STATE OF FLORIDA

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AGENCYFORHEALTHCAREADMINISTRATION 2015 SEP 30 P !2: 11

SOUTHEAST SENIOR CARE MANAGEMENT GROUP, LLC,

d/b/a MEMORY LANE,

Petitioner,

V.

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Respondent.

                                                                               I

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Petitioner,

V.

DOAH NO. 15-2866

AHCA NO. 2014009339

License No. 11887

File No. 11967908

Provider Type: Assisted Living Facility

RENDITION NO.: AHCA-15 ·c,g(ol.R -S-OLC

DOAH NO. 15-3162

AHCA NO. 2014004025

SOUTHEAST SENIOR CARE MANAGEMENT GROUP, LLC,

d/b/a MEMORY LANE,

            Respondent.                                                  

/

FINAL ORDER

THESE CAUSES came on for consideration before the Agency for Health Care Administration ("the Agency"), which finds and concludes as follows:

1. The Agency issued Southeast Senior Care Management Group, LLC, d/b/a Memory Lane, the attached Amended Notice of Intent to Deny for Renewal Application (Ex. 1) and the attached Amended Administrative Complaint. (Ex. 2). The parties have since entered into the attached Settlement Agreement (Ex. 3), which is adopted and incorporated by reference.

   
   

2. The Agency shall grant the Licensee a provisional license with an expiration date of January 29, 2016. At the conclusion of this period, the provisional license shall expire on its own by operation of law and neither the Licensee nor any prospective change of ownership ("CHOW")

   
   

   Filed October 9, 2015 4:30 PM Division of Administ1rative Hearings

   
   

   applicant shall have any privilege, interest or remedy to extend the provisional licensure period any further than this expiration date.

   
   

3. During the provisional licensure period, the Licensee may secure a bona fide purchaser or purchasers for value with regard to the facility through an arm's length transaction and consent to the CHOW application for the facility, as set forth in the Settlement Agreement. The CHOW application must be filed with the Agency by no later than November 1, 2015.

   
   

4. An administrative fine of $24,000.00 is imposed against the Licensee, but STAYED in accordance with the terms of the Settlement Agreement.

   
   

5. A voluntary moratorium on admissions is imposed upon the Licensee in accordance with the terms of the Settlement Agreement.

   
   

6. The Amended Notice of Intent to Deny is WITHDRAWN subject to the terms of the parties' Settlement Agreement.

   
   

7. The Amended Administrative Complaint is WITHDRAWN subject to the terms of the parties' Settlement Agreement.

   
   

8. The parties shall comply with all other terms in the Settlement Agreement.

ecretary

Care Administration

ORDERED in Tallahassee, Florida, on this 2-8 day of_ '2015.

NOTICE OF RIGHT TO JUDICIAL REVIEW

A party that is adversely affected by this Final Order is entitled to seek 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.

CERTIFICATE OF SERVICE

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I HEREBY CERTIFY that a true and corre py of this Final Order was served on the below- named persons by the method designated on this M  '>crayof 2015.

Richard J. Shoop, Agency erk Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 3

Tallahassee, Florida 32308

Telephone (850) 412-3630

Docket for Case No: 15-003162

Orders for Case No: 15-003162