Grand Boulevard Health And Rehabilitation Center
Nursing Home · 138 Sandestin Lane, Miramar Beach, FL 32550 · 8502672887
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 5.0 / 5 | high |
| Staffing | 3.1 / 5 | high |
| Clinical outcomes | 3.9 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 4.0 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 97 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Grand Boulevard Operating Investments Llc |
| Chain size | 49 facilities |
| Certified since | 1988-02-24 |
| CMS overall star | 5 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$ of 5 · ~$349/day reported charge (within FL) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 3 potential for harm · 0 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 3 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-02-20 | Allow residents to self-administer drugs if determined clinically appropriate. (Resident Rights Deficiencies, tag 0554) | D | corrected 2025-03-12 |
| 2025-02-20 | Ensure each resident receives an accurate assessment. (Resident Assessment and Care Planning Deficiencies, tag 0641) | D | corrected 2025-03-12 |
| 2023-11-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | D | corrected 2023-11-29 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.63 hrs/resident/day (expected 3.60 for this facility's resident acuity — at or above expected) (US median 3.69 · FL 3.66)
- Registered-nurse staffing: 0.55 hrs/resident/day (expected 0.63 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 2.05 · LPN 1.03 hrs/resident/day
- Weekend total staffing: 3.15 hrs/resident/day (expected 3.20 for this facility's resident acuity — below expected)
- Resident acuity (nursing case-mix index): 1.29 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the FL state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 4.2% | 3.1 → 3.2 → 3 → 7.6 | worse than 71% of US homes · FL median 2.3% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 5.9% | 4.9 → 6.7 → 5.8 → 6 | worse than 69% of US homes · FL median 4.4% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0.4% | 1.4 → 0 → 0 → 0 | better than 69% of US homes · FL median 1% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 7.4% | 8.2 → 5.6 → 7.1 → 8.8 | better than 77% of US homes · FL median 7.7% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 6.8% | 9.7 → 7.7 → 2.7 → 7.5 | better than 80% of US homes · FL median 7.1% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 6.1% | 0 → 7.8 → 7.7 → 9.3 | better than 83% of US homes · FL median 8.7% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · FL median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · FL median 0.2% |
What this costs
- This facility's reported avg daily charge: $349/day · $$ (price tier 2 of 5 among Florida nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 56% Medicaid · 13% Medicare · 31% other/private · 82% occupancy
- Florida median (quoted rates): $340/day semi-private · $400/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Walton County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach | Yes | 3★ | Acute care |
| North Walton Doctors Hospital | Defuniak Springs | Yes | — | Acute care |
Compare nearby
- A- Chautauqua Springs Health Center · Defuniak Springs
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Walton County nursing homes coverage. Spot an error? Tell us.