Inspection Reports for Desert Peak Care Center
8825 S 7th St, Phoenix, AZ 85042, United States, AZ, 85042
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 18, 2025, cited three deficiencies related to policies and procedures for physical and behavioral health services, medical record documentation, and care planning. Earlier inspections showed a pattern of deficiencies involving care planning, abuse prevention, policies and procedures, and maintenance issues, with some surveys citing multiple deficiencies in these areas. Complaint investigations were mostly unsubstantiated, with no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. Prior reports noted issues with emergency preparedness, corridor doors, and smoke barriers, but the facility met Medicare Life Safety Code standards based on accepted plans of correction. The inspection history shows ongoing challenges in documentation and care planning, with no clear trend of overall improvement or worsening.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
14 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
278% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 3
Date: Mar 18, 2025
Visit Reason
A complaint investigation was conducted citing 3 deficiencies related to policies and procedures for physical and behavioral health services, medical record documentation, and care planning.
Findings
A complaint investigation was conducted citing 3 deficiencies related to policies and procedures for physical and behavioral health services, medical record documentation, and care planning.
Deficiencies (3)
R9-10-403.C — Policies and procedures for physical and behavioral health services
R9-10-411.C — Medical record documentation
R9-10-414.B — Care plan ensuring nursing care institution services
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Feb 20, 2025
Visit Reason
Complaint survey conducted with no deficiencies cited.
Findings
Complaint survey conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 2
Date: Feb 11, 2025
Visit Reason
Complaint survey conducted with 2 deficiencies cited related to abuse prevention and premises maintenance.
Findings
Complaint survey conducted with 2 deficiencies cited related to abuse prevention and premises maintenance.
Deficiencies (2)
R9-10-410.B — Abuse prevention and resident dignity
R9-10-425.A — Premises and equipment maintenance
Inspection Report
Capacity: 194
Deficiencies: 5
Date: Jan 23, 2025
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012; facility meets standards based on acceptance of plan of correction with 5 deficiencies cited related to emergency preparedness, corridor doors, smoke barriers, utilities, and electrical systems.
Findings
Recertification survey for Medicare under Life Safety Code 2012; facility meets standards based on acceptance of plan of correction with 5 deficiencies cited related to emergency preparedness, corridor doors, smoke barriers, utilities, and electrical systems.
Deficiencies (5)
Emergency preparedness testing and drills
Corridor doors maintenance
Smoke barrier construction and maintenance
Utilities - Gas and Electric Equipment maintenance
Electrical Systems - Essential Electric System Maintenance and Testing
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 4
Date: Jan 6, 2025
Visit Reason
State compliance survey with complaint investigations; 4 deficiencies cited related to policies and procedures, care planning, recreational activities, and care delivery.
Findings
State compliance survey with complaint investigations; 4 deficiencies cited related to policies and procedures, care planning, recreational activities, and care delivery.
Deficiencies (4)
R9-10-403.C — Policies and procedures for physical and behavioral health services
R9-10-403.C — Policies and procedures for physical and behavioral health services
R9-10-406.I — Designation of qualified individual for recreational activities
R9-10-414.B — Care plan ensuring nursing care institution services
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Nov 13, 2024
Visit Reason
Complaint investigations conducted with no deficiencies cited.
Findings
Complaint investigations conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 1
Date: Sep 12, 2024
Visit Reason
Onsite complaint survey citing 1 deficiency related to dietitian or director of food services ensuring proper diet administration.
Findings
Onsite complaint survey citing 1 deficiency related to dietitian or director of food services ensuring proper diet administration.
Deficiencies (1)
R9-10-423.B — Dietitian or director of food services ensuring proper diet
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Aug 29, 2024
Visit Reason
Complaint survey conducted with no deficiencies cited.
Findings
Complaint survey conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 1
Date: Aug 13, 2024
Visit Reason
Investigation of complaints citing 1 deficiency related to abuse prevention.
Findings
Investigation of complaints citing 1 deficiency related to abuse prevention.
Deficiencies (1)
R9-10-410.B — Abuse prevention and resident dignity
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 2
Date: Jul 1, 2024
Visit Reason
Complaint survey citing 2 deficiencies related to quality of care and care planning.
Findings
Complaint survey citing 2 deficiencies related to quality of care and care planning.
