Manor At Blue Water Bay, The - Niceville Nursing Home
General Information
UPDATEFederal Provider Number
105784
Provider Name
MANOR AT BLUE WATER BAY, THE
Provider Address
1500 NORTH WHITE POINT ROAD
NICEVILLE, FL 32578
NICEVILLE, FL 32578
Provider Phone Number
8508975592
Provider SSA County
450
Provider County Name
Okaloosa
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEALTH SERVICES OF BLUEWATER BAY LLC
Date First Approved to Provide Medicare and Medicaid services
1993-02-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
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
4
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
3.05943
Reported LPN Staffing Hours per Resident per Day
0.98868
Reported RN Staffing Hours per Resident per Day
1.03349
Reported Licensed Staffing Hours per Resident per Day
2.02217
Reported Total Nurse Staffing Hours per Resident per Day
5.08160
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14151
Expected CNA Staffing Hours per Resident per Day
2.66145
Expected LPN Staffing Hours per Resident per Day
0.70307
Expected RN Staffing Hours per Resident per Day
1.18959
Expected Total Nurse Staffing Hours per Resident per Day
4.55412
Adjusted CNA Staffing Hours per Resident per Day
2.82061
Adjusted LPN Staffing Hours per Resident per Day
1.16717
Adjusted RN Staffing Hours per Resident per Day
0.64915
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49778
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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Silvercrest Health And Rehabilitation Center
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Crestview Rehabilitation Center, Llc
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