The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
Nursing home report
CITADEL POST ACUTE
MESA, AZ · Medicare-certified · 128 beds
In good standing
For-profitChain member
5 of 5 overall
CITADEL POST ACUTE (Mesa, AZ) has a 5-star overall rating, with strong quality measures and health inspections but a 3-star staffing rating. It reports 3.62 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $0 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.6225 hrs/resident/day
Quality measures
Last inspection: July 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6225.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 1.25
- Nurse aides
- 1.89
- Weekend nursing
- 3.18
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 36%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%0%No change
Residents with a fall causing major injury
1.9%5%Worsening
Residents with pressure ulcers (bedsores)
0%2.5%Worsening
Residents with a urinary tract infection
0%1.7%Worsening
Residents who lost too much weight
2.2%2.3%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.1%17.5%Worsening
Residents whose ability to walk got worse
—14.9%—
Long-stay residents on antianxiety or sleep medication
31.1%24.4%Improving
Short-stay residents newly given an antipsychotic
0%0.4%No change
Residents with a long-term catheter
0%4.4%Worsening
Residents with new or worsening incontinence
20%9.5%Improving
Residents with depressive symptoms
0%1.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—75.8%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—85.6%—
Short-stay residents given the pneumonia vaccine
94.4%98.8%Improving
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 115.1 residents on an average day (90% of 128 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.