Deficiencies (2)
§ 483.25 — Quality of care
R9-10-414.B — Care plan ensuring nursing care institution services
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Mar 28, 2024
Visit Reason
Complaint survey conducted with no deficiencies cited.
Findings
Complaint survey conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Mar 15, 2024
Visit Reason
Complaint investigation with no deficiencies found.
Findings
Complaint investigation with no deficiencies found.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Nov 22, 2023
Visit Reason
Complaint survey conducted with no deficiencies cited.
Findings
Complaint survey conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Nov 6, 2023
Visit Reason
Complaint survey conducted with no deficiencies cited.
Findings
Complaint survey conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 19
Date: Oct 23, 2023
Visit Reason
State compliance survey with complaint investigations citing 23 deficiencies related to policies and procedures, abuse reporting, resident rights, infection control, pharmacy services, physical plant standards, and care planning.
Findings
State compliance survey with complaint investigations citing 23 deficiencies related to policies and procedures, abuse reporting, resident rights, infection control, pharmacy services, physical plant standards, and care planning.
Deficiencies (19)
R9-10-403.C — Policies and procedures for physical and behavioral health services
R9-10-403.F — Abuse reporting
§483.10(a) — Resident Rights to dignified existence and communication
§483.10(e)(3) — Right to reside and receive services with reasonable accommodation
§483.10(c)(6) — Right to request, refuse, or discontinue treatment
§483.12(c) — Response to allegations of abuse, neglect, exploitation, or mistreatment
§483.15(c)(3) — Notice before transfer or discharge
§483.15(d) — Notice of bed-hold policy and return
§483.20(k) — Preadmission Screening for mental disorder and intellectual disability
§ 483.25 — Quality of care
§483.45 — Pharmacy Services
§483.65 — Specialized rehabilitative services
R9-10-408.D — Discharge notification and follow-up
§483.80 — Infection Control
R9-10-410.B — Abuse prevention and resident dignity
R9-10-413.B — Medical director responsibilities for nursing care institution services
R9-10-414.B — Care plan ensuring nursing care institution services
R9-10-422 — Infection control policies and procedures
R9-10-426 — Physical Plant Standards
Inspection Report
Capacity: 194
Deficiencies: 1
Date: Oct 23, 2023
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012; facility meets standards based on acceptance of plan of correction with 1 deficiency cited related to corridor doors maintenance.
Findings
Recertification survey for Medicare under Life Safety Code 2012; facility meets standards based on acceptance of plan of correction with 1 deficiency cited related to corridor doors maintenance.
Deficiencies (1)
Corridor doors maintenance
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 4
Date: Aug 11, 2023
Visit Reason
Complaint investigation citing 4 deficiencies related to policies and procedures, quality of care, skin integrity, and care planning.
Findings
Complaint investigation citing 4 deficiencies related to policies and procedures, quality of care, skin integrity, and care planning.
Deficiencies (4)
R9-10-403.C — Policies and procedures for physical and behavioral health services
§ 483.25 — Quality of care
§483.25(b) — Skin Integrity
R9-10-414.B — Care plan ensuring nursing care institution services
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Jul 31, 2023
Visit Reason
Complaint investigation conducted with no deficiencies cited.
Findings
Complaint investigation conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Jun 15, 2023
Visit Reason
Complaint survey conducted with no deficiencies cited.
Findings
Complaint survey conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Jun 1, 2023
Visit Reason
Complaint survey conducted with no deficiencies noted.
Findings
Complaint survey conducted with no deficiencies noted.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Apr 24, 2023
Visit Reason
State compliance survey conducted with no deficiencies cited.
Findings
State compliance survey conducted with no deficiencies cited.
Inspection Report
Capacity: 194
Deficiencies: 0
Date: Apr 24, 2023
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012; facility meets standards with no deficiencies found.
Findings
Recertification survey for Medicare under Life Safety Code 2012; facility meets standards with no deficiencies found.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Mar 24, 2023
Visit Reason
State compliance survey conducted with no deficiencies cited.
Findings
State compliance survey conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Feb 23, 2023
Visit Reason
Investigation of complaints conducted with no deficiencies cited.
Findings
Investigation of complaints conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Feb 10, 2023
Visit Reason
Complaint survey conducted with no deficiencies cited.
Findings
Complaint survey conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 194
Deficiencies: 0
Date: Jan 4, 2023
Visit Reason
Complaint survey conducted with no deficiencies cited.
Findings
Complaint survey conducted with no deficiencies cited.
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