At a glance
Official CMS profileCMS overall rating
3 / 5
Certified beds
61
Residents / day
76.6
Ownership
For profit - Corporation
Facility information
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- County
- Skagit
- Certified beds
- 61
- Average residents per day
- 76.6
- First certified
- November 1, 1987
CMS quality ratings
- Overall
- 3 / 5
- Health inspections
- 3 / 5
- Staffing
- 4 / 5
- Quality measures
- 4 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Skagit, Washington. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 3.00 | 2.33 (n=3) | 3.29 |
| Nurse hours / resident / day | 3.71 | 4.15 (n=3) | 4.42 (n=188) |
| Weekend nurse hours / resident / day | 3.18 | 3.48 (n=3) | 3.82 (n=188) |
| Nursing staff turnover (%) | 49.30 | 50.10 (n=2) | 43.85 (n=180) |
CMS overall rating / 5
- This home
- 3.00
- County peers
- 2.33
- n=3
- State peers
- 3.29
Nurse hours / resident / day
- This home
- 3.71
- County peers
- 4.15
- n=3
- State peers
- 4.42
- n=188
Weekend nurse hours / resident / day
- This home
- 3.18
- County peers
- 3.48
- n=3
- State peers
- 3.82
- n=188
Nursing staff turnover (%)
- This home
- 49.30
- County peers
- 50.10
- n=2
- State peers
- 43.85
- n=180
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 14.3% below the all-days average. How is weekend coverage maintained?
- What has changed since your latest health inspection?
- CMS reports 49.3% total nursing staff turnover. How do you retain staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 37
- Health citations
- 37
- Resident measures
- 17
- Ownership records
- 18
- Penalties
- 0
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.71407
- Reported RN Staffing Hours per Resident per Day
- 0.88967
- Reported LPN Staffing Hours per Resident per Day
- 0.76906
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.05535
- Total number of nurse staff hours per resident per day on the weekend
- 3.18365
- Registered Nurse hours per resident per day on the weekend
- 0.75781
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.08976
- Total nursing staff turnover
- 49.3
- Registered Nurse turnover
- 30.0
- Number of administrators who have left the nursing home
- 1
- Chain Name
- THE ENSIGN GROUP
- Number of Facilities in Chain
- 347
- Chain Average Overall 5-star Rating
- 3.3
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- Resident
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- WA
- Urban
- Y
- Chain ID
- 507
- Latitude
- 48.4201
- Location
- 300 SOUTH 18TH STREET,MOUNT VERNON,WA,98274
- ZIP Code
- 98274
- City/Town
- MOUNT VERNON
- Longitude
- -122.32
- QM Rating
- 4
- Abuse Icon
- N
- Chain Name
- THE ENSIGN GROUP
- County/Parish
- Skagit
- Provider Name
- MIRA VISTA CARE CENTER
- Provider Type
- Medicare and Medicaid
- Overall Rating
- 3
- Ownership Type
- For profit - Corporation
- Number of Fines
- 0
- Processing Date
- 2026-10-01
- Staffing Rating
- 4
- Provider Address
- 300 SOUTH 18TH STREET
- Telephone Number
- 3604241320
- Geocoding Footnote
- Not reported
- QM Rating Footnote
- Not reported
- Legal Business Name
- LITTLE MOUNTAIN HEALTHCARE, INC.
- Long-Stay QM Rating
- 5
- High Performing Icon
- N
- Short-Stay QM Rating
- 4
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.39438
- Chain Average QM Rating
- 4.4
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 3
- Number of Certified Beds
- 61
- Provider SSA County Code
- 280
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- 30.0
- Total Number of Penalties
- 0
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- Not reported
- Nursing Case-Mix Index Ratio
- 0.98874
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- 49.3
- Chain Average Staffing Rating
- 2.8
- Number of Facilities in Chain
- 347
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 505315
- Administrator turnover footnote
- Not reported
- Total Amount of Fines in Dollars
- 0.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 84
- Registered Nurse turnover footnote
- Not reported
- Total Weighted Health Survey Score
- 78.000
- With a Resident and Family Council
- Resident
- Average Number of Residents per Day
- 76.6
- Chain Average Overall 5-star Rating
- 3.3
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 60
- Continuing Care Retirement Community
- N
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- Not reported
- Chain Average Health Inspection Rating
- 2.8
- Rating Cycle 1 Health Deficiency Score
- 84
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 1
- Rating Cycle 2/3 Health Deficiency Score
- 60
- Rating Cycle 1 Standard Survey Health Date
- 2026-03-11
- Rating Cycle 2 Standard Health Survey Date
- 2025-06-06
- Rating Cycle 2/3 Number of Health Revisits
- 1
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 0.89274
- Case-Mix RN Staffing Hours per Resident per Day
- 0.68385
- Reported RN Staffing Hours per Resident per Day
- 0.88967
- Adjusted LPN Staffing Hours per Resident per Day
- 0.77171
- Case-Mix LPN Staffing Hours per Resident per Day
- 0.85216
- Reported LPN Staffing Hours per Resident per Day
- 0.76906
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 16
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 14
- Rating Cycle 1 Number of Standard Health Deficiencies
- 14
- Rating Cycle 2 Number of Standard Health Deficiencies
- 5
- Reported Licensed Staffing Hours per Resident per Day
- 1.65873
- Number of Citations from Infection Control Inspections
- 0
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 6
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 2.06244
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 2.32093
- Number of administrators who have left the nursing home
- 1
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.05535
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 3.72688
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 3.85694
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 9
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.71407
- Registered Nurse hours per resident per day on the weekend
- 0.75781
- Date First Approved to Provide Medicare and Medicaid Services
- 1987-11-01
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.08976
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 3.19463
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 3.39438
- Total number of nurse staff hours per resident per day on the weekend
- 3.18365
COMMUNITY EXPERIENCE
Reviews of MIRA VISTA CARE CENTER
Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.
No published community reviews yet.
Community reviews & discussions
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Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.
Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026