Provider Profile
LAKE PLACID HEALTH AND REHABILITATION CENTER
Nursing Home
FACILITY PROFILE
Street Address
- 125 TOMOKA BLVD S
LAKE PLACID, FL 33852-8123
County: Highlands - Phone: (863) 465-7200
Mailing Address
- 980 SYLVAN AVE
ENGLEWD CLFS, NJ 07632-3315
County: - Phone: (863) 465-7200
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Facility Information:
| Facility/Provider Type: | Nursing Home | ||||||
| Administrator: | LORI SUZANNE OLSEN-KING | ||||||
| Financial Officer: | LORI SUZANNE OLSEN-KING | ||||||
| Owner/Licensee: | LAKE PLACID OPERATIONS LLC | ||||||
| Owner/Licensee Since: | 11/3/2020 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | 180 | ||||||
| Bed Types: | Total Capacity: 180 Community Beds: 180 Sheltered Beds: 0 Pediatric Beds: 0 Private Rooms: 16 2-Bed Rooms: 82 3-Bed Rooms: 0 4-Bed Rooms: 0 | ||||||
| AHCA Number (File Number): | 62802 | ||||||
| AHCA Field Office: | 06 | ||||||
| License Number: | 1274095 | ||||||
| Current License Effective: | 11/3/2024 | ||||||
| Current License Expires: | 11/2/2026 | ||||||
| License Status: | LICENSED | ||||||
Services/Characteristics
| Current Daily Rate: | 260.00 |
| Adult Day Care Services: | No |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | CreoleFilipinoGermanSign LanguageSpanish |
| 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 ProgramPet TherapyRespiteTracheotomy |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Air Conditioning |
| Plan Approval: | 6/13/2018 |
| Implementation Date: | 9/9/2019 |
| Implementation Extended Until: | 12/31/2018 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Dining RoomHallwayResident Rooms |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 20780 |
| Number of People to use Cooled Space: | 180 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 6/3/2021 | 2021010179 | Conditional License | Survey | $0.00 | 6/3/2021 |
| 6/3/2021 | 2021010179 | Fine | Survey | $7,500.00 | 11/19/2021 |
| 2/23/2021 | 2021004495 | Conditional License | Survey | $0.00 | 11/9/2020 |
| 2/23/2021 | 2021004495 | Fine | Survey | $1,000.00 | 8/17/2021 |
| 12/17/2020 | 2021001251 | Fine | Survey | $2,000.00 | 8/17/2021 |
| 12/17/2020 | 2021001251 | Conditional License | Survey | $0.00 | 11/9/2020 |
| Change of ownership occurred 11/3/2020 | |||||
| 12/6/2019 | 2019019072 | Rule Variance/Waiver | Administrative Rule | $0.00 | 1/15/2020 |
| 7/31/2019 | 2019012111 | Rule Variance/Waiver | Administrative Rule | $0.00 | 9/20/2019 |
| 5/8/2019 | 2019007192 | Rule Variance/Waiver | Administrative Rule | $0.00 | 6/11/2019 |
| 12/27/2018 | 2018018790 | Rule Variance/Waiver | Administrative Rule | $0.00 | 2/4/2019 |
| 1/12/2018 | 2018009223 | Fine | Reporting | $500.00 | 7/25/2018 |
| 10/25/2017 | 2017012989 | Rule Variance/Waiver | Administrative Rule | $0.00 | 11/28/2017 |
| 1/6/2016 | 2016000135 | Fine | Survey | $1,000.00 | 7/26/2016 |
| Change of ownership occurred 12/4/2008 | |||||
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.