White Oak Manor - Charlotte
White Oak Manor - Charlotte in Charlotte, NC — inspection on April 13, 2026.
Found 5 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
During a continuous observation on 4/6/26 at 2:45 PM in the South Hall, NA#6 was observed quickly pulling Resident #67 backward down the hall approximately 30 feet from the day room to her room while she was reclined in a geriatric chair.
During an interview on 4/9/26 at 2:39 PM, NA #6 indicated the Resident #67 used a reclining geriatric chair. He stated when he took Resident #67 from the day room to her room, he felt it was better to pull her backward down the hall because it was harder to push her chair moving forward even when she was reclined. NA #6 stated he was not aware of any problems with the reclining geriatric chair.An interview and observation with Social Worker #1 were completed on 4/9/26 at 3:36 PM.
While Resident #67 was resting in bed, SW #1 pushed Resident #67's reclining geriatric chair forwards and backwards in the South Hallway.
There were no noted concerns with the chair not functioning properly. SW #1 stated Resident #67's reclining geriatric chair was working fine and needed no repairs.A telephone interview with the Staff Development Director on 4/13/26 at 12:06 PM revealed all staff were educated during orientation and received ongoing education on residents' rights and dignity. He also stated staff were frequently educated on resident wheelchair use, including caution with speed and when or if footrests should be used.
The Staff Development Director stated Resident #67 should not have been pulled backwards in her geriatric chair and he would make a note to include the term geriatric chair along with wheelchairs for future staff education.An interview with the Director of Nursing on 4/9/26 at 3:58 PM revealed she expected staff to push residents in their wheelchairs forward and not at a fast pace. An interview with the Administrator on 4/9/26 at 4:34 PM revealed he expected staff to push residents in wheelchairs and geriatric chairs forward in a dignified manner and at a normal pace.
345238 04/13/2026
White Oak Manor - Charlotte 4009 Craig Avenue Charlotte, NC 28211
#144's hair had been washed last and indicated the NAs assigned to her would know. An interview
345238 04/13/2026
White Oak Manor - Charlotte 4009 Craig Avenue Charlotte, NC 28211
checks during the shift they worked. On 6/29/25 at 4:21am, Re[TRUNCATED]
jeopardy to resident health or safety
345238 04/13/2026
White Oak Manor - Charlotte 4009 Craig Avenue Charlotte, NC 28211
serve food in accordance with professional standards.
observations, record review, and staff interviews, the facility failed to label and date leftover food
potential for cross-contamination.
These practices occurred in 1 of 2 walk-in coolers, 1 of 1 food preparation areas, and 3 of 3 Nourishment rooms (Nourishment room [ROOM NUMBER], Nourishment room [ROOM NUMBER], Nourishment room [ROOM NUMBER]).
These practices had the potential to affect food served to residents.
The findings included:a. An initial tour of the main kitchen occurred on 4/6/26 at 10:05 AM with the Dietary Manager.
The following concerns were identified:- Visible dirt and grime build up present on the three water spigots above the cooking range.- A plastic scoop was left in the rice bin with the handle and bottom touching the rice in the food preparation area. - A cardboard flat of 9 croissants was cut open with no open or use by date was found in walk-in cooler #2.
Seven croissants had been used from the container and not resealed. An interview with the Dietary Manager on 4/6/26 at 10:10 AM the vent hood had been cleaned by an outside vendor a few months prior.
She stated she would have water spigots included in the next cleaning.
The Dietary Manager also stated the open croissants were missed by kitchen staff and the rice scoop should be stored in the appropriate holder on the bin.b.
Items found in the refrigerator in Nourishment room [ROOM NUMBER] on 4/6/26 at 10:18 AM that were open and not labeled with an open or use by date included: - One half-eaten creme pie with three used plastic forks in the pan,- One small reusable container of ranch dressing.c.
