STATE OF FLORIDA . AGENCY FOR HEALTH CARE ADMINISTRATION = Si? 22 02 GAINESVILLE HEALTH CARE CENTER, INC., d/b/a INTEGRATED HEALTH SERVICES AT GAINESVILLE, Bed CAN che Petitioner, vs. STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. / FINAL ORDER This case is before the Agency for Health Care Administration (Agency) for issuance of a final order. In a “Notice of Intent to Deny” dated April 25, 2002, the Petitioner was informed of the Agency’s initial decision to deny their renewal application. FINDINGS OF FACT 1. The Petitioner received the decision letter and requested an administrative hearing. Subsequently, the Petitioner filed a “notice of voluntary dismissal” withdrawing its request for an administrative hearing. The Division of Administrative Hearings (division) closed his file based upon the Petitioner’s withdrawal of its request for an administrative hearing. The division’s order of August 5, 2002, and the Petitioner’s “notice of voluntary dismissal” are incorporated by reference. CONCLUSIONS OF LAW The Agency has jurisdiction over the parties and subject matter pursuant to Section 120.57(1), Florida Statutes (2001). BASED on the foregoing, the request for a formal hearing is dismissed, this matter is moot, and the Agency’s filed is CLOSED. DONE and ORDERED this 7-day 1 Leseea 2002, in Tallahassee, Florida. ‘ Rhonda M. Nedows, MD, FAAFP, Secrefary A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A JUDICIAL REVIEW WHICH IS INSTITUTED BY FILING A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AGENCY FOR HEALTH CARE ADMINISTRATION, AND A COPY ALONG WITH THE FILING FEE WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW PROCEEDINGS ARE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF RENDITION OF THIS ORDER. Copies furnished to: Ella Jane P. Davis Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 (by U.S. Mail) Jonathan S. Grout, Esquire Goldsmith & Grout, P.A. 2180 North Park Avenue, Suite 100 Post Office Box 2011 ‘Fattahassee;Flerida 3230 1 (by U.S. Mail) Whines. Pe ek, dL BZz1T90 Molly McKinstry oo (HQA/RFC-LTC) teroffice Mail) Wendy Adam’s Legal Intake-Unit (by Interoffice Mail) Michael O. Mathis, Esq. Legal Section (by Interoffice Mail) Plizdsoeth “Dudek CERTIFICATE OF SERVICE } HEREBY CERTIFY that a true and correct copy of the foregoing was served on the above named persons by U.S. Mail or by interoffice mail as indicated this au day of 0 K HA i ON 2002. -f>@ Lealand McCharen, Agency hoc State of Florida, Agency for Health Care Administration Fort Knox Bldg., 3, MS#3 2727 Mahan Dr., Suite 3402 Tallahassee, FL 32308-5403 (850) 921-8177 RECEIVED GENERAL co STATE OF FLORIDA UNSEL DIVISION OF ADMINISTRATIVE HEARINGS AUG UZ 2992 INTEGRATED HEALTH SERVICES Agency for Health OF GAINESVILLE, Care Adminiser-+:-.- Petitioner, vs. CASE NO:: o2s6l" AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. / che HY 9% dS 2 NOTICE OF VOLUNTARY DISMISSAL COMES NOW, the Petitioner, INTEGRATED HEALTH SERVICES OF GAINESVILLE, and herein files a Voluntary Dismissal of its Petition for Formal Administrative Hearing based on a letter dated July 1, 2002, rescinding the Notice of Intent to Deny. A copy of the letter is attached as Exhibit “A”. . 1 HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished by facsimile to Ella Jane P. Davis, Administrative Law Judge, Division of. Administrative Hearings, The DeSoto Building, 1230 Apalachee Parkway, Tallahassee, Florida 323 99-3060 at (850) 921-6847 and . by U.S. Mail to Michael O. Mathis, Esquire, Assistant General Counsel, Agency for Health Care Administration, 2727 Mahan Drive, Tallahassee, Florida 32308, on this , 50 4 soy of July, 2002 LAKE JQNATHAN 8S. GROUT, ESQUIRE Florida Bar #296066 GOLDSMITH, GROUT & LEWIS, P. A Post Office Box 2011 Winter Park, Florida 32790 (407) 740-0144 Attorney for Petitioner Sa * je-zaH2 @3zi14 AGENCY HESLTH CARE ADMIN ssa $21 3158 P.G2 (STATE OF FLORIDA Qo ~ JES aUSH, GOVERNOR RHONDA M. MEDOWS. MD. FABPP, SECRETARY ~ 4 . Cem A July 1, 2002 ee) ~ a o Administrator , Integrated Health Services at Gainesville & 4000 S.W. 20 Avenue 2 Gainesville, Florida 32607 ey RE: Rescinding of Notice of Intent To Deny (#200202820) Dear Administrator; Our office sent you a certified letter with a Notice of Intent to Deny your facility’s annual license - renewal dated April 25, 2002 because we had not received as requested a Medicaid Lease Bond. , ‘As the Lease Bond has now beca received and approved by Medicaid, this