The nursing home failed to provide services that met professional standards of quality. Cited July 2023 — isolated incident, actual harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
Nursing home report
Citrus Heights Respiratory and Rehabilitation
MESA, AZ · Medicare-certified · 204 beds
In good standing
For-profitChain member
4 of 5 overall
Citrus Heights Respiratory and Rehabilitation in Mesa, AZ has a 4 out of 5 star overall rating. Its strongest sign is a 5-star quality measures score, but staffing is lower at 2 stars despite reported nurse staffing of 4.17 hours per resident per day, slightly above the 4.1 federal benchmark; there were no fines in the last 24 months and the health inspection rating is 3 stars.
Facility ratings
Health inspections
Staffing
4.1691 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1691.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 1.23
- Nurse aides
- 2.49
- Weekend nursing
- 3.81
Hours per resident per day.
Total staff turnover: 77%
Registered nurse turnover: 70%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
7.5%Worsening
Residents with a fall causing major injury
1.7%Improving
Residents with pressure ulcers (bedsores)
3.4%Improving
Residents with a urinary tract infection
0.3%Improving
Residents who lost too much weight
0.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.2%Improving
Residents whose ability to walk got worse
18.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
23%Improving
Short-stay residents newly given an antipsychotic
1.8%Improving
Residents with a long-term catheter
2.5%Improving
Residents with new or worsening incontinence
19.3%Improving
Residents with depressive symptoms
3.6%Improving
Long-stay residents given the seasonal flu vaccine
97.7%Steady
Long-stay residents given the pneumonia vaccine
94%Improving
Short-stay residents given the seasonal flu vaccine
73.1%Steady
Short-stay residents given the pneumonia vaccine
81.6%Improving
What the inspectors found
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 842 — 42 CFR §483.70 — S/S: E
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 June 2024 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited August 2023 — limited pattern, potential for harm.
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F-Tag 607 — 42 CFR §483.12 — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2023 — limited pattern, potential for harm.
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F-Tag 609 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $5,324 in total fines.
- $5,324
Federal fine
Jul 3, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 92.9 residents on an average day (46% of 204 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.