Miracle Hill Nursing & Rehabilitation Center, INC

Name: Miracle Hill Nursing & Rehabilitation Center, INC
Address: 1329 ABRAHAM STREET, Tallahassee, FL, 32304, US
Telephone: 8502248486

1329 Abraham Street, Tallahassee, FL 32304 · Leon County · 120 certified beds · avg 105 residents/day · certified since Jul 1, 1993

2/5

Health inspection rating (on-site)

Serious findings on record

$43,264

Fines, last 3 years

4.65

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jun 5, 2025 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 5, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (29)

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
Jun 30, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint
Nov 19, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Aug 27, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jun 5, 2025	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 5, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 5, 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.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Apr 15, 2025	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint
Apr 15, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Mar 14, 2024	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Mar 14, 2024	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.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 3, 2023	D · Potential for harm, one-off	The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). · from a complaint
Aug 3, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Aug 3, 2023	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 15).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	D
2024	6	0	E
2025	19	1	G ▲
2026	1	0	D

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)

1 fine totaling $43,264.

Date	Type	Amount / length
Jun 5, 2025	Fine	$43,264

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)	4.65	4.03	3.95	top 12% in Florida; top 19% in the U.S.
Registered Nurse hours	0.58	0.76	0.69	bottom 36% in Florida; bottom 50% in the U.S.
Weekend total nurse staffing	4.18	3.68	3.50	top 13% in Florida; top 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.33	0.53	0.48	bottom 27% in Florida; bottom 38% in the U.S.
Total nursing staff turnover (%)	42.5	41.4	45.8	bottom 48% in Florida; top 43% in the U.S.
RN turnover (%)	55.6	46.0	42.9	bottom 31% in Florida; bottom 28% in the U.S.

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 3.62, RN 0.45, weekend 3.25. Staffing rating: 4/5.

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: 3/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Gaines, Roland	Individual	Corporate Director	NOT APPLICABLE	07/01/2013
Ingram, Spencer	Individual	W-2 Managing Employee	NOT APPLICABLE	05/03/2020
Ingram, Spencer	Individual	Corporate Officer	NOT APPLICABLE	10/01/2014
Ingram, Spencer	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2014
Keycorp Real Estate Capital Market, INC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	11/28/2006
Keycorp Real Estate Capital Market, INC	Organization	5% or Greater Security Interest	NOT APPLICABLE	11/28/2006
Watson, Joanne	Individual	W-2 Managing Employee	NOT APPLICABLE	05/28/2019
Watson, Joanne	Individual	Operational/Managerial Control	NOT APPLICABLE	05/28/2019

Questions to ask on your visit

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

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you explain health changes and treatment options to residents and their families?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"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
Tallahassee Memorial Hospital Extended Care	2.4 mi	Tallahassee, FL	★★★★★	5/5
Aviata at the Gardens - Tallahassee	3.5 mi	Tallahassee, FL	★★☆☆☆	2/5
Centre Pointe Health and Rehab Center	3.8 mi	Tallahassee, FL	★★★★☆	4/5
Aviata at Tallahassee	4.5 mi	Tallahassee, FL	★★☆☆☆	2/5
Seven Hills Health & Rehabilitation Center	4.7 mi	Tallahassee, FL	★★★☆☆	3/5
Pruitthealth - Southwood	5.1 mi	Tallahassee, FL	★★★★☆	4/5
Westminster Oaks	5.8 mi	Tallahassee, FL	★★★★★	5/5
Riverchase Health and Rehabilitation Center	17.0 mi	Quincy, FL	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Tallahassee →

Facility data as of CMS processing date 2026-08-01. CCN 105810.

The Care File

Visit checklist — Miracle Hill Nursing & Rehabilitation Center, INC

1329 Abraham Street, Tallahassee, FL 32304 · 8502248486

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $43,264

Most serious findings on record:

▲ Jun 5, 2025 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "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 105810 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)