Miracle Hill Nursing & Rehabilitation Center, Inc
Inspection Findings
F-Tag F0690
F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record review, the facility failed to ensure that staff administered medications ordered to treat
a urinary tract infection for 2 of 3 residents reviewed after their return to the facility following hospitalization.(Residents #1 and #3)The findings include:Record reviewsOn 11/18/25, a review of Resident #1's electronic medical record (EMR) showed that this resident was admitted to the hospital on [DATE REDACTED] for nausea and vomiting and received a diagnosis of urinary tract infection (UTI) and sepsis syndrome. Upon discharge back to facility on 10/9/25, the physician ordered Augmentin 875/125mg with instructions for Resident #1 to take 1 tablet by mouth two times daily until 10/22/25. Upon review of the EMR, no order was found for this medication; therefore, it does not appear that staff administered the medication as ordered.On 11/19/25, a review of Resident #3's EMR revealed that the resident was admitted to the hospital on [DATE REDACTED] and received a diagnosis of acute cystitis, a type of urinary tract infection. The resident was discharged back to the facility on [DATE REDACTED] with an order for the antibiotic Ofloxacin 400 mg BID to be administered twice daily. Upon review of the EMR, no order for this medication was found; therefore, it does not appear that staff administered the medication.Staff interviewOn 11/19/25 at approximately 9:00 a.m., the Director of Nursing was interviewed. She was asked why the staff did not start the resident's antibiotics as ordered. She stated that the hospital is supposed to send the discharge medication reconciliation with the resident upon return to facility. She reported ongoing issues with receiving paperwork from the hospital and this resident's orders must have been missed. She was asked what the facility's process is to ensure staff complete discharge medication reconciliation upon a resident's re-admission. She stated that the resident's primary nurse is responsible for reviewing the reconciliation and ensuring that prescribed medications are ordered. Policy reviewThe facility policy (last revised April of 2019) entitled Administering Medications, states medications are administered in a safe and timely manner, and as prescribed. 4. states medications are administered in accordance with prescriber orders, including any required time frame.'
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
MIRACLE HILL NURSING & REHABILITATION CENTER, INC in TALLAHASSEE, FL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TALLAHASSEE, FL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MIRACLE HILL NURSING & REHABILITATION CENTER, INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.