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500 HOSPITAL DRIVE
CRESTVIEW, FL 32539
Phone: (850) 689-3146
County: Okaloosa

Mailing Address

500 HOSPITAL DRIVE
CRESTVIEW, FL 32539
County: Okaloosa
Website: http://www.consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: HUBERT PAUL
Financial Officer: RUSSELL D RAGLAND JR
Owner/Licensee: 500 SOUTH HOSPITAL DRIVE OPERATIONS LLC
Owner/Licensee Since: 2/1/2012
NamePositionOwnership
EPSILON HEALTH CARE PROPERTIES, LLC 100%
DEBORAH MONTENAROBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: CMC II, LLC
Manager Since: 12/30/2011
NamePositionOwnership
LAVIE CARE CENTERS, LLC 100%
CHRISTOPHER R BRYSONBOARD MEMBER/OFFICER0%
DANIEL E DIASBOARD MEMBER/OFFICER0%
KENNETH USSERYBOARD MEMBER/OFFICER0%
RUSSELL D RAGLANDBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD MEMBER/OFFICER0%
Licensed Beds: 120
Bed Types:
Community Beds : 120
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 8
2-Bed Rooms : 56
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 35960948
AHCA Field Office: 01
License Number: 130471012
Current License Effective: 6/30/2017
Expires: 1/31/2018
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $225.75
Occupancy/Occupancy Rate :  110 / 91.97%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Filipino, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Alzheimers Secured Unit, Hospice Care, Respite

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
08/18/2016 2016010376 Conditional LicenseSurvey N/A
08/18/2016 2016010376 FineSurvey $3,000.00
07/15/2004 2004007273 FineSurvey $1,000.00
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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