Provider Profile
GOLD CHOICE ORMOND BEACH
Assisted Living Facility
FACILITY PROFILE
Street Address
- 1410 HAND AVE
ORMOND BEACH, FL 32174
County: Volusia - Phone: (386) 236-1829
Mailing Address
- 1410 HAND AVE
ORMOND BEACH, FL 32174
County: Volusia - Phone: (386) 236-1829
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | |||||||||
| Administrator: | AMBER BALL | |||||||||
| Financial Officer: | Not Available | |||||||||
| Owner/Licensee: | ORMOND ALF MANAGEMENT, LLC | |||||||||
| Owner/Licensee Since: | 4/1/2015 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | 75 | |||||||||
| Bed Types: | Private: 75 Total Capacity: 75 Optional State Supplement: 0 Extended Congregate Care: 0 | |||||||||
| AHCA Number (File Number): | 11967442 | |||||||||
| AHCA Field Office: | 04 | |||||||||
| License Number: | 11475 | |||||||||
| Current License Effective: | 6/30/2021 | |||||||||
| Current License Expires: | 6/29/2023 | |||||||||
| License Status: | IN REVIEW | |||||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Activities: | Arts and CraftsCooking ClassesDancingExercise ClassesGames/CardsGardeningMusic ProgramsShoppingSocial 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: | English |
| Nurse Availability: | None |
| Payment Forms Accepted: | MedicaidOtherVA |
| Special Programs and Services: | Memory Care |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | LightsRefrigeration |
| Plan Approval: | 10/24/2017 |
| Implementation Date: | 10/22/2018 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air ConditionerFans |
| Areas Cooled: | Common AreasDining RoomHallway |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 500 |
| Number of People to use Cooled Space: | 8 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 7/26/2016 | 2017004641 | Fine | Survey | $1,000.00 | 11/20/2017 |
| 4/21/2016 | 2016006310 | Fine | Survey | $500.00 | 11/20/2017 |
| Change of ownership occurred 4/1/2015 | |||||
| 2/27/2015 | 2015001916 | Fine | Survey | $1,000.00 | 4/15/2015 |
| 2/27/2015 | 2015001918 | Fine | Survey | $1,000.00 | 4/15/2015 |
| 12/29/2014 | 2014012467 | Fine | Survey | $500.00 | 4/15/2015 |
| 12/29/2014 | 2015000053 | Fine | Survey | $500.00 | 4/15/2015 |
| 6/26/2014 | 2014006318 | Fine | Survey | $2,000.00 | 3/10/2015 |
| 9/6/2013 | 2013009491 | Fine | Survey | $7,000.00 | 4/14/2014 |
| 8/10/2011 | 2011009058 | Fine | Survey | $1,216.25 | 5/31/2012 |
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.