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15204 W COLONIAL DR
WINTER GARDEN, FL 34787-6042
Phone: (407) 877-2394
County: Orange

Mailing Address

15204 W COLONIAL DR
WINTER GARDEN, FL 34787-6042
County: Orange
Website: http://www.consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: MICHAEL L FOXWORTHY
Financial Officer: MICHAEL L FOXWORTHY
Owner/Licensee: 15204 WEST COLONIAL DRIVE OPERATIONS LLC
Owner/Licensee Since: 2/1/2012
NamePositionOwnership
EPSILON HEALTH CARE PROPERTIES, 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%
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%
STEVEN A VAN CAMPBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD MEMBER/OFFICER0%
Licensed Beds: 180
Bed Types:
Community Beds : 180
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 6
2-Bed Rooms : 87
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 74815
AHCA Field Office: 07
License Number: 1610096
Current License Effective: 2/1/2018
Expires: 1/31/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $274.00
Occupancy/Occupancy Rate :  171 / 94.79%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Filipino, French, German, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  Alzheimer's, Alzheimers Secured Unit, HIV Care, Hospice Care, Respite, Tracheotomy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Air Conditioning, Life Safety Systems, Lights, Refrigeration
Plan Approval :  Nov 08, 2018
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Air Conditioner, Spot Coolers
Areas Cooled :  Common Areas, Dining Room, Living room
Areas Cooled Location :  Within Facility
Square Footage Cooled :  5,400
Number of People to use Cooled Space :  180

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/31/2017 2017013321 Rule Variance/WaiverAdministrative Rule N/A 11/29/2017
08/23/2016 2016009968 Conditional LicenseSurvey N/A 08/06/2016
08/23/2016 2016009968 FineSurvey $20,000.00 05/25/2018
Change of ownership occurred 3/15/2012
01/07/2011 2011000225 FineSurvey $2,000.00 05/31/2011
01/07/2011 2011000228 Conditional LicenseSurvey N/A 12/02/2010
12/01/2010 2010012530 FineReporting $500.00 01/18/2011
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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