Peak Resources-Outer Banks

430 West Health Center Drive · Nags Head, NC · 27959 · 2524413116

126 certified beds For profit - Corporation Chain: Peak Resources, Inc.

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

Total nurse staffing below 3.0 hours per resident-day

2.99 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 72
Serious harm & abuse 20% 100
Staffing 20% 52
Federal penalties 15% 100
Trend 10% 18
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day2.993.48 min · 4.1 strong
RN hours / resident-day0.490.55–0.75
Weekend hours / resident-day2.73≈ weekday level
Nursing turnover / year60%median 45%
Fines (3-yr window)none

Inspection citations (9 in the current record)

  • Potential for harm · D March 27, 2025

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected April 21, 2025 · Resident Rights

  • Potential for harm · D March 27, 2025

    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.

    Corrected April 21, 2025 · Pharmacy Service

  • Potential for harm · F March 27, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 21, 2025 · Nutrition and Dietary

  • Potential for harm · D March 27, 2025 · found via complaint

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected April 21, 2025 · Resident Rights

  • Potential for harm · D January 10, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected June 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • No harm found · B January 25, 2024

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected February 9, 2024 · Resident Assessment and Care Planning

  • No harm found · B January 25, 2024

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected February 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 13, 2022

    Keep residents' personal and medical records private and confidential.

    Corrected November 3, 2022 · Resident Rights

  • Potential for harm · D October 13, 2022

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 3, 2022 · Quality of Life and Care

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345226 · certified since October 19, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.