14-005336 Agency For Health Care Administration vs. Lp Port Charlotte, Llc, D/B/A Signature Healthcare Of Port Charlotte Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Friday, January 16, 2015.

STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

STATE OF FLORIDA, AGENCY FOR 2015 t1'.~ ! D

HEALTH CARE ADMINISTRATION,

Petitioner, Case No. 14- 5336

V. AHCA No. 2014006942

RENDITION NO.: AFICA- ( 5 - © 1S3 S- OEC

LP PORT CHARLOTTE, LLC d/ a b/

SIGNATURE HEALTHCARE OF PORT

CHARLOTTE,

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:

I. 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 $ 10, 00 000. in administrative fines. 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. In addition the Respondent shall pay

the Agency $ 6, 00 000. as survey fee in accord with law. The checks are to be made payable to the

Agency for Health Care Administration" and contain the AHCA ten- digit case number and 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 13, 2014

and ending on July 28, 2014.

ORDERED at Tallahassee, Florida, on this __j_!!__ day 2015.

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.-c2P-y of this Final on the below-named

persons by the method designated on this , 2015.

Jan Mills Finance & Accounting

Facilities Intake Unit Revenue Management Unit

(Electronic Mail) (Electronic Mail)

Deborah E. Leoci Jonathan s. Grout, Esq.,

Office of the General Counsel Attorney for Facility

Agency for Health Care Administration Goldsmith & Grout, P .A.

(Electronic Mail) PO Box 2011

Winter Park, Florida 32790

(U.S. Mail)