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702 S KINGS AVE
BRANDON, FL 33511-5925
Phone: (813) 651-1818
County: Hillsborough

Mailing Address

702 S KINGS AVE
BRANDON, FL 33511-5925
County: Hillsborough
Website: http://www.consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: ELIZABETH C DONFILA
Financial Officer: ELIZABETH C DONFILA
Owner/Licensee: 702 SOUTH KINGS AVENUE OPERATIONS LLC
Owner/Licensee Since: 2/1/2012
NamePositionOwnership
ALPHA 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: 120
Bed Types:
Community Beds : 120
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 12
2-Bed Rooms : 54
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 62924
AHCA Field Office: 06
License Number: 1088096
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 :  $231.00
Occupancy/Occupancy Rate :  111 / 92.69%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Polish, Sign Language, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Dialysis, HIV Care, Hospice Care, Respite, Tracheotomy, Ventilator Dependent

Emergency Power Plan Summary:

Implementation Extended Until :  Jan 01, 2019

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/31/2017 2017013317 Rule Variance/WaiverAdministrative Rule N/A 11/29/2017
01/11/2017 2017000397 FineSurvey $1,000.00 05/01/2017
12/09/2016 2016014172 FineSurvey $1,000.00 05/01/2017
12/09/2016 2016014172 Conditional LicenseSurvey N/A 11/04/2016
12/03/2015 2015012489 Conditional LicenseSurvey N/A 09/16/2016
12/03/2015 2015012489 FineSurvey $10,000.00 09/16/2016
09/09/2015 2015009606 FineSurvey $1,000.00 02/12/2016
09/09/2015 2015009606 Conditional LicenseSurvey N/A 02/12/2016
10/29/2014 2014010699 Conditional LicenseSurvey N/A 10/01/2014
10/29/2014 2014010699 FineSurvey $1,000.00 01/16/2015
12/04/2013 2013012673 FineSurvey $2,500.00 03/31/2014
10/25/2013 2013011304 FineSurvey $1,000.00 03/31/2014
10/25/2013 2013011304 Conditional LicenseSurvey N/A 03/31/2014
Change of ownership occurred 3/15/2012
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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