Desert Peak Care Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
#150 responded, Yes, for the incident that happened on 11/16/25.Review of a policy revised in December 2016 titled Abuse Policy revealed a definition of abuse being the willful infliction of injury with resulting physical harm, pain, or mental anguish. The policy further revealed that as part of the residents' abuse prevention, administration would protect their residents from abuse by anyone including, but not necessarily limited to, facility staff, other residents, consultants, volunteers, staff from other agencies, family members, legal representatives, friends, visitors, or any other individual.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Desert Peak Care Center
8825 South 7th Street Phoenix, AZ 85042
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Note: The nursing home is disputing this citation.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Based on staff interviews, the facility failed to ensure that internal investigation documents were made available to the State Agency, as required, during the survey process. This failure impeded the State's ability to confirm the findings of the investigations and QAPI processes for an abuse allegation between residents (#1,#5,#10,#15 & #20).Findings Include:A formal written request for the incident reports involving residents #1,#5, #10, #15, and #20 were submitted to the facility on November 19, 2025.During an
interview conducted on November 20, 2025, at 1:18 PM, with the Administrator (Staff # 140) and Director of Nursing (DON / Staff #150), the Administrator stated that the facility's incident reports were internal PCC documents and for internal use only. The Administrator explained that these reports were not shared with surveyors or any outsiders, noting that their sister facilities also didn't show the incident reports and that this practice was standard in the industry.Staff #140 further elaborated that incident reports were used internally to keep track of stuff, to fix stuff, to be aware of stuff, but it was not something that they shared with outsiders. The Administrator adamantly stated, We cannot share those documents even for the Department of Health. The staff # 140 reported that the facility provided progress notes, care plans, and other clinical information, but not incident reports.During the same interview, the staff #150 corroborated staff #140's statement , stating she had to side with the Administrator on that one because it was an internal document, and confirmed that the facility did not provide incident reports to surveyors.A signed memorandum by Staff #140 dated November 19, 2025 stated that the facility considered incident reports to be internal documents and, as such, do not share those documents with anyone who was not an employee of their company.The policy titled Designated Record Set Policy and Procedure, revised in 2025, indicated that the facility would provide personal health records that excluded incident reports. Review of the State Operations Manual revised July 9, 2025 indicated that incident and accident reports, wound logs, infection control logs, and other reports or records used to track adverse events were not protected from disclosure and could be requested by surveyors.
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DESERT PEAK CARE CENTER in PHOENIX, AZ inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in PHOENIX, AZ, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from DESERT PEAK CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.