SeniorHomeViolations
B-
71/100

Citrus Heights Respiratory and Rehabilitation Inspection Report, Violations & Safety Grade (MESA, Arizona)

3130 EAST BROADWAY ROAD, MESA, Arizona 85204

Phone: 4809247777

CMS Overall:3/5

Overview & Bed Count

Certified Beds
204
Avg Residents/Day
116.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Maricopa
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health2/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityArizona AvgDifference
RN Hours per Resident per Day0.480.74-0.25
Total Nurse Hours per Resident per Day3.954.08-0.14
CMS Staffing Rating3/53/5-
Nursing Staff Turnover59.7%44.8%-

Health Citation History

23 health citations on record

DateCategoryDescriptionSeverity
2026-03-12Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.E – Moderate Harm Potential
2026-03-12Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2026-03-12Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2026-03-12Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2026-03-12Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2026-03-12Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2026-03-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2026-03-12Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-03-12Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2026-02-24Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-02-20Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-06-14Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-02-10Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE – Moderate Harm Potential
2023-02-10Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2023-02-10Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2023-02-10Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2023-02-10Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2023-02-10Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2023-02-10Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2023-02-10Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2023-02-10Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2023-02-10Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-02-10Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D – Moderate Harm Potential

Fire Safety Citation History

8 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-12Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2026-03-12Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-06-14Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.D – Moderate Harm Potential
2024-06-14Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.D – Moderate Harm Potential
2024-06-14Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.D – Moderate Harm Potential
2023-02-10Emergency Preparedness DeficienciesEstablish staff and initial training requirements.D – Moderate Harm Potential
2023-02-10Emergency Preparedness DeficienciesConduct testing and exercise requirements.D – Moderate Harm Potential
2023-02-10Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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