Provider Profile
ELON MANOR NURSING AND REHABILITATION CENTER
Nursing Home
FACILITY PROFILE
Street Address
- 1203 E 22ND AVE
TAMPA, FL 33605
County: Hillsborough - Phone: (813) 229-6901
Mailing Address
- 1203 E 22ND AVE
TAMPA, FL 33605
County: Hillsborough - Phone: (718) 798-1100
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Facility Information:
| Facility/Provider Type: | Nursing Home | ||||||
| Administrator: | Not Available | ||||||
| Financial Officer: | ROSE MARIE MCGAULEY | ||||||
| Owner/Licensee: | TAMPA THA OPCO, LLC | ||||||
| Owner/Licensee Since: | 10/1/2023 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | 96 | ||||||
| Bed Types: | Total Capacity: 96 Community Beds: 96 Sheltered Beds: 0 Pediatric Beds: 0 Private Rooms: 78 2-Bed Rooms: 6 3-Bed Rooms: 2 4-Bed Rooms: 0 | ||||||
| AHCA Number (File Number): | 62936 | ||||||
| AHCA Field Office: | 06 | ||||||
| License Number: | 12400962 | ||||||
| Current License Effective: | 10/1/2023 | ||||||
| Current License Expires: | 9/30/2025 | ||||||
| License Status: | LICENSED | ||||||
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Services/Characteristics
| Current Daily Rate: | 261.00 |
| Adult Day Care Services: | No |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | CreoleFilipinoFrenchSpanish |
| Payment Forms Accepted: | Insurance and/or HMOMedicaidMedicareVA |
| Special Programs and Services: | Alzheimer'sEden AlternativeHIV CareHospice CarePet TherapyRespite |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Air ConditioningLife Safety SystemsLightsRefrigeration |
| Plan Approval: | 11/4/2019 |
| Implementation Date: | 11/4/2019 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Common AreasDining RoomHallwayResident Rooms |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 8370 |
| Number of People to use Cooled Space: | 96 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 10/1/2023 | |||||
| 7/17/2020 | 2020012273 | Fine | Survey | $0.00 | 11/17/2020 |
| 12/27/2018 | 2019000039 | Rule Variance/Waiver | Administrative Rule | $0.00 | 2/8/2019 |
| 11/1/2017 | 2017013458 | Rule Variance/Waiver | Administrative Rule | $0.00 | 11/29/2017 |
| 4/12/2016 | 2016003887 | Fine | Reporting | $2,000.00 | 5/18/2016 |
| Change of ownership occurred 3/1/2009 | |||||
| 12/3/2008 | 2008013490 | Fine | Survey | $5,000.00 | 2/4/2009 |
| 12/3/2008 | 2008013492 | Conditional License | Survey | $0.00 | 11/20/2008 |
| 7/8/2008 | 2008008435 | Conditional License | Survey | $0.00 | 5/31/2008 |
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.