Provider Profile
ORANGE BLOSSOMS VILLA III, LLC
Assisted Living Facility
FACILITY PROFILE
Street Address
- 11030 56TH PL N
WEST PALM BEACH, FL 33411
County: Palm Beach - Phone: (561) 762-1492
Mailing Address
- 11030 56TH PL N
WEST PALM BEACH, FL 33411
County: Palm Beach - Phone: (561) 762-1492
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | |||||||||
| Administrator: | MARIA A. CUMMINGS | |||||||||
| Financial Officer: | MARIA A. CUMMINGS | |||||||||
| Owner/Licensee: | ORANGE BLOSSOMS VILLA III, LLC | |||||||||
| Owner/Licensee Since: | 12/6/2016 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | 6 | |||||||||
| Bed Types: | Extended Congregate Care: 0 Total Capacity: 6 Private: 6 Optional State Supplement: 0 | |||||||||
| AHCA Number (File Number): | 11968381 | |||||||||
| AHCA Field Office: | 09 | |||||||||
| License Number: | 12283 | |||||||||
| Current License Effective: | 2/11/2023 | |||||||||
| Current License Expires: | 2/10/2025 | |||||||||
| License Status: | IN REVIEW | |||||||||
Services/Characteristics
| Medicaid Services: | Assisted Living Waiver |
| Activities: | Arts and CraftsCooking ClassesDancingExercise ClassesGames/CardsGardeningMusic ProgramsSocial Events/OutingsTheater and Movies |
| Bed Hold Policy: | Facility will hold beds during a temporary absence |
| Adult Day Care Services: | Yes |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | CreoleEnglishFrenchGermanOther |
| Nurse Availability: | Direct Part-Time |
| Payment Forms Accepted: | MedicaidOtherVA |
| Special Programs and Services: | Massage Therapy/SpaOccupational TherapyPet TherapyPhysical TherapySpeech Therapy |
| Community Residential Home | Yes |
Please be advised that local zoning authorities may have additional restrictions or requirements not under the jurisdiction of the Agency for Health Care Administration. Contact your local zoning authorities for any specific requirements. See also 419.001 F.S.
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Air ConditioningLightsRefrigeration |
| Plan Approval: | 4/17/2019 |
| Implementation Date: | 5/31/2018 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air ConditionerFans |
| Areas Cooled: | Common AreasDining Room |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 1800 |
| Number of People to use Cooled Space: | 7 |
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.