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4610 S MANHATTAN AVE
TAMPA, FL 33611
Phone: (813) 839-5311
County: Hillsborough

Mailing Address

4610 S MANHATTAN AVE
TAMPA, FL 33611
County: Hillsborough
Website: http://RROSENBLATT@AXGSOLUTIONS

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: MALKIA WALDEN
Financial Officer: MALKIA WALDEN
Owner/Licensee: GANDY SNF LLC
Owner/Licensee Since: 6/1/2018
Profit Status: For-Profit
Management Company: SV/HOME OFFICE, INC.
Manager Since: 10/17/2003
NamePositionOwnership
JUDITH MARIE HAIZLIPBOARD MEMBER/OFFICER33%
LINDA CAROL KOONSBOARD MEMBER/OFFICER33%
MADELINE D'HEILLYBOARD MEMBER/OFFICER33%
Licensed Beds: 160
Bed Types:
Community Beds : 160
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 12
2-Bed Rooms : 53
3-Bed Rooms : 14
4-Bed Rooms : 0
AHCA Number (File Number): 62907
AHCA Field Office: 06
License Number: 130470961
Current License Effective: 6/1/2018
Expires: 5/31/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $240.00
Occupancy/Occupancy Rate :  147 / 91.88%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, French, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Dialysis, HIV Care, Hospice Care, Respite, Tracheotomy, Weight Training

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Air Conditioning, Entire Facility, Heating Systems, Life Safety Systems, Lights, Refrigeration
Plan Approval :  Nov 06, 2017
Implementation Extended Until :  Jan 01, 2019
Cooling Method :  Air Conditioner, Spot Coolers
Areas Cooled :  Common Areas, Dining Room, Entire Facility, Hallway, Rehab Gym, Resident Rooms
Areas Cooled Location :  Within Facility
Square Footage Cooled :  19,200

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/22/2018 2018015727 Rule Variance/WaiverAdministrative Rule N/A 12/17/2018
08/30/2018 2018013203 FineApplication $5,000.00 10/26/2018
Change of ownership occurred 8/15/2018
10/25/2017 2017012970 Rule Variance/WaiverAdministrative Rule N/A 11/22/2017
04/19/2016 2016004483 FineSurvey $500.00 03/17/2017
03/13/2012 2012002930 FineReporting $500.00 04/23/2012
03/25/2010 2010003260 FineReporting $500.00 05/12/2010
11/19/2009 2009013229 FineApplication $500.00 02/02/2010
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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