Desert Peak Care Center
DESERT PEAK CARE CENTER in PHOENIX, AZ — inspection on February 23, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
search for the resident inside and on the grounds of the facility, and expand as they need to, notify
She stated that all the Residents get screened for elopement upon admission, quarterly, or as needed.
sent him to the hospital after the first incident on December 04, 2025, and stated that it is not reflected on the care plan as one of the interventions.
She also stated that when resident #1 came back, there were no other interventions placed and no change in medication.
Staff #5 stated that the same event occurred on December 07, 2024, where Resident #1 was sent to the hospital and was seen by a psych provider.
She stated that these interventions were not reflected in the care plan either. On December 26, 2025 the resident climbed the fence with the supervision of staff and was sent to the hospital, but did not return to the facility.
She stated the interventions should have been implemented in the care plan, and she stated someone should have looked into and put them in there, but it was not there.
She stated that care plan not being updated can risk a resident not getting proper care.
The facility policy titled Care Plans, Comprehensive Person-Centered, last revised March 2022, revealed a comprehensive, person-centered care plan should include measurable objectives and timetables to meet the resident's physical, psychosocial, and functional needs, is developed and implemented for each resident.
Care plan interventions are chosen only after data gathering, proper sequencing of the events, careful consideration of the relationship between the resident's problem areas and their causes, and relevant clinical decision-making.
The interdisciplinary team reviews and updates the care plan when there has been a significant change in the resident's conditions and the desired outcome is not met.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.