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1350 S NOVA RD
DAYTONA BEACH, FL 32114
Phone: (386) 258-5544
County: Volusia

Mailing Address

1350 S NOVA RD
DAYTONA BEACH, FL 32114
County: Volusia
Website: http://www.greystonehealth.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: JACOB BRUSH
Financial Officer: JACQUELINE FRANCES PRICE
Owner/Licensee: CARLTON SHORES NH LLC
Owner/Licensee Since: 5/1/2010
NamePositionOwnership
NH OPERATOR HOLDINGS II LLC 100%
LISA SCHWARTZBOARD MEMBER/OFFICER0%
MORDECAI ROSENBERGBOARD MEMBER/OFFICER0%
RONALD JAY SWARTZBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: GREYSTONE HEALTHCARE MANAGEMENT CORP.
Manager Since: 5/1/2010
NamePositionOwnership
GREYSTONE & CO. HOLDINGS II LLC 100%
GERALD F. JENICHBOARD MEMBER/OFFICER0%
LISA SCHWARTZBOARD MEMBER/OFFICER0%
MORDECAI ROSENBERGBOARD MEMBER/OFFICER0%
Licensed Beds: 118
Bed Types:
Community Beds : 118
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 72
2-Bed Rooms : 23
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 46402
AHCA Field Office: 04
License Number: 1164095
Current License Effective: 5/1/2018
Expires: 4/30/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $350.00
Occupancy/Occupancy Rate :  94 / 80.05%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, VA, Workers Compensation
Special Programs and Services :  HIV Care, Hospice Care, Pet Therapy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Air Conditioning, Life Safety Systems
Plan Approval :  Oct 04, 2017
Implementation Extended Until :  Nov 01, 2018
Cooling Method :  Air Conditioner
Areas Cooled :  Common Areas
Areas Cooled Location :  Within Facility
Square Footage Cooled :  12987
Number of People to use Cooled Space :  187

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/18/2017 2017012455 Rule Variance/WaiverAdministrative Rule N/A 11/13/2017
11/01/2016 2016012583 FineSurvey $3,500.00 06/07/2018
04/13/2016 2016003909 FineReporting $500.00 06/09/2016
12/21/2015 2015013074 Conditional LicenseSurvey N/A 06/08/2016
12/21/2015 2015013074 FineSurvey $2,500.00 06/08/2016
09/15/2015 2015009779 FineSurvey $1,000.00 12/22/2015
07/20/2010 2010007429 FineApplication $3,000.00 08/27/2010
Change of ownership occurred 5/18/2010
10/30/2006 2006010011 FineSurvey $34,125.00 06/13/2007
10/30/2006 2006010012 Conditional LicenseSurvey N/A 10/14/2006
10/30/2006 2006010011 Six month survey cycleSurvey N/A 10/14/2006
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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