Peak Resources-Wilmington, Inc

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.

56.4% 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 122 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 36.0% 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 25 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 0.30 therapist hours per resident per day in 2026Q1 — more than 47% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 110 beds and averages 90.1 residents a day — about 82% occupied, or roughly 20 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.

Weekend coverage: total nurse staffing is 3.33 hrs/resident/day on weekends vs 3.64 on weekdays — 9% thinner on weekends. RN hours go from 0.37 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below 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 more than at the previous inspection — worsening. 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.

33 citations, most serious first. The 13 most serious are shown; the remaining 20 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-03-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 observations, record review, and interviews with staff, Responsible Party (RP), Nurse Practitioner (NP), and Medical Director, the facility failed to provide the necessary supervision to prevent Resident #1, a resident with severe cognitive impairment and a known history of an unsupervised exit, from leaving the facility at night without staff's knowledge when the outside temperature was 30 degrees Fahrenheit (F). On 2/9/2026 at approximately 11:55 PM, two individuals unknown to the facility who had been walking through the facility's parking lot, returned Resident #1 in her wheelchair to the facility and alerted Nurse #3 that they had found the resident outside by herself, sitting in a ditch. Staff were unaware the resident was missing and outside unsupervised. The facility's alarm device system (an electronic system utilized to manage wandering behaviors for residents by triggering an alarm and locking doors when a resident wearing an electronic monitoring device approached an exit) was 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-05-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 interviews with staff, resident, and the Physician Assistant, the facility failed to transfer Resident #17 using a mechanical lift, placing the resident at risk for an avoidable injury. On 11/19/25, Nurse Aide #1 attempted to transfer Resident #17 from her bed using a slide board (a board used to transfer a resident from one sitting position to another such as chair, bed, etc.). At the time of the transfer, staff had not yet been educated or trained by the Therapy Department for the use of a slide board for transferring Resident #17 and Resident #17 fell to the floor. Results from x-rays noted a fractured left humerus (long bone in the upper arm), mildly displaced fracture of left tibia (shin bone) and right medial malleolus (inner side of ankle), and a partial dislocated shoulder. Resident #17 was sent to the Emergency Department for further evaluation. The hospital record revealed the Orthopedic Department (bone specialist) was consulted and recommended non operative management of…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-01-12 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 observations, record review, and Psychiatric Nurse Practitioner, Physician Assistant, and staff interviews, the facility failed to protect a vulnerable female resident's right to be free from sexual abuse when Resident #62 was observed by Nurse Aide (NA) #1 to have his hand under a severely cognitively impaired resident's (Resident #57) dress above the resident's thigh. A reasonable person would not expect to experience intentional inappropriate touching in their home and would have experienced intimidation and fear. This was for 1 of 5 residents reviewed for abuse (Resident #57). Findings included: Resident #62 was admitted to the facility on [DATE]. Diagnoses included stroke with weakness, non-traumatic brain dysfunction, depression, and vascular dementia. The Minimum Data Set (MDS) annual assessment dated [DATE] revealed Resident #62 was moderately cognitively impaired and did not exhibit any behaviors. He required extensive assistance with one staff physical assistance with transfers and bed…

  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 · Deficient, Provider has date of correction
• Potential for harm · F2026-05-22 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, the facility failed to ensure the dumpster area and exterior exit leading to the dumpster area remained free of garbage and refuse for 2 of 2 dumpsters. This failure had the potential to attract pests and rodents. Findings included: An initial observation of the kitchen exterior exit leading to the dumpster area with the two dumpsters was made on 5/18/26 at 11:37 AM with the Dietary Manager (DM). Observed next to the dumpster area wall were scattered leaves, broken tree limbs, a discarded large white wooden door, a large pile of broken pieces of white door trim, seven intact wooden pallets, and a large quantity of scattered cigarette butts. A follow-up observation of the kitchen's exterior exit leading to the dumpster area was made on 5/20/26 at 8:10 AM with the Dietary Manager (DM). The area remained in the same condition observed on 05/18/26 and in addition, there were 11 total intact wooden pallets, a large plastic discarded children's play kitchen and two full 20-gallon plastic garbage cans at the kitchen exit door. The DM said she 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-22 · tag F0552 — pattern
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 and Nurse Practitioner interviews, the facility failed to obtain consent and inform the resident or resident representative in advance of the risks and benefits of psychotropic medications for 9 of 9 residents reviewed for unnecessary medications (Resident #8, #31, #46, #84, #27, #12, #3, #6, and #9). Findings included: a. Resident #8 was admitted on [DATE] with a diagnosis of depression. Review of Resident #8's electronic health record revealed physician orders dated 3/23/26 for duloxetine (an antidepressant) 60 milligrams (mg) twice per day, lorazepam (an antianxiety medication) 0.5 mg four times per day and Seroquel (an antipsychotic medication) 25 mg twice per day. Review of Resident #8's electronic health record revealed no consent form dated 3/23/26 for the psychotropic medications duloxetine, lorazepam and Seroquel. There was no evidence that the resident or resident representative were informed in advance of the risks and benefits of the psychotropic medications. The Minimum…

