Provider Profile
THE SUSAN REWIS HOUSE
Assisted Living Facility
FACILITY PROFILE
Street Address
- 7216 NW 22ND DRIVE
JENNINGS, FL 32053
County: Hamilton - Phone: (386) 938-2097
Mailing Address
- P.O. BOX 180
JENNINGS, FL 32053
County: Hamilton - Phone: (386) 938-2097
AHCA Reports
Inspection ReportsInspection Details
Consumer Guides
Assisted Living in FloridaLong-Term Care
Patient Safety
Health Care Advance Directives
Facility Information:
| Facility/Provider Type: | Assisted Living Facility | |||||||||
| Administrator: | WANDA LAW | |||||||||
| Financial Officer: | WANDA LAW | |||||||||
| Owner/Licensee: | HIDDEN OAKS ALF, INC. | |||||||||
| Owner/Licensee Since: | 4/15/2002 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | 16 | |||||||||
| Bed Types: | Private: 0 Optional State Supplement: 16 Total Capacity: 16 Extended Congregate Care: 0 | |||||||||
| AHCA Number (File Number): | 11965244 | |||||||||
| AHCA Field Office: | 03 | |||||||||
| License Number: | 9631 | |||||||||
| Current License Effective: | 11/9/2023 | |||||||||
| Current License Expires: | 11/8/2025 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Specialty License: | Limited Mental Health |
| Activities: | Arts and CraftsDancingGames/CardsSocial 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: | English |
| Nurse Availability: | None |
| Payment Forms Accepted: | MedicaidOther |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Air ConditioningHeating SystemsLife Safety SystemsLightsRefrigeration |
| Plan Approval: | 1/18/2018 |
| Implementation Date: | 10/25/2017 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Common AreasHallwayLiving roomResident Rooms |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 506 |
| Number of People to use Cooled Space: | 16 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 4/3/2013 | 2013003700 | Fine | Survey | $500.00 | 5/22/2013 |
| 6/22/2012 | 2012006875 | Fine | Survey | $500.00 | 5/7/2012 |
| 5/9/2012 | 2012005213 | Fine | Survey | $1,000.00 | 4/25/2012 |
| 3/21/2007 | 2007003850 | Fine | Survey | $500.00 | 6/15/2007 |
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.