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702 S KINGS AVE
BRANDON, FL 33511-5925
Phone: (813) 651-1818
County: Hillsborough

Mailing Address

702 S KINGS AVE
BRANDON, FL 33511-5925
County: Hillsborough
Website: http://www.consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: ELIZABETH C DONFILA
Financial Officer: RUSSELL D RAGLAND JR
Owner/Licensee: 702 SOUTH KINGS AVENUE OPERATIONS LLC
Owner/Licensee Since: 2/1/2012
NamePositionOwnership
ALPHA HEALTH CARE PROPERTIES, LLC 100%
ELLISA DURRANTBOARD 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 : 12
2-Bed Rooms : 54
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 62924
AHCA Field Office: 06
License Number: 1088096
Current License Effective: 1/13/2017
Expires: 1/31/2018
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $231.00
Occupancy/Occupancy Rate :  114 / 94.63%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Polish, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Hospice Care, Respite, Tracheotomy, Ventilator Dependent

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
05/01/2017 2016014172 FineSurvey $1,000.00
05/01/2017 2016014172 Conditional LicenseSurvey N/A
05/01/2017 2017000397 FineSurvey $1,000.00
09/16/2016 2015012489 Conditional LicenseSurvey N/A
09/16/2016 2015012489 FineSurvey $10,000.00
02/12/2016 2015009606 Conditional LicenseSurvey N/A
02/12/2016 2015009606 FineSurvey $1,000.00
01/16/2015 2014010699 FineSurvey $1,000.00
10/01/2014 2014010699 Conditional LicenseSurvey N/A
03/31/2014 2013011304 FineSurvey $1,000.00
03/31/2014 2013011304 Conditional LicenseSurvey N/A
03/31/2014 2013012673 FineSurvey $2,500.00
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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