Facility Emergency Power Plan

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1 Facility Emergency Power Plan 1. What is your facility type? {Nursing Home or Assisted Living) Nursing Home 2. Facility Name? Apollo Health & Rehabilitation Center 3. Facility Address and Phone Number? th Street N, St. Petersburg, FL, What areas of your facility do you plan to keep below 80 degrees? The entire facility. (Reference exhibit A). 5. What kind of equipment is being used to cool the facility? All existing HVAC systems will be fed from generator. 6. What is the square footage of the cooled area (may include floor plan of area)? The entire facility. (Reference Exhibit A). 7. How many people (residents and staff) do you plan to locate in this cooled space/area? (Must meet national emergency shelter standards/state shelter guidelines and appropriate fire codes). Residents: 99 Staff: Please provide a statement for how you plan to move residents to this location? We will not have to move residents, as the entire building including HVAC systems will be fed with emergency power. 9. Will there be beds available in the cooled area? Yes a. How many? 99 Beds b. Do you have these beds onsite? Yes

2 10. Describe how you will ensure the facility does not exceed 80 degrees and how often it will be monitored. Maintenance staff will be assigned to perform routine temperature checks at these locations. 11. Describe the fuel type you will need to operate the generator? Diesel. 12. How do you plan on storing 96 hours of fuel on-site? Design will include fuel capacity for 96 hours or more. (Reference Exhibit B). 13. Please provide a maintenance schedule for both the generator and HVAC system. (include: mechanism for load testing and documentation of the test) Generator will be maintained by onsite staff weekly and contracted service semiannually, both performing full load testing. Generator maintenance will comply with NFPA standards. HVAC testing is performed by staff and documented in Preventive Maintenance System-TELS. 14. State the procedure of how your facility will refuel before and after an emergency. Fuel tanks will be topped off at beginning of each hurricane season, and each facility has an arrangement with a local fuel provider to refuel as necessary. Fuel level is measured by on site staff during weekly testing and refueled as needed. 15. Provide a training procedure to ensure staff is aware of how to operate the emergency power to the facility. Maintenance staff will be provided in service training by generator/transfer switch contractors once equipment is installed and operational. All training will be documented and filed. 16. Describe how new staff will be informed of the emergency power plan. During orientation new staff will receive training on areas of refuge and how to implement the location of residents/staff to these areas. Ongoing training occurs twice a year as per CMS guidelines. 17. Please attach a certified HVAC letter with a quote approving the tonnage required to cool the space indicated.

3 Existing HVAC systems will be utilized to cool the entire building. These systems were originally designed and installed per applicable codes and standards. Reference Exhibit B 18. Please attach a certified electrician letter with a quote specifying generator capacity required to run HVAC system and fuel for 96 hours. (Reference Exhibit B) Design and planning is currently underway prior to bidding and construction. (Reference Exhibit E) for letters from vendors whom we plan on retaining for construction. 19. Please attach a construction implementation timeline. (Reference Exhibit F). 20. Please provide documentation to show the generator for the facility has been installed and is operable. Upon completion of installation, testing, and acceptance, documentation will be provided.

4 EXHIBIT A

EXHIBIT B RICK SCOTT GOVERNOR JUSTIN M. SENIOR SECRETARY April 19, 2017 Alex Hunt-Branch Greystone Healthcare Management, 1404 NW 22nd St., LLC 4042 Park Oaks Blvd.

Number: 35/55224-108-1 Dear Alex Hunt-Branch: The construction documents dated 2/16/2017, for the referenced project received on 4/5/2017, have been reviewed and are approved for construction by the

Please note this approval is not permission to construct work that is not in full compliance with the requirements of the Certificate of Need (if any) for this project, and all applicable codes and

