14-001843 Agency For Health Care Administration vs. Senior Housing Management Provider, Llc, D/B/A City Walk Active Living Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Wednesday, April 23, 2014.

STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION AC` f Cr'' i ERl'

STATE OF FLORIDA, AGENCY FOR 2014 MAY 12 A 11: 2 3

HEALTH CARE ADMINISTRATION,

Petitioner,

DOAH NO. 14- 1843

V. AHCA NO. 2012011245

RENDITION NO.: ANCA- I S- OLC

SENIOR HOUSING MANAGEMENT

PROVIDER LLC d/ a b/ CITY WALK

ACTIVE LIVING,

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 $ 1, 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 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

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

Elizabeth Dude , ecretary

Agency for Healt 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 corre y of this Final rder was served on the below- named

persons by the method designated on this ay of 2014.

Richard Shoop, 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)

Alba M. Rodriguez Ricki Kaneti, Administrator

Office of the General Counsel City Walk Active Living

Agency for Health Care Administration 534 Datura Street

Electronic Mail) West Palm Beach, FL 33401

U. S. Mail)

Mary Li Creasy John F. Gilroy 111, Esq.

Administrative Law Judge Attorney for Respondent

Division of Administrative Hearings 1695 Metropolitan Circle, Suite 2

Electronic Mail) Tallahassee, Florida 32308