Provider Profile

INN AT FREEDOM VILLAGE, THE

Nursing Home

FACILITY PROFILE

Street Address
  • 6410 21ST AVE W
    BRADENTON, FL 34209
    County: Manatee
  • Phone: (941) 798-8200
Mailing Address
  • 6410 21ST AVE W
    BRADENTON, FL 34209
    County: Manatee
  • Phone: (941) 798-8200
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Facility Information:
Facility/Provider Type:Nursing Home
Administrator:STEVEN LEVATO
Financial Officer:SCOTT MCALISTER
Owner/Licensee:CCRC OPCO-BRADENTON LLC
Owner/Licensee Since:8/29/2014

NamePositionOwnership
CCRC OPCO VENTURES, LLC100%
FRANK RUSSOBOARD MEMBER/OFFICER0%
PATRICK CHENGBOARD MEMBER/OFFICER0%
Profit Status:For-Profit
Management Company:LIFE CARE SERVICES LLC
Manager Since:2/1/2020

NamePositionOwnership
LIFE CARE COMPANIES LLC100%
BRIDGETTE C UHLEMANNBOARD MEMBER/OFFICER0%
DANIEL L LAHEYBOARD MEMBER/OFFICER0%
GELYNNA SHAWBOARD MEMBER/OFFICER0%
JASON C VICTORBOARD MEMBER/OFFICER0%
JILL SORENSONBOARD MEMBER/OFFICER0%
JOHN CHRIS BIRDBOARD MEMBER/OFFICER0%
Licensed Beds:120
Bed Types:Total Capacity: 120
Community Beds: 0
Sheltered Beds: 120
Pediatric Beds: 0
Private Rooms: 45
2-Bed Rooms: 25
3-Bed Rooms: 0
4-Bed Rooms: 0
AHCA Number (File Number):64112
AHCA Field Office:06
License Number:1168096
Current License Effective:11/27/2024
Current License Expires:11/26/2026
License Status:LICENSED
Services/Characteristics
Current Daily Rate:318.00
Adult Day Care Services:No
Continuing Care Retirement Community:Yes
Languages Spoken:CreoleSpanish
Payment Forms Accepted:Insurance and/or HMOMedicaidMedicareWorkers Compensation
Special Programs and Services:24 hr Onsite RN CoverageAlzheimer'sDialysisHospice CareOther Special ProgramPet TherapyRespiteTherapeutic SpaTracheotomyWeight Training
Emergency Power Plan Summary
Onsite Alternate Power Source:Fixed Generator
Emergency Power Supports:Entire Facility
Plan Approval:11/8/2017
Implementation Date:5/31/2019
Implementation Extended Until:1/1/2019
Cooling Method:Air Conditioner
Areas Cooled:Entire Facility
Areas Cooled Location:Within Facility
Number of People to use Cooled Space:96
Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
1/24/20232023001409Conditional LicenseSurvey$0.0012/1/2022
1/24/20232023001409FineSurvey$2,500.004/24/2023
4/20/20212021007450Conditional LicenseSurvey$0.002/12/2021
4/20/20212021007450FineSurvey$1,000.009/1/2021
3/6/20192019003347Conditional LicenseSurvey$0.004/26/2018
3/6/20192019003347FineSurvey$4,000.005/7/2020
1/24/20192019001042FineSurvey$1,000.004/15/2019
1/24/20192019001042Conditional LicenseSurvey$0.0011/1/2018
10/3/20182018015227Rule Variance/WaiverAdministrative Rule$0.0012/20/2018
10/17/20172017012345Rule Variance/WaiverAdministrative Rule$0.0011/13/2017
4/22/20162016004693FineSurvey$2,500.007/7/2016
7/14/20152015007394FineSurvey$2,500.0010/12/2015
7/14/20152015007394Conditional LicenseSurvey$0.0010/12/2015
12/17/20142014012197FineSurvey$800.009/18/2015
12/17/20142014012197Conditional LicenseSurvey$0.009/18/2015
Change of ownership occurred 8/29/2014
Change of ownership occurred 6/12/2006

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.