Petitioner: AGENCY FOR HEALTH CARE ADMINISTRATION
Respondent: THE HEALTH CENTER OF ORLANDO, INC., D/B/A THE HEALTH CENTER OF WINDERMERE
Judges: T. KENT WETHERELL, II
Agency: Agency for Health Care Administration
Locations: Orlando, Florida
Filed: Apr. 30, 2003
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Monday, July 14, 2003.
Latest Update: Dec. 24, 2024
ee ae
‘ Sg
STATEOF FLORIDA ?-» FILED
AGENCY FOR HEALTH CARE ADMINISTRATION - ».5 53
STATE OF FLORIDA
ASDA
AGENCY FOR HEALTH CARE DESARTMEM” CLERM
ADMINISTRATION,
Petitioner, AHCA NO. 2002049149
2003000068 _.
vs. DOAH NO. 03-1536 Ek KW bored
03-1603 cee DOKL
THE HEALTH CENTER OF ORLANDO, INC., Rendition fo) HCA
d/b/a THE HEALTH CENTER OF WINDERMERE, — 8
Respondent. mo, 8 an
/ ° co
FINAL ORDER ce pO
oy
Having reviewed the administrative complaints dated January 21,
2003, attached hereto and incorporated herein (Ex. 1 & 2), and all other
matters of record, the Agency for Health Care Administration (“Agency”) has
entered into a Stipulation and Settlement Agreement with the parties to
these proceedings, and being otherwise well advised in the premises, finds
and concludes as follows:
The attached Stipulation and Settlement Agreement (Ex. 3), is
approved and adopted as part of this Final Order and the parties are directed
to comply with the terms of the Stipulation and Settlement Agreement.
ORDERED:
1. The attached Stipulation and Settlement Agreement is approved
and adopted as part of this Final Order and the parties are directed to
comply with the terms of the Stipulation and Settlement Agreement,
DONE and ORDERED this —day of ecpese , 2003,
in Tallahassee, Leon County, Florida.
Lbs tb hehe
Rhonda Medows, MD, Secretary
Agency foy Health Care Administrati A
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:
Donna Holshouser Stinson, Esq.
Broad and Cassel
215 S. Monroe St. Suite 400
Tallahassee, FL 32301
(U. S. Mail)
Katrina D. Lacy, Esq.
AHCA, Senior Attorney
525 Mirror Lake Dr. N. #330G
St. Petersburg, FL 33701
(Interoffice Mail)
Jean Lombardi
AHCA, Finance & Accounting
2727 Mahan Drive Mail Stop Code #14
Tallahassee, Florida 32308
(Interoffice Mail)
Elizabeth Dudek
Deputy Secretary
Agency for Health Care Administration
2727 Mahan Drive Bldg #1 Mail Stop Code #9
Tallahassee, Florida 32308
(Interoffice Mail)
Wendy Adams
Agency for Health Care Administration
2727 Mahan Drive, Bldg #3 MS #3
Tallahassee, FL 32308
(Interoffice Mail)
William Roberts
AHCA, Hearing Officer
2727 Mahan Drive, Bldg #3 MS #3
Tallahassee, FL 32308
(interoffice Mail)
T. Kent Wetherell, II, AU
Div. Administrative Hearings
1230 Apalachee Parkway
Tallahassee, FL 32399-3060
(U.S. Mail)
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of this Final Order was
served on the above-named person(s) and entities by U.S. Mail, or the
method designated, on this theQ7 day of « ALG ust _, 2003.
fLealand McCharen, Agency rk S
4 Agency for Health Care Administration
2727 Mahan Drive, Building #3
Tallahassee, Florida 32308-5403
(850) 921-8177
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION EXHIBIT
5
tabbies”
AGENCY FOR HEALTH CARE
ADMINISTRATION,
Petitioner,
vs. Case No. 2002049149
THE HEALTH CENTER OF ORLANDO, INC.,
d/b/a THE HEALTH CENTER OF WINDERMERE
Respondent.
