Provider Profile

GOLDEN SWAN OF BOCA ALF INC

Assisted Living Facility

FACILITY PROFILE

Street Address
  • 19494 HAMPTON DR
    BOCA RATON, FL 33434
    County: Palm Beach
  • Phone: (954) 867-8080
Mailing Address
  • 19494 HAMPTON DR
    BOCA RATON, FL 33434
    County: Palm Beach
  • Phone: (954) 867-8080
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Facility Information:
Facility/Provider Type:Assisted Living Facility
Administrator:KATYA B VUSCAN
Financial Officer:KATYA B VUSCAN
Owner/Licensee:GOLDEN SWAN BY THE LAKE LLC
Owner/Licensee Since:6/3/2016

NamePositionOwnership
KATYA B VUSCAN100%
Profit Status:For-Profit
Management Company:Not Available
Manager Since:Not Available
Licensed Beds:6
Bed Types:Private: 6
Optional State Supplement: 0
Total Capacity: 6
Extended Congregate Care: 0
AHCA Number (File Number):11969043
AHCA Field Office:09
License Number:12872
Current License Effective:10/12/2022
Current License Expires:10/11/2024
License Status:IN REVIEW
Services/Characteristics
Medicaid Services:Assistive Care Services
Activities:Arts and CraftsDancingExercise ClassesGames/CardsGardeningMusic ProgramsOtherShoppingSocial 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:CreoleEnglishSpanish
Nurse Availability:None
Payment Forms Accepted:Other
Community Residential HomeYes

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:Air ConditioningRefrigeration
Plan Approval:11/1/2019
Implementation Date:6/1/2018
Cooling Method:Air Conditioner
Areas Cooled:Entire Facility
Areas Cooled Location:Within Facility
Square Footage Cooled:2100
Number of People to use Cooled Space:8
Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
11/1/20182019002826FineSurvey$500.0010/27/2020
2/22/20182018007356FineReporting$500.006/8/2018

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.