Federal inspection record · CMS data as of October 1, 2026

Peak Resources - Pinelake

801 Pinehurst Avenue, Carthage, NC · (910) 947-5155

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
108
Residents per day
102
Ownership
For-Profit
Chain
Peak Resources, Inc.
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 14, 1992

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Peak Resources - Pinelake carries 9 inspection points. That is fewer than 80% of North Carolina's 415 rated homes.

5★4★3★2★1★+13 homes above 189.505102550100inspection points → fewer is better on the leftThis home · 9 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–4 pts
  • 4★ 4–15 pts
  • 3★ 15–35 pts
  • 2★ 35–73.5 pts
  • 1★ over 73.5 pts

Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

18 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 5 4 pts
E 4 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 7 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 30, 2023 · Complaint inspection · Quality of Life and Care · F689 · Corrected July 21, 2023

Everything else, by area of care

Resident Assessment and Care Planning4D
  1. D

    Assess the resident when there is a significant change in condition

    August 21, 2024 · Standard · F637 · Corrected August 28, 2024

  2. B

    Ensure each resident receives an accurate assessment.

    November 30, 2023 · Standard · F641 · Corrected December 15, 2023

  3. B

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    November 30, 2023 · Standard · F657 · Corrected December 15, 2023

  4. B

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    September 22, 2022 · Standard · F842 · Corrected October 14, 2022

Resident Rights4E
  1. B

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    November 30, 2023 · Standard · F623 · Corrected December 15, 2023

  2. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    September 22, 2022 · Standard · F565 · Corrected October 14, 2022

  3. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    September 22, 2022 · Standard · F554 · Corrected October 14, 2022

  4. C

    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.

    September 22, 2022 · Standard · F585 · Corrected September 23, 2022

Quality of Life and Care3E
  1. E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 22, 2022 · Standard · F686 · Corrected October 14, 2022

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    September 22, 2022 · Standard · F684 · Corrected October 14, 2022

  3. D

    Provide safe and appropriate respiratory care for a resident when needed.

    September 22, 2022 · Standard · F695 · Corrected October 14, 2022

Nursing and Physician Services2B
  1. B

    Post nurse staffing information every day.

    August 21, 2024 · Standard · F732 · Corrected September 6, 2024

  2. B

    Post nurse staffing information every day.

    September 22, 2022 · Standard · F732 · Corrected October 14, 2022

Administration2E
  1. B

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    November 30, 2023 · Standard · F867 · Corrected December 15, 2023

  2. E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    September 22, 2022 · Standard · F867 · Corrected October 14, 2022

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    September 25, 2025 · Complaint · F600 · Not yet marked corrected

Nutrition and Dietary1E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 22, 2022 · Standard · F812 · Corrected October 14, 2022

Inspection history

  1. 2024-08-21

    2 health deficiencies · 1 fire-safety deficiencies

    Top issue: Nursing and Physician Services (1 deficiency)

  2. 2023-11-30

    6 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  3. 2022-09-22

    10 health deficiencies · 7 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 24 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

3 h 24 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 38% of nursing staff and 14% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$7,901 in federal fines on record over the past three years.

DatePenaltyAmount
2023-11-30Fine$7,901

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts worse2.01.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better1.31.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.6 pts better100.0%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better100.0%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse4.3%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms2.8 pts worse9.6%6.8%13.5%
Percentage of long-stay residents who lose too much weight6.4 pts worse13.5%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.6 pts better14.5%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.7 pts better10.2%13.9%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.5 pts better13.1%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.8 pts better14.2%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.0%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.7 pts worse2.8%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6 pts better13.9%19.9%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts worse5.9%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.3 pts better89.8%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts worse13.5%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts worse3.5%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.6 pts better97.7%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.5 pts worse29.7%22.2%23.4%

·

Who owns and runs it

2 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Hill, BrianOperational/Managerial Control · Individual0%9 facilities
Peak Resources IncOperational/Managerial Control · Organization0%8 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    September 22, 2022 · K372 · Corrected January 27, 2023

  2. D

    Inspect, test, and maintain automatic sprinkler systems.

    September 22, 2022 · K353 · Corrected January 27, 2023

  3. D

    Install corridor and hallway doors that block smoke.

    September 22, 2022 · K363 · Corrected January 27, 2023

Services2F
  1. F

    Have properly installed electrical wiring and gas equipment.

    September 22, 2022 · K511 · Corrected January 27, 2023

  2. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    September 22, 2022 · K521 · Corrected January 27, 2023

Gas, Vacuum, and Electrical Systems2F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    September 22, 2022 · K914 · Corrected January 27, 2023

  2. D

    Have generator or other power source capable of supplying service within 10 seconds.

    September 22, 2022 · K918 · Corrected January 27, 2023

Egress1D
  1. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    August 21, 2024 · K223 · Corrected October 1, 2024

·

Other homes nearby

  1. The Greens at Pinehurst Rehabilitation & Living Ce

    Pinehurst, NC · Cch Healthcare

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 24 min
    Fines
    $0
  2. Saint Joseph of the Pines Health Center

    Pinehurst, NC · Trinity Health

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 52 min
    Fines
    $0
  3. Penick Village

    Southern Pines, NC

    Worst citation, 3 yrs
    D
    Nursing / resident / day
    6 h 5 min
    Fines
    $0