The Peaks Health & Rehabilitation

3150 North Winding Brook Road · Flagstaff, AZ · 86001 · 9287747106

58 certified beds Non profit - Other Chain: The Goodman Group Part of a CCRC

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

65% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 57
Serious harm & abuse 20% 94
Staffing 20% 81
Federal penalties 15% 100
Trend 10% 20
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.593.48 min · 4.1 strong
RN hours / resident-day0.950.55–0.75
Weekend hours / resident-day4.10≈ weekday level
Nursing turnover / year65%median 45%
Fines (3-yr window)none

Inspection citations (28 in the current record)

  • Potential for harm · D July 10, 2025 · found via complaint

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

    Corrected September 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 29, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2024

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

    Corrected December 13, 2024 · Resident Rights

  • Potential for harm · D November 7, 2024

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

    Corrected December 13, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2024

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

    Corrected December 13, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E November 7, 2024

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

    Corrected December 13, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2024

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

    Corrected December 13, 2024 · Pharmacy Service

  • Potential for harm · E November 7, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected December 13, 2024 · Pharmacy Service

  • Potential for harm · E November 7, 2024

    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.

    Corrected December 13, 2024 · Pharmacy Service

  • Potential for harm · D November 7, 2024

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

    Corrected December 13, 2024 · Infection Control

  • Potential for harm · D November 7, 2024 · found via complaint

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

    Corrected December 13, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 7, 2024 · found via complaint

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

    Corrected December 13, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 7, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 13, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E September 22, 2023 · found via complaint

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

    Corrected November 15, 2023 · Nursing and Physician Services

  • Actual harm · G August 11, 2022

    Ensure that residents are free from significant medication errors.

    Corrected January 18, 2021 · Pharmacy Service

  • Potential for harm · D August 11, 2022

    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.

    Corrected October 15, 2022 · Resident Rights

  • Potential for harm · D August 11, 2022

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

    Corrected October 15, 2022 · Resident Rights

  • Potential for harm · D August 11, 2022

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

    Corrected October 15, 2022 · Resident Rights

  • Potential for harm · E August 11, 2022

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

    Corrected October 15, 2022 · Resident Rights

  • Potential for harm · D August 11, 2022

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

    Corrected October 15, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D August 11, 2022

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

    Corrected October 15, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D August 11, 2022

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected October 15, 2022 · Quality of Life and Care

  • Potential for harm · D August 11, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 15, 2022 · Quality of Life and Care

  • Potential for harm · D August 11, 2022

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected October 15, 2022 · Pharmacy Service

  • Potential for harm · D August 11, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 15, 2022 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 035257 · certified since May 3, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.