Provider Profile
LAKE MORTON SENIOR LIVING
Assisted Living Facility
FACILITY PROFILE
Street Address
- 400 S FLORIDA AVE
LAKELAND, FL 33801-5254
County: Polk - Phone: (863) 683-1000
Mailing Address
- 400 S FLORIDA AVE
LAKELAND, FL 33801-5254
County: Polk - Phone: (863) 683-1000
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | ||||||
| Administrator: | DEBRA M. MATHEWSON | ||||||
| Financial Officer: | KEVIN TAPP | ||||||
| Owner/Licensee: | Lake Morton Senior Living, LLC | ||||||
| Owner/Licensee Since: | 6/1/2023 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | 126 | ||||||
| Bed Types: | Total Capacity: 126 Optional State Supplement: 0 Private: 126 Extended Congregate Care: 0 | ||||||
| AHCA Number (File Number): | 11963866 | ||||||
| AHCA Field Office: | 06 | ||||||
| License Number: | 5308 | ||||||
| Current License Effective: | 6/1/2023 | ||||||
| Current License Expires: | 5/31/2025 | ||||||
| License Status: | IN REVIEW | ||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Activities: | Arts and CraftsDancingExercise ClassesGames/CardsMusic 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: | EnglishSpanish |
| Nurse Availability: | Direct Part-Time |
| Payment Forms Accepted: | MedicaidOtherVA |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Entire Facility |
| Plan Approval: | 9/27/2018 |
| Implementation Date: | 7/30/2019 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air ConditionerFansSpot Coolers |
| Areas Cooled: | Entire Facility |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 13933 |
| Number of People to use Cooled Space: | 150 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 6/1/2023 | |||||
| 7/12/2021 | 2021009659 | Fine | Survey | $3,127.41 | 10/18/2021 |
| 2/10/2020 | 2020002337 | Fine | Survey | $1,500.00 | 4/16/2020 |
| 1/2/2020 | 2020000690 | Fine | Survey | $3,000.00 | 4/16/2020 |
| 3/14/2019 | 2019004334 | Fine | Survey | $500.00 | 10/8/2019 |
| Change of ownership occurred 11/1/2017 | |||||
| Change of ownership occurred 8/1/2013 | |||||
| 1/25/2007 | 2007000953 | Fine | Application | $5,000.00 | 3/21/2007 |
| Change of ownership occurred 1/17/2007 | |||||
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.