Cycle 1
Health 2025-06-05 · Fire 2024-04-18
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cherryville, NC
Peak Resources-Cherryville
5-star overall rating with 4-star inspections with 2 fire-safety deficiencies in the latest cycle
7615 Dallas Cherryville Highway, Cherryville, NC
(704) 435-6029
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
70
Certified beds
Average residents
65
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Peak Resources, Inc.
Operator or chain grouping
Approved since
1991-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 4 overall / 4 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.62
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.81
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.58
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
4.02
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,560
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
55.69
Composite VBP score used to determine payment impact.
Payment multiplier
1.0107
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.97
Baseline 17.37% · Performance 17.74% · Measure score 7.97 · Achievement 7.97 · Improvement 0
Healthcare-associated infections
8.37
Baseline 5.53% · Performance 5.33% · Measure score 8.37 · Achievement 8.37 · Improvement 3.19
Total nurse turnover
3.99
Performance 47.37% · Measure score 3.99 · Achievement 3.99 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.94
Baseline 4.07 hours · Performance 3.63 hours · Measure score 1.94 · Achievement 1.94 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 263 · Observed rate 8.75% · Lower 95% interval 7.62% |
| Discharge to community | 66.01% |
50.57%
15.4 pts better
|
Better than the National Rate · Eligible stays 250 · Observed rate 62.4% · Lower 95% interval 59.93% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.71% |
95.27%
3.4 pts better
|
Numerator 153 · Denominator 155 |
| Falls with major injury | 0.65% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 155 |
| Discharge self-care score | 65.63% |
53.69%
11.9 pts better
|
Numerator 84 · Denominator 128 |
| Discharge mobility score | 64.84% |
50.94%
13.9 pts better
|
Numerator 83 · Denominator 128 |
| Pressure ulcers or injuries, new or worsened | 0.65% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 155 · Adjusted rate 0.7% |
| Healthcare-associated infections requiring hospitalization | 5.33% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 169 · Observed rate 2.96% · Lower 95% interval 3.04% |
| Staff COVID-19 vaccination coverage | 0.66% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 152 |
| Staff flu vaccination coverage | 50% |
42%
8 pts better
|
Numerator 156 · Denominator 312 |
| Discharge function score | 63.28% |
56.45%
6.8 pts better
|
Numerator 81 · Denominator 128 |
| Transfer of health information to provider | 98.77% |
95.95%
2.8 pts better
|
Numerator 80 · Denominator 81 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 56 · Denominator 56 |
| Resident COVID-19 vaccinations up to date | 29.73% |
25.2%
4.5 pts better
|
Numerator 22 · Denominator 74 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.8
0.9 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.8
1.2 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
91.5%
7.9 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.8% |
94.1%
3.7 pts better
|
95.5%
2.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.6%
1.8 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.3% · Q3 2.4% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
4.8%
4.2 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
7.2%
0.4 pts better
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 10.8% · Q3 2.9% · Q4 8.1% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.7% |
21.6%
8.1 pts worse
|
19.6%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 29.7% · Q3 25.0% · Q4 29.7% · 4Q avg 29.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.7% |
15.0%
5.3 pts better
|
16.7%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 10.8% · Q3 5.9% · Q4 5.4% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 35.1% |
21.5%
13.6 pts worse
|
16.3%
18.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.9% |
16.8%
7.1 pts worse
|
14.9%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 22.9% · Q3 14.3% · Q4 25.7% · 4Q avg 23.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 8.8% |
2.6%
6.2 pts worse
|
1.7%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 11.4% · Q3 14.6% · Q4 4.8% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.6% |
21.2%
7.6 pts better
|
19.8%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 8.8% · Q3 15.6% · Q4 13.3% · 4Q avg 13.6% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
6.0%
1.9 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.7% · Q3 5.3% · Q4 1.9% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
79.9%
18.5 pts better
|
81.7%
16.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 97.8% · Q3 98.5% · Q4 99.5% · 4Q avg 98.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.0% |
13.2%
5.2 pts better
|
12.0%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 7.3% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.5%
1.3 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.8% |
78.1%
19.7 pts better
|
79.7%
18.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.2% |
22.9%
3.7 pts better
|
23.9%
4.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.2% · Observed 17.6% · Expected 21.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-18 · Fire 2022-10-19
15 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-10-19 · Fire 2021-08-20
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-04-18
E1 · Emergency Preparedness Deficiencies
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-04-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-30
D · Potential for more than minimal harm
2022-10-19
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-11-24
D · Potential for more than minimal harm
2022-10-19
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-24
F · Potential for more than minimal harm
2021-08-20
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-10-06
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-11-13
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-10-07
E · Potential for more than minimal harm
2024-04-18
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-05-09
E · Potential for more than minimal harm
2024-04-18
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-05-09
E · Potential for more than minimal harm
2024-04-18
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-09
E · Potential for more than minimal harm
2024-04-18
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-04-18
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-04-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-04-18
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-04-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-04-18
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-04-18
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-04-18
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-04-18
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-04-18
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-09
C · Minimal harm
2024-04-18
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-05-08
D · Potential for more than minimal harm
2022-10-19
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-11-10
D · Potential for more than minimal harm
2022-10-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-11-10
D · Potential for more than minimal harm
2022-10-19
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-11-10
Penalties and ownership
What sits behind the stars
Ownership
Hill, Brian
Operational/Managerial Control · Individual
Hill, Brian
Corporate Officer · Individual
Mikell, Cheryl
W-2 Managing Employee · Individual
Nunn, Harold
5% Or Greater Direct Ownership Interest · Individual
Nunn, Harold
Corporate Director · Individual
Nunn, Todd
Corporate Officer · Individual
Peak Resources Inc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
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Cherryville, NC
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
The Greens at Lincolnton
Lincolnton, NC
2-star overall rating with 2-star inspections with $46,908 in total fines with 4 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Cardinal Healthcare and Rehabilitation
Lincolnton, NC
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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