US Nursing Home Finder™: CITADEL CARE CENTER MESA AZ

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General Info of CITADEL CARE CENTER
Ratings Summary of CITADEL CARE CENTER
Nursing Home Staffing info of CITADEL CARE CENTER
Health Inspections of CITADEL CARE CENTER
Fire Safety Inspections of CITADEL CARE CENTER
Resident Complaints of CITADEL CARE CENTER
Quality Measures of CITADEL CARE CENTER

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General Information: CITADEL CARE CENTER
Nursing home name	CITADEL CARE CENTER
Address	5121 E BROADWAY RD MESA, AZ 85206
Phone number	(480) 832-5555
Located within a hospital	No
Type of ownership	For profit - Corporation
Owner operates multiple homes	Yes
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	128
Total number of residents	112
Perc of occupied beds	88
Sprinkler status	fully sprinklered
Last health survey date	04/16/2009
Fire survey date:	04/23/2009

Ratings Summary: CITADEL CARE CENTER
Overall rating	3 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	3 out of 5 stars
Health Inspections	2 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: CITADEL CARE CENTER
	National Average	CITADEL CARE CENTER
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	3 out of 5 stars
Total Number of Residents	94.2	112
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	2.26 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.66 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	1.6 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.66 hours

Health Inpections: CITADEL CARE CENTER
Inspection Results: 04/16/2009
Corrected	Category	Deficiency	Severity
06/01/2009	Administration Deficiencies	Get services outside the nursing home that meet professional standards.	D
06/01/2009	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	D
06/01/2009	Nutrition and Dietary Deficiencies	Make sure that the attending doctor orders special diets.	D
06/01/2009	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	D
06/01/2009	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	E
06/01/2009	Quality Care Deficiencies	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	D
06/01/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
06/01/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	E
06/01/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
06/01/2009	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
06/01/2009	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	D
Inspection Results: 04/24/2008
Corrected	Category	Deficiency	Severity
05/31/2008	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
05/31/2008	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	D
05/31/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
05/31/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	D
05/31/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
05/31/2008	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
Inspection Results: 04/12/2007
Corrected	Category	Deficiency	Severity
05/11/2007	Nutrition and Dietary Deficiencies	Make sure that the attending doctor orders special diets.	D
05/11/2007	Environmental Deficiencies	Have a program to keep infection from spreading.	D
05/11/2007	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	D
05/11/2007	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D
05/11/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
05/11/2007	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
05/11/2007	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
05/11/2007	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
05/11/2007	Environmental Deficiencies	Provide needed housekeeping and maintenance.	B
05/11/2007	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	B
05/11/2007	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	E
05/11/2007	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	D
05/11/2007	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	D

Fire Safety Inpections: CITADEL CARE CENTER
Inspection Results: 04/23/2009
Corrected	Category	Deficiency	Severity
05/19/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	C
05/19/2009	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	E
05/19/2009	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
Inspection Results: 04/29/2008
Corrected	Category	Deficiency	Severity
05/31/2008	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	D
05/31/2008	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	D
05/31/2008	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	C
05/31/2008	Electrical Deficiencies	weekly inspections and monthly testing of generators.	C
05/31/2008	Illumination and Emergency Power Deficiencies	properly located and lighted "Exit" signs.	E
05/31/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
05/31/2008	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D
05/31/2008	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	D
Inspection Results: 04/17/2007
Corrected	Category	Deficiency	Severity
05/04/2007	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	D
05/04/2007	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	D

Resident Complaints: CITADEL CARE CENTER
Date Complaint Substantiated: 10/06/2009
Corrected	Category	Deficiency	Severity
11/24/2009	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
11/24/2009	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
11/24/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	G
11/24/2009	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	D
11/24/2009	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	D
Date Complaint Substantiated: 10/20/2008
Corrected	Category	Deficiency	Severity
11/18/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
11/18/2008	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	E
11/18/2008	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
Date Complaint Substantiated: 08/27/2008
Corrected	Category	Deficiency	Severity
09/19/2008	Administration Deficiencies	Quickly tell the resident's doctor the results of lab tests.	D
	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	D
09/19/2008	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
09/19/2008	Resident Rights Deficiencies	Provide written records when a resident is transferred or discharged.	D
Date Complaint Substantiated: 08/01/2008
Corrected	Category	Deficiency	Severity
08/21/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
Date Complaint Substantiated: 11/16/2007
Corrected	Category	Deficiency	Severity
12/27/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D

Quality Measures: CITADEL CARE CENTER
Quality Measures	National Average	CITADEL CARE CENTER
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of low-risk long-stay residents who have pressure sores	2%	0%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	5%
Percent of long-stay residents whose need for help with daily activities has increased	14%	2%
Percent of long-stay residents who lose too much weight	8%	8%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	44%
Percent of long-stay residents who have moderate to severe pain	3%	11%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	2%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	9%
Percent of long-stay residents given influenza vaccination during the flu season	91%	56%
Percent of long-stay residents who had a urinary tract infection	9%	1%
Percent of long-stay residents who are more depressed or anxious	14%	5%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	49%
Percent of high-risk long-stay residents who have pressure sores	11%	10%
Percent of long-stay residents who were physically restrained	3%	0%
Short-Stay Residents
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	31%
Percent of short-stay residents given influenza vaccination during the flu season	83%	10%
Percent of short-stay residents who have pressure sores	13%	12%
Percent of short-stay residents who have delirium	2%	0%
Percent of short-stay residents who had moderate to severe pain	19%	17%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety