94/ 100

WHITE OAK MANOR - CHARLOTTE

Name: White Oak Manor - Charlotte
Address: 4009 Craig Av, Charlotte, NC, 28211, US

4009 CRAIG AV, Charlotte, NC 28211

Rest/Nursing Homes · NC permit/State ID 2060400026

Directions Open in Google Maps What else is nearby

Latest result94 / 100

Last inspectedJun 18, 2026

Inspections on record26

On record sinceAug 1, 2013

Score history

Aug 1, 2013Higher is betterJun 18, 2026

Inspections & violations

Jun 18, 2026 94 / 100 · 6 violations

#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −1

1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed glue coming up through vinyl flooring in several areas throughout facility. Observed floors in need of cleaning in West parlor. Observed stain on floor in W15 and S11. Needs cleaning/repair. REPEAT.

#2 · Walls and ceilings clean, good repair −2

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed scuffs to walls and cracks on ceiling throughout the building in halls, resident rooms and resident bathrooms. Observed stain on ceiling in hall outside the Therapy room and in room S32. Needs cleaning/repair. REPEAT.

#5 · Ventilation equipment clean, good repair

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust build up on bathroom vents in multiple rooms. Observed A/C unit broken in room E35. Needs cleaning/repair.

#7 · Facilities provided, accessible, clean, good repair

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed toilet in need of cleaning in E35 and W30. Observed build up on shower tiles in West central baths. Observed shower chair cracked in W30 Needs cleaning/repair.

#16 · Hot water between 105°F and 116°F −3

.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water between 119-125 in East and West wings. Needs to be 105 -116F. REPEAT.

#36 · Laundry area and equipment kept clean

.1319 (e) Laundry areas and equipment shall be kept clean. Observed puddle of water on the floor in laundry room from leaking machine. Needs cleaning/repair.

View this inspection on the county portal ›

Nov 24, 2025 93 / 100 · 7 violations

#1 · Floors and carpets cleanable, clean, good repair; carpet odor free

#2 · Walls and ceilings clean, good repair −2

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed scuffs to walls and cracks on ceiling throughout the building in halls, resident rooms, and parlor rooms. Observed some cracking wall tile in central bath 2. Needs repair. REPEAT.

#8 · Toilet rooms free of storage, handwash signs posted −1

.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed storage of chairs and wheelchair in Central bath 2. Bathrooms shall not be used for storage. REPEAT.

#12 · Bathing facilities properly equipped, equipment cleaned and disinfected

.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions. Observed build up in tub in Central bath 1. Staff stated facility does not use bathtub. Observed one communal shower chair stained in Central bath 2. Needs cleaning.

#16 · Hot water between 105°F and 116°F −3

.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water from 118-127 throughout facility with only a few rooms testing in temperature range. Needs to be 105-116F. REPEAT.

#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1

.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed small tears and paint stains on chairs in Parlor 2. Observed a table with damaged legs in Parlor 2. Observed heavily stained chairs in the Activity room. REPEAT.

#38 · Food service equipment and utensils clean, good repair

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed build up in microwave in pantry room. Needs cleaning.

View this inspection on the county portal ›

Jun 18, 2025 93 / 100 · 9 violations

#2 · Walls and ceilings clean, good repair −2

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed scuffed walls and chipped doors/door frames throughout facility. Observed dust on ceiling in E6. REPEAT

#7 · Facilities provided, accessible, clean, good repair −2

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed pink residue on shower chair in West bathing room. Observed toilet chair rusting in W5. Observed shower tile cracked in East shower room. Needs cleaning/repair. REPEAT.

#8 · Toilet rooms free of storage, handwash signs posted −0.5

#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected

.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. Observed bedpans and urinals in shared resident bathrooms with no labels. Needs to be labeled.

#16 · Hot water between 105°F and 116°F −1.5

.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water on South and East Halls over 125F. Needs to be 105-116F.

#17 · Back-up water supply plan available and complete

.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed facility missing parts of back up water supply plan. Facility only has food service and laundry sections to plan. Needs a complete plan.

