Grand Boulevard Health And Rehabilitation Center - Miramar Beach Nursing Home
General Information
UPDATEFederal Provider Number
105601
Provider Name
GRAND BOULEVARD HEALTH AND REHABILITATION CENTER
Provider Address
138 SANDESTIN LANE
MIRAMAR BEACH, FL 32550
MIRAMAR BEACH, FL 32550
Provider Phone Number
(850) 267-2887
Provider SSA County
650
Provider County Name
Walton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FL HUD DESTIN, LLC
Date First Approved to Provide Medicare and Medicaid services
1988-02-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.67500
Reported LPN Staffing Hours per Resident per Day
0.84097
Reported RN Staffing Hours per Resident per Day
0.88472
Reported Licensed Staffing Hours per Resident per Day
1.72569
Reported Total Nurse Staffing Hours per Resident per Day
4.40069
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13611
Expected CNA Staffing Hours per Resident per Day
2.49538
Expected LPN Staffing Hours per Resident per Day
0.61931
Expected RN Staffing Hours per Resident per Day
0.98658
Expected Total Nurse Staffing Hours per Resident per Day
4.10126
Adjusted CNA Staffing Hours per Resident per Day
2.63032
Adjusted LPN Staffing Hours per Resident per Day
1.12708
Adjusted RN Staffing Hours per Resident per Day
0.67006
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32519
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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