  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 · Dcited before2026-05-22 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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, resident and the Physician Assistant interviews, the facility failed to provide a resident with dignity and respect when she was not provided incontinence care when requested and was left in a soiled brief and felt gross as a result of having to wait. This was for 1 of 2 residents observed for dignity (Resident #3). Findings included: Resident #3 was admitted to the facility on [DATE]. The Minimum Data Set quarterly assessment dated [DATE] revealed resident was cognitively intact, with adequate vision and demonstrated no behaviors such as refusal of care. Resident #3 was fully dependent on all activities of daily living (ADL) care. Resident was always incontinent of bowel and had an indwelling urinary catheter. An interview with Resident #3, who had a tracheostomy (a procedure to include placing a breathing tube into the trachea or windpipe) and she wears a Passy Muir Valve (PMV) which is a one-way speaking and swallowing valve for tracheostomy residents to aide in verbally…

  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 · Dcited before2026-05-22 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  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 and Physician Assistant (PA) interviews, the facility failed to notify the provider and responsible party (RP) of transfer from dialysis to the emergency department (ED) due to a shunt bleeding event at dialysis for 1 of 2 sampled resident reviewed for dialysis (Resident #2). Findings included:Facility's Dialysis Policy dated 7/9/23 read in part: Facility staff will monitor for any signs and symptoms of potential dialysis related complications, including bleeding. The facility staff will notify the resident's physician immediately of any of the above findings.Resident #2 was admitted on [DATE]. His medical diagnoses included end state renal disease (ESRD) and stroke.Reviewof Resident #2's Medical Administration Record (MAR) dated 5/2026 revealed to give Eliquis (a prescription anticoagulant/blood thinner used to prevent risk of stroke) 2.5 mg (milligram) twice daily due to stroke, and to monitor dialysis fistula site for sign or symptom of increased drainage. Further review of…

  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 · D2026-05-22 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 observations, record review, resident and staff interviews, the facility failed to provide incontinence care to 1 of 2 dependent residents reviewed for activity of daily living (ADL) care (Resident #9). Findings included: Resident #9 was admitted to the facility on [DATE]. Diagnoses included stroke and dermatitis (a broad term that describes various types of skin inflammation and skin rashes). Review of Resident #9's care plan revealed a plan of care updated on 01/23/2025 for urinary incontinence with a goal that Resident will be remain free from complications of incontinence such as skin breakdown and urinary tract infections (UTI). Approaches for this goal included to clean peri-area with each incontinent episode and observe for signs and symptoms of UTI such as pain, burning, blood tinged urine, no urine output, and change of behavior/mental status. The Minimum Data Set quarterly review dated 03/24/26 revealed Resident #9 was moderately cognitively impaired and did not have any behaviors such as…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-22 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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, Physician Assistant (PA), and Pharmacy Services Director interviews, the facility failed to provide the discharge summary needed for the pharmacist to conduct a comprehensive medication review. As a result, the pharmacist did not identify a medication error, leading to the administration of 27 doses of the anticoagulant Eliquis (a prescription blood thinner used to prevent and treat blood clots and reduce stroke risk) for 1 of 5 residents reviewed for unnecessary medications (Resident #8). Findings included: Resident #8 was admitted on [DATE] with diagnosis which included atrial fibrillation (an irregular heart rhythm) and history of falls. Review of Resident #8's electronic health record revealed that the resident was discharged to the hospital on 3/18/26 due to weakness, recurrent falls and a fall with a head strike resulting in increased confusion. Resident #8 was readmitted to the facility on [DATE]. Review of Resident #8's electronic health record revealed a hospital…

