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4134 DUNN AVENUE
JACKSONVILLE, FL 32218
Phone: (904) 766-2297
County: Duval

Mailing Address

4134 DUNN AVENUE
JACKSONVILLE, FL 32218
County: Duval
Website: http://www.jacksonvillerehab.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: GLENFORD WRIGHT
Financial Officer: DONALD K MELTON
Owner/Licensee: SOVEREIGN HEALTHCARE OF JACKSONVILLE, LLC
Owner/Licensee Since: 10/1/2003
NamePositionOwnership
SOVEREIGN HEALTHCARE HOLDINGS, LLC 100%
Profit Status: For-Profit
Management Company: SOUTHERN HEALTHCARE MANAGEMENT LLC
Manager Since: 10/1/2003
NamePositionOwnership
JOHN JOSEPH NOTERMANBOARD MEMBER/OFFICER50%
ROYCE MARK CRONQUISTBOARD MEMBER/OFFICER46%
Licensed Beds: 163
Bed Types:
Community Beds : 163
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 9
2-Bed Rooms : 77
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 41626
AHCA Field Office: 04
License Number: 13500963
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 :  $260.00
Occupancy/Occupancy Rate :  153 / 93.68%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Filipino, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, VA, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Alzheimers Secured Unit, Hospice Care, Respite, Tracheotomy

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
11/09/2017 2017012177 Rule Variance/WaiverAdministrative Rule N/A
08/28/2017 2016005645 Conditional LicenseSurvey N/A
08/28/2017 2016005645 FineSurvey $2,500.00
11/29/2010 2010007438 FineSurvey $2,000.00
06/24/2010 2010007441 Conditional LicenseSurvey N/A
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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