MIRAGE POST ACUTE

Special Focus Facility candidate · CCN 056039 · LANCASTER SNF HEALTHCARE LLC · For profit - Partnership · PACS GROUP chain · 299 certified beds · Los Angeles · CA


MIRAGE POST ACUTE is a 299-bed nursing home in LANCASTER, California. CMS has certified it for Medicare and Medicaid since 1969-02-17. It averages 267.5 residents a day.

What harm was found in the violations cited at MIRAGE POST ACUTE?

CMS lists 275 health-inspection deficiencies for MIRAGE POST ACUTE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-07-01.

Survey dateTagDeficiencySeverity
2026-07-01F0755, F0842Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2026-07-01F0580, F0641, F0656, F0684, F0686Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2026-06-17F0550, F0849Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D
2026-06-13F0584Honor 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.E
2026-06-13F0880Provide and implement an infection prevention and control program.D
2026-06-09F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2026-06-09F0550, F0580, F0628, F0686, F0757, F0842, F0880, F0881Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.D
2026-06-02F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D
2026-05-29F0551Give the resident's representative the ability to exercise the resident's rights.D
2026-05-22F0550, F0580, F0697Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide safe, appropriate pain management for a resident who requires such services.D
2026-04-28F0656, F0842Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-04-24F0578, F0604, F0656, F0689, F0690, F0695, F0700, F0760, F0803, F0812, F0881, F0908Honor 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Ensure that residents are free from significant medication errors. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Implement a program that monitors antibiotic use. / Keep all essential equipment working safely.E
2026-04-24F0550, F0584, F0605, F0609, F0657, F0658, F0685, F0688, F0692, F0790, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Assist a resident in gaining access to vision and hearing services. / Provide 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. / Provide enough food/fluids to maintain a resident's health. / Provide routine and 24-hour emergency dental care for each resident. / Provide and implement an infection prevention and control program.D
2026-03-06F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-02-02F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2026-01-30F0605, F0697Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide safe, appropriate pain management for a resident who requires such services.E
2026-01-30F0656, F0689, F0695, F0842, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2026-01-20F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2026-01-20F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-12-17F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-11-25F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2025-11-24F0880Provide and implement an infection prevention and control program.G
2025-11-24F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2025-11-24F0584, F0656Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-09-05F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2025-09-05F0689, F0755, F0919, F0921Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2025-08-21F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-08-21F0585, F0656, F0657, F0693, F0755, F0842Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-08-07F0609, F0679, F0684, F0880Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program.D
2025-07-22F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-07-15F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-07-09F0695, F0842Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2025-07-09F0558, F0697Reasonably accommodate the needs and preferences of each resident. / Provide safe, appropriate pain management for a resident who requires such services.D
2025-06-05F0558, F0684Reasonably accommodate the needs and preferences of each resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-05-16F0684, F0686, F0697, F0755Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-04-03F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2025-04-03F0584, F0656, F0677, F0684, F0686Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2025-03-28F0580, F0600, F0684Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2025-03-28F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-03-12F0760Ensure that residents are free from significant medication errors.E
2025-03-12F0558Reasonably accommodate the needs and preferences of each resident.D
2025-03-11F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2025-03-11F0684, F0686Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2025-03-10F0600, F0609Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-02-25F0600, F0676Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D
2025-02-07F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-02-04F0583, F0755Keep residents' personal and medical records private and confidential. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-01-28F0585, F0690, F0842Honor 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-01-22F0732, F0760, F0921Post nurse staffing information every day. / Ensure that residents are free from significant medication errors. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-01-17F0558, F0604, F0656, F0658, F0694, F0700, F0755, F0758, F0760, F0761, F0802, F0803, F0804, F0805, F0808, F0812, F0814, F0880Reasonably accommodate the needs and preferences of each resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure that residents are free from significant medication errors. / 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program.E
2025-01-17F0554, F0584, F0676, F0686, F0689, F0690, F0693Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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
