Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MIRAGE POST ACUTE

LANCASTER, CA · 299 certified beds · Last Life Safety survey April 24, 2026

CMS Certification Number 056039 · first certified February 1969

Ownership

Operated by PACS GROUP · For profit - Partnership

  • Ownership changed June 15, 2023 (change of ownership)from GERI-CARE V, LLC
32
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
8
Tags cited more than once
Across separate surveys
18
Inspection & testing records
Of the citations on file

Position within CA

32 citations — more than 88% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 13. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was April 2026. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

45 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 32 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0908 Keep all essential equipment working safely.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility32CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility32
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
192024-0172025-0162026-04
Citations at each Life Safety survey
Survey dateCitations
January 26, 202419
January 17, 20257
April 24, 20266

Most-cited tags

Most-cited tags at this facility
K-03533K-05113K-07122K-07612K-09232K-09202K-03512K-03632
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-04-24
K-0511Have properly installed electrical wiring and gas equipment.32026-04-24
K-0712Have simulated fire drills held at unexpected times.22026-04-24
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22026-04-24
K-0923Have proper medical gas storage and administration areas.22025-01-17
K-0920Ensure proper usage of power strips and extension cords.22026-04-24
K-0351Install an approved automatic sprinkler system.22025-01-17
K-0363Install corridor and hallway doors that block smoke.22025-01-17

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 13
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Miscellaneous Deficiencies 6
  • Services Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies13
Gas, Vacuum, and Electrical Systems Deficiencies7
Miscellaneous Deficiencies6
Services Deficiencies3
Egress Deficiencies2
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 24, 2026 — 6 citations

Citations issued on April 24, 2026
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 30, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 30, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 30, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 30, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 30, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 30, 2026)

January 17, 2025 — 7 citations

Citations issued on January 17, 2025
TagWhat the surveyor checksStatus
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (February 5, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 5, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 5, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 5, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 5, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 5, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 5, 2025)

January 26, 2024 — 19 citations

Citations issued on January 26, 2024
TagWhat the surveyor checksStatus
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.Deficient, Provider has date of correction (February 29, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (February 29, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 29, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 29, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 29, 2024)
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Deficient, Provider has date of correction (February 29, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 29, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 29, 2024)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (February 29, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 29, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 29, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 29, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (February 29, 2024)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (February 29, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (February 29, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 29, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 29, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 29, 2024)
K-0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.Deficient, Provider has date of correction (February 29, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.