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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Mirabella Seattle operates a 63-bed nursing home, assisted living, and memory care community at 116 Fairview Avenue North in South Lake Union, a walkable Seattle neighborhood 1.1 miles from downtown. Established in 2008 and licensed as a Boarding Home by Washington, the nonprofit community is owned by Lee Burnside.
The high-rise facility offers one-bedroom and two-bedroom apartments (762 to 1,202 square feet) and provides nursing care, memory care programming, rehabilitation services, and home care. Current occupancy is 46% (29 of 63 beds), notably below Washington’s 72.5% average. The facility accepts Medicare (68% of admissions, 133-day average stay) and private-pay residents and holds a BBB A+ rating.
Mirabella Seattle earns a 4-star overall CMS rating, 15.6% above state average.
Registered nurse hours at 1 hour 40 minutes/resident/day runs 89% above the Washington average, with weekend RN coverage of 1 hour 10 minutes daily (84% above state norm). Total nursing hours reach 4 hours 41 minutes/resident/day, ranking 10th of 89 Washington facilities.
Health inspections yield a 4-star rating (4.2% above state average) with zero critical or serious citations, though 43 deficiencies accumulated over three years exceed the state average by 39%.
Quality measures earn a 4-star rating despite mixed outcomes: zero pressure ulcers (100% better than state), but falls with major injury at 9.8% (274% worse), urinary tract infections at 6.6% (277% worse), and weight loss at 13.3% (128% worse). Short-stay residents show 60.7% successful return to home, 20% better than state average.
Multiple inspections identified incomplete hood cleaning reports, missing sprinkler and fire extinguishing system maintenance documentation, malfunctioning fire doors, electrical hazards, emergency lighting failures, and absent carbon monoxide and smoke alarm testing records. A March 2024 substantiated complaint revealed inadequate behavioral interventions for a resident whose wheelchair incident injured another resident, accompanied by nine deficiencies: medication administration safety gaps, staff training lapses (dementia, mental health), insecure hazardous supplies, and notably, hand hygiene failures during meal preparation placing all 37 residents at risk for foodborne illness. A June 2025 payment denial (12 days) constitutes serious regulatory action.
Zero federal fines have been assessed.
Financial data (2023) shows operating deficit of -$4.7 million and profit margin of -55.1%.
Mirabella Seattle serves short-term Medicare rehabilitation and private-pay residents seeking urban accessibility (Walk Score 99) and intensive nursing presence, though a cause for concern are its fire safety compliance gaps and documented care coordination lapses.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 10th out of 89 homes in Washington. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 40m per day | ▲ 89% State avg: 53m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 13m per day | ▼ 73% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 36m per day | ▼ 3% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 1m per day | ▲ 6% State avg: 3h 47m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 10m per day | ▲ 84% State avg: 38m per day · National avg: 28m per day |
Lower than the Washington average: 72.5%Key information about the people who lead and staff this community.
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 43 | 31 | This facility has 39% more total deficiencies than a typical Washington nursing home (43 vs. WA avg 31).↑ 39% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 14.3 | 10.3 | This facility has 39% more deficiencies per year than a typical Washington nursing home (14.3 vs. WA avg 10.3).↑ 39% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on March 3, 2025, found deficiencies related to incomplete or missing documentation for fire safety system maintenance and testing. Earlier inspections showed a pattern of fire safety issues including electrical hazards, malfunctioning fire doors, and missing inspection paperwork, as well as care-related deficiencies substantiated in a complaint investigation involving resident safety and staff training. Prior complaint investigations included one substantiated case of inadequate behavioral interventions and care planning, while most other complaints were unsubstantiated or corrected promptly. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s fire safety documentation issues have persisted over multiple inspections, indicating an ongoing area needing attention despite correction of some prior deficiencies.
Washington average 7.8
Last Health inspection on Sep 2025
Washington average 48.9
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
40 of 41 citations resulted from standard inspections; and 1 of 41 resulted from complaint investigations.
