Inspection Reports for
Mirabella Portland
3550 S Bond Ave, Portland, OR 97239, United States, OR, 97239
Back to Facility Profile8 Reports
Inspection Report — Mar 27, 2026
Re-licensure, Recertification State
Date: Mar 27, 2026
Visit Reason
The facility failed to complete timely investigations of resident incidents, failed to notify the State Longterm Care Ombudsman of resident discharges, and failed to assist a resident with vision devices. All deficiencies were corrected by the revisit date.
Findings
The facility failed to complete timely investigations of resident incidents, failed to notify the State Longterm Care Ombudsman of resident discharges, and failed to assist a resident with vision devices. All deficiencies were corrected by the revisit date.
Deficiencies (3)
OAR 411-086-0140 — Investigations of resident incidents were not completed within five working days as required.
OAR 411-086-0140 — Facility failed to notify the State Longterm Care Ombudsman and provide bed hold policy upon resident discharge to hospital.
OAR 411-086-0140 — Staff failed to assist a resident with wearing glasses as required by the care plan.
Inspection Report — Mar 27, 2026
Renewal State
Date: Mar 27, 2026
Visit Reason
Compiled Oregon DHS compliance record covering 6 inspections between 2021 and 2026, plus abuse and licensing violation history.
Complaint Details
There are 5 substantiated abuse violations involving physical abuse, neglect, and financial exploitation with fines totaling $1,531.25. There are 17 substantiated licensing violations including failures in care planning, resident safety, medication administration, and staffing documentation with fines totaling $2,150.00.
Findings
Deficiencies addressed timely incident investigations, discharge notification procedures, vision and hearing care plan adherence, fall prevention, medication storage, comprehensive and quarterly resident assessments, food safety and hygiene, infection control, antibiotic stewardship, and resident activity programming.
Deficiencies (23)
F0610 — Investigate/Prevent/Correct Alleged Violation: Incident investigations for resident falls were not completed within required five working days.
F0628 — Discharge Process: Facility failed to notify the State Longterm Care Ombudsman and provide bed hold policy upon resident hospital discharge.
F0685 — Treatment/Devices to Maintain Hearing/Vision: Staff failed to assist a resident to wear glasses as required by the care plan.
F0689 — Free of Accident Hazards/Supervision/Devices: Facility failed to follow fall prevention techniques for a high fall risk resident.
F0636 — Comprehensive Assessments & Timing: Facility failed to complete required Admission or Annual MDS assessments on time for multiple residents.
F0638 — Qrtly Assessment at Least Every 3 Months: Facility failed to complete required Quarterly MDS assessments on time for multiple residents.
F0761 — Label/Store Drugs and Biologicals: Medication and treatment carts were left unlocked and unattended, risking medication diversion.
F0600 — Free from Abuse and Neglect: Facility failed to ensure a resident was free from physical abuse by staff during imaging procedures.
F0578 — Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir: Facility failed to obtain and maintain advance directives for sampled residents.
F0584 — Safe/Clean/Comfortable/Homelike Environment: Facility failed to maintain a homelike environment due to stained carpet in a resident's room.
F0656 — Develop/Implement Comprehensive Care Plan: Facility failed to provide snacks as required by a resident's nutritional care plan.
F0677 — ADL Care Provided for Dependent Residents: Facility failed to provide bathing care as required for a dependent resident.
F0679 — Activities Meet Interest/Needs Each Resident: Facility failed to provide an activity program meeting a resident's social engagement needs.
F0684 — Quality of Care: Facility failed to monitor a resident for UTI signs and failed to follow medication orders for others.
F0689 — Free of Accident Hazards/Supervision/Devices: Facility failed to ensure a safe environment free from toxic plants and failed to analyze resident falls.
F0812 — Food Procurement,Store/Prepare/Serve-Sanitary: Facility kitchen staff failed to handle and prepare food in a sanitary manner.
F0880 — Infection Prevention & Control: Facility failed to ensure hand hygiene was performed between tasks by staff.
F0881 — Antibiotic Stewardship Program: Facility failed to document rationale for continued prophylactic antibiotic use for a resident.
F0578 — Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir: Facility failed to obtain and maintain advance directives for sampled residents.
F0584 — Safe/Clean/Comfortable/Homelike Environment: Facility failed to maintain a homelike environment due to stained carpet in a resident's room.
F0656 — Develop/Implement Comprehensive Care Plan: Facility failed to provide snacks as required by a resident's nutritional care plan.
F0677 — ADL Care Provided for Dependent Residents: Facility failed to provide bathing care as required for a dependent resident.
F0679 — Activities Meet Interest/Needs Each Resident: Facility failed to provide an activity program meeting a resident's social engagement needs.
Report Facts
Total surveys: 6
Total deficiencies: 23
Abuse violations: 5
Licensing violations: 17
Regulatory actions: 0
Total fines: 3681.25
Inspection Report — Nov 25, 2024
Plan of Correction CMS
Date: Nov 25, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction related to a nursing home inspection focused on ensuring the facility is free from accident hazards and provides adequate supervision to prevent accidents.
Findings
The facility failed to follow fall prevention techniques for one resident at high risk for falls, resulting in a fall during a standing transfer without the use of a gait belt. Staff were not fully aware of the specific fall prevention instructions for the resident.
