10 Reports
Inspection Report — Apr 15, 2026
Follow-Up
Date: Apr 15, 2026
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies.
Findings
The facility was found to have no deficiencies at the follow-up inspection and meets Assisted Living Facility licensing requirements. Previous deficiencies related to staff training, nurse delegation, assessments, service plans, medication administration, tuberculosis testing, and background checks were cited but are now corrected or have active plans of correction.
Deficiencies (8)
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 4 of 4 sampled staff completed required continuing education and first aid training, placing residents at risk of improper care.
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to implement safe nurse delegation services for 4 sampled residents receiving insulin injections and treatments from non-licensed staff, risking compromised health.
WAC 388-78A-2090 Full assessment topics. The facility failed to complete full assessments within 14 days of move-in for 2 residents and failed to assess dementia and mobility needs for 1 resident, risking inadequate care.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to develop adequate negotiated service agreements for 9 residents, lacking plans for behavior management, hospice care, diabetic management, fall prevention, and medication administration.
WAC 388-78A-2170 Required assisted living facility services. The facility failed to ensure safe installation and evaluation of side bed rails for 2 residents, creating risk of entrapment and injury.
WAC 388-78A-2466 Background checks. The facility failed to renew the Washington State background check for 1 staff member before expiration, risking employment of staff with unknown criminal history.
WAC 388-78A-2483 Tuberculosis One test. The facility failed to ensure 1 staff member completed the required one-step tuberculosis skin test within 12 months of employment.
WAC 388-78A-2484 Tuberculosis Two step skin testing. The facility failed to ensure 1 staff member completed the required two-step tuberculosis skin test, risking exposure to communicable disease.
Report Facts
Sampled residents: 42
Falls: 20
Residents with missing full assessments: 2
Residents with inadequate negotiated service agreements: 9
Staff continuing education noncompliance: 1
Staff CPR/first aid noncompliance: 2
Staff background check expired: 1
Staff tuberculosis testing noncompliance: 2
Inspection Report — Feb 23, 2026
Enforcement
Date: Feb 23, 2026
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the assisted living facility MIRABELLA to enforce compliance with training and home care aide certification requirements, resulting in the imposition of a civil fine.
Findings
The facility failed to ensure that four staff members completed the required 12 hours of continuing education, placing 42 residents at risk. This deficiency was uncorrected and resulted in a $700 civil fine.
Deficiencies (1)
WAC 388-78A-2474 (2)(d)(e)(3) Training and home care aide certification requirements. The licensee failed to ensure that four staff members completed the required 12 hours of continuing education. This deficiency was previously cited and remains uncorrected.
Report Facts
Civil fine amount: 700
Staff members noncompliant: 4
Residents at risk: 42
Inspection Report — Feb 13, 2026
Complaint Investigation
Date: Feb 13, 2026
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding a named staff member who did not receive a chest X-ray within seven days following a positive blood test result for tuberculosis.
Complaint Details
The complaint number 213291 involved a named staff member who did not receive a chest X-ray within seven days following a positive tuberculosis blood test. The allegation was substantiated as a citation was written for failure to comply with the requirement.
Findings
The investigation found that the Assisted Living Facility failed to ensure that one of two sampled staff members obtained a chest X-ray within the required seven days after a positive tuberculosis blood test, placing 42 residents at risk. A citation was written for this deficiency.
Deficiencies (1)
WAC 388-78A-2485 Tuberculosis Positive test result. When there is a positive result to tuberculosis skin or blood testing the assisted living facility must ensure that the staff person has a chest X-ray within seven days. The facility failed to ensure that 1 of 2 sampled staff members had a chest X-ray within seven days after a positive TB blood test.
Report Facts
Total residents: 42
Resident sample size: 2
Inspection Report — Jan 13, 2026
Enforcement
Date: Jan 13, 2026
Visit Reason
This document is a formal notice of civil fines following a follow-up visit conducted on January 13, 2026, at the MIRABELLA assisted living facility due to uncorrected deficiencies previously cited.
Findings
The report details multiple uncorrected deficiencies related to nurse delegation services, staff training, and tuberculosis testing, resulting in civil fines totaling $1,100. All cited deficiencies remain uncorrected as of the inspection date.
Deficiencies (3)
WAC 388-78A-2320 (1)(a)(b)(2)(b)(3)(c) Intermittent nursing services systems. The licensee failed to implement safe Nurse Delegation services for one resident receiving insulin injections from non-licensed staff, placing the resident at risk for medication errors and compromised health conditions.
WAC 388-78A-2474 (2)(d)(e)(3) Training and home care aide certification requirements. The licensee failed to ensure three staff completed required first aid training and four staff completed required continuing education, placing 41 residents at risk of improper care.
WAC 388-78A-2484 (2) Tuberculosis—Two step skin testing. The licensee failed to ensure two staff completed required two-step tuberculosis skin tests, placing 41 residents at risk of exposure to communicable disease.
Report Facts
Civil fines total: 1100
Residents at risk: 41
Staff members lacking training: 3
Staff members lacking continuing education: 4
Staff members lacking TB testing: 2
Inspection Report — Mar 3, 2025
Life Safety
Date: Mar 3, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Mirabella residential care facility.
Findings
The inspection found multiple deficiencies related to cleaning, testing and maintenance, extinguishing system service, fire door inspection, and carbon monoxide detection paperwork. All deficiencies were cited as paperwork not provided at the time of inspection.
