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2826 CLEVELAND AVE
FORT MYERS, FL 33901-6001
Phone: (239) 334-1091
County: Lee

Mailing Address

2826 CLEVELAND AVE
FORT MYERS, FL 33901-6001
County: Lee
Website: http://www.consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: DAWN STANFIELD
Financial Officer: DAWN STANFIELD
Owner/Licensee: 2826 CLEVELAND AVENUE 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 : 2
2-Bed Rooms : 41
3-Bed Rooms : 12
4-Bed Rooms : 0
AHCA Number (File Number): 83606
AHCA Field Office: 08
License Number: 1290096
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 :  $256.00
Occupancy/Occupancy Rate :  100 / 83.2%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, French, Sign Language, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, VA, Workers Compensation
Special Programs and Services :  Alzheimer's, Dialysis, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy, Weight Training

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Life Safety Systems, Lights, Refrigeration
Plan Approval :  Jul 17, 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 :  3,600
Number of People to use Cooled Space :  120

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
11/01/2017 2017013447 Rule Variance/WaiverAdministrative Rule N/A 12/29/2017
Change of ownership occurred 3/21/2012
03/25/2010 2010003255 FineReporting $500.00 05/12/2010
08/03/2009 2009008686 FineReporting $500.00 11/17/2009
06/11/2007 2007006329 FineReporting N/A 08/01/2007
07/26/2004 2004007442 FineSurvey $3,750.00 05/31/2005
07/26/2004 2004008136 Conditional LicenseSurvey N/A 07/15/2004
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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