The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
DESERT PEAK CARE CENTER
PHOENIX, AZ · Medicare-certified · 194 beds
Needs attention
Abuse citationFor-profit
1 of 5 overall
Desert Peak Care Center in Phoenix has a 1-star overall rating, with a 1-star health inspection rating, recent fines of $64,873, and a recent abuse citation. Staffing is rated 4 stars and reported nurse staffing is 4.39 hours per resident per day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.3869 hrs/resident/day
Quality measures
Last inspection: February 23, 2026Penalties, last 24 months: $64,873recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3869.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 1.18
- Nurse aides
- 2.82
- Weekend nursing
- 4.03
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 71%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
51.5%Worsening
Residents with a fall causing major injury
2.5%Worsening
Residents with pressure ulcers (bedsores)
4.3%Improving
Residents with a urinary tract infection
0.9%Steady
Residents who lost too much weight
6.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.9%Worsening
Residents whose ability to walk got worse
11.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
16.3%Worsening
Short-stay residents newly given an antipsychotic
6.2%Steady
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
11.2%Worsening
Residents with depressive symptoms
0.2%Steady
Long-stay residents given the seasonal flu vaccine
98.6%Steady
Long-stay residents given the pneumonia vaccine
99.6%Steady
Short-stay residents given the seasonal flu vaccine
93.1%Steady
Short-stay residents given the pneumonia vaccine
90%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2025 — limited pattern, potential for harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: E
The home failed to provide a proper room for residents to eat and do activities, with enough space, lighting, air flow, and furniture. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 920 — 42 CFR §483.90 — S/S: E
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $27,277 was recorded.
- PENALTY
A federal fine of $37,596 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $64,873 in total fines · 1 payment denial.
- 43 days
Medicare/Medicaid payment denial
Jan 10, 2025
- $27,277
Federal fine
Jan 10, 2025
- $37,596
Federal fine
Jul 1, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 145.6 residents on an average day (75% of 194 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.