Provider Profile
ASPIRE AT SHOAL CREEK
Nursing Home
FACILITY PROFILE
Street Address
- 500 HOSPITAL DRIVE
CRESTVIEW, FL 32539
County: Okaloosa - Phone: (850) 689-3146
Mailing Address
- 500 HOSPITAL DRIVE
CRESTVIEW, FL 32539
County: Okaloosa - Phone: (850) 689-3146
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Facility Information:
| Facility/Provider Type: | Nursing Home | |||||||||
| Administrator: | ANTHONY J RIMMER | |||||||||
| Financial Officer: | ANTHONY J RIMMER | |||||||||
| Owner/Licensee: | 500 Hospital Dr Opco LLC | |||||||||
| Owner/Licensee Since: | 12/1/2023 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | ASPIRE MGT LLC | |||||||||
| Manager Since: | 12/1/2023 | |||||||||
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| Licensed Beds: | 120 | |||||||||
| Bed Types: | Total Capacity: 120 Community Beds: 120 Sheltered Beds: 0 Pediatric Beds: 0 Private Rooms: 8 2-Bed Rooms: 56 3-Bed Rooms: 0 4-Bed Rooms: 0 | |||||||||
| AHCA Number (File Number): | 35960948 | |||||||||
| AHCA Field Office: | 01 | |||||||||
| License Number: | 130471012 | |||||||||
| Current License Effective: | 12/1/2023 | |||||||||
| Current License Expires: | 11/30/2025 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Current Daily Rate: | 321.00 |
| Adult Day Care Services: | No |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | FilipinoSpanish |
| Payment Forms Accepted: | CHAMPUS/TRICAREInsurance and/or HMOMedicaidMedicareWorkers Compensation |
| Special Programs and Services: | 24 hr Onsite RN CoverageAlzheimer'sAlzheimers Secured UnitHIV CareHospice CareJCAHO accredited Long Term Care ProgramRespiteTracheotomy |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Air ConditioningLife Safety SystemsLightsOtherRefrigeration |
| Plan Approval: | 5/31/2018 |
| Implementation Date: | 1/2/2020 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air ConditionerSpot Coolers |
| Areas Cooled: | Common AreasDining RoomHallwayLiving room |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 3600 |
| Number of People to use Cooled Space: | 120 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 12/1/2023 | |||||
| 8/5/2023 | 2023011988 | Conditional License | Survey | $0.00 | 5/19/2023 |
| 8/5/2023 | 2023011988 | Six month survey cycle | Survey | $0.00 | 3/4/2024 |
| 8/5/2023 | 2023011988 | Fine | Survey | $20,000.00 | 3/4/2024 |
| 5/5/2022 | 2022006704 | Fine | Survey | $61,000.00 | 12/7/2022 |
| 4/10/2019 | 2019005693 | Rule Variance/Waiver | Administrative Rule | $0.00 | 6/18/2019 |
| 9/28/2018 | 2018015116 | Rule Variance/Waiver | Administrative Rule | $0.00 | 12/17/2018 |
| 10/31/2017 | 2017013310 | Rule Variance/Waiver | Administrative Rule | $0.00 | 11/29/2017 |
| 8/31/2016 | 2016010376 | Fine | Survey | $3,000.00 | 8/18/2016 |
| 8/31/2016 | 2016010376 | Conditional License | Survey | $0.00 | 8/18/2016 |
| Change of ownership occurred 2/1/2012 | |||||
| 7/23/2004 | 2004007273 | Fine | Survey | $1,000.00 | 7/15/2004 |
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.