Provider Profile
SEA VIEW INN AT FOREST LAKES
Assisted Living Facility
FACILITY PROFILE
Street Address
- 3548 SEA VIEW STREET
SARASOTA, FL 34239
County: Sarasota - Phone: (941) 807-9657
Mailing Address
- 3548 SEA VIEW STREET
SARASOTA, FL 34239
County: Sarasota - Phone: (941) 807-9657
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | ||||||
| Administrator: | JACQUELINE DORELIEN | ||||||
| Financial Officer: | SANDRA HOLTE | ||||||
| Owner/Licensee: | EXCELSIOR OMEGA INC | ||||||
| Owner/Licensee Since: | 2/12/2019 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | 6 | ||||||
| Bed Types: | Total Capacity: 6 Private: 4 Extended Congregate Care: 0 Optional State Supplement: 2 | ||||||
| AHCA Number (File Number): | 11953545 | ||||||
| AHCA Field Office: | 08 | ||||||
| License Number: | 12162 | ||||||
| Current License Effective: | 4/20/2021 | ||||||
| Current License Expires: | 4/19/2023 | ||||||
| License Status: | IN REVIEW | ||||||
Services/Characteristics
| Activities: | Arts and CraftsExercise ClassesGames/CardsGardeningMusic ProgramsShoppingSocial Events/Outings |
| Bed Hold Policy: | Facility will hold beds during a temporary absence |
| Adult Day Care Services: | No |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | CreoleEnglishFrenchOtherSpanish |
| Nurse Availability: | None |
| Payment Forms Accepted: | OtherVA |
| Special Programs and Services: | Water Therapy |
| 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: | Fixed Generator |
| Emergency Power Supports: | Entire Facility |
| Plan Approval: | 12/4/2018 |
| Implementation Date: | 12/4/2018 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Entire Facility |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 3565 |
| Number of People to use Cooled Space: | 8 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 4/20/2019 | |||||
| 8/1/2018 | 2018011211 | Fine | Licensure | $500.00 | 9/17/2018 |
| 7/8/2014 | 2014006742 | Fine | Survey | $1,500.00 | 5/5/2014 |
| 7/8/2014 | 2014006738 | Fine | Survey | $750.00 | 5/5/2015 |
| 7/8/2014 | 2014006741 | Fine | Survey | $1,500.00 | 5/5/2015 |
| 6/25/2014 | 2014006279 | Fine | Survey | $2,000.00 | 5/5/2015 |
| 6/25/2014 | 2014006276 | Fine | Survey | $500.00 | 5/5/2015 |
| 10/29/2013 | 2013011458 | Fine | Survey | $500.00 | 4/7/2014 |
| 6/28/2010 | 2010008386 | Fine | Survey | $4,400.00 | 12/16/2011 |
| 6/4/2010 | 2010005735 | Fine | Survey | $8,100.00 | 12/16/2011 |
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.