Mirage Post Acute

44445 15th St W · Lancaster, CA · 93534 · 6619487501

299 certified beds For profit - Partnership Chain: Pacs Group

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $153,991 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$153,991 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 3
Serious harm & abuse 20% 44
Staffing 20% 74
Federal penalties 15% 33
Trend 10% 83
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.823.48 min · 4.1 strong
RN hours / resident-day0.370.55–0.75
Weekend hours / resident-day4.38≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)3 · $153,991

Inspection citations (262 in the current record)

  • Potential for harm · D April 28, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 11, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 28, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 11, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 24, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 15, 2026 · Resident Rights

  • Potential for harm · E April 24, 2026

    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.

    Corrected May 15, 2026 · Resident Rights

  • Potential for harm · D April 24, 2026

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected May 15, 2026 · Resident Rights

  • Potential for harm · E April 24, 2026

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 24, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 24, 2026

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 24, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 24, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 24, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 24, 2026

    Assist a resident in gaining access to vision and hearing services.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · D April 24, 2026

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · E April 24, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · E April 24, 2026

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · D April 24, 2026

    Provide enough food/fluids to maintain a resident's health.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · E April 24, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · E April 24, 2026

    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.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · E April 24, 2026

    Ensure that residents are free from significant medication errors.

    Corrected May 15, 2026 · Pharmacy Service

  • Potential for harm · D April 24, 2026

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · E April 24, 2026

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected May 15, 2026 · Nutrition and Dietary

  • Potential for harm · E April 24, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 15, 2026 · Nutrition and Dietary

  • Potential for harm · D April 24, 2026

    Provide and implement an infection prevention and control program.

    Corrected May 15, 2026 · Infection Control

  • Potential for harm · E April 24, 2026

    Implement a program that monitors antibiotic use.

    Corrected May 15, 2026 · Infection Control

  • Potential for harm · E April 24, 2026

    Keep all essential equipment working safely.

    Corrected May 15, 2026 · Environmental

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 22, 2025Fine$36,377
March 10, 2025Fine$99,263
February 7, 2025Fine$18,351

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056039 · certified since February 17, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.