Miracle Hill Nursing & Rehabilitation Center, INC

Nursing Home · Tallahassee, FL

CMS overall rating 2/5 Non profit - Corporation

CMS certification number105810

Contact & location

1329 Abraham Street
Tallahassee, FL 32304
Leon County
Phone
(850) 224-8486
ZIP code
32304 – all care providers

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Facility details

Certified beds
120
Residents per day
105.0 (88% occupied)
Ownership
Non profit - Corporation
Legal name
Miracle Hill Nursing and Rehabilitation Center, INC.
Medicare certified since
July 1, 1993
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.3
Health inspections★★★★★ 2/5
State avg 2.9
Staffing★★★★★ 4/5
State avg 3.3
Quality measures★★★★★ 4/5
State avg 4.2
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.62 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.45 (state 0.73 · U.S. 0.69)
Licensed practical nurses
0.74 (state 0.78 · U.S. 0.86)
Nurse aides
2.43 (state 2.31 · U.S. 2.32)
Weekend total
3.25 (state 3.49 · U.S. 3.42)
Nursing staff turnover
42.5 (state 41.4 · U.S. 45.8)%
RN turnover
55.6 (state 46.0 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 5, 2025
Health deficiencies (last cycle)
18.0 (state 7.1 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
29 health · 17 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-30 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Deficient, Provider has no plan of correction
2025-11-19 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-29
2025-08-27 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-16
2025-06-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-08-05
2025-06-05 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Honor 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Provide 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Ensure 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-06-05 Educate 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.
F0887 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-05
2025-04-15 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-15
2025-04-15 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-15
2024-03-14 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-14
2024-03-14 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-14
2024-03-14 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-14
2024-03-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-14
2024-03-14 Plan the resident's discharge to meet the resident's goals and needs.
F0660 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-14
2024-03-14 Ensure 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-14
2023-08-03 Provide 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.
F0742 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $43,264 in fines.

DateTypeAmount
2025-06-05Fine$43,264

Ownership & management

NameRoleSince
Keycorp Real Estate Capital Market, INC (organization)5%+ Mortgage Interest · NOT APPLICABLE
Keycorp Real Estate Capital Market, INC (organization)5%+ Security Interest · NOT APPLICABLE
Gaines, Roland (individual)Corporate Director · NOT APPLICABLE
Ingram, Spencer (individual)Corporate Officer · NOT APPLICABLE
Ingram, Spencer (individual)Operational/managerial Control · NOT APPLICABLE
Watson, Joanne (individual)Operational/managerial Control · NOT APPLICABLE
Ingram, Spencer (individual)W-2 Managing Employee · NOT APPLICABLE
Watson, Joanne (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Miracle Hill Nursing & Rehabilitation Center, INC?

Miracle Hill Nursing & Rehabilitation Center, INC has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Florida.

How many beds does Miracle Hill Nursing & Rehabilitation Center, INC have?

It has 120 certified beds and cares for about 105 residents per day.

Has Miracle Hill Nursing & Rehabilitation Center, INC been fined?

Yes. CMS lists 1 penalty totaling $43,264 in the last three years.

What is the phone number of Miracle Hill Nursing & Rehabilitation Center, INC?

(850) 224-8486. The facility is located at 1329 Abraham Street, Tallahassee, FL 32304.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.