15-004629 Agency For Health Care Administration vs. Usa Rehab And Chiropratic Center Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Thursday, September 10, 2015.

STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

2016JA"!- 8 P12* 4u

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

Petitioner, CASE NO. 15- 411PH

AHCA NO. 2015004471

V. FILE NO. 6601

LICENSE NO. 6718

USA REHAB AND CHIROPRACTIC FACILITY TYPE: HEALTH

CENTER, INC., CARE CLINIC

RENDITION NO.: AHCA - ~ p Gp 2_ 6 FOI- OLC

Respondent.

FINAL ORDER

After the Division of Administrative Hearing relinquished jurisdiction on September 10,

2015 due to the absence of any material facts in dispute, this case was referred to a hearing

officer ( hereafter referred to as the Presiding Officer) for a proceeding to be conducted pursuant

to Section 120. 2), 57( Florida Statutes. The Presiding Officer' s Recommended Order, which was

signed on November 23, 2015, and filed with the Agency Clerk' s office on the same date, is

attached to this Final Order and incorporated herein by reference.

FINDINGS OF FACT

The Agency adopts the findings of fact set forth in the Recommended Order.

CONCLUSIONS OF LAW

The Agency adopts the conclusions of law set forth in the Recommended Order.

IT IS THEREFORE ADJUDGED THAT:

1. The July 1, 2015 Amended Administrative Complaint is hereby upheld, a $ 10, 000

fine is hereby imposed on Respondent, and Respondent' s health care clinic license is hereby

revoked.

2. In order to ensure the health, safety, and welfare of Respondent's clients, the

license expiration date is extended for 30 days for the sole purpose of allowing the safe and

orderly discharge of clients. § 408.815(6), Fla. Stat. As a condition of this extension,

Respondent is prohibited from accepting any new admissions during this period and must

immediately notify the clients that they will soon be discharged. Respondent is subject to

monitoring by the Agency and possibly third parties. The Agency may terminate the 30-day

extension or modify the conditions at any time. Respondent must comply with all other

applicable federal and state laws. At the conclusion of 30 days, or upon the discontinuance

of operations, whichever is first in time, Respondent shall promptly return the license

certificate which is the subject of this agency action to the appropriate licensure unit in

Tallahassee, Florida. Fla. Admin. CodeR. 59A-35.040(5).

3. In accordance with Florida law, Respondent is responsible for retaining and

appropriately distributing all client records within the timeframes prescribed in the

authorizing statutes and applicable administrative code provisions. Respondent is advised of

Section 408.810, Florida Statutes.

4. In accordance with Florida law, Respondent is responsible for any refunds that

may have to be made to the clients.

5. Respondent is given notice of Florida law regarding unlicensed activity.

Respondent is advised of Section 408.804 and Section 408.812, Florida Statutes. Respondent

should also consult the applicable authorizing statutes and administrative code provisions.

Respondent 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.

6. Unless payment has already been made, payment in the amount of $10,000 is now due

from the Respondent as a result of the agency action. Such payment shall be made within thirty

(30) days of the date of rendition of this Final Order unless other payment arrangements have

been made. The payment shall be made by check payable to Agency for Health Care

Administration, and shall be mailed to the Agency for Health Care Administration, Attn. Central

Intake Unit, 2727 Mahan Drive, Mail Stop 61, Tallahassee, Florida 32308.

7.

DONE ORDERED m Tallahassee, Florida, on this 2-- day of

H DUDEK, Secret

R HEALTH 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 the original notice of appeal with the Agency Clerk of AHCA, and a copy,

along with the filing fee 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 the rendition of the order to be reviewed.

CERTIFICATE OF SERVICE

I CERTIFY that a true and correct copy of this Final Order was served on the below-

named persons by the method designated on this of

,2016)

=>7

RICHARD . OOP, Agency erk

AGENCY FOR HEALTH CARE ADMINISTRATION

2727 Mahan Drive, MS #3

Tallahassee, Florida 32308

Telephone: [phone]

Copies furnished to:

Jan Mills Catherine Avery, Unit Manager

Facilities Intake Unit Assisted Living Unit

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Finance & Accounting Theresa DeCanio, Field Office Manager

Revenue Management Unit Area 7 Field Office

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Katrina Derico- Harris Warren J. Bird, Esquire

Medicaid Accounts Receivable Assistant General Counsel

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Shawn McCauley Lavaud Fevry, B. Ed.

Medicaid Contract Management USA Rehab and Chiropractic Center, Inc.

Agency for Health Care Administration 6900 Silver Star Road, Suite 210

(Electronic Mail) Orlando, Florida 32818

(U.S. Mail)

William H. Roberts, Esquire

Presiding Officer

(Electronic Mail)

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 ofthe 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.