Citrus Heights Respiratory and Rehabilitation

Name: Citrus Heights Respiratory and Rehabilitation
Address: 3130 EAST BROADWAY ROAD, Mesa, AZ, 85204, US
Telephone: 4809247777

3130 East Broadway Road, Mesa, AZ 85204 · Maricopa County · 204 certified beds · avg 104 residents/day · certified since Feb 15, 1989

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.54

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (26)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 12, 2026	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Mar 12, 2026	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Mar 12, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Mar 12, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Mar 12, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Mar 12, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Mar 12, 2026	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 12, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 12, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Feb 24, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Feb 20, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jun 14, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 17, 2023	E · Potential for harm, repeated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Aug 17, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Aug 17, 2023	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 10, 2023	E · Potential for harm, repeated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 10, 2023	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 10, 2023	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 10, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 10, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Feb 10, 2023	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 10, 2023	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 5).

Year	Citations	Worst severity that year
2023	14	E
2024	1	E
2025	1	D
2026	10	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Arizona avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.54	3.97	3.95	bottom 40% in Arizona; bottom 39% in the U.S.
Registered Nurse hours	0.38	0.69	0.69	bottom 10% in Arizona; bottom 20% in the U.S.
Weekend total nurse staffing	3.12	3.50	3.50	bottom 38% in Arizona; bottom 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.20	0.49	0.48	bottom 10% in Arizona; bottom 12% in the U.S.
Total nursing staff turnover (%)	57.0	45.2	45.8	bottom 20% in Arizona; bottom 21% in the U.S.
RN turnover (%)	25.0	43.6	42.9	top 16% in Arizona; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.88, RN 0.42, weekend 3.42. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	07/22/2024
Monks, Chandler	Individual	Corporate Officer	NOT APPLICABLE	07/22/2024
Nandipati, Harish	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/01/2025
Nandipati, Harish	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2025
Nandipati, Harish	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2025
Peterson, Forrest	Individual	Corporate Officer	NOT APPLICABLE	07/22/2024
Sato, Ami	Individual	Corporate Officer	NOT APPLICABLE	09/09/2024
Sessions, Troy	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/01/2025
Sessions, Troy	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2025
Sessions, Troy	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Montecito Post Acute Care and Rehabilitation	1.8 mi	Mesa, AZ	★★★★☆	3/5
Citadel Post Acute	2.3 mi	Mesa, AZ	★★★★★	5/5
Desert Blossom Health & Rehab Center	2.9 mi	Mesa, AZ	★★★★★	4/5
Advanced Healthcare of Mesa	2.9 mi	Mesa, AZ	★★★★★	5/5
Sante of Mesa	3.1 mi	Mesa, AZ	★★★★★	5/5
Alta Mesa Health and Rehabilitation	3.1 mi	Mesa, AZ	★★★★★	5/5
Mi Casa Nursing Center	3.5 mi	Mesa, AZ	★★★☆☆	2/5	abuse
Mission Palms Post Acute	4.0 mi	Mesa, AZ	★★★★☆	3/5
Sandridge Post Acute	5.0 mi	Mesa, AZ	★★★☆☆	2/5
Springdale Village Post Acute	5.2 mi	Mesa, AZ	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Mesa →

Facility data as of CMS processing date 2026-08-01. CCN 035193.

The Care File

Visit checklist — Citrus Heights Respiratory and Rehabilitation

3130 East Broadway Road, Mesa, AZ 85204 · 4809247777

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 035193 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)