)
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,
Petitioner,
vs. Case Nos. 2012013565
WEST ALTAMONTE FACILITY OPERATIONS', LLC d/b/a CONSULATE HEALTH CARE AT WEST ALTAMONTE, .
Respondent.
ADMINISTRATNE COMPLAINT
COMES NOW the Agency for Health Care Administration (hereinafter "Agency"), by and through the undersigned counsel, and files this Administrative Complaint against West Altamonte Facility Operations, LLC d/b/a Consulate Health Care at West Altamonte (hereinafter
"Respondent''), pursuant to §§120.569 and 120.57 Florida Statutes (2012), and alleges:
NATURE OF THE ACTION
This is an action to change Respondent's licetisure status from Standard to Conditional coinmencing October 31, 2012, and ending November 26, 2012, and impose ari administrative · fine in the amount of one thousand dollars ($1,000.00) based upon Respondent being cited for . one uncorrected Isolated State Class III deficiency.
JURISDICTION AND VENUE
The Agency has jurisdiction pursuant to §§ 120.60 and 400.062, Florida Statutes (2012).
Venue lies pursuant to Florida Administrative Code R 28-106.207.
PARTIES
The Agency is the regulatory authority responsible for Iicensure of nursing homes and enforcement of 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), Chapters 400, Part II, and 408, Part II, Florida Statutes, and Chapter 59A-4, Florida Administrative Code.
Respondent operates a one hundred sixteen (116) bed nursing home, located at 1099 West Town Parkway, Altamonte Springs, Florida 32714 and is licensed as a skilled nursing facility license number 1017096.
Respondent was at all times material hereto, a licensed nursing facility under the
statutes.
COUNTI
The Agency re-alleges and incorporates paragraphs one (1) through five (5), as if fully set forth herein.
That pursuant to Florida law, all licensees of nursing homes facilities shall adopt and make public a statement of the rights and responsibilities of the residents of such facilities and shall treat such residents in accordance with the provisions of that statement. The statement shall assure each resident the right to receive adequate and appropriate health care and protective and support services, including social services; mental health services, if available; planned recreational activities; and therapeutic and rehabilitative services consistent with the resident care plan, with established and recognized practice standards within the community, and with· rules as adopted by the agency. § 400.022(1)(1), Fla. Stat. (2012).
That Florida law provides the.following: "'Practice of practical nursing' means the
performance of selected acts, ineluding the administration of treatments.and medications, in the care of the ill, injured, or infirm and the promotion of wellness, maintenance of health, and prevention of illness of others under the direction of a registered nurse, a licensed physician, a licensed ·osteopathic physician, a licensed podiatric physician, or a licensed dentist. A practical
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nurse is responsible and accountable for making decisions that are based upon the individual's educational preparation and experience in nursing." § 464.003(19), Fla. Stat. (2012).
That pursuant to Florida law, all physician orders shall be followed as prescribed, and if not followed, the reason shall be recorded on the resident's medical record during that shift. Rule 59A-4.107(5), Florida Administrative Code.
That on September 28, 2012, the Agency completed a re-licensure survey of. the Respondent facility.
provide adequate and appropriate health care and protective and support services, including social services; mental health services, if available; planned recreational activities; and therapeutic and rehabilitative services consistent with the resident care plan, with established and recognized practice standards within the community, and or failed to follow physician's orders as prescribed for two (2) of ten (10) sampled residents including the failure to provide care and services tci promote wound healing and prevent the development of new wounds and the failure· to monitor vital signs necessary as a condition precedent to medication administration, the same being contrary to the mandates of law.
That Petitioner's representative ob&erved wound care for resident number two hundred thirty-eight (238) on September 27, 2012, commencing at 11:00 a.m., interacting with Respondent's staff and the resident, and noted as follows:
A wound care procedure was being performed by the nurse.
The resident was alert and oriented x 3 and was able to his verbalize needs.
The resident had three (3) wounds: a wound in the coccyx area, and two (2) small wounds on the sides of the coccyx wound on the left and right buttock.
