14-001330 Lakeside Pavilion Rehab And Nursing Center vs. Agency For Health Care Administration Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Tuesday, May 6, 2014.

STATE STATE OF OF FLORIDA FLORIDA

AGENCY AGENCY FOR FOR HEALTH HEALTH CARE CARE ADMINISTRATION ADMINISTRATION

201 201 .If .If ' ' w w !II' !II' ..... ..... "_ "_ I I L. L. "-' "-' I I '\\ '\\ 0: 0: I I 43 43

LAKESIDE LAKESIDE PAVILION PAVILION REHAB REHAB AND AND NURSING NURSING

CENTER, CENTER,

Petitioner, Petitioner,

vs. vs. PROVIDER PROVIDER No: No: 256846 256846

ENGAGEMENT ENGAGEMENT No: No: NH06-065J NH06-065J

DOAH DOAH CASE CASE No: No: 14-1330 14-1330

JUDGE: JUDGE: D.R. D.R. Alexander Alexander

STA STA TE TE OF OF FLORIDA, FLORIDA, AGENCY AGENCY FOR FOR RENDITION RENDITION NO.: NO.: AHCA- AHCA- J J i- i- - - Ot3 Ot3 g g -S-MDA -S-MDA

HEALTH HEALTH CARE CARE ADMINISTRATION, ADMINISTRATION,

Respondent. Respondent.

-----------------_/ _________________ ----:1

FINAL FINAL ORDER ORDER

THE THE PARTIES PARTIES resol resol ved ved all all disputed disputed issues issues and and executed executed a a Settlement Settlement Agreement. Agreement. The The

parties parties are are directed directed to to comply comply with with the the terms terms of of the the attached attached settlement settlement agreement. agreement. Based Based on on the the

foregoing. foregoing. this this file file is is CLOSED. CLOSED.

DONE DONE and and ORDERED ORDERED on on this this the the day day of of -- -- , , 2014, 2014, In In

Tallahassee, Tallahassee, Florida. Florida.

' ' ---, ---, 7 7

i i _// _// . .

ELIZABET ELIZABET UDEK, UDEK, SECRET SECRET AR AR Y Y

Agency Agency for for Health Health Care Care Administration Administration

A A PARTY PARTY WHO WHO IS IS ADVERSELY ADVERSELY AFFECTED AFFECTED BY BY THIS THIS FINAL FINAL ORDER ORDER IS IS ENTITLED ENTITLED TO TO

A A JUDICIAL JUDICIAL REVIEW REVIEW WHICH WHICH SHALL SHALL BE BE INSTITUTEDBY INSTITUTEDBY FILING FILING ONE ONE COPY COPY OF OF A A

NOTICE NOTICE OF OF APPEAL APPEAL WITH WITH THE THE AGENCY AGENCY CLERK CLERK OF OF AHCA, AHCA, AND AND A A SECOND SECOND COpy COpy

1 1

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 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.

Copies furnished to:

Shena Grantham, Esquire

Agency for Health Care

Administration

2727 Mahan Drive, MS#3

Tallahassee, Florida 32308

Peter A. Lewis, Esquire

Law Offices of Peter A. Lewis, P.L.

3023 North Shannon Lakes Drive, #101

Tallahassee, Florida 32303

(U.S. Mail)

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to

the above named addressees by U.S. Mail on this the §day of __ 'r--"; ,2014.

Richard S oop, Esquire

Agency Clerk

State of Florida

Agency for Health Care Administration

2727 Mahan Drive, Building #3

Tallahassee, Florida 32308-5403