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1083 SANDERS AVENUE
GRACEVILLE, FL 32440
Phone: (850) 263-4447
County: Jackson

Mailing Address

1083 SANDERS AVENUE
GRACEVILLE, FL 32440
County: Jackson
Website: http://shcofnorthflorida.com/

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: SANDRA S GANT
Financial Officer: JOHN HARRISON
Owner/Licensee: LP GRACEVILLE, LLC
Owner/Licensee Since: 11/1/2007
NamePositionOwnership
LP CR HOLDINGS, LLC 100%
Profit Status: For-Profit
Management Company: SIGNATURE HEALTHCARE CONSULTING SERVICES, LLC
Manager Since: 10/1/2007
NamePositionOwnership
SIGNATURE HEALTHCARE, LLC 100%
Licensed Beds: 180
Bed Types:
Community Beds : 180
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 4
2-Bed Rooms : 70
3-Bed Rooms : 12
4-Bed Rooms : 0
AHCA Number (File Number): 23201
AHCA Field Office: 02
License Number: 1253096
Current License Effective: 11/1/2017
Expires: 10/31/2019
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $215.00
Occupancy/Occupancy Rate :  145 / 80.73%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  Alzheimer's, Dialysis, Eden Alternative, HIV Care, Hospice Care, Respite, Tracheotomy

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/18/2017 2017012495 Rule Variance/WaiverAdministrative Rule N/A 11/14/2017
08/25/2017 2017009770 Conditional LicenseSurvey N/A 07/12/2017
08/25/2017 2017009770 FineSurvey $1,000.00 12/07/2017
12/31/2009 2009014478 FineSurvey $7,500.00 03/23/2010
12/31/2009 2009014479 Conditional LicenseSurvey N/A 12/18/2009
12/11/2008 2008013861 FineSurvey $2,500.00 05/14/2009
12/11/2008 2008013863 Conditional LicenseSurvey N/A 12/22/2008
Change of ownership occurred 2/6/2008
12/30/2005 2005010978 FineApplication $5,000.00 03/09/2006
Change of ownership occurred 12/29/2005
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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