15-001039 Willow Manor Retirement Living vs. Agency For Health Care Administration Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Thursday, March 31, 2016.

STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

C' u t', r it C i.;:

ANDIES, INC., d/ a b/ WILLOW

MANOR RETIREMENT LIVING,

Petitioner, DOAH No. 15- 1039

V. AHCA No. 2014009956

RENDITION NO.: AHCA- S- OLC

STATE OF FLORIDA, AGENCY FOR 110 - G2oo9

HEALTH CARE ADMINISTRATION,

Respondent.

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

Petitioner, DOAH No. 15- 3039

V. AHCA NO. 2015004217

License No. 6122

ANDIES, INC., d/ a b/ WILLOW File No. 11910751

MANOR RETIREMENT LIVING, Provider Type: Assisted Living Facility

Respondent.

FINAL ORDER

Having reviewed the attached Amended Notice of Intent to Deny and the attached Amended

Administrative Complaint, and all other matters of record, the Agency for Health Care Administration

finds and concludes as follows:

1. The Agency issued the attached Amended Notice of Intent to Deny and the attached

Amended Administrative Complaint and Election of Rights form to the Provider. ( Ex. 1)

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

Based upon the foregoing, it is ORDERED:

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

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

4. The Provider's license to operate this assisted living facility is surrendered effective as of

June 30, 2016.

5. An administrative fine of $25,000.00 is imposed against the Provider, bus STAYED in

accordance with the terms of the Settlement Agreement.

6. The conditions against the controlling interests identified in the Settlement Agreement

are imposed.

7. The Provider is responsible for any refunds that may be due to any clients.

8. The Provider shall remain responsible for retaining and appropriately distributing client

records as prescribed by Florida law. The Provider is advised of Section 408.810, Florida Statutes. The

Provider should also consult the applicable authorizing statutes and administrative code provisions as

well as any other statute that may apply to health care practitioners regarding client records.

9. The Provider is given notice of Florida law regarding unlicensed activity. The Provider

is advised of Section 408.804 and Section 408.812, Florida Statutes. The Provider should also consult

the applicable authorizing statutes and administrative code provisions. The Provider is notified that the

cancellation of an Agency license may have ramifications potentially affecting accrediting, third party

billing including but not limited to the Florida Medicaid program, and private contracts.

ORDERED at Tallahassee, Florida, on this_!_!____ day of , 2016.

retary

are 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 this Final Order was on the below-named

persons by the method designated on this ay of ,//po/ , 2016.

Richard J. Shoop, Agency erk

Agency for Health Care Administration

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

Tallahassee, Florida 32308-5403

Telephone: [phone]

Jan Mills Central Intake Unit

Facilities Intake Unit Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Katrina Derico- Harris Catherine Anne Avery, Unit Manager

Medicaid Accounts Receivable Licensure Unit

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Shawn McCauley Arlene Mayo Davis, Field Office Manager

Medicaid Contract Management Local Field Office

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Lourdes A. Naranjo, Senior Attorney Jay Adams, Esquire

Office of the General Counsel Broad and Cassel

Agency for Health Care Administration Post Office Drawer 11300

(Electronic Mail) Tallahassee, FL 32301

(U.S. Mail)

Honorable Cathy Sellers

Administrative Law Judge

Division of Administrative Hearings

(Electronic Filing)

NOTICE OF FLORIDA LAW

408.804 License required; display.--

( 1) It is unlawful to provide services that require licensure, or operate or maintain a provider that offers

or provides services that require licensure, without first obtaining from the agency a license authorizing

the provision of such services or the operation or maintenance of such provider.

(2) A license must be displayed in a conspicuous place readily visible to clients who enter at the address

that appears on the license and is valid only in the hands of the licensee to whom it is issued and may not

be sold, assigned, or otherwise transferred, voluntarily or involuntarily. The license is valid only for the

licensee, provider, and location for which the license is issued.

408.812 Unlicensed activity.--

(1) A person or entity may not offer or advertise services that require licensure as defined by this part,

authorizing statutes, or applicable rules to the public without obtaining a valid license from the agency.

A licenseholder may not advertise or hold out to the public that he or she holds a license for other than

that for which he or she actually holds the license.

(2) The operation or maintenance of an unlicensed provider or the performance of any services that

require licensure without proper licensure is a violation of this part and authorizing statutes. Unlicensed

activity constitutes harm that materially affects the health, safety, and welfare of clients. The agency or

any state attorney may, in addition to other remedies provided in this part, bring an action for an

injunction to restrain such violation, or to enjoin the future operation or maintenance of the unlicensed

provider or the performance of any services in violation of this part and authorizing statutes, until

compliance with this part, authorizing statutes, and agency rules has been demonstrated to the

satisfaction of the agency.

(3) It is unlawful for any person or entity to own, operate, or maintain an unlicensed provider. If after

receiving notification from the agency, such person or entity fails to cease operation and apply for a

license under this part and authorizing statutes, the person or entity shall be subject to penalties as

prescribed by authorizing statutes and applicable rules. Each day of continued operation is a separate

offense.

(4) Any person or entity that fails to cease operation after agency notification may be fined $1,000 for

each day of noncompliance.

( 5) When a controlling interest or licensee has an interest in more than one provider and fails to license

a provider rendering services that require licensure, the agency may revoke all licenses and impose

actions under s. 408.814 and a fine of$1,000 per day, unless otherwise specified by authorizing statutes,

against each licensee until such time as the appropriate license is obtained for the unlicensed operation.

(6) In addition to granting injunctive relief pursuant to subsection (2), if the agency determines that a

person or entity is operating or maintaining a provider without obtaining a license and determines that a

condition exists that poses a threat to the health, safety, or welfare of a client of the provider, the person

or entity is subject to the same actions and fines imposed against a licensee as specified in this part,

authorizing statutes, and agency rules.

(7) Any person aware of the operation of an unlicensed provider must report that provider to the

agency.