100% better than Washington averageWashington average: 0.3
100% better than Washington averageWashington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
48% better than Washington average
0% compared with Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
14 total: 11 full-time employees and 3 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
3 total: 1 full-time employee and 2 contractors.
3
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
37 total: 20 full-time employees and 17 contractors.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,624 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 20 | 17 | 37 | 9,040 | 92 | 100% | 8.1 |
| Registered Nurse | 11 | 3 | 14 | 3,713 | 92 | 100% | 9.5 |
| Speech Language Pathologist | 0 | 8 | 8 | 976 | 73 | 79% | 7.3 |
| Licensed Practical Nurse | 1 | 2 | 3 | 811 | 73 | 79% | 9 |
| RN Director of Nursing | 1 | 0 | 1 | 579 | 55 | 60% | 10.5 |
| Dietitian | 1 | 0 | 1 | 495 | 66 | 72% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Administrator | 1 | 0 | 1 | 465 | 62 | 67% | 7.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 450 | 60 | 65% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 390 | 52 | 57% | 7.5 |
| Respiratory Therapy Technician | 0 | 11 | 11 | 350 | 59 | 64% | 4.6 |
| Physical Therapy Assistant | 0 | 4 | 4 | 335 | 45 | 49% | 7.4 |
| Physical Therapy Aide | 0 | 4 | 4 | 325 | 52 | 57% | 6.2 |
| Qualified Social Worker | 0 | 4 | 4 | 99 | 31 | 34% | 3.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 93 | 13 | 14% | 7.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 65 | 18 | 20% | 3.6 |
| Medical Director | 0 | 2 | 2 | 63 | 33 | 36% | 1.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 19 | 7 | 8% | 2.7 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
100% lower than Washington averageWashington average: $82K
100% fewer fines than Washington averageWashington average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
261% more payment denials than Washington averageWashington average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 27, 2025 · 12 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 27, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.2
In line with Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.4
In line with Washington averageWashington average: 20.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.9%
15% better than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
14.2%
35% better than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.1%
48% worse than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
9.8%
274% worse than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
6.6%
277% worse than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
13.3%
128% worse than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
11.3%
31% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
3.3%
77% better than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than Washington averageWashington average: 93.8%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
12% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
22% better than Washington averageWashington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.1%
36% worse than Washington averageWashington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.8%
42% worse than Washington averageWashington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
88% worse than Washington averageWashington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.0%
5% worse than Washington averageWashington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.7%
20% better than Washington averageWashington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
68% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
35Part of a Continuing Care Retirement Community offering multiple care levels
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Mirabella Seattle based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 93Payroll — State benchmarkedThis home is ranked 8th out of 93 homes in Washington. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Room Sizes: 762 / 1169 / 1202 sq. ft.
Housing Options: 1 Bed / 2 Bed
Building Type: High-rise
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
1.1 miles from city center
Estimated distance in miles from Seattle's city center to Mirabella Seattle's address, calculated via Google Maps.
— 0.47 miles to nearest hospital (Seattle Dermatology Center)
Add your location
Mirabella Seattle is located in Seattle, Washington.
Here are the financial assistance programs available to residents in Washington.
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Mirabella Seattle |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Seattle (South Lake Union) | 63 | 46.0% | -37% | 4.68 | +2% | +11% | $0 | 41 | 10.3 | - | 35 | A+ | 99 | Lee Burnside | $34.2M | $14.7M | 43% | 505520 | ||||
| Skyline |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Seattle (Downtown Seattle) | 34 | 79.3% | +9% | 5.24 | +17% | +24% | $0 | 52 | 17.3 | - | 29 | - | 98 | Presbyterian Retirement Communities Northwest | $53.9M | $15.5M | 28.8% | 505469 |
Mirabella Seattle is in the South Lake Union neighborhood of Seattle.
Mirabella Seattle has a walk score of 99. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to WA state health department records, Mirabella Seattle's license number is 2034.
According to WA state health department records, Mirabella Seattle's license expires on March 31, 2026.
Mirabella Seattle's occupancy is 46%.
Mirabella Seattle has 63 beds.
Yes — there are 5 photos of Mirabella Seattle in the photo gallery on this page.
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