Peak Resources - Alamance, INC
215 College Street, Graham, NC 27253 · Alamance County · 142 certified beds · avg 130 residents/day · certified since Nov 8, 1990
Part of chain: PEAK RESOURCES, INC. (8 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 1, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 23, 2026 (Past Non-Compliance)
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 1, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 5, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Sep 19, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 11, 2023 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 2 | 0 | D |
| 2026 | 4 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.87 | 4.01 | 3.95 | top 38% in North Carolina; top 45% in the U.S. |
| Registered Nurse hours | 0.30 | 0.64 | 0.69 | bottom 7% in North Carolina; bottom 9% in the U.S. |
| Weekend total nurse staffing | 3.45 | 3.56 | 3.50 | top 37% in North Carolina; top 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.14 | 0.41 | 0.48 | bottom 7% in North Carolina; bottom 4% in the U.S. |
| Total nursing staff turnover (%) | 52.4 | 49.0 | 45.8 | bottom 41% in North Carolina; bottom 31% in the U.S. |
| RN turnover (%) | 57.1 | 45.7 | 42.9 | bottom 33% in North Carolina; bottom 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.43, RN 0.26, weekend 3.06. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hill, Brian | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2014 |
| Hill, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2018 |
| Peak Resources INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Alamance Health Care Center | 1.6 mi | Burlington, NC | ★☆☆☆☆ | 2/5 | abuse |
| White Oak Manor - Burlington | 1.9 mi | Burlington, NC | ★★☆☆☆ | 1/5 | |
| Edgewood Place at the Village at Brookwood | 3.5 mi | Burlington, NC | ★★★★★ | 4/5 | |
| Liberty Commons Nursing & Rehabilitation Center of | 5.5 mi | Burlington, NC | ★★★★☆ | 4/5 | |
| Twin Lakes Community | 6.7 mi | Burlington, NC | ★★★★★ | 4/5 | |
| Compass Healthcare and Rehab Hawfields, INC. | 6.7 mi | Mebane, NC | ★★★☆☆ | 4/5 | |
| Ashton Health and Rehabilitation | 14.6 mi | McLeansville, NC | ★★★★★ | 4/5 | |
| Peak Resources - Brookshire, INC | 18.3 mi | Hillsborough, NC | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345337.