Citadel Post Acute
Strong Medicare quality ratings; families often praise highly effective physical and occupational therapy. Still worth an in-person visit.
based on 418 Google reviews
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What this means for your family
This facility has a highly regarded physical therapy department, making it a potential option for short-term rehab, but the severe and recurring reports of poor hygiene and slow call-button response times are significant red flags. If you choose this facility, we strongly recommend visiting at different times of the day and night to observe staffing levels and cleanliness firsthand, and ensuring you have a clear plan for daily communication with the nursing staff.
Google Reviews
Google Reviews
418 reviews analyzed“Citadel Post Acute receives highly polarized feedback, with many families praising the physical therapy team for successful rehabilitation outcomes while others report severe concerns regarding basic hygiene, staffing ratios, and communication. While some visitors find the facility clean and the staff compassionate, a significant number of reviewers describe a neglected environment characterized by strong odors, slow response times to call buttons, and inconsistent medical care. Potential families should be aware that experiences here appear to vary drastically depending on the specific wing or shift.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Many staff members described as kind and professional
- Strong support for discharge planning and resource coordination
- Active engagement in daily activities and events
Concerns
- Unsanitary conditions and strong odors (urine/feces) (mentioned by 14 reviewers)
- Slow response times to call buttons (mentioned by 9 reviewers)
- Understaffing leading to neglect or lack of basic hygiene (mentioned by 11 reviewers)
- Poor communication and difficulty reaching staff by phone (mentioned by 7 reviewers)
- Poor food quality and inappropriate dietary choices (mentioned by 8 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the facility's strong reputation for physical and occupational therapy, how do you integrate those services into a resident's daily routine to ensure they stay active and engaged?
- 2I understand that maintaining a clean and comfortable environment is a priority; what specific protocols are in place to manage facility hygiene and address odor control throughout the day?
- 3With the current staffing levels, what is your internal process for monitoring call buttons to ensure that residents receive timely assistance when they need it most?
- 4Communication is very important to our family; what is the best way for us to reach the nursing team or administration if we have questions about our loved one's care?
- 5We noticed some feedback regarding dining experiences; could you walk us through how you manage dietary preferences and ensure that meals are both nutritious and appetizing for residents?
- 6In the event of a medical emergency, what is your protocol for stabilizing a resident and how quickly do you coordinate with local hospitals or family members?
Personalized based on this facility's data
Key Review Excerpts
“The physical therapy is great there. The type of gray on the walls in the patient rooms is depressing. The food is generally not appealing.”
“I couldn’t walk when I was admitted. The PT staff were awesome!! I’m walking out on my discharge day, only using a cane!”
“The downside is their CNAs or caregivers caring for the residents. Each is expcted to care for 10 to 16 patients. Patients have to wait up to an hour to be attended after pushing the call button.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
3
measures
4
measures
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
A family filed a complaint that led to a finding of abuse or neglect issues in 2025, which is concerning. The facility shows recurring problems with building safety systems (fire safety, electrical, ventilation) and has had issues with medication management and infection control. While all deficiencies were reportedly corrected, the pattern of repeated building safety violations and the recent serious complaint about resident protection warrant careful consideration during your visit.
Jul 18, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Feb 21, 2025Routine3
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 14, 2023Routine4
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Feb 17, 2022Routine4
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
State Inspection History
State Inspections
Source: AZ State Licensing Agency
Apr 1, 2026ComplaintCleanReport
Investigation of intake #00163902 was conducted on April 1, 2026. No deficiencies were cited.
Nov 12, 2025ComplaintCleanReport
The complaint investigation was conducted on November 12, 2025, with investigation of intakes:2654364. There were no deficiencies cited.
Oct 24, 2025ComplaintCleanReport
The complaint survey was conducted on October 24, 2025, with the investigation of intake #00147308. There were no deficiencies cited:
May 20, 2025ComplaintCleanReport
A complaint survey was conducted on May 20, 2025 for the investigation of intake #SF00131258. No deficiencies were cited.
May 8, 2025ComplaintCleanReport
A complaint survey was conducted on May 8, 2025 for the re-investigation of intake # AZ00193297. No deficiencies were cited.
May 5, 2025ComplaintCleanReport
An onsite complaint survey was conducted on May 5, 2025 for the investigation of intake # 00128307 and 00128547 . There were no deficiencies cited.
Mar 7, 2025ComplaintCleanReport
A complaint investigation was conducted on March 7, 2025 for intakes #00121563, 00120800. No deficiencies were cited.
Feb 18, 2025OtherCleanReport
No deficiencies found during this inspection.
Ownership & Operations
Who Operates This Facility
Citadel Post Acute
for profit
Chain Affiliation
The Ensign Group
329 facilities nationwide
Chain avg rating: 3.2/5 · Rank 66 of 328 (Best)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
418 reviews from families & visitors
Official Website
Visit citadelpostacute.com
Medicare data downloads
Original nursing home datasets
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