Deficiencies (1)
F 0689: The facility failed to follow fall prevention techniques for Resident 16, who was observed falling backwards during a standing transfer without a gait belt. Staff confirmed the resident should have been assisted with a gait belt and turning clockwise to reduce fall risk.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff 4 (CNA) | Assisted Resident 16 during the fall and confirmed lack of gait belt use | |
| Staff 2 (DNS) | Confirmed CNA Pocket Guide updates and fall prevention instructions |
Inspection Report — Nov 25, 2024
Re-licensure, Recertification State
Date: Nov 25, 2024
Visit Reason
The facility failed to follow fall prevention techniques for a resident, resulting in a fall without proper safety measures. This deficiency was not corrected by the revisit date.
Findings
The facility failed to follow fall prevention techniques for a resident, resulting in a fall without proper safety measures. This deficiency was not corrected by the revisit date.
Deficiencies (1)
OAR 411-086-0140 — Failure to follow fall prevention techniques for a resident at high risk for falls.
Inspection Report — Aug 24, 2023
Complaint Investigation State
Date: Aug 24, 2023
Visit Reason
Multiple deficiencies were cited including failure to prevent abuse, complete assessments timely, store medications securely, maintain a safe environment free of toxic plants, provide adequate bathing and snacks, and ensure infection control. Some deficiencies were corrected by revisit; others lacked correction dates.
Findings
Multiple deficiencies were cited including failure to prevent abuse, complete assessments timely, store medications securely, maintain a safe environment free of toxic plants, provide adequate bathing and snacks, and ensure infection control. Some deficiencies were corrected by revisit; others lacked correction dates.
Deficiencies (6)
OAR 411-085-0360 — Facility failed to prevent physical abuse of a resident by staff.
OAR 411-086-0060 — Failed to complete comprehensive and quarterly assessments in required time frames.
OAR 411-086-0250 — Failed to store drugs and biologicals in locked compartments, risking medication diversion.
OAR 411-085-0360 — Failed to ensure a safe environment free from toxic flowers and plants in the memory care unit.
OAR 411-086-0060 — Failed to provide adequate bathing and snacks to residents as per care plans.
OAR 411-086-0330 — Failed to ensure hand hygiene and infection control practices were followed by staff.
Inspection Report — Aug 2, 2022
Annual Inspection CMS
Date: Aug 2, 2022
Visit Reason
The inspection was conducted as a regulatory annual survey of the nursing home facility to assess compliance with healthcare regulations and standards.
Findings
The facility was found to have multiple deficiencies including failure to maintain advance directives, unsafe environment with toxic plants, inadequate care planning, medication errors, poor infection control practices, and improper food handling. These deficiencies placed residents at risk for harm, including risks related to falls, infections, and medication adverse effects.
Deficiencies (9)
F 0578: The facility failed to obtain and maintain advance directives for 2 of 2 sampled residents, risking residents' healthcare wishes not being followed.
F 0584: The facility failed to maintain a homelike environment for 1 sampled resident due to a large stained carpet area not being cleaned timely.
F 0656: The facility failed to provide snacks as specified in the care plan for 1 sampled resident, risking unintended nutritional changes.
F 0679: The facility failed to provide group exercise activities to meet the needs of 1 sampled resident in the Health Center, limiting social engagement.
F 0684: The facility failed to monitor a resident after signs of UTI and failed to follow physician medication orders for 2 residents, risking delayed care and adverse reactions.
F 0689: The facility failed to ensure a safe environment free from toxic plants and failed to identify root causes of falls or implement fall interventions for 1 resident.
F 0812: The facility kitchen staff failed to handle and prepare food in a sanitary manner, risking foodborne illness for residents.
F 0880: The facility failed to ensure hand hygiene was performed between tasks by staff, risking cross contamination.
F 0881: The facility failed to review and document rationale for continued prophylactic antibiotic use for 1 resident, risking adverse medication consequences.
Report Facts
Number of falls: 8
Medication administration days: 24
Medication maximum dose: 16
Medication administered dose: 24
Creatinine level: 0.79
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff 9 | Social Services Director | Confirmed lack of advance directives for residents 8 and 23. |
| Staff 19 | Dietary Manager | Confirmed snack pass sheets showed resident 80 was offered fewer snacks than care plan. |
| Staff 6 | LPN | Reported on monitoring and medication administration issues for residents 17, 18, and 19. |
| Staff 2 | Director of Nursing Services (DNS) | Acknowledged monitoring and documentation deficiencies and infection control issues. |
| Staff 1 | Administrator | Acknowledged incident report delays and infection control issues. |
| Staff 8 | RN Care Manager | Acknowledged medication order errors and antibiotic stewardship deficiencies. |
| Staff 12 | Memory Care Coordinator | Provided list of plants and confirmed toxic plants in Memory Care Unit. |
| Staff 18 | Cook | Observed failing to follow proper glove use and hand hygiene in kitchen. |
| Witness 4 | Pharmacist | Discussed risks of long-term antibiotic use and lack of review for resident 23. |
Inspection Report — Aug 2, 2022
State
Date: Aug 2, 2022
Visit Reason
The facility failed to report complete COVID-19 information to the CDC's NHSN during a required period. No correction date was recorded.
Findings
The facility failed to report complete COVID-19 information to the CDC's NHSN during a required period. No correction date was recorded.
Deficiencies (1)
OAR 411-086-0330 — Failed to report complete COVID-19 information to the National Healthcare Safety Network as required.
Inspection Report — Sep 10, 2021
State Licensure State
Date: Sep 10, 2021
Visit Reason
Inspection closed without citations.
Findings
Inspection closed without citations.
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