Provider Profile
BARTRAM LAKES ASSISTED LIVING
Assisted Living Facility
FACILITY PROFILE
Street Address
- 6209 BROOKS BARTRAM DR BLDG 200
JACKSONVILLE, FL 32258
County: Duval - Phone: (904) 528-3500
Mailing Address
- 3599 UNIVERSITY BLVD S ATTN: MANAGED CARE
JACKSONVILLE, FL 32216-4252
County: Duval - Phone: (904) 345-7291
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | |||||||||||||||||||||
| Administrator: | BARBARA MATTESON | |||||||||||||||||||||
| Financial Officer: | JAMES BRITTON TABOR | |||||||||||||||||||||
| Owner/Licensee: | BROOKS SKILLED NURSING FACILITY A INC | |||||||||||||||||||||
| Owner/Licensee Since: | 8/8/2013 | |||||||||||||||||||||
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| Profit Status: | Not-For-Profit | |||||||||||||||||||||
| Management Company: | Not Available | |||||||||||||||||||||
| Manager Since: | Not Available | |||||||||||||||||||||
| Licensed Beds: | 100 | |||||||||||||||||||||
| Bed Types: | Extended Congregate Care: 100 Total Capacity: 100 Private: 100 Optional State Supplement: 0 | |||||||||||||||||||||
| AHCA Number (File Number): | 11968539 | |||||||||||||||||||||
| AHCA Field Office: | 04 | |||||||||||||||||||||
| License Number: | 12426 | |||||||||||||||||||||
| Current License Effective: | 1/13/2022 | |||||||||||||||||||||
| Current License Expires: | 1/12/2024 | |||||||||||||||||||||
| License Status: | IN REVIEW | |||||||||||||||||||||
Services/Characteristics
| Specialty License: | Extended Congregate Care |
| Activities: | Arts and CraftsCooking ClassesExercise 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: | CreoleEnglishFrenchSpanish |
| Nurse Availability: | Direct 24hr |
| Payment Forms Accepted: | Other |
| Special Programs and Services: | AudiologyMemory CareOccupational TherapyOtherPet TherapyPhysical TherapySpeech Therapy |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Air ConditioningLife Safety SystemsLightsOtherRefrigeration |
| Plan Approval: | 10/31/2017 |
| Implementation Date: | 10/31/2017 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Common AreasDining RoomHallway |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 7,000 |
| Number of People to use Cooled Space: | 100 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 1/4/2018 | 2018005197 | Fine | Reporting | $500.00 | 5/11/2018 |
| 12/27/2017 | 2018004919 | Fine | Reporting | $500.00 | 5/11/2018 |
| 11/14/2017 | 2018006415 | Fine | Reporting | $500.00 | 6/15/2018 |
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.