MIRACLE HILL NURSING & REHABILITATION CENTER, INC
1329 ABRAHAM STREET, TALLAHASSEE, FL 32304 · CCN 105810
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 102.3
- Phone
- 8502248486
Inspection history vs Florida & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Florida avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-05 | 19 | 7.3 | 9.5 | +11.7 worse |
| 2 | 2024-03-14 | 6 | 6.3 | 9.8 | -0.3 better |
| 3 | 2022-12-07 | 3 | 6.0 | 9.3 | -3.0 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 6 |
| Resident assessment and care planning | 4 |
| Resident rights | 1 |
| Pharmacy service | 4 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.63 | 47.5% |
| RN staffing (reported) | 0.42 | 40.0% |
| Total nurse staffing (adjusted) | 4.60 | — |
Fines & penalties
- Total fines
- $43,264
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (28)1 actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-11-19 · Health · corrected 2026-01-29
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-08-27 · Health · corrected 2025-10-16
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-05 · Health · corrected 2025-08-05
Actual harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-06-05 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-15 · Health · corrected 2025-05-15
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-04-15 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-03-14 · Health · corrected 2024-04-14
Potential for more than minimal harm
- EF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-03-14 · Health · corrected 2024-04-14
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-03-14 · Health · corrected 2024-04-14
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-14 · Health · corrected 2024-04-14
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-03-14 · Health · corrected 2024-04-14
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-03-14 · Health · corrected 2024-04-14
Potential for more than minimal harm
- DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2023-08-03 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-03 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2023-08-03 · Health · corrected 2023-09-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| INGRAM, SPENCER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-10-01 |
| WATSON, JOANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-28 |
| GAINES, ROLAND | Individual | CORPORATE DIRECTOR | — | 2013-07-01 |
| INGRAM, SPENCER | Individual | CORPORATE OFFICER | — | 2014-10-01 |
| INGRAM, SPENCER | Individual | W-2 MANAGING EMPLOYEE | — | 2020-05-03 |
| WATSON, JOANNE | Individual | W-2 MANAGING EMPLOYEE | — | 2019-05-28 |
| KEYCORP REAL ESTATE CAPITAL MARKET, INC | Organization | 5% OR GREATER SECURITY INTEREST | — | 2006-11-28 |
| KEYCORP REAL ESTATE CAPITAL MARKET, INC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2006-11-28 |
Other facilities in TALLAHASSEE
| Name | Overall | Beds |
|---|---|---|
| WESTMINSTER OAKS | ★★★★★ | 120 |
| TALLAHASSEE MEMORIAL HOSPITAL EXTENDED CARE | ★★★★★ | 113 |
| CENTRE POINTE HEALTH AND REHAB CENTER | ★★★★☆ | 140 |
| SEVEN HILLS HEALTH & REHABILITATION CENTER | ★★★★☆ | 156 |
| PRUITTHEALTH - SOUTHWOOD | ★★★★☆ | 101 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.