Inspection Reports for The Peaks, A Senior Living Community
3150 N Winding Brook Rd, Flagstaff, AZ 86001, United States, AZ, 86001
Back to Facility ProfileInspection Report Summary
The most recent inspection on November 3, 2025 found no deficiencies during the complaint investigation. Earlier inspections showed a pattern of deficiencies primarily related to resident service plans, medication assistance, staff training, and safety measures such as securing oxygen cylinders and conducting disaster drills. Enforcement actions occurred in 2024 and 2023, resulting in fines totaling $2,750, with no license suspensions or immediate jeopardy noted. Most complaint investigations were unsubstantiated, and no substantiated complaints with significant findings were reported. The facility’s record shows improvement over time, with recent inspections consistently free of deficiencies.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
8.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
124% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Date: Nov 3, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint 00149560 conducted on November 4, 2025.
Findings
No deficiencies were found during the on-site investigation of complaint 00149560 conducted on November 4, 2025.
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Date: Jun 9, 2025
Visit Reason
No deficiencies were found during the on-site investigation of multiple complaints conducted on June 9 and 10, 2025.
Findings
No deficiencies were found during the on-site investigation of multiple complaints conducted on June 9 and 10, 2025.
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Date: May 29, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00129762 and 00131960 conducted on May 29, 2025.
Findings
No deficiencies were found during the on-site investigation of complaints 00129762 and 00131960 conducted on May 29, 2025.
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Date: Mar 17, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint 00122834 conducted on March 17, 2025.
Findings
No deficiencies were found during the on-site investigation of complaint 00122834 conducted on March 17, 2025.
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Date: Jan 16, 2025
Visit Reason
No deficiencies were found during the investigation of complaints AZ00220752, AZ00220256, and AZ00221414 conducted on January 16, 2025.
Findings
No deficiencies were found during the investigation of complaints AZ00220752, AZ00220256, and AZ00221414 conducted on January 16, 2025.
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 1
Date: Dec 12, 2024
Visit Reason
One deficiency was found during the investigation of complaints AZ00220208, AZ00220176, and AZ00220210 conducted on December 12, 2024.
Findings
One deficiency was found during the investigation of complaints AZ00220208, AZ00220176, and AZ00220210 conducted on December 12, 2024.
Deficiencies (1)
C. If an assisted living facility provides assistance in the self-administration of medication, a manager shall ensure compliance with orders
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Date: Nov 26, 2024
Visit Reason
No deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00219330 and AZ00219373 conducted on November 26, 2024.
Findings
No deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00219330 and AZ00219373 conducted on November 26, 2024.
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 3
Date: Nov 18, 2024
Visit Reason
Three deficiencies were found during the investigation of complaints AZ00185327, AZ00216185, AZ00218387, and AZ00218805 conducted on November 18, 2024.
Findings
Three deficiencies were found during the investigation of complaints AZ00185327, AZ00216185, AZ00218387, and AZ00218805 conducted on November 18, 2024.
Deficiencies (3)
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that includes required elements
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that is reviewed and updated based on changes
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that is signed and dated by resident or representative
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Date: Aug 28, 2024
Visit Reason
An on-site investigation of complaint AZ00215197 and AZ00215073 was conducted on August 28, 2024 and no deficiencies were cited.
Findings
An on-site investigation of complaint AZ00215197 and AZ00215073 was conducted on August 28, 2024 and no deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 1
Date: Jun 11, 2024
Visit Reason
One deficiency was found during the investigation of complaint AZ00210955 conducted on June 11, 2024.
Findings
One deficiency was found during the investigation of complaint AZ00210955 conducted on June 11, 2024.
Deficiencies (1)
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that is reviewed and updated based on changes
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 1
Date: Apr 29, 2024
Visit Reason
One deficiency was found during the investigation of complaints AZ00208210 and AZ00209181 conducted on April 29, 2024.
Findings
One deficiency was found during the investigation of complaints AZ00208210 and AZ00209181 conducted on April 29, 2024.
Deficiencies (1)
B. A manager shall ensure that a resident is treated with dignity, respect, and consideration
Enforcement Action
Enforcement
Fines: 1
Total: $1,750.00
Date: Jan 30, 2024
Summary
A fine of $1,750.00 was imposed and has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,750.00 | Enforcement action fine | Paid |
Enforcement Action
Enforcement
Fines: 6
Total: $1,750.00
Date: Jan 2, 2024
Summary
The facility was found to have multiple repeat deficiencies from a prior compliance inspection, leading to civil fines totaling $1,750. The licensee agreed to pay the fines and comply with corrective actions to avoid further enforcement.
