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3030 BEARSS AVE
TAMPA, FL 33618
Phone: (813) 968-8777
County: Hillsborough

Mailing Address

3030 BEARSS AVE
TAMPA, FL 33618
County: Hillsborough
Website: http://www.carrollwoodrehab.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: DAWN DEBRUNNER
Financial Officer: DONALD K MELTON
Owner/Licensee: CARROLLWOOD REHABILITATION CENTER, LLC
Owner/Licensee Since: 9/19/2018
Profit Status: For-Profit
Management Company: SOUTHERN HEALTHCARE MANAGEMENT LLC
Manager Since: 9/19/2018
NamePositionOwnership
JOHN J NOTERMANN BUSINESS TR 50%
JOHN JOSEPH NOTERMANBOARD MEMBER/OFFICER50%
CRONQUIST 2015 FAM TR 46%
ROYCE MARK CRONQUISTBOARD MEMBER/OFFICER46%
Licensed Beds: 120
Bed Types:
Community Beds : 120
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 28
2-Bed Rooms : 46
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 62923
AHCA Field Office: 06
License Number: 1315096
Current License Effective: 9/19/2018
Expires: 9/18/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $486.68
Occupancy/Occupancy Rate :  95 / 78.8%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Filipino, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Religious Affiliations :  Other
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Air Conditioning, Entire Facility, Heating Systems, Life Safety Systems, Lights, Refrigeration
Plan Approval :  Oct 30, 2017
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Air Conditioner
Areas Cooled :  Entire Facility
Areas Cooled Location :  Within Facility
Square Footage Cooled :  100
Number of People to use Cooled Space :  400

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
Change of ownership occurred 10/19/2018
10/27/2017 2017013125 Rule Variance/WaiverAdministrative Rule N/A 11/27/2017
12/14/2016 2016014304 FineSurvey $500.00 05/17/2017
10/06/2015 2015010603 FineSurvey $2,500.00 04/04/2016
10/06/2015 2015010603 Conditional LicenseSurvey N/A 04/04/2016
08/05/2015 2015008295 FineSurvey $1,000.00 06/01/2016
Change of ownership occurred 3/20/2008
Change of ownership occurred 1/8/2007
06/14/2004 2004006037 FineSurvey $2,500.00 12/01/2004
06/14/2004 2004006039 Conditional LicenseSurvey N/A 05/27/2004
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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