The surrounding area around the coccyx wound was reddened.
The wound bed had cream color slough, no odor was noted.
The wound edges were clean, with small serous drainage.
The nurse cleansed the wounds with normal saline.
Santy! ointment was applied and it was covered with calcium alginate gauze dressing covered with mepex bordered dressing.
The resident did not complain of pain and tolerated the procedure well.
The nurse also conducted the same procedure and treatment to the small wounds on the buttocks.
number two hundred thirty-eight (238) during the survey and noted as follows:
a. The last wound measurements conducted by the wound care physician dated September 19, 2012, were: left buttock- 1.0 centimeters (cm.) x 1.0 cm., surface
area- 1.0 cm; coccyx area - 3.0 cm. x 1.5 cm., surface area- 4.50 cm.
· The wounds were staged by the wound care specialist as unstageable necrosis.
The physician conducted a debridement to remove . the necrotic tissue and establish the margins of viable tis.sue. He removed thick adherent eschar and devitalized tissue.
At that time he ordered the calcium alginate and Santy! treatment for dressings twice a day.
The resident was readmitted to the facility from the hospital on September 12, 2012, with diagnoses of status post L3-5 larninectomy on August 9, 2012, and had developed an infection on the spine with abscess. Other diagnoses included hypertension and back pain.
The resident was admitted for rehabilitation therapy.
The resident was assessed as continent of bowel and bladder.
)
The admission assessment dated September 12, 2012, documented the resident had an open area, stage 2 on the coccyx. The wound measurements upon admission were: 1.1 cm. x 1.1 cm. with no drainage.
The pressure ulcer record revealed the wound had no drainage or odor and had
100% granulation.
The adinission orders for wound treatment was to apply barrier cream every shift
The treatment administration record (TAR) was. initialed every shift that the
Documented on September 19, 2012, the coccyx wound had increased in size and a new wound developed on the right buttock that was identified as unstageable
and measured 1.0 cm. x 1.0 cm.
On September 26, 2012, another wound was identified and documented to the left
·buttock which measured 0.2 cm. x 0.2 cm. with light serous drainage.
The September 26, 2012, pressure ulcer record indicated the wound on the coccyx had slightly decreased in size and the wound on the right buttock decreased to 0.3 X 0.2 cm and had granulation tissue.
Initial care plans developed on September 12, 2012, identified the wound on the coccyx and interventions were to notify the physician, document description of the wound weekly, and notify physician for changes.
The care plans did not provide interventions specific or individualized to the needs of the i:esident and were not revised after the coccyx wound declined and the resident acquired two (2) new pressure ulcers.
There was no documentation that staff attempted to educate the resident to promote wound healing by frequent repositioning in bed and in the chair upon admission.
There were no other approaches or interventions provided to prevent further decline or development of pressure wounds upon admission on September 12, 2012, when the stage 2 wound was identified.
That Petitioner's representative interviewed resident number two hundred thirty-eight .
(238) on September 27, 2012 who indicated as follows:
a. The resident could not recall or remember if staff had applied a barrier cream on the coccyx area since the resident was admitted.
nurse identified and assessed that the wound had increased in size.
c. The next day, a wound care physician came and, since then, staff has been applying a dressing on the coccyx area. ·
d. The resident indicated the resident sits up most of the time during the day in the wheelchair when the resident goes for therapy.
That the above reflects Respondent's failure to adequate and appropriate health care and
protective and support services, including social services; mental health services, if available; planned recreational activities; and therapeutic and rehabilitative services consistent with the resident care plan, with established and recognized practice standards within the community· and or failed to follow physician's orders as prescribed where a resident's known and identified wounds were not reported to the physician, treatment orders were not obtained, or interventions to prevent new development or worsening of pressure wounds were not developed or implemented.
That Petitioner's representative reviewed the above with Respondent's director of nursing on September 28, 2012 who validated the conclusions.
That Petitioner's representative reviewed Respondent's records regarding resident number sixty-four (64) during the survey and noted as follows:
)
· The resident's Physician Order Sheet (POS) documented an order for Metropolol 25 milligrams. (mg)-give one tablet twice daily for high blood pressure-Hold for systolic blood pressure (SijP) less than 110 or HR ofless than 60.
The resident's Medication administration record (MAR) for the month of September 2012 did not include documentation of blood pressure readings on the following days: September 4, 5, 6, 9, and 19, 2012.
The resident's Medication administration record (MAR) for the month of
evenings of following days: September 8, 13, and 21, 2012.
Additionally, the physician's order sheet did not include documentation reflecting the resident should be administered Azelastine 137 mg nasal spray three times a day as records reflect were administered.
That Petitioner's representative interviewed Respondent's licensed practical nurse unit manager regarding resident number sixty-four (64) on September 27, 2012, and the manager
indicated as follows:
a. The manager confirmed there were no documented blood pressures on the above referenced dates.
b. The manager confirmed the Azelastine nasal spray order did not include a diagnosis or an indication for the use of the medication.
That Petitioner's representative reviewed Respondent's policy and procedure entitled "General Dose Preparation and Medication Administration," dated as last revised on 12/1/2007, and noted the provision stating "Facility staff should ... (4.1.5)-Ifnecessary, obtain vital signs." ·
That the above reflects Respondent's failure to adequate and appropriate health care and protective and support services; including social services; mental health services, if available; planned recreational activities; and therapeutic and rehabilitative services consistent with the
)
. resident care plan, with established and recognized practice standards within the community and or the failure to follow physician'.s orders where physician's orders requiring that a medication be administered only with a contemporaneous evaluation of vital signs are not followed and medications are administered without appropriate diagnosis, orders, or indications.
That the Agency determined that this deficient practice presented will result 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,
y an accura
assessment, plan of care; and provision of services.
• That Respondent was cited for an isolated Class III deficient practice and provided a mandatory correction date of October 28, 2012.
That on October 31, 2012, the Agency completed a follow-up to the re-licensure survey of the Responden,t facility.
· That based upon observation, interview and the review of records, Respondent failed to provide· adequate and appropriate health care and protective and support services, including social services; mental health services, if available; planned recreational activities; and therapeutic and rehabilitative services consistent with the resident care plan,.with established and recognized practice standards within the community and or failed to follow physician's orders as prescribed for three (3) of three (3) sampled residents including the failure to monitor vital signs necessary as a condition precedent to medication administration, the same being contrary to the mandates oflaw.
That Petitioner's representative reviewed Respondent's. records regarding . resident number two hundred seventy-three (273) during the survey and noted as follows:
The resident was readmitted to the facility on'October 4, 2012.
The physician had prescribed two anti-hypertensive medications, Cozaar and Metoprolol. ·
The resident was to receive. 100 milligrams (mg) of Cozaar every day at 9 a.m. and 50 mg ofMetoprolol twice a day at 9 a.m. and 9 p.m.
The physician orders provided parameters for administering the Metoprolol:
. nursing staff was to hold the Metoprolol if the resident's blood pressure was less than 110/60 or the heart rate was less than 60.
e.. 1rustrat1on at·on
October 27, 2012, the 9 a.m. dose of Metoprolol was held because the resident's heart rate was 55.
That evening, the Metoprolol was administered, but the resident's recorded heart rate was 56.
On October 28, 2012, the 9 a.m. dose of Metoprolol was held because the resident's heart rate was 56.
Later that evening, staff administered the Metoprolol, but there was no indication that the staff had taken the resident's heart rate.
On October 29, 2012, the 9 a.m. dose of Metoprolol was administered and the resident's blood pressure was documented at 137/85, but the resident's heart rate was not documented.
. j. The evening dose of Metoprolol was administered despite the fact that staff did not document the resident's heart rate.
k. A nurse's note dated October 29, 2012 at 9:33 p.m. clearly indicated that the resident's heart rate was 59, meaning the Metoprolol should have been held.