Fines & Penalties (6)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Location of Department inspection reports was not conspicuously posted. | — |
| $500.00 | One employee's CPR and first aid training was expired. | — |
| $250.00 | Two residents' service plans did not include how medications would be stored and controlled in the residents' bedrooms. | — |
| $250.00 | The manager failed to ensure that the facility had a current toxicology reference guide. | — |
| $250.00 | Employee disaster drills were not conducted on each shift at least once every three months. | — |
| $250.00 | Oxygen cylinders were observed unsecured. | — |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 12
Date: Jan 2, 2024
Visit Reason
Twelve deficiencies were found during the compliance inspection and investigation of complaint AZ00203700 conducted on January 2, 2024.
Findings
Twelve deficiencies were found during the compliance inspection and investigation of complaint AZ00203700 conducted on January 2, 2024.
Deficiencies (12)
36-420.04. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document
D. A manager shall ensure conspicuous posting of the location of the most recent Department inspection report and plan of correction
A. A manager shall ensure personnel records contain required documentation including tuberculosis screening and caregiver training
A. A manager shall ensure that before providing assisted living services, caregivers provide current documentation
A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that includes required elements
C. A manager shall ensure that a resident's medical record contains documentation of notification of vaccination availability
D. A manager shall ensure that a current toxicology reference guide is available for use by personnel members
A. A manager shall ensure that a disaster drill for employees is conducted on each shift at least once every three months and documented
A. A manager shall ensure that an evacuation drill for employees and residents is conducted at least once every six months
A. A manager shall ensure that oxygen containers are secured in an upright position
R9-10-113. Tuberculosis Screening and infection control requirements
Enforcement Action
Enforcement
Fines: 1
Total: $1,250.00
Date: Mar 28, 2023
Summary
The enforcement action resulted in a fine of $1,250.00 which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,250.00 | Enforcement action fine | Paid |
Inspection Report
Annual Inspection
Capacity: 92
Deficiencies: 14
Date: Feb 23, 2023
Visit Reason
Fourteen deficiencies were found during the on-site compliance inspection conducted on February 23, 2023.
Findings
Fourteen deficiencies were found during the on-site compliance inspection conducted on February 23, 2023.
Deficiencies (14)
36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition
A. A governing authority shall ensure compliance with fingerprint clearance requirements
D. A manager shall ensure that a current list of resident rights is conspicuously posted
D. A manager shall ensure conspicuous posting of the location of the most recent Department inspection report and plan of correction
A. A manager shall ensure that before providing assisted living services, caregivers provide current documentation
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that includes required elements
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that is reviewed and updated based on changes
B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident without required medical statements
D. A manager shall ensure that a current toxicology reference guide is available for use by personnel members
A. A manager shall ensure documentation of disaster plan review includes participant names and dates
A. A manager shall ensure that a disaster drill for employees is conducted on each shift at least once every three months and documented
A. A manager shall ensure that documentation of each evacuation drill is created and maintained
A. A manager shall ensure that oxygen containers are secured in an upright position
B. If a swimming pool is located on the premises, a manager shall ensure water quality testing on days residents use the pool
Enforcement Action
Enforcement
Fines: 3
Total: $1,250.00
Date: Feb 23, 2023
Summary
The facility was found to have multiple deficiencies including expired fingerprint clearance cards, inadequate first aid training documentation, and missing fall prevention training, resulting in civil fines totaling $1250.
Fines & Penalties (3)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Expired fingerprint clearance cards for two employees; enforcement only for one employee due to hire dates. | — |
| $500.00 | One employee had no documentation of first aid training and one employee's first aid training was expired. | — |
| $250.00 | Two employees did not have fall prevention and recovery training; repeat deficiency from prior complaint investigation. | — |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 1
Date: Nov 29, 2022
Visit Reason
One deficiency was found during the on-site complaint investigation for complaint AZ00186787 conducted on November 29, 2022.
Findings
One deficiency was found during the on-site complaint investigation for complaint AZ00186787 conducted on November 29, 2022.
Deficiencies (1)
A. A manager shall ensure that a caregiver provides documentation of completion of a caregiver training program approved by the Department
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