CITADEL POST ACUTE

MESA, AZ · 128 beds · For profit - Corporation

86 Trust Score
Grade: A LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star health inspection rating
  • No fines or penalties on record

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
4
0.5x state avg
Deficiencies
$0
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

July 17, 2025

2 deficiencyies
F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

February 20, 2025

6 deficiencyies
F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

April 13, 2023

2 deficiencyies
F0812 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0812 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

See full violation history →

Staffing

0.52
RN hrs/res/day
1.31
LPN hrs/res/day
1.96
CNA hrs/res/day
3.38
Weekend hrs/res/day
42%
Total nurse turnover
44%
RN turnover

A nurse checks on each resident roughly every 6.3 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Corporation Chain: THE ENSIGN GROUP
  • BANDERA HEALTHCARE LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 03/25/2015

    100% Organization
  • THE ENSIGN GROUP INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/25/2006

    100% Organization
  • SPETH, TERRY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/11/2015

    Individual
  • PETERSON, FORREST

    CORPORATE DIRECTOR

    Since since 01/01/2019

    Individual
  • ALBRECHTSEN, JOHN

    CORPORATE OFFICER

    Since since 03/25/2015

    Individual
  • BURNAM, SOON

    CORPORATE OFFICER

    Since since 03/25/2015

    Individual
  • FITCH, CRAIG

    CORPORATE OFFICER

    Since since 01/01/2019

    Individual
  • SPETH, TERRY

    W-2 MANAGING EMPLOYEE

    Since since 11/11/2015

    Individual

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