I. The nurse's note also indicated that all evening medications were administered on October 29, 2012.
m. A nurse's note dated October 30, 2012 at 2:55 a.m. indicated that the resident's heart rate had decreased to 48.
n. The following morning, on October 30, 2012 at 9 a.m., the heart rate continued to be low at 52 and the Metoprolol was held at that time.
That Petitioner's representative interviewed Respondent's ·nurse Bon October 31, 2012 regarding resident number two hundred seventy-three (273) and the nurse indicated as follows:
The resident's medication administration record was reviewed and the nurse
She confirmed that the resident's heart rate was not documented prior to the administration of the Metoprolol for both the 9 a.m. and 9 p.m. doses on October 29, 2012.
The evening dose of Metoprolol for October 30, 2012, was also reviewed by
nurse B and she confirmed that the resident's heart rate was 54 and no blood pressure was documented and the Metoprolol was not held for the evening of October 30, 2012 according to physician orders.
The 9 p.m. dose was documented as given on 1October 30, 2012.
That Petitioner's representative interviewed resident number one hundred twenty (120) on October 30, 2012 who indicated that the resident had suffered a stroke which affected the left side of the body and that staff take her blood pressure to determine if prescribed anti
hypertensive medication was needed.
That Petitioner's representative reviewed Respondent's records regarding resident number one hundred twenty (120) during the survey and noted as follows:
The resident takes 25 mg ofMetoprolol twice a day at 9 a.m. and 5 p.m.
)
The physician also included parameters for the administration of the medication: nursing staff was to hold the Metoprolol if the resident's systolic blood pressure was less than 100 or the heart rate was less than 55.
The resident's medication administration record did not reflect that the resident's heart rate was taken for the 9 a.m. doses ofMetoprolol on October 28, 29, and 30,
2012.
That Petitioner's representative interviewed Respondent's director of nursing and SSU
um
when asked if the resident's heart rate was documented anywhere else besides the resident's
.medication administration record, could not provide any documentation that the resident's heart rate was taken prior to the administration of Metoprolol on the dates in question.
That Petitioner's representative reviewed Respondent's records regarding resident number sixty-four (64) during the survey and noted as follows:
A physician's order written on November 3, 2011, prescribed Metoprolol Tartrate 25 mg I tablet by mouth twice daily for hypertension.
The order also stated to hold for systolic blood pressure less than 110 or heart rate less than 60.
Documentation on the resident's medication administration record for October 28
through 30, 2012, did not reflect documentation of the resident's heart rate.
That Petitioner's representative interviewed Respondent's nurse A on October 31, 2012 regarding resident number sixty-four (64) who indicated as follows:
She administered the resident's medication this morning and took blood pressure prior to administration of the medication.
When asked, she also stated she took the radial pulse which was 62.
She did not document the radial pressure because there was no place on the medication administration record to document the pulse.
The medication administration record only requested blood pressure recordings.
She stated the resident receives Digoxin 0.125 mg alternating every other day with Digoxin 0.25 mg for which the heart rate is monitored.
The certified nursing assistants check the resident's vital signs, including heart
rate, but agreed the blood pressure and heart rate should be checked prior to a m1ms ra 10n o
That Petitioner's representative interviewed Respondent's director of nursing and adtninistrator on October 31, 2012 regarding resident number sixty-four (64) who indicated as follows:
The pharmacy provided printed medication administration records and the medication administration records are audited for accuracy prior to being used.
The resident's medication administration record for October 2012 was reviewed by the subacute unit manager on September 29, 2012, and the only requested parameter was blood pressure.
This form was not changed to conform to the physician's order for monitoring of. heart rate for the use of the Metoprolol.
The director of nursing agreed the monitoring of the heart rate should have been documented on the medication administration records each time the medication was given in compliance with the physician's order.·
That the above reflects Respondent's failure to provide adequate and appropriate health care and protective and support services, including social services; mental health services, if available; planned recreational activities; and therapeutic and rehabilitative services consistent with the resident care plan, with established and recognized practice standards within the
community and or the failure to follow physician's orders including the failure to take and record· vital signs as a condition precedent to administering prescribed medications.
