22332 VICK STREET
PORT CHARLOTTE, FL 33980
Phone:
(941) 627-5388
County:
Charlotte
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22332 VICK STREET
PORT CHARLOTTE, FL 33980
Phone:
Phone
County:
Charlotte
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Emergency Actions:
None
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AHCA Reports:
Hospital Reports
includes federal inspection data from the Centers for Medicare and Medicaid Services. State-only
inspections are temporarily unavailable online however copies are available through
Public Records. Online posting of
state-only inspections will resume in the near future.
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Facility/Provider Type:
Assisted Living Facility
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Administrator:
KATIE WADSWORTH
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Administrator:
Not Available
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Financial Officer:
LINDA GLUCK
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Owner/Licensee:
FAMILY EXTENDED CARE OF PUNTA GORDA INC
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Owner/Licensee Since:
12/16/2010
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Profit Status:
Not-For-Profit
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Licensed Beds:
98
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Bed Types:
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Private
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| 98 |
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Optional State Supplement
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:
| 0 |
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Extended Congregate Care
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:
| 0 |
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AHCA Number (File Number):
11911223
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AHCA Field Office:
08
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License Number:
5016
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Current License Effective:
12/16/2016
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Expires:
12/15/2018
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License Status:
LICENSED
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Effective:
Not Available
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Closed Date:
Not Available
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Services/Characteristics:
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Medicaid Services :
| Assistive Care Services, Assisted Living Waiver |
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Specialty License :
| Limited Mental Health |
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Continuing Care Retirement Community :
| No |
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Adult Day Care Services :
| Yes |
Community Residential Home
Please be advised that local zoning authorities may have additional
restrictions or requirements not under the jurisdiction of the Agency for Health Care Administration.
Contact your local zoning authorities for any specific requirements. See also
419.001 F.S.
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Emergency Power Plan Summary:
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Onsite Alternate Power Source :
| Fixed Generator |
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Emergency Power Supports :
| Refrigeration |
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Plan Approval :
| Sep 24, 2018 |
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Implementation Date :
| Jul 25, 2018 |
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Implementation Extended Until :
| Jan 01, 2019 |
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Cooling Method :
| Air Conditioner, Fans, ice maker, portable lights |
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Areas Cooled :
| Common Areas, Dining Room, Hallway |
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Areas Cooled Location :
| Within Facility |
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Square Footage Cooled :
| 2,400 |
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Number of People to use Cooled Space :
| 85 |
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Legal Actions
| 04/05/2013 |
2013003734
| Fine | Survey |
$750.00
| 09/06/2013 |
| 01/25/2012 |
2012000986
| Fine | Survey |
$1,000.00
| 04/05/2012 |
| Change of ownership occurred 12/20/2010 |
| 08/09/2010 |
2010008948
| Fine | Survey |
$3,500.00
| 12/13/2010 |
| 12/30/2008 |
2009000699
| Fine | Survey |
$500.00
| 06/15/2009 |
| 02/05/2007 |
2007002092
| Fine | Survey |
$4,000.00
| 03/19/2008 |
| 08/17/2005 |
2005007584
| Fine | Survey |
$18,000.00
| 02/24/2006 |
| 05/16/2005 |
2005004165
| Fine | Survey |
$1,500.00
| 08/04/2005 |
| 05/04/2005 |
2005004132
| Fine | Survey |
$3,000.00
| 08/04/2005 |
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.
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