Peak Resources-Outer Banks

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 176 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 68.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 94 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.40 therapist hours per resident per day in 2026Q1 — more than 69% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 126 beds and averages 93.6 residents a day — about 74% occupied, or roughly 32 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.13 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.88 hrs/resident/day on weekends vs 3.23 on weekdays — 11% thinner on weekends. RN hours go from 0.57 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Potential for harm · D2026-07-02 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and staff interviews, the facility failed to develop a person-centered comprehensive care plan in the areas of anticoagulant medication use (Resident #5), and antidepressant medication use (Resident #8) for 2 of 20 residents whose care plans were reviewed.The findings included:1 Resident #5 was admitted to the facility on [DATE] with diagnoses that included atrial fibrillation.Resident #5 had a physician order dated 3/3/26 for Eliquis (anticoagulant medication) 5 milligrams (mg) one (1) tablet by mouth twice daily for atrial fibrillation.Review of Resident #5's June's 2026 Medication Administration Record (MAR) for the period of 6/1/26 through 6/30/26 revealed Resident #5 received Eliquis 5mg 1 tablet by mouth twice daily as prescribed.A quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #5 was moderately cognitively impaired and was coded for anticoagulant medication use.Review of Resident #5's current comprehensive care plan last reviewed on 6/19/26, did not…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-03-27 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and staff interviews, the facility failed to maintain food service equipment free from debris and/or dried spills, failed to remove chipped dishes for safety, failed to maintain properly functioning walk-in freezer door, failed to keep walk-in cooler floor free from standing water, failed to discard expired food from walk-in freezer, failed to ensure dishware was air dried prior to stacking for use and free from dried debris. The facility also failed to remove dented cans from usable stock for 2 of 2 kitchen observations. These practices had the potential to affect food served to residents. Findings included: a. An initial observation of kitchen equipment on 3/24/25 at 09:33am revealed the steam table had orange reddish colored debris on the steam table glass, 1 steam table divider, and 3 steam table lids. [NAME] crumbs were observed on the shelf above the stove. The initial observation further revealed 1 of 3 cake plates had white and tan debris, 1 of 3 cake plates had white debris and 1 of 3 cake plates had a chip approximately 1 inch with a sharp edge. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-27 · tag F0565 — failed to support the resident council — isolated
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, and resident and staff interviews, the facility failed to address repeat concerns and to communicate the facility's efforts to address concerns voiced by residents during Resident Council meetings for 2 of 4 months reviewed (November 2024 and February 2025). The findings included: The Resident Council meeting minutes were reviewed for November 2024. Under the heading New Business, the minutes noted resident complaints of medication not being administered in a timely manner. The Resident Council meeting minutes were completed by the Activity Director. The Resident Council meeting minutes were reviewed for December 2024. Under the heading Old Business, there was no documented follow-up for the November 2024 complaint related to medication not being administered in a timely manner. The Resident Council Meeting minutes were reviewed for January 2025. Under the heading New Business, the minutes noted resident complaints of nursing assistants often rushing out of resident rooms during mealtimes without checking if they need help with opening condiment packages or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-27 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, resident representative interviews and record reviews, the facility failed to convey (transfer) funds within 30 days to the resident's representative for 1 of 1 resident (Resident #194) reviewed for refund of deposit. Findings included: Resident #194 was admitted to the facility on [DATE] for respite care. The resident had an unplanned discharge to the hospital on [DATE]. Resident #194's medical record revealed there was no documentation of Resident #194's cognition. Review of a nursing note dated 12/27/24 written by Nurse # 2 revealed that all medication including narcotics and personal belongings were returned to Resident #194's resident representative and Resident #194 would be discharged from the hospital to home. On 3/25/25 at 03:45 PM an interview via telephone with Resident #194's representative occurred. The resident's representative explained her mother had been at the facility for respite care and she had submitted payment to the facility to cover the full duration of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-27 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, staff resident, and Medical Director interviews, the facility failed to secure a tube of medicated arthritis gel that was observed left at bedside for 1 of 1 resident (Resident #68) reviewed for medication storage. Finding included: Resident # 68 was admitted to the facility on [DATE] with a diagnosis of other specified rheumatoid arthritis. The annual [NAME] Data Set (MDS) dated [DATE] revealed Resident # 68 was moderately cognitively impaired. A physician order dated 3/11/25 for Resident #68 specified for diclofenac sodium topical gel, for arthritis pain reliever to be applied on bilateral hands, neck, right hip, and back twice a day for pain. Observation conducted during medication pass on 03/26/2025 at 11:23AM with Nurse #1 revealed a tube of topical medicated pain relief gel was kept in Resident #68's room in her bedside table in the top drawer. The arthritis pain reliver gel was visible when Resident #68 opened the top drawer. An interview with Nurse #1 on 3/26/25 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-10 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff, family, and resident interviews, the facility failed to protect a resident's bank card from being accessed and used without resident permission for 1 (Resident #3) of 2 residents reviewed for misappropriation of resident property. Findings included: Resident #3 was admitted to the facility on [DATE] with multiple diagnoses some of which included chronic congestive heart failure and diabetes. Documentation on a quarterly Minimum Data Set assessment dated [DATE] revealed Resident #3 was cognitively intact. Resident #3 was interviewed on 1/09/2025 at 8:45 AM and revealed the following information. A nurse aide (NA #2) had taken his bank card and used it at a local gas station in May 2024. The amount of money taken was approximately 30 to 35 dollars. The nurse aide was charged with theft, and the district attorney took the matter to court. The nurse aide no longer worked at the facility. Resident #3 indicated more information regarding the event could be obtained from his daughter, who…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• No harm found · B2024-01-25 · tag F0638 — pattern
  Assure that each resident’s assessment is updated at least once every 3 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to complete the Minimum Data Set (MDS) quarterly assessments at a minimum of every 3 months for 1 of 3 residents reviewed for MDS records over 120 days (Resident #65). The findings included: Resident #65 was admitted to the facility on [DATE]. Resident #65's Minimum Data Set (MDS) quarterly assessment with an Assessment Reference Date (ARD), (the last day of the 7-day lookback period) of 8/19/23 was observed in the electronic medical record as completed on 10/24/23. Resident #65's MDS quarterly assessment with an ARD of 11/10/23 was observed in the electronic medical record as completed on 1/18/24. A telephone interview was conducted on 1/25/24 at 8:18 am with the MDS Nurse #1 who revealed the MDS assessments were generally completed within a 14-day period. The MDS Nurse #1 stated there was a report that MDS ran sometimes which would list missed assessments that need to be completed and that would trigger them to complete those assessments that…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction
• No harm found · B2024-01-25 · tag F0640 — pattern
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews the facility failed to complete the Minimum Data Set (MDS) assessments for 2 of 3 residents reviewed for discharge (Resident #67 and Resident #5). Findings included: 1.Resident #67 was admitted to the facility on [DATE]. Review of Resident #67's medical record revealed the resident was discharged home on 9/12/23. There was no documentation in Resident #67's medical record that the discharge MDS assessment had been completed. During an interview with the MDS Nurse #2 on 1/25/24 at 9:24 AM she indicated Resident #67 should have had a discharge MDS completed. MDS Nurse #2 was unable to state why the discharge MDS assessment had not been completed for Resident #67. During an interview on 1/25/24 at 9:43 AM with the Director of Nursing (DON) stated she was not certain of the time frame the assessments were to be completed. The DON revealed she did not normally monitor the MDS assessment for completion and she was unable to state how the MDS assessment for Resident #67 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PEAK RESOURCES, INC. — 8 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NC