MIRAGE POST ACUTE

Nursing Home Lancaster, CA Medicare and Medicaid
1/5
Overall Rating
1/5
Certified Beds
299
Residents
253
Total Fines
$117,614

Ratings & Quality

Overall
1/5
Health Inspection
1/5
Staffing
4/5
Quality
3/5

Staffing Details

RN Hours per Resident per Day0.42
Total Nurse Hours per Resident per Day5.53
Number of Certified Beds299
Number of Residents253

Inspection Deficiencies (255)

0842 2025-12-17 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2025-12-24

0657 2025-11-25 D Not Corrected

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction date: 2025-11-26

0584 2025-11-24 D Not Corrected

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.

Correction date: 2025-11-25

0656 2025-11-24 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2025-11-25

0689 2025-11-24 E Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2025-11-25

0880 2025-11-24 G Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2025-11-25

0550 2025-09-05 E Not Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction date: 2025-09-26

0689 2025-09-05 D Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2025-09-26

0755 2025-09-05 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2025-09-26

0919 2025-09-05 D Not Corrected

Make sure that a working call system is available in each resident's bathroom and bathing area.

Correction date: 2025-09-26

0921 2025-09-05 D Not Corrected

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Correction date: 2025-09-26

0585 2025-08-21 D Not Corrected

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.

Correction date: 2025-09-19

0656 2025-08-21 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2025-09-19

0657 2025-08-21 D Not Corrected

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction date: 2025-09-19

0689 2025-08-21 G Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2025-09-19

0693 2025-08-21 D Not Corrected

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.

Correction date: 2025-09-19

0755 2025-08-21 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2025-09-19

0842 2025-08-21 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2025-09-26

0609 2025-08-07 D Not Corrected

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction date: 2025-09-03

0679 2025-08-07 D Not Corrected

Provide activities to meet all resident's needs.

Correction date: 2025-09-03

0684 2025-08-07 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2025-09-03

0880 2025-08-07 D Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2025-09-03

0689 2025-07-22 D Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2025-08-28

0755 2025-07-15 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2025-08-08

0558 2025-07-09 D Not Corrected

Reasonably accommodate the needs and preferences of each resident.

Correction date: 2025-07-31

0695 2025-07-09 E Not Corrected

Provide safe and appropriate respiratory care for a resident when needed.

Correction date: 2025-07-31

0697 2025-07-09 D Not Corrected

Provide safe, appropriate pain management for a resident who requires such services.

Correction date: 2025-07-31

0842 2025-07-09 E Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2025-07-31

0558 2025-06-05 D Not Corrected

Reasonably accommodate the needs and preferences of each resident.

Correction date: 2025-06-23

0684 2025-06-05 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2025-06-23

0684 2025-05-16 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2025-06-08

0686 2025-05-16 D Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2025-06-08

0697 2025-05-16 D Not Corrected

Provide safe, appropriate pain management for a resident who requires such services.

Correction date: 2025-06-08

0755 2025-05-16 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2025-06-08

0584 2025-04-03 D Not Corrected

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.

Correction date: 2025-04-27

0656 2025-04-03 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2025-04-27

0677 2025-04-03 D Not Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction date: 2025-04-27

0684 2025-04-03 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2025-04-27

0686 2025-04-03 D Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2025-04-27

0755 2025-04-03 E Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2025-04-27

0580 2025-03-28 J Not Corrected

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction date: 2025-04-21

0600 2025-03-28 J Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2025-04-21

0684 2025-03-28 J Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2025-04-21

0842 2025-03-28 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2025-04-21

0558 2025-03-12 D Not Corrected

Reasonably accommodate the needs and preferences of each resident.

Correction date: 2025-04-01

0760 2025-03-12 E Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2025-04-01

0656 2025-03-11 E Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2025-03-13

0684 2025-03-11 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2025-03-13

0686 2025-03-11 D Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2025-03-13

0600 2025-03-10 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2025-03-30

0609 2025-03-10 D Not Corrected

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction date: 2025-03-30

0600 2025-02-25 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2025-02-28

0676 2025-02-25 D Not Corrected

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Correction date: 2025-02-28

0600 2025-02-07 G Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2025-02-28

0583 2025-02-04 D Not Corrected

Keep residents' personal and medical records private and confidential.