letter shall serve as notice that the Notice of Intent to Deny the renewal has been rescinded. If you have any questions, please contact Kathy Munn of my staff at (850) 488-5861. Sincerely, Ulta Plat, Molly McKinstry fe Unit Manager Long Term Care Bureau of Health Facility Regulation ec: Wendy Adams, Legal MS-3 K. Munn, LTC Unit File 7 Vistt AHCA Online at www. fdhe. state. fl us EXHIBIT A= TOTAL P.22 2727 Mahan Drive ® Mail Stop #33 Tatlahassec, Fl 32308 STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION RHONDA M. MEDOWS. MO. FAAFP, SECRETARY JEB BUSH, GOVERNOR July 1, 2002 Administrator Integrated Health Services at Gainesville 4000 S.W. 20" Avenue Gainesville, Florida 32607 RE: Rescinding of Notice of Intent To Deny (#200202820) Dear Administrator; Our office sent you a certified letter with a Notice of Intent to Deny your facility’s annual license renewal dated April 25, 2002 because we had not received as requested a Medicaid Lease Bond. As the Lease Bond has now been received and approved by Medicaid. this letter shall serve as notice that the Notice of Intent to Deny the renewal has been rescinded. If you have any questions, please contact Kathy Munn of my staff at (850) 488-5861. Sincerely, \ tae “7, Walia Molbt f, Molly McKinstry Unit Manager Long Term Care Bureau of Health Facility Regulation cc: Wendy Adams, Legal MS-3 K. Munn, LTC Unit File Vise ACA Online at wiew fdle state flus 2727 Mahan Drive « Mail Stop # 33 Tallahassee, FL 32308 RECEIV:. STATE OF FLORIDA GENERAL COUNS: DIVISION OF ADMINISTRATIVE HEARINGS . - AUG Ud 2002 INTEGRATED HEALTH SERVICES OF ) Agency for Health GAINESVILLE, Care Adminisséation Petitioner, ) Se 2 ) “~~ vs. ) Case No. 02-2561 3 . ) > AGENCY FOR HEALTH CARE ) = RDMINISTRATION, ) ed } & Respondent . ) ) ee ORDER CLOSING FILE This cause having come pefore the undersigned on the Petitioner's Notice of voluntary Dismissal, and the undersigned peing fully advised, it is, therefore, ORDERED that: 1. The final hearing in this cause scheduled for September 18, 2002, is hereby cancelled. 2. The file of the Division of administrative Hearings in the above-captioned matter is hereby closed. DONE AND ORDERED this 5th day of August, 2002, in Tallahassee, Leon County, Florida. Lasenn tiene ELLA JANE Pp. DAVIS . administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway . Tallahassee: Florida 32399-3060 (850) 488-9675 SUNCOM 278-9675 Fax Filing (850) 921-6847 waw.doan. state. fl.us STATE OF FLORIOA beeen . ‘ ' a —_—————— RATION far A ne ete me AGENCY FOR HEALTH CARE ADMINISTRATION , RHONDA M MEOOWS, MO, FAAFP, SECRETARY ME oR JE BUSH, GOVERNOR April 25, 2002 CERTIFIED MAIL RETURN RECEIPT REQUESTED (#7000 0520 0024 8387 8600) Administrator Integrated Health Services at Gainesville th 4000 S.W. 20" Avenue Gainesville, FL 32607 NOTICE OF INTENT TO DENY __(#200202820) Dear Administrator: It is the decision of this Agency that the Nursing Home License renewal application for [ntegrated Health Services at Gainesville is DENIED. Pursuant to section 400.179(5)(d), Florida Statutes (F.S.), you were requested to provide an original 30 month Medicaid Lease Bond or original continuation certificate to extend the bond for an additional 30 months. You were notified in writing on February 20 and April 4, 2002, to provide this required documentation. To date this information has not been received. . 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 Sincerely, ys Molly hike, Progra Long Term Care Unit Health Facility Regulation Manager ce: Agency Clerk, Mail Stop 3 FDAU, Mail Stop 47 Alachua Field Office ; K. Munn, Long Term Care Unit Legal File, Long Term Care Unit Ee 2727 Mahan Drive » Mail Stop 4 33 Tallahassee, FL 32308 Visit AHCA Online at wiw fidlic. state fl us Aqyend reap] pue oreD peseueyl Jo worstarcy ‘Arejaiveg Aindaq ZO0ce/vO “ALVO NOLLVUldXa ASNAOI1 T00c/Pe/80 “ALVC AALLOAHAT NOLLOV snvig ul osueyD “spsq OCI WIM LO9ZE “I “ATTIASHNIVD ANNAAV H.LOZ “AAS 0007 ATIASANIVD LY SXOIAUSS HLIVAH GALVASALNI :BUIMOTI[OJ ap aJeI9do 0} pezLOYINe ST sesusoI] ap se pur ‘saynieig epHOLy ‘TI Wed ‘OOP JoydeyD Ul pezuoipne ‘uoHeAsIUIWIpy WeD Ie9H 104 Aouasy ‘epuoy,y jo aye1g oy} hq paidope suonejndar pur sopn ou) Yim poyduios sey “DNI UaLNaO duVO HLIVEN ATIASHNIVD yey ULTZUCS 0} ST STULL TVNOLLIGNOOD ALITIOVA DNISHOAN GHTIEAS ALITVNOD HLTVaH UNV dav GHOVNVW dO NOISIAIG NOLLVULSININGY Sav HETVSH YOd AONAOV | BPHOp JO ae} Q600LIIHNS ‘# ASNSOTT

Docket for Case No: 02-002561