Provider Profile
ADAMS RETIREMENT HOME, INC.
Assisted Living Facility
FACILITY PROFILE
Street Address
- 401 PENNSYLVANIA AVENUE
FORT LAUDERDALE, FL 33312
County: Broward - Phone: (954) 316-2535
Mailing Address
- 401 PENNSYLVANIA AVENUE
FORT LAUDERDALE, FL 33312
County: Broward - Phone: (954) 316-2535
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | |||||||||
| Administrator: | MAE ADAMS | |||||||||
| Financial Officer: | MAE ADAMS | |||||||||
| Owner/Licensee: | ADAMS RETIREMENT HOME, INC. | |||||||||
| Owner/Licensee Since: | 9/29/1997 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | 6 | |||||||||
| Bed Types: | Total Capacity: 6 Extended Congregate Care: 0 Private: 6 Optional State Supplement: 0 | |||||||||
| AHCA Number (File Number): | 11964524 | |||||||||
| AHCA Field Office: | 10 | |||||||||
| License Number: | 9053 | |||||||||
| Current License Effective: | 12/28/2023 | |||||||||
| Current License Expires: | 12/27/2025 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Activities: | Arts and CraftsDancingExercise ClassesGames/CardsGardeningMusic Programs |
| Bed Hold Policy: | Facility will hold beds during a temporary absence |
| Adult Day Care Services: | Yes |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | English |
| Nurse Availability: | 3rd Party Part-Time |
| Payment Forms Accepted: | Insurance and/or HMOMedicaidVA |
| Religious Affiliations: | CatholicChristian (non-denominational) |
| Special Programs and Services: | Occupational 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: | Portable Generator |
| Emergency Power Supports: | Entire FacilityLightsOther |
| Plan Approval: | 7/8/2019 |
| Implementation Date: | 1/1/2019 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Entire FacilityLiving roomOther Area |
| Square Footage Cooled: | 410 |
| Number of People to use Cooled Space: | 8 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 8/1/2018 | 2018011229 | Fine | Licensure | $500.00 | 6/21/2019 |
| 8/25/2011 | 2011009546 | Fine | Survey | $1,000.00 | 11/28/2011 |
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.