STATE OF FLOREBA ym mio bet om ms AGENCY FOR HEALTH CARE STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION, Petitioner, vs. JASMINE HILLS ASSISTED LIVING FACILITY AND DUNEDIN ALZHEIMER’ S CENTER (W. James Smith d/b/a Jasmine Hills Assisted Living Facility and Dunedin Alzheimer’s Center), Respondent. FINAL ORDER MINTSTRATION me SR 00 NOV 27 PH 3:46 NOY 20 An 4 ee or wee PRATIVE PEPAPUMEVT cLepy HEARINGS S CASE NO: oot? L Cook _- -) AHCA NO: 05-98-252-ALF RENDITION NO.: AHCA-00-{%67-S-OLC The Agency for Health Care Administration having entered into a Joint Stipulation with the parties to these proceedings, and being otherwise well advised in the premises, decides as follows: The attached Joint Stipulation is approved and adopted as part of this Final Order and the parties are directed to comply with the terms of the Joint Stipulation. THEREFORE, it is ORDERED and ADJUDGED that the parties hereto are directed to comply with the terms of the Joint Stipulation. DONE and ORDERED this fi 7 amy Ane, 2000, in Tallahassee, Leon County, Florida. — oe 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 THE AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) 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 THE RENDITION OF THE ORDER TO BE REVIEWED. Copies furnished to: Michael R. Hope, Esquire AHCA Division of Managed Care and Health Quality 6800 N. Dale Mabry Highway, Suite 220 Tampa, Florida 33614 ALF Section AHCA Division of Health Quality Assurance 2727 Mahan Drive Tallahassee, Florida 32308 Facility File Agency for Health Care Administration 525 Mirror Lake Drive North St. Petersburg, Florida 33701-3219 Joseph A. Corsmeier, Esquire Attorney for Respondent P.O. Box 5124 Clearwater, Florida 33758 W. James Smith, Owner a Jasmine Hills Assisted Living Facility & — Dunedin Alzheimer’s Center 631 N. Jasmine Avenue Tarpon Springs, Florida 34689 Finance & Accounting Agency for Health Care Administration 2727 Mahan Drive Tallahassee, Florida 32308 J. Lawrence Johnston Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 CERTIFICATE OF SERVICE I HEREBY CERTIFY that a copy of the foregoing was sent to the above-named people by U.S. Mail this o2>V tay of 7 2000. R. S. POWER, Agency Clerk Agency for Health Care Administration Ft. Knox Building #3 2727 Mahan Drive Tallahassee, FL 32308 (850) 921-0069

Docket for Case No: 00-001542