The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Montecito Post Acute Care and Rehabilitation
MESA, AZ · Medicare-certified · 222 beds
Needs attention
For-profitChain member
4 of 5 overall
Montecito Post Acute Care and Rehabilitation has an overall rating of 4 out of 5 stars, with strong quality measures (5 stars) and staffing (4 stars), but a middling health inspection rating (3 stars). It was recently fined $8,278 and has a recent federal penalty; reported nurse staffing is 4.20 hours per resident per day, just above the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
4.2038 hrs/resident/day
Quality measures
Last inspection: September 4, 2025Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2038.
Staffing detail
- Registered nurses
- 1.25
- Licensed practical nurses
- 0.87
- Nurse aides
- 2.09
- Weekend nursing
- 3.57
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 20%
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
4.4%0%Improving
Residents with a fall causing major injury
1.5%0.8%Improving
Residents with pressure ulcers (bedsores)
6.5%8.2%Worsening
Residents with a urinary tract infection
0%0.8%Worsening
Residents who lost too much weight
10.7%3.2%Improving
Residents who were physically restrained
3.1%3%No change
Residents needing more help with daily activities
2.1%1%Improving
Residents whose ability to walk got worse
—0%—
Long-stay residents on antianxiety or sleep medication
28.1%32.3%Worsening
Short-stay residents newly given an antipsychotic
0%0.4%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.1%15.5%Improving
Residents with depressive symptoms
11.3%1%Improving
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
—99.4%—
Long-stay residents given the pneumonia vaccine
99.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—98.8%—
Short-stay residents given the pneumonia vaccine
99.8%99.8%No change
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines.
- $8,278
Federal fine
May 20, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 197.1 residents on an average day (89% of 222 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 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.