Mirabella

In the surveyor’s words

From the most serious findings on record at Mirabella, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 29, 2026

  Based on observation, interview, and record review, the facility failed to ensure a foam pressure offloading dressing was consistently applied and changed per physician order to prevent pressure injury/pressure ulcer (PI/PU - localized damage to the skin and/or underlying soft tissue usually over a bony prominence as a result of intense and/or prolonged pressure), and to consistently complete weekly skin assessments for 1 of 3 residents (Resident 1), reviewed for PI/PU. Resident 1 experienced harm when they developed an unstageable pressure ulcer (injury occurs when the extent of tissue damage is obscured when slough [dead tissue forms over a wound] or eschar [a thick, dry, leathery layer of dead tissue that forms over a deep wound] on their left heel that required debridement by a wound… […]

• Actual harm, isolatedF689May 14, 2025

  Based on observation, interview, and record review, the facility failed to provide adequate supervision to prevent avoidable accidents during mechanical lift transfers for 1 of 2 residents (Residents 1), reviewed for falls. Resident 1 experienced harm from an avoidable fall when left unsupervised on edge of their wheelchair after staff attempted applying a mechanical lift sling under the resident, subsequently falling out of their wheelchair and sustained a broken tibia (shin bone fracture) requiring a transfer to the emergency room (ER). This failure placed all residents at risk for avoidable falls, physical injuries, functional decline, and diminished quality of life. […]

• Actual harm, isolatedF684May 19, 2021

  Based on interview and record review, the facility failed to thoroughly identify, assess, monitor and provide timely interventions for possible side effects related to anticoagulant (blood thinner) therapy for 1 of 6 sample residents (Resident 1) who received blood thinner medications. Failure to complete thorough assessments and consistent monitoring for possible side effects while on anticoagulation therapy resulted in harm for Resident 1 who had severe lower left quadrant (LLQ) abdominal pain related to unidentified abnormal bleeding and a subsequent severe decline in condition with loss of life. Findings included . The National Institute of Health (NIH) website [www.NIH.gov] described an ileus as a failure of normal intestinal movement in the absence of mechanical obstruction. […]

• No harm, potential for more than minimal, widespreadF812Jun 27, 2025

  Based on observation, interview, and record review, the facility failed to ensure food items were handled appropriately in accordance with professional standards of food safety for 1 of 1 Freezer (Kitchenette Freezer), 2 of 2 seasoning shelves (Kitchenette Seasoning Shelf & Spices in Process Shelf on the 9th floor) and 1 of 1 dry storage room (Dry Storage Room on the 9th Floor), reviewed for food services. The failure to date and discard expired food items placed the residents at risk for food borne illness (caused by the ingestion of contaminated food or beverages), cross contamination, and a diminished quality of life. Findings included . […]

• No harm, potential for more than minimal, patternF732Jun 27, 2025

  Based on observation, interview, and record review, the facility failed to ensure the daily nurse staffing form was accurately completed and posted with actual hours worked after the start of each shift for 4 of 4 days (06/24/2025, 06/25/2025, 06/26/2025 & 06/27/2025), reviewed for sufficient and competent staffing. This failure placed the residents and their representatives at risk of not being fully informed of current staffing levels, potentially affecting their understanding of staff availability and care delivery. Findings Included . Review of the facility's policy titled, Postings - Required for SNF [Skilled Nursing Facility], dated March 2025, showed, It is the policy of the Company to post information according to state specific and federal guidelines for Skilled nursing. […]