5 EXHIBIT B RICK SCOTT GOVERNOR JUSTIN M. SENIOR SECRETARY April 19, 2017 Alex Hunt-Branch Greystone Healthcare Management, 1404 NW 22nd St., LLC 4042 Park Oaks Blvd., Suite 300 Tampa, FL RE: Facility Name: Apollo Health And Rehabilitation Center Project Name: New Diesel Gen. & New Sanitary Undergrou Client Code/File-Project Sub. Number: 35/ Dear Alex Hunt-Branch: The construction documents dated 2/16/2017, for the referenced project received on 4/5/2017, have been reviewed and are approved for construction by the Agency subject to the attached comments. Please note this approval is not permission to construct work that is not in full compliance with the requirements of the Certificate of Need (if any) for this project, and all applicable codes and standards. Before construction may commence, all required local permits and approvals must be obtained. If construction has not commenced within one year from the date of this letter, this project will be considered abandoned and will be terminated by the Agency. To reactivate the project after Agency termination will require resubmission as a new project. This project must have an onsite survey and approval of the completed construction by the Agency before it can be used for its intended purpose. In approximately six weeks from the date of this letter, the Project Contact Person, as noted on the Plan Review Application, will be contacted by the Office of Plans and Construction to schedule an initial construction survey. Before this project may be considered completed by the Agency, all deficiencies noted, and all outstanding deficiencies from previous review letters, if listed, must be corrected. Please submit revisions for all deficiencies to the Tallahassee Office at the below address in the form of addendum, change order or revised contract documents as appropriate. Upon receipt of these documents, another review will be conducted to ascertain the appropriateness of the corrections. Failure to respond timely to these comments can cause a delay to the final completion of this project. To facilitate all further document reviews of this project, please conform to the following submittal procedures: 1. Provide a transmittal letter with the following information: a. The original review comment number b. The original comment M a h a n D r i v e M a i l S t o p # 2 4 T a l l a h a s s e e, F L A H C A. M y F l o r i d a. c o m F a c e b o o k. c o m / A H C A F l o r i d a Y o u t u b e. c o m / A H C A F l o r i d a T w i t t e r. c o m / A H C A _ F L S l i d e S h a r e. n e t / A H C A F l o r i d a

Alex Hunt-Branch Page 2 of 3 April 19, 2017 RE: Facility Name: Apollo Health And Rehabilitation Center Project Name: New Diesel Gen. & New Sanitary Undergrou Client Code/File-Project Sub.

6 Alex Hunt-Branch Page 2 of 3 April 19, 2017 RE: Facility Name: Apollo Health And Rehabilitation Center Project Name: New Diesel Gen. & New Sanitary Undergrou Client Code/File-Project Sub. Number: 35/ c. A word description of the revision d. The sheet or specification page where correction(s) are located 2. Because this submission constitutes a record public document, proper signing, sealing, and dating by each design professional is required. If you have questions concerning this review, please contact David Partenheimer, architectural reviewer; Michael Ippolito, mechanical reviewer; or Jose Carcador, electrical reviewer, as appropriate at telephone (407) Sincerely, David Wassman Interim Professional Engineer Administrator/Mechanical Office of Plans and Construction Tel: (407) /Fax: (407) David.Wassman@ahca.myflorida.com; DW/C/qg Attachments CC: Via Donnelly Engineering

7 Alex Hunt-Branch Page 3 of 3 April 19, 2017 RE: Facility Name: Apollo Health And Rehabilitation Center Project Name: New Diesel Gen. & New Sanitary Undergrou Client Code/File-Project Sub. Number: 35/ GENERAL: No comment. ARCHITECTURAL: A-1 Sheet E300, Detail E/E300 Detail of the wind and impact resistant screen wall protecting the Emergency Generator, is to be specified to meet Risk Category III and designed and sealed by a Licensed Florida Structural Engineer (FBC Chapter 16). MECHANICAL: M-1 For all rooms (mechanical, clean, soil, etc.) with new one-hour fire rated walls, verify the need for duct fire dampers in walls. If fire dampers are not required, submit Florida Building Code information indicating exceptions taken. M-2 This facility has a fired rated ceiling. Verify integrity of the ceiling and that all new ceiling air diffusers and grilles have fire dampers. M-3 Verify all new and existing electrical rooms are ventilated via undercut doors and exhaust fans or supply diffusers. FIRE PROTECTION: F-1 Verify all new and existing electrical rooms have fire sprinkler heads. ELECTRICAL: E-1 Provide a Grounding wiring system Detail. E-2 Provide a revised emergency breaker coordination study. Internal generator protection curve overlapping. E-3 The Critical Transfer Switch noted in drawings shall be an optional system. E-4 Provide a revised panel schedule (EDP) indicating the correct bus rating.

16 EXHIBIT E October 6, 2017 Greystone Healthcare Management Mr. Mark Sartoris, Regional Director Plant Operations, North Florida 4042 Park Oaks Blvd, Suite 300 Tampa, Florida RE: Greystone Health Florida Generator Mandate Multiple Locations - Florida Dear Mr. Sartoris, As per our conversation today, APG has enjoyed our long term 12+ years relationship with Greystone and its employees, we would be honored to partner with Greystone Healthcare Management for your design/build generator projects. We understand these generator projects will cover multiple facilities throughout the State of Florida to meet compliance with State of Florida mandated rules 58AER17-1 for assisted living facilities and/or 59AER17-1 for nursing home facilities. APG, with over 400 employees and more than 30 years of AHCA project experience, will be able to provide you with timely completion of these projects. However, I want to make you aware that challenges presently exists within the industry to obtain the necessary generators and electrical equipment to complete these types of projects. Due to the high demand, the estimated delivery date for generators is presently up to 16 weeks, and are anticipated to increase due to demand of the hurricanes and the State of Florida mandate. Please do not hesitate to contact me with any questions or additional information. Sincerely, APG Electric, Inc. Mike Millard Michael Millard, CFPS, CLSS-HC Project Manager/Designer

20 EXHIBIT F GHCM GENERATOR PROJECTS ID Task Duration Start Finish Qtr 2, 2017 Qtr 3, 2017 Qtr 4, 2017 Qtr 1, 2018 Qtr 2, 2 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr 1 Apolllo Health & Rehabilitation Generator Install 321 days Mon 1/2/17 Mon 3/26/18 2 Design & Planning 21 days Mon 1/2/17 Mon 1/30/17 3 AHCA Approvals 60 days Tue 1/31/17 Mon 4/24/17 5 Planning & Bidding 45 days Tue 4/25/17 Mon 6/26/17 6 Financing 79 days Tue 6/27/17 Fri 10/13/17 4 Local Zoning & Permitting 30 days Mon 10/16/17 Fri 11/24/17 7 Generator Fabrication 60 days Mon 10/16/17 Fri 1/5/18 8 Fuel Tank Fabrication 60 days Mon 10/16/17 Fri 1/5/18 10 Electrical Gear Review/Approve & Lead Time 30 days Mon 10/16/17 Fri 11/24/17 11 Electrical Distribution Installation 35 days Mon 11/27/17 Fri 1/12/18 12 Structural Construction 35 days Mon 12/4/17 Fri 1/19/18 9 Generator Ships to Tank Fabricator for Assembly 15 days Mon 1/8/18 Fri 1/26/18 13 Deliver & Install Generator 10 days Mon 1/22/18 Fri 2/2/18 14 Start-up & Testing 5 days Mon 2/5/18 Fri 2/9/18 15 AHCA & Local AHJ Inspections 30 days Mon 2/12/18 Fri 3/23/18 16 Completion 1 day Mon 3/26/18 Mon 3/26/18 Project: GHCM Ops Project Timelines Date: Mon 10/9/17 Task Split Milestone Summary Project Summary External Tasks External Milestone Inactive Task Inactive Task Inactive Milestone Inactive Summary Manual Task Duration-only Manual Summary Rollup Manual Summary Start-only Finish-only Progress Deadline Page 1

Facility Emergency Power Plan

Facility Emergency Power Plan 1. What is your facility type? {Nursing Home or Assisted Living) Nursing Home 2. Facility Name? Lexington Health & Rehabilitation Center 3. Facility Address and Phone Number?