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Complaint Investigation

Desert Peak Care Center

February 23, 2026 · Phoenix, AZ · 8825 South 7th Street
Citations 1
CMS Rating 1/5
Beds 194
Provider ID 035175
Healthcare Facility
Desert Peak Care Center
Phoenix, AZ  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

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

FF0657
Resident Assessment and Care Planning Deficiencies

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.

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.


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About This Inspection Report

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.