STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

2016 SEP 29 P 12: 18

Petitioner,

V.

SNR 23 GRACE MANOR LEASING, LLC, d/b/a GRACE MANOR ASSISTED LIVING AND MEMORY CARE,

DOAH No. 16-4913

AHCA No. 2016008332

License No. 11955

File No. 11967955

Provider Type: Assisted Living Facility

HtNUI I IUN NU.: AHCA- I • C I o c -S-OLC

Respondent.

                                                                                 I

FINAL ORDER

Having reviewed the Administrative Complaint, and all other matters of record, the Agency for Health Care Administration finds and concludes as follows:

1. The Agency issued the attached Administrative Complaint and Election of Rights form to the Respondent. (Ex. 1) The parties have since entered into the attached Settlement Agreement, which is adopted and incorporated by reference into this Final Order. (Ex. 2)

   
   

2. The Respondent shall pay the Agency $70,500.00. If full payment has been made, the cancelled check acts as receipt of payment and no further payment is required. If full payment has not been made, payment is due within 30 days of the Final Order. Overdue amounts are subject to statutory interest and may be referred to collections. A check made payable to the "Agency for Health Care Administration" and containing the AHCA ten-digit case number should be sent to:

   
   

   Central Intake Unit

   Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 61

   Tallahassee, Florida 32308

   
   

3. The Respondent shall comply with the conditions of licensure set forth in the Settlement Agreement.

   
   

4. The action for license revocation is withdrawn.

   
   

5. The Immediate Moratorium on Admissions (AHCA No. 2016007836) is lifted.

Filed October 3, 2016 10:28 AM Division of Administrative Hearings

ORDERED at Tallahassee, Florida, on this :.2-oday of_ -,.-+-' ' 2016.

ecretary

Care Administration

NOTICE OF RIGHT TO JUDICIAL REVIEW

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.

,¥ ,

CERTIFICATE OF SERVICE

I CERTIFY that a true and correct of is Final Order was served onJhe below-named

persons by the method designated on this_;??                  2016.

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

Tallahassee, Florida 32308

Telephone: (850) 412-3630

Docket for Case No: 16-004913

Orders for Case No: 16-004913