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D
Poor

Peak Resources-Outer Banks

430 West Health Center Drive · Nags Head, NC 27959

2524413116 · For profit - Corporation

126 beds97 residents138 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
B
Good
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Peak Resources-Outer Banks receives an overall staffing grade of D (Poor). With 2.9918 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.579 HPRD, below the recommended 0.75. It is 0.90 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.4% compared to weekdays. The facility relies heavily on temporary agency staff (42.84% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9918 HPRD — needs 0.49 more hours per resident per day.
⚠️RN staffing (0.579 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️42.84% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.9918hrs/resident/day▼ 0.90
CMS benchmark: 3.48
RN HPRD
0.579hrs/resident/day▼ 0.10
Recommended: 0.75
Weekend Drop-off
12.4%
3.1005 weekday → 2.7159 weekend
Agency Staff
42.84%
0.08% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6324hrs/resident/day
Direct care aides
LPN HPRD
0.7087hrs/resident/day
Licensed practical nurses
Consistency
0.2184std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Dare County Average+0.00 HPRD
2.99
02.99 HPRD
vs. North Carolina State Average-0.77 HPRD
3.77
02.99 HPRD
vs. National Average-0.90 HPRD
3.90
02.99 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Peak Resources-Outer Banks ★
Nags Head · This facility
—
D
2.99180.579★★★☆☆
Currituck Health & Rehab Center
Barco
33.5 mi
C
3.38620.4481★☆☆☆☆
Laurel Park Rehabilitation and Healthcare Center
Elizabeth City
39.5 mi
D
2.77410.3316★☆☆☆☆
Elizabeth City Health and Rehabilitation
Elizabeth City
40.5 mi
D
3.87110.2902★★☆☆☆
Hertford Rehabilitation and Healthcare Center
Hertford
49.7 mi
C
3.14810.4688★☆☆☆☆
Chowan River Nursing and Rehabilitation Center
Edenton
53.6 mi
C
3.48510.402★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
9
Total Deficiencies
$0
Fines Assessed
Mar 27, 2025Health
4 deficiencies cited
▼
Jan 10, 2025Health
1 deficiency cited
▼
Jan 25, 2024Health
2 deficiencies cited
▼
Oct 13, 2022Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.