THE PEAKS HEALTH & REHABILITATION
THE PEAKS HEALTH & REHABILITATION is a 58-bed nursing home in FLAGSTAFF, Arizona. CMS has certified it for Medicare and Medicaid since 2000-05-03. It averages 41.5 residents a day.
What harm was found in the violations cited at THE PEAKS HEALTH & REHABILITATION?
CMS lists 28 health-inspection deficiencies for THE PEAKS HEALTH & REHABILITATION since 2022-08-11, 14 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-07-10.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-07-10 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-01-29 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-11-07 | F0658, F0759, F0761 | Ensure services provided by the nursing facility meet professional standards of quality. / Ensure medication error rates are not 5 percent or greater. / 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. | E |
| 2024-11-07 | F0554, F0607, F0609, F0610, F0656, F0657, F0755, F0883 | Allow residents to self-administer drugs if determined clinically appropriate. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2023-09-22 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2022-08-11 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2022-08-11 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E |
| 2022-08-11 | F0578, F0580, F0582, F0658, F0660, F0677, F0684, F0757, F0812, F0825, F0885 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Ensure services provided by the nursing facility meet professional standards of quality. / Plan the resident's discharge to meet the resident's goals and needs. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide or get specialized rehabilitative services as required for a resident. / Report COVID19 data to residents and families. | D |
| 2022-08-11 | F0732 | Post nurse staffing information every day. | B |
How is THE PEAKS HEALTH & REHABILITATION staffed?
| Measure | This facility | AZ average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.52442 | 3.97147 |
| Total nursing staff turnover (%) | 58.6 | 45.1 |
| Average number of residents per day | 41.5 | 88.1 |
Who owns THE PEAKS HEALTH & REHABILITATION, and what chain is it in?
THE PEAKS HEALTH & REHABILITATION is registered with CMS as Non profit - Other, operates under the legal business name NORTHERN ARIZONA SENIOR LIVING COMMUNITY, LLC and belongs to the THE GOODMAN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | NORTHERN ARIZONA HEALTHCARE CORPORATION, NORTHERN ARIZONA SENIOR LIVING COMMUNITY, LLC, THE GOODMAN FAMILY OPERATING FOUNDATION | since 01/01/2024 |
| CONTRACTED MANAGING EMPLOYEE | EBEID, SADEK | since 09/16/2020 |
| W-2 MANAGING EMPLOYEE | FARR, CAMERON | since 04/01/2024 |
| CORPORATE DIRECTOR | BAVASI, CHRISTOPHER, DAVISON, LISA, LANSBURG, JACOB, SALMEN, THOMAS, WILSON, MARK | since 01/01/2024 |
| CORPORATE OFFICER | BAVASI, CHRISTOPHER, KNACKE, CLINTON | since 10/12/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | NORTHERN ARIZONA HEALTHCARE CORPORATION, NORTHERN ARIZONA SENIOR LIVING COMMUNITY, LLC | since 02/15/2017 |
Were you or a family member harmed at THE PEAKS HEALTH & REHABILITATION?