Mirabella at Asu
65 East University Avenue, Tempe, AZ 85281 · Maricopa County · (602) 777-7701
21 certified beds, about 17 residents a day · Non profit - Corporation · Medicare and Medicaid since 2021
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 035300 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 8, 2025, inspectors cited 6 health deficiencies (the Arizona average is 6.4, the national average 9.2).
None of its 11 health citations since October 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 7.02 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 2.07 of those hours.
61.5% of nursing staff left within the year CMS measured (Arizona average 45.1%).
CMS links it to Pacific Retirement Services, an affiliated group of 10 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
310/22
111/23
608/25
111/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
6E
0F
Potential for minimal harm
0A
0B
0C
November 14, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, staff interviews, observation and the facility policy and procedures, the facility failed to ensure that an adequate supervision and environmental safeguards were provided to prevent elopement for a resident (#105). The deficient practice placed the resident at risk for serious injury, exposure to traffic injury, abduction and death. Findings Include:Resident #105 was admitted to the facility on [DATE], and discharged on October 29, 2025 with diagnosis that included seizures, depression, anxiety, unspecified dementia without behavioral disturbance, and difficulty in walking. The progress note dated October 17, 2025 at 11:28 pm stated under Mood and Behavior that it was unknown if resident slept through the night and also stated that the resident wandered at night. [...]
August 8, 2025Standard inspection · 6 citations
- E 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.
Inspectors wroteNumber of residents sampled: 9Number of residents cited: 2Based on clinical record reviews, staff interviews, and review of facility policy, the facility failed to ensure that a current copy of the advance directives were in the clinical record for 2 of 9 sampled residents (#31 and #4) residents. The deficient practice could result in resident wishes not respected and followed. -Resident #31 was admitted on [DATE] with diagnoses of displaced intertrochanteric fracture of the right femur, subsequent encounter for closed fracture with routine healing, Parkinson's disease, hypertensive chronic kidney disease, Stage 3 chronic kidney disease and depression. The portable medical order signed by resident #31 and dated [DATE] included that the resident had a code status of no CPR (cardiopulmonary resuscitation) and no artificial means of nutrition desired. [...]
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on clinical record review, staff interviews and review of facility policy and procedures, the facility failed to ensure that the attending physician documented acknowledgement of their monthly Medication Regimen Review recommendations for three of five sampled residents ( #8, #10 #15). The deficient practice could result in regulatory recommendations provided by a licensed pharmacy not being considered during treatment of the residents. Findings Include: - Regarding Resident #8 Resident # 8 was admitted on [DATE] with diagnoses to include repeated falls, acute embolism malnutrition, anxiety and depression. The residents MDS (Minimum Data Set) dated August, 2025 revealed a BIMS (Brief Interview for Mental Status of 12, indicating that the resident had moderate cognitive impairment. [...]
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteNumber of residents sampled: 16Number of residents cited: 0The facility failed to ensure that all food in the nourishment refrigerator was labeled according to facility policy.
- E Provide and implement an infection prevention and control program.
Inspectors wroteNumber of residents sampled: 5Number of residents cited:Based on observations, clinical record review, staff interviews and facility policy review, the facility failed to ensure that signs were posted related to enhanced barrier precautions (EBP) for two residents (#12 and #31) of 5 sampled residents. The deficient practice could result in transmission of infections to staff and other residents.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteNumber of residents sampled: 5Number of residents cited: 1 Based on clinical record review, staff interviews and review of facility policy and procedures, the facility failed to ensure there was adequate indication for the use of an antipsychotic for one of 5 sampled residents (#31). The deficient practice could result in resident receiving an unnecessary antipsychotic medication.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, staff interviews, record review, and policy review, the facility failed to ensure that the medication error rate was not 5% or greater for two of three residents (#37, #10). The deficient practice could result in further medication administration error.
November 29, 2023Standard inspection, Complaint inspection · 1 citation
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record, facility documents, staff interviews and facility policy, the facility failed to ensure that an allegation of abuse was reported to the appropriate state agencies for 3 residents (#65, #164, and #167).
October 13, 2022Standard inspection · 3 citations
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, clinical record reviews, facility documentation, resident and staff interviews, and policies and procedures, the facility failed to ensure that three residents (#108, #159 and #6) received the necessary services to maintain good grooming and personal hygiene. The sample size was 3. The deficient practice could result in poor hygiene for residents.
- D 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.
Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to ensure the advance directive process was complete for one resident (#158), by failing to obtain a physician order for DNR (Do Not Resuscitate). The sample size was 3. The deficient practice could lead to medical treatment inconsistent with the resident's wishes.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on clinical record review, staff interviews, and review of facility policies and procedures, the facility failed to ensure one sampled resident's (#8) clinical record included the required information for transfer/discharge. The deficient practice could result in residents not having a safe and effective transition of care.
Fire safety inspections
3 fire safety citations on file: 2 on August 8, 2025, 1 on October 13, 2022.
Every fire safety citation3 citations
- D List the names and contact information of those in the facility.
- D Conduct testing and exercise requirements.
- D Conduct testing and exercise requirements.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Arizona | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 7.02 | 3.98 | 3.86 |
| Registered nurses | 2.07 | 0.70 | 0.69 |
| All nursing staff on weekends | 6.00 | 3.51 | 3.42 |
| Nurse aides | 3.84 | ||
| Licensed practical nurses | 1.11 | ||
| Nursing staff turnover (share who left in a year) | 61.5% | 45.1% | 45.8% |
| Registered nurse turnover | 58.3% | 43.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.29 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 7.44 on weekdays and 6.00 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.62 in April to June 2025 to 7.02 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 7.02 | 2.07 | 7.44 | 6.00 | 11.4% | 0 of 90 | 17 |
| Oct to Dec 2025 | 6.73 | 1.99 | 6.85 | 6.40 | 31.4% | 0 of 92 | 18 |
| Jul to Sep 2025 | 5.91 | 1.40 | 5.96 | 5.80 | 35.6% | 1 of 92 | 18 |
| Apr to Jun 2025 | 6.62 | 2.08 | 6.83 | 6.08 | 22.5% | 0 of 91 | 16 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Arizona, Jan to Mar 2026 | 3.87 | 0.63 | 4.05 | 3.43 | 3.3% | 0.5% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Arizona | US |
|---|---|---|---|
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 2.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.2 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 4.4 | 4.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.0 | 23.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.8 | 10.4 | 12.0 |
Owners and operators
Legal business name: MIRABELLA AT ASU, INC. CMS links this home to Pacific Retirement Services, a group of 10 nursing homes averaging 4.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bywater, Katrina | Corporate director | Individual | 10/01/2024 | |
| Wilson, Doug | Corporate director | Individual | 10/01/2025 | |
| Bywater, Katrina | Corporate officer | Individual | 10/01/2024 | |
| Desanto, Virginia | Corporate officer | Individual | 07/21/2016 | |
| Mayers, Robert | Corporate officer | Individual | 10/28/2019 | |
| Wilson, Doug | Corporate officer | Individual | 07/21/2016 | |
| Pacific Retirement Services Inc | Operational/managerial control | Organization | 04/01/2020 | |
| Dorough, Thomas | Operational/managerial control | Individual | 03/16/2020 | |
| Huang, Scarlett | Operational/managerial control | Individual | 09/05/2023 | |
| Sabatini, Anthony | Operational/managerial control | Individual | 12/20/2024 | |
| Stuart, Matthew | Operational/managerial control | Individual | 10/01/2025 | |
| Pacific Retirement Services Inc | Adp of the SNF | Organization | 07/01/2026 | |
| Wipfli LLP | Adp of the SNF | Organization | 10/01/2024 | |
| Dorough, Thomas | Adp of the SNF | Individual | 03/16/2020 | |
| Huang, Scarlett | Adp of the SNF | Individual | 09/05/2023 | |
| Sabatini, Anthony | Adp of the SNF | Individual | 12/20/2024 | |
| Stuart, Matthew | Adp of the SNF | Individual | 10/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on August 8, 2025: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on November 14, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 8, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on August 8, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
Other nursing homes nearby
- Plaza Healthcare Scottsdale, 3.7 mi · 5 of 5 stars · 7 citations
- Tempe Post Acute Tempe, 3.8 mi · 4 of 5 stars · 8 citations
- Rehab at Scottsdale Village Square Scottsdale, 3.9 mi · not rated · 68 citations
- Friendship Village of Tempe Tempe, 4 mi · 3 of 5 stars · 21 citations
- Haven of Scottsdale Scottsdale, 4.5 mi · 2 of 5 stars · 24 citations
- Osborn Health and Rehabilitation Scottsdale, 4.6 mi · 5 of 5 stars · 8 citations
- Heritage Court Post Acute of Scottsdale Scottsdale, 4.6 mi · 3 of 5 stars · 19 citations
- Resolve Harmony Center, LLC Phoenix, 5.6 mi · 1 of 5 stars · 45 citations
Arizona contacts for a concern about a nursing home
These are the official offices in Arizona. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Arizona Department of Health Services, Long Term Care Facilities Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: AZ Care Check, where Arizona publishes its own records on licensed homes.
Common questions
- What is Mirabella at Asu's Medicare star rating?
- CMS rates Mirabella at Asu 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Mirabella at Asu get at its last inspection?
- 6 health deficiencies at the standard inspection on August 8, 2025. The Arizona average is 6.4.
- Has Mirabella at Asu been fined?
- CMS lists no fines in the last three years.
- Does Mirabella at Asu accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Mirabella at Asu?
- CMS lists 17 owners and managers, and links the home to Pacific Retirement Services. Legal business name: MIRABELLA AT ASU, INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.