Citrus Heights Respiratory and Rehabilitation
Strong Medicare quality ratings; families often praise highly effective physical therapy team. Still worth an in-person visit.
based on 65 Google reviews
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What this means for your family
While the facility is frequently praised for its physical therapy and clean environment, the reports of patients being left in soiled conditions and ignored are deeply concerning. If you choose this facility, ensure you have a plan for frequent, unannounced visits to monitor your loved one's hygiene and responsiveness to their needs.
Google Reviews
Google Reviews
65 reviews on Google“Citrus Heights Respiratory and Rehabilitation receives high praise for its physical therapy team, clean facility, and recent management improvements. However, several families have reported critical concerns regarding basic hygiene, neglect, and understaffing, particularly for patients requiring complex respiratory care. Prospective families should weigh the positive reports of therapy success against these serious allegations of inconsistent care.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical therapy team
- Clean and well-maintained facility
- Welcoming and professional admissions staff
- Responsive to family involvement
Concerns
- Patients left in soiled conditions for extended periods (mentioned by 2 reviewers)
- Inadequate response to call lights (mentioned by 2 reviewers)
- Understaffing issues affecting patient care (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 66 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the facility's focus on physical therapy, how do you integrate those intensive sessions into the daily routine while ensuring residents have enough downtime for rest and social activities?
- 2I noticed the staffing rating is lower on the CMS report; what specific protocols do you have in place to ensure residents' hygiene needs are met promptly and consistently throughout the day?
- 3How does your team manage call light response times, and what is the process for escalating a request if a staff member is currently tied up with another resident?
- 4With medication management being a complex part of respiratory care, could you walk me through your process for ensuring accuracy and timely administration for new residents?
- 5I appreciate that your admissions team is so responsive; how do you maintain that same level of communication with families once their loved one has transitioned into full-time care?
- 6In the event of a sudden change in respiratory status or a medical emergency, what is your facility's protocol for notifying family members and coordinating with local hospitals?
Personalized based on this facility's data
Key Review Excerpts
“My Grandpa was brought here for their TCU Unit... Citrus Hights not only accommodated that, but went SO FAR ABOVE & BEYOND for our family, especially after a couple weeks in he was put on hospice and we spent almost 2 weeks going day to day, hour to hour, etc...”
“My mom has now had 5 separate times of being left in her feces for hours. She's also been yelled at by the nurses, and ignored for hours with her nurses light on.”
“What we experienced here was completely unacceptable on every level. There was no respiratory care, including a vent schedule, oxygen management, and general oversight.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose walking got worse
Residents needing more daily help over time
Residents who lost too much weight
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed six complaints against this facility, triggering investigations that found serious issues with resident protection from abuse and neglect on multiple occasions. The facility shows recurring problems in resident care planning, medication management, and safety protections, with abuse prevention deficiencies appearing across three separate complaint investigations. While all violations have reported correction dates, the pattern of repeated complaints and similar issues suggests ongoing challenges with quality oversight and resident safety.
Mar 12, 2026Complaint5
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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.
Feb 24, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Feb 20, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 14, 2024Routine4
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Aug 17, 2023Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jul 3, 2023Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Federal Penalties
Fine
Jul 3, 2023
$5,324
State Inspection History
State Inspections
Source: AZ State Licensing Agency
Oct 20, 2025ComplaintCleanReport
Investigation of intake # 2645741, and 2637013 was conducted on October 22, 2025. No deficiencies were cited.
Ownership & Operations
Who Operates This Facility
Citrus Heights Respiratory and Rehabilitation
for profit
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 1.7/5 · Rank 1 of 3 (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
65 reviews from families & visitors
Official Website
Visit citrusheightsrehab.com
Medicare data downloads
Original nursing home datasets
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