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5725 SPRING PARK ROAD
JACKSONVILLE, FL 32216
Phone: (904) 733-6954
County: Duval

Mailing Address

5725 SPRING PARK ROAD
JACKSONVILLE, FL 32216
County: Duval
Website: http://www.palmgardencare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: JANICE L DAVIS
Financial Officer: JANICE L DAVIS
Owner/Licensee: PALM GARDEN OF JACKSONVILLE, LLC
Owner/Licensee Since: 11/1/2013
NamePositionOwnership
PALM GARDEN HEALTHCARE HOLDINGS, LLC 100%
ROBERT D. GREENEBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: PALM HEALTHCARE MANAGEMENT
Manager Since: 10/1/2014
NamePositionOwnership
PALM GARDEN HEALTHCARE HOLDINGS, LLC 100%
JEFFREY D. BOMBERGERBOARD MEMBER/OFFICER0%
JIM CHALMERSBOARD MEMBER/OFFICER0%
PATSY E MCCARVER TRUSTBOARD MEMBER/OFFICER0%
ROBERT D. GREENEBOARD 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): 41625
AHCA Field Office: 04
License Number: 1406096
Current License Effective: 11/1/2017
Expires: 10/31/2019
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $240.00
Occupancy/Occupancy Rate :  111 / 92.11%
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, Workers Compensation
Religious Affiliations :  Other
Special Programs and Services :  HIV Care, Hospice Care, Respite, Tracheotomy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Life Safety Systems, Lights, Emergency Outlets/Kitchen/Laundry, Refrigeration
Plan Approval :  Jan 11, 2018
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Spot Coolers
Areas Cooled :  Dining Room, Rehab Gym and Classroom
Areas Cooled Location :  Within Facility
Square Footage Cooled :  6,039
Number of People to use Cooled Space :  170

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/18/2017 2017012541 Rule Variance/WaiverAdministrative Rule N/A 11/13/2017
Change of ownership occurred 11/25/2013
01/12/2012 2012000621 Conditional LicenseSurvey N/A 04/30/2012
01/12/2012 2012000621 FineSurvey $2,000.00 04/30/2012
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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