residents have been affected by repeated occurrences of the same deficient
practice but the effect of the deficient practice is not found to be pervasive throughout the facility. A
widespread deficiency is a deficiency in which the problems causing the deficiency are pervasive in the
facility or represent systemic failure that has affected or has the potential to affect a large portion of the
facility's residents. The agency shall indicate the classification on the face of the notice of the
deficiencies as follows:
(b) A class II deficiency is a deficiency that the agency determines has compromised the
resident's ability to maintain or reach his or her highest practicable physical, mental, and
psychosocial well-being, as defined by an accurate and comprehensive resident essessment, plan
of care, and provision of services. A class I! deficiency is subject to a civil penalty of $2,500 for an
isolated deficiency, $5,000 for a patterned deficiency, and $7,500 for a widespread deficiency. The
fine amount shall be doubled for each deficiency if the facility was previously citec for one or more
class | or class II deficiencies during the last annual inspection or any inspection or complaint
investigation since the last annual inspection. A fine shall be levied notwithstanding the correction
of the deficiency.
a
400:022-Residents’Rights———-—___ SS TTT
(1) All licensees of nursing home facilities shall adopt and make public a statement of the tights and
responsibilities of the residents of such facilities and shall treat such residents in accordance with the
ch resident the following:
provisions of that statement. The statement shall assure ea
(17) Notify a licensed physician when a resident exhibits signs of dementia or cognitive impairment
or has a change of condition in order to rule out the presence of an underlying physiological condition that
may be contributing to such dementia or impairment. The notification must occur within 30 days after the
acknowledgment of such signs by facility staff. If an underlying condition is determined to exist, the facility
shall arrange, with the appropriate health care provider, the necessary care and servces to treat the
condition.
483.13 Resident behavior and facility practices.
(c) Staff treatment of residents.
procedures that prohibit mistreatment, neglect, and abuse 0!
resident property.
(1) The facility must--
(i) Not use verbal, mental, sexual, or physical abuse, corporal punishment,
or involuntary seclusion.
The facility must develop and implement written policies and
f residents and misappropriation of
483.25 Quality of care.
Each resident must receive and the facility must provide the n
or maintain the highest practicable physical, mental, and psychosocial
comprehensive assessment and plan of care.
(a) Activities of daily living. Based on the comprehensive assessment of a resident, the facility
ecessary care and services to attain
| well being, in accordance with the
must ensure that-
(1) A resident's abilities in activities of daily living do not diminish unless circumstances of the
individual's clinical condition demonstrate that diminution was unavoidable. This includes the resident's
ability to--
(i) Bathe, dress, and groom;
lo
{ii) Transfer and ambulate;
(iii) Toilet;
(iv) Eat; and
(v) Use speech, language, or other functional communication systems.
(2) A resident is given the appropriate treatment and services to maintain or improve his or her
abilities specified in paragraph (a)(1) of this section; and
(3) A resident who is unable to carry out activities of daily living receives the necessary services to
maintain good nutrition, grooming, and personal and oral hygiene.
(b) Vision and hearing. To ensure that residents receive proper treatment and assistive devices to
maintain vision and hearing abilities, the facility must, if necessary, assist the resident--
(1) In making appointments, and
(2) By arranging for transportation to and from the office of a practitioner specializing in the
treatment of vision or hearing impairment or the office of a professional specializing in the provision of vision
or hearing assistive devices.
(c) Pressure sores.
ensure that--
(1) A resident who enters the facility without pressure sores does not deveicp pressure sores
unless the individual's clinical condition demonstrates that they were unavoidable; and
(2) A resident having pressure sores receives necessary treatment and services to promote .
healing, prevent infection and prevent new sores from developing.
Based on the comprehensive assessment of a resident, the facility must
(d) Urinary Incontinence. Based on the resident's comprehensive assessment, the facility must
ensure that--
(1) A resident who enters the facility without an indwelling catheter is not cathe’erized unless the
resident's clinical condition demonstrates that catheterization was necessary; and
(2) A resident who is incontinent of bladder receives appropriate treatment and services to prevent
urinary tract infections and to restore as much normal bladder function as possible.
