THE PEAKS HEALTH & REHABILITATION

3150 NORTH WINDING BROOK ROAD
FLAGSTAFF, AZ 86001

šŸ“ž 9287747106
Non profit - OtherTHE GOODMAN GROUP58 certified beds~42 residents/day

3150 NORTH WINDING BROOK ROAD, FLAGSTAFF, AZ

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CMS Five-Star Ratings

Source: CMS Provider Data Catalog. Ratings updated monthly.

Overall Rating

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Composite of health inspections, staffing, and quality measures

Health Inspections

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Based on results of onsite inspection surveys

Staffing

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Nurse staffing levels relative to resident census

Quality Measures

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Clinical quality metrics from resident assessments

Staffing Data

Higher staffing hours = better care outcomes. RN turnover over 40% is a warning sign.

Total Nurse Hours / Resident / Day

4.44 hrs

Recommended: 4.1+ hrs

RN Hours / Resident / Day

0.94 hrs

Recommended: 0.5+ hrs

RN Turnover Rate

42%

Warning if >40%

Total Nurse Turnover

68%

Warning if >50%

Inspection Deficiency Citations

Recent citations from CMS health inspections. Severity A–F = no resident harm. G–L = resident harm occurred.

F0609DAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Inspection: 2025-07-10Corrected: 2025-09-05
F0842EResident 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.

Inspection: 2025-01-29Corrected: 2025-03-28
F0554DResident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Inspection: 2024-11-07Corrected: 2024-12-13
F0656DResident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Inspection: 2024-11-07Corrected: 2024-12-13
F0657DResident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Inspection: 2024-11-07Corrected: 2024-12-13
F0658EResident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Inspection: 2024-11-07Corrected: 2024-12-13
F0755DPharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Inspection: 2024-11-07Corrected: 2024-12-13
F0759EPharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Inspection: 2024-11-07Corrected: 2024-12-13
F0761EPharmacy 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.

Inspection: 2024-11-07Corrected: 2024-12-13
F0883DInfection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Inspection: 2024-11-07Corrected: 2024-12-13
F0607DAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Inspection: 2024-11-07Corrected: 2024-12-13
F0609DAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Inspection: 2024-11-07Corrected: 2024-12-13
F0610DAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Inspection: 2024-11-07Corrected: 2024-12-13
F0947ENursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Inspection: 2023-09-22Corrected: 2023-11-15
F0578DResident Rights Deficiencies

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.

Inspection: 2022-08-11Corrected: 2022-10-15
F0580DResident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Inspection: 2022-08-11Corrected: 2022-10-15
F0582DResident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Inspection: 2022-08-11Corrected: 2022-10-15
F0623EResident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Inspection: 2022-08-11Corrected: 2022-10-15
F0658DResident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Inspection: 2022-08-11Corrected: 2022-10-15
F0660DResident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

Inspection: 2022-08-11Corrected: 2022-10-15

About This Data

All data is sourced directly from the CMS Provider Data Catalog (data.cms.gov) and updated every month. NursingHomeUSA receives no compensation from this facility.

CMS Provider Number (CCN): 035257

Medicare approved: 2000-05-03

Quick Facts

Certified beds58
Avg residents/day42
OwnershipNon profit - Other
ChainTHE GOODMAN GROUP
Abuse alertNo
Special Focus (SFF)No

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