THE PEAKS HEALTH & REHABILITATION
3150 NORTH WINDING BROOK ROAD, FLAGSTAFF, AZ 86001 · CCN 035257
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Other
- Certified beds
- 58
- Avg residents/day
- 41.5
- Phone
- 9287747106
Inspection history vs Arizona & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Arizona avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-07 | 12 | 7.7 | 9.5 | +4.3 worse |
| 2 | 2023-09-22 | 2 | 7.2 | 9.8 | -5.2 better |
| 3 | 2022-08-11 | 14 | 8.6 | 9.3 | +5.4 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Pharmacy service | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.44 | 68.2% |
| RN staffing (reported) | 0.96 | 41.7% |
| Total nurse staffing (adjusted) | 4.36 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE GOODMAN GROUP
- Facilities in chain
- 10
- Chain avg overall
- 3.00 / 5
Inspection citations (28)1 actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-10 · Health · corrected 2025-09-05
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-29 · Health · corrected 2025-03-28
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- EF0761Ensure 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.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-11-07 · Health · corrected 2024-12-13
Potential for more than minimal harm
- EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-09-22 · Health · corrected 2023-11-15
Potential for more than minimal harm
- DF0578Honor 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.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
- BF0732Post nurse staffing information every day.2022-08-11 · Health · corrected 2022-10-15
Potential for minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
- GF0760Ensure that residents are free from significant medication errors.2022-08-11 · Health · corrected 2021-01-18
Actual harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
- DF0885Report COVID19 data to residents and families.2022-08-11 · Health · corrected 2022-10-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| NORTHERN ARIZONA HEALTHCARE CORPORATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 1997-12-24 |
| NORTHERN ARIZONA SENIOR LIVING COMMUNITY, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2017-02-15 |
| THE GOODMAN FAMILY OPERATING FOUNDATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-01-01 |
| NORTHERN ARIZONA HEALTHCARE CORPORATION | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1997-12-24 |
| NORTHERN ARIZONA SENIOR LIVING COMMUNITY, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-15 |
| BAVASI, CHRISTOPHER | Individual | CORPORATE DIRECTOR | — | 2015-11-18 |
| DAVISON, LISA | Individual | CORPORATE DIRECTOR | — | 2020-01-13 |
| LANSBURG, JACOB | Individual | CORPORATE DIRECTOR | — | 2020-05-27 |
| SALMEN, THOMAS | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| WILSON, MARK | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| BAVASI, CHRISTOPHER | Individual | CORPORATE OFFICER | — | 2015-11-18 |
| KNACKE, CLINTON | Individual | CORPORATE OFFICER | — | 2022-10-12 |
| EBEID, SADEK | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2020-09-16 |
| FARR, CAMERON | Individual | W-2 MANAGING EMPLOYEE | — | 2024-04-01 |
Other facilities in FLAGSTAFF
| Name | Overall | Beds |
|---|---|---|
| HAVEN OF FLAGSTAFF | ★★★☆☆ | 83 |
| ASPIRE TRANSITIONAL CARE | ★★★☆☆ | 50 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.