(e) Range of motion. Based on the comprehensive assessment of a resident, the facility must
ensure that--
(1) A resident who enters the facility without a limited range of motion does not experience
reduction in range of motion unless the resident's clinical condition demonstrates that a recluction in range of
motion is unavoidable; and
(2) A resident with a limited range of motion receives appropriate treatment and services to
~increaserange-of- motion-and/or to-preventfurther- decrease in-range of motion———-—
(f) Mental and Psychosocial functioning. Based on the comprehensive assessment of a resident,
the facility must ensure that--
(1) A resident who displays mental or psychosocial adjustment difficulty, receives appropriate
treatment and services to correct the assessed problem, and
(2) A resident whose assessment did not reveal a mental or psychosocial adjustment difficulty does
not display a pattern of decreased social interaction and/or increased withdrawn, angry, or depressive
behaviors, unless the resident's clinical condition demonstrates that such a pattern was unavoidable,
(g) Naso-gastric tubes. Based on the comprehensive asscssment of a resident, the facility must
ensure that--
(1) A resident who has been able to eat enough alone or with assistance is not fed by naso-gastric
tube unless the resident's clinical condition demonstrates that use of a naso-gastric tube was unavoidable;
and
(2) A resident who is fed by a naso-gastric or gastrostomy tube receives the appropriate treatment
and services to prevent aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, and
nasal-pharyngeal ulcers and to restore, if possible, normal eating skills.
(h) Accidents. The facility must ensure that--
(1) The resident environment remains as free of accident hazards as is possible; end
(2) Each resident receives adequate supervision and assistance devices to prevent accidents,
(i) Nutrition. Based on a resident's comprehensive assessment, the facility must ensure that a
resident--
(1) Maintains acceptable parameters of nutritional status, such as body weight and protein levels,
unless the resident's clinical condition demonstrates that this is not possible; and
(2) Receives a therapeutic diet when there is a nutritional problem.
(j) Hydration. The facility must provide each resident with sufficient fluid intake to maintain proper
hydration and health.
(k) Special needs. The facility must ensure that residents receive proper treatment and care for the
following special services:
(1) Injections;
(2) Parenteral and enteral fluids;
(3) Colostomy, ureterostomy, or ileostomy care;
(4) Tracheostomy care;
(5) Tracheal suctioning;
(6) Respiratory care;
(7) Foot care; and
(8) Prostheses.
(!) Unnecessary drugs--
(1) General. Each resident's drug regimen must be free from unnecessary drugs. An unnecessary
drug is any drug when used:
(i) In excessive dose (including duplicate drug therapy); or
(ii) For excessive duration; or
(iii) Without adequate monitoring; or
(iv) Without adequate indications for its use; or
(v) In the presence of adverse consequences which indicate the dose should be reduced or
discontinued; or
(vi) Any combinations of the reasons above.
(2) Antipsychotic Drugs. Based on a comprehensive assessment of a resident, the facility must
ensure that--
(i) Residents who have not used antipsychotic drugs are not given these drugs unless antipsychotic
drug therapy is necessary to treat a specific condition as diagnosed and documented in the clinical record;
and
(ii) Residents who use antipsychotic drugs receive gradual dose reductions, and behavioral
interventions, unless clinically contraindicated, in an effort to discontinue these drugs.
(m) Medication Errors--The facility must ensure that--
(1) Itis free of medication error rates of five percent or greater; and
(2) Residents are free of any significant medication errors.
59A-4.1288 Exception.
Nursing homes that participate in Title XVIII or XIX must follow certification rules and regulations
found in 42 C.F.R. 483, Requirements for Long Term Care Facilities, September 26, 1991, which is
—-— incorporated by teference.—Nor-certified facilities-must follow the-contents of this tule-and-the standards
contained in the Conditions of Participation found in 42 C.F.R. 483, Requirements for Long Term Care
Facilities, September 26, 1991, which is incorporated by reference with respect to social services, dental
services, infection control, dietary and the therapies. .
59A-4.106(4)(aa) Facility Policies.
(4) Each facility shall maintain policies and procedures in the following areas:
(aa) Specialized rehabilitative and restoration services.
