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Facility profile · CCN 056039

Mirage Post Acute

261 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $117,614.

Abuse Icon Special Focus Status 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
261
Total citations
235
Last 3 years
6
Actual harm+
2
Federal penalties
$117,614
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

261 on record
SurveyF-TagViolationSeveritySource
Jan 30, 2026F880Provide and implement an infection prevention and control program.DComplaint
Jan 30, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jan 30, 2026F697Provide safe, appropriate pain management for a resident who requires such services.EComplaint
Jan 30, 2026F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jan 30, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 30, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 30, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EComplaint
Jan 20, 2026F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Jan 20, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 17, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 25, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Nov 24, 2025F880Provide and implement an infection prevention and control program.GComplaint
Nov 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Nov 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 24, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint
Sep 5, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Sep 5, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Sep 5, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Sep 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 5, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Aug 21, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 21, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Aug 21, 2025F693Ensure 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.DComplaint
Aug 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Aug 21, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Aug 21, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 21, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Aug 7, 2025F880Provide and implement an infection prevention and control program.DComplaint
Aug 7, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 7, 2025F679Provide activities to meet all resident's needs.DComplaint
Aug 7, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 15, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jul 9, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Jul 9, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jul 9, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Jul 9, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jun 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 5, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
May 16, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 16, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
May 16, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 16, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 3, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Apr 3, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 3, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 3, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint
Mar 28, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 28, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Mar 28, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Mar 28, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint
Mar 12, 2025F760Ensure that residents are free from significant medication errors.EComplaint
Mar 12, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Mar 11, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 11, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 11, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Mar 10, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 10, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 25, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Feb 25, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 7, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Feb 4, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Feb 4, 2025F583Keep residents' personal and medical records private and confidential.DComplaint
Jan 28, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jan 28, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jan 28, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Jan 22, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Jan 22, 2025F760Ensure that residents are free from significant medication errors.EComplaint
Jan 22, 2025F732Post nurse staffing information every day.EComplaint
Jan 17, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jan 17, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EComplaint
Jan 17, 2025F880Provide and implement an infection prevention and control program.EStandard
Jan 17, 2025F814Dispose of garbage and refuse properly.EStandard
Jan 17, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 17, 2025F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.EStandard
Jan 17, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Jan 17, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jan 17, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Jan 17, 2025F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Jan 17, 2025F761Ensure 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.EStandard
Jan 17, 2025F760Ensure that residents are free from significant medication errors.EStandard
Jan 17, 2025F758Implement 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.EStandard
Jan 17, 2025F700Try 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.EStandard
Jan 17, 2025F693Ensure 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.DStandard
Jan 17, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 17, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 17, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jan 17, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jan 17, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jan 17, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesBStandard
Jan 17, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard
Jan 17, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Jan 17, 2025F558Reasonably accommodate the needs and preferences of each resident.EStandard
Jan 17, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Jan 7, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 6, 2025F880Provide and implement an infection prevention and control program.EComplaint
Jan 6, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $117,614 .

DateTypeFinePayment denial
Mar 10, 2025Fine$99,263
Feb 7, 2025Fine$18,351
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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