Mirage Post Acute
Lancaster, California · CCN 056039
125 surveys since 2011, 14 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 556
- Surveys
- 125
- Harm or worse
- 14
- Immediate jeopardy
- 5
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 299
- Ownership
- For profit - Partnership
- Chain
- PACS GROUP
- County
- Los Angeles
- Medicare-certified since
- 1969
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 225 for-profit facilities with 128 or more beds in California.
Last survey on record
Jul 1, 2026
131 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.56 | 4.08 |
| Registered-nurse hours per resident day | 0.37 | — |
| Annual nurse turnover | 50.4% | 37.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $153,991 across 3 penalties
- Special focus
- SFF Candidate
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J31.1% | K— | L— |
| Actual harm | G31.1% | H— | I— |
| No harm, potential for more than minimal | D18766.1% | E8530.0% | F— |
| No harm, potential for minimal | A— | B51.8% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F84219×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F88018×
Provide and implement an infection prevention and control program.
- F65616×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F75516×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F68913×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
In the surveyor’s words
From the most serious findings on record at Mirage Post Acute, in the surveyor’s own words.
- Immediate jeopardy, isolatedF580Mar 28, 2025
Based on interview and record review, the facility failed to notify the physician of a change of condition (COC - a major decline in a resident ' s status) for one of nine sampled residents (Resident 1) when on 3/12/2025 at approximately 5 p.m., Resident 1 had a low blood pressure (BP - measurement of the pressure or force of blood inside your arteries [the elastic, muscular tubes or blood vessels responsible for carrying the blood away from the heart and distributing it to several other organs and tissues]) reading of 86/57 millimeters of mercury (mmHg - unit of measurement used to measure BP and is abnormal if less than 90/60 mmHg or greater than 139/89 mmHg) and increased heart rate (HR - the number of heartbeats per unit of time) of 111 beats per minute (bpm - considered abnormal if… […]
- Immediate jeopardy, isolatedF600Mar 28, 2025
Based on interview and record review, the facility failed to ensure one of nine sampled residents (Resident 1) was free from neglect (the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress) when Resident 1 had a change of condition (COC - a major decline in a resident ' s status) on 3/12/2025 at approximately 5 p.m. when Resident 1 had a low blood pressure (BP - measurement of the pressure or force of blood inside your arteries [the elastic, muscular tubes or blood vessels responsible for carrying the blood away from the heart and distributing it to several other organs and tissues]) reading of 86/57 millimeters of mercury (mmHg - unit of measurement… […]
- Immediate jeopardy, isolatedF684Mar 28, 2025
Based on interview and record review, the facility failed to provide treatment and care in accordance with professional standards of practice for one of nine sampled residents (Resident 1), who had a change of condition (COC - a major decline in a resident ' s status) on 3/12/2025 at approximately 5 p.m., when Resident 1 had a low blood pressure (BP - measurement of the pressure or force of blood inside your arteries [the elastic, muscular tubes or blood vessels responsible for carrying the blood away from the heart and distributing it to several other organs and tissues]) reading of 86/57 millimeters of mercury (mmHg - unit of measurement used to measure BP and is abnormal if less than 90/60 mmHg or greater than 139/89 mmHg) and increased heart rate (HR - the number of heartbeats per unit… […]
- Actual harm, isolatedF880Nov 24, 2025
Based on observation, interview, and record review, the facility failed to: A. Follow its policy and procedure titled, Infection Prevention and Control Program, last reviewed on 11/6/2025, for one of three sampled residents (Resident 1) by failing to: 1. Ensure that the third-party's (an external company or individual specializing in air and water safety to the facility) recommendations indicated in the Annual Analytical Validation Viable Legionella Bacteria Report (a document that confirms the effectiveness of a facility's Water Management Program [ongoing plan to control and minimize hazards in building water systems primarily to prevent growth of harmful bacteria such as Legionella bacteria {naturally found in [NAME], but becomes a health risk when they grow in man-made water systems… […]
- Actual harm, isolatedF689Aug 21, 2025