Correction date: 2025-02-05

0755 2025-02-04 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2025-02-05

0585 2025-01-28 D Not Corrected

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.

Correction date: 2025-01-30

0690 2025-01-28 D Not Corrected

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction date: 2025-01-30

0842 2025-01-28 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2025-01-30

0732 2025-01-22 E Not Corrected

Post nurse staffing information every day.

Correction date: 2025-01-25

0760 2025-01-22 E Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2025-01-25

0921 2025-01-22 E Not Corrected

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Correction date: 2025-01-25

0554 2025-01-17 D Not Corrected

Allow residents to self-administer drugs if determined clinically appropriate.

Correction date: 2025-02-05

0558 2025-01-17 E Not Corrected

Reasonably accommodate the needs and preferences of each resident.

Correction date: 2025-02-05

0584 2025-01-17 D Not Corrected

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.

Correction date: 2025-02-05

0604 2025-01-17 E Not Corrected

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Correction date: 2025-02-05

0645 2025-01-17 B Not Corrected

PASARR screening for Mental disorders or Intellectual Disabilities

Correction date: 2025-02-05

0656 2025-01-17 E Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2025-02-05

0658 2025-01-17 E Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2025-02-05

0676 2025-01-17 D Not Corrected

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Correction date: 2025-02-05

0686 2025-01-17 D Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2025-02-05

0689 2025-01-17 D Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2025-02-05

0690 2025-01-17 D Not Corrected

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction date: 2025-02-05

0693 2025-01-17 D Not Corrected

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.

Correction date: 2025-02-05

0700 2025-01-17 E Not Corrected

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.

Correction date: 2025-02-05

0758 2025-01-17 E Not Corrected

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.

Correction date: 2025-02-05

0760 2025-01-17 E Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2025-02-05

0761 2025-01-17 E Not Corrected

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.

Correction date: 2025-02-05

0802 2025-01-17 E Not Corrected

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Correction date: 2025-02-05

0803 2025-01-17 E Not Corrected

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.

Correction date: 2025-02-05

0804 2025-01-17 E Not Corrected

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Correction date: 2025-02-05

0805 2025-01-17 E Not Corrected

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Correction date: 2025-02-05

0808 2025-01-17 E Not Corrected

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.

Correction date: 2025-02-05

0812 2025-01-17 E Not Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction date: 2025-02-05

0814 2025-01-17 E Not Corrected

Dispose of garbage and refuse properly.

Correction date: 2025-02-05

0880 2025-01-17 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2025-02-05

0694 2025-01-17 E Not Corrected

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Correction date: 2025-02-05

0755 2025-01-17 E Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2025-02-05

0755 2025-01-07 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2025-01-20

0686 2025-01-06 D Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2025-01-24

0695 2025-01-06 D Not Corrected

Provide safe and appropriate respiratory care for a resident when needed.

Correction date: 2025-01-24

0755 2025-01-06 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2025-01-24

0880 2025-01-06 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2025-01-24

0550 2024-12-19 D Not Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction date: 2025-01-09

0584 2024-12-19 D Not Corrected

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.

Correction date: 2025-01-09

0600 2024-12-19 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2025-01-09

0689 2024-12-19 E Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2025-01-09

0609 2024-12-12 D Not Corrected

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction date: 2024-12-28

0609 2024-12-06 D Not Corrected

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction date: 2024-12-21

0584 2024-11-25 D Not Corrected

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.

Correction date: 2024-12-16

0842 2024-11-25 E Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2024-12-16

0880 2024-11-25 D Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2024-12-16

0580 2024-11-15 D Not Corrected

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction date: 2024-12-12

0694 2024-11-15 D Not Corrected

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Correction date: 2024-12-12

0842 2024-11-15 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2024-12-12

0880 2024-11-14 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2024-11-30

0580 2024-11-13 D Not Corrected

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction date: 2024-12-02

0656 2024-11-13 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2024-12-02

0677 2024-11-13 D Not Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction date: 2024-12-02

0689 2024-11-13 D Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2024-12-02

0842 2024-11-13 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2024-12-02

0677 2024-10-08 D Not Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction date: 2024-10-21

0679 2024-10-08 D Not Corrected

Provide activities to meet all resident's needs.

Correction date: 2024-10-21

0755 2024-10-08 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2024-10-21

0580 2024-10-03 D Not Corrected

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction date: 2024-10-22

0693 2024-10-03 D Not Corrected

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.

Correction date: 2024-10-22

0550 2024-09-28 D Not Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction date: 2024-10-18

0558 2024-09-28 D Not Corrected

Reasonably accommodate the needs and preferences of each resident.

Correction date: 2024-10-18

0585 2024-09-28 D Not Corrected

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.

Correction date: 2024-10-18

0656 2024-09-28 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2024-10-18

0679 2024-09-28 D Not Corrected

Provide activities to meet all resident's needs.

Correction date: 2024-10-18

0684 2024-09-28 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2024-10-18

0686 2024-09-28 E Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2024-10-18

0693 2024-09-28 D Not Corrected

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.

Correction date: 2024-10-18

0755 2024-09-28 E Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2024-10-18

0757 2024-09-28 D Not Corrected

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction date: 2024-10-18

0842 2024-09-28 E Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2024-10-18

0880 2024-09-28 D Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2024-10-18

0689 2024-09-03 D Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2024-09-23

0552 2024-08-08 D Not Corrected

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction date: 2024-08-20

0760 2024-08-08 D Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2024-08-20

0842 2024-07-11 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2024-07-17

0550 2024-05-06 D Not Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction date: 2024-05-24

0607 2024-05-06 D Not Corrected

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction date: 2024-05-24

0728 2024-05-06 D Not Corrected

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.

Correction date: 2024-05-24

0656 2024-05-01 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2024-05-10

0758 2024-05-01 D Not Corrected

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.

Correction date: 2024-05-10

0656 2024-04-16 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2024-04-25

0584 2024-03-18 D Not Corrected

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.

Correction date: 2024-04-04

0675 2024-03-18 E Not Corrected

Honor each resident's preferences, choices, values and beliefs.

Correction date: 2024-04-04

0684 2024-03-18 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2024-04-04

0686 2024-03-18 D Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2024-04-04

0688 2024-03-18 D Not Corrected

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.

Correction date: 2024-04-04

0689 2024-03-18 E Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2024-04-04

0801 2024-03-18 D Not Corrected

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.

Correction date: 2024-04-04

0880 2024-03-18 D Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2024-04-04

0908 2024-03-18 E Not Corrected

Keep all essential equipment working safely.

Correction date: 2024-04-04

0552 2024-01-26 E Not Corrected

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction date: 2024-02-23

0553 2024-01-26 D Not Corrected

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Correction date: 2024-02-23

0558 2024-01-26 D Not Corrected

Reasonably accommodate the needs and preferences of each resident.

Correction date: 2024-02-23

0578 2024-01-26 E Not Corrected

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.

Correction date: 2024-02-23

0604 2024-01-26 E Not Corrected

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Correction date: 2024-02-23

0610 2024-01-26 D Not Corrected

Respond appropriately to all alleged violations.

Correction date: 2024-02-23

0623 2024-01-26 D Not Corrected

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Correction date: 2024-02-23

0625 2024-01-26 D Not Corrected

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.

Correction date: 2024-02-23

0637 2024-01-26 B Not Corrected

Assess the resident when there is a significant change in condition

Correction date: 2024-02-23

0640 2024-01-26 B Not Corrected

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Correction date: 2024-02-23

0641 2024-01-26 B Not Corrected

Ensure each resident receives an accurate assessment.

