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17884 NE CROZIER ST
BLOUNTSTOWN, FL 32424
Phone: (850) 674-5464
County: Calhoun

Mailing Address

17884 NE CROZIER ST
BLOUNTSTOWN, FL 32424
County: Calhoun
Website: http://www.rivervalleyrehab.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: LISA MITCHEM
Financial Officer: DONALD K MELTON
Owner/Licensee: BLOUNTSTOWN REHABILITATION CENTER, LLC
Owner/Licensee Since: 2/1/2012
Profit Status: For-Profit
Management Company: SOUTHERN HEALTHCARE MANAGEMENT LLC
Manager Since: 1/31/2012
NamePositionOwnership
JOHN J NOTERMANN BUSINESS TR 50%
JOHN JOSEPH NOTERMANBOARD MEMBER/OFFICER50%
CRONQUIST 2015 FAM TR 46%
ROYCE MARK CRONQUISTBOARD MEMBER/OFFICER46%
Licensed Beds: 150
Bed Types:
Community Beds : 150
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 10
2-Bed Rooms : 62
3-Bed Rooms : 0
4-Bed Rooms : 4
AHCA Number (File Number): 20308
AHCA Field Office: 02
License Number: 12870961
Current License Effective: 2/1/2018
Expires: 1/31/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $232.00
Occupancy/Occupancy Rate :  57 / 38.15%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Filipino, Sign Language, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, VA, Workers Compensation
Special Programs and Services :  Alzheimer's, Alzheimers Secured Unit, HIV Care, Hospice Care, Respite, Tracheotomy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Entire Facility
Plan Approval :  Apr 25, 2018
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Air Conditioner
Areas Cooled :  Entire Facility
Areas Cooled Location :  Within Facility
Number of People to use Cooled Space :  150

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/12/2017 2017012122 Rule Variance/WaiverAdministrative Rule N/A 11/09/2017
10/20/2016 2016012190 FineSurvey $500.00 05/17/2018
Change of ownership occurred 2/6/2012
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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