Peak Resources-wilmington, Inc
Peak Resources-Wilmington, Inc in Wilmington, NC — inspection on May 22, 2026.
Found 9 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
before she left for the dining room and not to let Resident #3 sit in her soiled brief.
The DON added
multiple grievances to the staff on this unit that anytime another nurse aide was not available to
other aides from other units, or herself to help assist. An interview with the Physician Assistant on 05/22/26 at 3:30 PM revealed there was no reason Resident #3 had to sit in her soiled brief for an extended period of time.
The Physician Assistant stated she was not sure how long exactly Resident #3 sat in her brief but that it was close to an hour.
The Physician Assistant stated no resident should have to sit in soiled brief for this long when staff were made aware she needed to be changed.
345537 05/22/2026
Peak Resources-Wilmington, Inc 2305 Silver Stream Lane Wilmington, NC 28401
Federal health inspectors cited Peak Resources-Wilmington, Inc in Wilmington, NC for a deficiency under regulatory tag F-F0552 during a standard health inspection conducted on 2026-05-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Ensure that residents are fully informed and understand their health status, care and treatments.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Peak Resources-Wilmington, Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-06-16.
03/31/26 to say that on 3/30/26 when Resident #2 was transferred from dialysis to ED, dialysis staff
dialysis, that she should have immediately notified resident's RP and MD, since Resident #2 was still
5/20/26 at 11:15 AM with the Physician Assistant (PA).
She stated she was not notified on the evening of 3/30/26, that Resident #2 had been transferred to the ED from dialysis.
She stated it was her expectation that Resident #2's physician should have been notified by his nurse the evening of 3/20/26 once the nurse was informed by the ED of the resident's transfer, so she could have then assessed the resident's situation and treated the resident if needed once he returned from the ED.An interview was conducted on 5/19/26 at 1:45 PM with the Administrator.
She stated when Resident #2 was at dialysis on 3/30/26 his shunt site started to bleed so dialysis sent him to the ED for observation and treatment and failed to notify the facility or RP of the ED visit.
The Administrator said the facility's nursing staff found out about the ED visit around 6:00 PM on 3/30/26 when the ED called the facility, informing them that Resident #2 was transferred from dialysis to ED, due to a fistula bleeding event, while at dialysis.
The Administrator said the dialysis center should have notified the facility and RP of the ED visit and did not.
She also said to the nurse, once she became aware Resident #2 transfer to the ED, she should have called the attending physician and resident's RP and did not.A follow-up interview was conducted on 5/19/26 at 3:47 PM with the Administrator.
She said it was her expectation that when Nurse #6 was notified by the hospital around 6:00 PM on 03/30/26 that Resident #2 was at the ED, she should have immediately notified resident's MD and RP, since it was the facility's responsibility to notify resident's family and MD, and not dialysis.
Federal health inspectors cited Peak Resources-Wilmington, Inc in Wilmington, NC for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2026-05-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Peak Resources-Wilmington, Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-06-16.
was not wearing a safety alarm device on 5/5/2026.
Nurse #9 indicated that Resident #27 was on
of Resident # 27 in her room revealed she was not wearing an safety alarm device. Resident #27 stated she was not wearing a safety alarm device.
She indicated she didn't want to wear a safety alarm device and didn't like it.
On 5/19/26 at 4:56 PM the survey team exited the facility and observed Resident #27 sitting outside on the right side of the front porch of the facility without staff supervision. A survey team member immediately notified the Evening Receptionist that Resident #27 was outside while the remaining team members stayed with Resident #27. At 5:02 PM the Business Office Manager assisted Resident #27 back into the building.
An interview with the Evening Receptionist was conducted on 5/19/26 PM at 5:00 PM.
The Evening Receptionist stated she was aware Resident #27 was outside on the porch.
She further stated that Resident #27's safety alarm device had not set the alarm off when she approached the door, so she thought it was okay for the resident to go outside.
The Evening Receptionist did not report what time Resident #27 went outside.
The Evening Receptionist indicated she was aware that Resident #27 was identified as a high risk for elopement and that her information was in the High Risk for Elopement book at the desk.
She indicated she was educated regarding residents with high risk for elopement prior to today.
The Evening Receptionist stated she was aware Resident #27 went outside but she was not able to see her from behind the receptionist desk.
An interview with Business Office Manager was completed on 5/21/26 at 11:52 AM.
The Business Office Manager stated her office was right behind the receptionist desk in the front lobby of the facility.
She further stated that on 5/19/26 at approximately 5:00 PM she had overheard the Evening Receptionist telling another staff member that Resident #27 was outside unsupervised.
The Business Office Manager indicated she was the staff member that went outside and assisted Resident #27 back into the facility.
She stated she had received training regarding residents with high risk for elopement.
An interview with Nurse #10 was completed on 5/22/26 at 7:44 AM.
Nurse #10 stated she was the nurse assigned to Resident #27 on 5/19/26 at 5:00 PM.
She further stated that she had observed Resident #27 ambulating with her walker down the hall towards the dining room a little before 5:00 PM.
She indicated she had documented DR for dining room on the facility 15-minute Observation Monitoring Tool sheet.
Nurse #10 stated Resident #27 was in the dining room eating at 5:15 PM and she had documented DR on the monitoring tool.
She indicated she was unaware that Resident #27 was outside without staff supervision on 5/19/26 in between the 15-minute c
345537 05/22/2026
Peak Resources-Wilmington, Inc 2305 Silver Stream Lane Wilmington, NC 28401
Federal health inspectors cited Peak Resources-Wilmington, Inc in Wilmington, NC for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2026-05-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Peak Resources-Wilmington, Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-06-16.
Federal health inspectors cited Peak Resources-Wilmington, Inc in Wilmington, NC for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2026-05-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Peak Resources-Wilmington, Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-06-16.
Federal health inspectors cited Peak Resources-Wilmington, Inc in Wilmington, NC for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2026-05-22.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Dispose of garbage and refuse properly.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Peak Resources-Wilmington, Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-06-16.
Federal health inspectors cited Peak Resources-Wilmington, Inc in Wilmington, NC for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-05-22.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Peak Resources-Wilmington, Inc.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-06-16.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.