Arizona › Coconino County › Flagstaff
The Peaks Health & Rehabilitation
3150 North Winding Brook Road, Flagstaff, AZ 86001
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
The Peaks Health & Rehabilitation is a Non-profit, other nursing home in Flagstaff, Arizona, certified for 58 beds and caring for about 42 residents a day.
CMS gives it 2 of 5 stars overall, below the Arizona median of 3; the health inspection rating is 2, staffing 4 and quality measures 4.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (11, 3, 14 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 48.3 per 100 beds, more than the state median of 18.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.5 hours per resident per day (1.1 RN), close to the Arizona median of 3.8; nursing staff turnover is 58.6%.
Compared with county, state and nation
| Measure | This facility | Coconino Co. median | Arizona median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 28 | 20 | 28.7 |
| Citations per 100 beds | 48.3 | 44.6 | 18.4 | 26.8 |
| Total nurse hours per resident day | 4.5 | 4.2 | 3.8 | 3.9 |
| RN hours per resident day | 1.1 | 1.1 | 0.6 | 0.7 |
| Nursing staff turnover | 58.6% | 50.7% | 46.3% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (4 in the county, 140 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Arizona average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Nov 2024, 22 Sep 2023.
Severity mix: G ×1 D ×20 E ×6 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Sep 2025 |
| 29 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 28 Mar 2025 |
| 7 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 13 Dec 2024 |
| 7 Nov 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 13 Dec 2024 |
| 7 Nov 2024 | F0761 | 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. | E | Standard survey | 13 Dec 2024 |
| 7 Nov 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 13 Dec 2024 |
| 7 Nov 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 13 Dec 2024 |
| 7 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Dec 2024 |
| 7 Nov 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Dec 2024 |
| 7 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Dec 2024 |
| 7 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Dec 2024 |
| 7 Nov 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 13 Dec 2024 |
| 7 Nov 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 13 Dec 2024 |
| 22 Sep 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint investigation | 15 Nov 2023 |
| 11 Aug 2022 | F0760 | Ensure that residents are free from significant medication errors. | G | Standard survey | 18 Jan 2021 |
| 11 Aug 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0578 | 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. | D | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0885 | Report COVID19 data to residents and families. | D | Standard survey | 15 Oct 2022 |
| 11 Aug 2022 | F0732 | Post nurse staffing information every day. | B | Standard survey | 15 Oct 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Arizona average. Turnover: nursing staff 58.6%, RNs 50.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Arizona median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.9% | 8.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 1.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 0.6% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.4% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.9% | 7.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, other. Legal business name: Northern Arizona Senior Living Community, Llc. Chain: The Goodman Group (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Northern Arizona Healthcare Corporation | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 12/24/1997 |
| Northern Arizona Senior Living Community, LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 02/15/2017 |
| The Goodman Family Operating Foundation | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 01/01/2024 |
| Northern Arizona Healthcare Corporation | Operational/managerial control | NOT APPLICABLE | 12/24/1997 |
| Northern Arizona Senior Living Community, LLC | Operational/managerial control | NOT APPLICABLE | 02/15/2017 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Coconino County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aspire Transitional Care | Flagstaff | 50 | 4 | 3 | 4 | 19 | 38.0 | — | 21 Aug 2025 |
| Haven of Flagstaffabuse icon | Flagstaff | 83 | 3 | 2 | 3 | 24 | 28.9 | $13K | 22 Dec 2025 |
| Haven of Sedonaabuse iconSFF Candidate | Sedona | 112 | 2 | 1 | 2 | 50 | 44.6 | — | 20 May 2026 |
All 4 facilities in Coconino County
Questions and answers
How many deficiencies has The Peaks Health & Rehabilitation been cited for?
28 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Arizona median is 20 per facility.
Has The Peaks Health & Rehabilitation been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The Peaks Health & Rehabilitation compare?
Reported total nurse staffing is 4.5 hours per resident per day against a Arizona median of 3.8 and a national average of 3.9.
Who operates The Peaks Health & Rehabilitation?
It is part of the The Goodman Group chain. Ownership type is non-profit, other. Organisations in the CMS ownership record include Northern Arizona Healthcare Corporation, Northern Arizona Senior Living Community, LLC and The Goodman Family Operating Foundation. Individual owners and managers are not listed on this site.
When was The Peaks Health & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 10 Jul 2025; the most recent standard health survey was 7 Nov 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.