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Street Address

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12080 SW HIGHWAY 484
Phone: (352) 489-9698
County: Marion

Mailing Address

BEDFORD HTS, OH 44146-1421

Emergency Actions:

Facility/Provider Type: Assisted Living Facility
Administrator: HALL DENISE
Financial Officer: DOUG NEIBLOOM
Owner/Licensee Since: 12/1/2016
Profit Status: For-Profit
Licensed Beds: 60
Bed Types:
Private : 60
Optional State Supplement : 0
Extended Congregate Care : 0
AHCA Number (File Number): 11953175
AHCA Field Office: 03
License Number: 8142
Current License Effective: 8/21/2017
Expires: 11/30/2018
License Status: LICENSED


Medicaid Services :  Assisted Living Waiver
Bed Hold Policy :  Facility does not hold beds during a temporary absence
Occupancy/Occupancy Rate :  60 / 100.00 %
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Activities :  Arts and Crafts, Cooking Classes, Dancing, Exercise Classes, Games/Cards, Gardening, Music Programs, Shopping, Social Events/Outings, Theater and Movies
Languages Spoken :  English, Spanish
Payment Forms Accepted :  Medicaid, Other
Special Programs and Services :  Other

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
Change of ownership occurred 12/5/2016
04/29/2015 2015004330 FineSurvey $500.00 11/05/2015
04/30/2013 2013005262 FineSurvey $1,000.00 09/09/2013
Change of ownership occurred 12/12/2012
02/26/2007 2007002896 FineSurvey $1,000.00 07/12/2007
10/31/2005 2005009991 FineSurvey $1,500.00 03/09/2006
10/31/2005 2005009992 FineSurvey $1,500.00 03/09/2006
Change of ownership occurred 5/6/2005
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.

Consumer Guides:

Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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