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4641 OLD CANOE CREEK ROAD
SAINT CLOUD, FL 34769
Phone: (407) 892-7344
County: Osceola

Mailing Address

4641 OLD CANOE CREEK ROAD
SAINT CLOUD, FL 34769
County: Osceola
Website: http://www.consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: ELENA DESMOND
Financial Officer: ELENA DESMOND
Owner/Licensee: 4641 OLD CANOE CREEK ROAD 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: 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): 74908
AHCA Field Office: 07
License Number: 16340962
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 :  $261.00
Occupancy/Occupancy Rate :  112 / 93.29%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Filipino, French, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  Alzheimer's, Dialysis, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy

Emergency Power Plan Summary:

Plan Approval :  Apr 24, 2018
Implementation Extended Until :  Jan 01, 2019

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/31/2017 2017013358 Rule Variance/WaiverAdministrative Rule N/A 11/29/2017
10/18/2017 2017012507 Conditional LicenseSurvey N/A 07/21/2017
10/18/2017 2017012507 FineSurvey $7,500.00 08/21/2018
Change of ownership occurred 3/16/2012
12/01/2010 2010012537 FineReporting $500.00 01/31/2011
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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