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100 MAGNOLIA TRACE WAY
PALM COAST, FL 32164-2382
Phone: (386) 445-3500
County: Flagler

Mailing Address

100 MAGNOLIA TRACE WAY
PALM COAST, FL 32164-2382
County: Flagler

Emergency Actions:

None
Facility/Provider Type: Assisted Living Facility
Administrator: TERESA K BOWENS
Financial Officer: MICHAEL A SMITH
Owner/Licensee: ARHC BHPALFL01 TRS, LLC
Owner/Licensee Since: 6/1/2013
NamePositionOwnership
ARHC TRS HOLDCO LLC 100%
Profit Status: For-Profit
Management Company: SELAH MANAGMENT USA LLC
Manager Since: 7/31/2014
NamePositionOwnership
ALAN D PARRISH 50%
WILLIAM T FILLIPPONE 50%
Licensed Beds: 80
Bed Types:
Extended Congregate Care : 80
Optional State Supplement : 0
Private : 80
AHCA Number (File Number): 11967189
AHCA Field Office: 04
License Number: 11267
Current License Effective: 1/16/2017
Expires: 1/15/2019
License Status: LICENSED

Services/Characteristics:

Specialty License :  Extended Congregate Care
Bed Hold Policy :  Facility will hold beds during a temporary absence
Occupancy/Occupancy Rate :  70 / 87.50 %
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Activities :  Arts and Crafts, Exercise Classes, Music Programs, Shopping, Social Events/Outings, Theater and Movies
Languages Spoken :  English
Nurse Availability :  Direct 24hr
Payment Forms Accepted :  Other
Special Programs and Services :  Memory Care, Occupational Therapy, Physical Therapy, Speech Therapy

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
08/24/2015 2015003672 FineSurvey $500.00
10/15/2014 2014008823 FineSurvey $500.00
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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