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1818 E FLETCHER AVE
TAMPA, FL 33612-3770
Phone: (813) 971-2383
County: Hillsborough

Mailing Address

1818 E FLETCHER AVE
TAMPA, FL 33612-3770
County: Hillsborough

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: ANDREA MCCULLOUGH
Financial Officer: SHERYL A WOLF
Owner/Licensee: BRISTOL AT TAMPA REHABILITATION AND NURSING CENTER LLC, THE
Owner/Licensee Since: 6/2/2017
NamePositionOwnership
BRISTOL TAMPA FL VENTURES LLC 100%
Profit Status: For-Profit
Licensed Beds: 266
Bed Types:
Community Beds : 266
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 2
2-Bed Rooms : 96
3-Bed Rooms : 12
4-Bed Rooms : 9
AHCA Number (File Number): 62916
AHCA Field Office: 06
License Number: 10610962
Current License Effective: 1/1/2018
Expires: 6/1/2019
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $375.00
Occupancy/Occupancy Rate :  253 / 94.96%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Filipino, French, German, Polish, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Alzheimers Secured Unit, Dialysis, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator, Portable Generator
Emergency Power Supports :  Air Conditioning, Heating Systems, Life Safety Systems, Lights, CALL LIGHTS, KITCHEN, A WASHER & DRYER, RED PLUGS, Refrigeration
Plan Approval :  Oct 31, 2017
Implementation Date :  Oct 06, 2017
Cooling Method :  Air Conditioner, Fans, PORTABLE AC UNITS
Areas Cooled :  Common Areas, Dining Room, Hallway, DAY ROOMS, NURSES STATIONS
Areas Cooled Location :  Within Facility
Square Footage Cooled :  14,853
Number of People to use Cooled Space :  400

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/26/2017 2017013048 Rule Variance/WaiverAdministrative Rule N/A 11/21/2017
Change of ownership occurred 7/3/2017
08/02/2011 2011008495 FineSurvey $1,000.00 05/08/2012
08/02/2011 2011008495 Conditional LicenseSurvey N/A 07/14/2011
Change of ownership occurred 1/20/2009
09/20/2005 2005008051 FineReporting $375.00 03/22/2006
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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