13-004899 Agency For Health Care Administration vs. 2333 North Brentwood Circle Operations, Llc, D/B/A Health Center At Brentwood Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Thursday, January 16, 2014.

STATE OF FLORIDA' F*

AGENCY FOR HEALTH CARE ADMINISTRATION r~, tl;?

rrv CL 12K

STATE OF FLORIDA, AGENCY FOR 2014 FEB I q A q: 4 0

HEALTH CARE ADMINISTRATION,

Petitioner,

DOAH NO. 13- 4899

V. AHCA NO. 2013010173

RENDITION NO.: AHCA- jc f - Qj 4 0 - S- OLC

2333 NORTH BRENTWOOD CIRCLE OPERATIONS,

LLC d/ a b/ HEALTH CENTER AT BRENTWOOD,

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 $ 00. 16, 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 June 21, 2013

and ending August 31, 2013.

ORDERED at Tallahassee, Florida, on this day of 2014.

Dud, Secretary

4fElit or H 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- cggy of this Final Order was served on the below- named

persons by the method designated on this ay o oo 2014.

Richard S oop, Agency Clerk

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 II George R. Huffman, Esq.

Office of the General Counsel Qualified Representative

Agency for Health Care Administration Consulate Health Care

Electronic Mail) 5102 West Laurel Street, Suite 700

Tampa, Florida 33607

U. S. Mail)