STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION202il JUL _ 2 p

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Petitioner,

vs

: Ob 2

PAVILION GARDENS, LLC d/b/a PAVILION GARDENS,

Respondent.

I

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Petitioner,

Provider Type: ALF

RENDITION NO.: AHCA· 2..o • Lt S'S -S-OLC

V. AHCA No. 2020001076

PAVILION GARDENS, LLC d/b/a PAVILION GARDENS,

Respondent.

I

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Petitioner,

V.

PAVILION GARDENS, LLC d/b/a PAVILION GARDENS,

AHCA Nos. 2020003693

2019005806

2020007532

2020009930

Respondent.

/

Filed July 29, 2020 3:17 PM Division of Administrative Hearings

PAVILION GARDENS, LLC d/b/a PAVILION GARDENS,

Petitioner,

V. AHCA No. 2020003694

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Respondent.

./

FINAL ORDER

Having reviewed the Administrative Complaint and Notice oflntent to Deny Renewal Application, and all other matters of record, the Agency for Health Care Administration finds and concludes as follows:

1. The Agency issued an Immediate Moratorium on Admissions to the Provider. Case No. 2020001076. The Agency issued a follow up Administrative Complaint to the Provider. Case No. 2020001947. (Ex. 1) The Agency subsequently issued a Notice oflntent to Deny the Renewal Application to the Provider. Case No. 2020003694. (Ex. 2) The parties have since entered into the attached Settlement Agreement, which is adopted and incorporated by reference into this Final Order. (Ex. 3)

   
   

2. The parties shall comply with the terms set forth in the settlement agreement, specifically those terms that relate to the licensure of this assisted living facility.

   
   

3. The Immediate Moratorium on Admissions is lifted effective the date of this Final Order.

   
   

4. The Provider shall pay the Agency $38,887.74 within thirty (30) days of the Final Order adopting the Settlement Agreement. 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

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.

7 ,

CERTIFICATE OF SERVICE

I CERTIFY that a true and correct . of this Final Order was served on the below-named

persons by the method designated on this ay of , 2020.

u-:,-,.......,,,.IJ..Md1p-;, gency

Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 3

Tallahassee, Florida 32308

Telephone: (850) 412-3630

Docket for Case No: 20-002630

Orders for Case No: 20-002630