Provider Profile
SHARICK'S DECK RETIREMENT RANCH
Assisted Living Facility
FACILITY PROFILE
Street Address
- 4506 BRUTON ROAD
PLANT CITY, FL 33565
County: Hillsborough - Phone: (813) 754-5223
Mailing Address
- 4506 BRUTON ROAD
PLANT CITY, FL 33565
County: Hillsborough - Phone: (813) 754-5223
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: | NICOLAS CICCARELLO |
| Financial Officer: | NICOLAS CICCARELLO |
| Owner/Licensee: | NICOLAS CICCARELLO |
| Owner/Licensee Since: | 1/18/2011 |
| Profit Status: | For-Profit |
| Management Company: | Not Available |
| Manager Since: | Not Available |
| Licensed Beds: | 25 |
| Bed Types: | Total Capacity: 25 Extended Congregate Care: 0 Private: 13 Optional State Supplement: 12 |
| AHCA Number (File Number): | 11932435 |
| AHCA Field Office: | 06 |
| License Number: | 5335 |
| Current License Effective: | 6/14/2023 |
| Current License Expires: | 6/13/2025 |
| License Status: | LICENSED |
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Specialty License: | Limited Mental Health |
| Activities: | Games/CardsGardeningShoppingSocial 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: | EnglishFrenchHindiItalianSpanish |
| Nurse Availability: | None |
| Payment Forms Accepted: | Medicaid |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Air ConditioningEntire FacilityHeating SystemsLife Safety SystemsLightsOtherRefrigeration |
| Plan Approval: | 6/6/2019 |
| Implementation Date: | 10/12/2019 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air ConditionerOther |
| Areas Cooled: | Common AreasDining RoomEntire FacilityHallwayLiving roomOther AreaResident Rooms |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 5000 |
| Number of People to use Cooled Space: | 22 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 12/12/2022 | 2022018145 | Fine | Survey | $1,000.00 | 4/10/2023 |
| 10/14/2019 | 2019016384 | Fine | Survey | $2,500.00 | 8/18/2020 |
| 8/12/2019 | 2019012783 | Rule Variance/Waiver | Administrative Rule | $0.00 | 9/18/2019 |
| 8/1/2018 | 2018011254 | Fine | Licensure | $200.00 | 6/21/2019 |
| 2/9/2012 | 2012005353 | Fine | Survey | $500.00 | 4/25/2013 |
| 12/16/2008 | 2009000433 | Fine | Survey | $750.00 | 5/27/2009 |
| 2/2/2007 | 2007002104 | Fine | Survey | $500.00 | 5/7/2007 |
| 11/18/2004 | 2004011067 | Fine | Survey | $750.00 | 6/15/2005 |
| 1/13/2004 | 2004001050 | Fine | Survey | $1,400.00 | 10/27/2004 |
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.