CI "IlL•F- O.

STATE OF FLORIDA MiCA

AGENCY FOR HEALTH CARE ADMINISTRATION AGENCY CLERK

STATE OF FLORIDA, DOAH NO. 10 -f8 ; - 4 p l :2

AGENCY FOR HEALTH CARE ADMINISTRATION,

Petitioner,

v. AHCA NO. 2010005731

RENDITION NO.: AHCA-11- 0454 -S-OLC

ll8

SHP III HERON FORT MYERS, LLC d/b/a BARRINGTON TERRACE

OF FORT MYERS,

Respondent.

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FINAL ORDER

Having reviewed the administrative complaint dated October 4, 2010, attached hereto and incorporated herein (Ex. 1), and all other matters of record, the Agency for Health Care Administration ("Agency") has entered into a Settlement Agreement (Ex. 2) with the other party 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 an administrative fine in the amount of Three Thousand Seven Hundred Fifty Dollars ($3,750.00) and a survey fee in

   
   

   Filed May 10, 2011 8:39 AM Divis1ion of Administrative Hearings

   
   

   the amount of Five Hundred Dollars. The administrative fine and survey fee are due and payable within thirty (30) days of the date of rendition of this Order.

3. Checks should be made payable to the "Agency for Health Care Administration." The check, along with a reference to these case numbers, 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 fines pursuant to this Order will be subject to statutory interest and may be collected by all methods legally available.

5. Respondent's petition for formal administrative proceedings is

   
   

   hereby dismissed.

   
   

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

   
   

7. The above-styled cases are hereby closed.

DONE and ORDERED this     y day of _7-rAl cr--1::::-----f 2011,

Ag

, Secretary

Ith Care Administration

in Tallahassee, Leon County, Florida.

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       i5ay of _  -'.    =-'-,,,,_             , 2011.

c:5[

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: 10-010085

Orders for Case No: 10-010085