All citations for The Peaks Health & Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to The Peaks Health & Rehabilitation

Last standard health inspection on record

February 12, 2026

Showing 1 to 21 of 21 citations

  1. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

  2. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

  3. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of November 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2024).

  4. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  5. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  6. No harm, with potential for more than minimal harm

    Address patient/client population and determine types of services needed.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  7. No harm, with potential for more than minimal harm

    Establish policies and procedures including evacuation.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  8. No harm, with potential for more than minimal harm

    List the names and contact information of those in the facility.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  9. No harm, with potential for more than minimal harm

    Provide family notifications of emergency plan.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  10. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  11. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  12. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  13. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  14. No harm, with potential for more than minimal harm

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  15. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  16. No harm, with potential for more than minimal harm

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  17. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  18. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0521, Services Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  19. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  20. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  21. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.