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2916 HABANA WAY
TAMPA, FL 33614
Phone: (813) 876-5141
County: Hillsborough

Mailing Address

2916 HABANA WAY
TAMPA, FL 33614
County: Hillsborough
Website: http://www.consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: SIDNEY L SCHIFF
Financial Officer: SIDNEY L SCHIFF
Owner/Licensee: 2916 HABANA WAY OPERATIONS LLC
Owner/Licensee Since: 2/1/2012
NamePositionOwnership
EPSILON HEALTH CARE PROPERTIES, LLC 100%
CHRISTOPHER R BRYSONBOARD MEMBER/OFFICER0%
DANIEL E DIASBOARD MEMBER/OFFICER0%
KENNETH USSERYBOARD MEMBER/OFFICER0%
STEVEN A VAN CAMPBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD 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%
STEVEN A VAN CAMPBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD MEMBER/OFFICER0%
Licensed Beds: 150
Bed Types:
Community Beds : 150
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 6
2-Bed Rooms : 48
3-Bed Rooms : 0
4-Bed Rooms : 12
AHCA Number (File Number): 62914
AHCA Field Office: 06
License Number: 15500962
Current License Effective: 2/1/2018
Expires: 1/31/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $268.00
Occupancy/Occupancy Rate :  147 / 98.01%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Filipino, Sign Language, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, VA, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Dialysis, HIV Care, Hospice Care, Respite, Tracheotomy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Life Safety Systems, Lights, Refrigeration
Plan Approval :  Apr 26, 2018
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Air Conditioner, Spot Coolers
Areas Cooled :  Common Areas, Dining Room, Living room
Areas Cooled Location :  Within Facility
Square Footage Cooled :  4,500
Number of People to use Cooled Space :  150

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
11/01/2017 2017013425 Rule Variance/WaiverAdministrative Rule N/A 11/29/2017
01/12/2017 2017000410 FineSurvey $3,000.00 05/01/2017
11/29/2016 2016013702 FineSurvey $2,000.00 05/01/2017
11/29/2016 2016013700 FineSurvey $1,000.00 05/01/2017
11/29/2016 2016013700 Conditional LicenseSurvey N/A 10/21/2016
06/16/2016 2016006807 Conditional LicenseSurvey N/A 05/12/2016
06/16/2016 2016006807 FineSurvey $1,000.00 06/06/2017
07/20/2012 2012007889 FineSurvey $25,000.00 01/23/2013
07/20/2012 2012007889 Six month survey cycleSurvey N/A 01/23/2013
07/20/2012 2012007890 FineSurvey $11,000.00 01/23/2013
05/31/2012 2012006003 FineSurvey $1,000.00 01/23/2013
05/03/2012 2012004906 FineSurvey $2,500.00 01/23/2013
05/03/2012 2012004906 Conditional LicenseSurvey N/A 01/23/2013
Change of ownership occurred 3/16/2012
01/07/2010 2010000160 FineSurvey $750.00 04/21/2010
01/07/2010 2010000162 Conditional LicenseSurvey N/A 11/12/2009
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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