Items found in the refrigerator in Nourishment room [ROOM NUMBER] on 4/6/26 at 10:20 AM that were open with an open date, but no use by date included: -One vanilla pudding cup dated 4/6,-One wrapped fast-food sandwich dated 3/9. d.
One fast food milkshake was found in the refrigerator in Nourishment room [ROOM NUMBER] on 4/6/26 at 10:22 AM with no open or use by date. A second interview with the Dietary Manager occurred on 4/6/26 at 10:20 AM and revealed all food in the nourishment rooms needed to be labeled with an open date and a use by date which should be seven days after the open date.
The Dietary Manager stated the pudding cup should have been thrown away by nursing staff after it was opened. A third interview with the Dietary Manager on 4/9/26 at 3:02 PM revealed she had a few new staff members who were not labelling the opened items correctly in the coolers by forgetting to add the appropriate dates.
The Dietary Manager stated the nourishment rooms were inspected by kitchen staff each morning and had not yet been completed on the morning of 4/6/26.
She stated nursing staff often left items in the nourishment room refrigerators and did not label them appropriately.An interview with the Administrator on 4/9/26 at 4:40 PM revealed he had the expectation for the kitchen staff to properly store food served in the facility.
345238 04/13/2026
White Oak Manor - Charlotte 4009 Craig Avenue Charlotte, NC 28211
had an Enhanced Barrier Precautions (EBP) sign posted on the door with a hanging plastic holder
appointment and was seated in his wheelchair.
Nurse Aide #3 (NA) and NA #4 were observed entering
gowns.
Both were wearing gloves. NA #3 and NA #4 completed the mechanical lift transfer.
An interview with NA #3 was conducted on 4/6/2026 at 12:56 PM as he exited Resident #161's room.
NA #3 was shown the Enhanced Barrier Precautions sign and asked what it meant. NA #3 stated he was aware Resident #161 was on Enhanced Barrier Precautions due to having a gastrostomy tube for tube feeding. NA #3 stated a gown was only required when performing some type of care not when transferring a resident.
When shown the portion of the sign that indicated both a gown and gloves were required for transferring a resident, NA #3 stated again that transferring was not performing care and he did not consider a transfer to be a high-contact resident care activity.
An interview with NA #4 was conducted on 4/6/2026 at 1:05 PM. NA #4 indicated she usually worked on the [NAME] unit and was unsure what was required on the East unit. NA #4 stated that 4/6/2026 was the first time she had worked with Resident #161.
When asked how NA #4 knew who was on EBP on the [NAME] unit, NA #4 stated she followed the EBP signage.
When asked if the EBP sign on Resident #161's door was different than the signs used on the [NAME] unit, NA #4 stated, No. NA #4 stated she sometimes used a gown when transferring residents on EBP but not all of the time.
An interview was conducted on 4/9/2026 at 11:00 AM with the Infection Preventionist.
The Infection Preventionist stated that NA #3 and NA #4 should have worn a gown when entering the room to provide a mechanical lift transfer for Resident #161 as that was considered a high-contact resident care activity.
The Infection Preventionist indicated that the EBP sign was posted on the door along with the hanging plastic holder containing PPE as he rounded daily to make sure the signage was accurate and PPE was available.
The Infection Preventionist further stated that he had completed an all staff Infection Control in-service approximately 2 weeks ago which included training on EBP and PPE use. NA #3 and NA #4 had received this recent training as well as EBP training during orientation when hired, monthly EBP/PPE use reviews during staff meetings and yearly through online training modules.
An interview was conducted on 4/9/2026 at 4:10 PM with the Director of Nursing (DON).
The DON stated all staff members should utilize the appropriate PPE according to the infection control signage posted for each resident.
The DON stated NA #3 and NA #4 should have worn a gown when conducting the mechanical lift transfer for Resident #161.
An interview was conducted on 4/9/2026 at 4:28 PM with the Administrator.
The Administrator stated he expected staff to wear the required PPE when providing care to residents on EBP.
The Administrator stated NA #3 and NA #4 should have worn gowns when transferring Resident #161.