20-002630 Agency For Health Care Administration vs. Pavilion Gardens, Llc, D/B/A Pavilion Gardens Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Tuesday, June 30, 2020.

4

STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION2 -

2 2: 06 ` b

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

Petitioner, DOAH No. 20- 2630

AHCA No. 2020001947

vs License No. 7469

File No. 11942726

PAVILION GARDENS, LLC d/ b/ a Provider Type: ALF

PAVILION GARDENS, RENDITION NO.: AHCA- Z. o 5; S - S- OLC

Respondent.

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

Petitioner,

V. AHCA No. 2020001076

PAVILION GARDENS, LLC d/ b/ a

PAVILION GARDENS,

Respondent.

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

Petitioner,

AHCA Nos. 2020003693

v 2019005806

2020007532

PAVILION GARDENS, LLC d/ b/ a 2020009930

PAVILION GARDENS,

Respondent.

PAVILION GARDENS, LLC d/b/a

PAVILION GARDENS,

Petitioner,

v. AHCA No. 2020003694

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

Respondent.

_______________________________/

FINAL ORDER

Having reviewed the Administrative Complaint and Notice oflntent to Deny Renewal Application,

and all other matters of record, the Agency for Health Care Administration finds and concludes as follows:

1. The Agency issued an Immediate Moratorium on Admissions to the Provider. Case No.

2020001076. The Agency issued a follow up Administrative Complaint to the Provider. Case No.

202000194 7. (Ex. 1) The Agency subsequently issued a Notice oflntent to Deny the Renewal Application

to the Provider. Case No. 2020003694. (Ex. 2) The parties have since entered into the attached Settlement

Agreement, which is adopted and incorporated by reference into this Final Order. (Ex. 3)

2. The parties shall comply with the terms set forth in the settlement agreement, specifically

those terms that relate to the licensure of this assisted living facility.

3. The Immediate Moratorium on Admissions is lifted effective the date of this Final Order.

4. The Provider shall pay the Agency $38,887.74 within thirty (30) days of the Final Order

adopting the Settlement Agreement. 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

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 c.9P7'. of this Final Order was served on the below-named

persons by the method designated on this of , 7 , 2020.

gency

Agency for Health Care Administration

2727 Mahan Drive, Mail Stop 3

Tallahassee, Florida 32308

Telephone: [phone]

Janice Mills, Government Analyst II Central Intake Unit

Facilities Intake Unit Agency for Health Care Administration

Agency for Health Care Administration (Electronic Mail)

(Electronic Mail)

Arlene Mayo-Davis, Field Office Manager Keisha Woods, Unit Manager

Local Field Office Licensure Unit

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Kimberly Smoak, Bureau Chief Laura MacLafferty, Bureau Chief

Bureau of Operations Bureau of Health Quality Assurance

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Traci Gerrell, Consultant II Lucy Gibson, Senior Management Analyst

Division ofHealth Quality Assurance Division of Health Quality Assurance

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Diana M. Giraldo, Senior Attorney Annando Godinez, Administrator

Office of the General Counsel Pavilion Gardens, LLC d/b/a Pavilion Gardens

Agency for Health Care Administration 71 West 30 111 Street

(Electronic Mail) Hialeah, Florida 33012

(U.S. Mail)

Thomas M. Hoeler, ChiefFacilities Counsel Thomas P. Crapps, Esq.

Office of the General Counsel Counsel for Respondent

Agency for Health Care Administration Meenan, P.A.,

(Electronic Mail) 300 South Duval Street, Ste 410

Tallahassee, Florida 32301

[e-mail]

(by electronic mail)

The Honorable Mary Li Creasy

Administrative Law Judge

Division of Administrative Hearings

(Electronic Filing)