2025-01-17F0645PASARR screening for Mental disorders or Intellectual DisabilitiesB
2025-01-07F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-01-06F0880Provide and implement an infection prevention and control program.E
2025-01-06F0686, F0695, F0755Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-12-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2024-12-19F0550, F0584, F0600Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-12-12F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-12-06F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-11-25F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-11-25F0584, F0880Honor 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. / Provide and implement an infection prevention and control program.D
2024-11-15F0580, F0694, F0842Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-11-14F0880Provide and implement an infection prevention and control program.E
2024-11-13F0580, F0656, F0677, F0689, F0842Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-10-08F0677, F0679, F0755Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-10-03F0580, F0693Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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
2024-09-28F0686, F0755, F0842Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-09-28F0550, F0558, F0585, F0656, F0679, F0684, F0693, F0757, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program.D
2024-09-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-08-08F0552, F0760Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure that residents are free from significant medication errors.D
2024-07-11F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-05-06F0550, F0607, F0728Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure 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.D
2024-05-01F0656, F0758Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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.D
2024-04-16F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-03-18F0675, F0689, F0908Honor each resident's preferences, choices, values and beliefs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Keep all essential equipment working safely.E
2024-03-18F0584, F0684, F0686, F0688, F0801, F0880Honor 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide 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. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Provide and implement an infection prevention and control program.D
2024-01-26F0550, F0552, F0578, F0604, F0656, F0658, F0684, F0694, F0697, F0745, F0755, F0756, F0757, F0758, F0760, F0761, F0812, F0849, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Honor 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure that residents are free from significant medication errors. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Provide and implement an infection prevention and control program.E
2024-01-26F0553, F0558, F0600, F0610, F0623, F0625, F0655, F0657, F0660, F0678, F0685, F0686, F0690, F0693, F0698, F0791, F0809, F0842, F0908Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Reasonably accommodate the needs and preferences of each resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Plan the resident's discharge to meet the resident's goals and needs. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide or obtain dental services for each resident. / Ensure 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Keep all essential equipment working safely.D
2024-01-26F0637, F0640, F0641Assess the resident when there is a significant change in condition / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment.B
2024-01-11F0686, F0755Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-01-11F0684, F0842, F0850, F0880Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Hire a qualified full-time social worker in a facility with more than 120 beds. / Provide and implement an infection prevention and control program.D
2023-11-29F0880Provide and implement an infection prevention and control program.E
2023-11-29F0609, F0656, F0732Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Post nurse staffing information every day.D
2023-11-07F0803, F0804Ensure 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2023-11-07F0677, F0692, F0760Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough food/fluids to maintain a resident's health. / Ensure that residents are free from significant medication errors.D
2023-11-01F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2023-11-01F0600, F0755Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-10-29F0580, F0773, F0885Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Report COVID19 data to residents and families.D
2023-10-17F0584, F0585Honor 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. / 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
2023-10-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-09-13F0880Provide and implement an infection prevention and control program.E
2023-09-13F0732Post nurse staffing information every day.B

Why was MIRAGE POST ACUTE fined 3 times?

DateTypeAmount
2025-07-22Fine$36,377
2025-03-10Fine$99,263
2025-02-07Fine$18,351

How is MIRAGE POST ACUTE staffed?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.561764.51570
Total nursing staff turnover (%)50.436.7
Average number of residents per day267.587.9

Who owns MIRAGE POST ACUTE, and what chain is it in?

MIRAGE POST ACUTE is registered with CMS as For profit - Partnership, operates under the legal business name LANCASTER SNF HEALTHCARE LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
W-2 MANAGING EMPLOYEEJACK, SPENCERsince 06/15/2023
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, MITCHELL, JOHN, MURRAY, JASONsince 06/15/2023
OPERATIONAL/MANAGERIAL CONTROLJACK, SPENCERsince 06/15/2023

Were you or a family member harmed at MIRAGE POST ACUTE?