Citadel Post Acute — nursing home in Mesa, AZ

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 128 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 111.5 CMS, MDS-derived
CMS Certification Number: 035103
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 1, 1985
Ownership type: For profit - Corporation
Operator (legal business name): Higley Healthcare, Inc
CMS chain: The Ensign Group 347 facilities
Phone: (480) 832-5555
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jul 18, 2025

Citations

12

5 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E1	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 035103
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 128
First approved: Mar 1, 1985
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Arizona.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 18, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Feb 21, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Feb 21, 2025	Health	Health Standard	3	Potential harm	—	Open →
Apr 14, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Apr 14, 2023	Health	Health Standard	1	Potential harm	—	Open →
Feb 17, 2022	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Feb 17, 2022	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E1	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 18, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 28, 2025	Complaint
Feb 21, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 4, 2025
Feb 21, 2025	F-0761	Ensure 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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 4, 2025
Feb 21, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 4, 2025
Apr 14, 2023	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected May 19, 2023
Apr 14, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 19, 2023
Apr 14, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 19, 2023
Apr 14, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 19, 2023
Feb 17, 2022	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 9, 2022
Feb 17, 2022	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 9, 2022
Feb 17, 2022	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 9, 2022
Feb 17, 2022	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 9, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.4

Health inspectionsstate 2.8

Staffingstate 3

Quality measuresstate 4.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.59

State avg 4.08US avg 3.90

Registered nurse (RN)0.46

State avg 0.74US avg 0.69

Licensed practical nurse1.32

State avg 1.04US avg 0.86

Nurse aide1.82

State avg 2.30US avg 2.35

Weekend total nurse3.10

State avg 3.59US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.71 (case-mix index 1.36).

Staff turnover

Total nursing staff turnover39.7%

State avg 44.8%US avg 45.3%

Registered nurse turnover40.0%

State avg 44.2%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Feb 21, 2025
Cycle 1 health score: 12
Total weighted score: 11

Operating entity

Higley Healthcare, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

10

Organizations

1

Individuals

9

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Barry Port	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jun 23, 2025
Terry Speth	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 11, 2015
Terry Speth	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 11, 2015
Forrest Peterson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2019
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 25, 2015
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Chandler Monks	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2024
Ami Sato	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 9, 2024
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2015
Terry Speth	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 23, 2025

Same chain in Arizona

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Santa Rosa Care Center 1650 North Santa Rosa Avenue, Tucson, AZ 85712 CCN 035004Abuse icon	144	Feb 20, 2026	49	—
Desert Terrace Healthcare Center 2509 North 24th Street, Phoenix, AZ 85008 CCN 035014Abuse icon	108	Jun 25, 2026	29	—
Pueblo Springs Rehabilitation Center 5545 East Lee Street, Tucson, AZ 85712 CCN 035068	129	Aug 24, 2026	262 open	—
Casas Adobes Post Acute Rehab Center 1919 West Medical Street, Tucson, AZ 85704 CCN 035070Abuse icon	230	May 22, 2026	251 open	—
Mission Palms Post Acute 6461 East Baywood Avenue, Mesa, AZ 85206 CCN 035071	160	Aug 20, 2026	24	—
Phoenix Mountain Post Acute 13232 North Tatum Blvd, Phoenix, AZ 85032 CCN 035072	130	Nov 19, 2025	311 harm	$8,018
Osborn Health and Rehabilitation 3333 North Civic Center Plaza, Scottsdale, AZ 85251 CCN 035076	130	Jan 16, 2026	10	—
Heritage Court Post Acute of Scottsdale 3339 North Drinkwater Boulevard, Scottsdale, AZ 85251 CCN 035083Abuse icon	108	Jun 5, 2026	22	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 5121 East Broadway Road, Mesa, AZ 85206
ZIP: 85206
County: Maricopa County FIPS 04013
State: Arizona
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Desert Blossom Health & Rehab Center 60 South 58th Street, Mesa, AZ 85206 CCN 035164	1.1 km	106	Dec 16, 2025	131 harm1 open	$8,278
Montecito Post Acute Care and Rehabilitation 51 South 48th Street, Mesa, AZ 85206 CCN 035135	1.1 km	222	Sep 4, 2025	191 harm	$8,278
Advanced Healthcare of Mesa 5755 East Main Street, Mesa, AZ 85205 CCN 035266	1.2 km	38	Sep 5, 2025	12	—
Alta Mesa Health and Rehabilitation 5848 East University Drive, Mesa, AZ 85205 CCN 035171	1.9 km	70	Feb 27, 2026	6	—
Mi Casa Nursing Center 330 South Pinnule Circle, Mesa, AZ 85206 CCN 035120Abuse icon	1.9 km	180	Jul 20, 2026	411 harm	$14k
Mission Palms Post Acute 6461 East Baywood Avenue, Mesa, AZ 85206 CCN 035071	2.8 km	160	Aug 20, 2026	24	—
Sante of Mesa 5358 East Baseline Road, Mesa, AZ 85206 CCN 035280	3.2 km	70	Sep 4, 2025	13	—
Citrus Heights Respiratory and Rehabilitation 3130 East Broadway Road, Mesa, AZ 85204 CCN 035193	3.7 km	204	Mar 12, 2026	31	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	035103	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	035103	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 035103

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction