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1301 WEST MAITLAND BLVD
MAITLAND, FL 32751
Phone: (407) 645-3990
County: Orange

Mailing Address

4611 JOHNSON RD
STE 1
COCONUT CREEK, FL 33073
County: Broward
Website: http://www.savannahcourtmaitland.com

Emergency Actions:

None
Facility/Provider Type: Assisted Living Facility
Administrator: KELSEY COBASKY
Financial Officer: URI RUBIN
Owner/Licensee: SENIOR LIVING PROPERTIES VI LLC
Owner/Licensee Since: 1/1/2006
NamePositionOwnership
SENIOR LIVING INVESTORS I, LLC 100%
Profit Status: For-Profit
Management Company: SLM SERVICES, LLC
Manager Since: 10/10/2013
NamePositionOwnership
ANDREW HSUBOARD MEMBER/OFFICER28%
CHUAN WANGBOARD MEMBER/OFFICER28%
URI RUBINBOARD MEMBER/OFFICER22%
DENNIS WAGNERBOARD MEMBER/OFFICER20%
ROGER WANGBOARD MEMBER/OFFICER2%
Licensed Beds: 112
Bed Types:
Extended Congregate Care : 0
Private : 112
Optional State Supplement : 0
AHCA Number (File Number): 11953284
AHCA Field Office: 07
License Number: 8447
Current License Effective: 11/1/2017
Expires: 12/31/2019
License Status: LICENSED

Services/Characteristics:

Medicaid Services :  Assistive Care Services, Assisted Living Waiver
Bed Hold Policy :  Facility will hold beds during a temporary absence
Occupancy/Occupancy Rate :  112 / 100.00 %
Continuing Care Retirement Community :  No
Adult Day Care Services :  Yes
Activities :  Arts and Crafts, Cooking Classes, Exercise Classes, Games/Cards, Music Programs, Shopping, Social Events/Outings, Theater and Movies
Languages Spoken :  English, Spanish
Nurse Availability :  Direct 24hr
Payment Forms Accepted :  Other, VA
Special Programs and Services :  Occupational Therapy, Pet Therapy, Physical Therapy, Speech Therapy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator, Portable Generator
Emergency Power Supports :  Air Conditioning, Life Safety Systems, Lights, Refrigeration
Plan Approval :  Dec 26, 2018
Implementation Date :  Dec 26, 2018
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Air Conditioner, Spot Coolers
Areas Cooled :  Common Areas, Dining Room
Areas Cooled Location :  Within Facility
Square Footage Cooled :  4000
Number of People to use Cooled Space :  114

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
05/11/2018 2018010680 FineReporting $375.00 09/11/2018
05/03/2018 2018010676 FineReporting $375.00 09/11/2018
04/20/2018 2018011086 FineReporting $375.00 09/11/2018
10/20/2016 2017006225 FineSurvey $500.00 08/28/2017
08/19/2016 2017006226 FineSurvey $500.00 08/28/2017
07/06/2011 2011007723 FineSurvey $500.00 03/14/2012
04/27/2011 2011005539 FineSurvey $1,500.00 08/31/2011
12/03/2010 2010013508 FineSurvey $750.00 04/15/2011
06/17/2010 2010006313 FineSurvey $1,125.00 12/15/2010
Change of ownership occurred 1/3/2006
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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