#28 · No pest presence; effective pest control measures

.1317 (a) Pests shall not be present in an institution's building or buildings. Observed some small gnats in several room. Staff stated facility is aware and is getting regular pest control services.

#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1

#44 · Time/Temperature Control for Safety (TCS) foods maintained as required

.1323 (a) All TCS food shall be maintained at temperatures required by Part 3-501.19 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653 during storage, preparation, transportation, display, and service of the TCS food. Observed East pantry refrigerator at 68F. Door had been left partially open. Staff voluntarily discarded all TCS food.

View this inspection on the county portal ›

Dec 12, 2024 94 / 100 · 8 violations

#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −1

1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed floors in multiple resident rooms and common areas with debris and in need of cleaning. REPEAT

#2 · Walls and ceilings clean, good repair −2

#3 · Ceiling attachments cleanable, clean, good repair

.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair. Observed cracked/damaged light fixtures in soiled linen rooms on south hall. Repair.

#7 · Facilities provided, accessible, clean, good repair −2

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed soiled toilet in room W12 and in bathing/shower room on south hall. Observed underside of toilet chair in room S12 heavily soiled. Observed sink detaching from wall in bathing/shower room on south hall. Repair. REPEAT

#8 · Toilet rooms free of storage, handwash signs posted

.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed storage of furniture and wheelchairs in bathing/shower rooms. Keep bathrooms free of storage of items not in use. REPEAT *Points not escalated due to hand washing signs placed properly. (Improvement from previous inspection)

#18 · Drinking fountains clean, good repair

.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed multiple drinking fountains out of order throughout facility. Repair. Observed one drinking fountain in need of cleaning.

#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1

.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed seat cushions with general staining in parlor rooms throughout facility. Observed stained mattress in room E3. REPEAT

#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled

.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed soiled pillow in room S12.

View this inspection on the county portal ›

Apr 10, 2024 94.5 / 100 · 13 violations

Inspector comments: *NOTE: EHS Kailyn Morotto, and Administrative Director Hayden Keziah, were present during time of inspection. Report emailed to the following: Hkeziah@whiteoakmanor.com

#1 · Floors and carpets cleanable, clean, good repair; carpet odor free

#2 · Walls and ceilings clean, good repair −1

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed touch up paint needed to walling throughout facility to include behind beds in residents rooms and behind chair in parlor areas. Observed popcorn ceiling peeling sporadically throughout building. REPEAT VIOLATION.

#7 · Facilities provided, accessible, clean, good repair −2

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed black build up inside the floor tiles in shared spa room located on south wing. Observed blue shower mat stored on south wing with tears and cracking in padding, EHS advises facility to replace shower mat. Observed general cleaning needed to flooring in shared spa rooms throughout facility. Observed minor build on toilet in rooms E21 and room W29. REPEAT VIOLATION.

#8 · Toilet rooms free of storage, handwash signs posted

.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed no hand wash sign posted at employee restrooms in administrative office. .1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed storage of furniture and miscellaneous items in west wing central spa room. REPEAT VIOLATION.

#16 · Hot water between 105°F and 116°F

#17 · Back-up water supply plan available and complete −0.5

.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed incomplete backup water supply plan. EHS emailed facility back up water supply plan guidance. REPEAT VIOLATION.

#23 · Solid waste containers properly constructed, covered where required; good repair

.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use. Observed outside dumpster doors opened during time of inspection.

#26 · Premises properly maintained −1

.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborages. Observed debris/litter surrounding dumpster area.

#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1

.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed seat cushions with general staining in parlor rooms throughout facility. Observed white vinyl pillow peeling in room W8. Observed drape with minor staining in room W8. Observed sink cracked in west wing soiled utility room. REPEAT VIOLATION.

#34 · Linens provided by the institution properly cleaned and sanitized

.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following: (1) using a solution of at least 50 parts per million chlorine; or (2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions. Observed no documentation onsite for notated rule. REPEAT VIOLATION.

