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991 PONDELLA RD
NORTH FORT MYERS, FL 33903
Phone: (239) 995-8809
County: Lee

Mailing Address

991 PONDELLA RD
NORTH FORT MYERS, FL 33903
County: Lee
Website: http://Consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: DERECK MARSHALL
Financial Officer: RUSSELL D RAGLAND JR
Owner/Licensee: NORTH FORT MYERS FACILITY OPERATIONS, LLC
Owner/Licensee Since: 1/1/2007
NamePositionOwnership
LV CHC HOLDINGS I, LLC 100%
KENNETH USSERYBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: CMC II, LLC
Manager Since: 7/31/2012
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): 83607
AHCA Field Office: 08
License Number: 1444096
Current License Effective: 11/16/2016
Expires: 9/30/2018
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $231.00
Occupancy/Occupancy Rate :  3 / 2.84%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Filipino, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Dialysis, HIV Care, Hospice Care, Other Special Program, Respite, Tracheotomy

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
01/25/2017 2016009228 FineSurvey $2,500.00
10/29/2016 2017001308 FineSurvey $2,500.00
10/29/2016 2017001308 Conditional LicenseSurvey N/A
06/09/2016 2016009228 Conditional LicenseSurvey N/A
03/10/2015 2014009621 Conditional LicenseSurvey N/A
03/10/2015 2014009621 Six month survey cycleSurvey N/A
03/10/2015 2014009567 FineSurvey $500.00
03/10/2015 2014009621 FineSurvey $18,000.00
03/17/2014 2013010088 FineSurvey $500.00
01/18/2013 2012013109 FineApplication $5,000.00
03/11/2011 2010012534 FineReporting $500.00
07/31/2006 2006004662 FineReporting $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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