Provider Profile
ELYSIAN GARDENS ASSISTED LIVING FACILITY OF TAMPA
Assisted Living Facility
FACILITY PROFILE
Street Address
- 312 E 124TH AVE
TAMPA, FL 33612-4305
County: Hillsborough - Phone: (813) 932-3618
Mailing Address
- 17843 NEWCASTLE FIELD DRIVE
LUTZ, FL 33559
County: Hillsborough - Phone: (786) 371-4396
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | |||||||||
| Administrator: | TIFFENY CLAYTON | |||||||||
| Financial Officer: | SHELDON V RAMKISSOON | |||||||||
| Owner/Licensee: | ELYSIAN GARDENS LLC | |||||||||
| Owner/Licensee Since: | 10/22/2021 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | SENIORS R US LLC | |||||||||
| Manager Since: | 10/22/2021 | |||||||||
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| Licensed Beds: | 50 | |||||||||
| Bed Types: | Total Capacity: 50 Private: 50 Extended Congregate Care: 0 Optional State Supplement: 0 | |||||||||
| AHCA Number (File Number): | 11942977 | |||||||||
| AHCA Field Office: | 06 | |||||||||
| License Number: | 6124 | |||||||||
| Current License Effective: | 10/22/2023 | |||||||||
| Current License Expires: | 10/21/2025 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Specialty License: | Limited Nursing 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: | CreoleEnglishSpanish |
| Nurse Availability: | 3rd Party Part-TimeDirect Part-Time |
| Payment Forms Accepted: | Insurance and/or HMOMedicaidVAWorkers Compensation |
| Special Programs and Services: | Memory CareOccupational TherapyPet TherapyPhysical TherapySpeech Therapy |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Air ConditioningLife Safety SystemsLightsOtherRefrigeration |
| Plan Approval: | 11/18/2017 |
| Implementation Date: | 10/30/2018 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air ConditionerFans |
| Areas Cooled: | Common AreasDining RoomLiving room |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 8000 |
| Number of People to use Cooled Space: | 40+ |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 7/24/2024 | 2024010217 | Fine | Survey | $1,000.00 | 2/7/2025 |
| Change of ownership occurred 10/22/2021 | |||||
| 3/24/2014 | 2014002995 | Fine | Survey | $500.00 | 7/14/2014 |
| Change of ownership occurred 1/31/2014 | |||||
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.