Elder Care Record

California › Los Angeles County › Lancaster

Mirage Post Acute

44445 15th St W, Lancaster, CA 93534

CCN 056039 · For-profit, partnership · 299 certified beds · chain Pacs Group

Special Focus Facility candidate
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.

Mirage Post Acute, in Lancaster, California, is certified for 299 beds under for-profit, partnership ownership and belongs to the Pacs Group chain.

CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.

Inspectors recorded 275 health deficiencies across the three most recent survey cycles (83, 109, 83 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 92.0 per 100 beds, more than the state median of 51.1.

CMS lists 3 penalties in the period covered: fines totalling $154K.

Reported nurse staffing is 4.6 hours per resident per day (0.4 RN), close to the California median of 4.2; nursing staff turnover is 50.4%.

CMS flags that the facility is a Special Focus Facility candidate.

275health deficiencies, 3 survey cycles6 at actual harm or worse
$154Kfines listed by CMS3 penalties in period
4.6nurse hours per resident per daystate median 4.2
89%occupancy (residents ÷ beds)268 residents a day

Compared with county, state and nation

MeasureThis facilityLos Angeles Co. medianCalifornia medianUS average
Overall star rating1233.0
Health citations, 3 cycles275614428.7
Citations per 100 beds92.069.151.126.8
Total nurse hours per resident day4.64.34.23.9
RN hours per resident day0.40.40.50.7
Nursing staff turnover50.4%34.4%36.4%45.8%
Fines listed$153,991$12,831$0—

County and state figures are medians across facilities (369 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)83
Cycle 2109
Cycle 383

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Apr 2026, 17 Jan 2025.

