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4134 DUNN AVENUE
JACKSONVILLE, FL 32218
Phone: (904) 766-2297
County: Duval

Mailing Address

4134 DUNN AVENUE
JACKSONVILLE, FL 32218
County: Duval
Website: http://www.jacksonvillerehab.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: GREGORY M. FORBES
Financial Officer: DONALD K MELTON
Owner/Licensee: SOVEREIGN HEALTHCARE OF JACKSONVILLE, LLC
Owner/Licensee Since: 10/1/2003
NamePositionOwnership
SOVEREIGN HEALTHCARE HOLDINGS, LLC 100%
Profit Status: For-Profit
Management Company: SOUTHERN HEALTHCARE MANAGEMENT LLC
Manager Since: 10/1/2003
NamePositionOwnership
JOHN J NOTERMANN BUSINESS TR 50%
JOHN JOSEPH NOTERMANBOARD MEMBER/OFFICER50%
CRONQUIST 2015 FAM TR 46%
ROYCE MARK CRONQUISTBOARD MEMBER/OFFICER46%
Licensed Beds: 163
Bed Types:
Community Beds : 163
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 9
2-Bed Rooms : 77
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 41626
AHCA Field Office: 04
License Number: 13500963
Current License Effective: 10/1/2018
Expires: 9/30/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $260.00
Occupancy/Occupancy Rate :  151 / 92.85%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Filipino, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, VA, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Alzheimers Secured Unit, Hospice Care, JCAHO accredited Long Term Care Program, Respite, Tracheotomy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Entire Facility
Plan Approval :  Feb 06, 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 :  233

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/13/2017 2017012177 Rule Variance/WaiverAdministrative Rule N/A 11/09/2017
05/16/2016 2016005645 FineSurvey $2,500.00 08/28/2017
05/16/2016 2016005645 Conditional LicenseSurvey N/A 04/14/2016
07/20/2010 2010007438 FineSurvey $2,000.00 11/29/2010
07/20/2010 2010007441 Conditional LicenseSurvey N/A 06/24/2010
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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