CLASS || DEFICIENCY
11. On or about February 5, 2003, AHCA conducted a complaint survey at
WESTMINSTER CARE OF ORLANDO. On or about February 5, 2003, based upon
observation, interview and record review the AHCA survey team determined that the facility
failed to provide care and services to promote healing of lesions and prevent infection, prevent
pain, and monitor catheter output for one of three sampled residents [Resident #1]. On that
basis, the AHCA survey team cited WESTMINSTER CARE OF ORLANDO with a Ciass II
deficiency, supported by the following findings:
Observation of Resident #1 on 2/05/03 at approximately 11:05 AM, identified the
resident with a towel wrapped around the right hand. Interview at this time, with the staff nurse
stated, "The resident scratches the wounds." When the resident was turned to the right side to
observe the resident's skin, the resident grimaced in pain. Interview with the resident's certified
nursing assistant (CNA) at this time, spoke to the resident in Spanish to inquire i” the resident
was in pain to which the resident stated "yes." Observation of the resident's lower abdomen
area, buttocks and down to the upper thighs, identified opened lesions that were inflamed,
bleeding, and weeping fluid. Under the resident's buttocks was a washcloth that was tinged
with blood. Interview with the staff nurse, at this time stated: "I didn't know it looked like this, the
treatment is done by the evening nurse.”
s supra pubic catheter noted no urine in the catheter bag.
Interview with the resident's CNA at this time stated: "} emptied the foley at 9:15 AM."
Observation at 11:35 AM, identified no urine in the catheter bag. Interview with the staff nurse
at this time stated: "maybe the resident was lying on it’. The nurse indicated if there is a
problern they would irrigate the catheter. Review of the physician's orders identified no order for
catheter irrigations for Resident #1.
Observation of the resident’
orders, noted an order written on 1/20/03 for "Xenaderm
and as needed x 4 weeks." Review of the resident's
identified the treatment was done every evening at 7:00
PM, with no documentation that the ointment was applied as needed. Observation of the tube
of Xenaderm ointment identified the tube was empty and had no label. Interview with a staff
nurse on 2/05/03 at approximately 11:45 AM, stated: "I don't do the treatment, so | wouldn't
know it was empty.” Further interview on where the cream came from, the nurse stated: "! don't
know | guess the pharmacy."
Further review of the physician
ointment to open areas re-apply daily
treatment administration record (TAR)
interview with the pharmacist on BIO5/03 at approximately T:00 PM, stated: ” just
received the order today (2/05/03) for the Xenaderm, there was no order prior to this time.”
Interview with the wound care nurse on 2/05/03 at approximately 10:00 AM, prior to tour,
on wounds that were identified to be in-house acquired stated: "| take care of the wounds in the
facility, the resident had a wound to the left outer ankle that is resolved. The resident has
Pemphigus which | do not treat, the nurses take care of the treatment.”
esident #1 with the wound care nurse and administrative staff on 2/05/03
rse stated: "Oh my, | wasn't told it looked like this,
Interview with administrative staff regarding the
he pharmacy on 1/20/03, | don’t know why it wasn't
filled. We had a tube here probably from another resident we were using.” A short time later, a
nurse from another Unit found another tube of Xenaderm that was unlabeled. Interview with this
his time stated: "| found the tube on another unit, | don't know who it belongs to.”
Observation again of R
at approximately 1:10 PM, the wound care nu
| will start taking care of this treatment."
treatment stated: "the order was faxed to t
nurse att
"we received the order on 1/20/03 tut the facility
Interview again with the pharmacy stated:
t.". The tube of
indicated they had some and | would guess that's why it wasn't sent ou
Xenaderm ointment that was observed was empty.
Observation of the resident on 2/05/03 at approximately 1:15 PM, identified the catheter
was changed/irrigated and 10 cc. of urine was obtained.
Resident #1 revealed a report from the Wound Healing Centers
Clinical record review for
Xenaderm to open areas. Re-apply daily and as
dated 1/20/03 indicating: "Dressing orders:
needed.”
lan dated 1/07/03 identified the resident's problem as
Review of the resident's care p
"Potential for pain.” Goals included: “pain will be relieved to a level that resident personally
desired/tolerate.” Interventions included: “Pain management as ordered.” Further clinical
record review identified no pain management in place. Interview with a staff nurse on 2/05/03 at
approximately 1:30 PM, stated: "! medicate the resident for pain with Tylenol.”
Review of the resident's medication administration record (MAR) identified for the
months of January and February, the resident was not medicated for pain.
