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3600 MASTERPIECE WAY
PALM BEACH GARDENS, FL 33410
Phone: (561) 514-5000
County: Palm Beach

Mailing Address

5790 FLEET ST STE 300
CARLSBAD, CA 92008-4703
Website: http://KISCOSENIORLIVING.COM

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: JOSE ROJAS-FERNANDEZ
Financial Officer: JOHN AFIFI HANNA
Owner/Licensee: KC PBG HEALTH CENTER LLC
Owner/Licensee Since: 8/1/2013
NamePositionOwnership
KC PALM BEACH GARDENS LLC 100%
ANDREW KOHLBERGBOARD MEMBER/OFFICER0%
JOHN AFIFI HANNABOARD MEMBER/OFFICER0%
MITCH J RITSCHELBOARD MEMBER/OFFICER0%
TERRI NOVAKBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: KISCO SENIOR LIVING, LLC
Manager Since: 8/1/2013
NamePositionOwnership
ANDREW KOHLBERGBOARD MEMBER/OFFICER100%
CRAIG A TAYLORBOARD MEMBER/OFFICER0%
JOHN AFIFI HANNABOARD MEMBER/OFFICER0%
MITCH J RITSCHELBOARD MEMBER/OFFICER0%
TERRI NOVAKBOARD MEMBER/OFFICER0%
Licensed Beds: 40
Bed Types:
Community Beds : 0
Sheltered Beds : 40
Pediatric Beds : 0
Private Rooms : 40
2-Bed Rooms : 0
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 35961005
AHCA Field Office: 09
License Number: 130471034
Current License Effective: 8/1/2019
Expires: 7/31/2021
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $495.00
Occupancy/Occupancy Rate :  16 / 40%
Continuing Care Retirement Community :  Yes
Adult Day Care Services :  No
Languages Spoken :  Creole, French, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicare
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Alzheimers Secured Unit, Respite, Weight Training, Yoga

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Life Safety Systems, Lights, Elevator, Refrigeration
Plan Approval :  Nov 03, 2017
Implementation Date :  Jun 01, 2018
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Air Conditioner, Fans
Areas Cooled :  Dining Room
Areas Cooled Location :  On the Campus
Square Footage Cooled :  2,700
Number of People to use Cooled Space :  40

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/30/2018 2018016221 FineSurvey $2,000.00 05/24/2019
10/30/2018 2018016221 Conditional LicenseSurvey N/A 07/25/2018
10/25/2017 2017012964 Rule Variance/WaiverAdministrative Rule N/A 11/17/2017
Change of ownership occurred 8/9/2013
08/03/2007 2007010202 FineSurvey $2,500.00 07/11/2007
08/03/2007 2007010204 Conditional LicenseSurvey N/A 07/11/2007
Change of ownership occurred 1/6/2005
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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