11-006206 Agency For Health Care Administration vs. Carolina's Care Center Corp., D/B/A Carolina's Care Center Corp. No. 3 Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Tuesday, July 24, 2012.

STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION'

I;, A , : 11

STATE OF FLORIDA, AGENCY FOR 2313 !

HEALTH CARE ADMINISTRATION,

Petitioner,

DOAH NO. 11 - 6206

V. AHCA NO. 2011004508

RENDITION NO.: AHCA - 13 -( Z 11 - S - OLC

CAROLINA' S CARE CENTER CORP. d/ b / a

CAROLINA' S CARE CENTER CORP. No. 3,

Respondent.

FINAL ORDER

Having reviewed the Administrative Complaint, and all other matters of record, the

Agency for Health Care Administration finds and concludes as follows:

1. The Agency has jurisdiction over the above - named Respondent pursuant to

Chapter 408, Part II, Florida Statutes, and the applicable authorizing statutes and administrative

code provisions.

2. The Agency issued the attached Administrative Complaint and Election of Rights

form to the Respondent. ( Ex. 1) The Election of Rights form advised of the right to an

administrative hearing.

3. The parties have since entered into the attached Settlement Agreement. ( Ex. 2)

Based upon the foregoing, it is ORDERED:

1. The Settlement Agreement is adopted and incorporated by reference into this

Final Order. The parties shall comply with the terms of the Settlement Agreement.

ORDERED at Tallahassee, Florida, on this day of « ,

20a

for Health Cage Administration

NOTICE OF RIGHT TO JUDICIAL REVIEW

A party who is adversely affected by this Final Order is entitled to judicial review, which shall be

instituted by filing one copy of a notice of appeal with the Agency Clerk of AHCA, and a second

copy, along with filing fee as prescribed by law, with the District Court of Appeal in the

appellate district where the Agency maintains its headquarters or where a party resides. Review

of proceedings shall be conducted in accordance with the Florida appellate rules. The Notice of

Appeal must be filed within 30 days of rendition of the order to be reviewed.

CERTIFICATE OF SERVICE

I CERTIFY that a true and correct copy of this- Final Order was served on the below -

named persons by the method designated on this ay of

2013

Richard Shoop, Agency C erk

Agency for Health Care Administration

2727 Mahan Drive, Bldg. # 3, Mail Stop # 3

Tallahassee, Florida 32308 - 5403

Telephone: ( 850) 412 - 3630

Jan Mills Elizabeth Socarras, Administrator

Facilities Intake Unit Carolina' s Care Center Corp. No. 3

Electronic Mail) 7951 N. W. 156th Terrace

Miami Lakes, Florida 33016

Nelson E. Rodney Brian J. Perreault, Esquire

Assistant General Counsel Attorney for Respondent

Office of the General Counsel Lydecker Diaz `

Agency for Health Care Administration 1221 Brickell Avenue, 19th Floor

Electronic Mail) Miami, Florida 33131

Jessica E. Varn

Administrative Law Judge

Division of Administrative Hearings

Electronic Mail)