Peak Resources-Outer Banks

430 West Health Center Drive, Nags Head, NC 27959 (opens Google Maps) · Dare County · (252) 441-3116· 126 certified beds · avg 94 residents/day · certified since Oct 19, 1982 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

4/5

Health inspection rating (on-site)

inspected Jul 2, 2026

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.

Jul 2, 2026D · Potential for more than minimal harm, isolated
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. F-0656
Mar 27, 2025F · Potential for more than minimal harm, widespread
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. F-0812
Mar 27, 2025D · Potential for more than minimal harm, isolated
The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. F-0565

View all 8 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Jul 2, 2026	D · Potential for more than minimal harm, isolated	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. · F-0656
Mar 27, 2025	F · Potential for more than minimal harm, widespread	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. · F-0812
Mar 27, 2025	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565
Mar 27, 2025	D · Potential for more than minimal harm, isolated	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 · F-0582
Mar 27, 2025	D · Potential for more than minimal harm, isolated	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. · F-0761
Jan 10, 2025	D · Potential for more than minimal harm, isolated	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 · F-0602
Jan 25, 2024	B · Potential for minimal harm, pattern	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. · F-0638
Jan 25, 2024	B · Potential for minimal harm, pattern	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. · F-0640

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityNorth Carolina averageU.S. average

Total nurse staffing (hours per resident per day)

3.26

4.01

3.95

Registered Nurse hours

0.50

0.64

0.69

Weekend total nurse staffing

3.01

3.56

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.13 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Peak Resources-Outer Banks. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 7 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Peak Resources, INC. — 8 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Peak Resources-Wilmington, INC — Wilmington, NC · overall 1/5
Peak Resources - Alamance, INC — Graham, NC · overall 3/5
Peak Resources - Brookshire, INC — Hillsborough, NC · overall 4/5
Peak Resources - Charlotte — Charlotte, NC · overall 3/5
Peak Resources - Gastonia — Gastonia, NC · overall 5/5
Peak Resources - Pinelake — Carthage, NC · overall 4/5
Peak Resources-Cherryville — Cherryville, NC · overall 4/5

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the North Carolina midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 56% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Peak Resources-Outer Banks

430 West Health Center Drive, Nags Head, NC 27959 · (252) 441-3116

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?"
☐ "Your weekend nurse staffing is reported below the North Carolina midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 56% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)