Provider Profile
GREENLEAF ASSISTED LIVING, LLC
Assisted Living Facility
FACILITY PROFILE
Street Address
- 509 WEST VERONA STREET
KISSIMMEE, FL 34741
County: Osceola - Phone: (407) 931-3995
Mailing Address
- 8447 DUNHAM STATION DR
TAMPA, FL 33647
County: Hillsborough - Phone: (813) 967-3808
Emergency Actions
| Legal Sanction | Status | Begin Date | End Date |
|---|---|---|---|
| Moratorium | Lifted | 2/5/2020 | 5/10/2021 |
AHCA Reports
Inspection ReportsInspection Details
Consumer Guides
Assisted Living in FloridaLong-Term Care
Patient Safety
Health Care Advance Directives
Facility Information:
| Facility/Provider Type: | Assisted Living Facility | ||||||||||||
| Administrator: | SABINA BELL | ||||||||||||
| Financial Officer: | CHIRAG AMIN | ||||||||||||
| Owner/Licensee: | KONA PROPERTIES, LLC | ||||||||||||
| Owner/Licensee Since: | 9/26/2018 | ||||||||||||
| |||||||||||||
| Profit Status: | For-Profit | ||||||||||||
| Management Company: | Not Available | ||||||||||||
| Manager Since: | Not Available | ||||||||||||
| Licensed Beds: | 75 | ||||||||||||
| Bed Types: | Total Capacity: 75 Private: 25 Extended Congregate Care: 0 Optional State Supplement: 50 | ||||||||||||
| AHCA Number (File Number): | 11932406 | ||||||||||||
| AHCA Field Office: | 07 | ||||||||||||
| License Number: | 8051 | ||||||||||||
| Current License Effective: | 1/29/2023 | ||||||||||||
| Current License Expires: | 1/28/2025 | ||||||||||||
| License Status: | IN REVIEW | ||||||||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Specialty License: | Limited Mental Health |
| 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: | Yes |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | EnglishSpanish |
| Nurse Availability: | 3rd Party Part-TimeDirect Part-Time |
| Payment Forms Accepted: | Insurance and/or HMOMedicaidOtherVA |
| Special Programs and Services: | Occupational TherapyPhysical TherapySpeech Therapy |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Air ConditioningLightsOtherRefrigeration |
| Plan Approval: | 10/25/2018 |
| Implementation Date: | 11/1/2018 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air ConditionerFans |
| Areas Cooled: | HallwayOther Area |
| Areas Cooled Location: | Within Facility |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 4/12/2022 | 2022005707 | Fine | Survey | $4,125.00 | 2/10/2023 |
| Change of ownership occurred 9/26/2018 | |||||
| 10/28/2015 | 2015011490 | Fine | Survey | $500.00 | 5/18/2015 |
| 3/24/2014 | 2014002997 | Fine | Survey | $500.00 | 5/23/2014 |
| Change of ownership occurred 9/27/2013 | |||||
| 9/18/2012 | 2012010613 | Fine | Survey | $1,000.00 | 2/5/2013 |
| 7/6/2011 | 2011007814 | Fine | Survey | $1,500.00 | 5/3/2012 |
| 6/2/2011 | 2011006761 | Fine | Survey | $500.00 | 5/3/2012 |
| 6/10/2009 | 2009007855 | Fine | Survey | $750.00 | 11/5/2009 |
| 6/9/2009 | 2009007727 | Fine | Survey | $375.00 | 11/5/2009 |
| 6/9/2009 | 2009007729 | Fine | Survey | $375.00 | 11/5/2009 |
| 2/5/2009 | 2009001854 | Fine | Survey | $4,250.00 | 11/5/2009 |
| 2/20/2007 | 2007001961 | Revoked | Survey | $0.00 | 7/23/2007 |
| 6/29/2006 | 2006006318 | Fine | Survey | $500.00 | 1/17/2007 |
| 3/15/2006 | 2006003948 | Fine | Survey | $250.00 | 12/21/2006 |
| 3/15/2006 | 2006003942 | Fine | Survey | $1,800.00 | 12/20/2006 |
| 3/15/2006 | 2006003946 | Fine | Survey | $500.00 | 12/21/2006 |
| 11/7/2005 | 2006003947 | Fine | Survey | $450.00 | 12/20/2006 |
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.