That the Agency determined that this deficient practice presented will result 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.
36. That the above referenced reflects an uncorrected Class III deficiency pursuant to Section 400.23(8)(c), Florida Statutes (2012).
WHEREFORE, the Agency seeks to impose an administrative fine in the amount of one thousand dollars ($1,000.00) against Respondent, a skilled nursing facility in the State of Florida, pursuant to §§ 400.23(8)(c) and 400.102, Florida Statutes (2012).
COUNT II
The Agency re-alleges and incorporates paragraphs one (1) through five (5) and Count I of this Complaint as if fully set forth herein.
Based upon Respondent's one cited uncorrected State Class III deficiency, it was not in substantial compliance at the time of the survey with criteria established under Part II of Florida Statute 400, or the rules adopted by the Agency, a violation subjecting it to assignment of a conditional licensure status under§ 400.23(7)(a), Florida Statutes (2012).
WHEREFORE, the Agency intends to assign a conditional licensure status to Respondent, a skilled nursing facility in the State of Florida, pursuant to § 400.23(7), Florida Statutes.(2012) commencing October 13, 2012, and ending November 26, 2012.
.- tV· · ·
Respectfully submitted this day of January, 2013.
Tho'
Fl . No. 566365
.Agency for Health Care Admin. 525 Mirror Lake Drive, 3300 St. Petersburg, FL 33701 727.552.1947 (office) ·.
727.552.1440 (facsimile)
DISPLAY OF LICENSE ·
promment p ace m c ear an residents are being admitted to the facility.
Respondent is notified that it has a right to request an administrative hearing pursuant to Section 120.569, Florida Statutes. Respondent has the right to retain, and be represented by an attorney in this matter. Specific options for administrative action are set out in the attached Election ol' Rights.
All requests for hearing shall be made to the attention of: The Agency Clerk, Agency for Health Care Administration, 2727 Mahan Drive, Bldg #3, MS #3, Tallahassee, Florida, 32308, (850)
412-3630, . .
RESPONDENT IS FURTHER NOTIFIED THAT A REQUEST FOR HEARING MUST BE RECEIVED WITHIN 21 DAYS OF RECEIPT OF Ti-IiS COMPLAINT OR WILL RESULT IN AN ADMISSION OF THE FACTS ALLEGED IN THE COMPLAINT AND THE ENTRY OF A FINAL ORDER BY THE AGENCY.
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing has been served by
U.S. Certified Mail, Return Receipt No. 7012 1oio 0000 5357 3306 to Jonathan David Hunt, Administrator, West Altamonte Facility Operations, LLC d/b/a Consulate Health Care at West Altamonte, 1099 West Town Parkway, Altamonte Springs, Florida 32714, and by Regular U.S.
Mail to Corporate Service Corporation, Registered Agent for West Altam/J®IFacility Operations, LLC, 1201 Hays Street, Tallahassee, Florida 32301 on this / day of January, 2013.
Tho as J. Walsh II, Esquire Fla. Bar. No. 566365
Agency for Health Care Admin. 525 Mirror Lake Drive, 3300
St.Petersburg, FL 33701
727.552.1947 (office)
Copies furnished to:
Jonathan David Hunt Administrator
West Altamonte Facility Operations, LLC d/b/a Consulate Health Care at West Altamonte
1099 West Town Parkway Altamonte Springs, FL 32714 (US Certified Mail)
Corporate Service Corporation Registered Agent for West Altamonte Facility Operations, LLC
1201 Hays Street
Tallahassee, FL 32301 (US.Mail)
Thomas J. Walsh; II Senior Attorney
Agency for Health Care Admin. 525 Mirror Lake Drive, #3300 St. Petersburg, FL 33701 (Interoffice Mail)
Theresa DeCanio' Field Office Manager--
m.