Correction date: 2024-02-23

0655 2024-01-26 D Not Corrected

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction date: 2024-02-23

0656 2024-01-26 E Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2024-02-23

0657 2024-01-26 D Not Corrected

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction date: 2024-02-23

0658 2024-01-26 E Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2024-02-23

0660 2024-01-26 D Not Corrected

Plan the resident's discharge to meet the resident's goals and needs.

Correction date: 2024-02-23

0678 2024-01-26 D Not Corrected

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Correction date: 2024-02-23

0684 2024-01-26 E Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2024-02-23

0685 2024-01-26 D Not Corrected

Assist a resident in gaining access to vision and hearing services.

Correction date: 2024-02-23

0686 2024-01-26 D Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2024-02-23

0690 2024-01-26 D Not Corrected

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction date: 2024-02-23

0693 2024-01-26 D Not Corrected

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.

Correction date: 2024-02-23

0694 2024-01-26 E Not Corrected

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Correction date: 2024-02-23

0697 2024-01-26 E Not Corrected

Provide safe, appropriate pain management for a resident who requires such services.

Correction date: 2024-02-23

0698 2024-01-26 D Not Corrected

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Correction date: 2024-02-23

0745 2024-01-26 E Not Corrected

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Correction date: 2024-02-23

0755 2024-01-26 E Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2024-02-23

0756 2024-01-26 E Not Corrected

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Correction date: 2024-02-23

0757 2024-01-26 E Not Corrected

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction date: 2024-02-23

0758 2024-01-26 E Not Corrected

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.

Correction date: 2024-02-23

0760 2024-01-26 E Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2024-02-23

0761 2024-01-26 E Not Corrected

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.

Correction date: 2024-02-23

0809 2024-01-26 D Not Corrected

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.

Correction date: 2024-02-23

0812 2024-01-26 E Not Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction date: 2024-02-23

0842 2024-01-26 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2024-02-23

0849 2024-01-26 E Not Corrected

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.

Correction date: 2024-02-23

0880 2024-01-26 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2024-02-23

0908 2024-01-26 D Not Corrected

Keep all essential equipment working safely.

Correction date: 2024-02-23

0550 2024-01-26 E Not Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction date: 2024-02-23

0600 2024-01-26 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2024-02-23

0791 2024-01-26 D Not Corrected

Provide or obtain dental services for each resident.

Correction date: 2024-02-23

0684 2024-01-11 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2024-02-02

0686 2024-01-11 E Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2024-02-02

0755 2024-01-11 E Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2024-02-02

0842 2024-01-11 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2024-02-02

0850 2024-01-11 D Not Corrected

Hire a qualified full-time social worker in a facility with more than 120 beds.

Correction date: 2024-02-02

0880 2024-01-11 D Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2024-02-02

0609 2023-11-29 D Not Corrected

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction date: 2023-12-12

0656 2023-11-29 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2023-12-12

0732 2023-11-29 D Not Corrected

Post nurse staffing information every day.

Correction date: 2023-12-12

0880 2023-11-29 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2023-12-12

0677 2023-11-07 D Not Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction date: 2023-12-02

0692 2023-11-07 D Not Corrected

Provide enough food/fluids to maintain a resident's health.

Correction date: 2023-12-02

0760 2023-11-07 D Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2023-12-02

0803 2023-11-07 E Not Corrected

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.

Correction date: 2023-12-02

0804 2023-11-07 E Not Corrected

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Correction date: 2023-12-02

0600 2023-11-01 D Not Corrected

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction date: 2023-11-16

0755 2023-11-01 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2023-11-16

0842 2023-11-01 E Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2023-11-16

0580 2023-10-29 D Not Corrected

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction date: 2023-11-20

0773 2023-10-29 D Not Corrected

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Correction date: 2023-11-20

0885 2023-10-29 D Not Corrected

Report COVID19 data to residents and families.

Correction date: 2023-11-20

0584 2023-10-17 D Not Corrected

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.

Correction date: 2023-11-02

0585 2023-10-17 D Not Corrected

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.

