Elder Care Record

Washington › King County › Seattle

Mirabella

116 Fairview Avenue N, Seattle, WA 98109

CCN 505520 · Non-profit, corporation · 46 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Mirabella is a Non-profit, corporation nursing home in Seattle, Washington, certified for 46 beds and caring for about 38 residents a day.

CMS gives it 5 of 5 stars overall, above the Washington median of 3; the health inspection rating is 3, staffing 5 and quality measures 5.

Inspectors recorded 48 health deficiencies across the three most recent survey cycles (16, 20, 12 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 104.3 per 100 beds, more than the state median of 50.0.

CMS lists 3 penalties in the period covered: fines totalling $23K and 1 payment denial.

Reported nurse staffing is 4.4 hours per resident per day (1.5 RN), close to the Washington median of 4.1; nursing staff turnover is 36.6%.

48health deficiencies, 3 survey cycles2 at actual harm or worse
$23Kfines listed by CMS3 penalties in period
4.4nurse hours per resident per daystate median 4.1
82%occupancy (residents ÷ beds)38 residents a day

Compared with county, state and nation

MeasureThis facilityKing Co. medianWashington medianUS average
Overall star rating5333.0
Health citations, 3 cycles48544628.7
Citations per 100 beds104.351.750.026.8
Total nurse hours per resident day4.44.24.13.9
RN hours per resident day1.51.00.90.7
Nursing staff turnover36.6%41.0%43.2%45.8%
Fines listed$23,463$8,278$17,388—

County and state figures are medians across facilities (47 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)16
Cycle 220
Cycle 312

Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Jun 2025, 28 Jun 2024.

Severity mix: G ×2 D ×35 E ×9 F ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
29 Apr 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation12 Jun 2026
18 Sep 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation26 Sep 2025
27 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Jul 2025
27 Jun 2025F0732Post nurse staffing information every day.EStandard survey30 Jun 2025
27 Jun 2025F0880Provide and implement an infection prevention and control program.EStandard survey30 Jun 2025
27 Jun 2025F0578Honor 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.DStandard survey9 Jul 2025
27 Jun 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey1 Jul 2025
27 Jun 2025F0641Ensure each resident receives an accurate assessment.DStandard survey18 Jul 2025
27 Jun 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey16 Jul 2025
27 Jun 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey8 Jul 2025
27 Jun 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey2 Jul 2025
27 Jun 2025F0700Try 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.DStandard survey2 Jul 2025
27 Jun 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey2 Jul 2025
27 Jun 2025F0761Ensure 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.DStandard survey3 Jul 2025
27 Jun 2025F0908Keep all essential equipment working safely.DStandard survey30 Jun 2025
27 Jun 2025F0838Conduct 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.CStandard survey3 Jul 2025
14 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation16 Jun 2025
14 May 2025F0610Respond appropriately to all alleged violations.DComplaint investigation16 Jun 2025
14 May 2025F0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DComplaint investigation16 Jun 2025
13 Mar 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation16 Apr 2025
13 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation16 Apr 2025
13 Mar 2025F0610Respond appropriately to all alleged violations.DComplaint investigation16 Apr 2025
28 Jun 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard survey9 Aug 2024
28 Jun 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey9 Aug 2024
28 Jun 2024F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey9 Aug 2024
28 Jun 2024F0761Ensure 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 survey9 Aug 2024
28 Jun 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey9 Aug 2024
28 Jun 2024F0880Provide and implement an infection prevention and control program.EStandard survey9 Aug 2024
28 Jun 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey9 Aug 2024
28 Jun 2024F0578Honor 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.DStandard survey9 Aug 2024
28 Jun 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey9 Aug 2024
28 Jun 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey9 Aug 2024
28 Jun 2024F0625Notify 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.DStandard survey9 Aug 2024
28 Jun 2024F0641Ensure each resident receives an accurate assessment.DStandard survey9 Aug 2024
28 Jun 2024F0693Ensure 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 survey9 Aug 2024
28 Jun 2024F0909Regularly 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.DStandard survey9 Aug 2024
22 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 May 2023
22 Mar 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey1 May 2023
22 Mar 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey1 May 2023
22 Mar 2023F0637Assess the resident when there is a significant change in conditionDStandard survey1 May 2023
22 Mar 2023F0641Ensure each resident receives an accurate assessment.DStandard survey1 May 2023
22 Mar 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey1 May 2023
22 Mar 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey1 May 2023
22 Mar 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 May 2023
22 Mar 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey1 May 2023
22 Mar 2023F0700Try 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.DStandard survey1 May 2023
22 Mar 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey1 May 2023
22 Mar 2023F0758Implement 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.DStandard survey1 May 2023

Penalties

DateTypeAmountDetail
29 Apr 2026Fine$15,185
27 Jun 2025Payment denial—12 days
14 May 2025Fine$8,278

Staffing

Total nursing4.38 h
Nurse aides2.47 h
LPN0.4 h
RN1.51 h
Weekend total3.85 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 36.6%, RNs 33.3%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityWashington medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay11.4%13.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.5%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay10.5%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.1%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.6%16.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.3%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay0.0%14.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Mirabella.

OrganisationRole in the CMS recordInterestSince
Pacific Retirement Services IncOperational/managerial controlNOT APPLICABLE03/04/2005
Pacific Retirement Services IncAdp of the snfNOT APPLICABLE03/04/2005

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in King County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Briarwood At Timber RidgeIssaquah455451942.2—16 Dec 2025
Covenant Shores Health CenterMercer Island435453581.4—11 Feb 2026
Fircrest Nursing FacilitySeattle1105443632.7—7 Nov 2025
Garden Terrace Healthcare Center of Federal WayFederal Way705354665.7—12 Sep 2025
Judson Park Health CenterDes Moines965355759.4—28 Aug 2025
Queen Anne HealthcareSeattle1205553025.0—5 May 2026
Redmond Care and Rehabilitation CenterRedmond1395442618.7—13 Feb 2026
Shoreline Health and RehabilitationSeattle1145443833.3—24 Mar 2026

All 47 facilities in King County

Questions and answers

How many deficiencies has Mirabella been cited for?

48 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.

Has Mirabella been fined?

Yes. CMS lists fines totalling $23K in the period covered, plus 1 payment denial.

How does staffing at Mirabella compare?

Reported total nurse staffing is 4.4 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.

Who operates Mirabella?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Pacific Retirement Services Inc. Individual owners and managers are not listed on this site.

When was Mirabella last inspected?

The most recent survey or investigation in the CMS record is dated 29 Apr 2026; the most recent standard health survey was 27 Jun 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.