Severity mix: J ×3 G ×3 D ×181 E ×83 B ×5

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
1 Jul 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation16 Jul 2026
1 Jul 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation16 Jul 2026
1 Jul 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation16 Jul 2026
1 Jul 2026F0641Ensure each resident receives an accurate assessment.DComplaint investigation16 Jul 2026
1 Jul 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation16 Jul 2026
1 Jul 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation16 Jul 2026
1 Jul 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation16 Jul 2026
17 Jun 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation8 Jul 2026
17 Jun 2026F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint investigation8 Jul 2026
13 Jun 2026F0584Honor 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.EComplaint investigation2 Jul 2026
13 Jun 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation2 Jul 2026
9 Jun 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation23 Jun 2026
9 Jun 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation23 Jun 2026
9 Jun 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation23 Jun 2026
9 Jun 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation23 Jun 2026
9 Jun 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation23 Jun 2026
9 Jun 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation23 Jun 2026
9 Jun 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation23 Jun 2026
9 Jun 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation23 Jun 2026
9 Jun 2026F0881Implement a program that monitors antibiotic use.DComplaint investigation23 Jun 2026
2 Jun 2026F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigation18 Jun 2026
29 May 2026F0551Give the resident's representative the ability to exercise the resident's rights.DComplaint investigation12 Jun 2026
22 May 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation5 Jun 2026
22 May 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation5 Jun 2026
22 May 2026F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation5 Jun 2026
28 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation11 May 2026
28 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation11 May 2026
24 Apr 2026F0578Honor 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.EStandard survey15 May 2026
24 Apr 2026F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard survey15 May 2026
24 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey15 May 2026
24 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey15 May 2026
24 Apr 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey15 May 2026
24 Apr 2026F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey15 May 2026
24 Apr 2026F0700Try 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 survey15 May 2026
24 Apr 2026F0760Ensure that residents are free from significant medication errors.EStandard survey15 May 2026
24 Apr 2026F0803Ensure 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 survey15 May 2026
24 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey15 May 2026
24 Apr 2026F0881Implement a program that monitors antibiotic use.EStandard survey15 May 2026
24 Apr 2026F0908Keep all essential equipment working safely.EStandard survey15 May 2026
24 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey15 May 2026
24 Apr 2026F0584Honor 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 survey15 May 2026
24 Apr 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey15 May 2026
24 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey15 May 2026
24 Apr 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey15 May 2026
24 Apr 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey15 May 2026
24 Apr 2026F0685Assist a resident in gaining access to vision and hearing services.DStandard survey15 May 2026
24 Apr 2026F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey15 May 2026
24 Apr 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey15 May 2026
24 Apr 2026F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey15 May 2026
24 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey15 May 2026
6 Mar 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation16 Mar 2026
2 Feb 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint investigation4 Feb 2026
30 Jan 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EComplaint investigation2 Mar 2026
30 Jan 2026F0697Provide safe, appropriate pain management for a resident who requires such services.EComplaint investigation2 Mar 2026
30 Jan 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation2 Mar 2026
30 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation2 Mar 2026
30 Jan 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation2 Mar 2026
30 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation2 Mar 2026
30 Jan 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation2 Mar 2026
20 Jan 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation19 Feb 2026
20 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation19 Feb 2026
17 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation24 Dec 2025
25 Nov 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation26 Nov 2025
24 Nov 2025F0880Provide and implement an infection prevention and control program.GComplaint investigation25 Nov 2025
24 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation25 Nov 2025
24 Nov 2025F0584Honor 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 investigation25 Nov 2025
24 Nov 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Nov 2025
5 Sep 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation26 Sep 2025
5 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation26 Sep 2025
5 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
5 Sep 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation26 Sep 2025
5 Sep 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint investigation26 Sep 2025
21 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation19 Sep 2025
21 Aug 2025F0585Honor 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 investigation19 Sep 2025
21 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation19 Sep 2025
21 Aug 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation19 Sep 2025
21 Aug 2025F0693Ensure 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 investigation19 Sep 2025
21 Aug 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation19 Sep 2025
21 Aug 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation26 Sep 2025
7 Aug 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation3 Sep 2025
7 Aug 2025F0679Provide activities to meet all resident's needs.DComplaint investigation3 Sep 2025
7 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation3 Sep 2025
7 Aug 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation3 Sep 2025
22 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation28 Aug 2025
15 Jul 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation8 Aug 2025
9 Jul 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EComplaint investigation31 Jul 2025
9 Jul 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation31 Jul 2025
9 Jul 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation31 Jul 2025
9 Jul 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation31 Jul 2025
5 Jun 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation23 Jun 2025
5 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation23 Jun 2025
16 May 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation8 Jun 2025
16 May 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation8 Jun 2025
16 May 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation8 Jun 2025
16 May 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation8 Jun 2025
3 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation27 Apr 2025
3 Apr 2025F0584Honor 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 investigation27 Apr 2025
3 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation27 Apr 2025
3 Apr 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation27 Apr 2025
3 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation27 Apr 2025
3 Apr 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation27 Apr 2025
28 Mar 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint investigation21 Apr 2025
28 Mar 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation21 Apr 2025
28 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation21 Apr 2025
28 Mar 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation21 Apr 2025
12 Mar 2025F0760Ensure that residents are free from significant medication errors.EComplaint investigation1 Apr 2025
12 Mar 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation1 Apr 2025
11 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation13 Mar 2025
11 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation13 Mar 2025
11 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation13 Mar 2025
10 Mar 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation30 Mar 2025
10 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation30 Mar 2025
25 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation28 Feb 2025
25 Feb 2025F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint investigation28 Feb 2025
7 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation28 Feb 2025
4 Feb 2025F0583Keep residents' personal and medical records private and confidential.DComplaint investigation5 Feb 2025
4 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation5 Feb 2025
28 Jan 2025F0585Honor 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 investigation30 Jan 2025
28 Jan 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation30 Jan 2025
28 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation30 Jan 2025
22 Jan 2025F0732Post nurse staffing information every day.EComplaint investigation25 Jan 2025
22 Jan 2025F0760Ensure that residents are free from significant medication errors.EComplaint investigation25 Jan 2025
22 Jan 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation25 Jan 2025
17 Jan 2025F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey5 Feb 2025
17 Jan 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard survey5 Feb 2025
17 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey5 Feb 2025
17 Jan 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey5 Feb 2025
17 Jan 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EComplaint investigation5 Feb 2025
17 Jan 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.EStandard survey5 Feb 2025
17 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation5 Feb 2025
17 Jan 2025F0758Implement 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 survey5 Feb 2025
17 Jan 2025F0760Ensure that residents are free from significant medication errors.EStandard survey5 Feb 2025
17 Jan 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.EStandard survey5 Feb 2025
17 Jan 2025F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard survey5 Feb 2025
17 Jan 2025F0803Ensure 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 survey5 Feb 2025
17 Jan 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey5 Feb 2025
17 Jan 2025F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey5 Feb 2025
17 Jan 2025F0808Ensure 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 survey5 Feb 2025