ADMINISTRATIVE COMPLAINT
COMES NOW the AGENCY FOR HEALTH CARE ADMINISTRATION (“AHCA”),
by and through the undersigned counsel, and files this
Administrative Complaint against THE HEALTH CENTER OF CRLANDO,
INC, d/b/a THE HEALTH CENTER OF WINDERMERE, (hereinafter referred
Respondent), pursuant to Section 120.569, and 120.57, Florida
Statutes, (2002), and alleges:
NATURE OF THE ACTION
1. This is an action to impose an administrative fine
against Respondent, pursuant to Section 400.102, Florida
Statutes (2002) and assess costs related to the investigation
and prosecution of this case, pursuant to Section 400.121(10),
Florida Statutes (2002).
JURISDICTION AND VENUE
2. Venue lies in Orange County, Division of
Administrative Hearings, pursuant to Sections 120.569 and
Pa
120.57, Florida Statutes (2002).
3. Venue ve__s pursuant to’ Rule 28-106.-7, Florida
Administrative Code.
PARTIES
4. AHCA is the regulatory agency responsible for
licensure of nursing homes and enforcement of all applicable
federal regulations, state statutes and rules governing skilled
nursing facilities pursuant to the Omnibus Reconciliation Act of
1987, Title IV, Subtitle C (as amended); Chapter 400, Part II,
Florida Statutes (2002), and; Chapter 59A-4 Fla. Admin. Code,
respectively.
5. RESPONDENT is a nursing facility whose 120-bed nursing
home is located at 4875 Cason Cove Dr., Orlando, FL 32811.
RESPONDENT is licensed to operate a skilled nursing facility
pursuant to license #SNF130470967. At all relevant times,
RESPONDENT was a licensed facility required to comply with all
applicable regulations, statutes and rules under the licensing
authority of AHCA.
COUNT I
RESPONDENT FAILED TO ENSURE THAT EACH RESIDENT RECEIVED THE
NECESSARY CARE AND SERVICES
IN VIOLATION OF
42 CFR §483.25, VIA Fla. Admin. Code R.59A-4.1288
UNCORRECTED CLASS III DEFICIENCY
6. AHCA re-alleges and incorporates paragraphs (1)
through (5) as if fully set forth herein.
{
7. On or abou. October 7, 2002, AHCA co...ucted a survey at
Respondent’s facility.
8. Based on record review and interview, Respondent
failed to ensure that each resident received the necessary care
and services for one of twenty-two sampled residents (#2).
The findings include:
Based on record review, it was documented that an order for
Clonidine (Catapres), a medication used for the control of
high blood pressure (BP), was written on 09/06/02. The
order documented: Clonidine 0.1 mg, 1 tab P.O. (by mouth)
every § hours prn. (as needed) for a systolic blood
pressure greater than 160 and diastolic blood pressure
greater than 90. Documentation on the vital signs record,
documented the following blood pressures as follows:
09/15/02, BP 169/72, 09/22/02, BP 178/78, 09/30/02, BP
170/69, 10/01/02, BP 179/70, 10/03/02, BP 163/68, 10/06/02,
BP 170/72, and a second time on 10/06/02, BP 67/69. Record
review of documentation in the clinical record and the
nurse’s notes confirmed that the medication was not
administered on these dates. The facility failed to notify
the physician of the blood pressure reading and that the
medication was not administered as per physician's orders
dated 09/06/02. Review of the documentation on the
medication administration record (MAR) documented that the
medication was not administered on these dates. The
resident had a diagnosis of Cerebral vascular accident
(CVA). An interview with the Director of Nursing (DON) was
conducted on 10/10/02. He/she stated "if the medication
was given, it would be recorded in the resident's clinical
record".
9. Respondent was provided a mandated correction date of
November 1, 2002.
10. On or about November 18, 2002, a follow-up survey was
conducted at Respondent’s facility.
11. Based on record review and interview, Respondent
failed to ensure that each resident received the necessary care
and services for one of thirteen sampled residents (#2).
The findings include:
Record review revealed resident (#2) with diagnoses of
cerebral vascular accident (CVA), high blood pressure (HTN)
and bilateral subdural hematomas. On 7/7/01, the physician
ordered.Clonidine (Catapres), a medication used for the
control of high blood pressure. Clonidine 0.3 milligrams
(mg), 1 tab p.o. (by mouth) every 8 hours was ordered as
needed for diastolic blood pressure greater than 100.
Review of the medication administration record (MAR)
revealed the following: on 11/12/02 at 6 AM Clonidine 0.3
mg. was administered with a diastolic blood pressure of 89,
on 11/16/02 at 2 AM Clonidine 0.3 mg. was administered
with a diastolic blood pressure of 80, on 11/16/02 at 10
PM, Clonidine 0.3 mg. was administered with a diastolic
blood pressure of 82, on 11/17/02 at 9 PM, Clonidine 0.3
mg. was administered with a diastolic blood pressure
reading of 80. Clonidine was administered four times when
the diastolic blood pressure did not exceed the parameter
of 100 according to the physician's order.
Further review of the clinical record revealed a
physician's order on 7/7/01 for Labetalol (Trandate), a
medication used for the control of high blood pressure.
The order read: Labetalol 100 mg., 1 tab p.o. every 6 hours
as needed for systolic blood pressure greater than 189 or
diastolic blood pressure greater than 110. Review of the
MAR on the following days revealed: on 11/12/02 at 6 AM
the systolic blood pressure was 193, and on 11/17/02 at 9
PM the systolic blood pressure was 190. Labetalol was not
administered on 11/12/02 and 11/17/02, as ordered by the
physician.
Review of the nurse’s notes revealed no documentation
regarding the blood pressures, administration of
medications or resident assessment.
Review of the nurse’s notes revealed no documentation
regarding the blood pressures, administration of
medications or resident assessment.
An interview with the Director of Nursing (DON) was
conducted and the DON stated that the attending physician
was notified of the identified discrepancies.
‘12. The above actions or inactions are a violation of 42
CFR 483.25, which requires the facility to provide the necessary
care and services to attain or maintain the highest practicable
physical, mental and psychosocial well-being, in accordance with
Pa
the comprehensive assessment and plan of care.
4
13. Pursuant to Section 400.23(8) (c), Florida Statutes, the
foregoing is an “isolated” class III deficiency and as such,
results in no more than minimal physical, mental, or
psychosocial discomfort to the resident or has the potential to
compromise the resident’s ability to maintain or reach his or
her highest practical physical, mental or psychosocial well -
being, as defined by an accurate and comprehensive resident
assessment, plan of care, and provision of services. A class
III deficiency is subject to a civil penalty of $1,000 for an
isolated deficiency, $2,000 for a patterned deficiency, and
$3,000 for a widespread deficiency. The fine amount shall be
doubled for each deficiency if the facility was previously cited
for one or more Class I or Class II deficiencies during the last
annual inspection or any inspection or complaint investigation
since the last annual inspection. A citation for a class III
deficiency must specify the time within which the deficiency is
required to be corrected. If a Class III deficiency is
corrected within the time specified, no civil penalty shall be
imposed.
14. A civil penalty is authorized and warranted in the
amount of $1,000, as this violation constitutes an uncorrected
Class III deficiency.
CLAIM FOR RELIEF
WHEREFORE, the Petitioner, State of Florida, Agency for
Health Care ‘Administration requests the Court to order the
following:
a. Make factual and legal findings in favor of the
Agency on Count I;
b. Impose a fine and survey fee in the amount of one
thousand dollars ($1,000) for the violation cited in Count
I against the Respondent, pursuant to Sections
400.419(1)(c), Florida Statutes (2002); and
c. Assess costs related to the investigation
and prosecution of this case pursuant to Section
400.121(10), Florida Statutes (2002); and
d. Grant any other general and equitable relief
as deemed appropriate.
NOTICE
THE HEALTH CENTER OF ORLANDO, INC. D/B/A THE HEALTH CENTER
OF WINDERMERE hereby 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 Election of Rights (one page) and explained
in the attached Explanation of Rights (one page). All requests
for hearing shall be made to the Agency for Health Care
fa
Administration, and delivered to Katrina D. Lacy, Esquire,
Senior Attorney, Agency for Health Care Administration, 525
Mirror Lake Dr. No., Suite 330G, St. Petersburg, Florida, 33701.
