Peak Resources-Outer Banks

In the surveyor’s words

From the most serious findings on record at Peak Resources-Outer Banks, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 27, 2025

  Based on observation and staff interviews, the facility failed to maintain food service equipment free from debris and/or dried spills, failed to remove chipped dishes for safety, failed to maintain properly functioning walk-in freezer door, failed to keep walk-in cooler floor free from standing water, failed to discard expired food from walk-in freezer, failed to ensure dishware was air dried prior to stacking for use and free from dried debris. The facility also failed to remove dented cans from usable stock for 2 of 2 kitchen observations. These practices had the potential to affect food served to residents. Findings included: a. […]

• No harm, potential for more than minimal, patternF550Mar 18, 2021

  Based on observations, staff interviews, and record review the facility failed to promote dignity by placing signage in residents ' room which indicated residents had pressure ulcers and behaviors for 5 of 6 residents reviewed for dignity. (Resident #29, Resident #25, Resident #21, Resident #45, and Resident #34) Findings included: 1. A review of Resident #29 ' s minimum data set assessment dated [DATE] revealed she was assessed as severely cognitively impaired. She had no moods or behaviors. She required extensive assistance with bed mobility. Resident #29 was totally dependent on staff for transfers, locomotion on unit, dressing, eating toilet use, and personal hygiene. She was always incontinent of bowel and bladder. […]

• No harm, potential for more than minimal, patternF575Mar 18, 2021

  Based on observation and staff and resident interviews, the facility failed to post the required posting of a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups, or a statement the resident may file a complaint with the State Survey Agency. Findings included: During a resident council meeting on 3/17/21 at 9:55AM, the 5 resident council members that attended the meeting, revealed there was no signage in the facility with State agency information. The 5 residents revealed they were not aware they could file a complaint with the State Survey Agency nor how to file a complaint. […]

• No harm, potential for more than minimal, patternF761Mar 18, 2021

  Based on observation and staff interview the facility failed to date an opened bottle of [MEDICATION NAME] in the medication refrigerator for 1 of 1 medication storage room reviewed. The facility failed to label medications with an open date on 2 of 2 medication carts reviewed for medication storage. (400-Hall and 100-Hall) The findings included: An observation was conducted of medication storage room [ROOM NUMBER] on 3/17/2021 at 8:39 AM. A bottle of opened [MEDICATION NAME] 5TU/0.1ml was found in the medication refrigerator without an open date. The [MEDICATION NAME] bottle read discard product 30 days after opening. An interview with the Director of Nursing (DON) on 3/17/2021 at 8:44 AM revealed that the medication bottle should have had an open date. […]

• No harm, potential for more than minimal, patternF812Mar 18, 2021

  Based on observations and staff interviews the facility failed to maintain kitchen equipment clean and in a sanitary condition by failing to clean six of six baking sheets, four of four half size steam table pans, three of three full size steam table pans and by failing to clean 2 of 2 convection ovens. The findings included: A review of the undated Area and Equipment Cleaning Frequency, Kitchen Area Policy, under Equipment/ Area/Tasks/ Comments, read as: Ovens-Outside- Clean and Sanitize-Daily. Ovens Inside- Clean and Sanitize Daily. Ovens-Inside-Clean and Sanitize-Weekly. During the initial tour on 3/15/2021 at 10:55 AM the dish room drying rack was observed. Six baking sheets were observed stacked on the drying rack ready for use. […]