#38 · Food service equipment and utensils clean, good repair

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed general cleaning needed to shelving of refrigerator in pantry area located on west wing.

#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated

.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed food brought from home by employees or residents not labeled in east wing pantry area. All food not labeled was voluntarily discarded during time of inspection.

#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete

.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. EHS emailed facility required procedure template.

View this inspection on the county portal ›

Sep 13, 2023 95.5 / 100 · 7 violations

#2 · Walls and ceilings clean, good repair −1

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed touch up paint needed throughout facility to include walling, door frames, and baseboard.

#7 · Facilities provided, accessible, clean, good repair −1

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed detailed cleaning needed to toilet in room E16. Observed blue shower mats fraying in central spa rooms throughout facility. Observed toilet chair rusting in room E16.

#8 · Toilet rooms free of storage, handwash signs posted −0.5

.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed storage of wheelchairs, pushcarts that stores trash/soiled linen in West central spa room.

#16 · Hot water between 105°F and 116°F −1.5

#17 · Back-up water supply plan available and complete

.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. EHS emailed facility procedure template for notated rule.

#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −0.5

#34 · Linens provided by the institution properly cleaned and sanitized

View this inspection on the county portal ›

Apr 5, 2023 98 / 100 · 5 violations

#2 · Walls and ceilings clean, good repair −1

Observed touch up paint needed on walls and ceilings in areas during the inspection. Improvement from previous inspection. **.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.

#7 · Facilities provided, accessible, clean, good repair −1

Observed caulking around the base of the toilet in room S25 and west central bath 2. Observed toilet seat in need of cleaning in room S8 and central bath 2. Observed shower bed ripped in west central bath 2 and east central bath. **.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.

#12 · Bathing facilities properly equipped, equipment cleaned and disinfected

Observed shower bed with staining in west central bath 2. Needs to be cleaned. **.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions.

#16 · Hot water between 105°F and 116°F

Observed hot water reach 120F before falling back down to 115F. **.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities.

#38 · Food service equipment and utensils clean, good repair

Observed interior of microwave in room S25 in need of cleaning. **.1320 (a) All food service equipment and utensils shall be kept clean and in good repair.

View this inspection on the county portal ›

Nov 10, 2022 97.5 / 100 · 3 violations

Inspector comments: No points deduction the following: 8. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower bed cracked/ripped in central bath room on the west hall. Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b). Observed clogged sink in the soil work room, staff unclogged during inspection. 33. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed stained on pillow case and ripped bed linen in resident rooms.

#3 · Walls and ceilings cleanable, clean, good repair −1

REPEAT. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.9 Observed damaged walls along bath area in central bath rooms. Observed paint on ceiling peeling near the heater in central bath 2 (south). Observed ceiling peeling near the janitor’s closet (west). Observed touch up paint needed in room W26.

#9 · Toilet rooms free of storage, hand wash signs posted −0.5

Toilet rooms shall not be used for storage. See rule .1312 (b). Observed wheelchair and lamp in the central bath rooms. Items removed during inspection.

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1

All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed dirty surface undersink in need of cleaning in soil work room, and loose cabinet used to store disinfectant solution in central bath on east hall. Damaged cabinet surface need repair/replace in clean work room on west hall.

View this inspection on the county portal ›

Jun 1, 2022 97 / 100 · 2 violations

Inspector comments: No points were deducted for the following: 9. Observed wheelchair stored in the spa on the south wing. **Toilet rooms shall not be used for storage. See rule .1312 (b). 34. Observed disposable undergarments stored on clean linen cart. Removed. **Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b).

#2 · Floors clean, carpet clean, dry, odor free −2

Observed floor grout in need of cleaning in central bath 1 and 2 on the west wing. Needs to be cleaned. **Keep all flooring clean. 15A NCAC 18A .1309 (a).

#3 · Walls and ceilings cleanable, clean, good repair −1

Observed wall damage in room S25 and W13. Facility is in the middle of construction. Continue to repair walls. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.