RESPONDENT IS FURTHER NOTIFIED THAT A REQUEST FOR HEARING
MUST BE RECEIVED WITHIN 21 DAYS OF RECEIPT OF THIS COMPLAINT OR
WILL RESULT IN AN ADMISSION OF THE FACTS ALLEGED IN THE
COMPLAINT AND THE ENTRY OF A FINAL ORDER BY THE AGENCY.
Katrina D. Lacy,
Senior Attorney
Fla. Bar. No. 0277200
Counsel for Petitioner
Agency for Health Care Administration
525-Mirror Lake Dr. No., Suite 330G
St. Petersburg, FL 33701
(727) 552-1525 (office)
(727) 552-1440 (fax)
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the
foregoing has been furnished by U.S. Certified Mail Return
Receipt No. 7002 2030 0002 7109 5769, to Corporation Service
Company, 1201 Hays Street, Tallahassee, FL 32301 dated on
/
i} “an UL AC
a
Katrina D. Lacy, psaylre
January ©/ 1 2003.
Copies furnished to:
Corporation Service Company
Registered Agent for
The Health Center of Windermere
1201 Hays Street
Tallahassee, FL 32301
(U.S. Certified Mail)
Stephen A. Rykiel, Administrator
The Health Center of Windermere
4875 Cason Cove Drive
Orlando, FL 32811
(U.S. Mail) ~
Katrina D. Lacy
AHCA —- Senior Attorney
525 Mirror Lake Drive, Suite 330G
St. Petersburg, FL 33701
EXHIBIT
a
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
STATE OF FLORIDA
AGENCY FOR HEALTH
CARE ADMINISTRATION,
Petitioner,
AHCA NO: 2003000068
vs.
THE HEALTH CENTER OF ORLANDO, INC.,
d/b/a THE HEALTH CENTER OF WINDERMERE
Respondent.
ADMINISTRATIVE COMPLAINT
COMES NOW the Agency for Health Care Administration
(hereinafter “AHCA”), by and through the undersigned counsel,
and files this Administrative Complaint against THE HEALTH
CENTER OF ORLANDO, INC., d/b/a THE HEALTH CENTER OF WINDERMERE,
(hereinafter “Respondent”) and alleges:
Nature of the Action
1. This is an action to impose a conditional licensure
status effective November 19, 2002 through September 30, 2003,
pursuant to Sections 400.102(1) (a) and (dad), 400.23(7) (b), and
400.23(8) (c), Florida Statutes.
2. The Respondent was originally cited for the deficiency
during the survey conducted on or about November 18, 2002.
Jurisdiction and Venue
3. The Agency has jurisdiction over the Respondent
pursuant to chapter 400, Part II, Florida Statutes.
4. venue lies in Orange County, Division of
Administrative Hearings, pursuant to 120.57 Florida Statutes,
and Chapter 28, Florida Administrative Code.
Parties
5. AHCA, is the enforcing authority with regard to
nursing home licensure law pursuant to Chapter 400, Part II,
Florida Statutes and Rules 59A-4, Florida Administrative Code.
6. Respondent is a nursing home located at 4875 Cason
Cove Dr., Orlando, FL 32811. The facility is licensed under
Chapter 400, Part II, Florida Statutes and Chapter S9A-4,
Florida Administrative Code, having been issued license number
#SNF130470967.
COUNT I
RESPONDENT FAILED TO ENSURE THAT EACH RESIDENT
RECEIVED THE NECESSARY CARE AND SERVICES
IN VIOLATION OF
42 CFR §483.25, VIA Fla. Admin. Code R.59A-4.1288
UNCORRECTED CLASS III DEFICIENCY
7. AHCA re-alleges and incorporates (1) through (6) as if
fully set forth herein.
8. On or about October 7, 2002, a survey was conducted at
Respondent’s facility.
9.
Based on record review and interview, Respondent failed
to ensure that each resident received the necessary care and
services for one cf twenty-two sampled residents (#2).
