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Street Address

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

Emergency Actions:

None
Facility/Provider Type: Assisted Living Facility
Financial Officer: GEREMY TOBIAS JORDAN
Owner/Licensee: RSC HIDDEN OAKS FORT MYERS, LLC
NamePositionOwnership
FM MANAGEMENT FT. MYERS, LLC 100%
Management Company: FM MANAGEMENT FT. MYERS, LLC
Manager Since: 10/30/2014
NamePositionOwnership
GEREMY TOBIAS JORDANBOARD MEMBER/OFFICER100%
AHCA Number (File Number): 11942925
License Number: 5531
License Status: DENIED RENEWAL
Closed Date: 11/2/2017

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
09/21/2016 2016013742 FineSurvey $1,000.00 11/03/2017
09/21/2016 2016013743 FineSurvey $1,000.00 11/03/2017
06/10/2016 2016006615 FineSurvey $1,000.00 11/03/2017
05/11/2016 2016006583 FineSurvey $1,500.00 11/03/2017
03/18/2016 2016004003 FineSurvey $1,000.00 08/22/2016
01/27/2016 2016001027 FineSurvey $500.00 06/09/2016
Change of ownership occurred 1/26/2015
10/16/2014 2014010292 FineSurvey $5,000.00 02/19/2015
09/07/2011 2011011403 FineSurvey $2,000.00 07/26/2012
03/11/2009 2009004219 FineSurvey $2,500.00 09/15/2009
Change of ownership occurred 12/18/2007
06/25/2007 2007007873 FineSurvey $2,100.00 01/22/2008
01/02/2007 2007000664 FineSurvey $3,500.00 07/24/2007
03/29/2006 2006004284 FineSurvey $1,000.00 08/25/2006
Change of ownership occurred 12/22/2005
09/27/2004 2004009599 FineSurvey $2,831.00 05/05/2005
02/26/2004 2004001933 FineSurvey $8,730.70 05/05/2005
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.


Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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