View this inspection on the county portal ›

Jul 9, 2021 96 / 100 · 3 violations

Inspector comments: No points were deducted during the inspection: 30. Observed medication cups stored with the lip of the cups exposed. Ensure that the cups are protected while stored. **Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).

#2 · Floors clean, carpet clean, dry, odor free −1

Observed black build up in grout in the shower room on the West wing. Needs to be cleaned. **Keep all flooring clean. 15A NCAC 18A .1309 (a).

#3 · Walls and ceilings cleanable, clean, good repair −1

Observed wall damage during the inspection. Improvement from previous inspection. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.

#8 · Facilities conveniently located, clean and in good repair −2

Observed shower head with build up in room S24. Observed hopper in need of cleaning. Observed shower beds torn in spas on units during inspection. Observed toilet rusting in room W27. Observed toilet staining in room E16. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).

View this inspection on the county portal ›

Mar 23, 2021 95.5 / 100 · 5 violations

Inspector comments: General Comments: No Points Deducted! #2. Continue to clean floors throughout facility. Monitor floor in PT room where the floor is worn. #4. Replace blown light bulbs in employee bathroom at nurse station.

#3 · Walls and ceilings cleanable, clean, good repair −1

Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed wall damage throughout facility in different areas (Residents room and bathrooms). Continue to repair walls throughout in resident rooms and bathrooms. Rooms are being repainted throughout facility. Continue to paint throughout rooms, bathrooms, storage rooms and anywhere else needed.

#8 · Facilities conveniently located, clean and in good repair −1

Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Clean shower heads on shower wands in bathroom located on south wing. Regrout base and corners of showers (residents rooms and common bath/showers on hallway). Clean base of showers.Replace missing and damaged floor tile in base of common showers around drains and along base corners.

#9 · Toilet rooms free of storage, hand wash signs posted −1

Toilet rooms shall not be used for storage. See rule .1312 (b). Observed storage in several residents bathrooms/showers and in shower room/ common bathrooms. No storage in bathrooms/shower rooms. (jerry chairs, wheel chairs, etc.

#28 · Adequate storage, area clean, items properly stored −0.5

All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed patient care items stored on the floor in the med room and storage room. No storage on the floor. Work storage up in a timely manner(same day).

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1

All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed damaged mattress on resident's bed. Damaged mattress was being replaced at time of inspection. Continue to monitor for any damaged mattresses and replace if needed. Wipe/clean base of chairs in resident rooms. Clean arm railing on wheel chairs. Clean base of over bed tables. Replace night stands with worn surfaces. Touch-up furniture with a furniture marking. Replace night stands with missing and damaged drawers. Replace chairs in residents rooms with worn base. Monitor arm railing on chairs in residents room where the varnish is starting to wear away due to cleaning/disinfecting.

View this inspection on the county portal ›

Nov 20, 2020 96 / 100 · 4 violations

Inspector comments: NO VIOLATIONS FOR THE FOLLOWING VIOLATIONS: #8. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed loose toilet seat in room W1. #32. All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed interior of refrigerator in room W1 damaged. *NOTE: Matthew Davison Housekeeping Manager was present during time of inspection. Inspection report was emailed to Ms. Pack and Assistant Director Brittany Grigg apack@whiteoakmanor.com;bgrigg@whiteoakmanor.com;

#3 · Walls and ceilings cleanable, clean, good repair −1

Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed chipping to baseboards to door frames throughout facility. Observed scuff marks to walls in residents rooms throughout facility (room S12).

#5 · Ambient air temperature 65 to 85 F, equipment clean −1

Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed ceiling air vents throughout facility with heavy dust accumulation. Clean.

#9 · Toilet rooms free of storage, hand wash signs posted −1

Toilet rooms shall not be used for storage. See rule .1312 (b). Observed storage in shared spa rooms throughout facility (wheelchair's, furniture, and linen rolling baskets).

#33 · Linen changed when soiled. Soiled linen handled properly −1

Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed pillow stained in room S12. Observed pillow case stained in room W1.

View this inspection on the county portal ›

Oct 29, 2019 95.5 / 100 · 4 violations

Inspector comments: NO POINTS FOR THE FOLLOWING VIOLATIONS: #3. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed wall in need of repair in room W34 behind bed. Observed minor scuffing to walls throughout in residents rooms. #14. A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no EPA registered hospital disinfectant accessible to South central spa room. #17. Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed pink build up around nozzle of drinking fountain on South wing. EHS recommends facility cleans all water fountains in facility with more detail #18. Label all disposable water pitchers with the resident's/patient's first name and last name. 15A NCAC 18A .1314 (a). Observed several pitchers throughout residents rooms not labeled. #43. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed no thermometer in pantry refrigerator located in East wing. *NOTE: Matthew Davison Housekeeping Manager was present during time of inspection. Inspection report was signed by Amanda Pack and emailed to apack@whiteoakmanor.com

#8 · Facilities conveniently located, clean and in good repair −2

Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed rusted toilet chairs in rooms W7and W15. Replace. Observed the caulking around toilet seat in room S23 with heavy black build up. Clean. Observed soiled toilet basins in rooms S23 and S10. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower tile broken in central spa rooms West and East. Repair.

#9 · Toilet rooms free of storage, hand wash signs posted −0.5

Toilet rooms shall not be used for storage. See rule .1312 (b). Observed storage in West central and East central spa rooms.

#33 · Linen changed when soiled. Soiled linen handled properly −1

Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed staining on bed linen in rooms S23, S10, and E3. Clean.

#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1

Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed clean linen carts throughout facility with wipes, diapers, and hygienic items stored on them.

View this inspection on the county portal ›

May 17, 2019 95 / 100 · 3 violations

Inspector comments: NO POINTS WERE TAKEN FOR THE FOLLOWING: #27 - Maintain adequate vet records for all animals. 15A NCAC 18A .1317 (f). Observed several therapy animals (Jet, Desi, Allie, Aaron, Abbie, Archer, Brindle, Brisket, Cheyanne, Luke, Carol, Nelson, Nicky, Rita, and Roxyanne) with expired rabies vaccine records. PIC stated most of them may not visit the facility anymore. #6 - Moisture shall be controlled such that there is no evidence of microbial growth on interior surfaces and objects. 15A NCAC 18A .1311 (d). Observed mold in cabinet under sink in both West unit clean work room and East unit soiled work room. #3 - Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed soiled and dusty walls in central laundry room behind dryers and washing machines.

#8 · Facilities conveniently located, clean and in good repair −2

Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Repeat. Observed soiled shower and buildup on shower curtain in room E30.

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2

All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Repeat. Observed stained window curtain in room S26, debris on window curtain in room S6, tears in pillows in rooms W22 and E26, and soiled window curtain in parlor of East unit.

#33 · Linen changed when soiled. Soiled linen handled properly −1

Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed minor staining of bed sheets in rooms S26 and S23. Also observed no pillow case on pillow in room W29.

View this inspection on the county portal ›

Oct 30, 2018 93.5 / 100 · 7 violations

Inspector comments: #3: ** All walls shall be easily cleanable. See rule .1310. Observed wall damage in S27. #40: Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). Observed ALL food/beverages dated today in all refrigerators/coolers throughout. Make sure items are dated the day they come in.

#8 · Facilities conveniently located, clean and in good repair −1

**Keep all bathing equipment clean and in good repair. See rule .1312 (a) and (f). Observed one torn shower bed cover. **Keep all toilet equipment clean and in good repair. See rule .1312 (b). Observed rusted toilet chair. CDI-removed. Hoppers need more frequent cleaning, debris and ring. Couple toilets need cleaning under seats.

#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5

#10: Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Observed unlabeled bedpan in a jack n jill bathroom, E33.

#14 · Disinfectant accessible, properly used −1

A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no disinfectant available in 2 central shower rooms.

#19 · Ice protected, dispensed, equipment clean in good repair −1

Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b). Observed ice scoops, scoop holders and coolers/chests with build-up and/or odors. Send to kitchen daily.

#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1

Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Observed at least a med carts with build-up and debris in the drawers and one pill crusher.

