13-000089 Agency For Health Care Administration vs. Fl Hud Silvercrest, Llc, D/B/A Silvercrest Manor Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Wednesday, April 24, 2013.

STATE OF FLORIDA L

AGENCY FOR HEALTH CARE ADMINSTRATIONr, I; H;`, fw

STATE OF FLORIDA, AGENCY FOR 2013 1f: Y 2

HEALTH CARE ADMINISTRATION, 3

Petitioner, DOAH CASE NO.: 13- 000089

AHCA CASE NO.: 2012012002

VS. RENDITION NO.: MICA- 13- Y72- - S- C 0I,

FL HUD SILVERCREST, LLC

d/ a b/ SILVERCREST MANOR,

Respondent.

FINAL ORDER

Having reviewed the Amended 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 Amended 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.

2. The Respondent shall pay the Agency $ 13, 00. 500. If full payment has been made, the

cancelled check acts as receipt of payment and no further payment is required. If full payment has not

been made, payment is due within 60 days of the Final Order. Overdue amounts are subject to statutory

interest and may be referred to collections. A check made payable to the " Agency for Health Care

Administration" and containing the AHCA ten- digit case number should be sent to:

Office of Finance and Accounting

Revenue Management Unit

Agency for Health Care Administration

2727 Mahan Drive, MS 14

Tallahassee, Florida 32308

3. Conditional licensure status is imposed on the Respondent beginning on October 19,

2012, and ending November 19, 2012.

ORDERED at Tallahassee, Florida, on this I- day of 2013.

agt~?

Elizabeth Du Secretary

Agency for He th Care 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 py of this Final Order was served on the below- named

persons by the method designated on this _ La~- day of 2013.

Richard Shoop, Agency Clerk

Agency for Health Care Administration

2727 Mahan Drive, Bldg. # 3, Mail Stop 43

Tallahassee, Florida 32308- 5403

Telephone: ( 850) 412- 3630

James H. Peterson, III Richard Joseph Saliba

Administrative Law Judge Office of the General Counsel

Division of Administrative Hearings Agency for Health Care Administration

Electronic Mail) Electronic Mail)

Margaret A. Chamberlain, Esquire Finance & Accounting

KITCH DRUTCHAS WAGNER VALITUTTI Revenue Management Unit

SHERBROOK Electronic Mail)

2379 Woodlake Drive, Suite 400

Okemos, MI 48864

U. S. Mail)

Jan Mills

Facilities Intake Unit

Electronic Mail)