Mirabella

The facility failed to ensure four staff members completed required 12-hour continuing education requirements, placing 42 residents at risk of receiving care from inadequately trained staff. This represents a repeat violation previously cited on November 3, 2025 and January 13, 2026, demonstrating a pattern of non-compliance with training requirements. The facility's response has been inadequate, as evidenced by the recurrence of the same deficiency across three inspections within four months, resulting in a $700 civil fine. The failure to correct this systemic training compliance issue after multiple citations indicates minimal corrective action and poor follow-through on addressing regulatory requirements.

The facility had three repeat violations from a previous November 2025 citation that remained uncorrected: unsafe nurse delegation practices for insulin administration, inadequate staff training (first aid and continuing education), and incomplete TB testing for staff. These systemic failures affected medication safety and placed 41 residents at risk of inadequate care and communicable disease exposure. The facility's response was inadequate, as evidenced by the violations remaining uncorrected after the initial citation, resulting in $1,100 in civil fines and demonstrating failure to implement or sustain corrective actions.

The March 2025 inspection identified six documentation violations related to fire safety systems maintenance records, including incomplete hood cleaning reports, missing annual reports for sprinkler and fire alarm systems, lack of semi-annual fire extinguishing system servicing documentation, absent carbon monoxide detector testing records, and no fire door inspection documentation. These were administrative compliance issues with no indication of actual safety system failures or resident impact. The facility responded appropriately by correcting all deficiencies within two months, as confirmed by the May 2025 follow-up inspection showing full compliance, demonstrating good corrective action and commitment to maintaining required documentation standards.

The facility had a COVID-19 outbreak but demonstrated strong infection control practices overall, including active testing, symptom monitoring, proper reporting, and adherence to health guidance. However, a procedural violation was identified: the facility failed to have a licensed healthcare professional review medical evaluations before fit-testing employees for respiratory masks, as required by their Respiratory Protection Plan. The facility's proactive infection control measures and compliance with most COVID-19 protocols demonstrate a generally good response, though the respiratory protection gap represents a moderate procedural failure that could impact staff safety during respiratory disease outbreaks.

The February 2024 inspection identified multiple fire safety code violations including blocked electrical panels, improper extension cord use, exposed wiring, non-latching fire doors, improperly maintained sprinkler systems, and missing documentation for required annual fire door and fire-rated construction inspections. The facility responded appropriately by correcting all violations within approximately two months, as confirmed by the April 2024 follow-up inspection showing full compliance. While the violations represented a pattern of maintenance and documentation deficiencies affecting fire safety systems, none created immediate life-threatening conditions, and the facility's timely remediation demonstrates adequate commitment to regulatory compliance.

A staff member physically struck a resident on the arms, constituting physical abuse. The facility responded promptly by suspending the staff member, conducting a thorough investigation, and reporting the incident as required while implementing protective interventions for the resident. However, a significant compliance gap was identified: the facility failed to maintain a current criminal background check for the staff member involved, resulting in a regulatory citation under 388-78A-2466.

The February 2023 inspection identified eight fire safety violations including electrical hazards (loose wiring, blocked electrical panels, improper power strips), inoperable emergency exit and fire doors, missing documentation for required monthly smoke and CO detector testing, and non-functional emergency lighting. The facility responded appropriately by correcting all violations, as confirmed by the June 1st re-inspection showing only two documentation gaps, and achieved full compliance by the June 15th final inspection. The violations represented moderate fire safety concerns affecting building systems and egress routes but no immediate life-threatening conditions, and the facility demonstrated good responsiveness by systematically addressing all identified issues within the prescribed timeframe.