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1215 KINGSLEY AVE
ORANGE PARK, FL 32073
Phone: (904) 269-8922
County: Clay

Mailing Address

1215 KINGSLEY AVE
ORANGE PARK, FL 32073
County: Clay
Website: http://Consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: KENYONN DEMPS
Financial Officer: RUSSELL D RAGLAND JR
Owner/Licensee: ORANGE PARK FACILITY OPERATIONS, LLC
Owner/Licensee Since: 1/1/2007
NamePositionOwnership
LV CHC HOLDINGS I, LLC 100%
KENNETH USSERYBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: CMC II, LLC
Manager Since: 7/31/2012
NamePositionOwnership
LAVIE CARE CENTERS, LLC 100%
CHRISTOPHER R BRYSONBOARD MEMBER/OFFICER0%
DANIEL E DIASBOARD MEMBER/OFFICER0%
KENNETH USSERYBOARD MEMBER/OFFICER0%
STEVEN A VAN CAMPBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD MEMBER/OFFICER0%
Licensed Beds: 120
Bed Types:
Community Beds : 120
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 4
2-Bed Rooms : 58
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 41004
AHCA Field Office: 04
License Number: 1016095
Current License Effective: 10/1/2016
Expires: 9/30/2018
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $246.00
Occupancy/Occupancy Rate :  110 / 91.36%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  French, Italian, Sign Language, 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, Dialysis, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Air Conditioning, Life Safety Systems, Lights, Refrigeration
Plan Approval :  May 18, 2018
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Air Conditioner
Areas Cooled :  Common Areas, Dining Room, Living room
Areas Cooled Location :  Within Facility
Square Footage Cooled :  3,600
Number of People to use Cooled Space :  120

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/31/2017 2017013297 Rule Variance/WaiverAdministrative Rule N/A 11/29/2017
09/15/2016 2016010861 Conditional LicenseSurvey N/A 08/04/2016
09/15/2016 2016010861 FineSurvey $3,500.00 04/03/2018
07/13/2016 2016007995 Conditional LicenseSurvey N/A 06/15/2016
07/13/2016 2016007995 FineSurvey $3,500.00 04/03/2018
11/29/2012 2012012860 FineApplication $5,000.00 01/18/2013
Change of ownership occurred 11/29/2012
12/29/2011 2011014103 Conditional LicenseSurvey N/A 07/31/2012
12/29/2011 2011014103 FineSurvey $4,000.00 07/31/2012
08/12/2009 2009009204 FineSurvey $7,500.00 12/21/2009
08/12/2009 2009009205 Conditional LicenseSurvey N/A 07/31/2009
Change of ownership occurred 3/14/2007
12/19/2006 2006011130 DeniedApplication N/A 05/14/2007
06/27/2006 2006005895 FineSurvey $2,500.00 12/08/2006
06/27/2006 2006005896 Conditional LicenseSurvey N/A 06/13/2006
04/05/2005 2005003050 FineSurvey $1,000.00 05/25/2005
04/05/2005 2005003559 Conditional LicenseSurvey N/A 03/25/2005
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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