  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 · D2026-05-22 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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, Physician Assistant (PA), Physician and Pharmacy Manager interviews, the facility failed to discontinue an anticoagulant medication following readmission to the facility resulting in 27 doses of the anticoagulant Eliquis (a prescription blood thinner used to prevent and treat blood clots and reduce stroke risk) administered in error to a resident that was a high fall risk. This occurred for 1 of 5 residents reviewed for unnecessary medications (Resident #8). Findings included: Resident #8 was admitted on [DATE] with diagnosis which included atrial fibrillation (an irregular heart rhythm) and history of falls. Review of Resident #8's electronic health record revealed that the resident was discharged to the hospital on 3/18/26 due to weakness, recurrent falls and a fall with a head strike resulting in increased confusion. Resident #8 was readmitted to the facility on [DATE]. Review of Resident #8's electronic health record revealed a hospital Discharge summary dated [DATE] which…

  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 · Dcited before2026-05-22 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and staff interviews, the facility failed to implement the infection control policy and procedures for Enhanced Barrier Precautions (EBP) when providing direct care activities to Resident #9 who had a Stage IV pressure ulcer on his heel. This occurred with 1 of 3 staff members observed for infection control practices (Treatment Nurse). Findings included: The Infection Control Policy dated 02/28/25 revealed Enhanced Barrier Precautions referred to an infection control intervention designed to reduce the transmission of multi-drug-resistant organisms that employed targeted gown and glove use during high contact resident care activities. During an observation on 05/22/26 at 10:52 AM Resident #9 was observed lying in bed. There was no Enhanced Barrier Precaution sign observed on the door of Resident #9's room and there was no Personal Protective Equipment (PPE) on the door or outside of the room. The Treatment Nurse was observed applying gloves. She then removed the offloading boot (a soft boot to protect heels while in bed) to the left heel,…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-07 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 resident and staff interviews and record review, the facility failed to treat residents in a dignified manner as evidenced by staff interactions with residents that included cursing, slamming doors and arguing with residents for 3 of 5 residents reviewed for dignity (Resident #26, Resident #54, and Resident #85). Findings included: 1. Resident #26 was admitted on [DATE]. A review of Resident #26's annual Minimum Data Set (MDS) assessment dated [DATE] revealed resident was cognitively intact, had no behaviors, required assistance with bed mobility, transfers and toileting and was non-ambulatory. a. Review of a grievance form dated 11/11/24 indicated a grievance was completed by the Director of Nursing (DON) on behalf of Resident #26. The form indicated an incident occurred on 11/11/24 during the 7:00 AM to 3:00 PM shift between Nursing Assistant (NA) #5, Resident #26 and her family member. The incident was witnessed by the DON. The form indicated that the DON was called to Resident #26's room by 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 · Dcited before2025-03-07 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 interviews with resident, staff, and Physician Assistant (PA), the facility failed to protect the resident's right to be free from physical abuse when the resident reported pain during care and the Nurse Aide (NA) willfully disregarded the resident's complaint and continued to provide care to the resident despite the NA's knowledge that she was hurting the resident. The deficient practice occurred for 1 of 3 residents reviewed for abuse (Resident #25). The findings included: Resident # 25 was admitted to the facility on [DATE] with diagnoses including [a condition where there is partial paralysis of all four limbs], chronic pain, anxiety, and neuromuscular dysfunction (a problem with the nerves that control muscles and communication between them, resulting in muscle weakness, fatigue, and loss of function). Resident #25's care plan included a problem area (initiated on 09/09/21) of an activities of daily living (ADL) deficit related to [a condition where there is partial paralysis of…

  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 · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$77,879 in federal fines across 3 penalties. 1 Medicare payment denial on record.

• $21,755 — penalty dated 2026-05-22
• $20,641 — penalty dated 2026-03-02
• $35,483 — penalty dated 2024-01-12
• Medicare payment denial — starting 2024-02-13 for 17 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

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 4 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners 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.

About 75% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.0M paid to related parties — landlords or management companies under common ownership — equal to about 19% 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