Home / North Carolina / Nags Head
Peak Resources-Outer Banks
430 West Health Center Drive, Nags Head, NC 27959 · Dare County · (252) 441-3116
126 certified beds, about 94 residents a day · For profit - Corporation · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345226 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 2, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
None of its 8 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.13 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
56.1% 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 8 health citations on file.
July 2, 2026Standard inspection · 1 citation
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased 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.
March 27, 2025Standard inspection, Complaint inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased 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.
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased 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).
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased 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.
- D 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 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.
January 10, 2025Complaint inspection · 1 citation
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased 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.
January 25, 2024Standard inspection · 2 citations
- B Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased 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).
- B Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased 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).
Fire safety inspections
4 fire safety citations on file: 4 on January 25, 2024.
Every fire safety citation4 citations
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Install an approved automatic sprinkler system.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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) | 3.13 | 3.85 | 3.86 |
| Registered nurses | 0.48 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.88 | 3.42 | 3.42 |
| Nurse aides | 1.88 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 56.1% | 49.0% | 45.8% |
| Registered nurse turnover | 42.9% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.68 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 3.23 on weekdays and 2.88 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 33.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.97 in April to June 2025 to 3.13 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 | 3.13 | 0.48 | 3.23 | 2.88 | 33.5% | 0 of 90 | 94 |
| Oct to Dec 2025 | 2.99 | 0.49 | 3.09 | 2.73 | 37.7% | 0 of 92 | 95 |
| Jul to Sep 2025 | 2.99 | 0.58 | 3.10 | 2.72 | 42.8% | 0 of 92 | 97 |
| Apr to Jun 2025 | 2.97 | 0.59 | 3.10 | 2.65 | 43.2% | 0 of 91 | 95 |
| 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 | 34.4 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.8 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.7 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 33.8 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.2 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.3 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.5 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.4 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: PEAK RESOURCES OUTER BANKS 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 |
|---|---|---|---|---|
| Nunn, Harold | 5% or greater direct ownership interest | Individual | 100% | 08/01/2015 |
| Hill, Brian | W-2 managing employee | Individual | 08/01/2015 | |
| Hill, Brian | Corporate officer | Individual | 08/01/2015 | |
| Miller, June | Corporate officer | Individual | 08/01/2015 | |
| Nunn, Harold | Corporate officer | Individual | 08/01/2015 | |
| Nunn, Todd | Corporate officer | Individual | 08/01/2015 | |
| Peak Resources Inc | Operational/managerial control | Organization | 08/01/2015 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on July 2, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 27, 2025: "Honor the resident's right to organize and participate in resident/family groups in the facility."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 27, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on 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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.88 hours per resident per day, below the North Carolina average of 3.42.
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-Outer Banks's Medicare star rating?
- CMS rates Peak Resources-Outer Banks 3 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Peak Resources-Outer Banks get at its last inspection?
- 1 health deficiency at the standard inspection on July 2, 2026. The North Carolina average is 4.7.
- Has Peak Resources-Outer Banks been fined?
- CMS lists no fines in the last three years.
- Does Peak Resources-Outer Banks 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-Outer Banks?
- CMS lists 7 owners and managers, and links the home to Peak Resources, Inc.. Legal business name: PEAK RESOURCES OUTER BANKS 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.