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
RE: West Altamonte Facility Operations, LLC
d/b/a Consulate Health Care of West Altamonte
CASE NO. 2012013565
ELECTION OF RIGHTS
This Election of Rights form is attached to a proposed action by the Agency for Health Care Administration (AI-ICA). The title may be Notice of Intent to Impose a Late Fee, Notice of Intent to Impose a Late Fine or Administrative Complaint.
Your Election of Rights must be returned by mail or by fax within 21 days of the day you receive the attached Notice of Intent to Impose a Late Fee. Notice of Intent to Impose a Late Fine or Administrative Complaint.
If | ts with your | option 1s n | WI | |
on | ate you receive | o ice o prop | y | , y |
given up your right to contest the Agency's proposed action and .a final order will be issued,
(Please use this form unless you, your attorney or your representative prefer to reply according to Chapterl20, Florida Statutes (2006) and Rule 28, Florida Administrative Code.)
PLEASE RETURN YOUR ELECTION OF RIGHTS TO THIS ADDRESS:
Agency for Health Care Administration Attention: Agency Clerk
2727 Mahan Drive, Mail Stop #3
Tallahassee, Florida 32308.
Phone: 850-412-3630 Fax: 850-921-0158.
PLEASE SELECT ONLY 1 OF THESE 3 OPTIONS
. .
OPTION ONE (1) I admit to the allegations of facts and law contained in the Notice
of Intent to Impose a Late Fine or Fee, or Administrative Complaint and I waive my right to object and to have a hearing. I understand that by giving up my right to a hearing, a final order will be issued that adopts the proposed agency action and imposes the penalty, fine or action.
OPTION TWO (2) I admit to the allegations of facts contained in the Notice of Intent
to Impose a Late Fee, the Notice of Intent to Impose a Late Fine, or Administrative Complaint, but I wish to be heard at an informal proceeding (pursuant to Section 120.57(2), Florida Statutes) where I may submit testimony and written evidence to the Agency to show that the proposed administrative action is too severe or that the fine should be reduced.
OPTION THREE (3) I dispute the allegations of fact contained in the Notice of Intent
to Impose a Late Fee, the Notice of Intent to Impose a Late Fine, or Administrative Complaint, and I request a formal hearing (pursuant to Subsection 120.57(1), Florida Statutes) before an Administrative Law Judge appointed by the Division of Administrative Hearings.
PLEASE NOTE: Choosing OPTION THREE (3), by itself, is NOT sufficient to obtain a formal bearing. You also must file a written petition in order to obtain a formal hearing before the Division of Administrative Hearings under Section 120.57(1), Florida Statutes.
It must be received by the Agency Clerk at the address above within 21 days of your receipt of this proposed administrative action. The request for formal hearing must conform to the requirements of Rule 28-1062015, Florida Administrative Code, which requires that it contain:
Your name, address, and telephone number, and the name, address, and telephone number of your representative or lawyer, if any.
The file number of the proposed action.
A statement of when you received notice of the Agency's proposed action.
A statement of all disputed issues of material fact. If there are none, you must state that there are none.
Mediation under Section 120.573, Florida Statutes, may be available in this matter if the Agency agrees.
License type: ,(ALF? nursing home? medical equipment? Other type?)
Contact person: _
Name Title
Address: Street and number City Zip Code
Telephone No. Fax No. Email(optional) _
Ihereby certify that I am duly authorized to submit this Notice of Election of Rights to the Agency for Health Care Administration on behalf of the licensee referred to above.
Signed:
Date:.
----
Print Name: Title:
Late fee/fine/AC
RICK SCOTT GOVERNOR
January 2, 2013
CONSULATE HEALTH CARE AT WEST ALTAMONTE 1099 WEST TOWN PKWY
ALTAMONTE SPRINGS, FL 32714
Dear Administrator:
The attached-license with Certificate-#17924·is beiµg issued ease review I oroug 'y · · ·
Agency for H'.ealth Care Administration Long Term Care Section, Mail Stop #33 2727 Mahan Drive, Building 3
Tallahassee, Florida 32308
Issued for a Status Change to Conditional
ELIZABETH DUDEK SECRETARY
for the operation- of-your -facility.