The findings include:
Based on record review, it was documented that an order for
Clonidine (Catapres), a medication used for the control of
high blood pressure (BP), was written on 09/06/02. The
order documented: Clonidine 0.1 mg, 1 tab P.O. (by mouth)
every § hours prn. (as needed) for a systolic blood
pressure greater than 160 and diastolic blood pressure
greater than 90. Documentation on the vital signs record,
documented the following blood pressures as follows:
09/15/02, BP 169/72, 09/22/02, BP 178/78, 09/30/02, BP
170/69, 10/01/02, BP 179/70, 10/03/02, BP 163/68, 10/06/02,
BP 170/72, and a second time on 10/06/02, BP 67/69. Record
review of documentation in the clinical record and the
nurse’s notes confirmed that the medication was not
administered on these dates. The facility failed to notify
the physician of the blood pressure reading and that the
medication was not administered as per physician's orders
dated 09/06/02. Review of the documentation on the
medication administration record (MAR) documented that the
medication was not administered on these dates. The
resident had a diagnosis of Cerebral vascular accident
(CVA). An interview with the Director of Nursing (DON) was
conducted on 10/10/02. He/she stated "if the medication
was given, it would be recorded in the resident's clinical
record".
10.
Respondent was provided a mandated correction date of
November 1, 2002.
11.
On or about November 18, 2002, a follow-up survey was
conducted at Respondent’s facility.
12.
Based on record review and interview, Respondent
failed to ensure that each resident received the necessary care
and services for one of thirteen sampled residents (#2).
The findings include:
Record review revealed resident (#2) with diagnoses of
cerebral vascular accident (CVA), high blood pressure (HTN)
and bilateral subdural hematomas. On 7/7/01, the physician
ordered Clonidine (Catapres), a medication used for the
control of high blood pressure. Clonidine 0.3 milligrams
(mg), 1 tab p.o. (by mouth) every 8 hours was ordered as
needed for diastolic blood pressure greater than 100.
Review of the medication administration record (MAR)
revealed the following: on 11/12/02 at 6 AM Clonidine 0.3
mg. was administered with a diastolic blood pressure of 89,
on 11/16/02 at 2 AM Clonidine 0.3 mg. was administered
with a diastolic blood pressure of 80, on 11/16/02 at 10
PM, Clonidine 0.3 mg. was administered with a diastolic
blood pressure of 82, on 11/17/02 at 9 PM, Clonidine 0.3
mg. was administered with a diastolic blood pressure
reading of 80. Clonidine was administered four times when
the diastolic blood pressure did not exceed the parameter
of 100 according to the physician's order.
Further review of the clinical record revealed a
physician's order on 7/7/01 for Labetalol (Trandate), a
medication used for the control of high blood pressure.
The order read: Labetalol 100 mg., 1 tab p.o. every 6 hours
as needed for systolic blood pressure greater than 180 or
diastolic blood pressure greater than 110. Review of the
MAR on the following days revealed: on 11/12/02 at 6 AM
the systolic blood pressure was 193, and on 11/17/02 at 9
PM the systolic blood pressure was 190. Labetalol was not
administered on 11/12/02 and 11/17/02, as ordered by the
physician.
Review of the nurse’s notes revealed no documentation
regarding the blood pressures, administration of
medications or resident assessment.
An interview with the Director of Nursing (DON) was
conducted and the DON stated that the attending physician
was notified of the identified discrepancies.
13. The above actions or inactions are a violation of 42
CFR 483.25, which requires the facility to provide the necessary
care and services to attain or maintain the highest practicable
physical, mental and psychosocial well-being, in accordance with
the comprehensive assessment and plan of care.
14. The above referenced violation therefore, constitutes
the grounds for the imposed uncorrected Class III deficiency
authorized pursuant to Sections 400.102(1) (a) and (d), and
400.23(8) (c), Florida Statutes.
15. The Agency seeks to impose a Conditional Licensure
Status effective November 19, 2002 through September 30, 2003,
based on the Class III deficiency, as authorized under Sections
400.102(1) (a) and (a), 400.23(7) (b), and 400.23(8)(c), Florida
Statutes.
