Inspection Reports for The Peaks, A Senior Living Community
3150 N Winding Brook Rd, Flagstaff, AZ 86001, United States, AZ, 86001
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 20
Nov 3, 2025
Visit Reason
State-compiled facility profile showing 14 inspections from 2022-11 to 2025-11 with deficiency history and complaint investigations.
Findings
Across all inspections, multiple complaint investigations and compliance inspections were conducted with a total of 33 deficiencies found. Several deficiencies involved failure to maintain required documentation, service plan issues, and failure to ensure resident dignity and safety. Some inspections found no deficiencies.
Complaint Details
Multiple complaint investigations were conducted, including complaints numbered 00149560, 00105359, 00105496, 00126039, 00132742, 00127189, 00127352, 00132760, 00132762, AZ00220752, AZ00220256, AZ00221414, AZ00220208, AZ00220176, AZ00220210, AZ00185327, AZ00216185, AZ00218387, AZ00218805, AZ00215197, AZ00215073, AZ00210955, AZ00208210, AZ00209181, AZ00203700, AZ00186787, and others as listed in the inspections.
Deficiencies (20)
| Description |
|---|
| C. If an assisted living facility provides assistance in the self-administration of medication, a manager shall ensure that: 4. Assistance in the self-administration of medication provided to a resident: a. Is in compliance with an order. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: b. The level of service the resident is expected to receive; |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: ii. At least once every six months for a resident receiving personal care services, and |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident's representative; b. The manager; c. If a review is required in subsection (A)(3)(d), the nurse or medical practitioner who reviewed the service plan; and d. If a review is required in subsection (A)(3)(e)(ii), the medical practitioner or behavioral health professional who reviewed the service plan. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: iii. At least once every three months for a resident receiving directed care services; and |
| B. A manager shall ensure that: 1. A resident is treated with dignity, respect, and consideration; |
| 36-420.04. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document C. Each assisted living center and assisted living home must maintain a standardized form for each resident that includes the information prescribed in subsection A of this section, except for the information prescribed in subsection A, paragraph 1 of this section, which shall be provided at the time the emergency responder is contacted. Each assisted living center and assisted living home shall periodically update this form for each resident as necessary. |
| D. A manager shall ensure that the following are conspicuously posted: 4. The location at which a copy of the most recent Department inspection report and any plan of correction resulting from the Department inspection may be viewed. |
| A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provides evidence of freedom from infectious tuberculosis: a. On or before the date the individual begins providing services at or on behalf of the assisted living facility, and b. As specified in R9-10-113; |
| A. A manager shall ensure that: 10. Before providing assisted living services to a resident, a manager or caregiver provides current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults. |
| A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: 1. Before or within seven calendar days after the resident's date of occupancy, and 2. As specified in R9-10-113. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: f. For a resident who will be storing medication in the resident's bedroom or residential unit, how the medication will be stored and controlled; |
| C. A manager shall ensure that a resident's medical record contains: 17. Documentation of notification of the resident of the availability of vaccination for influenza and pneumonia, according to A.R.S. § 36-406(1)(d); |
| D. A manager shall ensure that: 2. A current toxicology reference guide is available for use by personnel members. |
| A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented; |
| A. A manager shall ensure that: 5. An evacuation drill for employees and residents: a. Is conducted at least once every six months; and |
| A. A manager shall ensure that: 10. Oxygen containers are secured in an upright position; |
| R9-10-113. Tuberculosis Screening A. If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that: 2. Include: d. Annually assessing the health care institution's risk of exposure to infectious tuberculosis; |
| B. If a swimming pool is located on the premises, a manager shall ensure that: 1. On a day that a resident uses the swimming pool, an employee: a. Tests the swimming pool's water quality at least once for compliance with one of the following chemical disinfection standards: i. A free chlorine residual between 1.0 and 3.0 ppm as measured by the N, N-Diethyl-p-phenylenediamine test; ii. A free bromine residual between 2.0 and 4.0 ppm as measured by the N, N-Diethyl-p-phenylenediamine test; or iii. An oxidation-reduction potential equal to or greater than 650 millivolts; and |
| A. A manager shall ensure that: 1. A caregiver: b. Provides documentation of: i. Completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers; |
Report Facts
Inspections on page: 14
Total deficiencies: 33
Complaint inspections: 13
Total capacity: 92
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Manager | Named in multiple findings related to service plans, documentation, and interviews acknowledging deficiencies |
| E2 | Manager Designee | Named in tuberculosis screening and dignity violation findings |
| E3 | Caregiver | Named in caregiver training deficiency and documentation findings |
| E5 | Named in oxygen cylinder and posting deficiencies |
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