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1215 KINGSLEY AVE
ORANGE PARK, FL 32073
Phone: (904) 269-8922
County: Clay

Mailing Address

1215 KINGSLEY AVE
ORANGE PARK, FL 32073
County: Clay
Website: http://Consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: KENYONN DEMPS
Financial Officer: RUSSELL D RAGLAND JR
Owner/Licensee: ORANGE PARK FACILITY OPERATIONS, LLC
Owner/Licensee Since: 1/1/2007
NamePositionOwnership
LV CHC HOLDINGS I, LLC 100%
KENNETH USSERYBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: CMC II, LLC
Manager Since: 7/31/2012
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 : 4
2-Bed Rooms : 58
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 41004
AHCA Field Office: 04
License Number: 1016095
Current License Effective: 10/1/2016
Expires: 9/30/2018
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $246.00
Occupancy/Occupancy Rate :  113 / 93.9%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  French, Italian, Sign Language, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Dialysis, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
01/18/2013 2012012860 FineApplication $5,000.00
07/31/2012 2011014103 Conditional LicenseSurvey N/A
07/31/2012 2011014103 FineSurvey $4,000.00
12/21/2009 2009009204 FineSurvey $7,500.00
07/31/2009 2009009205 Conditional LicenseSurvey N/A
05/14/2007 2006011130 DeniedApplication N/A
12/08/2006 2006005895 FineSurvey $2,500.00
06/13/2006 2006005896 Conditional LicenseSurvey N/A
05/25/2005 2005003050 FineSurvey $1,000.00
03/25/2005 2005003559 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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