The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Mirabella
SEATTLE, WA · Medicare-certified · 46 beds
Needs attention
Non-profit
Data as of July 1, 2026
5 of 5 overall
Mirabella (Seattle, WA) has an overall 5-star rating, with 5 stars for staffing and quality measures but 3 stars for health inspections. It reported nurse staffing above the federal benchmark (4.38 vs. 4.1 hours per resident per day), had $23,463 in fines in the last 24 months, and has a recent federal penalty flag.
Facility ratings
Health inspections
Staffing
4.3775 hrs/resident/day
Quality measures
Last inspection: April 29, 2026Penalties, last 24 months: $23,463recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3775.
Staffing detail
- Registered nurses
- 1.51
- Licensed practical nurses
- 0.40
- Nurse aides
- 2.47
- Weekend nursing
- 3.85
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—0%—
Residents with a fall causing major injury
13%10%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%5%Worsening
Residents who lost too much weight
—9.1%—
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5%20%Worsening
Residents whose ability to walk got worse
—11.6%—
Long-stay residents on antianxiety or sleep medication
0%0%No change
Short-stay residents newly given an antipsychotic
0%2.4%Worsening
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
—35.5%—
Residents with depressive symptoms
4.8%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- PENALTY
A federal fine of $15,185 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $23,463 in total fines · 1 payment denial.
- $15,185
Federal fine
Apr 29, 2026
- 12 days
Medicare/Medicaid payment denial
Jun 27, 2025
- $8,278
Federal fine
May 14, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 37.6 residents on an average day (82% of 46 beds)
- Medicare history
- Certified for 17 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.