19-006126 Agency For Health Care Administration vs. Gahc4 Bradenton Fl Trs Sub, Llc, D/B/A Bayside Terrace Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Thursday, January 9, 2020.

STATE OF FLORIDA a, t

AGENCY FOR HEALTH CARE ADMINISTRATION 2922 rED' 21 P 12':

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

Petitioner,

V. DOAH No. 19- 6126

AHCA No. 2019012731

GAHC4 BAYSIDE FL TRS SUB, LLC, d/ b/ a RENDITION NO.: AHCA- 7_, D - U - S- OLC

BAYSIDE TERRACE,

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 issued the attached Administrative Complaint and Election of Rights form

to the Respondent. ( Ex. 1). The parties have since entered into the attached Settlement Agreement,

which is adopted and incorporated by reference into this Final Order. ( Ex. 2).

2. The Respondent shall pay the Agency $ 30, 500. 00. 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:

Central Intake Unit

Agency for Health Care Administration

2727 Mahan Drive, Mail Stop 61

Tallahassee, Florida 32308

3. The action seeking license revocation is withdrawn.

ORDERED at Tallahassee, Florida, on this Z-) day of " nb 12020.

2

ar C. Mayhew, Secretary

Agency for 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 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 >OPY of this Final Order was served on the below-named

persons by the method designated on this ..22- -{;;6r-G..-c4 -/ , 2020.

7

cy Clerk

Agency for Health Care Administration

2727 Mahan Drive, Mail Stop 3

Tallahassee, Florida 32308

Telephone: [phone]

Facilities Intake Unit Central Intake Unit

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Mary J. Howard, Senior Attorney Michael D'Lugo, Esquire

Office of the General Counsel Counsel for Respondent

Agency for Health Care Administration Wicker Smith

(Electronic Mail) 390 N. Orange Ave, Suite 1000

Orlando, Florida 32801

(U.S. Mail)

Division of Administrative Hearings

(Electronic Filing)