Provider Profile
FUTURE SMILES SENIOR LIVING LLC
Assisted Living Facility
FACILITY PROFILE
Street Address
- 4645 SW VAHALLA ST
PORT SAINT LUCIE, FL 34953
County: St. Lucie - Phone: (772) 878-5547
Mailing Address
- 4645 SW VAHALLA ST
PORT SAINT LUCIE, FL 34953
County: St. Lucie - Phone: (772) 878-5547
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | |||||||||
| Administrator: | MICHELLE SANTIAGO | |||||||||
| Financial Officer: | FERNANDO BRAS | |||||||||
| Owner/Licensee: | FUTURE SMILES SENIOR LIVING LLC | |||||||||
| Owner/Licensee Since: | 7/15/2022 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | 8 | |||||||||
| Bed Types: | Extended Congregate Care: 0 Private: 8 Optional State Supplement: 0 Total Capacity: 8 | |||||||||
| AHCA Number (File Number): | 11966874 | |||||||||
| AHCA Field Office: | 09 | |||||||||
| License Number: | 10988 | |||||||||
| Current License Effective: | 7/15/2022 | |||||||||
| Current License Expires: | 7/14/2024 | |||||||||
| License Status: | IN REVIEW | |||||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Specialty License: | Limited Nursing Services |
| Activities: | Arts and CraftsDancingExercise ClassesGames/CardsGardeningShoppingSocial Events/OutingsTheater and MoviesYoga |
| Bed Hold Policy: | Facility will hold beds during a temporary absence |
| Adult Day Care Services: | Yes |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | EnglishPortugueseSpanish |
| Nurse Availability: | Direct 24hr |
| Payment Forms Accepted: | CHAMPUSInsurance and/or HMOMedicaidMedicareVAWorkers Compensation |
| Community Residential Home | Yes |
Please be advised that local zoning authorities may have additional restrictions or requirements not under the jurisdiction of the Agency for Health Care Administration. Contact your local zoning authorities for any specific requirements. See also 419.001 F.S.
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Portable Generator |
| Emergency Power Supports: | Air ConditioningEntire FacilityLife Safety SystemsLightsOtherRefrigeration |
| Plan Approval: | 11/30/2022 |
| Implementation Date: | 5/31/2022 |
| Cooling Method: | Air ConditionerSpot Coolers |
| Areas Cooled: | Entire Facility |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 2021 |
| Number of People to use Cooled Space: | 10 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 7/15/2022 | |||||
| 10/15/2019 | 2020000331 | Fine | Survey | $2,500.00 | 5/12/2020 |
| 3/25/2019 | 2019005259 | Fine | Survey | $1,000.00 | 5/12/2020 |
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.