WHEREFORE, AHCA requests this Court to order the following
relief:
A. Make factual and legal findings in favor of the Agency
on Count I;
B. Recommend that the change of licensure status effective
November 19, 2002 through September 30, 2003, from Standard to
Conditional be upheld;
Cc. Reasonable attorney’s fees and costs; and
D. All other general and equitable relief allowed by law.
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 Katrina D. Lacy, Senior Attorney,
Agency for Health Care Administration, 525 Mirror Lake Dr. N.,
Suite 330G, St. Petersburg, Florida, 33701.
RESPONDENT IS FURTHER NOTIFIED THAT A REQUEST FOR HEARING
MUST BE RECEIVED WITHIN 21 DAYS OF RECEIPT OF THIS COMPLAINT OR
WILL RESULT IN AN ADMISSION OF THE FACTS ALLEGED IN THE
COMPLAINT AND THE ENTRY OF A FINAL ORDER BY THE AGENCY.
Respectfully submitted,
Katrina D. Lacy,
Florida Bar No. 0277400
Senior Attorney
Office of the General Counsel
Agency for Health Care
Administration
525 Mirror Lake Drive North, 330G
St. Petersburg, Florida 33701
OFFICE: (727) 552-1525
FAX: (727) 552-1440
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the
foregoing has been furnished by U.S. Certified Mail Return
‘
Receipt No. 7002 2030 0002 7109 5752,
Company, 1201 Hays Street,
January Al, 2003.
Tallahassee,
to Corporation Service
32301 dated on
FL
Copies furnished to:
Corporation Service Company
Registered Agent for
The Health Center of Windermere
1201 Hays Street
Tallahassee, FL 32301
(U.S. Certified Mail)
Stephen A. Rykiel, Administrator
The Health Center of Windermere
4875 Cason Cove Drive
Orlando, FL 32811
(U.S. Mail)
Katrina D. Lacy
AHCA - Senior Attorney
525 Mirror Lake Drive, Suite 330G
St. Petersburg, FL 33701
Katrina D. Lacy,
Mi
squire
i 5 ; a Ai BS Ais GS Se ‘i
Ee GPM GF GS hae i OF i ae Sun oe 4 , Yat ; Ya ae Ps
TAA UAT ail a HALA, ME
State of Florida
AGENCY FOR HEALTH CARE ADMINISTRATION
DIVISION OF HEALTH QUALITY ASSURANCE
SKILLED NURSING FACILITY
CONDITIONAL ‘
This is to confirm that HEALTH CENTER OF ORLANDO, INC., THE has complied with the rules and regulations adopted by the
State of Florida, Agency For Health Care Administration, authorized in Chapter 400, Part II, Florida Statutes, and as the licensee is
authorized to operate the following: :
HEALTH CENTER OF WINDERMERE, THE
4875 CASON COVE DRIVE
ORLANDO, FL 32811
with 120 beds.
STATUS CHANGE
ACTION EFFECTIVE DATE: 11/19/2002
ch ttre
Quality.
Ps
un eae
+ a 7 ry BA is 4
Ws se ay OR OOO
EXHIBIT
3
tabbies"
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
AGENCY FOR HEALTH CARE
ADMINISTRATION,
AHCA No.: 2002049149
Petitioner, 2003000068
DOAH No.: 03-1536
03-1603
vs.
THE HEALTH CENTER OF ORLANDO, INC.,
d/b/a THE HEALTH CENTER OF WINDERMERE,
Respondent.
STIPULATION AND SETTLEMENT AGREEMENT
Petitioner, Agency for Health Care Administration (hereinafter the "Agency") through
their undersigned representatives, and The Health Center of Orlando, Inc., d/b/a The Health
Center of Windermere (hereinafter “Respondent") pursuant to Sec. 120.57(4), Florida Statutes
(2002), each individually, a "party", collectively as "parties," hereby enter into this Stipulation
and Settlement Agreement ("Agreement") and agree as follows:
WHEREAS, The Health Center of Orlando, Inc., d/b/a The Health Center of
Windermere, is a nursing home licensed pursuant to Chapter 400 Part II, Florida Statutes (2002),
and Rule 59A-4, Florida Administrative Code, (2002); and
WHEREAS, the Agency has jurisdiction by virtue of being the regulatory and licensing
authority over The Health Center of Windermere pursuant to Chapter 400, Part I, F lorida
Statutes; and
WHEREAS, the Agency served Corporation Service Company, registered agent for The
Health Center of Windermere, two (2) Administrative Complaints on January 21, 2003, notifying
1
TLHI\HEALTH\65830. 1
31789/0001 DMA 8/13/2003
the party of its intent to impose a civil penalty for $1,000.00, and the imposition of a conditional
license effective November 19, 2002 through September 30, 2003, and;
WHEREAS, The Health Center of Windermere requested a formal administrative
hearing in an Amended Petition for Formal Administrative Hearing filed by Donna H. Stinson,
Esquire and received by the Agency on April 24, 2003; and
WHEREAS, the parties have agreed that a fair, efficient, and cost effective resolution of
this dispute would avoid the expenditure of substantial sums to litigate the dispute; and
WHEREAS, the parties have negotiated and agreed that the best interest of all the parties
will be served by a settlement of this proceeding; and
NOW THEREFORE, in consideration of the mutual promises and recitals herein, the
parties intending to be legally bound, agree as follows:
1. All recitals are true and correct and are expressly incorporated herein.
2. Both parties agree that the "whereas" clauses incorporated herein are binding
findings of the parties.
3. Upon full execution of this Agreement, The Health Center of Orlando, Inc. d/b/a
The Health Center of Windermere agrees to a withdrawal of its Request for Formal Hearing;
agrees to waive compliance with the form of the Final Order (findings of fact and conclusions of
law) to which it may be entitled including, but not limited to, an informal proceeding under
Subsection 120.57(2), a formal proceeding under Subsection 120.57(1), appeals under Section
120.68, Florida Statutes; and declaratory and all writs of relief in any court or quasi-court
(DOAH) of competent jurisdiction. Provided, however, that no agreement herein, shall be
deemed a waiver by either party of its right to judicial enforcement of this stipulation.
TLUHI\HEALTH'65830 1
31789/0001 DMA 8/13/2003
4. The parties agree to the following:
(a) Count I-Tag F309 will be changed from an uncorrected Class III
, deficiency to a Class IV deficiency;
(b) The assessed fine, in the amount of $1,000, for Count I-Tag F309 will be
eliminated;
(c) The Conditional License will be withdrawn by the Agency;
(d) The Health Center of Windermere will withdraw its Petition for Formal
Hearing upon execution of the agreement.
5. Venue for any action brought to enforce the terms of this Agreement or the Final
Order entered pursuant hereto shall lie in the Circuit Court in Leon County, Florida.
6. By executing this stipulation, The Health Center of Orlando, Inc., d/b/a The
Health Center of Windermere does not admit, and the Agency asserts the validity of the
allegations raised in the administrative complaint referenced herein. The Agency agrees that it
will not impose any further penalty against The Health Center of Orlando, Inc., d/b/a The Health
Center of Windermere, as a result of the Follow-Up Survey completed November 18, 2002.
However, no agreement made herein shall preclude the Agency from imposing a penalty against
The Health Center of Orlando, Inc., d/b/a The Health Center of Windermere for any
deficiency/violation of statute or rule identified in a future survey of The Health Center of
Orlando, Inc., d/b/a The Health Center of Windermere, which constitutes a cumulative fine or
uncorrected deficiency from the Follow-Up Survey completed November 18, 2002. Provided,
however, that if the Agency hereafter imposes such a penalty, the facility reserves the right to
challenge that penalty and any deficiency from the November 18, 2002 survey, supporting it in
an administrative appeal.
TLH1\HEAL TH\65830.1
31789/3001 DMA 8/13/2003
7. Upon full execution of this Agreement, the Agency shall enter a Final Order
adopting and incorporating the terms of this Agreement and dismissing the above-styled case.
8. Each party shall bear its own costs and attorney fees.
9. This Agreement shall become effective on the date upon which it is fully executed
by all the parties.
10. The Health Center of Orlando, Inc., d/b/a The Health Center of Windermere, for
itself and for its related or resulting organizations, its successors or transferees, attorneys, heirs,
and executors or administrators, does hereby discharge the Agency for Health Care
Administration, and its agents, representatives, and attorneys of and from all claims, demands,
actions, causes of action, suits, damages, losses, and expenses, of any and every nature
whatsoever, arising out of or in any way related to this matter and the Agency's actions,
including, but not limited to, any claims that were or may be asserted in any federal or state court
or administrative forum, including any claims arising out of this agreement, by or on behalf of
The Health Center of Orlando, Inc., d/b/a The Health Center of Windermere or related facilities.
