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

MIRABELLA AT ASU

TEMPE, AZ · 21 certified beds · Last Life Safety survey August 8, 2025

CMS Certification Number 035300 · first certified September 2021

Ownership

Operated by PACIFIC RETIREMENT SERVICES · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

3
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
0
Inspection & testing records
Of the citations on file

Position within AZ

3 citations — more than 21% of the 140 certified nursing homes in AZ. Compared within AZ 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

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

The latest survey found 2 citations; the earlier surveys in the window averaged 0.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026. This facility’s last Life Safety survey was August 2025. Facilities in AZ are typically surveyed 14–22 months after the last one (median 18), measured over 143 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

Emergency preparedness

3 of the 3 citations on file are Emergency Preparedness E-tags — every citation here is about the program, not the building. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 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 3 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

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

This facility3AZ median8National median11
Citations on file over three years, compared
MeasureCitations
This facility3
Median facility in AZ8
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-1002023-1122025-08
Citations at each Life Safety survey
Survey dateCitations
October 13, 20221
November 29, 20230
August 8, 20252

Most-cited tags

Most-cited tags at this facility
E-00392E-00301
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0039Conduct testing and exercise requirements.22025-08-08
E-0030List the names and contact information of those in the facility.12025-08-08

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 3
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies3

Every citation on file

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

August 8, 2025 — 2 citations

Citations issued on August 8, 2025
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (September 16, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (September 16, 2025)

October 13, 2022 — 1 citation

Citations issued on October 13, 2022
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (November 21, 2022)

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