Confidential interview on 2/04/03 at approximately 8:00 PM, stated: "The resident is in
pain every time I'm in there. The last two weeks they didn't have the cream the doctor ordered
to put on the wounds. They're getting worse, bleeding all the time. They were using Vaseline,
not the antibiotic that was ordered. The urine is always dark in the catheter bag and it has
things floating in it."
Another confidential interview on 2/05/03 at approximately 1:45 PM. stated: "the urine is
usually dark and it looks like sand is in the bag."
12. Based upon the foregoing, the Respondent violated Florida Administrative Code
Rule 59A-4.1288, which required the Respondent to develop and implement written: policies and
is and mISaD | .
ent, neglect, and abuse of residents and misappropriation of
procedures that prohibit mistreatm
resident property, including physical abuse. That rule incorporates by reference 42 CFR §
483.13 (c)(1)(i).
43. The foregoing also constitutes a violation of § 400.022, Fla. Stat., which requires
the Respondent to ensure the residents’ right to receive adequate and appropriate health care
and protective and support services.
44, The foregoing also constitutes an intentional or negligent act materially affecting
the health or safety of residents of the facility as defined by § 400.102 (1)(a), Fla. Stat. and is
subject to a fine under § 400.121 Fla. Stat.
15. The foregoing constitutes a Class Il deficiency as defined by § 400.23(8)(b) Fla.
Stat. as follows:
hat the agency determines has
A class Il deficiency is a deficiency t
tain or reach his or her highest
compromised the resident's ability to main
practicable physical, mental, and psychosocial well-being, as defined by an
accurate and comprehensive resident assessment, plan of care, and provision
of services. A class Il deficiency is subject to a civil penalty of $2,500 for an
isolated deficiency, $5,000 for a patterned deficiency, and $7,500 fcr a
widespread deficiency. The fine amount shall be doubled for each deficiency if
the facility was previously cited for one or more class ! or class II deficiencies
during the last annual inspection or any inspection or complaint investigation
since the last annual inspection. A fine shall be levied notwithstanding the
correction of the deficiency.
16. The above referenced violation constitutes the grounds for the imposed Class II
deficiency and for which the imposition of a conditional license is authorized pursuant to §
400.102(1)(d), and 400.23(7)(b) Fla. Stat.
CLAIM FOR RELIEF
WHEREFORE, AHCA requests this Court to order the following relief:
A. Make factual and legal findings in favor of AHCA on Count I,
Uphold the issuance of the conditional license attached hereto as Exhibit “A”.
DISPLAY OF LICENSE
Pursuant to §§ 400.062(5) and 400,23(7)(e), Fla. Stat., Respondent shail post its current
license in a prominent place that is in clear and unobstructed public view at or near the place
where residents are being admitted to the facility.
NOTICE
The Respondent is notified that it has a right to request an administrative hearing
pursuant to Section 120.569, Florida Statutes. Specific options for administrative action are set
out in the attached Explanation of Rights (one page) and Election of Rights (one page). All
requests for hearing shall be made to the attention of AGENCY CLERK, AGENCY FOR
HEALTH CARE ADMINISTRATION, 2727 MAHAN DRIVE, MAIL STOP #3, TALLAHASSEE,
FL 32308.
LANDO IS FURTHER NOTIFIED THAT THE FAILURE TO
N 21 DAYS OF RECEIPT OF THIS COMPLAINT WILL
ED IN THE COMPLAINT AND THE
WESTMINSTER CARE OF OR
REQUEST A HEARING WITHI
RESULT IN AN ADMISSION OF THE FACTS ALLEG
ENTRY OF A FINAL ORDER BY THE AGENCY.
SA
Respectfully submitted this FEI —__ day of May 2003.
