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390 NE 135TH ST
NORTH MIAMI, FL 33161-3967
Phone: (305) 895-4804
County: Miami-Dade

Mailing Address

390 NE 135TH ST
NORTH MIAMI, FL 33161-3967
County: Miami-Dade
Website: http://FOUNTAINMANORHEALTH.COM

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: MAURICIO ABELLO
Financial Officer: MAURICIO ABELLO
Owner/Licensee: FMHR LLC
Owner/Licensee Since: 9/1/2014
NamePositionOwnership
FOUNTAIN MANOR HOLDINGS LLC 50%
SAMUEL CHAVINBOARD MEMBER/OFFICER32%
JONATHAN BURSTEIN 18%
Profit Status: For-Profit
Licensed Beds: 146
Bed Types:
Community Beds : 146
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 4
2-Bed Rooms : 37
3-Bed Rooms : 19
4-Bed Rooms : 1
AHCA Number (File Number): 111302
AHCA Field Office: 11
License Number: 1163096
Current License Effective: 9/1/2018
Expires: 8/31/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $255.00
Occupancy/Occupancy Rate :  135 / 92.66%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, French, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, VA
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, HIV Care, Hospice Care, Other Special Program, Pet Therapy, Respite

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Entire Facility
Plan Approval :  Jun 05, 2018
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Air Conditioner
Areas Cooled :  Entire Facility
Areas Cooled Location :  Within Facility
Square Footage Cooled :  33,093
Number of People to use Cooled Space :  230

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/13/2017 2017012209 Rule Variance/WaiverAdministrative Rule N/A 11/09/2017
09/18/2014 2014009365 FineApplication $5,000.00 11/12/2014
Change of ownership occurred 9/17/2014
Change of ownership occurred 1/15/2009
06/11/2008 2008008054 FineSurvey $1,000.00 02/11/2009
06/11/2008 2008008057 FineSurvey $1,000.00 02/11/2009
06/11/2008 2008008058 Conditional LicenseSurvey N/A 05/15/2008
06/11/2008 2008008055 Conditional LicenseSurvey N/A 05/15/2008
05/16/2005 2004011402 FineSurvey $1,000.00 04/04/2006
05/16/2005 2004011627 Conditional LicenseSurvey N/A 04/20/2005
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:



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