Overall Rating
Address
4009 Craig Avenue
Charlotte, NC 28211
Contact
7043652620
Certification Date
1983-11-15
CMS Certification Number
345238
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Average Number of Residents per Day
147.7
Provider Type
Medicare and Medicaid
Legal Business Name
WHITE OAK MANOR CHARLOTTE INC
Affiliated Entity Name
WHITE OAK MANAGEMENT
Affiliated Entity ID
564
Health Inspection Rating
3
Quality Measure Rating
4
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.01536
Reported LPN Staffing Hours per Resident per Day
1.03455
Reported RN Staffing Hours per Resident per Day
0.28405
Reported Total Nurse Staffing Hours per Resident per Day
3.33396
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.03945
Registered Nurse Hours per Resident per Day on the Weekend
0.15637
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04113
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
26.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-12-08
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
5
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Standard Health Survey Date
2022-04-28
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
0
Health Deficiency Score
16
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
16
Standard Health Survey Date
2019-09-12
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
1
Health Deficiency Score
16
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
16
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0