Summary: STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION r• sZ. Q 2021 JULU 2`0 STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Petitioner, DOAH No.: 20-0094 AHCA NO.: 2019003368 RENDITION NO.: AHCA-21 - 180 -S-OLC CONCORDIA OF FLORIDA, INC. d/ b/ a CONCORDIA VILLAGE OF TAMPA, Respondent. STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Petitioner, DOAH No.: 20-1063 AHCA NO.: 2019001114 V. JOHN KNOX VILLAGE OF TAMPA BAY, INC. f/d/ b/ a JOHN KNOX VILLAGE MED CENTER, Respondent. FINAL ORDER Having reviewed the Administrative Complaints, and all other matters of record, the Agency for Health Care Administration finds and concludes as follows: 1. The Agency issued the attached Administrative Complaints and Election of Rights forms to the respective 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 [ in AHCA No. 2019003368] shall pay the Agency $ 3, 000.00 and is assigned conditional licensure status effective January 28, 2019, and ending January 28, 2019. If full payment has been made, the cancelled check acts as receipt ofpayment 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 " Agencyfor 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 The Administrative Complaint in AHCA No. 2019001114 is withdrawn. ORDERED at Tallahassee, Florida, on this / ~ ~ day of ~""b 1 , 2021. --'1'+"1j"'"---'yl:-1---- . Smoak, Deputy Se retary Agency for Health 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 ofa notice ofappeal with the Agency Clerk ofAHCA, and a second copy, along with filing fee as prescribed by law, with the District Court ofAppeal 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 ofthe order to be reviewed. CERTIFICATE OF SERVICE I CERTIFY that a true and correct-G!WY of this Final Order was served on the below-named persons by the method designated on this 2t1t~y of .--J ~ ,2021. . hoop, Agency Clerk Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 3 Tallahassee, Florida 32308 Telephone: (850) 412-3630 Facilities Intake Unit Central Intake Unit Agency for Health Care Administration Agency for Health Care Administration (Electronic Mail) (Electronic Mail) 2 Maurice Boetger, Senior Attorney Office ofthe General Counsel Agency for Health Care Administration (Electronic Mail) Shaddrick A. Haston, Esquire Ullman Bursa Law 3812 Coconut Palm Drive, Suite 200 Tampa, Florida 33619 shaston@ublawoffices.com (Electronic Mail) Jodi-Ann V. Livingstone Administrative Law Judge Division of Administrative Hearings 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 (Electronic Filing) J. Bruce Culpepper Administrative Law Judge Division ofAdministrative Hearings 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 (Electronic Filing) 3