Skilled nursing facility · CMS certification number 505520
Mirabella
SEATTLE, Washington · Medicare and Medicaid
Certified beds, as filed in Care Compare: 46
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: 3 · Fines: 2 · Fines, total amount: $18,148.00 · Payment denials: 1. The most recent penalty on file: April 29, 2026, Fine, $9,870. 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 15, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,764,004 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $723,212 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,040,792 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $39,604,381 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$30,563,589 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,941,635 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$11,621,954 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$11,621,954 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 42,456 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,293 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,637 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 20,149 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 24,079 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 54 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 90 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 545.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 163.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1421045, 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 22, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,528,432 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $589,044 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,939,388 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $38,333,282 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$30,393,894 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,693,096 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,700,798 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,700,798 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,953 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 315.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1378868, 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 | $29,606,498 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $830,269 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,776,229 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,611,113 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,834,884 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,608,042 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,226,842 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,226,842 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,345 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,417 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1348665, 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 June 15, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,932,439 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $695,247 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $29,237,192 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $33,805,289 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,568,097 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,019,242 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,548,855 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,548,855 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,937 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,708 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 207.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1320000, 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 October 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,437,670 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $215,897 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,221,773 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $37,177,786 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,956,013 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,399,601 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,556,412 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,556,412 (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 | 377 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 101,521 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 435.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 853.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335621, 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 20, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,216,836 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $641,424 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,575,412 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $36,708,667 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,133,255 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,876,265 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,256,990 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,256,990 (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 | 377 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 159,857 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 169 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 465.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 945.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254287, 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 March 6, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,549,172 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $913,301 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,635,871 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,601,505 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,965,634 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,927,386 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,038,248 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,038,248 (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 | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 164,562 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 886.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 772.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220654, 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 | $28,816,298 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,075,836 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,740,462 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,427,438 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,686,976 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,381,941 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $694,965 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $694,965 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,670 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 218 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 711.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188874, 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 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,801,796 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,509,582 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,292,214 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $34,901,833 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$28,609,619 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,548,184 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,061,435 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,061,435 (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 | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,069 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 236 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 504 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156227, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for November 1, 2014 to September 30, 2015 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on April 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,264,092 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,641,471 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,622,621 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,898,844 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$26,276,223 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,821,692 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,454,531 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$7,454,531 (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 | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,568 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 59.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122615, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended October 31, 2014
Cost report for July 1, 2014 to October 31, 2014 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 8, 2016.
None of these figures is carried on this report.
CMS report record 1120039, 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, settled, processed by CMS on May 9, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,244,613 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,262,257 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,982,356 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,521,004 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,538,648 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,176,378 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$6,362,270 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,362,270 (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 | 6,734 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 127 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 53.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1059655, 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 17, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,167,156 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,958,648 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,208,508 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,894,499 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,685,991 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,149,346 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$6,536,645 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,536,645 (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 | 14,939 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 46.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029703, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 21, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,446,389 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,924,903 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$10,478,514 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,068,326 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$2,095 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$9,408,093 (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 | 22 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 6,539 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 38.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429324, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 28, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,310,823 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,400,156 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$13,089,333 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $800,477 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$12,288,856 (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 | 22 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 5,589 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 257 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 21.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398148, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for April 28, 2009 to September 30, 2009 — a reporting period of 155 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 29, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,293,181 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,712,486 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$12,419,305 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$6,455,933 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$18,875,238 (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 | 22 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 1,796 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 29.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368535, read from the public cost report file SNFFY2009.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 |
|---|---|---|---|---|
| CANDALLA, ALEX | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2026 |
| FANG, AARON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2025 |
| FULLER, ELISE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/17/2025 |
| KIERNAN, JANET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/16/2023 |
| PACIFIC RETIREMENT SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/04/2005 |
| SABATINI, ANTHONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/20/2024 |
| BURNSIDE, LEE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| ZASLAVSKY, OLEG | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| BURNSIDE, LEE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2024 |
| CANDALLA, ALEX | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/21/2026 |
| ZASLAVSKY, OLEG | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| CANDALLA, ALEX | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/21/2026 |
| FANG, AARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2025 |
| FULLER, ELISE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/17/2025 |
| KIERNAN, JANET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/16/2023 |
| PACIFIC RETIREMENT SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/04/2005 |
| 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 (enrollment ID O20141009001349).