17 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey5 Feb 2025
17 Jan 2025F0814Dispose of garbage and refuse properly.EStandard survey5 Feb 2025
17 Jan 2025F0880Provide and implement an infection prevention and control program.EStandard survey5 Feb 2025
17 Jan 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey5 Feb 2025
17 Jan 2025F0584Honor 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 survey5 Feb 2025
17 Jan 2025F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey5 Feb 2025
17 Jan 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey5 Feb 2025
17 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey5 Feb 2025
17 Jan 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey5 Feb 2025
17 Jan 2025F0693Ensure 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 survey5 Feb 2025
17 Jan 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesBStandard survey5 Feb 2025
7 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 Jan 2025
6 Jan 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation24 Jan 2025
6 Jan 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation24 Jan 2025
6 Jan 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation24 Jan 2025
6 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation24 Jan 2025
19 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation9 Jan 2025
19 Dec 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation9 Jan 2025
19 Dec 2024F0584Honor 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 investigation9 Jan 2025
19 Dec 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation9 Jan 2025
12 Dec 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 Dec 2024
6 Dec 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation21 Dec 2024
25 Nov 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation16 Dec 2024
25 Nov 2024F0584Honor 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 investigation16 Dec 2024
25 Nov 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation16 Dec 2024
15 Nov 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation12 Dec 2024
15 Nov 2024F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint investigation12 Dec 2024
15 Nov 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation12 Dec 2024
14 Nov 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation30 Nov 2024
13 Nov 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation2 Dec 2024
13 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation2 Dec 2024
13 Nov 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation2 Dec 2024
13 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation2 Dec 2024
13 Nov 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation2 Dec 2024
8 Oct 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation21 Oct 2024
8 Oct 2024F0679Provide activities to meet all resident's needs.DComplaint investigation21 Oct 2024
8 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation21 Oct 2024
3 Oct 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation22 Oct 2024
3 Oct 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.DComplaint investigation22 Oct 2024
28 Sep 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint investigation18 Oct 2024
28 Sep 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation18 Oct 2024
28 Sep 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation18 Oct 2024
28 Sep 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation18 Oct 2024
28 Sep 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation18 Oct 2024
28 Sep 2024F0585Honor 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 investigation18 Oct 2024
28 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation18 Oct 2024
28 Sep 2024F0679Provide activities to meet all resident's needs.DComplaint investigation18 Oct 2024
28 Sep 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation18 Oct 2024
28 Sep 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.DComplaint investigation18 Oct 2024
28 Sep 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation18 Oct 2024
28 Sep 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation18 Oct 2024
3 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation23 Sep 2024
8 Aug 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation20 Aug 2024
8 Aug 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation20 Aug 2024
11 Jul 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation17 Jul 2024
6 May 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation24 May 2024
6 May 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation24 May 2024
6 May 2024F0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.DComplaint investigation24 May 2024
1 May 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation10 May 2024
1 May 2024F0758Implement 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.DComplaint investigation10 May 2024
16 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Apr 2024
18 Mar 2024F0675Honor each resident's preferences, choices, values and beliefs.EComplaint investigation4 Apr 2024
18 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation4 Apr 2024
18 Mar 2024F0908Keep all essential equipment working safely.EComplaint investigation4 Apr 2024
18 Mar 2024F0584Honor 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 investigation4 Apr 2024
18 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation4 Apr 2024
18 Mar 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation4 Apr 2024
18 Mar 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint investigation4 Apr 2024
18 Mar 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DComplaint investigation4 Apr 2024
18 Mar 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation4 Apr 2024
26 Jan 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation23 Feb 2024
26 Jan 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard survey23 Feb 2024
26 Jan 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.EStandard survey23 Feb 2024
26 Jan 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard survey23 Feb 2024
26 Jan 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey23 Feb 2024
26 Jan 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey23 Feb 2024
26 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey23 Feb 2024
26 Jan 2024F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EStandard survey23 Feb 2024
26 Jan 2024F0697Provide safe, appropriate pain management for a resident who requires such services.EStandard survey23 Feb 2024
26 Jan 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.EStandard survey23 Feb 2024
26 Jan 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey23 Feb 2024
26 Jan 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey23 Feb 2024
26 Jan 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey23 Feb 2024
26 Jan 2024F0758Implement 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 survey23 Feb 2024
26 Jan 2024F0760Ensure that residents are free from significant medication errors.EStandard survey23 Feb 2024
26 Jan 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 survey23 Feb 2024
26 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 Feb 2024
26 Jan 2024F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.EStandard survey23 Feb 2024
26 Jan 2024F0880Provide and implement an infection prevention and control program.EStandard survey23 Feb 2024
26 Jan 2024F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey23 Feb 2024
26 Jan 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey23 Feb 2024
26 Jan 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation23 Feb 2024
26 Jan 2024F0610Respond appropriately to all alleged violations.DStandard survey23 Feb 2024
26 Jan 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey23 Feb 2024
26 Jan 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 survey23 Feb 2024
26 Jan 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey23 Feb 2024
26 Jan 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey23 Feb 2024
26 Jan 2024F0660Plan the resident's discharge to meet the resident's goals and needs.DStandard survey23 Feb 2024
26 Jan 2024F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DStandard survey23 Feb 2024
26 Jan 2024F0685Assist a resident in gaining access to vision and hearing services.DStandard survey23 Feb 2024
26 Jan 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey23 Feb 2024
26 Jan 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey23 Feb 2024
26 Jan 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 survey23 Feb 2024
26 Jan 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey23 Feb 2024
26 Jan 2024F0791Provide or obtain dental services for each resident.DComplaint investigation23 Feb 2024
26 Jan 2024F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.DStandard survey23 Feb 2024
26 Jan 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey23 Feb 2024
26 Jan 2024F0908Keep all essential equipment working safely.DStandard survey23 Feb 2024
26 Jan 2024F0637Assess the resident when there is a significant change in conditionBStandard survey23 Feb 2024
26 Jan 2024F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.BStandard survey23 Feb 2024
26 Jan 2024F0641Ensure each resident receives an accurate assessment.BStandard survey23 Feb 2024
11 Jan 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint investigation2 Feb 2024
11 Jan 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation2 Feb 2024
11 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation2 Feb 2024
11 Jan 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation2 Feb 2024
11 Jan 2024F0850Hire a qualified full-time social worker in a facility with more than 120 beds.DComplaint investigation2 Feb 2024
11 Jan 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation2 Feb 2024
29 Nov 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation12 Dec 2023
29 Nov 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation12 Dec 2023
29 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation12 Dec 2023
29 Nov 2023F0732Post nurse staffing information every day.DComplaint investigation12 Dec 2023
7 Nov 2023F0803Ensure 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.EComplaint investigation2 Dec 2023
7 Nov 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation2 Dec 2023
7 Nov 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation2 Dec 2023
7 Nov 2023F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation2 Dec 2023
7 Nov 2023F0760Ensure that residents are free from significant medication errors.DComplaint investigation2 Dec 2023
1 Nov 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation16 Nov 2023
1 Nov 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation16 Nov 2023
1 Nov 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation16 Nov 2023
29 Oct 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation20 Nov 2023
29 Oct 2023F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint investigation20 Nov 2023
29 Oct 2023F0885Report COVID19 data to residents and families.DComplaint investigation20 Nov 2023
17 Oct 2023F0584Honor 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 investigation2 Nov 2023
17 Oct 2023F0585Honor 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 investigation2 Nov 2023
5 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation17 Oct 2023
13 Sep 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation13 Oct 2023
13 Sep 2023F0732Post nurse staffing information every day.BComplaint investigation13 Oct 2023

