MIRACLE HILL NURSING AND REHABILITATION CENTER, INC - TALLAHASSEE, FL

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Address

1329 ABRAHAM STREET
TALLAHASSEE, FL, 32304

Phone (make sure to verify first before calling): (850) 224-8486

Number of Certified Beds: 120
Total Number of Residents: 117
Percent of Occupied Beds: 98%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.34
Certified Nurse Aides - Full Time: 63.67
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 15.37
Housekeeping Personnel - Full Time: 16.36
Licensed Practical/ Vocational Nurses - Full Time: 19.81
Mental Health Services Personnel - Under Contract: 0.23
Nurses With Administrative Duties - Full Time: 1.14
Persons Not Included In Any Other Categories - Full Time: 4.51
Registered Nurses - Full Time: 5.34
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Occupational Therapists - Under Contract: 0.23
Pharmacists - Under Contract: 0.23
Podiatrists - Under Contract: 0.11
Speech Pathologists - Under Contract: 0.23
Physical Therapists - Full Time: 1.14

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	41.1%
Florida:	14.7%

Percent of long-stay residents who self-report moderate to severe pain

Here:	1.3%
Florida:	8.4%

Percent of long-stay high-risk residents with pressure ulcers

Here:	5.1%
Florida:	6.8%

Percent of long-stay residents who lose too much weight

This Nursing Home:	7.3%
Florida:	8.1%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	3.4%
State:	3.5%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	18.3%
Florida:	9.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	6.0%
State:	3.4%

Percent of long-stay residents who were physically restrained

Here:	20.0%
State:	2.8%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	93.6%
Florida:	94.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	84.5%
Florida:	95.6%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	17.9%
State:	20.3%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	2.5%
Florida:	1.2%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	94.1%
State:	86.5%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	82.4%
Florida:	86.6%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	5.0%
State:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	10.9%
Florida:	24.1%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.430
State:	0.628

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	1.050
State:	0.991

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.480
Florida:	1.617

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.060
State:	0.120

Number Therapy Hours Per Resident Per Day

Here:	0.060
Florida:	0.122

Complaint Deficiency

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Few (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Few (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Few (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Few (Minimal harm or potential for actual harm)

Properly maintained smoke detectors: Few (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

Properly constructed linen or trash chutes: Few (Minimal harm or potential for actual harm)

Proper construction of ducts through walls designed to prevent smoke passage: Few (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Few (Minimal harm or potential for actual harm)

No-smoking signs where oxygen is used: Few (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Make sure that a working call system is available in each resident's room or bathroom and bathing area: Few (Minimal harm or potential for actual harm)

Properly located and lighted Exit signs: Few (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Many (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Many (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Many (Minimal harm or potential for actual harm)

Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Some (Potential for minimal harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Few (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Minimal harm or potential for actual harm)

Properly constructed linen or trash chutes: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Many (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

AMEDISYS HOME HEALTH OF TALLAHASSEE (1.16 miles)
SELECT SPECIALTY HOSPITAL-TALLAHASSEE (2.38 miles)
SUNCREST OMNI (2.22 miles)
TALLAHASSEE DEVELOPMENTAL CENT (2.41 miles)
TALLAHASSEE MEMORIAL HEALTHCARE (2.35 miles)
TALLAHASSEE MEMORIAL HOSPITAL EXTENDED CARE (2.37 miles)
TMRMC LONG TERM CARE (2.37 miles)

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