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3480 MCMULLEN BOOTH RD
CLEARWATER, FL 33761
Phone: (727) 786-6697
County: Pinellas

Mailing Address

3480 MCMULLEN BOOTH RD
CLEARWATER, FL 33761
County: Pinellas
Website: http://www.palmgarden.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: SANDRA KIRKLAND HILL
Financial Officer: SANDRA KIRKLAND HILL
Owner/Licensee: PALM GARDEN OF CLEARWATER LLC
Owner/Licensee Since: 11/1/2013
NamePositionOwnership
PALM GARDEN HEALTHCARE HOLDINGS, LLC 100%
ROBERT D. GREENEBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: PALM HEALTHCARE MANAGEMENT
Manager Since: 10/1/2014
NamePositionOwnership
PALM GARDEN HEALTHCARE HOLDINGS, LLC 100%
JEFFREY D. BOMBERGERBOARD MEMBER/OFFICER0%
JIM CHALMERSBOARD MEMBER/OFFICER0%
PATSY E MCCARVER TRUSTBOARD MEMBER/OFFICER0%
ROBERT D. GREENEBOARD MEMBER/OFFICER0%
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): 55262
AHCA Field Office: 05
License Number: 1407096
Current License Effective: 11/1/2017
Expires: 10/31/2019
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $245.00
Occupancy/Occupancy Rate :  105 / 87.79%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Filipino, Italian, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, VA, Workers Compensation
Religious Affiliations :  Other
Special Programs and Services :  24 hr Onsite RN Coverage, Hospice Care, Respite, Tracheotomy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Life Safety Systems, Lights, kitchen equipment, laundry, Refrigeration
Plan Approval :  Mar 09, 2018
Implementation Date :  Jun 01, 2018
Cooling Method :  Fans, Spot Coolers
Areas Cooled :  Common Areas, Dining Room, Hallway, Living room, therapy gym, activity room
Areas Cooled Location :  Within Facility
Square Footage Cooled :  5235
Number of People to use Cooled Space :  174

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
04/06/2018 2018005014 FineSurvey $10,000.00 07/13/2018
04/06/2018 2018005014 Conditional LicenseSurvey N/A 04/13/2017
10/16/2017 2017012221 Rule Variance/WaiverAdministrative Rule N/A 11/22/2017
Change of ownership occurred 11/21/2013
05/15/2009 2009005691 FineApplication $400.00 08/19/2009
05/10/2005 2005003936 FineReporting $500.00 07/19/2005
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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