Nursing homeActive

The Peaks Health & Rehabilitation

3150 North Winding Brook Road, Flagstaff, AZ 86001928774710658 certified beds · 42 residentsNon profit - OtherMedicare and Medicaid
Surveys on file
5
since 2022
Deficiencies
28
1261
Penalties · 3 yrs
none on file
Last survey
2025-07-10
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Arizona Department of Health Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-07-10Complaint010CMS-2567 (Care Compare)
2025-01-29Complaint010CMS-2567 (Care Compare)
2024-11-07Standard0110CMS-2567 (Care Compare)
2023-09-22Standard010CMS-2567 (Care Compare)
2022-08-11Standard1121CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Arizona Department of Health Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-07-10Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 035257-20250710-F609
2025-01-29Complaint survey · 1 deficiencyOfficial report
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-28Record 035257-20250129-F842
2024-11-07Standard survey · 11 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 035257-20241107-F554
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 035257-20241107-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 035257-20241107-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 035257-20241107-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 035257-20241107-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 035257-20241107-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 035257-20241107-F658
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 035257-20241107-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 035257-20241107-F759
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 035257-20241107-F761
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 035257-20241107-F883
2023-09-22Standard survey · 1 deficiencyOfficial report
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 035257-20230922-F947
2022-08-11Standard survey · 14 deficienciesOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2021-01-18Record 035257-20220811-F760
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F578
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F580
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F582
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F623
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F658
F660Plan the resident's discharge to meet the resident's goals and needs.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F660
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F684
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F757
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F812
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F825
F885Report COVID19 data to residents and families.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-15Record 035257-20220811-F885
F732Post nurse staffing information every day.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2022-10-15Record 035257-20220811-F732

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.06
Facility
Arizona
National
Arizona 0.70 · National 0.69
Total nurse hours per resident day4.52
Facility
Arizona
National
Arizona 3.97 · National 3.86
Weekend total nurse hours4.01
Facility
Arizona
National
Arizona 3.50 · National 3.42
Total nursing staff turnover59%
Facility
Arizona
National
Arizona 45% · National 46%
Registered nurse turnover50%
Facility
Arizona
National
Arizona 44% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityArizonaNational
Percentage of long-stay residents with pressure ulcers
lower is better
7.4%4.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.7%2.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
15.9%10.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.8%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.3%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
7.9%10.7%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.5%5.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
21.7%21.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Northern Arizona Healthcare Corporation
Organization
5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Northern Arizona Senior Living Community, LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
The Goodman Family Operating Foundation
Organization
5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Northern Arizona Healthcare Corporation
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Northern Arizona Senior Living Community, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bavasi, Christopher
Individual
CORPORATE DIRECTORNOT APPLICABLE
Bavasi, Christopher
Individual
CORPORATE OFFICERNOT APPLICABLE
Davison, Lisa
Individual
CORPORATE DIRECTORNOT APPLICABLE
Ebeid, Sadek
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Farr, Cameron
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Knacke, Clinton
Individual
CORPORATE OFFICERNOT APPLICABLE
Lansburg, Jacob
Individual
CORPORATE DIRECTORNOT APPLICABLE
Salmen, Thomas
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wilson, Mark
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
The Goodman Group9 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Arizona.

No county cost figures on file for Coconino.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Aspire Transitional Care
Flagstaff
2.1 mi2025-08-210130
Haven Of Flagstaff
Flagstaff
3.5 mi2025-12-220181
Haven Of Sedona
Sedona
31.8 mi2026-05-201440
Haven Of Cottonwood
Cottonwood
40.2 mi2025-08-270310
Haven Of Camp Verde
Camp Verde
48.3 mi2026-06-290191
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01