Total staff
181
Employees
176
Contractors
5
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
American House Bluewater Bay
Nursing Home, Independent Living & Respite Care · Florida, FL
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
American House Bluewater Bay
Nursing Home, Independent Living & Respite Care · Florida, FL
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
American House Bluewater Bay accepts Medicare, Medicaid, and private pay.
Overview of American House Bluewater Bay
Just a quick drive from refreshing white sand beaches, American House Bluewater Bay is a paradisal senior living community set in Niceville, FL, offering independent living and respite stays. Here, residents experience a life free from the hassles of daily living with chef-prepared meals, weekly housekeeping, and transportation services. A variety of well-built apartments, ranging from one-bedroom to two-bedroom apartments, provide a resort-style living experience that matches the community’s vibe.
Live leisurely and vibrantly with a set of lively and engaging activities, events, and amenities. Residents will never run out of things to do with plenty of on-site spaces to explore, including a movie theater/auditorium, an arts & card room, a game room with billiards, poker and electronic dart, and an indoor putting green. Enjoy delicious food and refreshing beverages at the Royal Peacock restaurant, Promenade Cafe, or Treetop Lounge & Bar. Additionally, a heated pool with hot tub, fountain and fire pit, and outdoor gazebo, provides a cozy space for some downtime.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 65th out of 252 homes in Florida. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 65th out of 252 homes in Florida. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 16m per day
Rank #65 / 252Nurse hours — State benchmarkedThis home is ranked 65th out of 252 homes in Florida. Shows adjusted nurse hours per resident per day benchmarked to the Florida average, with a ranking across 252 Florida SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Florida avg
+6%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 35m per day |
Types of Care at American House Bluewater Bay
Independent Living
Respite Care
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
93.2%
Rank #56 / 255Occupancy rate — State benchmarkedThis home is ranked 56th out of 255 homes in Florida. Shows this facility's occupancy rate versus the Florida average, with its Statewide rank out of 255. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
51 days
Occupancy rate
93.2%
Rank #56 / 255Occupancy rate — State benchmarkedThis home is ranked 56th out of 255 homes in Florida. Shows this facility's occupancy rate versus the Florida average, with its Statewide rank out of 255. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
51 days
Walk Score: 53 / 100 Rank #472 / 1486Walk Score — State benchmarkedThis home is ranked 472nd out of 1486 homes in Florida. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Florida SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Respite Care
24-Hour Staffing
ActivitiesOur Life Enrichment team plans daily social and wellness activities and happy hours.
Food DescriptionRestaurant-style dining with chef prepared meals.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.62:1
10% better than Florida average
Avg staff/day
68
Average shift
7.6 hours
0% compared with Florida average
Total staff hours (quarter)
47,679
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
32
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
68
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.2%
107 contractor hours this quarter
Other Physician: 2
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 68 | 0 | 68 | 17,913 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 32 | 0 | 32 | 9,629 | 92 | 100% | 7.8 |
| Nurse Aide in Training | 22 | 0 | 22 | 5,086 | 92 | 100% | 7.7 |
| Registered Nurse | 18 | 0 | 18 | 3,226 | 92 | 100% | 9.2 |
| Speech Language Pathologist | 7 | 0 | 7 | 2,194 | 67 | 73% | 7.1 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,556 | 85 | 92% | 7.4 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,519 | 85 | 92% | 7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,002 | 65 | 71% | 7.7 |
| Qualified Social Worker | 3 | 0 | 3 | 924 | 64 | 70% | 7.7 |
| Physical Therapy Aide | 2 | 0 | 2 | 849 | 64 | 70% | 7.1 |
| Occupational Therapy Aide | 3 | 1 | 4 | 801 | 68 | 74% | 6.3 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 524 | 67 | 73% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 454 | 66 | 72% | 6.2 |
| Dietitian | 2 | 0 | 2 | 392 | 52 | 57% | 7.4 |
| Respiratory Therapist | 1 | 0 | 1 | 320 | 47 | 51% | 6.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 141 | 18 | 20% | 7.8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 101 | 21 | 23% | 4.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 48 | 11 | 12% | 4.4 |
| Medical Director | 0 | 1 | 1 | 7 | 15 | 16% | 0.4 |
| Other Physician | 0 | 2 | 2 | 3 | 3 | 3% | 0.5 |
68 Certified Nursing Assistant
% of Days
100%
32 Licensed Practical Nurse
% of Days
100%
22 Nurse Aide in Training
% of Days
100%
18 Registered Nurse
% of Days
100%
7 Speech Language Pathologist
% of Days
73%
4 Clinical Nurse Specialist
% of Days
92%
4 Mental Health Service Worker
% of Days
92%
3 Physical Therapy Assistant
% of Days
71%
3 Qualified Social Worker
% of Days
70%
2 Physical Therapy Aide
% of Days
70%
4 Occupational Therapy Aide
% of Days
74%
1 Administrator
% of Days
72%
1 Dental Services Staff
% of Days
73%
1 Nurse Practitioner
% of Days
63%
2 RN Director of Nursing
% of Days
72%
2 Dietitian
% of Days
57%
1 Respiratory Therapist
% of Days
51%
