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1415 S HICKORY ST
MELBOURNE, FL 32901
Phone: (321) 723-1321
County: Brevard

Mailing Address

1415 S HICKORY ST
MELBOURNE, FL 32901
County: Brevard

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: SHEGETTA WILLIAMS
Financial Officer: SHERYL A WOLF
Owner/Licensee: SF CARNEGIE, LLC
Owner/Licensee Since: 12/4/2008
NamePositionOwnership
FLORIDA FACILITIES, LLC 100%
JAMES RICHARDSONBOARD MEMBER/OFFICER0%
SHERYL A WOLFBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Licensed Beds: 138
Bed Types:
Community Beds : 138
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 5
2-Bed Rooms : 24
3-Bed Rooms : 15
4-Bed Rooms : 10
AHCA Number (File Number): 70502
AHCA Field Office: 07
License Number: 10740961
Current License Effective: 12/4/2018
Expires: 12/3/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $255.00
Occupancy/Occupancy Rate :  100 / 72.69%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, French, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  HIV Care, Respite, Tracheotomy

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Fixed Generator
Emergency Power Supports :  Air Conditioning, Heating Systems, Life Safety Systems
Plan Approval :  Nov 02, 2017
Implementation Date :  Feb 14, 2019
Implementation Extended Until :  Dec 31, 2018
Cooling Method :  Air Conditioner
Areas Cooled :  Hallway, Resident Rooms
Areas Cooled Location :  Within Facility
Square Footage Cooled :  10200
Number of People to use Cooled Space :  138

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
05/07/2019 2019007157 Rule Variance/WaiverAdministrative Rule N/A 06/11/2019
04/04/2018 2018004847 Six month survey cycleSurvey N/A 06/06/2018
04/04/2018 2018004847 FineSurvey $40,000.00 06/06/2018
04/04/2018 2018004847 Conditional LicenseSurvey N/A 01/05/2018
10/24/2017 2017012881 Rule Variance/WaiverAdministrative Rule N/A 11/30/2017
01/08/2013 2013000214 Conditional LicenseSurvey N/A 08/08/2013
01/08/2013 2013000214 Six month survey cycleSurvey N/A 08/08/2013
01/08/2013 2013000214 FineSurvey $16,000.00 08/08/2013
Change of ownership occurred 1/13/2009
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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