13-001646 Agency For Health Care Administration vs. Sf Carnegie, Llc, D/B/A Carnegie Gardens Nursing Center Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Friday, June 21, 2013.

STATE OF FLORIDA Fir-

AGENCY FOR HEALTHCARE ADMINISTRATION

STATE OF FLORIDA, AGENCY FOR 42

HEALTH CARE ADMINISTRATION,

Petitioner,

V. AHCA NO. 2013000214

DOAH NO. 13- 1646

SF CARNEGIE, LLC d/ a b/ RENDITION) NO.: AIWA- 13.• S- 01C

CARNEGIE GARDENS NURSING j -

CENTER,

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.

2. The Respondent shall pay the Agency $ 16, 00. 000. 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 30 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 November 30,

2012, and ending December 3, 2012.

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

Eliza h Dude , S cretary

Age for Health 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 y of this Final Order was se ed on the below- named

persons by the method designated on this ay o 2013.

C7

Richard Sho ncy Cle

Agency for Health Care Administration

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

Tallahassee, Florida 32308- 5403

Telephone: ( 850) 412- 3630

Jan Mills Finance & Accounting

Facilities Intake Unit Revenue Management Unit

Electronic Mail) Electronic Mail)

Thomas J. Walsh 11 Margaret A. Chamberlain, Esquire

Office of the General Counsel Kitch Drutchas et al

Agency for Health Care Administration 2379 Woodlake Drive

Electronic Mail) Suite 400

Okemos, Michigan 48864

U. S. Mail)

J. D. Parrish

Administrative Law Judge

Division of Administrative Hearing

Electronic Mail)