Inspection Reports for
Mirabella at ASU

The complaint investigation revealed that Resident #105 eloped from the facility on October 26, 2025, was found outside near a convenience store, and was returned safely. The resident had no prior history of elopement. The investigation included staff interviews, record reviews, and observation of the emergency exit door alarm system. The resident was assessed as moderate risk for wandering but no elopement risk assessment was completed prior to the incident. The facility implemented one-on-one observation and relocated the resident's room closer to the nurse station after the incident.

The facility failed to ensure adequate supervision and environmental safeguards to prevent elopement of Resident #105, who was found wandering outside the facility. The resident was assessed as moderate risk for wandering but no prior elopement risk assessment was available before the incident. The emergency exit door alarm system was found to be insufficient as the door could be opened without a key card after the alarm sounded. Staff interviews revealed lapses in supervision and knowledge of exit door security. The resident was placed on one-on-one observation after the incident and moved closer to the nurse station.

Two deficiencies cited related to caregiver documentation of services and service plan compliance during complaint investigation AZ00215611.

Two deficiencies found related to tuberculosis evidence and evacuation drill documentation during complaint and compliance inspection.

The complaint investigation involved allegations of abuse for residents #65, #164, and #167. The facility did not provide evidence that these allegations were reported to all required state agencies or that thorough investigations were completed. The Administrator and Director of Nursing confirmed missing documentation of reports and investigations. The facility policy requires timely reporting of all alleged violations involving abuse, neglect, exploitation, or mistreatment.

The facility failed to ensure that allegations of abuse for three residents were reported to all required state agencies and that thorough investigations were completed. Interviews with staff and review of records revealed missing documentation of reports and investigations for these incidents.

The complaint involved allegations of abuse for residents #65, #164, and #167. The facility did not provide evidence that these allegations were reported to all required state agencies beyond Adult Protective Services, nor that thorough investigations were completed. Substantiation status is not explicitly stated.

The facility failed to ensure that allegations of abuse for three residents were reported to all required state agencies and that thorough investigations were completed. Interviews and documentation revealed missing reports to agencies other than Adult Protective Services and lack of 5-day investigations.

Two deficiencies found related to fingerprint clearance compliance and documentation before providing assisted living services during complaint and compliance inspection.

The complaint investigation found substantiated deficiencies related to incomplete advance directive documentation, inadequate transfer/discharge documentation, and failure to provide personal hygiene care to residents.

The facility failed to obtain a physician order for a resident's DNR advance directive, did not provide adequate documentation and communication during resident transfer/discharge, and failed to ensure three residents received necessary bathing and grooming assistance as per their care plans and preferences.

The facility failed to ensure controlled medications were stored and reconciled according to professional standards, with observations of unsecured medications and lack of proper counting and documentation, increasing the risk of loss or diversion.