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15204 W COLONIAL DR
WINTER GARDEN, FL 34787-6042
Phone: (407) 877-2394
County: Orange

Mailing Address

15204 W COLONIAL DR
WINTER GARDEN, FL 34787-6042
County: Orange
Website: http://www.consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: BENJAMIN PAUL ANDERSON
Financial Officer: RUSSELL D RAGLAND JR
Owner/Licensee: 15204 WEST COLONIAL DRIVE OPERATIONS LLC
Owner/Licensee Since: 2/1/2012
NamePositionOwnership
EPSILON HEALTH CARE PROPERTIES, LLC 100%
LEE ROOPCHANDBOARD 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%
RUSSELL D RAGLANDBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD MEMBER/OFFICER0%
Licensed Beds: 180
Bed Types:
Community Beds : 180
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 6
2-Bed Rooms : 87
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 74815
AHCA Field Office: 07
License Number: 1610096
Current License Effective: 2/1/2016
Expires: 1/31/2018
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $246.75
Occupancy/Occupancy Rate :  172 / 95.65%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Filipino, French, German, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  Alzheimer's, Alzheimers Secured Unit, HIV Care, Hospice Care, Respite, Tracheotomy

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
05/31/2011 2011000225 FineSurvey $2,000.00
01/18/2011 2010012530 FineReporting $500.00
12/02/2010 2011000228 Conditional LicenseSurvey N/A
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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