Provider Profile
BAYSIDE TERRACE SENIOR LIVING
Assisted Living Facility
FACILITY PROFILE
Street Address
- 9381 US HIGHWAY 19 N
PINELLAS PARK, FL 33782-5410
County: Pinellas - Phone: (727) 576-1234
Mailing Address
- 9381 US HIGHWAY 19 N
PINELLAS PARK, FL 33782-5410
County: Pinellas - Phone: (727) 576-1234
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | ||||||
| Administrator: | LESLIE EDWARDS | ||||||
| Financial Officer: | KEVIN TAPP | ||||||
| Owner/Licensee: | BAYSIDE TERRACE SENIOR LIVING, LLC | ||||||
| Owner/Licensee Since: | 2/1/2023 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | 162 | ||||||
| Bed Types: | Optional State Supplement: 0 Total Capacity: 162 Extended Congregate Care: 0 Private: 162 | ||||||
| AHCA Number (File Number): | 11963958 | ||||||
| AHCA Field Office: | 05 | ||||||
| License Number: | 6139 | ||||||
| Current License Effective: | 2/1/2025 | ||||||
| Current License Expires: | 1/31/2027 | ||||||
| License Status: | LICENSED | ||||||
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: | English |
| Nurse Availability: | Direct 24hr |
| Payment Forms Accepted: | MedicaidOtherVA |
| Special Programs and Services: | Memory CareOccupational TherapySpeech Therapy |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Entire Facility |
| Plan Approval: | 10/9/2018 |
| Implementation Date: | 7/23/2019 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air ConditionerFansSpot Coolers |
| Areas Cooled: | Common AreasDining RoomEntire FacilityHallwayLiving roomResident Rooms |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 37,844 |
| Number of People to use Cooled Space: | 162 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 6/8/2023 | 2023009151 | Fine | Survey | $3,000.00 | 7/17/2023 |
| 3/29/2023 | 2023009035 | Fine | Survey | $2,000.00 | 7/17/2023 |
| Change of ownership occurred 2/1/2023 | |||||
| 8/9/2022 | 2022012137 | Fine | Survey | $1,000.00 | 10/11/2022 |
| 4/22/2021 | 2021005993 | Fine | Survey | $1,000.00 | 8/24/2021 |
| 8/13/2019 | 2019012731 | Fine | Survey | $30,000.00 | 2/27/2020 |
| Change of ownership occurred 11/1/2017 | |||||
| 7/20/2015 | 2015008014 | Fine | Survey | $500.00 | 1/18/2017 |
| 3/19/2015 | 2015002964 | Fine | Survey | $2,500.00 | 5/26/2015 |
| Change of ownership occurred 8/1/2013 | |||||
| Change of ownership occurred 10/1/2011 | |||||
| 2/20/2004 | 2004001484 | Denied | Licensure | $0.00 | 4/14/2004 |
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.