Provider Profile

GRAND VILLA OF PORT CHARLOTTE

Assisted Living Facility

FACILITY PROFILE

Street Address
  • 2500 AARON ST
    PORT CHARLOTTE, FL 33952-6743
    County: Charlotte
  • Phone: (941) 627-6762
Mailing Address
  • 13770 58TH STREET NORTH SUITE 312
    CLEARWATER, FL 33760-3759
    County: Pinellas
  • Phone: (727) 729-3980
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Facility Information:
Facility/Provider Type:Assisted Living Facility
Administrator:KATHY BRUNS
Financial Officer:JOHN MOSCHNER
Owner/Licensee:GV PORT CHARLOTTE, LLC
Owner/Licensee Since:5/1/2025
Profit Status:For-Profit
Management Company:IND-ORMOND, INC.
Manager Since:5/1/2025

NamePositionOwnership
DFGV HOLDINGS INC100%
DENNIS FORTEBOARD MEMBER/OFFICER0%
JOHN MOSCHNERBOARD MEMBER/OFFICER0%
Licensed Beds:125
Bed Types:Extended Congregate Care: 0
Optional State Supplement: 0
Total Capacity: 125
Private: 125
AHCA Number (File Number):11911942
AHCA Field Office:08
License Number:3915
Current License Effective:5/1/2025
Current License Expires:10/31/2025
License Status:PROVISIONAL
Services/Characteristics
Medicaid Services:Assistive Care Services
Bed Hold Policy:Facility will hold beds during a temporary absence
Adult Day Care Services:Yes
Continuing Care Retirement Community:No
Emergency Power Plan Summary
Onsite Alternate Power Source:Fixed Generator
Emergency Power Supports:Entire Facility
Plan Approval:2/8/2019
Implementation Date:9/12/2019
Implementation Extended Until:1/1/2019
Cooling Method:Air Conditioner
Areas Cooled:Entire Facility
Areas Cooled Location:Within Facility
Square Footage Cooled:33000
Number of People to use Cooled Space:200
Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
Change of ownership occurred 5/1/2025
Change of ownership occurred 2/10/2020
10/30/20192019016946FineSurvey$2,000.0012/20/2019
10/30/20192019016947FineSurvey$2,000.0012/20/2019
10/3/20192019015665FineSurvey$20,000.0012/20/2019
9/9/20192019016164FineSurvey$3,000.0012/20/2019
9/9/20192020004715FineSurvey$1,000.008/27/2020
5/7/20182018006815FineSurvey$10,000.0012/10/2018
5/7/20182018006816FineSurvey$5,000.0012/10/2018
10/7/20142014010198FineSurvey$200.003/25/2015
Change of ownership occurred 9/10/2013
8/23/20132013008933FineSurvey$22,500.009/18/2013
Change of ownership occurred 12/1/2007
Change of ownership occurred 6/9/2006

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.