Tag 0684 · Severity G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-05Non-profit
Miracle Hill Nursing & Rehabilitation Center, INC
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 87.5% | Latest inspection | 2025-06-05 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 82.0 points
Total nurse staffing
Facility: 3.62 hours/day
RN staffing
Facility: 0.45 hours/day
Staff turnover
Facility: 42.5%
Latest health deficiencies
Facility: 18 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3.5 of 5 | 3 of 5 |
| Health-inspection score | 82.0 points | 26.0 points | 38.5 points |
| Total nurse staffing | 3.62 hours/day | 3.75 hours/day | 3.63 hours/day |
| RN staffing | 0.45 hours/day | 0.55 hours/day | 0.62 hours/day |
| Staff turnover | 42.5% | 46.2% | 41.8% |
| Latest health deficiencies | 18 deficiencies | 7 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-06-05
18 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
Tag 0677 · Severity E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0584 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0644 · Severity D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0686 · Severity D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0688 · Severity D
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.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0698 · Severity D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0755 · Severity D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0761 · Severity D
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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0865 · Severity D
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0883 · Severity D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-08-05Tag 0887 · Severity D
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.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-08-052024-03-14
8 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0638 · Severity E
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-14Tag 0636 · Severity D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-14Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-14Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-14Tag 0660 · Severity D
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-14Tag 0761 · Severity D
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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-04-142022-12-07
3 deficiencies
Highest severity: Not reported by CMS
Immediate-jeopardy citations: 0
No matching citation detail was published.
Staffing composition
2.43 hours/dayNurse aide
0.74 hours/dayLPN
0.45 hours/dayRN
- Total staffing
- 3.62 hours/day
- County median
- 3.75 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.25 hours/day
- Staff turnover
- 42.5%
- RN turnover
- 55.6%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.3 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
1.4 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.7 per 1,000 days20250101-20251231
Falls with major injury
2.1%betterFlorida: 2.2% · County: 2.4%2025Q2-2026Q1
Pressure ulcers
7.0%worseFlorida: 4.2% · County: 4.7%2025Q2-2026Q1
Urinary tract infections
2.3%unavailableFlorida: 0.0% · County: 0.8%2025Q2-2026Q1
Antipsychotic medication use
7.0%similarFlorida: 7.0% · County: 7.0%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Leon County
- Certified beds
- 120
- Average daily residents
- 105
- Ownership
- Non profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1993-07-01
- CCN
- 105810
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.42682 |
| Lpn hours | 0.73852 |
| Rn hours | 0.45381 |
| Reported total hours | 3.61914 |
| Weekend total hours | 3.25301 |
| Weekend rn hours | 0.33082 |
| Adjusted total hours | 4.6489 |
| Total turnover percent | 42.5 |
| Rn turnover percent | 55.6 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$43,264.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-06-05 | Fine | $43,264.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
18Health citations
17Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| KEYCORP REAL ESTATE CAPITAL MARKET, INC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| KEYCORP REAL ESTATE CAPITAL MARKET, INC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| INGRAM, SPENCER | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| WATSON, JOANNE | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| GAINES, ROLAND | CORPORATE DIRECTOR | NOT APPLICABLE |
| INGRAM, SPENCER | CORPORATE OFFICER | NOT APPLICABLE |
| INGRAM, SPENCER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WATSON, JOANNE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology