Peak Resources-Outer Banks

Name: Peak Resources-Outer Banks
Address: 430 West Health Center Drive, Nags Head, NC, 27959, US
Telephone: 2524413116

430 West Health Center Drive, Nags Head, NC 27959 · Dare County · 126 certified beds · avg 94 residents/day · certified since Oct 19, 1982

Part of chain: PEAK RESOURCES, INC. (8 facilities, chain avg rating 3.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.26

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · 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.

All citations in the current public record (8)

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 2, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 27, 2025	F · Potential for harm, facility-wide	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.
Mar 27, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Mar 27, 2025	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint
Mar 27, 2025	D · Potential for harm, one-off	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.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Jan 25, 2024	B · Minimal risk, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Jan 25, 2024	B · Minimal risk, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 1).

Year	Citations	Worst severity that year
2024	2	B
2025	5	F
2026	1	D

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)	3.26	4.01	3.95	bottom 18% in North Carolina; bottom 25% in the U.S.
Registered Nurse hours	0.50	0.64	0.69	bottom 44% in North Carolina; bottom 37% in the U.S.
Weekend total nurse staffing	3.01	3.56	3.50	bottom 28% in North Carolina; bottom 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.41	0.48	bottom 34% in North Carolina; bottom 23% in the U.S.
Total nursing staff turnover (%)	56.1	49.0	45.8	bottom 33% in North Carolina; bottom 23% in the U.S.
RN turnover (%)	42.9	45.7	42.9	top 45% in North Carolina; bottom 49% 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 3.13, RN 0.48, weekend 2.88. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Nunn, Harold	Individual	5% or Greater Direct Ownership Interest	100%	08/01/2015
Hill, Brian	Individual	W-2 Managing Employee	NOT APPLICABLE	08/01/2015
Hill, Brian	Individual	Corporate Officer	NOT APPLICABLE	08/01/2015
Miller, June	Individual	Corporate Officer	NOT APPLICABLE	08/01/2015
Nunn, Harold	Individual	Corporate Officer	NOT APPLICABLE	08/01/2015
Nunn, Todd	Individual	Corporate Officer	NOT APPLICABLE	08/01/2015
Peak Resources INC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2015

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me an example care plan, and how are families included when it's created and updated?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"How do you track that every resident's quarterly assessment happens on time?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"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
Currituck Health & Rehab Center	33.5 mi	Barco, NC	★☆☆☆☆	1/5	abuse
Laurel Park Rehabilitation and Healthcare Center	39.5 mi	Elizabeth City, NC	★☆☆☆☆	2/5

Compare this facility with the 2 closest →

All facilities in Nags Head →

Facility data as of CMS processing date 2026-08-01. CCN 345226.

The Care File

Visit checklist — Peak Resources-Outer Banks

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

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345226 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)