Nursing HomeInspections

The Peaks Health & Rehabilitation

Nursing home in Flagstaff, AZ

Medicare & Medicaid certified2★ overall (CMS)

Call (928) 774-7106Send a messageMap ↗

Public-record details

Address
3150 North Winding Brook Road, Flagstaff, AZ 86001
Phone
(928) 774-7106
Listed under
Nonprofit, No fines in 3 years, Part of a retirement community
Medicare CCN
035257
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
58
Average residents per day
42
Ownership
Nonprofit, other
Legal business name
Northern Arizona Senior Living Community, LLC
Chain
The Goodman Group (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 3, 2000
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 035257. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 7, 2024. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 11, 2022 to Jul 10, 2025): 6 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 10, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 29, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 7, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 7, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 7, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 7, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 7, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 7, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 7, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Nov 7, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
Nov 7, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Nov 7, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 28. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.52 hours
Registered nurse (RN) time per resident per day
1.06 hours
Nurse aide time per resident per day
2.88 hours
Total nurse staffing on weekends
4.01 hours
Nursing staff turnover (yearly)
59%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Flagstaff

Aspire Transitional Care1521 North Pine Cliff Drive · Flagstaff, AZ 86001 · (928) 440-2350 · Nonprofit19 health citations in 3 inspection cycles · last standard inspection Aug 21, 2025 · no CMS fines in 3 yrsMedicare-certified4★ overall (CMS)Haven of Flagstaff800 West University Avenue · Flagstaff, AZ 86001 · (928) 779-6931 · For-profit24 health citations in 3 inspection cycles · last standard inspection Mar 14, 2025 · $13,098 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)CMS abuse icon

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