Provider Profile
ARAVILLA CLEARWATER
Assisted Living Facility
FACILITY PROFILE
Street Address
- 3055 UNION ST
CLEARWATER, FL 33759
County: Pinellas - Phone: (727) 260-2826
Mailing Address
- 3055 UNION ST
CLEARWATER, FL 33759
County: Pinellas - Phone: (813) 368-5109
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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: | JAYNE PHAM | |||||||||
| Financial Officer: | KERRY BINGAMAN | |||||||||
| Owner/Licensee: | 1990 N. McMullen Booth Road, LLC | |||||||||
| Owner/Licensee Since: | 3/1/2021 | |||||||||
| Profit Status: | For-Profit | |||||||||
| Management Company: | AUTUMN SENIOR LIVING, LLC | |||||||||
| Manager Since: | 3/1/2021 | |||||||||
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| Licensed Beds: | 100 | |||||||||
| Bed Types: | Private: 100 Total Capacity: 100 | |||||||||
| AHCA Number (File Number): | 11969835 | |||||||||
| AHCA Field Office: | 05 | |||||||||
| License Number: | 13583 | |||||||||
| Current License Effective: | 4/6/2023 | |||||||||
| Current License Expires: | 4/5/2025 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Activities: | Arts and CraftsExercise ClassesGames/CardsGardeningMusic ProgramsShoppingSocial 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: | English |
| Nurse Availability: | Direct 24hr |
| Payment Forms Accepted: | Insurance and/or HMOMedicaidVA |
| Special Programs and Services: | Memory CareOccupational TherapyPet TherapyPhysical TherapySpeech Therapy |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Entire Facility |
| Plan Approval: | 2/19/2021 |
| Implementation Date: | 10/21/2020 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Entire Facility |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 25,760 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 3/5/2024 | 2024003766 | Fine | Survey | $1,000.00 | 3/3/2025 |
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.