Skip to main content

Street Address

 Get Directions
22332 VICK STREET
PORT CHARLOTTE, FL 33980
Phone: (941) 627-5388
County: Charlotte

Mailing Address

22332 VICK STREET
PORT CHARLOTTE, FL 33980
County: Charlotte

Emergency Actions:

None
Facility/Provider Type: Assisted Living Facility
Administrator: KATIE WADSWORTH
Financial Officer: LINDA GLUCK
Owner/Licensee: FAMILY EXTENDED CARE OF PUNTA GORDA INC
Owner/Licensee Since: 12/16/2010
Profit Status: Not-For-Profit
Licensed Beds: 98
Bed Types:
Optional State Supplement : 0
Extended Congregate Care : 0
Private : 98
AHCA Number (File Number): 11911223
AHCA Field Office: 08
License Number: 5016
Current License Effective: 12/16/2016
Expires: 12/15/2018
License Status: LICENSED

Services/Characteristics:

Medicaid Services :  Assistive Care Services, Assisted Living Waiver
Specialty License :  Limited Mental Health
Continuing Care Retirement Community :  No
Adult Day Care Services :  Yes

Emergency Power Plan Summary:

Implementation Extended Until :  Sep 01, 2018

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
04/05/2013 2013003734 FineSurvey $750.00 09/06/2013
01/25/2012 2012000986 FineSurvey $1,000.00 04/05/2012
Change of ownership occurred 12/20/2010
08/09/2010 2010008948 FineSurvey $3,500.00 12/13/2010
12/30/2008 2009000699 FineSurvey $500.00 06/15/2009
02/05/2007 2007002092 FineSurvey $4,000.00 03/19/2008
08/17/2005 2005007584 FineSurvey $18,000.00 02/24/2006
05/16/2005 2005004165 FineSurvey $1,500.00 08/04/2005
05/04/2005 2005004132 FineSurvey $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.

Consumer Guides:

Assisted Living in Florida
Long-Term Care
Patient Safety
Health Care Advance Directives


Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
We Appreciate Your Feedback!
1. Did you find this information useful?
         Yes
         No
2. Would you recommend this website to family and friends?
         Yes
         No