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Citadel Post Acute

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About Citadel Post Acute

General Information

Legal Business NameHigley Healthcare, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 1, 1985 (32 years)
Capacity128
Residents84
Percent Occupied66%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Citadel Post Acute

Citadel Post Acute
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Arizona Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

April 27, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
ESomePotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint+InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmComplaint+InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth Inspection1) Hire only people with 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.

October 15, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

February 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

September 25, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint1) Hire only people with 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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Citadel Post Acute require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 40min
2hr 25min
ReportedExpected
CNA
1hr 10min
40min
ReportedExpected
LPN
1hr 10min
1hr 10min
ReportedExpected
RN
4hr 55min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.5%
98.5%
98.5%
98.5%
95.3%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.1%
73.4%
75.0%
81.8%
96.1%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
50.0%
57.1%
90.0%
57.4%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
25.0%
20.6%
17.9%
23.1%
22.5%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who received an antianxiety or hypnotic medication
8.3%
13.1%
11.4%
16.8%
18.0%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents whose ability to move independently worsened
13.0%
14.5%
14.8%
14.8%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who received an antipsychotic medication
10.9%
4.8%
10.7%
13.5%
13.4%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents whose need for help with daily activities has increased
34.7%
20.8%
16.8%
13.6%
9.3%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who self-report moderate to severe pain
3.7%
14.1%
11.1%
5.7%
6.6%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who lose too much weight
13.6%
8.2%
14.3%
10.9%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of high risk long-stay residents with pressure ulcers
0.0%
1.7%
0.0%
0.0%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who have depressive symptoms
5.5%
3.1%
1.9%
1.9%
3.7%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents with a urinary tract infection
3.6%
3.1%
3.6%
1.8%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
3.6%
0.0%
0.0%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.2%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

86.2%
83.9%
79.3%
79.5%
89.5%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.4%
84.9%
84.9%
84.8%
86.8%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
54.9%
57.3%
53.4%
51.0%
61.0%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents who made improvements in function
46.6%
42.3%
35.8%
38.7%
17.8%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents who self-report moderate to severe pain
2.0%
2.1%
1.5%
0.5%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents who newly received an antipsychotic medication
0.3%
0.3%
0.2%
0.0%
0.6%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents with pressure ulcers that are new or worsened