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Citadel Post Acute

5121 East Broadway Road, Mesa, AZ 85206 · Maricopa County · (480) 832-5555

128 certified beds, about 120 residents a day · For profit - Corporation · Medicare and Medicaid since 1985

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 035103 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 21, 2025, inspectors cited 3 health deficiencies (the Arizona average is 6.4, the national average 9.2).

None of its 5 health citations since February 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 3.55 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.

43.8% of nursing staff left within the year CMS measured (Arizona average 45.1%).

CMS links it to The Ensign Group, an affiliated group of 344 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.

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 5 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
0E
0F
Potential for minimal harm
0A
0B
0C
July 18, 2025Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 28, 2025
    Inspectors wroteBased on clinical record review, staff interviews, facility documentation, policy review, and the State's Agency (SA) complaint tracking system, the facility failed to protect two residents (#3 and #9) right to be free from sexual abuse by other residents (#4 and #10). The deficient practice could result in residents being at risk for further abuse. Based on clinical record review, staff interviews, facility documentation, policy review, and the State's Agency (SA) complaint tracking system, the facility failed to protect two residents (#3 and #9) right to be free from sexual abuse by other residents (#4 and #10). The deficient practice could result in residents being at risk for further abuse.
February 21, 2025Standard inspection · 3 citations
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2025
    Inspectors wroteBased on observations, interviews, clinical record review, facility documentation, and facility policy, the facility failed to ensure safeguards and systems were in place to control, and account for controlled medications in order to prevent loss, diversion or accidental exposure for three residents (#4, #329, and #330). This deficient practice could result in staff diversion of a resident's controlled medications.
  2. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2025
    Inspectors wroteBased on observation, staff interviews, and policy review, the facility failed to ensure that medications in the medication storage room were stored appropriately and that expired medications were discarded or disposed of in accordance with professional standards. The deficient practice could result in the medications not being disposed of properly, and not being organized appropriately. Regarding medication storage During an observation of the medication storage room conducted with the Director of Nursing (DON/staff #101) on February 19, 2025 8:27 a.m, approximately 13 medication bubble packs were observed to be lying on the counter, along with 6 other boxes of medications, one COVID-19 test kit, a sharp container, a portable thermometer, and a glucometer. The medication bubble packs included: [...]
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2025
    Inspectors wroteThe facility failed to adhere to infection control guidelines in the medication storage room. This deficient practice could compromise resident medication safety.
April 14, 2023Standard inspection · 1 citation
  1. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2023
    Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to maintain a clean and sanitary kitchen; and, failed to ensure that expired food items were not available for resident use. The deficient practice could result in a potential for food borne illness.
February 17, 2022Standard inspection · 0 citations

Fire safety inspections

7 fire safety citations on file: 3 on April 14, 2023, 4 on February 17, 2022.

Every fire safety citation7 citations
  1. E
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · April 14, 2023 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · April 14, 2023 · Corrected (the home has a date of correction)
  3. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 14, 2023 · Corrected (the home has a date of correction)
  4. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 17, 2022 · Corrected (the home has a date of correction)
  5. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 17, 2022 · Corrected (the home has a date of correction)
  6. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 17, 2022 · Corrected (the home has a date of correction)
  7. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 17, 2022 · Corrected (the home has a date of correction)

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.

MeasureThis homeArizonaUnited States
All nursing staff (RN, LPN and aides)3.553.983.86
Registered nurses0.440.700.69
All nursing staff on weekends3.003.513.42
Nurse aides1.85
Licensed practical nurses1.26
Nursing staff turnover (share who left in a year)43.8%45.1%45.8%
Registered nurse turnover37.5%43.6%42.9%
Administrators who left0

CMS expects 3.64 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 3.78 on weekdays and 3.00 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.55 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.550.443.783.00 0.0%0 of 90120
Oct to Dec 20253.620.483.793.18 0.0%0 of 92115
Jul to Sep 20253.750.513.913.35 0.0%0 of 92107
Apr to Jun 20253.610.513.783.18 0.0%0 of 91112
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Arizona, Jan to Mar 20263.870.634.053.433.3%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Arizona

JobMedianMiddle halfEmployed
Arizona, all employers
CNAs (nursing assistants)$21.53$18.43 to $22.4220,320
LPNs and LVNs$37.05$32.10 to $39.366,530
Registered nurses$47.84$39.33 to $52.2073,150
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeArizonaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
12.710.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.50.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.51.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.72.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.212.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.54.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.010.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.223.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.410.412.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Citadel Post Acute's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (61.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

61.4% this home

Better than the national rate

US median of homes 51.5% · Arizona: 74 better, 1 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 206 eligible stays.

Potentially preventable readmissions

11.3% this home

No different from the national rate

US median of homes 10.7% · Arizona: 4 better, 1 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 257 eligible stays.

Infections that led to a hospital stay

6.9% this home

No different from the national rate

US median of homes 7.1% · Arizona: 6 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 128 eligible stays.

Self-care and mobility at discharge

65.0% this home

Median of homes: Arizona69.9% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 97 residents counted.

Falls with major injury

0.6% this home

Median of homes: Arizona0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 159 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Arizona0.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 159 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Arizona95.1% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 18 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: HIGLEY HEALTHCARE, INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Speth, TerryManaging control - governing bodyIndividual11/11/2015
Peterson, ForrestCorporate directorIndividual01/01/2019
Burnam, SoonCorporate officerIndividual03/25/2015
Keetch, ChadCorporate officerIndividual03/01/2011
Monks, ChandlerCorporate officerIndividual03/01/2024
Sato, AmiCorporate officerIndividual09/09/2024
Speth, TerryOperational/managerial controlIndividual11/11/2015
Port, BarryIndividual is an owner, partner or trustee of any ADP of the SNFIndividual06/23/2025
Ensign Services IncAdp of the SNFOrganization07/01/2015
Speth, TerryAdp of the SNFIndividual06/23/2025

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.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 21, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on July 18, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 21, 2025: "Provide and implement an infection prevention and control program."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 14, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.00 hours per resident per day, below the Arizona average of 3.51.

Other nursing homes nearby

Arizona contacts for a concern about a nursing home

These are the official offices in Arizona. NursingHomeClear cannot take or act on complaints.

Common questions

What is Citadel Post Acute's Medicare star rating?
CMS rates Citadel Post Acute 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Citadel Post Acute get at its last inspection?
3 health deficiencies at the standard inspection on February 21, 2025. The Arizona average is 6.4.
Has Citadel Post Acute been fined?
CMS lists no fines in the last three years.
Does Citadel Post Acute 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 Citadel Post Acute?
CMS lists 10 owners and managers, and links the home to The Ensign Group. Legal business name: HIGLEY HEALTHCARE, INC..

Sources

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