HIPAA Privacy Notice

1. Our Commitment to Your Privacy

The White House #2 ALF is committed to safeguarding the privacy of our residents' protected health information ("PHI"). We respect the dignity of every resident and handle all personal and health information with the strictest confidentiality, in accordance with the Health Insurance Portability and Accountability Act ("HIPAA") and the rules and guidelines of the Agency for Health Care Administration ("AHCA") of Florida, under which we are licensed (License #AL8797).

2. How We May Use and Disclose Health Information

We may use and disclose residents' PHI for the following purposes:

• Care & Services: To provide, coordinate, and manage a resident's care and related services, including communication with physicians, home health agencies, pharmacies, and other authorized care providers involved in a resident's care.
• Medication & Pharmacy: To supervise medications and coordinate pharmacy delivery services prescribed for a resident.
• Family & Representatives: To share information with a resident's family member, personal representative, or another individual involved in the resident's care or payment for care, when permitted by law.
• Health & Safety: To disclose information when necessary to prevent a serious threat to the health or safety of a resident or others, as required or permitted by law.
• As Required by Law: When federal, state, or local law, or AHCA regulation, requires or permits disclosure.

3. Uses and Disclosures Requiring Authorization

For any use or disclosure of PHI not described in this notice, we will obtain the resident's or their authorized representative's written authorization. Examples include most marketing communications and certain disclosures of psychotherapy notes. An authorization may be revoked in writing at any time, except to the extent we have already acted in reliance on it.

4. Resident Rights

Residents and their authorized representatives have the right to:

• Request access to and obtain a copy of the resident's PHI.
• Request an amendment to the resident's PHI if they believe it is inaccurate.
• Request an accounting of certain disclosures of PHI made by us for purposes other than treatment, payment, or health care operations.
• Request that we communicate with them about care matters in a certain way or at a certain location.
• Request restrictions on certain uses and disclosures of PHI.
• Obtain a paper copy of this notice upon request.

5. Our Responsibilities

We are required by law to maintain the privacy and security of residents' PHI, to provide this notice of our legal duties and privacy practices, to notify affected individuals following a breach of unsecured PHI, and to abide by the terms of the notice currently in effect. We reserve the right to change this notice and to make the revised notice apply to PHI we already hold. Any revised notice will be posted and made available upon request.

6. Complaints

If a resident or representative believes their privacy rights have been violated, they may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against anyone for filing a complaint. To file a complaint with us, please contact us using the information below.

7. Contact Information

For more information about this notice or our privacy practices, or to exercise any of the rights described above, please contact us: