The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
MIRACLE HILL NURSING & REHABILITATION CENTER, INC
TALLAHASSEE, FL · Medicare-certified · 120 beds
Needs attention
Non-profit
2 of 5 overall
Miracle Hill Nursing & Rehabilitation Center has a 2 out of 5 overall rating, with 2 out of 5 on health inspections and 4 out of 5 on staffing and quality measures. It has recent federal penalty attention, $43,264 in fines over the last 24 months, and reported nurse staffing of 3.61 hours per resident per day, below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.6055 hrs/resident/day
Quality measures
Last inspection: November 19, 2025Penalties, last 24 months: $43,264recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6055.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 0.70
- Nurse aides
- 2.47
- Weekend nursing
- 3.15
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 36%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
3%10%Worsening
Residents with a fall causing major injury
3%1%Improving
Residents with pressure ulcers (bedsores)
11.3%4.5%Improving
Residents with a urinary tract infection
3.7%0%Improving
Residents who lost too much weight
16.5%15.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.5%16.9%Worsening
Residents whose ability to walk got worse
12%11.8%No change
Long-stay residents on antianxiety or sleep medication
5.2%5.3%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0.9%1%No change
Residents with new or worsening incontinence
5%4.9%No change
Residents with depressive symptoms
0%1.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—42.6%—
Long-stay residents given the pneumonia vaccine
48.5%50.5%Improving
Short-stay residents given the seasonal flu vaccine
—35.4%—
Short-stay residents given the pneumonia vaccine
47.7%47.2%Worsening
What the inspectors found
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited April 2025 — limited pattern, potential for harm.
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F-Tag 919 — 42 CFR §483.90 — S/S: E
The nursing home failed to update each resident’s assessment at least every three months. Cited March 2024 — limited pattern, potential for harm.
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F-Tag 638 — 42 CFR §483.20 — S/S: E
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $43,264 was recorded.
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $43,264 in total fines.
- $43,264
Federal fine
Jun 5, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 107 residents on an average day (89% of 120 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.