Skilled nursing facility · CMS certification number 385274
MIRABELLA PORTLAND
PORTLAND, Oregon · Medicare
Certified beds, as filed in Care Compare: 44
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,543,637 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $175,188 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,368,449 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $36,143,356 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$28,774,907 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,778,838 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,996,069 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$7,996,069 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 34,038 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 404 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 19,838 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 20,242 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 49 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 101 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 381.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1420759, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,136,841 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,750,039 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,886,880 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $36,853,498 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$27,966,618 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,690,378 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$10,276,240 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$10,276,240 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,914 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 331.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1378092, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,802,671 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $856,834 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,945,837 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $32,934,836 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,988,999 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,418,601 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,570,398 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$7,570,398 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,281 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 257.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1348641, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,171,613 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $604,751 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,566,862 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $29,330,671 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,763,809 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,718,753 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,045,056 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,045,056 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,760 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 204.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314632, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 14, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,589,431 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $584,784 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,004,647 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,543,689 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,539,042 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,295,860 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,243,182 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,243,182 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 311 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 121,301 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 872.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283944, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 29, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,948,720 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,716,907 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,231,813 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,964,921 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$21,733,108 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,143,984 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,589,124 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,589,124 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 125,635 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 270 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 465.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254720, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,792,801 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,245,520 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,547,281 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,638,786 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$21,091,505 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,572,380 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,519,125 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,519,125 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 128,267 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 337 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 380.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249629, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,574,951 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,873,690 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,701,261 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,868,297 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$20,167,036 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,838,955 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,328,081 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,328,081 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 130,739 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 343 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 381.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188446, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 28, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,270,762 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,248,949 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,021,813 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,064,380 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$21,042,567 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,779,167 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,263,400 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,263,400 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,580 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 348 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 41.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156548, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,910,307 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,359,194 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,551,113 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,334,766 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$20,783,653 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,305,133 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,478,520 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,478,520 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,453 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 305 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 47.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121693, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,557,328 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,727,927 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,829,401 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,760,245 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,930,844 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,869,335 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,061,509 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,061,509 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,435 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 356 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 40.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088444, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on June 12, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,685,587 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,749,616 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,935,971 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,625,529 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,689,558 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,158,389 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,531,169 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,531,169 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,091 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 386 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 36.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1096390, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 22, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,276,830 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,199,616 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,077,214 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,393,450 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,316,236 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,396,561 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$8,919,675 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$8,919,675 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,079 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 364 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 33.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029981, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for February 3, 2011 to September 30, 2011 — a reporting period of 239 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 14, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,693,943 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,762,541 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$20,068,598 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,258,011 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$15,810,587 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 278 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 4,396 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 32.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430462, read from the public cost report file SNFFY2011.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BRIGHT, ZAC | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2025 |
| KIERNAN, JANET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/16/2023 |
| MCCARTNEY, SHARON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/18/2016 |
| MORGAN, EMILY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2019 |
| PACIFIC RETIREMENT SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/30/2025 |
| SABATINI, ANTHONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/17/2024 |
| HAWKINS, RICHARD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2011 |
| JOHNSON, LYNN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2011 |
| MCGILL, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| HAWKINS, RICHARD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2018 |
| JOHNSON, LYNN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2018 |
| BRIGHT, ZAC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/31/2025 |
| KIERNAN, JANET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/16/2023 |
| MCCARTNEY, SHARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/18/2016 |
| MORGAN, EMILY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2019 |
| SABATINI, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/20/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MIRABELLA AT SOUTH WATERFRONT (enrollment ID O20100903000586).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ANTHONY SABATINI | Individual | ADP OF THE SNF | Not stated in the filing | 10/17/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EMILY A. MORGAN | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANET KIERNAN | Individual | ADP OF THE SNF | Not stated in the filing | 7/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACIFIC RETIREMENT SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 5/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHARON MCCARTNEY | Individual | ADP OF THE SNF | Not stated in the filing | 4/18/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZAC BRIGHT | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES MCGILL | Individual | CORPORATE DIRECTOR | 0 | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYNN JOHNSON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD HAWKINS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYNN JOHNSON | Individual | CORPORATE OFFICER | 0 | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD HAWKINS | Individual | CORPORATE OFFICER | 0 | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY SABATINI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EMILY A. MORGAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANET KIERNAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHARON MCCARTNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/18/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZAC BRIGHT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/31/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2026: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PACIFIC RETIREMENT SERVICES INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CHARLES T MARTIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SHARON MCCARTNEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH KORTUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WALTER GREBE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LINDA DINAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY SABATINI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY SABATINI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LYNN JOHNSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ZAC BRIGHT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ZAC BRIGHT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PACIFIC RETIREMENT SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SHARON MCCARTNEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 18, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SHARON MCCARTNEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 18, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JAMES MCGILL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY SABATINI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY SABATINI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: EMILY A. MORGAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: EMILY A. MORGAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JANET KIERNAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JANET KIERNAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RICHARD HAWKINS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- September 1, 2024: JAMES RUDOLPH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- April 1, 2026: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PACIFIC RETIREMENT SERVICES INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CHARLES T MARTIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SHARON MCCARTNEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH KORTUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WALTER GREBE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LINDA DINAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY SABATINI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY SABATINI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LYNN JOHNSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ZAC BRIGHT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ZAC BRIGHT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PACIFIC RETIREMENT SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SHARON MCCARTNEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 18, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SHARON MCCARTNEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 18, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JAMES MCGILL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY SABATINI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY SABATINI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: EMILY A. MORGAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: EMILY A. MORGAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JANET KIERNAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JANET KIERNAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RICHARD HAWKINS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 18, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 1, 2024: JAMES RUDOLPH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- May 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 26, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 14, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 29, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- January 21, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- April 28, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- April 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- June 12, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- April 16, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- May 22, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- June 14, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 27, 2026 | March 27, 2026 | 3 | 2 |
| 2 | November 25, 2024 | November 25, 2024 | 1 | 6 |
| 3 | August 24, 2023 | August 24, 2023 | 4 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 27, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| March 27, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| March 27, 2026 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| November 25, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | January 14, 2025 |
| August 24, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | October 12, 2023 |
| August 24, 2023 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | No | Deficient, Provider has date of correction | October 12, 2023 |
| August 24, 2023 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | E | No | Deficient, Provider has date of correction | October 12, 2023 |
| August 24, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | October 12, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | MIRABELLA AT SOUTH WATERFRONT |
| Date First Approved to Provide Medicare and Medicaid Services | 2011-02-03 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Multnomah |
| Telephone Number | 5032454742 |
| Chain Name | PACIFIC RETIREMENT SERVICES |
| Chain ID | 391 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 44 |
| Average Number of Residents per Day | 24.0 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on MIRABELLA PORTLAND: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On April 18, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for MIRABELLA PORTLAND
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Oregon at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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- EMERALD FOREST PRODUCTS, INC.(#3), CRESWELL Air emission source
- EMERALD FOREST PRODUCTS, INC., EUGENE Air emission source
- EMERALD PEOPLE'S UTILITY DISTRICT, CRESWELL Air emission source
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 385274.