STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION AGENCY FOR HEALTH CARE ADMINISTRATION, Petitioner, AHCA No.: 2002014571... ; DOAH No.: 03-1540 LHP -C Lose dl Vv. REGENTS PARK AT AVENTURA, INC. d/b/a REGENTS PARK AT AVENTURA, Respondent. FINAL ORDER Having reviewed the Notice of Intent to Assign Conditional Licensure Status letter dated March 12, 2002 and all other matters of record, the Agency for Health Care Administration (“Agency”) finds and concludes as follows: FINDINGS OF FACT 1. The Agency issued a Notice of Intent to Assign letter stating its intent to impose a conditional licensure status on the Respondent, Regents Park at Aventura, Inc. d/b/a Regents Park at Aventura (hereinafter “Regents Park at Aventura”), a skilled nursing facility, for violation of Chapter 400, Part II, Florida Statutes and Chapter 59A-4, Florida Administrative Code. 2. Regents Park at Aventura was served with a Notice of Intent to Assign conditional licensure status letter on March 12, 2002 by U.S. Certified Page 1 of 5 Mail, return receipt requested. Regents Park at Aventura was advised of its right to request an administrative hearing and was provided with an Election of Rights form and an Explanation of Rights form. In response to the administrative complaint, Regents Park at Aventura requested a formal administrative proceeding pursuant to 120.57(1), Florida Statutes, Subsequently, it was determined that the conditional licensure rating subject of this matter had been resolved by the Stipulation and Settlement Agreement of AHCA No.: 2002007601 and AHCA No.: 2002018061. Regents Park at Aventura filed a Notice of Voluntary Dismissal and withdrew its request for a hearing. CONCLUSIONS OF LAW 1. The Agency has jurisdiction over Regents Park at Aventura pursuant to the provisions of Chapter 400, Part II and Section 120.569, Florida Statutes (2002). 2. As alleged in the Notice of Intent to Assign letter, Regents Park at Aventura is in violation of Chapter 400, Part II, Florida Statutes (2002) and Chapter 59A-4, Florida Administrative Code. 3. The conditional licensure rating subject of this case was upheld in the settlement agreement of AHCA No.: 2002007601 and AHCA No.: 2002018061 and a Final Order was entered on these cases on May 5, 2003. 4, Regents Park at Aventura expressly waived its right to a hearing and consented to the entry of a Final Order adopting the allegations and Page 2 of 5 conclusions set forth in the Notice of Intent to Assign Conditional Licensure status and imposing the sanction sought. Based on the foregoing findings of fact and conclusions of jaw, it is ORDERED: 5. The conditional licensure status is hereby upheld. DONE and ORDERED this -22ay of Lids. , 2003 in Tallahassee, Leon County, Florida. Sa, 5 Mikie am a toda, / Rhonda M. Medows, MD ‘Secretary Agency for Health 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 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. Copies furnished to: Alba M. Rodriguez Assistant General Counsel Agency for Health Care Administration 8355 NW 53” Street Miami, Florida 33166 (Interoffice Mail) Elizabeth Dudek Deputy Secretary Agency for Health Care Administration 2727 Mahan Drive Bldg #1 Mail Stop Code #9 Tallahassee, Florida 32308 Page 3 of 5 (Interoffice Mail) Jean Lombardi Finance & Accounting Agency for Health Care Administration 2727 Mahan Drive Mail Stop Code #14 Tallahassee, Florida 32308 (Interoffice Mail) Wendy Adams Office of the General Counsel Agency for Health Care Administration 2727 Mahan Drive Tallahassee, Florida 32308 (Interoffice Mail) Errol H. Powell Administrative Law Judge Division of Administrative Hearing 1230 Apalachee Parkway Tallahassee, Florida 32399 (U.S. Mail) Jay Adams, Esq. Broad and Cassel 215 South Monroe Street -Suite 400 Tallahassee, Florida 32302 (U.S. Certified Mail) Page 4 of 5 — one te ee A A te AT iinet pr CERTIFICATE OF SERVICE SERLIPICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of this Final Order was served on the above-named person(s) by U.S. Mail, designated, on this the cy day of Mar | or the method , 2003. Chae lave Wrens o> Ge Lealand McCharen, ae Agency for Health Care Administration 2727 Mahan Drive, Building #3 Tallahassee, Florida 32308-5403 Page 5 of 5

Docket for Case No: 03-001540