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1200 NORTH STONE STREET
DELAND, FL 32720
Phone: (386) 734-4334
County: Volusia

Mailing Address

1200 NORTH STONE STREET
DELAND, FL 32720
County: Volusia
Website: http://www.greystonehealth.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: ERIC MOCK
Financial Officer: JACQUELINE FRANCES PRICE
Owner/Licensee: RIDGECREST NH, L.L.C.
Owner/Licensee Since: 7/15/2004
NamePositionOwnership
GREYSTONE TRIBECA ACQUISITION, L.L.C. 100%
JACQUELINE FRANCES PRICE 0%
LISA SCHWARTZBOARD MEMBER/OFFICER0%
MORDECAI ROSENBERGBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: GREYSTONE HEALTHCARE MANAGEMENT CORP.
Manager Since: 7/15/2004
NamePositionOwnership
GREYSTONE & CO. HOLDINGS II LLC 100%
JACQUELINE FRANCES PRICEBOARD MEMBER/OFFICER0%
LISA SCHWARTZBOARD MEMBER/OFFICER0%
MORDECAI ROSENBERGBOARD MEMBER/OFFICER0%
STEPHANIE HANDELSONBOARD MEMBER/OFFICER0%
STEPHANIE HANDELSONBOARD MEMBER/OFFICER0%
Licensed Beds: 146
Bed Types:
Community Beds : 146
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 68
2-Bed Rooms : 39
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 46416
AHCA Field Office: 04
License Number: 1475096
Current License Effective: 7/20/2017
Expires: 7/14/2019
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $285.00
Occupancy/Occupancy Rate :  138 / 94.31%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare
Special Programs and Services :  24 hr Onsite RN Coverage, Hospice Care, Yoga

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Air Conditioning, Life Safety Systems, Lights
Plan Approval :  Oct 31, 2017
Implementation Extended Until :  Dec 31, 2018
Areas Cooled :  Common Areas, Dining Room, Hallway, Living room
Areas Cooled Location :  Within Facility
Number of People to use Cooled Space :  229

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/04/2018 2018015271 Rule Variance/WaiverAdministrative Rule N/A 12/18/2018
07/06/2016 2016007646 FineReporting $500.00 08/22/2016
04/13/2016 2016003913 FineReporting $500.00 06/09/2016
12/04/2014 2014011743 Conditional LicenseSurvey N/A 02/19/2015
12/04/2014 2014011743 FineSurvey $1,000.00 02/19/2015
04/13/2010 2010003889 FineSurvey $5,000.00 06/15/2010
04/13/2010 2010003891 Conditional LicenseSurvey N/A 03/15/2010
02/11/2008 2008003302 FineSurvey $13,500.00 08/12/2008
02/11/2008 2008003304 Conditional LicenseSurvey N/A 02/01/2008
02/11/2008 2008003302 Six month survey cycleSurvey N/A 02/01/2008
Change of ownership occurred 8/24/2004
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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