14-001422 Agency For Health Care Administration vs. Pram/Lake Mary Te, Llc, D/B/A Spring Hills Lake Mary Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Thursday, April 10, 2014.

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STATE STATE OF OF FLORIDA FLORIDA f' H c:

AGENCY AGENCY FOR FOR HEALTH HEALTH CARE CARE ADMINISTRATION ADMINISTRATION A J\\GENCY' U L ~ i'

P 3. 0 3

STATE STATE OF OF FLORIDA, FLORIDA, AGENCY AGENCY FOR FOR 2014 2014 JUN JUN l 11 l P 3: 03

HEALTH HEAL TH CARE CARE ADMINISTRATION, ADMINISTRA nON,

Petitioner, Petitioner,

vs. vs. AHCA AHCA NO. NO. 2012011278 2012011278

RENDITION RENDITION NO.: NO.: AHCA- i\\HCi\\- /4- y - - DSCI D5 L /3 3 - S- -S-OlC OLC

PRAM/ PRAM/LAKE LAKE MARY MARY TE, TE, LLC LLC

A D/ D/B/A B/ SPRING SPRING HILLS HILLS LAKE LAKE MARY, MARY,

Respondent. Respondent.

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FINAL FINAL ORDER ORDER

Having Having reviewed reviewed the the Administrative Administrative Complaint Complaint and and Amended Amended Administrative Administrative Complaint, Complaint, and and all all

other other matters matters of of record, record, the the Agency Agency for for Health Health Care Care Administration Administration finds finds and and concludes concludes as as follows: follows:

1. I. The The Agency Agency has has jurisdiction jurisdiction over over the the above- above-named named Respondent Respondent pursuant pursuant to to Chapter Chapter 408, 408,

Part Part II, II, Florida Florida Statutes, Statutes, and and the the applicable applicable authorizing authorizing statutes statutes and and administrative administrative code code provisions. provisions.

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

the the Respondent. ( Respondent. Ex. (Ex. 1) 1) The The Election Election of of Rights Rights forms forms advised advised of of the the right right to to an an administrative administrative hearing. hearing.

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

Based Based upon upon the the foregoing, foregoing, it it is is ORDERED: ORDERED:

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

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

2. 2. The The Respondent Respondent shall shall pay pay the the Agency Agency $ $2,375.00. 00. 2, 375. If If full full payment payment has has been been made, made, the the

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

been been made, made, payment payment isdue is due within within 30 30 days days of of the the Final Final Order. Order. Overdue Overdue amounts amounts are are subject subject to to statutory statutory

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

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

Office Office of of Finance Finance and and Accounting Accounting

Revenue Revenue Management Management Unit Unit

Agency Agency for for Health Health Care Care Administration Administration

2727 2727 Mahan Mahan Drive, Drive, MS MS 14 14

Tallahassee, Tallahassee, FL FL 32308 32308

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

NOTICE OF RIGHT TO JUD L 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.

I CERTIFY that a tme and correCj<>py of this Fnal Order was served on the helow-named

persons by the method designated on thi;L day of ,2014 .

. card Shoop, Agenc)1 lerk

Agency for Health Care Administration

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

Tallahassee, FL 32308-5403

Telephone: [phone]

Jan Mills Finance & Accounting

Facilities Intake Unit Revenue Management Unit

(Electronic Mail) (Electronic Mail)

Nick Lynn, Executive Director Thomas Valdez, Esq.

Spring Hills Lake Mary Quintairos, Prieto, Wood & Boyer, P.A.

3655 W. Lake Mary Blvd 4905 W. Laurel St - Ste 200

Lake Mary, FL 32746 Tampa, FL 33607

(U.S. Mail) (U.S. Mail)

David Selby, Senior Attorney

Office of the General Counsel

Agency for Health Care Administration

(Electronic Mail)