STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

JACKSONVILLE EXTENDED CARE, LLC, d/b/a SOUTHPOINT TERRACE,

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2014 . JU ; 26 P 3: 02

vs.

Petiti oner,

DOAH CASE NO. 14-1970 ENGAGEMENT NO.: NHI 1-1 ISL PROVIDER NO. : 266281

RENDITION NO.: AHCA- 14 - OS qg -5-MDJI.

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINIST RATION ,

Respondent.

                                                               I

FINAL ORDER

THE PARTIES resolved all disputed issues and executed a Settlement Agreement after the Agency reviewed additional materials . The parties are directed to comply with the terms of the attached settl ement agreement. Based on the foregoing, this file is

CLOSED.

DONE and ORDERED on this the _2_(/_h day of _

    . /-'--.If.J;J._.L

, 201 4, in

Tallahassee, Florida.

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ELIZ

Agency for Health Care Administration

Filed July 1, 2014 12:19 PM Division of Administrative Hearings

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 BY LAW, 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.

Copies furnished to:

Don Freeman, Esquire Agency for Health Care Administration (Interoffice Mail)

Theodore E. Mack, Esquire 3700 Bellwood Drive

Tallahassee, FL 32303-2312

(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 tP of

g,2014.

5

Richard 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: 14-001970

Orders for Case No: 14-001970