Mirabella Portland
MIRABELLA PORTLAND in PORTLAND, OR — inspection on March 27, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
medications.
This placed residents at risk for continued falls and injury.
Findings include: Resident 1
Incident Reporting Policy and Procedure revised on 5/2024 revealed an investigation was to be completed within five working days after an incident was reported. a. Resident 1's 10/8/25 Unwitnessed Fall investigation revealed on 10/8/25 she/he tried to move a swivel chair, lost balance, and fell.
The investigation indicated at the time of the fall Resident 1's care plan was followed and abuse and neglect were ruled out two hours after the incident occurred.
The investigation was not completed until 11/1/25. On 3/26/26 at 10:07 AM and 12:55 PM Staff 2 (DNS) stated investigations were to be completed and submitted to her and Staff 1 (Administrator) five days after an investigation was initiated.
Staff 2 stated at the time of Resident 1's fall there was no resident care manager and the paperwork was not completed timely. On 3/27/26 at 8:28 AM Staff 1 stated if a resident fell, the nurses were to initiate an investigation, start obtaining interviews with witnesses, implement new interventions if indicated, and notify Staff 2 of the incident.
Staff 1 stated the investigation was to be completed within five days, including the root cause analysis, and then submitted to him for a final review.b. Resident 1's 11/21/25 Witnessed Fall investigation revealed she/he fell while being assisted to bed.
Staff 2 (DNS) completed the fall investigation on 12/2/25.
Staff 1 (Administrator) signed off on the completed investigation on 12/16/25. On 3/26/26 at 10:07 AM and 12:55 PM Staff 2 (DNS) stated investigations were to be completed and submitted to her and Staff 1 (Administrator) five days after an investigation was initiated.
Staff 2 stated at the time of Resident 1's fall there was no resident care manager and the paperwork was not completed timely, but the staff ensured Resident 1 needs were met. On 3/27/26 at 8:28 AM Staff 1 stated if a resident fell, the nurses were to initiate an investigation, start obtaining interviews with witnesses, implement new interventions if indicated, and notify Staff 2 of the incident.
Staff 1 stated the investigation was to be completed within five days, including the root cause analysis, and then submitted to him for a final review.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
385274 03/27/2026
Mirabella Portland 3550 S Bond Ave Portland, OR 97239
when residents were discharged from the facility, including Resident 27.
385274 03/27/2026
Mirabella Portland 3550 S Bond Ave Portland, OR 97239
placed residents at risk for impaired vision.
Findings include:Resident 13 was admitted to the facility
injury) and aphasia (a language disorder caused by brain damage and resulting in impaired communication and comprehension).Resident 13's care plan dated 1/2/20 indicated staff were to ensure her/his glasses were available to support her/his participation in activities and staff were to provide assistance to place and remove them.Resident 13's 1/21/26 annual MDS revealed she/he had severe cognitive impairment, was dependent on staff for assistance with ADLs including dressing and completing personal hygiene tasks and had adequate vision with the use of glasses.Random observations on 3/23/26 through 3/26/26, between 8:30 AM and 4:03 PM Resident 13 was observed not wearing her/his glasses when she/he was in the living room with other residents, or during group activities or while sitting in her/his room. Resident 13's glasses were observed in their case on the shelf above her/his dresser.On 3/25/26 at 12:21 PM Staff 4 (CNA) stated he referred to Resident 13's care plan to know how much assistance to provide her/him.
Staff 4 stated Resident 13 was not able to ask for assistance and was completely dependent on staff assistance for completion of her/his ADLs.
Staff 4 stated he never saw Resident 13 wear glasses and he was not sure if she/he had glasses.On 3/25/26 at 3:40 PM Staff 5 (CNA) stated she referred to Resident 13's care plan whenever she worked with the resident because she/he was not able to communicate verbally and was not able to complete any personal care tasks for herself/himself.
Staff 5 stated she didn't think Resident 13 wore glasses.On 3/26/26 at 10:08 AM Staff 6 (CNA) stated Resident 13 was completely dependent on staff to provide assistance and was unable to ask for help.
Staff 6 stated she referred to Resident 13's care plan to know what assistance to provide for her/him.
Staff 6 stated she was not aware Resident 13 needed to wear glasses.On 3/26/26 at 10:33 AM staff 7 (RN) stated Resident 13 was, Totally dependent and did not do anything on her/his own.
Staff 7 stated Resident 13 had glasses and he saw her/him wear them occasionally.
Staff 7 stated it was important for staff to assist Resident 13 with her/his glasses because she/he needed them and she/he could not ask for anyone to help her/him put them on or take them off.On 3/26/26 at 11:53 AM Staff 2 (DNS) stated Resident 13's spouse wanted her/him to wear her/his glasses.
Staff 2 stated she expected staff to assist Resident 13 to use her/his glasses because she/he was not able to place and remove them herself/himself and she/he was not able to communicate requests to her/his caregivers.