CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Mirabella
View the most recent health deficiencies and inspection results for Mirabella. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mirabella. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-06-27 | 2025-10-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-06-27 | 2025-10-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-18 | 2025-09-26 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2025-06-27 | 2025-09-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-06-27 | 2025-09-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-06-27 | 2025-09-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-06-27 | 2025-09-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-06-27 | 2025-08-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-27 | 2025-07-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-06-27 | 2025-07-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-27 | 2025-07-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-06-27 | 2025-07-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-06-27 | 2025-07-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-27 | 2025-07-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-06-27 | 2025-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-27 | 2025-07-10 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-06-27 | 2025-07-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-27 | 2025-07-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-06-27 | 2025-07-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2025-06-27 | 2025-07-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-06-27 | 2025-07-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-06-27 | 2025-07-08 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-06-27 | 2025-07-03 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-06-27 | 2025-07-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-27 | 2025-07-02 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-06-27 | 2025-07-02 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-06-27 | 2025-07-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-27 | 2025-07-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-27 | 2025-07-01 | N |
| Post nurse staffing information every day. | Health | 2025-06-27 | 2025-06-30 | N |
| Keep all essential equipment working safely. | Health | 2025-06-27 | 2025-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-27 | 2025-06-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-27 | 2025-06-27 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2025-05-14 | 2025-06-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-14 | 2025-06-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-14 | 2025-06-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-03-13 | 2025-04-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-13 | 2025-04-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-13 | 2025-04-16 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-28 | 2024-08-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-28 | 2024-08-09 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-28 | 2024-08-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-06-28 | 2024-08-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-28 | 2024-08-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-06-28 | 2024-08-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-28 | 2024-08-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-28 | 2024-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-28 | 2024-08-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-06-28 | 2024-08-09 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-06-28 | 2024-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-28 | 2024-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-28 | 2024-08-09 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-06-28 | 2024-08-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-28 | 2024-08-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-06-28 | 2024-08-06 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-06-28 | 2024-08-06 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-06-28 | 2024-08-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-28 | 2024-08-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-28 | 2024-08-06 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-06-28 | 2024-08-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-06-28 | 2024-08-06 | N |
| Establish methods for sharing information. | Fire Safety | 2024-06-28 | 2024-08-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-06-28 | 2024-08-06 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-06-28 | 2024-08-06 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-06-28 | 2024-08-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-22 | 2023-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-22 | 2023-05-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-22 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-22 | 2023-05-01 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-03-22 | 2023-05-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-22 | 2023-05-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-22 | 2023-05-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-22 | 2023-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-22 | 2023-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-22 | 2023-05-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-22 | 2023-05-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-22 | 2023-05-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-03-22 | 2023-05-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-22 | 2023-05-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-22 | 2023-05-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-03-22 | 2023-04-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-04-29 | Not Fixed | Y |