Provider Profile
PRESTIGE MANOR
Assisted Living Facility
FACILITY PROFILE
Street Address
- 6040 SOUTHEAST FRONT ROAD
BELLEVIEW, FL 34420
County: Marion - Phone: (352) 245-7466
Mailing Address
- 6040 SOUTHEAST FRONT ROAD
BELLEVIEW, FL 34420
County: Marion - Phone: (352) 307-6333
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Assisted Living in FloridaLong-Term Care
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | ||||||
| Administrator: | TEANNA EZELL | ||||||
| Financial Officer: | CARROL DILLON-SMITH | ||||||
| Owner/Licensee: | PRESTIGE MANOR BUSINESS LLC | ||||||
| Owner/Licensee Since: | 8/24/2021 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | 21 | ||||||
| Bed Types: | Total Capacity: 21 Private: 21 Extended Congregate Care: 0 Optional State Supplement: 0 | ||||||
| AHCA Number (File Number): | 11911157 | ||||||
| AHCA Field Office: | 03 | ||||||
| License Number: | 7159 | ||||||
| Current License Effective: | 8/24/2023 | ||||||
| Current License Expires: | 8/23/2025 | ||||||
| License Status: | LICENSED | ||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Activities: | Arts and CraftsDancingExercise ClassesGames/CardsGardeningMusic ProgramsSocial Events/OutingsTheater and Movies |
| Bed Hold Policy: | Facility will hold beds during a temporary absence |
| Adult Day Care Services: | No |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | EnglishSign LanguageSpanish |
| Nurse Availability: | Direct 24hr |
| Payment Forms Accepted: | MedicaidOtherVA |
| Religious Affiliations: | Christian (non-denominational)Other |
| Special Programs and Services: | Memory Care |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Entire Facility |
| Plan Approval: | 2/7/2018 |
| Implementation Date: | 1/30/2019 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Entire Facility |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 2661 |
| Number of People to use Cooled Space: | 9 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 8/24/2021 | |||||
| 5/1/2018 | 2018007277 | Fine | Survey | $500.00 | 4/9/2020 |
| 6/20/2016 | 2017008724 | Fine | Survey | $500.00 | 5/9/2018 |
| 4/22/2014 | 2014003992 | Fine | Survey | $500.00 | 12/4/2014 |
| 12/14/2011 | 2011013757 | Fine | Survey | $2,000.00 | 6/29/2012 |
| 12/14/2007 | 2008000147 | Fine | Survey | $500.00 | 6/18/2008 |
| 11/27/2007 | 2007013410 | Fine | Survey | $1,000.00 | 6/19/2008 |
| 11/13/2007 | 2007012976 | Fine | Survey | $1,500.00 | 6/19/2008 |
| 4/21/2006 | 2006005696 | Fine | Survey | $1,000.00 | 2/16/2007 |
| 11/30/2005 | 2005010749 | Fine | Survey | $1,500.00 | 4/14/2006 |
| 4/29/2004 | 2004003903 | Deny License Modification | Licensure | $0.00 | 1/20/2005 |
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.