Deficiencies (6)
IFC 606.3.3 (2021) - Hood cleaning devices, fans, ducts, and appurtenances were not properly documented. Hood cleaning reports from 12/2/2024 and 9/2/2024 were incomplete.
IFC 903.5 (2021) - Sprinkler system annual report was not provided at the time of inspection.
IFC 904.13.5.2 (2021) - Semi-annual servicing reports for the fire extinguishing system were missing, including deficiencies found on main #2.
IFC 907.8 (2021) - Annual inspection, testing, and maintenance reports for fire alarm and detection systems were not provided.
IFC 915.1 (2021) WAC 51-54A - Carbon monoxide alarms and detectors were not tested, maintained, or documented on a monthly schedule.
NFPA 80 - Documentation of fire door inspections including testing dates, modifications, and repairs was not provided. Annual inspection of fire doors is required.
Inspection Report — Nov 6, 2024
Follow-Up
Date: Nov 6, 2024
Visit Reason
The Department conducted a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to respiratory protection policy compliance.
Complaint Details
The complaint investigation (Compliance Determination #46607) was triggered by positive COVID-19 cases at the facility. The investigation found the facility failed to follow its Respiratory Protection Plan policy by not having a licensed health care professional review medical evaluations prior to fit testing employees. This deficiency was corrected by the follow-up inspection.
Findings
The facility met Assisted Living Facility licensing requirements with no deficiencies found during the follow-up inspection. Previously cited deficiencies regarding failure to have licensed health care professional review medical evaluations prior to fit testing were corrected.
Deficiencies (1)
WAC 388-78A-2730-1-b - The Assisted Living Facility failed to have a licensed health care professional review medical evaluations for all employees prior to fit testing for respiratory masks, placing 29 residents at risk.
Report Facts
Total residents: 29
Resident sample size: 2
Inspection Report — Apr 9, 2024
Life Safety
Date: Apr 9, 2024
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.
Inspection Report — Mar 18, 2024
Complaint Investigation
Date: Mar 18, 2024
Visit Reason
The inspection was conducted as a complaint investigation regarding an incident where one resident ran his wheelchair into another, causing injury, and to assess compliance with licensing laws and regulations.
Complaint Details
The complaint involved an incident where one resident ran his wheelchair into another, causing injury. The investigation found multiple deficiencies related to resident care, medication administration, nursing services, food sanitation, and staff training. The facility failed to meet several regulatory requirements, placing residents at risk for health and safety issues.
Findings
The Assisted Living Facility was found non-compliant with several licensing requirements related to resident care, service agreements, medication administration, nursing services, food sanitation, and staff training. Multiple deficiencies were cited, placing residents at risk for health and safety issues.
Deficiencies (8)
WAC 388-78A-2120 Monitoring residents' well-being. The facility failed to evaluate and take appropriate action for a resident who experienced unintended weight loss, placing the resident at risk for deteriorating health.
WAC 388-78A-2130 Service agreement planning. The facility failed to review and update the negotiated service agreement for a resident, placing the resident at risk for unmet care needs and deteriorating health.
WAC 388-78A-2210 Medication services. The facility failed to notify the physician or evaluate negative outcomes when two residents refused their medications, placing them at risk for compromised mental health.
WAC 388-78A-2320 Intermittent nursing services systems. The facility failed to implement safe nurse delegation services for two residents who received medication administration from non-licensed staff, placing them at risk for compromised health.
WAC 388-78A-2305 Food sanitation. The facility failed to wash hands or don gloves during meal preparation, placing all 37 residents at risk for foodborne illness.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure that newly hired staff received orientation and specialty training for dementia and mental health, placing residents at risk for inadequate care.
WAC 388-78A-2350 Coordination of health care services. The facility failed to integrate and communicate relevant information with a Primary Care Provider for two residents, placing them at risk for compromised health.
WAC 388-78A-3100 Safe storage of supplies and equipment. The facility failed to secure potentially hazardous supplies and equipment, including unlocked medication carts and improperly stored cleaning chemicals, placing residents at risk for injury.
Report Facts
Total residents: 37
Resident sample size: 8
Residents at risk for foodborne illness: 37
Residents at risk for not receiving proper care: 37
Residents at risk for compromised health: 2
Residents at risk for compromised mental health: 2
Residents at risk for not having care needs addressed: 4
Inspection Report — Jun 15, 2023
Life Safety
Date: Jun 15, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the residential care facility Mirabella.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.
Inspection Report — May 17, 2023
Complaint Investigation
Date: May 17, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging that a staff member smacked a resident on the arms at the Assisted Living Facility.
Complaint Details
Complaint number 79849 alleged that a staff member smacked a resident on the arms. The allegation was investigated and no failed provider practice was identified. The facility took appropriate actions including suspension and monitoring. One deficiency related to background checks was corrected.
Findings
The facility responded promptly by suspending the staff member and investigating the incident. No failed provider practice was identified and no citations were written. The facility lacked a current Criminal History Background Check for one staff member, but this did not result in a citation.
Deficiencies (1)
WAC 388-78A-2466 - The facility failed to ensure a current Washington state name and date of birth background check for one sampled staff member. The background check was expired as of 03/31/2023 and was renewed after the expiration date.
Report Facts
Total residents: 41
Resident sample size: 2
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