17-002766
Agency For Health Care Administration vs.
Fkp Tampa Senior Living Tenant, Llc, D/B/A Belvedere Commons Of Tampa
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Monday, July 24, 2017.
Settled and/or Dismissed prior to entry of RO/FO on Monday, July 24, 2017.
1STATE OF FLORIDA
4AGENCY FOR HEALTH CARE ADMINISTRATION
9STATE OF FLORIDA, AGENCY FOR 2911 !; 3 P d?: 4 f
23HEALTH CARE ADMINISTRATION,
26Petitioner,
27DOAH No. 17- 2766
31V. AHCA No.: 2016013843
35FKP TAMPA SENIOR LIVING TENANT LLC d/ b/ a RENDITION NO.: AHCA- 1 -' OA 0 FS- OLC
53BELVEDERE COMMONS OF TAMPA,
57Respondent.
58FINAL ORDER
60Having reviewed the Administrative Complaint, and all other matters of record, the Agency for
74Health Care Administration finds and concludes as follows:
821. The Agency issued the attached Administrative Complaint and Election of Rights form to
96the Respondent. ( Ex. 1). The parties have since entered into the attached Settlement Agreement, which
112is adopted and incorporated by reference into this Final Order. ( Ex. 2)
1252. The Respondent shall pay the Agency $ 15, 000. 00. If full payment has been made, the
143cancelled check acts as receipt of payment and no further payment is required. If full payment has not
161been made, payment is due within 30 days of the Final Order. Overdue amounts are subject to statutory
179interest and may be referred to collections. A check made payable to the " Agency for Health Care
196Administration" and containing the AHCA ten - digit case number should be sent to:
210Central Intake Unit
213Agency for Health Care Administration
2182727 Mahan Drive, Mail Stop 61
224Tallahassee, Florida 32308
227ORDERED at Tallahassee, Florida, on this 3 day of Au t , 2017.
239Just' . Sen' r, ecretary
244Agency for He Care Administration
249NOTICE OF RIGHT TO JUDICIAL REVIEW
255A party who is adversely affected by this Final Order is entitled to judicial review, shall which be instituted
274by filing one copy of a notice of appeal with the Agency Clerk of AHCA, and a second copy, along with
295filing fee as prescribed by law, with the District Court of Appeal in the appellate district where the Agency
314maintains its headquarters or where a party resides. Review of proceedings shall be conducted in
329accordance with the Florida appellate rules. The Notice of Appeal must be filed within 30 days of
346rendition of the order to be reviewed.
353CERTIFICATE OF SERVICE
356I CERTIFY that a true and correct <:.2i'y of="" this="" final="" served="" on="" the="">
363persons by the method designated on this of , k.5 D , 2017.
374oop, Agency
376Agency for Health Care Administration
3812727 Mahan Drive, Mail Stop 3
387Tallahassee, Florida 32308
390Telephone: (850) 412-3630
393Facilities Intake Unit Central Intake Unit
399Agency for Health Care Administration Agency for Health Care Administration
409(Electronic Mail) (Electronic Mail)
413Raphael M. Ortega, Senior Attorney Ryan A. Lossius, Esquire.
422Office of the General Counsel Quintairos, Prieto, Wood & Boyer, P.A.
433Agency for Health Care Administration 1410 N. Westshore Boulevard, Suite 200
444(Electronic Mail) Tampa, FL, 33607
449(U.S. Mail)
451Honorable Linzie F. Bogan
455Administrative Law Judge
458Division of Administrative Hearings
462(Electronic Mail)
Case Information
- Judge:
- LINZIE F. BOGAN
- Date Filed:
- 05/15/2017
- Date Assignment:
- 05/16/2017
- Last Docket Entry:
- 08/04/2017
- Location:
- Tampa, Florida
- District:
- Middle
- Agency:
- Other
Counsels
-
Thomas W Caufman, Esquire
Address of Record -
Ryan Lossius, Esquire
Address of Record -
Raphael M. Ortega, Esquire
Address of Record