Wilora Lake Healthcare
Wilora Lake Healthcare in Charlotte, NC — inspection on April 24, 2026.
Found 4 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
stated that she identified the misuse of Resident #14's funds while reviewing Resident #14's bank
she was assisting Resident #14 with her ongoing Medicaid application.
The Medicaid office had asked
monthly basis. Resident #14's bank records from 5/2023 to 12/2025 were received and when the Travel Business Office Manager began to review these on 3/6/2026, she stated she noted transactions made in the name of the former Business Office Manager beginning 9/30/2025 and ending 12/22/2025.
The Travel Business Office Manager immediately reported the misappropriation to the former Administrator, the Business Office Supervisor at corporate and an investigation began immediately.
The Travel Business Office Manager stated she had no idea why Resident #14 had been targeted.
Reviews of all resident accounts during the time the former Business Office Manager worked in the facility were conducted and no other unauthorized transactions were identified.
The Travel Business Office Manager stated it was a rare occasion when there was a resident filing a Medicaid application and needed the facility's assistance with the application process.
The Travel Business Office Manager stated usually a resident's Responsible Party, Financial Power of Attorney or Guardian handled the application process. Resident #14 handled her own finances and did not have involved family to assist her with the Medicaid application process. An interview with the Regional President of Operations was conducted on 4/22/2026 at 12:10 PM.
The Regional President of Operations reported she was involved in the investigation and had contacted Resident 14's bank fraud unit.
The Regional President of Operations was told the charges were over 90 days old so the bank fraud unit could not assist Resident #14 and this was a matter for local law enforcement.
The Regional President of Operations stated the facility audited all resident accounts that were active when the former Business Office Manager was employed at the facility and no other issues were noted with those accounts.
The Regional President of Operations did not know why Resident #14 was targeted for misappropriation by the former Business Office Manager.An interview with the Administrator was conducted on 4/22/2026 at 11:45 AM.
The Administrator indicated the misappropriation had just been identified as she was taking over the position of facility Administrator.
Reports to the State Agency, APS, and local law enforcement had been made. Resident #14 had received a letter from local law enforcement dated 3/31/2026 that the case had been assigned but law enforcement had not yet contacted the facility or Resident #14.
The Administrator stated a reimbursement check for the total amount of the misappropriated funds had been deposited into Resident #14's facility trust account on 4/13/2026.On 4/23/2026 at 10:44 AM the assigned local law enforcement officer investigating the misappropriation responded via email.
The Officer stated he was following up with the reporting person and the investigation was ongoing.
The Officer stated he had advised his contact at the Medicaid Department of the Department of Justice regarding the status of the case.The facility provided a corrective action plan that was not accepted by the State Agency as it did not contain evidence that addressed prevention of misappropriation of resident funds.
345473 04/24/2026
Wilora Lake Healthcare 6001 Wilora Lake Road Charlotte, NC 28212
Federal health inspectors cited Wilora Lake Healthcare in Charlotte, NC for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2026-04-24.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of Wilora Lake Healthcare.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2026-05-22.
bowel movement and prior to placing a new and clean pull up on a resident dependent on staff for
included:Resident #24 was admitted to the facility on [DATE] with diagnoses which included type II diabetes mellitus, neurogenic bladder with suprapubic urinary catheter, muscles weakness and lymphedema.Resident #24's care plan dated 02/26/26 revealed a focus area for impaired physical mobility with goal for resident to be able to perform activity within physical limits.
The interventions included:Consult physical therapy per order.Determine level of assistance needed based on activities of daily living (ADL) evaluation.Encourage resident to increase activity as indicated.Evaluate resident's ability to perform ADL.Monitor for environment barriers to mobility.Observe resident's posture and gait.Observe range of motion in all joints.Resident #24's admission Minimum Data Set (MDS) assessment dated [DATE] revealed she was cognitively intact and required substantial to maximal assistance of one staff member with toileting hygiene, bed mobility and sitting to standing with her walker.
The assessment also revealed the resident was occasionally incontinent of her bladder and frequently incontinent of her bowels.An observation on 04/20/26 at 2:29 PM of suprapubic catheter care revealed Nurse Aide (NA) #1 providing care and the Assistant Director of Nursing (ADON) observing care as well.NA #1 began by removing Resident #24's pull up which had visible brown substance on the pull up and an odor of stool.
The NA removed the pull up from the resident and without cleaning the resident from the bowel movement began care of her suprapubic catheter.
After completing the care of the catheter and without cleaning the resident he placed a new pull up on the resident and placed her covers over her in the bed. NA #1 gathered his supplies and trash and left the resident's room.An interview on 04/20/26 at 2:40 PM with Resident #24 revealed she was not aware earlier that day that she had a bowel movement because she could not always tell but said if she had a bowel movement she would have wanted to be cleaned prior to having another pull up placed on her. Resident #24 stated she was a large resident and knew that it was sometimes difficult to clean her up but said she preferred to be clean and not have the smell of stool.An interview on 04/20/26 at 2:46 PM with NA #1 revealed he was aware Resident #24's pull up had a brown liquid substance on it earlier that day and said he didn't know why he had not cleaned her but said he was nervous about being observed providing suprapubic catheter care and had just forgotten to clean her.
NA #1 stated he had seen the brown liquid substance on Resident #24's pull up and had smelled it when he removed it and said he should have cleaned her up prior to proceeding with her suprapubic catheter care. NA #2 further stated he would go back and clean her and place a clean pull up on her.An interview on 04/20/26 at 2:51 PM with ADON, who is also the Staff Development Coordinator and Infection Preventionist, revealed she had not seen the pull up was soiled with a brown liquid substance but stated she had smelled it and did not know why NA #1 had not cleaned the resident before putting on a clean pull up.
She stated she should have stopped him and made him clean her but was not positioned where she could see what was on the pull up.
The ADON stated she would have expected NA #1 to have cleaned the resident when he saw the brown liquid substance on her pull up.A telephone interview on 04/23/24 at 11:19 AM with the Director of Nursing (DON) revealed she expected the staff to clean all residents after a bowel movement before placing clean pull ups or briefs on them.
Federal health inspectors cited Wilora Lake Healthcare in Charlotte, NC for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-04-24.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of Wilora Lake Healthcare.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2026-05-22.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.