Penalties

DateTypeAmountDetail
22 Jul 2025Fine$36,377
10 Mar 2025Fine$99,263
7 Feb 2025Fine$18,351

Staffing

Total nursing4.56 h
Nurse aides2.96 h
LPN1.23 h
RN0.37 h
Weekend total4.07 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 50.4%, RNs 55.2%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.7%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.0%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.3%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.3%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.0%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.3%9.1%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: for-profit, partnership. Legal business name: Lancaster Snf Healthcare Llc. Chain: Pacs Group (274 facilities).

No organisations are listed in the CMS ownership record for this facility.

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 Los Angeles County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Alcott Rehabilitation HospitalLos Angeles1215444234.7$9K23 Dec 2025
Alden Terrace Convalescent HospitalLos Angeles2105443516.7—20 Nov 2025
Angels Nursing Health CenterLos Angeles495443775.5$72K11 Jun 2026
Ararat Post AcuteGlendale2854530107.1$42K23 Jan 2026
Atherton Baptist HomeAlhambra1135442824.8—16 Jan 2026
Atlantic Memorial Healthcare CenterLong Beach1045542524.0—16 Jun 2026
Beachside Post AcuteTorrance1105443128.2—19 Dec 2025
Beacon Healthcare CenterWest Covina545433259.3—14 May 2026

All 369 facilities in Los Angeles County

Questions and answers

How many deficiencies has Mirage Post Acute been cited for?

275 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Mirage Post Acute been fined?

Yes. CMS lists fines totalling $154K in the period covered.

How does staffing at Mirage Post Acute compare?

Reported total nurse staffing is 4.6 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Mirage Post Acute?

It is part of the Pacs Group chain. Ownership type is for-profit, partnership. Individual owners and managers are not listed on this site.

When was Mirage Post Acute last inspected?

The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 24 Apr 2026.

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.