Nursing homeActive

Mirabella At Asu

65 East University Avenue, Tempe, AZ 85281602777770121 certified beds · 17 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
11
0110
Penalties · 3 yrs
none on file
Last survey
2025-11-14
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Arizona Department of Health Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-11-14Complaint010CMS-2567 (Care Compare)
2025-08-08Standard060CMS-2567 (Care Compare)
2023-11-29Standard010CMS-2567 (Care Compare)
2022-10-13Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Arizona Department of Health Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-11-14Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 035300-20251114-F689
2025-08-08Standard survey · 6 deficienciesOfficial report
F578Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 035300-20250808-F578
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 035300-20250808-F605
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-24Record 035300-20250808-F756
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 035300-20250808-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 035300-20250808-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 035300-20250808-F880
2023-11-29Standard survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-05Record 035300-20231129-F609
2022-10-13Standard survey · 3 deficienciesOfficial report
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-21Record 035300-20221013-F578
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-21Record 035300-20221013-F622
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-21Record 035300-20221013-F677

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day2.07
Facility
Arizona
National
Arizona 0.70 · National 0.69
Total nurse hours per resident day7.02
Facility
Arizona
National
Arizona 3.97 · National 3.86
Weekend total nurse hours6.00
Facility
Arizona
National
Arizona 3.50 · National 3.42
Total nursing staff turnover62%
Facility
Arizona
National
Arizona 45% · National 46%
Registered nurse turnover58%
Facility
Arizona
National
Arizona 44% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityArizonaNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.1%4.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.8%2.1%3.2%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.3%0.1%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Pacific Retirement Services Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Desanto, Virginia
Individual
CORPORATE OFFICERNOT APPLICABLE
Dillon, Daniel
Individual
CORPORATE OFFICERNOT APPLICABLE
Dorough, Thomas
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Jolly, Edward
Individual
CORPORATE OFFICERNOT APPLICABLE
Mayers, Robert
Individual
CORPORATE OFFICERNOT APPLICABLE
Sholty, Eric
Individual
CORPORATE OFFICERNOT APPLICABLE
Washington Federal
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Wilson, Doug
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Pacific Retirement Services10 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Arizona.

No county cost figures on file for Maricopa.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Tempe Post Acute
Tempe
3.8 mi2026-05-12051
Rehab At Scottsdale Village Square
Scottsdale
3.9 mi2026-05-190474
Plaza Healthcare
Scottsdale
3.7 mi2026-05-08070
Friendship Village Of Tempe
Tempe
4.0 mi2026-05-010210
Haven Of Scottsdale
Scottsdale
4.5 mi2026-01-070231
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01