What is Peak Resources - Pinelake's Medicare star rating?

CMS rates Peak Resources - Pinelake 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Peak Resources - Pinelake get at its last inspection?

2 health deficiencies at the standard inspection on August 21, 2024. The North Carolina average is 4.7.

Does Peak Resources - Pinelake 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 - Pinelake?

CMS lists 2 owners and managers, and links the home to Peak Resources, Inc.. Legal business name: CARTHAGE HEALTHCARE INC..

Peak Resources - Pinelake: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on August 21, 2024, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

Of 18 health citations since September 2022, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $7,901 in the last three years; the largest was $7,901, and the latest is dated November 30, 2023.

Nurses and nurse aides worked 3.26 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.

36.3% 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.

1009/22

511/23

208/24

109/25

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 18 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

September 25, 2025Complaint inspection · 1 citation

D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on record reviews, and resident, Family Member, Nurse Practitioner (NP), Medical Director, local law enforcement officer, and staff interviews, the facility failed to protect a resident's right to be free from resident-to-resident abuse when a severely cognitively impaired male resident (Resident #86) grabbed a cognitively intact male resident's (Resident #19's) arm as he was coming out of the bathroom. This was for 1 of 3 residents reviewed for resident-to-resident abuse (Resident #19).

August 21, 2024Standard inspection · 2 citations

D

Assess the resident when there is a significant change in condition

F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 28, 2024

Inspectors wroteBased on staff interviews and record review, the facility failed to identify the need for a significant change Minimum Data Set (MDS) for a resident with declines in weight, skin condition and activities of daily living. This was for 1 (Resident #37) of 20 residents reviewed for comprehensive MDS completion.
B

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · deficient, provider has September 6, 2024

Inspectors wroteBased on record review and staff interviews, the facility failed to display accurate Posted Nurse Staffing Information for 4 out of 30 days reviewed.

November 30, 2023Standard inspection, Complaint inspection · 5 citations

G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on record review, observations and staff interviews, the facility failed to provide care in a safe manner during incontinence care that resulted in a fall with a right hip fracture (Resident #17). This was for 1 of 6 residents reviewed for accidents.
B

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · deficient, provider has December 15, 2023

Inspectors wroteBased on record review, Responsible Party (RP) and staff interviews, the facility failed to notify the resident and/or RP in writing for a transfer to the hospital for 5 (Resident #90, #49, #39, #17, #87) of 6 residents reviewed for hospitalization.
B

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · deficient, provider has December 15, 2023

Inspectors wroteBased on record reviews and staff interviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the area of medications for 2 of 5 residents reviewed for unnecessary medications (Residents #22 and #73).
B

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · deficient, provider has December 15, 2023

Inspectors wroteBased on record review and staff interviews, the facility failed to revise the care plan in the area of planned disposition for 1 of 18 resident's (Resident #16) reviewed.
B

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F867 · Administration · No actual harm, potential for minimal harm, pattern · deficient, provider has December 15, 2023

Inspectors wroteBased on observations, record review, resident and staff interviews the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented effective procedures and monitor the interventions that the committee put into place following recertification survey dated 4/8/21 for two deficiencies in the area of accurate Minimum Data Set (MDS) coding at F641 and in the supervision to prevent accidents at F689. Also, the recertification survey dated 9/22/22 for one deficiency in the area of care plan revision F657. The continued failure of the facility during three federal surveys of record showed a pattern of the facility's inability to sustain an effective QAPI program.

September 22, 2022Standard inspection · 10 citations

E

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

F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 14, 2022

Inspectors wroteBased on record review, resident, and staff interviews, the facility failed to communicate the facility's efforts to address group concerns verbalized during Resident Council meetings and to resolve repeat concerns for 4 of 4 consecutive months (May 2022, June 2022, July 2022, and August 2022).
E

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 14, 2022

Inspectors wroteBased on record review, observations and interviews, the facility failed to ensure alternating pressure reducing mattresses were set according to the residents' weights for 3 of 10 residents (Residents #236, #78 and #68) reviewed for pressure injuries.
E

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 14, 2022

Inspectors wroteBased on observation and staff interview, the facility failed to ensure the vent filters and sprinkler pipe under the kitchen exhaust hood were free of grease buildup. The failure had the potential to affect food served to the residents.
E

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F867 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 14, 2022

Inspectors wroteBased on record review, observation and Physician, resident and staff interviews, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented procedure and monitor interventions the committee put into place following the 4/8/21 recertification and complaint survey, 2/24/21 complaint survey and 8/22/19 recertification and complaint survey. This was for 5 deficiencies that were cited in the areas of Resident self-administration of medication, previously cited on 4/8/21 recertification and complaint survey, and recited on the current recertification and complaint survey of 9/22/22. [...]
D

Allow residents to self-administer drugs if determined clinically appropriate.

