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1010 CARPENTERS WAY
LAKELAND, FL 33809-3926
Phone: (863) 815-0488
County: Polk

Mailing Address

1010 CARPENTERS WAY
LAKELAND, FL 33809-3926
County: Polk
Website: http://www.consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: LISENA MATHURIN
Financial Officer: LISENA MATHURIN
Owner/Licensee: 1010 CARPENTERS WAY OPERATIONS LLC
Owner/Licensee Since: 2/1/2012
NamePositionOwnership
EPSILON HEALTH CARE PROPERTIES, LLC 100%
ALEXANDER JASON KUSMIERZBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: CMC II, LLC
Manager Since: 12/30/2011
NamePositionOwnership
LAVIE CARE CENTERS, LLC 100%
CHRISTOPHER R BRYSONBOARD MEMBER/OFFICER0%
DANIEL E DIASBOARD MEMBER/OFFICER0%
KENNETH USSERYBOARD MEMBER/OFFICER0%
RUSSELL D RAGLANDBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD MEMBER/OFFICER0%
Licensed Beds: 120
Bed Types:
Community Beds : 120
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 10
2-Bed Rooms : 55
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 35960935
AHCA Field Office: 06
License Number: 130470996
Current License Effective: 1/9/2017
Expires: 1/31/2018
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $221.00
Occupancy/Occupancy Rate :  111 / 92.13%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Filipino, German, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, VA, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Alzheimers Secured Unit, Dialysis, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
06/06/2017 2016013698 FineSurvey $1,000.00
06/06/2017 2016013698 Conditional LicenseSurvey N/A
06/06/2017 2017000402 FineSurvey $1,000.00
06/06/2017 2017000407 FineSurvey $1,000.00
02/27/2017 2016002205 FineSurvey $3,000.00
08/08/2016 2016003903 FineLicensure $500.00
02/23/2016 2016002205 Conditional LicenseSurvey N/A
11/26/2014 2014008715 Conditional LicenseSurvey N/A
11/26/2014 2014008715 FineSurvey $10,000.00
12/18/2013 2013007609 FineSurvey $2,700.00
06/13/2013 2013007609 Conditional LicenseSurvey N/A
12/06/2007 2007010397 FineSurvey $1,000.00
08/06/2007 2007010398 Conditional LicenseSurvey N/A
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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