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SF CARNEGIE, LLC

Company Details

Entity Name: SF CARNEGIE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Inactive
Date Filed: 09 Jun 2008 (17 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: REVOKED FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: M08000002735
FEI/EIN Number 262690561
Mail Address: 9511 Holsberry Lane, PENSACOLA, FL, 32534, US
Address: 1415 SOUTH HICKORY STREET, MELBOURNE, FL, 32901, US
ZIP code: 32901
County: Brevard
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417116252 2008-06-06 2021-10-07 40 PALAFOX PL, SUITE 400, PENSACOLA, FL, 325025697, US 1415 S HICKORY ST, MELBOURNE, FL, 329013225, US

Contacts

Phone +1 321-723-1321

Authorized person

Name SHERYL A WOLF
Role TREASURER
Phone 8504300000

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Treasurer

Name Role Address
WOLF SHERYL Treasurer 9511 Holsberry Lane, PENSACOLA, FL, 32534

Managing Member

Name Role
FLORIDA FACILITIES, LLC Managing Member

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000052966 WAVE CREST HEALTH AND REHABILITATION CENTER EXPIRED 2014-06-02 2019-12-31 No data 1415 SOUTH HICKORY STREET, MELBOURNE, FL, 32901
G08337900075 CARNEGIE GARDENS NURSING CENTER EXPIRED 2008-12-02 2013-12-31 No data 1415 SOUTH HICKORY STREET, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF MAILING ADDRESS 2022-04-05 1415 SOUTH HICKORY STREET, MELBOURNE, FL 32901 No data
LC AMENDMENT 2015-10-09 No data No data
REGISTERED AGENT NAME CHANGED 2013-07-22 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2013-07-22 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 No data
CHANGE OF PRINCIPAL ADDRESS 2009-04-23 1415 SOUTH HICKORY STREET, MELBOURNE, FL 32901 No data
LC AMENDMENT 2008-08-08 No data No data

Documents

Name Date
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-04-09
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-04-22
LC Amendment 2015-10-09
ANNUAL REPORT 2015-04-27
ANNUAL REPORT 2014-03-31

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
345422653 0419730 2021-07-16 1415 HICKORY ST., MELBOURNE, FL, 32935
Inspection Type Referral
Scope Partial
Safety/Health Health
Close Conference 2021-08-24
Emphasis N: COVID-19
Case Closed 2022-11-01

Related Activity

Type Accident
Activity Nr 1787575
Type Referral
Activity Nr 1800247
Health Yes

Violation Items

Citation ID 01001A
Citaton Type Serious
Standard Cited 19100502 F02 I
Issuance Date 2021-11-30
Current Penalty 12288.0
Initial Penalty 12288.0
Final Order 2021-12-22
Nr Instances 1
Nr Exposed 4
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.502(f)(2)(i):The employer did not ensure that a respirator was used in accordance with 29 CFR � 1910.134 when employees have exposure to a person with suspected or confirmed COVID-19. a. a) At the SF Carnegie, LLC DBA Wave Crest Health & Rehabilitation Center, located at 1415 Hickory St. Melbourne, FL: On or about July 7, 2021, the employer failed to ensure that a respirator was used in accordance with 29 CFR � 1910.134 when employees have exposure to a person with suspected or confirmed COVID-19.
Citation ID 01001B
Citaton Type Serious
Standard Cited 19100134 E01
Issuance Date 2021-11-30
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2021-12-22
Nr Instances 1
Nr Exposed 4
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(e)(1): The employer did not provide a medical evaluation to determine the employee's ability to use a respirator, before the employee was fit tested or required to use the respirator in the workplace: a) At the SF Carnegie, LLC DBA Wave Crest Health & Rehabilitation Center, located at 1415 Hickory St. Melbourne, FL: On or about July 7, 2021, the employer did not provide a medical evaluation to determine each employee's ability to use a respirator before requiring the use. The employer required employees to wear respirators while providing care to suspected and confirmed positive COVID-19 residents.
Citation ID 01001C
Citaton Type Serious
Standard Cited 19100134 F02
Issuance Date 2021-11-30
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2021-12-22
Nr Instances 1
Nr Exposed 4
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(f)(2): Employee(s) using tight-fitting facepiece respirators were not fit tested prior to initial use of the respirator or annually refitted: a) At the SF Carnegie, LLC DBA Wave Crest Health & Rehabilitation Center, located at 1415 Hickory St. Melbourne, FL: On or about July 7, 2021, the employer did not provide a fit test to all employees required to wear N95 filtering facepiece respirators to protect against the SARS-CoV-2 virus while providing care to suspected and confirmed positive COVID-19 residents.
Citation ID 02001
Citaton Type Other
Standard Cited 19100502 C03
Issuance Date 2021-11-30
Current Penalty 986.0
Initial Penalty 986.0
Final Order 2021-12-22
Nr Instances 1
Nr Exposed 5
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.502(c)(3): The identity of the safety coordinator(s) was not documented in the written COVID-19 plan. a. At the SF Carnegie, LLC DBA Wave Crest Health & Rehabilitation Center, located at 1415 Hickory St. Melbourne, FL: On or about July 16, 2021, the employer failed to document the identity of the safety coordinator(s) in the written COVID-19 plan.

Date of last update: 02 Feb 2025

Sources: Florida Department of State