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1717 W AVERY ST
PENSACOLA, FL 32501
Phone: (850) 434-2355
County: Escambia

Mailing Address

1717 W AVERY ST
PENSACOLA, FL 32501
County: Escambia
Website: http://trilliumhcg.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: DONALD H RIPLEY
Financial Officer: LAURIE ANN NAGY
Owner/Licensee: REHABILITATION CENTER AT PARK PLACE LLC
Owner/Licensee Since: 4/1/2014
NamePositionOwnership
IANE PROPERTIES II, LLC 100%
JASON DUPLANTISBOARD MEMBER/OFFICER0%
SHARI BENCHBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: TRILLIUM HEALTHCARE CONSULTING LLC
Manager Since: 4/1/2014
NamePositionOwnership
TRILLIUM HEALTHCARE GROUP LLC 100%
RICHARD T MASONBOARD MEMBER/OFFICER0%
SHAYNE BENCHBOARD MEMBER/OFFICER0%
Licensed Beds: 118
Bed Types:
Community Beds : 118
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 6
2-Bed Rooms : 56
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 11707
AHCA Field Office: 01
License Number: 1434096
Current License Effective: 4/1/2018
Expires: 3/31/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $248.00
Occupancy/Occupancy Rate :  110 / 93.02%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Filipino, French, German, Polish, Sign Language, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Dialysis, HIV Care, Hospice Care, Respite, Therapeutic Spa, Tracheotomy, Weight Training

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Air Conditioning, Life Safety Systems, Lights, Refrigeration
Implementation Extended Until :  Aug 31, 2018
Cooling Method :  Air Conditioner
Areas Cooled :  Common Areas, Dining Room, Hallway, Activities Department, Resident Rooms
Areas Cooled Location :  Within Facility
Square Footage Cooled :  10,062
Number of People to use Cooled Space :  148

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
12/20/2017 2018008838 FineReporting $500.00 07/30/2018
11/29/2017 2017014559 FineSurvey $2,000.00 05/25/2018
11/19/2017 2018008408 FineReporting $500.00 08/30/2018
11/15/2017 2018008407 FineReporting $500.00 08/30/2018
11/14/2017 2018008405 FineReporting $500.00 06/26/2018
10/17/2017 2017012425 Rule Variance/WaiverAdministrative Rule N/A 11/14/2017
06/19/2017 2017006573 Conditional LicenseSurvey N/A 03/15/2017
06/19/2017 2017006573 FineSurvey $2,500.00 11/20/2017
Change of ownership occurred 4/4/2014
06/01/2011 2011005904 Conditional LicenseSurvey N/A 08/01/2011
06/01/2011 2011005902 FineSurvey $2,500.00 08/01/2011
12/01/2010 2010012529 FineReporting $375.00 03/30/2011
07/19/2010 2010007391 FineSurvey $2,000.00 09/03/2010
07/19/2010 2010007392 Conditional LicenseSurvey N/A 06/11/2010
08/05/2008 2008009811 FineSurvey $1,000.00 11/18/2008
10/26/2005 2005009170 FineApplication $5,000.00 01/04/2006
04/22/2005 2005003579 FineSurvey $2,000.00 06/15/2005
02/22/2005 2005001745 FineSurvey $2,500.00 10/03/2005
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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