Quick answers
- Where is Mirabella?
- 116 Fairview Avenue N, Seattle, WA 98109, in King County, Washington.
- What is the phone number of Mirabella?
- (206) 254-1400, as listed by Medicare (CMS).
- What is the Medicare star rating of Mirabella?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Mirabella been fined?
- Medicare lists 2 fines totaling $18,148 and 1 payment denial.
- What did inspectors find at Mirabella?
- In its last three inspection cycles (March 22, 2023 to April 29, 2026), Medicare lists 48 health citations; the most serious was level G. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (March 22, 2023 to April 29, 2026), Mirabella had 48 health citations; the most serious was level G (actual harm to residents). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $18,148 in total (2 fines, the latest on April 29, 2026) and had 1 Medicare payment denial. Nurse staffing is 4.60 hours per resident per day; the Washington average is 4.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: June 27, 2025 — 15 health citations
Inspections in this cycle: June 27, 2025 (standard health inspection); April 29, 2026 (complaint investigation).
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 14 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0732 Level E
“Post nurse staffing information every day.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0578 Level D
“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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0700 Level D
“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.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0761 Level D
“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.”
F0908 Level D
“Keep all essential equipment working safely.”
F0838 Level C
“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.”
Previous cycle: June 28, 2024 — 21 health citations
Inspections in this cycle: June 28, 2024 (standard health inspection); March 13, 2025 (complaint investigation); May 14, 2025 (complaint investigation); September 18, 2025 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 20 less serious citations (levels A to F)
F0645 Level E
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0761 Level E
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0729 Level D
“Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0578 Level D
“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.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level D
“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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0693 Level D
“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.”
F0909 Level D
“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.”
Earlier cycle: March 22, 2023 — 12 health citations
Inspections in this cycle: March 22, 2023 (standard health inspection).
Show 12 citations (levels A to F, no actual harm)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0700 Level D
“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.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0758 Level D
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (54)
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0007 Level F
“Address patient/client population and determine types of services needed.”
E0015 Level F
“Address subsistence needs for staff and patients.”
E0020 Level F
“Establish policies and procedures including evacuation.”
E0025 Level F
“Create arrangements with other facilities to receive patients.”
E0030 Level F
“List the names and contact information of those in the facility.”
E0031 Level F
“Provide emergency officials' contact information.”
E0034 Level F
“Provide a means of sharing information on occupancy/needs.”
E0035 Level F
“Provide family notifications of emergency plan.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0541 Level F
“Install properly constructed and protected linen or trash chutes.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0521 Level E
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
E0009 Level F
“Include a process for Emergency Preparedness collaboration.”
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
E0018 Level F
“Establish procedures for tracking staff and patients during an emergency.”
E0024 Level F
“Establish policies and procedures for volunteers.”
E0033 Level F
“Establish methods for sharing information.”
E0037 Level F
“Establish staff and initial training requirements.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0531 Level F
“Have elevators that firefighters can control in the event of a fire.”
K0541 Level F
“Install properly constructed and protected linen or trash chutes.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0225 Level D
“Have stairways and smokeproof enclosures used as exits that meet safety requirements.”
K0374 Level D
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
E0001 Level F
“Establish an Emergency Preparedness Program (EP).”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0009 Level F
“Include a process for Emergency Preparedness collaboration.”
E0015 Level F
“Address subsistence needs for staff and patients.”
E0025 Level F
“Create arrangements with other facilities to receive patients.”
E0031 Level F
“Provide emergency officials' contact information.”
E0037 Level F
“Establish staff and initial training requirements.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0222 Level F
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
14 more fire safety citations are not listed here.
Fines and payment denials
Total fines over about the last three years: $18,148 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| April 29, 2026 | Fine | $9,870 |
| June 27, 2025 | Payment denial | from September 27, 2025, 12 days |
| May 14, 2025 | Fine | $8,278 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Washington | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.74 | 0.99 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.38 | 0.74 | 0.86 |
| Nurse aide hours per resident per day | 2.48 | 2.68 | 2.35 |
| Total nurse staff hours per resident per day | 4.60 | 4.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.92 | 3.82 | 3.43 |
| RN hours per resident per day on the weekend | 1.37 | 0.71 | 0.48 |
| Nursing staff turnover (per year) | 36.4% | 43.9% | 45.3% |
| RN turnover (per year) | 33.3% | 43.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Pacific Retirement Services Inc | Management company (operational or managerial control) | NOT APPLICABLE | March 4, 2005 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 46 |
| Average residents per day | 34 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| First approved by Medicare/Medicaid | 2009-04-28 |
| Part of a continuing care retirement community | Yes |
| Resident and family councils | None |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 116 Fairview Avenue N, Seattle, WA 98109 |
| County | King County |
| State | Washington |
| Phone | (206) 254‑1400 |
| CMS Certification Number | 505520 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- The Terraces at Skyline0.8 mi · Seattle, WA · 2 of 5 stars
- Seattle Medical Post Acute Care1.2 mi · Seattle, WA · 2 of 5 stars
- Bailey-Boushay House1.4 mi · Seattle, WA · 3 of 5 stars
- Queen Anne Healthcare2.0 mi · Seattle, WA · 5 of 5 stars
- Transitional Care of Seattle2.1 mi · Seattle, WA · 4 of 5 stars
Nearest hospital emergency rooms
- Virginia Mason Medical Center0.6 mi · Seattle, WA · Acute Care Hospital
- Swedish Medical Center0.8 mi · Seattle, WA · Acute Care Hospital
- Kaiser Permanente Central Hospital0.9 mi · Seattle, WA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13