Provider Profile

HERITAGE PARK REHABILITATION AND HEALTHCARE

Nursing Home

FACILITY PROFILE

Street Address
  • 2826 CLEVELAND AVE
    FORT MYERS, FL 33901
    County: Lee
  • Phone: (239) 334-1091
Mailing Address
  • 2826 CLEVELAND AVE
    FORT MYERS, FL 33901-6001
    County: Lee
  • Phone: (239) 334-1091
AHCA Reports
Inspection Reports
Inspection Details
Consumer Guides
Long-Term Care
Patient Safety
Health Care Advance Directives
Nursing Home Guide
Facility Information:
Facility/Provider Type:Nursing Home
Administrator:BRENDA SUE HEBDEN
Financial Officer:BRENDA SUE HEBDEN
Owner/Licensee:2826 CLEVELAND AVENUE OPERATIONS LLC
Owner/Licensee Since:2/1/2012

NamePositionOwnership
EPSILON HEALTHCARE PROPERTIES, LLC100%
CHRISTOPHER R BRYSONBOARD MEMBER/OFFICER0%
DANIEL E DIASBOARD MEMBER/OFFICER0%
GREGORY L HAYESBOARD MEMBER/OFFICER0%
KENNETH USSERYBOARD MEMBER/OFFICER0%
Profit Status:For-Profit
Management Company:CMC II, LLC
Manager Since:12/30/2011

NamePositionOwnership
LAVIE CARE CENTERS, LLC100%
CHRISTOPHER R BRYSONBOARD MEMBER/OFFICER0%
DANIEL E DIASBOARD MEMBER/OFFICER0%
GREGORY L HAYESBOARD MEMBER/OFFICER0%
KENNETH USSERYBOARD MEMBER/OFFICER0%
Licensed Beds:120
Bed Types:Total Capacity: 120
Community Beds: 120
Sheltered Beds: 0
Pediatric Beds: 0
Private Rooms: 2
2-Bed Rooms: 41
3-Bed Rooms: 12
4-Bed Rooms: 0
AHCA Number (File Number):83606
AHCA Field Office:08
License Number:1290096
Current License Effective:5/2/2022
Current License Expires:5/1/2024
License Status:INACTIVE
Services/Characteristics
Current Daily Rate:276.00
Adult Day Care Services:No
Continuing Care Retirement Community:No
Languages Spoken:CreoleFrenchSign LanguageSpanish
Payment Forms Accepted:CHAMPUS/TRICAREInsurance and/or HMOMedicaidMedicareVAWorkers Compensation
Special Programs and Services:24 hr Onsite RN CoverageAlzheimer'sDialysisHIV CareHospice CareJCAHO accredited Long Term Care ProgramPet TherapyRespiteTracheotomyWeight Training
Emergency Power Plan Summary
Onsite Alternate Power Source:Fixed GeneratorOther
Emergency Power Supports:Air ConditioningLife Safety SystemsLightsRefrigeration
Plan Approval:7/17/2018
Implementation Date:1/17/2020
Implementation Extended Until:1/1/2019
Cooling Method:Air Conditioner
Areas Cooled:Common AreasDining RoomLiving roomResident Rooms
Areas Cooled Location:Within Facility
Square Footage Cooled:10339
Number of People to use Cooled Space:120
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
7/20/20212021010030FineSurvey$500.0012/6/2021
5/17/20212021007055FineSurvey$1,000.0012/6/2021
5/17/20212021007057Conditional LicenseSurvey$0.005/6/2021
5/17/20212021007057Six month survey cycleSurvey$0.005/6/2021
5/17/20212021007057FineSurvey$10,000.0012/6/2021
5/17/20212021007059Conditional LicenseSurvey$0.004/14/2021
5/17/20212021007059Six month survey cycleSurvey$0.004/14/2021
5/17/20212021007059FineSurvey$10,000.0012/6/2021
5/17/20212021007060Six month survey cycleSurvey$0.003/15/2021
5/17/20212021007060FineSurvey$25,000.0012/6/2021
5/17/20212021007060Conditional LicenseSurvey$0.003/15/2021
10/16/20202020016683Conditional LicenseSurvey$0.009/23/2020
10/16/20202020016683FineSurvey$15,000.0012/6/2021
8/17/20202020013923FineSurvey$7,500.0012/6/2021
8/17/20202020013925FineSurvey$5,000.0012/6/2021
8/17/20202020013923Conditional LicenseSurvey$0.007/1/2020
8/17/20202020013924Conditional LicenseSurvey$0.007/6/2020
8/17/20202020013924FineSurvey$12,000.0012/6/2021
8/17/20202020013924Six month survey cycleSurvey$0.007/6/2020
8/17/20202020013925Conditional LicenseSurvey$0.007/15/2020
6/10/20202020010282Conditional LicenseSurvey$0.005/21/2020
6/10/20202020010282FineSurvey$3,000.0012/6/2021
3/27/20202020005770Six month survey cycleSurvey$0.003/14/2020
3/27/20202020005770FineSurvey$28,000.0012/6/2021
3/27/20202020005770Conditional LicenseSurvey$0.003/14/2020
4/10/20192019005574Rule Variance/WaiverAdministrative Rule$0.006/20/2019
9/28/20182018015046Rule Variance/WaiverAdministrative Rule$0.0012/17/2018
11/1/20172017013447Rule Variance/WaiverAdministrative Rule$0.0012/29/2017
7/20/20152015007630Conditional LicenseSurvey$0.002/13/2015
7/20/20152015007630FineSurvey$2,500.002/26/2019
7/20/20152015007631Conditional LicenseSurvey$0.002/13/2015
7/20/20152015007631FineSurvey$2,500.002/26/2019
Change of ownership occurred 2/1/2012
3/25/20102010003255FineReporting$500.005/12/2010
8/3/20092009008686FineReporting$500.0011/17/2009
6/11/20072007006329FineReporting$0.008/1/2007
7/26/20042004007442FineSurvey$3,750.005/31/2005
7/26/20042004008136Conditional LicenseSurvey$0.007/15/2004

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.