STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

FILED

AHCA

AGEN CY CL ERK

20!0 SEP 30 P I: 50

Petitioner,

vs.

MENORAH MANOR, INC, d/b/a

BERNARD L. SAMSON NURSING CENTER,

Respondent.

FINAL ORDER

Case No. 10-1247

FRAES No. 2010000141

2010000157

RENDITION NO.: AHCA-10- ao'Jf, -S-OLC

Having reviewed the Administrative Complaint dated February 12, 2010, attached hereto and incorporated herein (Exhibit 1) , and all other matters of record, the Agency for Health Care Administration ("Agency") has entered into a Settlement Agreement (Exhibit 2) with the parties to these proceedings, and being otherwise well-advised in the premises, finds and concludes as follows:

ORDERED:

1. The attached Settlement Agreement is approved and adopted as part of this Final Order, and the parties are directed to comply with the terms of the Settlement Agreement.

2. Respondent shall pay, within thirty (30) days of the date of rendition of this Order, an administrative fine in the sum of nine thousand three hundred seventy-five dollars ($9,375.00). Respondent

   Filed October 1, 2010 2:46 PM Division of Admin1istrative Hearings.

   
   

   shall also pay. a survey fee of six thousand dollars ($6,000.00) in accord with the provisions of law.

3. Checks should be made payable to the "Agency for Health Care Administration." The check, along with a reference to this case number, should be sent directly to:

   Agency for Health Care Administration Office of Finance and Accounting Revenue Management Unit

   2727 Mahan Drive, MS # 14

   Tallahassee, Florida 32308

   
   

4. Unpaid amounts pursuant to this Order will be subject to statutory interest and may be collected by all methods legally available.

5. The Respondent's request for an Administrative proceeding is hereby withdrawn.

6. Each party shall bear its own costs and attorney's fees.

   
   

7. The above-styled case is hereby closed.

DONE and ORDERED this o2f ay of , 2010, in Tallahassee, Leon County, Florida.

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:

· 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 the ']cJ'!I day of , 2010.

Richard Shoop, Agency Clerk

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

Tallahassee, Florida 32308-5403

(850) 412-3630

Docket for Case No: 10-001247

Orders for Case No: 10-001247