White Oak Manor – Shelby
White Oak Manor – Shelby Information
| Facility Name | White Oak Manor - Shelby |
| Location | 401 N Morgan Street, Shelby, NC 28150 |
| County (SSA Code) | Cleveland (220) |
| Phone Number | 704-482-7326 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 160 |
| Average Number of Residents | 111.2 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | WHITE OAK MANOR SHELBY INC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1977-10-26 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.85545 |
| Reported LPN Staffing Hours per Resident per Day | 1.27616 |
| Reported RN Staffing - Hours per Resident per Day | 0.32334 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.5995 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.45495 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.04905 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.14327 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.79786 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.42371 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.36484 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.27356 |
| Total Weighted Health Survey Score for three cycles | 28.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-29 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 16 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-02 |
| Rating cycle 2 - Health Deficiency Score | 16 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-29 |
| Rating cycle 3 - Health Deficiency Score | 56 |
| Rating cycle 3 - Total Health Inspection Score | 56 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 11278 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |