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.
Record summary
Federal record · Q1 2026261
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 30, 2026 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jan 30, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jan 30, 2026 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Complaint |
| Jan 30, 2026 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jan 30, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jan 30, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jan 30, 2026 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Complaint |
| Jan 20, 2026 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint |
| Jan 20, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Dec 17, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 25, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Nov 24, 2025 | F880 | Provide and implement an infection prevention and control program. | G | Complaint |
| Nov 24, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Nov 24, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Nov 24, 2025 | F584 | Honor 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. | D | Complaint |
| Sep 5, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint |
| Sep 5, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Sep 5, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Sep 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 5, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Aug 21, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Aug 21, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Aug 21, 2025 | F693 | 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. | D | Complaint |
| Aug 21, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Aug 21, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Aug 21, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Aug 21, 2025 | F585 | Honor 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. | D | Complaint |
| Aug 7, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Aug 7, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Aug 7, 2025 | F679 | Provide activities to meet all resident's needs. | D | Complaint |
| Aug 7, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 22, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jul 15, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jul 9, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Jul 9, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Jul 9, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint |
| Jul 9, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Jun 5, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jun 5, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| May 16, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| May 16, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| May 16, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| May 16, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 3, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Apr 3, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Apr 3, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 3, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Apr 3, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 3, 2025 | F584 | Honor 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. | D | Complaint |
| Mar 28, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Mar 28, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Mar 28, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Mar 28, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint |
| Mar 12, 2025 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Mar 12, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Mar 11, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Mar 11, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 11, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Mar 10, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Mar 10, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Feb 25, 2025 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint |
| Feb 25, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Feb 7, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Feb 4, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Feb 4, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Jan 28, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jan 28, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Jan 28, 2025 | F585 | Honor 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. | D | Complaint |
| Jan 22, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Jan 22, 2025 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Jan 22, 2025 | F732 | Post nurse staffing information every day. | E | Complaint |
| Jan 17, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Jan 17, 2025 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Complaint |
| Jan 17, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jan 17, 2025 | F814 | Dispose of garbage and refuse properly. | E | Standard |
| Jan 17, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 17, 2025 | F808 | Ensure 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. | E | Standard |
| Jan 17, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard |
| Jan 17, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jan 17, 2025 | F803 | Ensure 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. | E | Standard |
| Jan 17, 2025 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard |
| Jan 17, 2025 | F761 | 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. | E | Standard |
| Jan 17, 2025 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Jan 17, 2025 | F758 | 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. | E | Standard |
| Jan 17, 2025 | F700 | 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. | E | Standard |
| Jan 17, 2025 | F693 | 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. | D | Standard |
| Jan 17, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Jan 17, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 17, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Jan 17, 2025 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Jan 17, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Jan 17, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Jan 17, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | B | Standard |
| Jan 17, 2025 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard |
| Jan 17, 2025 | F584 | Honor 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. | D | Standard |
| Jan 17, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Jan 17, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Jan 7, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jan 6, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Jan 6, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $117,614 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 10, 2025 | Fine | $99,263 | — |
| Feb 7, 2025 | Fine | $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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