Inspection Reports for Mirabella Portland
3550 S Bond Ave, Portland, OR 97239, United States, OR, 97239
Back to Facility ProfileDeficiencies per Year
24
18
12
6
0
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Inspection Report
Capacity: 27
Deficiencies: 24
Jan 17, 2025
Visit Reason
State-compiled facility profile showing 7 inspections from 2021 to 2025 with deficiency history and licensing violations.
Findings
Across multiple inspections, the facility demonstrated numerous deficiencies including failure to prevent abuse, inadequate fall prevention, incomplete assessments, medication storage issues, infection control lapses, and failure to follow care plans. Several deficiencies were not corrected at follow-up visits.
Complaint Details
Complaint investigations included in inspections dated 8/24/2023, 8/2/2022, and 3/9/2021 involving abuse allegations and other compliance issues.
Deficiencies (24)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0689 - Free of Accident Hazards/Supervision/Devices: Failed to follow fall prevention techniques for a resident resulting in a fall. |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES: Refer to F689 |
| F0600 - Free from Abuse and Neglect: Failed to ensure residents were free from abuse; documented physical abuse incident by staff. |
| F0636 - Comprehensive Assessments & Timing: Failed to complete Admission or Annual MDS assessments in required time frames for multiple residents. |
| F0638 - Qrtly Assessment at Least Every 3 Months: Failed to complete Quarterly MDS assessments in required time frames for multiple residents. |
| F0761 - Label/Store Drugs and Biologicals: Failed to store drugs and biologicals in locked compartments; medication and treatment carts unlocked. |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES: Refer to F600, F636, F638, F761 |
| F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir: Failed to obtain and maintain advance directives for sampled residents. |
| F0584 - Safe/Clean/Comfortable/Homelike Environment: Failed to maintain a homelike environment; stained carpet not promptly cleaned. |
| F0656 - Develop/Implement Comprehensive Care Plan: Failed to provide snacks as per care plan for a resident. |
| F0677 - ADL Care Provided for Dependent Residents: Failed to provide bathing for a resident as required. |
| F0679 - Activities Meet Interest/Needs Each Resident: Failed to provide activity program meeting needs for a resident. |
| F0684 - Quality of Care: Failed to monitor resident after UTI signs and follow physician medication orders. |
| F0689 - Free of Accident Hazards/Supervision/Devices: Failed to ensure safe environment free from toxic plants and failed to identify root cause of falls. |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary: Failed to handle and prepare food in a sanitary manner. |
| F0880 - Infection Prevention & Control: Failed to ensure hand hygiene between tasks for staff. |
| F0881 - Antibiotic Stewardship Program: Failed to review prophylactic antibiotic use and document rationale. |
| F0884 - Reporting - National Health Safety Network: Failed to report complete COVID-19 information to NHSN. |
| F0604 - Right to be Free from Physical Restraints: Failed to identify recliner chair as a restraint for a resident. |
| F0655 - Baseline Care Plan: Failed to develop baseline care plan addressing dental and nutritional problems. |
| F0600 - Free from Abuse and Neglect: Failed to prevent abuse of a resident by staff. |
| F0689 - Free of Accident Hazards/Supervision/Devices: Failed to prevent falls for a resident; care plan not followed. |
Report Facts
Inspections on page: 7
Total deficiencies: 21
Total surveys: 7
Licensing violations: 15
Abuse violations: 0
Notices: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 4 | DNS | Named in fall prevention deficiency and abuse incident investigation |
| Staff 10 | LPN | Named in abuse incident and infection prevention deficiency |
| Staff 11 | CNA | Witness in abuse incident investigation |
| Staff 12 | Agency CNA | Witness in abuse incident investigation |
| Staff 13 | Former contracted radiology technician | Perpetrator in abuse incident |
| Staff 2 | DNS | Named in multiple deficiencies and interviews |
| Staff 8 | RNCM | Named in medication and antibiotic stewardship deficiencies |
| Staff 9 | Social Service Director | Named in advance directive deficiency |
| Staff 1 | Administrator | Named in multiple deficiencies and interviews |
| Staff 6 | LPN | Named in quality of care deficiency |
| Staff 3 | Assistant DNS | Named in infection prevention deficiency |
| Staff 5 | CNA | Named in infection prevention deficiency |
| Staff 17 | Server | Named in infection prevention deficiency |
| Staff 18 | Cook | Named in food sanitation deficiency |
| Staff 19 | Dietary Manager | Named in care plan deficiency |
| Staff 16 | Activity Director | Named in activities deficiency |
| Staff 10 | LPN | Named in abuse incident and infection prevention deficiency |
| Staff 11 | CNA | Named in abuse incident investigation |
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