· · ·
Sincerely, • ·
0
I Agency for llealth Care Administration
! Division of Health Quality Assurance
Enclosure
cc: Medicaid Contract Management
2727 Mahan Drive, MS#33 Tallahassee, Florida 32308
Visit AHCA onllna at
ahca.myflori da. com
uctiJi.r.SE.#:. sNFi' o17.d96 '
.. CONSULATEJIE,\ETIICARE AT•=·=.i.
. ... ·. 1099 t KWY ··•·
; .-· . '' •·"
. • ALTAMONTE SPRJNGS,FL 32714
TOTAL: 116 BEDS
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i STATUS CHANGE .··
·. EFFECTIVEDATE:•10/ll/2012
i Tll)NDATE: ooiaotitnilf
RICK SCOTT GOVERNOR
, January 2, 2013
)
lHCACREADAMIN51AAl\ON
ELIZABETH DUDEK SECRETARY
CONSULATE HEALTHCARE AT WEST ALTAMONTE 1099 WEST TOWN PKWY
. ALTAMONTE SPRJNGS, FL 32714
Dear Administrator:
The attacheci-Iicense witliCeitificate#l7925-iftl5emg 1Ssueci-for the operatfon of-your-facility.
your
Agency for Health Care Administration
· Long Term Care Section, Mail Stop #33 2727 Mahan Drive, Building 3
Tallahassee, Florida 32308
Issued for a Status Change to Standard· Sincerely,
OJDM-,
Agency for Health Care Administration
Division of Health Quality Assurance Enciosure
cc: Medicaid Contract Management
2727 Mahan Drive. MS#33 Tallahassee, Florida 32308
Visit AHCA online at
ahoa. myflorlda.com
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AQIB;:Nt:x @R TH¢ AI) : .
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. LICENSE#:,SNF1017096.
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0 •TION
. DIVJSIQN OFHI;:ALTH QUALITY ASSy.·1viu1
STANDARD
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.·•..· 'ftiliis 9nfi#h i. T4TAMONIBJ\&.CI1lTXOPEl½:Y!ONS:UC c· · .. J\Vi tlre esarid:re 1 ·adop ed• •
·.. .•··· •· • by the'Sta:te of Bo!ida. A,gen;cy ForHeal.tb: C.i1-.:rAd):ninistratio.n, .iwt'liorized in Cha . er 40Q;Part II, FloridltStafute$. and.. the ·• . ·
. .. .. . .. licensee is authopzed.to opera ;t:he folfow·. g; .
CONSULA'IE HEAI,TI;I CARE.AT ..·
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. ALTAMONTE Sl'RJN'GS, FL 32714 ·.
TOTAL: 116 BEDS
ATVS CHANGE ·.
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| Issue Date | Proceedings |
|---|---|
| Jul. 29, 2013 | Settlement Agreement filed. |
| Jul. 29, 2013 | Agency Final Order filed. |
| Apr. 24, 2013 | Order Closing File and Relinquishing Jurisdiction. CASE CLOSED. |
| Apr. 23, 2013 | Motion to Relinquish Jurisdiction filed. |
| Mar. 19, 2013 | Notice of Service of Agency's First Set of Interrogatories, Request for Admissions and Request for Production of Documents to Respondent filed. |
| Mar. 08, 2013 | Order of Pre-hearing Instructions. |
| Mar. 08, 2013 | Notice of Hearing (hearing set for May 14, 2013; 9:00 a.m.; Sanford, FL). |
| Mar. 04, 2013 | Joint Response to Initial Order filed. |
| Feb. 25, 2013 | Initial Order. |
| Feb. 25, 2013 | Administrative Complaint filed. |
| Feb. 25, 2013 | Request for Formal Administrative Hearing filed. |
| Feb. 25, 2013 | Notice (of Agency referral) filed. |
| Issue Date | Document | Summary |
|---|---|---|
| Jul. 29, 2013 | Agency Final Order |
