Provider Profile

SWAN AT LAKE CONWAY ALF

Assisted Living Facility

FACILITY PROFILE

Street Address
  • 3714 ST MORTIZ ST
    ORLANDO, FL 32812
    County: Orange
  • Phone: (410) 346-4116
Mailing Address
  • 7854 BRUTON DR APT K
    GLEN BURNIE, MD 21060
    County:
  • Phone: (410) 346-4116
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Facility Information:
Facility/Provider Type:Assisted Living Facility
Administrator:PEDRO PORTUONDO
Financial Officer:BENEYAM TEFERA
Owner/Licensee:BENEYAM TEFERA
Owner/Licensee Since:10/23/2020
Profit Status:For-Profit
Management Company:Not Available
Manager Since:Not Available
Licensed Beds:8
Bed Types:Extended Congregate Care: 0
Private: 8
Optional State Supplement: 0
Total Capacity: 8
AHCA Number (File Number):11969883
AHCA Field Office:07
License Number:13686
Current License Effective:1/27/2024
Current License Expires:1/26/2026
License Status:LICENSED
Services/Characteristics
Activities:Arts and CraftsExercise ClassesMusic ProgramsSocial 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:3rd Party Part-Time
Payment Forms Accepted:Other
Religious Affiliations:CatholicChristian (non-denominational)
Special Programs and Services:Occupational TherapyPhysical TherapySpeech Therapy
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 ConditioningLightsOtherRefrigeration
Plan Approval:10/23/2020
Implementation Date:7/5/2019
Cooling Method:Air ConditionerOtherSpot Coolers
Areas Cooled:Entire Facility
Areas Cooled Location:Within Facility
Square Footage Cooled:720
Number of People to use Cooled Space:12
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
6/1/20232023009063FineSurvey$1,500.007/24/2023
4/13/20232023006153FineSurvey$500.007/24/2023
4/5/20222022005095FineSurvey$500.006/27/2022

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.