Provider Profile
ASHLEY MANOR, INC
Assisted Living Facility
FACILITY PROFILE
Street Address
- 3815 NW 10TH ST
DELRAY BEACH, FL 33445
County: Palm Beach - Phone: (954) 682-1783
Mailing Address
- 3815 NW 10TH ST
DELRAY BEACH, FL 33445
County: Palm Beach - Phone: (954) 682-1783
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility |
| Administrator: | ROSE MARIE DOBSON WONG |
| Financial Officer: | ROSE MARIE DOBSON WONG |
| Owner/Licensee: | ROSE MARIE DOBSON WONG |
| Owner/Licensee Since: | 1/1/2021 |
| Profit Status: | For-Profit |
| Management Company: | Not Available |
| Manager Since: | Not Available |
| Licensed Beds: | 6 |
| Bed Types: | Private: 6 Optional State Supplement: 0 Extended Congregate Care: 0 Total Capacity: 6 |
| AHCA Number (File Number): | 11968609 |
| AHCA Field Office: | 09 |
| License Number: | 12499 |
| Current License Effective: | 1/1/2023 |
| Current License Expires: | 12/31/2024 |
| License Status: | IN REVIEW |
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Activities: | Arts and CraftsExercise ClassesGames/CardsMusic ProgramsShoppingSocial 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: | 3rd Party Part-Time |
| Payment Forms Accepted: | Insurance and/or HMOMedicaidOtherVA |
| Special Programs and Services: | Memory CareOccupational 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: | Portable Generator |
| Emergency Power Supports: | Entire Facility |
| Plan Approval: | 4/17/2019 |
| Implementation Date: | 9/20/2018 |
| Implementation Extended Until: | 1/1/2019 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Entire Facility |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 1876 |
| Number of People to use Cooled Space: | 8 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 1/1/2021 | |||||
| 10/28/2020 | 2020017666 | Fine | Survey | $2,000.00 | 6/7/2021 |
| 9/14/2018 | 2018013760 | Fine | Survey | $500.00 | 11/7/2018 |
| 9/14/2018 | 2018013759 | Fine | Survey | $500.00 | 11/7/2018 |
| 4/26/2018 | 2018007166 | Fine | Survey | $1,000.00 | 6/7/2021 |
| 5/11/2016 | 2016008491 | Fine | Survey | $500.00 | 5/25/2018 |
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.