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6410 21ST AVE W
BRADENTON, FL 34209
Phone: (941) 798-8200
County: Manatee

Mailing Address

6410 21ST AVE W
BRADENTON, FL 34209
County: Manatee

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: HERSHEL CAYWOOD
Financial Officer: LUCINDA M BAIER
Owner/Licensee: CCRC OPCO-BRADENTON LLC
Owner/Licensee Since: 8/29/2014
NamePositionOwnership
CCRC OPCO VENTURES, LLC 100%
Profit Status: For-Profit
Management Company: BKD TWENTY-ONE MANAGEMENT COMPANY, INC.
Manager Since: 8/29/2014
NamePositionOwnership
BKD HB ACQUISITION SUB INC 100%
Licensed Beds: 120
Bed Types:
Community Beds : 0
Sheltered Beds : 120
Pediatric Beds : 0
Private Rooms : 20
2-Bed Rooms : 50
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 64112
AHCA Field Office: 06
License Number: 1168096
Current License Effective: 8/29/2018
Expires: 8/28/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $291.00
Occupancy/Occupancy Rate :  144 / 120%
Continuing Care Retirement Community :  Yes
Adult Day Care Services :  No
Languages Spoken :  Creole, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Dialysis, Hospice Care, Other Special Program, Pet Therapy, Respite, Therapeutic Spa, Tracheotomy, Weight Training

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Entire Facility
Plan Approval :  Nov 08, 2017
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 :  96

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/17/2017 2017012345 Rule Variance/WaiverAdministrative Rule N/A 11/13/2017
04/22/2016 2016004693 FineSurvey $2,500.00 07/07/2016
07/14/2015 2015007394 FineSurvey $2,500.00 10/12/2015
07/14/2015 2015007394 Conditional LicenseSurvey N/A 10/12/2015
Change of ownership occurred 12/31/2014
12/17/2014 2014012197 FineSurvey $800.00 09/18/2015
12/17/2014 2014012197 Conditional LicenseSurvey N/A 09/18/2015
Change of ownership occurred 9/19/2006
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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