Provider Profile
HOMEWOOD LODGE ASSISTED LIVING FACILITY
Assisted Living Facility
FACILITY PROFILE
Street Address
- 430 SE MILLS ST
MAYO, FL 32066
County: Lafayette - Phone: (386) 294-2273
Mailing Address
- 430 SE MILLS ST
MAYO, FL 32066
County: Lafayette - Phone: (386) 294-2273
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | |||||||||
| Administrator: | JACQUELINE FRANCO-RAMIREZ | |||||||||
| Financial Officer: | MICHELLE RANEE NORRIS | |||||||||
| Owner/Licensee: | SORENSEN, SMITH & BAY LLC | |||||||||
| Owner/Licensee Since: | 4/28/2014 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | 36 | |||||||||
| Bed Types: | Private: 36 Optional State Supplement: 0 Extended Congregate Care: 0 Total Capacity: 36 | |||||||||
| AHCA Number (File Number): | 11968666 | |||||||||
| AHCA Field Office: | 03 | |||||||||
| License Number: | 12528 | |||||||||
| Current License Effective: | 9/28/2024 | |||||||||
| Current License Expires: | 9/27/2026 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Activities: | Arts and CraftsDancingExercise ClassesGames/CardsGardeningShoppingSocial Events/Outings |
| Bed Hold Policy: | Facility will hold beds during a temporary absence |
| Adult Day Care Services: | No |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | EnglishSpanish |
| Nurse Availability: | 3rd Party Part-Time |
| Payment Forms Accepted: | MedicaidOtherVA |
| Special Programs and Services: | Memory Care |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Entire Facility |
| Plan Approval: | 4/25/2018 |
| Implementation Date: | 4/24/2018 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Entire Facility |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 12,480 |
| Number of People to use Cooled Space: | 51 |
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.