Provider Profile
RIVERSIDE CARE CENTER
Nursing Home
FACILITY PROFILE
Street Address
- 899 NW 4TH STREET
MIAMI, FL 33128
County: Miami-Dade - Phone: (305) 326-1236
Mailing Address
- 899 NW 4TH STREET
MIAMI, FL 33128
County: Miami-Dade - Phone: (305) 326-1236
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Nursing Home Guide
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Facility Information:
| Facility/Provider Type: | Nursing Home | ||||||
| Administrator: | JUAN HURTADO | ||||||
| Financial Officer: | MITCHELL M WALLACE | ||||||
| Owner/Licensee: | STACEY HEALTH CARE CENTERS, INC. | ||||||
| Owner/Licensee Since: | 2/20/1997 | ||||||
| |||||||
| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | 120 | ||||||
| Bed Types: | Total Capacity: 120 Community Beds: 120 Sheltered Beds: 0 Pediatric Beds: 0 Private Rooms: 4 2-Bed Rooms: 32 3-Bed Rooms: 12 4-Bed Rooms: 4 | ||||||
| AHCA Number (File Number): | 111336 | ||||||
| AHCA Field Office: | 11 | ||||||
| License Number: | 1478096 | ||||||
| Current License Effective: | 6/27/2024 | ||||||
| Current License Expires: | 6/26/2026 | ||||||
| License Status: | LICENSED | ||||||
Services/Characteristics
| Current Daily Rate: | 450.00 |
| Adult Day Care Services: | No |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | FilipinoItalianSpanish |
| Payment Forms Accepted: | Insurance and/or HMOMedicaidMedicareWorkers Compensation |
| Special Programs and Services: | 24 hr Onsite RN CoverageAlzheimer'sHospice CareJCAHO accredited Long Term Care ProgramRespite |
Emergency Power Plan Summary
| Plan Approval: | 6/26/2018 |
| Implementation Date: | 7/1/2018 |
| Implementation Extended Until: | 9/15/2018 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 1/8/2018 | 2018000326 | Fine | Survey | $500.00 | 2/20/2019 |
| 10/18/2017 | 2017012554 | Rule Variance/Waiver | Administrative Rule | $0.00 | 11/15/2017 |
| 9/27/2016 | 2016011345 | Fine | Survey | $500.00 | 2/20/2019 |
| Change of ownership occurred 3/29/2012 | |||||
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.