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3625 HIDDEN TREE LANE
FORT MYERS, FL 33901
Phone: (239) 939-1393
County: Lee

Mailing Address

3625 HIDDEN TREE LANE
FORT MYERS, FL 33901
County: Lee
Website: http://www.regalhiddenoaks.com

Emergency Actions:

None
Facility/Provider Type: Assisted Living Facility
Administrator: ROBERT ICARD
Financial Officer: GEREMY TOBIAS JORDAN
Owner/Licensee: RSC HIDDEN OAKS FORT MYERS, LLC
Owner/Licensee Since: 10/30/2014
NamePositionOwnership
FM MANAGEMENT FT. MYERS, LLC 100%
Profit Status: For-Profit
Management Company: FM MANAGEMENT FT. MYERS, LLC
Manager Since: 10/30/2014
NamePositionOwnership
GEREMY TOBIAS JORDANBOARD MEMBER/OFFICER100%
Licensed Beds: 110
Bed Types:
Extended Congregate Care : 0
Optional State Supplement : 0
Private : 110
AHCA Number (File Number): 11942925
AHCA Field Office: 08
License Number: 5531
Current License Effective: 1/26/2015
Expires: 1/25/2017
License Status: IN LITIGATION

Services/Characteristics:

Medicaid Services :  Assistive Care Services
Specialty License :  Limited Nursing Services
Bed Hold Policy :  Facility will hold beds during a temporary absence
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Activities :  Arts and Crafts, Exercise Classes, Games/Cards, Gardening, Music Programs, Social Events/Outings, Theater and Movies
Languages Spoken :  English
Nurse Availability :  Direct Part-Time
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, VA

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
11/03/2017 2016006615 FineSurvey $2,000.00
11/03/2017 2016006583 FineSurvey $1,500.00
11/03/2017 2016013743 FineSurvey $1,000.00
11/03/2017 2016013742 FineSurvey $1,000.00
08/22/2016 2016004003 FineSurvey $1,000.00
06/09/2016 2016001027 FineSurvey $500.00
02/19/2015 2014010292 FineSurvey $5,000.00
07/26/2012 2011011403 FineSurvey $2,000.00
09/15/2009 2009004219 FineSurvey $2,500.00
01/22/2008 2007007873 FineSurvey $2,100.00
07/24/2007 2007000664 FineSurvey $3,500.00
08/25/2006 2006004284 FineSurvey $1,000.00
05/05/2005 2004001933 FineSurvey $8,730.70
05/05/2005 2004009599 FineSurvey $2,831.00
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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