Federal Nursing-Home Survey Record
THE PEAKS HEALTH & REHABILITATION
Does THE PEAKS HEALTH & REHABILITATION have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), THE PEAKS HEALTH & REHABILITATION (CCN 035257), in FLAGSTAFF, AZ, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 12 deficiencies; the most serious carries scope/severity E on CMS's A–L scale. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.
Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.
Scope & Severity — current cycle
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 2 · CMS state average: 3.4
Deficiency timeline — full federal history
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure medication error rates are not 5 percent or greater.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Allow residents to self-administer drugs if determined clinically appropriate.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Ensure that residents are free from significant medication errors.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Plan the resident's discharge to meet the resident's goals and needs.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Report COVID19 data to residents and families.
Post nurse staffing information every day.
Document what happened
Were you or a loved one harmed at THE PEAKS HEALTH & REHABILITATION?
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Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.