11. The Agency for Health Care Administration, does hereby discharge The Health
Center of Orlando, Inc., d/b/a The Health Center of Windermere, and its agents, representatives,
and attorneys of and from all claims, demands, actions, causes of action, suits, damages, losses,
and expenses, of any and every nature whatsoever, arising out of or in any way related to this
matter and the Agency's actions, including, but not limited to, any claims that were or may be
asserted in any federal or state court or administrative forum, including any claims arising out of
this agreement, by or on behalf of the Agency for Health Care Administration, excepting actions
based on an uncorrected deficiency or cumulative fine, as referenced in paragraph six (6).
12. This Agreement is binding upon all parties herein and those identified in the
aforementioned paragraph ten (10) of this Agreement.
4
TLHTHEALTHI65830.1 .
31789/0001 DMA 8/13/2003
13. The undersigned have read and understand this Agreement and have authority to
bind their respective principals to it.
14. This Agreement contains the entire understandings and agreements of the parties.
15. | This Agreement supercedes any prior oral or written agreements between the
parties.
16. This Agreement may not be amended except in writing. Any attempted
assignment of this Agreement shall be void. The following representatives hereby acknowledge
that they are duly authorized to enter into this Agreement.
(
hoe athe OVcb ele Diena Helsl im gel Shh
Elizabeth Dudek Donna Holshouser Stinson
Deputy Secretary, Broad and Cassel
Managéd Care and 215 S. Monroe Street, Ste. 400
Health Quality Assurance Tallahassee, FL 32301
Agency for Health Care Administration
DATED:
DATED: 8/13/0S —
Valda Clark Christian
General Counsel
Agency for Health Care Administration
2727 Mahan Drive
Tallahassee FL 32308
DATED:
TLH1\HEALTH\65830. +
31789/3001 OMA 8/13/2003
Docket for Case No: 03-001603
Issue Date |
Proceedings |
Aug. 28, 2003 |
Final Order filed.
|
Jul. 14, 2003 |
Response to Motion to Relinquish Jurisdiction (filed via facsimile).
|
Jul. 14, 2003 |
Order Closing File. CASE CLOSED.
|
Jul. 11, 2003 |
Motion to Relinquish Jurisdiction (filed by Petitioner via facsimile).
|
Jul. 01, 2003 |
Order Granting Continuance and Placing Case in Abeyance (parties to advise status by July 21, 2003).
|
Jun. 30, 2003 |
Motion for Abeyance (filed by Respondent via facsimile).
|
Jun. 03, 2003 |
Notice for Deposition Duces Tecum of Steven Selznick, M.D. (filed via facsimile).
|
May 15, 2003 |
Response to Order to Show Cause and Motion for More Definite Statement (filed by Respondent via facsimile).
|
May 15, 2003 |
Notice of Filing Supplemental Pleadings (filed by Respondent via facsimile).
|
May 13, 2003 |
Order of Pre-hearing Instructions issued.
|
May 13, 2003 |
Notice of Hearing issued (hearing set for July 1 and 2, 2003; 9:00 a.m.; Orlando, FL).
|
May 12, 2003 |
Order of Consolidation issued. (consolidated cases are: 03-001536, 03-001603)
|
May 09, 2003 |
Joint Response to Initial Order (filed by Respondent via facsimile).
|
May 02, 2003 |
Initial Order issued.
|
Apr. 30, 2003 |
Conditional License filed.
|
Apr. 30, 2003 |
Administrative Complaint filed.
|
Apr. 30, 2003 |
Order for Petitioner to Show Cause filed.
|
Apr. 30, 2003 |
Respondent`s Amended Request for Formal Administrative Hearing filed.
|
Apr. 30, 2003 |
Petition for Formal Administrative Hearing filed.
|
Apr. 30, 2003 |
Notice (of Agency referral) filed.
|