Respectfully submitted,
4
DONNA RISELLI
Fla. Bar. No. 325821
Counsel for Petitioner
Agency for Health Care Administration
Building 3, Mail Stop #3
2727 Mahan Drive
Tallahassee, Florida 32308
(850) 921-5873 (office)
(850) 921-9313 (fax)
EXHIBIT LIST
Exhibit “A”
CONDITIONAL LICENSE
License #SNF 130471008; Certificate #9091
Effective Date: 07/25/2002 Expiration Date: 41/11/2002
10
° e 4h
FLORIDA AGENCY FOR HEALTH CARE ADMINGTRATION
VERNOR RH TMD,
JEB BUSH, GOVERN ministrative Fe Ags
April 4, 2003
WESTMINSTER CARE OF ORLANDO
830 W. 29TH STREET
ORLANDO, FL 32805
Dear Administrator:
The attached license is being issued 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
____ LICENSE STATUS CHANGE TO STANDARD
Sincerely,
- Z Se
CIP
Agency for ‘lth Care Administration
Division of Health Quality Assurance
Enclosure
ce: AHCA Area Office 07
Long Term Care Section file
Medicaid Contract Management
Certificate of Need :
A
2727 Mahan Drive & Mail Stop #33 Visit AHCA Online at
Tallahassee, FL 32308
www fdhe.state.fl.us
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NURSING HOME LICH = STATUS CHANGE FORM @
AREA OFFICE: 7
Instructions: Complete and send this form to the LTC Unit to issue a change in
Licensure to Conditional or Standard. Please complete and send as an electronic
copy via e-mail (send as a Word document attachment).
Facility Name: Westminster Care of Orlando
Address: 830 West 29" Street City: Orlando
Date of Visit Resulting in Conditional License:
Survey Type (check one): — Annual _ Complaint _x_ Follow-up
Central Office Use Only
Perm ID #:
146
03/2105
1. Licensure status prior to this survey (change the status from):
Check one: STANDARD OX CONDITIONAL
2. Request to change the licensure status to:
Check one: X O STANDARD (complete #3) © CONDITIONAL (complete #4)
3. For Change to STANDARD: Effective date of Standard status: 12/2/02
Note: Return to Standard can only occur if the facility is back in substantial compliance.
4, Change to CONDITIONAL: Effective date of Conditional status:
Reason for Conditional status (list deficiencies cited at Class I or II or uncorrected ITI):
Description of Deficiency ~ narrative of outcomes resulting in conditional status.
Licensure Fed tag | Class &
Reference: (all) Scope Indicate if uncorrected; Completing electronically will allow adequate space for
Tag & State S/S Or). description in one block.
Rule or (NH)
Statute
(see cross
walk) Z
SEND TO CO WITHIN 10 DAYS OF EFFECTIVE DATE
SURVEYOR’S SIGNATURE: Mary Anne Pearce DATE: 4/17/02
SUPERVISOR'S SIGNATURE: Joel Libby DATE: 4/17/02
ATTORNEY’S SIGNATURE: DATE
AHCA Form: 3110-6011 revised September 2001
CERTIFICATE OF SERVICE
| HEREBY CERTIFY that the original Administrative Complaint and Exhibit “A” has been
sent by U.S. Certified Mail Return Receipt Requested (return receipt #
EOL O2A%LO OfD2 3 FO H59 to Diane D. King, Administrator, WESTMINSTER CARE OF
ORLANDO, 80 West Lucerne Circle, Orlando, FL 32801 and that a true and correct copy of the
Administrative Complaint and Exhibit “A” has been sent by U.S. Certified Mail Return Receipt
Requested (return receipt # 1001 030 C003 380LA3-) to Bart Wyatt, Registered Agent for
WESTMINSTER CARE OF ORLANDO, 100 Second Avenue South, Suite 901S, St. Petersburg,
FL 33071.
DONNA RISELLI,
Docket for Case No: 03-003291
Issue Date |
Proceedings |
Sep. 25, 2003 |
Order. (Petitioner`s motion for continuance is denid)
|
Sep. 25, 2003 |
Order Closing File. CASE CLOSED.
|
Sep. 24, 2003 |
Agreed Upon Motion to Remand (filed by Respondent via facsimile).
|
Sep. 24, 2003 |
First Unopposed Motion to Continue (filed by Petitioner via facsimile).
|
Sep. 22, 2003 |
Order of Consolidation. (consolidated cases are: 03-002679, 03-003291)
|
Sep. 19, 2003 |
Response to Initial Order (filed by Respondent via facsimile).
|
Sep. 12, 2003 |
Initial Order.
|
Sep. 10, 2003 |
Petition for Formal Administrative Hearing and Answer in the Alternative to Administrative Complaint and Motion to Strike filed.
|
Jul. 22, 2003 |
Administrative Complaint filed.
|
Jul. 22, 2003 |
Petition for Formal Administrative Hearing and Answer in the Alternative to Administrative Complaint and Motion to Strike filed.
|
Jul. 22, 2003 |
Notice (of Agency referral) filed.
|