1 Other Dietary Services Staff
% of Days
20%
1 Respiratory Therapy Technician
% of Days
23%
1 Occupational Therapy Assistant
% of Days
12%
1 Medical Director
% of Days
16%
2 Other Physician
% of Days
3%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.0
48% worse than Florida averageFlorida average: 7.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.7
43% worse than Florida averageFlorida average: 12.4
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.7%
Percent of long-stay residents whose need for help with daily activities has increased
14.7%
40% worse than Florida averageFlorida average: 10.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.0%
Percent of long-stay residents whose ability to move independently worsened
22.0%
70% worse than Florida averageFlorida average: 12.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.5%
22% worse than Florida averageFlorida average: 13.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
7% worse than Florida averageFlorida average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.1%
Percent of long-stay high risk residents with pressure ulcers
4.1%
24% better than Florida averageFlorida average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.7%
Percent of long-stay residents with a urinary tract infection
2.7%
208% worse than Florida averageFlorida average: 0.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
11.3%
Percent of long-stay residents who lose too much weight
11.3%
89% worse than Florida averageFlorida average: 6.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.7%
Percent of long-stay residents who have depressive symptoms
6.7%
101% worse than Florida averageFlorida average: 3.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
5.0%
Percent of long-stay residents who received an antipsychotic medication
5.0%
38% better than Florida averageFlorida average: 8.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Florida averageFlorida average: 97.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Florida averageFlorida average: 99.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
6% better than Florida averageFlorida average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
46% better than Florida averageFlorida average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.5%
5% better than Florida averageFlorida average: 94.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
68% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
23% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
10% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
112
Medicare
34
30.4% of residents
Medicaid
62
55.4% of residents
Private pay or other
16
14.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for American House Bluewater Bay based on CMS SNF Cost Reports.
Occupancy Rate
93.2%
↑ 11.4pp vs 2022
Net Income
$523.8K
↓ ~$958.9K vs 2022
Total Payroll
$9.1M
↑ ~$2.0M vs 2022
Profit Margin
2.8%
↓ 6.4pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$18.8M
Profit
$523.8K
Privately-owned community
Operated by a business corporation.
Home revenue
$18.8M Rank #122 / 256Revenue — State benchmarkedThis home is ranked 122nd out of 256 homes in Florida. Shows this facility's annual revenue compared to the Florida SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$523.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #96 / 256Payroll — State benchmarkedThis home is ranked 96th out of 256 homes in Florida. Shows total annual staff payroll benchmarked to the Florida average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #96 / 256Payroll — State benchmarkedThis home is ranked 96th out of 256 homes in Florida. Shows total annual staff payroll benchmarked to the Florida average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.3M
What does this home offer?
Pets Allowed
Housing Options: 1 Bed / 2 Bed
Building Type: Mid-rise
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Living Spaces & Floor Plans for American House Bluewater Bay
Andover | 1 bd | 1 ba | 545 sqft
Download PDFBerkshire | 1 bd | 1 ba | 585 sqft
Download PDFChadwick | 2 bds | 2 ba | 810 sqft
Download PDFEdgewood | 2 bds | 2 ba | 940 sqft
Download PDFDelmar | 2 bds | 2 ba | 845 sqft
Download PDFPlaces of interest near American House Bluewater Bay
5.4 miles from city center
Estimated distance in miles from Niceville's city center to American House Bluewater Bay's address, calculated via Google Maps.
— 0.17 miles to nearest hospital (Dr. Kyle E. Simmers)
Calculate Travel Distance to American House Bluewater Bay
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Financial Assistance for
Nursing Home in Florida
American House Bluewater Bay is located in Niceville, Florida.
Here are the financial assistance programs available to residents in Florida.
Frequently Asked Questions about American House Bluewater Bay
What neighborhood is American House Bluewater Bay in?
American House Bluewater Bay is in the Bluewater Bay neighborhood.
Is American House Bluewater Bay in a walkable area?
American House Bluewater Bay has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Does American House Bluewater Bay have different floorplan options?
Yes — see the floorplan options available at American House Bluewater Bay on this page.
Are there photos of American House Bluewater Bay?
Yes — there are 29 photos of American House Bluewater Bay in the photo gallery on this page.
What is the phone number of American House Bluewater Bay?
(850) 460-3032 will put you in contact with the team at American House Bluewater Bay.
Is American House Bluewater Bay Medicare or Medicaid certified?
Yes — American House Bluewater Bay is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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