F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 14, 2022

Inspectors wroteBased on observations, staff and resident interviews and record review, the facility failed to assess and obtain Physician orders for the self-administration of an as needed (prn) inhaler and a scheduled inhaler for 1 (Resident #23) of 1 residents reviewed for the self-administration.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 14, 2022

Inspectors wroteBased on record reviews, resident and staff interviews, the facility failed to provide treatments as ordered by the physician for a non-pressure related surgical wound on the left hip for 1 of 2 residents reviewed for wounds (Resident #236).
D

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

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 14, 2022

Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to obtain a Physician's order for a resident's use of continuous oxygen (Residents #33 and #68). This was for 2 of 2 residents reviewed for respiratory care.
C

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

F585 · Resident Rights · No actual harm, potential for minimal harm, widespread · deficient, provider has September 23, 2022

Inspectors wroteBased on record reviews and resident, family and staff interviews, the facility failed to provide a written grievance response summary for 5 of 8 residents reviewed for grievances (Residents #33, #62, #23, #36 and #68).
B

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · deficient, provider has October 14, 2022

Inspectors wroteBased on record review and staff interview, the facility failed to ensure the nurse staffing data that were posted daily were accurate for 7 of 30 days reviewed.
B

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · deficient, provider has October 14, 2022

Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to have accurate medical records for 3 of 10 residents reviewed for wound care (Resident #286, #236 and #68).

Fire safety inspections

8 fire safety citations on file: 1 on August 21, 2024, 7 on September 22, 2022.

Every fire safety citation8 citations

D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K 223 · August 21, 2024 · Corrected (the home has a date of correction)
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · September 22, 2022 · Corrected (the home has a date of correction)
F
Have properly installed electrical wiring and gas equipment.

K 511 · September 22, 2022 · Corrected (the home has a date of correction)
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · September 22, 2022 · Corrected (the home has a date of correction)
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · September 22, 2022 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · September 22, 2022 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · September 22, 2022 · Corrected (the home has a date of correction)
D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · September 22, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
November 30, 2023	Fine	$7,901

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)	3.26	3.85	3.86
Registered nurses	0.35	0.62	0.69
All nursing staff on weekends	3.05	3.42	3.42
Nurse aides	2.11
Licensed practical nurses	0.80
Nursing staff turnover (share who left in a year)	36.3%	49.0%	45.8%
Registered nurse turnover	0.0%	45.6%	42.9%
Administrators who left	0

CMS expects 3.69 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 3.34 on weekdays and 3.05 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.26 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	3.26	0.35	3.34	3.05	9.5%	0 of 90	102
Oct to Dec 2025	3.17	0.37	3.28	2.90	8.5%	0 of 92	101
Jul to Sep 2025	3.26	0.41	3.41	2.88	5.8%	0 of 92	89
Apr to Jun 2025	3.26	0.40	3.41	2.88	4.9%	0 of 91	88
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	14.3	15.6	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.6	2.3	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.6	3.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.9	1.4	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	13.3	18.3	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.8	5.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	9.4	14.0	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	32.4	22.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	9.6	12.9	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.8	1.8	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.1	1.8	1.8

Owners and operators

Legal business name: CARTHAGE HEALTHCARE 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
Peak Resources Inc	Operational/managerial control	Organization		08/05/2005
Hill, Brian	Operational/managerial control	Individual		11/01/2013

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 4 problems in this area, most recently on August 21, 2024: "Assess the resident when there is a significant change in condition"
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on November 30, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on November 30, 2023: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on August 21, 2024: "Post nurse staffing information every day."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the North Carolina average of 3.42.

Other nursing homes nearby

The Greens at Pinehurst Rehabilitation & Living Ce
Pinehurst, 9.2 mi · 3 of 5 stars · 24 citations
Saint Joseph of the Pines Health Center
Pinehurst, 10.5 mi · 5 of 5 stars · 7 citations
Penick Village
Southern Pines, 11.1 mi · 5 of 5 stars · 8 citations
Pinehurst Healthcare & Rehabilitation Center
Pinehurst, 11.5 mi · 2 of 5 stars · 17 citations
Inn at Quail Haven Village
Pinehurst, 11.5 mi · 4 of 5 stars · 20 citations
Dahlia Gardens Center for Nursing and Rehabilitati
Aberdeen, 14 mi · 2 of 5 stars · 33 citations
Westfield Rehabilitation and Health Center
Sanford, 14.7 mi · 4 of 5 stars · 12 citations
Liberty Commons Nursing and Rehabilitation Center
Sanford, 17.5 mi · 2 of 5 stars · 34 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 - Pinelake's Medicare star rating?: CMS rates Peak Resources - Pinelake 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Peak Resources - Pinelake get at its last inspection?: 2 health deficiencies at the standard inspection on August 21, 2024. The North Carolina average is 4.7.
Has Peak Resources - Pinelake been fined?: Yes. CMS lists 1 fine totaling $7,901 in the last three years.
Does Peak Resources - Pinelake 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 - Pinelake?: CMS lists 2 owners and managers, and links the home to Peak Resources, Inc.. Legal business name: CARTHAGE HEALTHCARE 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.