Grand Boulevard Health and Rehabilitation Center

Name: Grand Boulevard Health and Rehabilitation Center
Address: 138 SANDESTIN LANE, Miramar Beach, FL, 32550, US
Telephone: 8502672887

138 Sandestin Lane, Miramar Beach, FL 32550 · Walton County · 97 certified beds · avg 81 residents/day · certified since Feb 24, 1988

Part of chain: BENJAMIN LANDA (48 facilities, chain avg rating 3.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.78

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (6)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 28, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 28, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 28, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 20, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Feb 20, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 3).

Year	Citations	Worst severity that year
2023	1	D
2025	2	D
2026	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Florida avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.78	4.03	3.95	bottom 41% in Florida; top 49% in the U.S.
Registered Nurse hours	0.42	0.76	0.69	bottom 11% in Florida; bottom 25% in the U.S.
Weekend total nurse staffing	3.42	3.68	3.50	bottom 37% in Florida; top 46% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.53	0.48	bottom 9% in Florida; bottom 19% in the U.S.
Total nursing staff turnover (%)	0.0	41.4	45.8	—
RN turnover (%)	0.0	46.0	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.54, RN 0.39, weekend 3.21. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Fischel, Mayer	Individual	5% or Greater Indirect Ownership Interest	10%	04/01/2022
Flnho Capital Group LLC	Organization	5% or Greater Indirect Ownership Interest	53%	04/01/2022
Grand Boulevard Operating Holding LLC	Organization	5% or Greater Direct Ownership Interest	100%	12/06/2021
Varghese, Mathew	Individual	5% or Greater Indirect Ownership Interest	10%	04/01/2022
ZBL Panhandle 7 LLC	Organization	5% or Greater Indirect Ownership Interest	27%	04/01/2022
Varghese, Mathew	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2022
Zuraff, Connie	Individual	W-2 Managing Employee	NOT APPLICABLE	04/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Manor at Blue Water Bay, the	9.4 mi	Niceville, FL	★★★★★	5/5
Destination Health and Rehabilitation Center	9.6 mi	Destin, FL	★★★★★	5/5
Emerald Coast Center	17.7 mi	Fort Walton Beach, FL	★★★★☆	4/5
Westwood Nursing and Rehabilitation Center	19.9 mi	Fort Walton Beach, FL	★★★★☆	5/5

Compare this facility with the 3 closest →

All facilities in Miramar Beach →

Facility data as of CMS processing date 2026-08-01. CCN 105601.

The Care File

Visit checklist — Grand Boulevard Health and Rehabilitation Center

138 Sandestin Lane, Miramar Beach, FL 32550 · 8502672887

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 105601 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)