Correction date: 2023-11-02

0689 2023-10-05 D Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2023-10-17

0732 2023-09-13 B Not Corrected

Post nurse staffing information every day.

Correction date: 2023-10-13

0880 2023-09-13 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2023-10-13

0880 2023-07-25 D Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2023-08-11

0656 2023-07-17 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2023-08-10

0677 2023-07-17 D Not Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction date: 2023-08-10

0687 2023-07-17 D Not Corrected

Provide appropriate foot care.

Correction date: 2023-08-10

0609 2023-07-14 D Not Corrected

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction date: 2023-08-04

0658 2023-07-05 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2023-07-27

0689 2023-07-05 E Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2023-07-27

0880 2023-07-05 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2023-07-27

0657 2023-06-16 D Not Corrected

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction date: 2023-07-07

0659 2023-06-16 D Not Corrected

Provide care by qualified persons according to each resident's written plan of care.

Correction date: 2023-07-07

0947 2023-06-16 D Not Corrected

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Correction date: 2023-07-07

0609 2023-06-14 D Not Corrected

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction date: 2023-06-23

0760 2023-04-17 E Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2023-05-07

0755 2023-04-12 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2023-04-25

0624 2023-04-11 D Not Corrected

Prepare residents for a safe transfer or discharge from the nursing home.

Correction date: 2023-05-03

0689 2023-02-21 D Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2023-03-21

0842 2023-02-21 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2023-03-21

0726 2023-02-01 D Not Corrected

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Correction date: 2023-02-13

0550 2023-01-20 E Not Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction date: 2023-02-20

0554 2023-01-20 D Not Corrected

Allow residents to self-administer drugs if determined clinically appropriate.

Correction date: 2023-02-20

0557 2023-01-20 D Not Corrected

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Correction date: 2023-02-20

0558 2023-01-20 D Not Corrected

Reasonably accommodate the needs and preferences of each resident.

Correction date: 2023-02-20

0583 2023-01-20 D Not Corrected

Keep residents' personal and medical records private and confidential.

Correction date: 2023-02-20

0584 2023-01-20 D Not Corrected

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.

Correction date: 2023-02-20

0585 2023-01-20 D Not Corrected

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.

Correction date: 2023-02-20

0625 2023-01-20 D Not Corrected

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.

Correction date: 2023-02-20

0656 2023-01-20 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2023-02-20

0658 2023-01-20 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2023-02-20

0684 2023-01-20 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2023-02-20

0689 2023-01-20 E Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2023-02-20

0691 2023-01-20 D Not Corrected

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Correction date: 2023-02-20

0692 2023-01-20 D Not Corrected

Provide enough food/fluids to maintain a resident's health.

Correction date: 2023-02-20

0694 2023-01-20 D Not Corrected

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Correction date: 2023-02-20

0695 2023-01-20 D Not Corrected

Provide safe and appropriate respiratory care for a resident when needed.

Correction date: 2023-02-20

0755 2023-01-20 E Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2023-02-20

0757 2023-01-20 D Not Corrected

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction date: 2023-02-20

0758 2023-01-20 D Not Corrected

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.

Correction date: 2023-02-20

0761 2023-01-20 E Not Corrected

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.

Correction date: 2023-02-20

0812 2023-01-20 E Not Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction date: 2023-02-20

0880 2023-01-20 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2023-02-20

0881 2023-01-20 D Not Corrected

Implement a program that monitors antibiotic use.

Correction date: 2023-02-20

Penalties & Fines

Date Type Fine Amount
2025-03-10 Fine $99,263
2025-02-07 Fine $18,351

About MIRAGE POST ACUTE

MIRAGE POST ACUTE is a medicare and medicaid certified nursing home in Lancaster, California. The facility has 299 certified beds and currently houses 253 residents. It has received an overall quality rating of 1 out of 5 stars from CMS. The facility has 255 inspection deficiencies on record. Total fines assessed: $117,614 across 2 penalties. Registered nurse hours are 0.42 per resident per day.