Montecito Post Acute Care and Rehabilitation

Name: Montecito Post Acute Care and Rehabilitation
Address: 51 SOUTH 48TH STREET, Mesa, AZ, 85206, US
Telephone: 9494879500

51 South 48th Street, Mesa, AZ 85206 · Maricopa County · 222 certified beds · avg 202 residents/day · certified since Sep 17, 1986

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

3/5

Health inspection rating (on-site)

Serious findings on record

$8,278

Fines, last 3 years

3.26

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · May 20, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jun 13, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (18)

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
Sep 4, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 20, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 14, 2025	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 14, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Nov 22, 2023	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
Nov 22, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
Aug 18, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Aug 18, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 1, 2022	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 1, 2022	E · Potential for harm, repeated	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.
Jul 1, 2022	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.
Jul 1, 2022	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.
Jul 1, 2022	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Jul 1, 2022	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jul 1, 2022	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 1, 2022	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jul 1, 2022	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2022	9	0	E
2023	4	0	E
2025	5	1	G ▲

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)

1 fine totaling $8,278.

Date	Type	Amount / length
May 20, 2025	Fine	$8,278

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)	3.26	3.97	3.95	bottom 21% in Arizona; bottom 25% in the U.S.
Registered Nurse hours	0.95	0.69	0.69	top 16% in Arizona; top 18% in the U.S.
Weekend total nurse staffing	2.70	3.50	3.50	bottom 11% in Arizona; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.82	0.49	0.48	top 12% in Arizona; top 11% in the U.S.
Total nursing staff turnover (%)	34.2	45.2	45.8	top 16% in Arizona; top 22% in the U.S.
RN turnover (%)	17.6	43.6	42.9	top 11% in Arizona; top 11% 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 4.21, RN 1.23, weekend 3.48. Staffing rating: 4/5.

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: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bobba, Dheeraj	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/01/2015
Bobba, Dheeraj	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2015
Bobba, Dheeraj	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2015
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	10/01/2006
Cooper, Karl	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/01/2018
Cooper, Karl	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2018
Cooper, Karl	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2018
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2003
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Peterson, Forrest	Individual	Corporate Director	NOT APPLICABLE	01/01/2019
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/29/2025

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"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
Citadel Post Acute	0.7 mi	Mesa, AZ	★★★★★	5/5
Desert Blossom Health & Rehab Center	1.1 mi	Mesa, AZ	★★★★★	4/5
Advanced Healthcare of Mesa	1.2 mi	Mesa, AZ	★★★★★	5/5
Alta Mesa Health and Rehabilitation	1.3 mi	Mesa, AZ	★★★★★	5/5
Mi Casa Nursing Center	1.8 mi	Mesa, AZ	★★★☆☆	2/5	abuse
Citrus Heights Respiratory and Rehabilitation	1.8 mi	Mesa, AZ	★★★☆☆	2/5
Mission Palms Post Acute	2.3 mi	Mesa, AZ	★★★★☆	3/5
Sante of Mesa	2.5 mi	Mesa, AZ	★★★★★	5/5
Springdale Village Post Acute	3.5 mi	Mesa, AZ	★★★☆☆	2/5
Sandridge Post Acute	6.5 mi	Mesa, AZ	★★★☆☆	2/5
Wellsprings of Gilbert	8.6 mi	Gilbert, AZ	★★★★★	5/5
Friendship Village of Tempe	8.8 mi	Tempe, AZ	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Mesa →

Facility data as of CMS processing date 2026-08-01. CCN 035135.

The Care File

Visit checklist — Montecito Post Acute Care and Rehabilitation

51 South 48th Street, Mesa, AZ 85206 · 9494879500

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $8,278

Most serious findings on record:

▲ May 20, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "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 035135 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)