STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

DOS of EDEN SPRINGS, LLC d/b/a EDEN SPRINGS NURSING and REHABILITATION CENTER,

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Petitioner,

DOAH CASE NO.: 09-5321 ENGAGEMENT NO.: NH07-067J PROVIDER NO.: 253707

RENDITION NO.: AHCA- i4 - Q QI -S-MDA

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Respondent.

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FINAL ORDER

THE PARTIES resolved all disputed issues and executed a Settlement Agree t. The parties are directed to comply with the terms of the attached settlement agreement, attached

hereto and incorporated herein as Exhibit "1." Based on the foregoing, this file is CLOSED.

DONE and ORDERED on this the day of W

Tallahassee, Florida.

, 2014, m

ZABETH DUDEK, SEC

gency for Health Care Administration

A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A 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 BYLAW, WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT 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 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.

Theodore Mack, Esquire Powell & Mack

3700 Bellwood Drive

Tallahassee, FL 32303 (Via U.S. Mail)

Bureau of Health Quality Assurance Agency for Health Care Administration (Interoffice Mail)

Agency for Health Care Administration Bureau of Finance and Accounting (Interoffice Mail)

Stuart Williams, General Counsel Zainab Day, Medicaid Audit Services Agency for Health Care Administration Agency for Health Care Administration (Interoffice Mail) (Interoffice Mail)

Shena Grantham, Chief Medicaid FFS Counsel (Interoffice Mail)

Willis F. Melvin, Jr., Esquire Assistant General Counsel

Agency for Health Care Administration 2727 Mahan Drive, Building 3

Tallahassee, Florida 32308-5403 (Via Interoffice Mail)

State of Florida, Division of Administrative Hearings

The Desoto Building 1230 Apalachee Parkway

Tallahassee, Florida 32399-3060 (Via U.S. Mail)

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to the above named addressees by U.S. Mail on this the,2- c;:; 14.

Richard J. Shoop, Esquire Agency Clerk

State of Florida

Agency for Health Care Administration 2727 Mahan Drive, Building #3

Tallahassee, Florida 32308-5403

Docket for Case No: 09-005321

Orders for Case No: 09-005321