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755 S 5TH ST
MACCLENNY, FL 32063
Phone: (904) 259-4873
County: Baker

Mailing Address

755 S 5TH ST
MACCLENNY, FL 32063
County: Baker
Website: http://www.macclennyrehab.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: KEVIN MCDONNELL
Financial Officer: DONALD K MELTON
Owner/Licensee: SOVEREIGN HEALTHCARE OF MACCLENNY, LLC
Owner/Licensee Since: 10/1/2003
NamePositionOwnership
SOVEREIGN HEALTHCARE HOLDINGS, LLC 100%
Profit Status: For-Profit
Management Company: SOUTHERN HEALTHCARE MANAGEMENT LLC
Manager Since: 10/1/2003
NamePositionOwnership
JOHN J NOTERMANN BUSINESS TR 50%
JOHN JOSEPH NOTERMANBOARD MEMBER/OFFICER50%
CRONQUIST 2015 FAM TR 46%
ROYCE MARK CRONQUISTBOARD MEMBER/OFFICER46%
Licensed Beds: 120
Bed Types:
Community Beds : 120
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 4
2-Bed Rooms : 58
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 40202
AHCA Field Office: 04
License Number: 1222096
Current License Effective: 12/21/2018
Expires: 9/30/2019
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $275.00
Occupancy/Occupancy Rate :  106 / 88.6%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Sign Language, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, VA, Workers Compensation
Special Programs and Services :  Alzheimer's, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Entire Facility
Plan Approval :  Jun 04, 2018
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Air Conditioner
Areas Cooled :  Entire Facility
Areas Cooled Location :  Within Facility
Square Footage Cooled :  43,847
Number of People to use Cooled Space :  180

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
09/26/2018 2018014513 Rule Variance/WaiverAdministrative Rule N/A 12/13/2018
10/12/2017 2017012114 Rule Variance/WaiverAdministrative Rule N/A 11/09/2017
02/07/2017 2017001449 FineSurvey $2,000.00 05/25/2018
06/14/2016 2016006707 FineSurvey $500.00 12/13/2016
03/07/2012 2012002678 FineReporting $1,500.00 04/11/2012
03/03/2011 2011002283 FineReporting $500.00 04/08/2011
12/01/2010 2010012527 FineReporting $500.00 01/18/2011
09/22/2010 2010009952 FineReporting $500.00 11/15/2010
03/23/2010 2010003211 FineReporting $500.00 07/16/2010
09/23/2009 2009011139 FineReporting $500.00 12/22/2009
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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