Based on interview and record review, the facility failed to ensure: A. That one of seven sampled residents (Resident 5), who had a history of multiple falls in the facility (6/24/2025, 6/25/2025, 7/19/2025, 7/20/2025, 7/26/2025, 7/27/2025, 8/3/2025, and 8/10/2025), was assessed as having moderately impaired cognitive function (a decline in a resident's mental abilities, impacting their ability to think, learn, remember, reason, and make decisions), and required moderate assistance (helper does more than half the effort) from staff for toilet transfers and mobility (movement), was free from accidents and was provided with supervision (refers to the ongoing monitoring and guidance provided by staff to ensure the safety and well-being of a resident) by failing to: A1. […]
Read 34 findings in full →The most serious and the most recent: 34 of 556 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 25, 2026Complaint1 finding
- Aug 21, 2026Complaint1 finding
- Aug 10, 2026Complaint1 finding
- Jul 1, 2026Complaint7 findings
- Jun 17, 2026Complaint2 findings
- Jun 13, 2026Complaint2 findings
- Jun 9, 2026Complaint9 findings
- Jun 2, 2026Complaint1 finding
Show the 117 earlier surveys
- May 29, 2026Complaint1 finding
- May 22, 2026Complaint3 findings
- Apr 28, 2026Complaint2 findings
- Apr 24, 2026Standard23 findings
- Mar 6, 2026Complaint1 finding
- Feb 2, 2026Complaint1 finding
- Jan 30, 2026Complaint7 findings
- Jan 20, 2026Complaint2 findings
- Dec 17, 2025Complaint1 finding
- Nov 25, 2025Complaint1 finding
- Nov 24, 2025Complaint4 findings · 1 harm
- Sep 5, 2025Complaint5 findings
- Aug 21, 2025Complaint7 findings · 1 harm
- Aug 7, 2025Complaint4 findings
- Jul 22, 2025Complaint1 finding
- Jul 15, 2025Complaint1 finding
- Jul 9, 2025Complaint4 findings
- Jun 5, 2025Complaint2 findings
- May 16, 2025Complaint4 findings
- Apr 3, 2025Complaint6 findings
- Mar 28, 2025Complaint4 findings · 3 harm
- Mar 12, 2025Complaint2 findings
- Mar 11, 2025Complaint3 findings
- Mar 10, 2025Complaint2 findings
- Feb 25, 2025Complaint2 findings
- Feb 7, 2025Complaint1 finding · 1 harm
- Feb 4, 2025Complaint2 findings
- Jan 28, 2025Complaint3 findings
- Jan 22, 2025Complaint3 findings
- Jan 17, 2025Standard and complaint26 findings
- Jan 7, 2025Complaint1 finding
- Jan 6, 2025Complaint4 findings
- Dec 19, 2024Complaint4 findings
- Dec 12, 2024Complaint1 finding
- Dec 6, 2024Complaint1 finding
- Nov 25, 2024Complaint3 findings
- Nov 15, 2024Complaint3 findings
- Nov 14, 2024Complaint1 finding
- Nov 13, 2024Complaint5 findings
- Oct 8, 2024Complaint3 findings
- Oct 3, 2024Complaint2 findings
- Sep 28, 2024Complaint12 findings
- Sep 3, 2024Complaint1 finding
- Aug 8, 2024Complaint2 findings
- Jul 11, 2024Complaint1 finding
- May 6, 2024Complaint3 findings
- May 1, 2024Complaint2 findings
- Apr 16, 2024Complaint1 finding
- Mar 18, 2024Complaint9 findings
- Jan 26, 2024Standard and complaint41 findings
- Jan 11, 2024Complaint6 findings
- Nov 29, 2023Complaint4 findings
- Nov 7, 2023Complaint5 findings
- Nov 1, 2023Complaint3 findings
- Oct 29, 2023Complaint3 findings
- Oct 17, 2023Complaint2 findings
- Oct 5, 2023Complaint1 finding
- Sep 13, 2023Complaint2 findings
- Jul 25, 2023Complaint1 finding
- Jul 17, 2023Complaint3 findings
- Jul 14, 2023Complaint1 finding
- Jul 5, 2023Complaint3 findings
- Jun 16, 2023Complaint3 findings
- Jun 14, 2023Complaint1 finding
- Apr 17, 2023Complaint1 finding
- Apr 12, 2023Complaint1 finding
- Apr 11, 2023Complaint1 finding
- Feb 21, 2023Complaint2 findings
- Feb 1, 2023Complaint1 finding
- Jan 27, 2023Complaint2 findings
- Jan 20, 2023Standard and complaint23 findings
- Nov 30, 2022Complaint1 finding
- Nov 21, 2022Complaint2 findings
- Oct 18, 2022Complaint1 finding
- Oct 11, 2022Complaint1 finding
- Sep 23, 2022Complaint3 findings
- Aug 30, 2022Complaint2 findings
- Aug 1, 2022Complaint1 finding
- Jul 28, 2022Complaint3 findings
- Jul 21, 2022Complaint1 finding · 1 harm
- Jun 29, 2022Complaint1 finding
- Feb 8, 2022Infection control2 findings
- Nov 15, 2021Complaint2 findings
- Nov 14, 2021Complaint1 finding
- Oct 29, 2021Complaint1 finding
- Feb 26, 2021Complaint1 finding
- Feb 10, 2021Complaint1 finding
- Feb 8, 2021Complaint1 finding
- Jan 28, 2021Complaint1 finding
- Jan 12, 2021Infection control2 findings
- Dec 29, 2020Complaint1 finding
- Dec 28, 2020Complaint1 finding
- Oct 24, 2020Complaint1 finding
- Oct 19, 2020Infection control1 finding
- Jun 30, 2020Complaint1 finding
- Jul 12, 2019Standard and complaint26 findings
- May 6, 2019Complaint1 finding
- Dec 7, 2018Complaint2 findings · 2 harm
- Oct 25, 2018Complaint1 finding
- Oct 24, 2018Complaint2 findings
- Sep 1, 2018Complaint1 finding
- Jul 15, 2018Standard17 findings
- Nov 13, 2017Complaint1 finding
- Nov 7, 2017Complaint1 finding
- Jul 28, 2017Standard and complaint30 findings · 1 harm
- May 2, 2017Complaint1 finding
- Jan 25, 2017Complaint1 finding · 1 harm
- Sep 16, 2016Complaint1 finding
- Jun 22, 2016Standard and complaint27 findings · 2 harm
- Jun 13, 2016Complaint2 findings
- Jan 7, 2016Complaint1 finding
- Jul 8, 2015Complaint2 findings
- Mar 6, 2015Standard15 findings
- Nov 15, 2013—19 findings
- Jul 27, 2012—25 findings · 1 harm
- Apr 20, 2012—1 finding
- Apr 22, 2011—25 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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