Starfile

Starfile / Washington

MIRABELLA SEATTLE

116 FAIRVIEW AVENUE N, SEATTLE, WA 98109 · CCN 505520

Ratings

Overall
★★★★☆ 4
Health inspection
★★★☆☆ 3
Quality measures
★★★★☆ 4
Staffing
★★★★★ 5

Facility

Ownership type
Non profit - Corporation
Certified beds
46
Avg residents/day
35.6
Phone
2062541400

Inspection history vs Washington & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityWashington avgNational avgvs state
12025-06-272117.09.5+4.0 worse
22024-06-281417.29.8-3.2 better
32023-03-221215.59.3-3.5 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation5
Quality of life and care3
Resident assessment and care planning3
Nursing and physician services2
Resident rights1
Nutrition and dietary1
Pharmacy service3
Environmental1
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.4838.9%
RN staffing (reported)1.6638.5%
Total nurse staffing (adjusted)4.62

Fines & penalties

Total fines
$12,735
Number of fines
1
Number of penalties
2
Payment denials
1

Inspection citations (47)1 actual harm

  1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-18 · Health · corrected 2025-09-26

    Potential for more than minimal harm

  2. DF0578Honor 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.2025-06-27 · Health · corrected 2025-07-09

    Potential for more than minimal harm

  3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-27 · Health · corrected 2025-07-01

    Potential for more than minimal harm

  4. DF0641Ensure each resident receives an accurate assessment.2025-06-27 · Health · corrected 2025-07-18

    Potential for more than minimal harm

  5. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-06-27 · Health · corrected 2025-07-16

    Potential for more than minimal harm

  6. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-27 · Health · corrected 2025-07-08

    Potential for more than minimal harm

  7. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-27 · Health · corrected 2025-07-02

    Potential for more than minimal harm

  8. DF0700Try 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.2025-06-27 · Health · corrected 2025-07-02

    Potential for more than minimal harm

  9. EF0732Post nurse staffing information every day.2025-06-27 · Health · corrected 2025-06-30

    Potential for more than minimal harm

  10. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-06-27 · Health · corrected 2025-07-02

    Potential for more than minimal harm

  11. DF0761Ensure 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.2025-06-27 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  12. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-27 · Health · corrected 2025-07-17

    Potential for more than minimal harm

  13. CF0838Conduct 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.2025-06-27 · Health · corrected 2025-07-03

    Potential for minimal harm

  14. EF0880Provide and implement an infection prevention and control program.2025-06-27 · Health · corrected 2025-06-30

    Potential for more than minimal harm

  15. DF0908Keep all essential equipment working safely.2025-06-27 · Health · corrected 2025-06-30

    Potential for more than minimal harm

  16. DF0610Respond appropriately to all alleged violations.2025-05-14 · Health · corrected 2025-06-16

    Potential for more than minimal harm

  17. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-14 · Health · corrected 2025-06-16

    Actual harm

  18. DF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2025-05-14 · Health · corrected 2025-06-16

    Potential for more than minimal harm

  19. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-03-13 · Health · corrected 2025-04-16

    Potential for more than minimal harm

  20. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-13 · Health · corrected 2025-04-16

    Potential for more than minimal harm

  21. DF0610Respond appropriately to all alleged violations.2025-03-13 · Health · corrected 2025-04-16

    Potential for more than minimal harm

  22. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  23. DF0578Honor 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.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  24. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  25. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  26. DF0625Notify 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.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  27. DF0641Ensure each resident receives an accurate assessment.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  28. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  29. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  30. DF0693Ensure 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.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  31. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  32. EF0761Ensure 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.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  33. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  34. EF0880Provide and implement an infection prevention and control program.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  35. DF0909Regularly 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.2024-06-28 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  36. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  37. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  38. DF0637Assess the resident when there is a significant change in condition2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  39. DF0641Ensure each resident receives an accurate assessment.2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  40. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  41. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  42. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  43. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  44. DF0700Try 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.2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  45. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  46. DF0758Implement 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.2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  47. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-22 · Health · corrected 2023-05-01

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
US BANK NATIONAL ASSOCIATIONOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2012-12-01
PACIFIC RETIREMENT SERVICES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2005-03-04
BURNSIDE, LEEIndividualCORPORATE DIRECTOR2014-01-27
HOOYMAN, NANCYIndividualCORPORATE DIRECTOR2013-01-15
MARTIN, CHARLESIndividualCORPORATE DIRECTOR2010-05-01
PHILLIPS, JOSEPHIndividualCORPORATE DIRECTOR2013-07-01
SCHILL, STANLEYIndividualCORPORATE DIRECTOR2012-10-01
WARTNICK, ANTHONYIndividualCORPORATE DIRECTOR2012-10-01
DUNCAN, TRAVISIndividualCORPORATE OFFICER2018-04-01
SHOLTY, ERICIndividualCORPORATE OFFICER2018-05-27
SHOLTY, ERICIndividualW-2 MANAGING EMPLOYEE2018-05-27

Other facilities in SEATTLE

NameOverallBeds
FIRCREST NURSING FACILITY★★★★★110
CAROLINE KLINE GALLAND HOME★★★★★205
SHORELINE HEALTH AND REHABILITATION★★★★★114
QUEEN ANNE HEALTHCARE★★★★★120
Transitional Care Of Seattle★★★★☆165

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.