Peak Resources-Outer Banks — nursing home in Nags Head, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 126 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 95.7 CMS, MDS-derived
CMS Certification Number: 345226
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 19, 1982
Ownership type: For profit - Corporation
Operator (legal business name): Peak Resources Outer Banks Inc
CMS chain: Peak Resources, Inc. 8 facilities
Phone: (252) 441-3116
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jul 2, 2026

Citations

12

8 health · 4 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E·	F1
Minimal	A·	B2	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345226
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 126
First approved: Oct 19, 1982
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 2, 2026	Health	Health Standard	1	Potential harm	—	Open →
Mar 27, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Mar 27, 2025	Health	Health Complaint, Health Standard	4	Potential harm	—	Open →
Jan 10, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jan 25, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jan 25, 2024	Health	Health Standard	2	Minimal	2	Open →
Mar 18, 2021	Fire safety	Fire Safety Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E·	F1
Minimal	A·	B2	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 2, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 3, 2026
Mar 27, 2025	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 21, 2025
Mar 27, 2025	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 21, 2025	Complaint
Mar 27, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 21, 2025
Mar 27, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 21, 2025
Jan 10, 2025	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Jun 10, 2024	Complaint
Jan 25, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 20, 2024
Jan 25, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 20, 2024
Jan 25, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 20, 2024
Jan 25, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 20, 2024
Jan 25, 2024	F-0638	Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Plan of correction, not yet verified Feb 9, 2024
Jan 25, 2024	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Plan of correction, not yet verified Feb 9, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.20

State avg 3.87US avg 3.90

Registered nurse (RN)0.54

State avg 0.62US avg 0.69

Licensed practical nurse0.79

State avg 0.88US avg 0.86

Nurse aide1.87

State avg 2.37US avg 2.35

Weekend total nurse2.88

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.68 (case-mix index 1.22).

Staff turnover

Total nursing staff turnover60.7%

State avg 48.7%US avg 45.3%

Registered nurse turnover46.2%

State avg 45.7%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 2, 2026
Cycle 1 health score: 4
Total weighted score: 11

Operating entity

Peak Resources Outer Banks Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Peak Resources, Inc.

8 facilities in 1 states. CMS chain ID 397.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.4

Ownership disclosures

Disclosures

7

Organizations

1

Individuals

6

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Harold Nunn	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 1, 2015

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Harold Nunn	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 1, 2015
Peak Resources Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2015
Brian Hill	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2015
June Miller	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2015
Harold Nunn	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2015
Todd Nunn	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2015
Brian Hill	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Aug 1, 2015

Same chain in North Carolina

All 7 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Peak Resources - Charlotte 3223 Central Avenue, Charlotte, NC 28205 CCN 345013	142	Jun 26, 2025	231 IJ	$14k
Peak Resources - Alamance, Inc 215 College Street, Graham, NC 27253 CCN 345337	142	Jul 1, 2026	111 harm	$14k
Peak Resources-Cherryville 7615 Dallas Cherryville Highway, Cherryville, NC 28021 CCN 345395	70	Jul 16, 2026	221 open	—
Peak Resources - Pinelake 801 Pinehurst Avenue, Carthage, NC 28327 CCN 345429	108	Sep 25, 2025	261 harm8 open	$7,901
Peak Resources - Brookshire, Inc 300 Meadowlands Drive, Hillsborough, NC 27278 CCN 345439	80	Apr 16, 2026	27	—
Peak Resources - Gastonia 2780 X-Ray Drive, Gastonia, NC 28054 CCN 345494	104	Jun 17, 2026	9	—
Peak Resources-Wilmington, Inc 2305 Silver Stream Lane, Wilmington, NC 28401 CCN 345537	110	May 22, 2026	401 IJ2 harm6 open	$70k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 430 West Health Center Drive, Nags Head, NC 27959
ZIP: 27959
County: Dare County FIPS 37055
State: North Carolina
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345226	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345226	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345226

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction