White Oak Manor – Charlotte
White Oak Manor – Charlotte Information
| Facility Name | White Oak Manor - Charlotte |
| Location | 4009 Craig Avenue, Charlotte, NC 28211 |
| County (SSA Code) | Mecklenburg (590) |
| Phone Number | 704-365-2620 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 180 |
| Average Number of Residents | 144.1 |
| 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 CHARLOTTE INC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1983-11-15 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.0413 |
| Reported LPN Staffing Hours per Resident per Day | 0.96182 |
| Reported RN Staffing - Hours per Resident per Day | 0.42075 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.38258 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.42388 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02951 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.02744 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.75185 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.38333 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.16261 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.45156 |
| Total Weighted Health Survey Score for three cycles | 35 |
| Rating cycle 1 Standard Survey Health Date | 2019-09-12 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 87 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-09-28 |
| Rating cycle 2 - Health Deficiency Score | 87 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-09-14 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 86811 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |