Home / North Carolina / Graham
Peak Resources - Alamance, Inc
215 College Street, Graham, NC 27253 · Alamance County · (336) 228-8394
142 certified beds, about 130 residents a day · For profit - Corporation · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345337 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 5, 2026, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 9 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.43 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.26 of those hours.
52.4% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Peak Resources, Inc., an affiliated group of 8 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
July 1, 2026Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record reviews, observations, and resident, Nurse Practitioner (NP), and staff interviews, the facility failed to provide a safe transfer for 1 of 3 residents reviewed for preventing avoidable accidents (Resident #1). On 06/19/2026 (exact time unknown), Resident #1 was in her room with Nurse Aide (NA) #1 and NA #2. NA #2 stood at the side of her bed preparing to assist with transferring. Resident #1 reported that she tried to tell NA #2 that she did not have strength in her back, that she would need the arm rail to assist with getting up, and that she could not lift her arms above her shoulders. NA #2 assured her, then wrapped her arms around Resident #1's torso and lifted her off the bed. Resident #1 stated that her feet were not touching the floor, and she told NA #2 that the action was hurting her. NA #2 reassured her again and placed her in the wheelchair. [...]
March 5, 2026Standard inspection, Complaint inspection · 3 citations
- E 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.
Inspectors wroteBased on observations and staff interviews, the facility failed to discard expired medications stored in 1 of 2 medication storerooms (Station 1 Medication Storeroom), store medications in accordance with the manufacturer's instructions in 1 of 2 medication storerooms (Station 1 Medication Storeroom), and date medications as to when they were opened to allow for the determination of the shortened expiration date in 1 of 2 medication storerooms (Station 3 Medication Storeroom).
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on record review and interviews with home health, resident, and staff, the facility failed to implement an effective discharge planning process that ensured the resident was referred for home health services prior to discharge to the community to ensure services were not delayed for 1 of 3 residents (Resident #148) reviewed for discharge.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the areas of urinary catheter (Resident #157) and medications (Resident #64) for 2 of 29 residents whose MDS assessments were reviewed .
October 31, 2024Standard inspection · 0 citations
April 24, 2024Complaint inspection · 2 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interview the facility failed to prevent a fall from a mechanical lift for one (Resident #1) of three residents reviewed for supervision to prevent accidents.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on record review and staff interview the facility's Quality Assessment Performance Improvement committee failed to maintain implemented procedures and monitor the interventions that the committee put into place following the complaint investigation completed 9/19/2023. This was a repeat deficiency in the area of supervision to prevent accidents that was originally cited on 9/19/2023. The continued failure of the facility with a repeat deficiency showed a pattern of the facility's inability to sustain an effective Quality Assessment Performance Improvement program.
September 19, 2023Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff and Nurse Practitioner interviews, the facility failed to provide incontinent care safely for 1 of 3 residents reviewed for accidents (Resident #1). During incontinent care provided by Nurse Aide (NA) #1, Resident #1 rolled off the bed and landed on her knees with no injuries.
August 11, 2023Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, and record review the facility failed to: 1) keep the floors of the walk-in refrigerator and walk-in freezer clean; 2) label foods in the walk-in refrigerator, reach-in refrigerator and in three of three nourishment room refrigerators; 3) ensure the food in walk-in freezer was free of ice; 4) ensure the divided plates used for the upcoming meal were clean; 5) utilize clean dollies to store cups and glasses; and 6) ensure male dietary staff (dietary cook, dietary aide #2 and # 3) had all facial hair contained in a face covering. These practices had the potential to affect food being served to residents.
- D Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on record review and staff interview, the facility failed to provide Registered Nurse (RN) coverage for 8 consecutive hours a day for 1 out of 121 days reviewed for staffing (2/4/2023).
Fire safety inspections
3 fire safety citations on file: 1 on March 5, 2026, 1 on October 31, 2024, 1 on August 11, 2023.
Every fire safety citation3 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.43 | 3.85 | 3.86 |
| Registered nurses | 0.26 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.06 | 3.42 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 52.4% | 49.0% | 45.8% |
| Registered nurse turnover | 57.1% | 45.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.40 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.58 on weekdays and 3.06 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.23 in April to June 2025 to 3.43 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.43 | 0.26 | 3.58 | 3.06 | 3.0% | 1 of 90 | 130 |
| Oct to Dec 2025 | 3.42 | 0.28 | 3.52 | 3.16 | 3.5% | 1 of 92 | 132 |
| Jul to Sep 2025 | 3.19 | 0.30 | 3.32 | 2.86 | 8.8% | 0 of 92 | 132 |
| Apr to Jun 2025 | 3.23 | 0.34 | 3.36 | 2.92 | 14.0% | 0 of 91 | 120 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.9 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.0 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.3 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.9 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 11.2 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.4 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.8 | 1.8 |
Owners and operators
Legal business name: PEAK RESOURCES-ALAMANCE, INC.. CMS links this home to Peak Resources, Inc., a group of 8 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hill, Brian | Corporate officer | Individual | 10/01/2014 | |
| Peak Resources Inc | Operational/managerial control | Organization | 05/01/2011 | |
| Hill, Brian | Operational/managerial control | Individual | 03/01/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on July 1, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 5, 2026: "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."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 5, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 5, 2026: "Ensure each resident receives an accurate assessment."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Alamance Health Care Center Burlington, 1.6 mi · 1 of 5 stars · 24 citations
- White Oak Manor - Burlington Burlington, 1.9 mi · 2 of 5 stars · 23 citations
- Edgewood Place at the Village at Brookwood Burlington, 3.4 mi · 5 of 5 stars · 8 citations
- Liberty Commons Nursing & Rehabilitation Center of Burlington, 5.5 mi · 4 of 5 stars · 6 citations
- Twin Lakes Community Burlington, 6.7 mi · 5 of 5 stars · 7 citations
- Compass Healthcare and Rehab Hawfields, Inc. Mebane, 6.7 mi · 3 of 5 stars · 8 citations
- Ashton Health and Rehabilitation McLeansville, 14.6 mi · 5 of 5 stars · 5 citations
- Peak Resources - Brookshire, Inc Hillsborough, 18.3 mi · 4 of 5 stars · 13 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Peak Resources - Alamance, Inc's Medicare star rating?
- CMS rates Peak Resources - Alamance, Inc 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Peak Resources - Alamance, Inc get at its last inspection?
- 3 health deficiencies at the standard inspection on March 5, 2026. The North Carolina average is 4.7.
- Has Peak Resources - Alamance, Inc been fined?
- CMS lists no fines in the last three years.
- Does Peak Resources - Alamance, Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Peak Resources - Alamance, Inc?
- CMS lists 3 owners and managers, and links the home to Peak Resources, Inc.. Legal business name: PEAK RESOURCES-ALAMANCE, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.