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 |
|---|---|---|---|---|---|
| AARON T FANG | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALEX CANDALLA | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY SABATINI | Individual | ADP OF THE SNF | 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 |
| ELISE FULLER | Individual | ADP OF THE SNF | Not stated in the filing | 6/17/2025 | 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 | 3/4/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEE D BURNSIDE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OLEG ZASLAVSKY | 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 |
| ALEX CANDALLA | Individual | CORPORATE OFFICER | Not stated in the filing | 1/21/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEE D BURNSIDE | Individual | CORPORATE OFFICER | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OLEG ZASLAVSKY | Individual | CORPORATE OFFICER | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AARON T FANG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALEX CANDALLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/21/2026 | 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 |
| ELISE FULLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/17/2025 | 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 |
| PACIFIC RETIREMENT SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/4/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- April 1, 2026: ERIC SHOLTY 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: ERIC SHOLTY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST 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: STANLEY SCHILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NANCY HOOYMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TRAVIS DUNCAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY WARTNICK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH PHILLIPS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. 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 March 4, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LEE D BURNSIDE (CORPORATE OFFICER) 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: AARON T FANG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: AARON T FANG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: OLEG ZASLAVSKY (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: OLEG ZASLAVSKY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELISE FULLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELISE FULLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 17, 2025. 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 December 20, 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: ALEX CANDALLA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 21, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ALEX CANDALLA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 21, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ALEX CANDALLA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 21, 2026. 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
- February 1, 2026: JAMES TAYLOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
Recent changes on this record
- April 1, 2026: ERIC SHOLTY 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: ERIC SHOLTY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST 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: STANLEY SCHILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NANCY HOOYMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TRAVIS DUNCAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY WARTNICK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH PHILLIPS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. 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 March 4, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LEE D BURNSIDE (CORPORATE OFFICER) 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: AARON T FANG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: AARON T FANG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: OLEG ZASLAVSKY (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: OLEG ZASLAVSKY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELISE FULLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELISE FULLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 17, 2025. 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 December 20, 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: ALEX CANDALLA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 21, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ALEX CANDALLA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 21, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ALEX CANDALLA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 21, 2026. 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
- February 1, 2026: JAMES TAYLOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- April 15, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- May 22, 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
- October 21, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- June 15, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- April 20, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 6, 2019: 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 21, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- April 22, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- March 8, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- February 12, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- May 9, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- May 17, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- May 21, 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 | June 27, 2025 | June 27, 2025 | 16 | 18 |
| 2 | June 28, 2024 | June 28, 2024 | 20 | 12 |
| 3 | March 22, 2023 | March 22, 2023 | 12 | 24 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
48 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 29, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | June 12, 2026 |
| September 18, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | September 26, 2025 |
| June 27, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | July 9, 2025 |
| June 27, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | July 1, 2025 |
| June 27, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | July 18, 2025 |
| June 27, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | July 16, 2025 |
| June 27, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | July 8, 2025 |
| June 27, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 2, 2025 |
| June 27, 2025 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | July 2, 2025 |
| June 27, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | E | No | Deficient, Provider has date of correction | June 30, 2025 |
| June 27, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | July 2, 2025 |
| June 27, 2025 | 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 | July 3, 2025 |
| June 27, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | July 17, 2025 |
| June 27, 2025 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | No | Deficient, Provider has date of correction | July 3, 2025 |
| June 27, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | June 30, 2025 |
| June 27, 2025 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 14, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | June 16, 2025 |
| May 14, 2025 | 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. | G | Yes | Deficient, Provider has date of correction | June 16, 2025 |
| May 14, 2025 | Health | F 0729 | Nursing and Physician Services Deficiencies | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Yes | Deficient, Provider has date of correction | June 16, 2025 |
| March 13, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | April 16, 2025 |
| March 13, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | April 16, 2025 |
| March 13, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | April 16, 2025 |
| June 28, 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | 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. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| June 28, 2024 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| March 22, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | May 1, 2023 |
| March 22, 2023 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | May 1, 2023 |
| March 22, 2023 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | May 1, 2023 |
| March 22, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | May 1, 2023 |
| March 22, 2023 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | May 1, 2023 |
| March 22, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | May 1, 2023 |
| March 22, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | May 1, 2023 |
| March 22, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | May 1, 2023 |
| March 22, 2023 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | May 1, 2023 |
| March 22, 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | May 1, 2023 |
| March 22, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | May 1, 2023 |
| March 22, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | May 1, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 29, 2026 | Fine | $9,870 | 139508 | ||
| June 27, 2025 | Payment Denial | September 27, 2025 | 12 | ||
| May 14, 2025 | Fine | $8,278 | 137273 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | MIRABELLA |
| Date First Approved to Provide Medicare and Medicaid Services | 2009-04-28 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | King |
| Telephone Number | 2062541400 |
| 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 | 46 |
| Average Number of Residents per Day | 37.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 3 |
| 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: 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 15, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Mirabella
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 Washington 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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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 505520.