Provider Profile
RIVERTOWN ASSISTED LIVING, LLC
Assisted Living Facility
FACILITY PROFILE
Street Address
- 16354 SW CHIPOLA RD
BLOUNTSTOWN, FL 32424
County: Calhoun - Phone: (850) 647-1077
Mailing Address
- 16354 SW CHIPOLA RD
BLOUNTSTOWN, FL 32424
County: Calhoun - Phone: (850) 674-1077
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | |||||||||
| Administrator: | TAMMY MARTIN | |||||||||
| Financial Officer: | MARSHELL SOLOMON | |||||||||
| Owner/Licensee: | RIVERTOWN ASSISTED LIVING, LLC | |||||||||
| Owner/Licensee Since: | 10/8/2013 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | 28 | |||||||||
| Bed Types: | Extended Congregate Care: 0 Total Capacity: 28 Private: 2 Optional State Supplement: 26 | |||||||||
| AHCA Number (File Number): | 11968572 | |||||||||
| AHCA Field Office: | 02 | |||||||||
| License Number: | 12439 | |||||||||
| Current License Effective: | 2/16/2024 | |||||||||
| Current License Expires: | 2/15/2026 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Specialty License: | Limited Mental Health |
| Activities: | Arts and CraftsDancingExercise ClassesGames/CardsGardeningShoppingSocial 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: | English |
| Nurse Availability: | Direct Part-Time |
| Payment Forms Accepted: | Insurance and/or HMOMedicaidVA |
| Special Programs and Services: | Pet Therapy |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Entire Facility |
| Plan Approval: | 6/26/2019 |
| Implementation Date: | 4/30/2019 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Entire Facility |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 3000 |
| Number of People to use Cooled Space: | 24 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 2/17/2022 | 2022002608 | Fine | Survey | $1,000.00 | 4/18/2022 |
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.