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4100 E FLETCHER AVE
TAMPA, FL 33613
Phone: (813) 632-2455
County: Hillsborough

Mailing Address

4100 E FLETCHER AVE
TAMPA, FL 33613
County: Hillsborough
Website: http://www.stjosephsjohnknox.org

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: LISA JEAN BROOKS
Financial Officer: AILYN MILLARES
Owner/Licensee: CONCORDIA OF FLORIDA INC
Owner/Licensee Since: 5/1/2018
NamePositionOwnership
CONCORDIA LUTHERAN MINISTRIES 100%
Profit Status: Not-For-Profit
Licensed Beds: 163
Bed Types:
Community Beds : 129
Sheltered Beds : 34
Pediatric Beds : 0
Private Rooms : 1
2-Bed Rooms : 81
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 62937
AHCA Field Office: 06
License Number: 1260095
Current License Effective: 1/28/2019
Expires: 4/30/2020
License Status: CONDITIONAL

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $256.50
Occupancy/Occupancy Rate :  138 / 84.42%
Continuing Care Retirement Community :  Yes
Adult Day Care Services :  No
Languages Spoken :  Creole, Filipino, Sign Language, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare
Religious Affiliations :  Catholic
Special Programs and Services :  24 hr Onsite RN Coverage, Alzheimer's, Alzheimers Secured Unit, Hospice Care, Pet Therapy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Air Conditioning, Life Safety Systems, Lights, Refrigeration
Plan Approval :  Nov 09, 2017
Implementation Date :  May 31, 2018
Cooling Method :  Air Conditioner
Areas Cooled :  Common Areas, Dining Room, Activities
Square Footage Cooled :  8,000
Number of People to use Cooled Space :  220

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
Change of ownership occurred 5/22/2018
10/19/2017 2017012639 Rule Variance/WaiverAdministrative Rule N/A 11/15/2017
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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