North Carolina › Orange County › Hillsborough
Peak Resources - Brookshire, Inc
300 Meadowlands Drive, Hillsborough, NC 27278
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Peak Resources - Brookshire, Inc is a For-profit, corporation nursing home in Hillsborough, North Carolina, certified for 80 beds and caring for about 74 residents a day.
CMS gives it 4 of 5 stars overall, above the North Carolina median of 3; the health inspection rating is 4, staffing 3 and quality measures 3.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (1, 7, 5 by cycle, most recent first), none at the actual-harm level. That is 16.3 per 100 beds, about the same as the state median of 15.6.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the North Carolina median of 3.5; nursing staff turnover is 44.6%.
Compared with county, state and nation
| Measure | This facility | Orange Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 13 | 13 | 16 | 28.7 |
| Citations per 100 beds | 16.3 | 18.5 | 15.6 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.5 | 3.9 |
| RN hours per resident day | 0.6 | 0.8 | 0.5 | 0.7 |
| Nursing staff turnover | 44.6% | 44.6% | 48.6% | 45.8% |
| Fines listed | $0 | $0 | $8,512 | — |
County and state figures are medians across facilities (3 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Apr 2026, 28 Feb 2025.
Severity mix: D ×10 E ×2 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Apr 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | Standard survey | 30 Apr 2026 |
| 28 Feb 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 25 Mar 2025 |
| 28 Feb 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 28 Jan 2025 |
| 28 Feb 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 25 Mar 2025 |
| 28 Feb 2025 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Standard survey | 25 Mar 2025 |
| 28 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 Mar 2025 |
| 28 Feb 2025 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 25 Mar 2025 |
| 28 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Mar 2025 |
| 16 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Mar 2024 |
| 27 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 30 Nov 2023 |
| 27 Oct 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 30 Nov 2023 |
| 27 Oct 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 30 Nov 2023 |
| 27 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Nov 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 44.6%, RNs 27.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.0% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.9% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.3% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.0% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.1% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Peak Resources - Brookshire Inc. Chain: Peak Resources, Inc. (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Peak Resources Inc | Operational/managerial control | NOT APPLICABLE | 08/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Orange County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Carol Woods | Chapel Hill | 30 | 5 | 4 | 5 | 7 | 23.3 | — | 6 Jun 2024 |
| Signature Healthcare of Chapel Hill | Chapel Hill | 108 | 3 | 3 | 3 | 20 | 18.5 | — | 19 Jun 2025 |
All 3 facilities in Orange County
Questions and answers
How many deficiencies has Peak Resources - Brookshire, Inc been cited for?
13 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Peak Resources - Brookshire, Inc been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Peak Resources - Brookshire, Inc compare?
Reported total nurse staffing is 3.6 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Peak Resources - Brookshire, Inc?
It is part of the Peak Resources, Inc. chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Peak Resources Inc. Individual owners and managers are not listed on this site.
When was Peak Resources - Brookshire, Inc last inspected?
The most recent survey or investigation in the CMS record is dated 16 Apr 2026; the most recent standard health survey was 16 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.