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1

#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1

Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed diapers stored on clean linen cart. Couple clean linen carts with spills on shelving. Clean regularly

View this inspection on the county portal ›

Jun 28, 2018 96.5 / 100 · 4 violations

Inspector comments: No demerits were issued for the following: 30. Observed some medication cups stored on cart uncovered while some were placed in zip lock bags. Ensure all cups are protected to reduce the chances of possible contamination. **Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c).

#3 · Walls and ceilings cleanable, clean, good repair −1

Observed damaged wall in restroom within room E34. Needs to be repaired. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.

#8 · Facilities conveniently located, clean and in good repair −1

Observed brown staining on the bottom side of the toilet chair in shower room 2 on the East Wing. Staff was brought in for it be cleaned. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).

#28 · Adequate storage, area clean, items properly stored −0.5

Observed several items stored on the floor in the medical supply room. Needs to be placed on shelving to reduce chances of contamination. **All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1

Observed torn mattress and pillow in room S26. Pillows were removed and replacement mattress was provided. **All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).

View this inspection on the county portal ›

Dec 19, 2017 95 / 100 · 3 violations

Inspector comments: No Points Deducted for the following: 1. Observed floor tile missing in Central Bath #2 on the West hallway. Needs to be repaired. **Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). 3. Observed minor wall damage behind bed in S26. Needs to be repaired. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.

#5 · Ambient air temperature 65 to 85 F, equipment clean −1

Observed dust build up on vents in Central Bath #1 on South hall. Needs to be cleaned. **Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

#8 · Facilities conveniently located, clean and in good repair −2

Observed shower bed with cracks in the surface in Central Bath #1 south hallway. Needs to be repaired to reduce the risk of growth in interior padding. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed faucet leaking in room W10. Needs to be repaired. **Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2

Observed several torn pillows during the inspection. Ensure pillows are being replaced with damaged. Pillows were discarded during the inspection. Observed torn sheets in rooms S9 and W10. Sheets were removed during inspection. **All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).

View this inspection on the county portal ›

Jun 30, 2017 91 / 100 · 9 violations

Inspector comments: No Points Deducted: #3. Observed minor damage to restroom walls. Keep all walls in good repair. #19. Observed one cart with an unlocked bin of ice with no staff present. Keep hydration cart ice coolers locked when staff are not near the cart. #33. Observed the soiled laundry basket in the beauty salon not labeled and with no lid. Label the basket with the phrase "Soiled Linen" and install a cover for the basket. #34. Observed towels in the beauty salon not covered. Keep clean linen protected from contamination. #21. Trash is placed in an open cart outside near the laundry room. Keep trash in a covered container. #30. Observed med carts collecting a small amount of debris. Observed one med cart with single service spoons stored with mouth contact surface up. Keep med carts clean and store the spoons with the handles as the 1st hand contact surface.

#8 · Facilities conveniently located, clean and in good repair −1

Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed two shower chairs with residue on two units (Repeat Non-Compliance). Observed Shower beds damaged on two units. Observed toilet chair in E27 with residue. Observed a loose toilet seat in the therapy restroom.

#11 · Hand sinks used only for intended purpose −1

Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d). Staff advised they are collecting water in handwashing sinks for the med carts. All water for drinking must be obtained from the kitchen or from a water fountain.

#13 · Lavatory and bathing hot water between 100 and 116 F −2

Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). Observed hot water in a South Central Bathroom at 120 F. Hot water tempered back down to 114 F after prolonged use. (Repeat)

#14 · Disinfectant accessible, properly used −1

A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed one central bath missing its disinfectant (Repeat, but observed improvement).

#17 · Water fountains clean, good repair, properly regulated −1

Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed two water fountains collecting pink and black residue.

#28 · Adequate storage, area clean, items properly stored −0.5

Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). Observed some storage cabinets collecting debris and damaged. Activity, therapy, and pantries. Observed two custodial closets with chemicals stored above paper towels. Store chemicals below all other items. Observed coffee cups exposed to contamination in the Activity room. Keep the cups covered. Observed patient care items stored under sinks in a med room and in the therapy room.

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1

#36 · Approved utensils and equipment, cleaned and sanitized −1

Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). Observed refrigerator gaskets with debris in activity and pantry areas. Observed ovens in the activity and pantry areas in need of cleaning. Observed a damaged crisper drawer in the refrigerator in the East Pantry Activity kitchens or nutrition stations that are not approved to clean food service utensils and equipment shall return all food service utensils, equipment, and utensils not continuously subjected to high temperatures to the kitchen after each use to be washed, rinsed, and sanitized. 15A NCAC 18A .1320 (b). Staff in the therapy room advised they was the utensils in the kitchen in the 1 compartment sink. All used food service utensils and cookware must be returned to the kitchen for cleaning and sanitizing when the activity is completed.

#40 · Food brought by employees or visitors handled properly −0.5

Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). Observed staff and resident food comingled in the therapy room refrigerator. Food was not labeled.

View this inspection on the county portal ›

Dec 28, 2016 90 / 100 · 7 violations

#3 · Walls and ceilings cleanable, clean, good repair −1

Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed damaged walls and floors throughout whole facility. Walls in need of painting, and repair in all rooms checked today. REPEAT VIOLATION Improvement since last inspection.

#8 · Facilities conveniently located, clean and in good repair −1

Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower chair with pink build up around seat and pvc connectors. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed community bath considered clean with bowel movement in toilet. CDI: Housekeeping staff brought to bath to do thorough cleaning. Observed several toilets and bathrooms with urine or fecal matter present either on floor or on potty chair. CDI: Items and areas cleaned.

#13 · Lavatory and bathing hot water between 100 and 116 F −1

Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). Observed E35 room with sink water at 120F. CDI: Water turned down to 113F. REPEAT VIOLATION Improvement from last inspection

#14 · Disinfectant accessible, properly used −1

Skin contact surfaces of all shared bathing equipment shall be cleaned with a detergent solution and then disinfected with an EPA registered hospital disinfectant between patient uses. 15A NCAC 18A .1312 (f). PIC stated that disinfectant is sprayed onto surfaces and sits for 3-5 minutes. Disinfectant being used has a 10 minute contact time that is necessary. PIC stated that chemicals will be changed to one that has a lower contact time in order to make cleaning more efficient. A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no disinfectant in 2 community bathrooms. PIC stated that the employees are to clean and disinfect with the chemicals stored in the bathrooms. CDI: Chemicals provided

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2

All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).Observed several furnishings in all parlors with stains. Observed cushion of couch in East parlor with hole in it. REPEAT VIOLATION

#33 · Linen changed when soiled. Soiled linen handled properly −2

Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed several beds, which had been made up by staff already, with sheets and pillowcases that were soiled. CDI: All soiled linens changed during inspection. REPEAT VIOLATION

#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −2

Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed briefs/adult diapers stored on same shelf as clean linens. REPEAT VIOLATION

View this inspection on the county portal ›

Jun 23, 2016 90 / 100 · 8 violations

Inspector comments: NO POINTS #21: Observed dumpster rusted through. Replace dumpster.

#3 · Walls and ceilings cleanable, clean, good repair −2

Repeat: Observed water damaged/stained ceiling and walls in laundry room, west parlor, E22, and S8. Some peeling wallpaper with mold behind it in west parlor. Damaged ceiling with mold in room E22. Rotted wood below window in West parlor. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.

#8 · Facilities conveniently located, clean and in good repair −1

Observed many slow drains throughout facility. Chipped sink in room E9. **Keep all hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b)

#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −1

Observed soiled bucket for bedside commode in bathroom of E22. Soiled measuring urine cup in room W30. Unlabeled bedpan in rooms E22 and S8. *Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). **All bedside commodes shall be cleaned after each use. 15A NCAC 18A .1312 (c).

#13 · Lavatory and bathing hot water between 100 and 116 F −1

Observed water >116 and up to 126F in most bedrooms and common areas. **Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e).

#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1

Observed pill crushers soiled and med cart drawers dirty on 2 med carts. **Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1

Observed damaged mattresses in rooms W30 and E1. Damaged bedside table in room E1. Broken lamp in Parlor. Debris below couch cushions Parlor. **ll furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).

#33 · Linen changed when soiled. Soiled linen handled properly −1

Observed soiled bedspread in room S32. Slit pillows and tear in sheet room W4. Tear in sheet room Stained sheet E1. **Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).

#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −2

Repeat: Observed briefs/diapers stored on the cart with clean linen. Observed clean linen not properly covered in linen storage rooms. Observed soiled shelving in linen carts. **Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). **Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a).

View this inspection on the county portal ›

Dec 7, 2015 93.5 / 100 · 7 violations

Inspector comments: 12-Observed no paper towels are stored in the patient room due to patient flushing down the toilet. Paper towels must be provided at all handsinks. .131228- Observed blanket and pillow stored on the floor in closet of one patient room. Store patient contact items at least 8 inches above the floor.8- Geri chair observed stored in the shower room. Non-showering related storage should be stored in shower rooms.1-Observed missing floor tile in Central Bath 2. Keep all flooring in good repair. 15A 18A

#3 · Walls and ceilings cleanable, clean, good repair −1

Observed water damaged/stained ceiling especially in laundry room. Some peeling wallpaper.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.

#5 · Ambient air temperature 65 to 85 F, equipment clean −1

HVAC vents observed soiled throughout the facility.Observed dust buildup on the wall fan in laundry.Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5

Observed unlabeled urinal in room W14.Observed bed pan with name and no date in room S32.All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c).Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).

#18 · Drinking utensils properly handled −1

Observed soiled spout on the water cooler dispenser at West Wing nursing station. Observed soiled drinking straw for water pitcher in room E30.Disposable water pitchers shall be disposed of and replaced when visibly soiled. 15A NCAC 18A .1314 (a).All multi-use drinking water utensils shall be cleaned and sanitized between users. 15A NCAC 18A .1314 (a).

#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1

Observed soiled pill crushers on med carts. Observed soiled drawers on med carts.Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).Cups on the med cart observed with mouth portion exposed due to being stacked above the ziploc bag opening.Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1

Observed drawer knobs missing on patient closet drawer units throughout the facility.Observed loose wall shelf in the restroom of room S5.Observed tape residue on the chair in South Parlor.Minor stain on the couch in front lobby area.All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).

#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1

Observed briefs/diapers and cleaning spray stored on the cart with clean linen.Observed clean linen not properly covered in linen storage rooms.Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b).

View this inspection on the county portal ›

May 4, 2015 91 / 100 · 8 violations

Inspector comments: Observed shower beds and other soiled items being cleaned on sidewalk. These items need to be cleaned where the waste goes into the sewer system. If waste makes its way to a storm drain or creek you can be fined by water quality.Repair water damaged walls behind mop sinks.

#8 · Facilities conveniently located, clean and in good repair −2

Observed shower bed with torn pad and not being properly cleaned on bottom side and mesh support. Shower chairs not cleaned on underside.**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).

#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5

Observed unlabeled bedpans in 3 separate resident rooms.**Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).

#13 · Lavatory and bathing hot water between 100 and 116 F −1

Observed hot water reaching 121F in room S-20.**Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e).

#14 · Disinfectant accessible, properly used −1

Observed disinfectant not accessible or bottles empty in most bathing rooms. Make sure the disinfectant is a hospital grade disinfectant could not find it on the paperwork.**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).

#28 · Adequate storage, area clean, items properly stored −0.5

Observed paper towels stored below hand sink. Box of diapers stored on floor.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).**Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).**Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).

#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1

Observed single service cups, spoons, pill cups with debris at bottom of bag. Change bag more frequently.**Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1

Observed many bedside tables need wiping down including the undersides. One torn mattress. One torn fall mat. Couple of loose room curtain rods.

#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −2

Repeat: Observed clean linen rooms where dividers not closed separating clean linens from general storage.**Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b).

View this inspection on the county portal ›

Oct 8, 2014 94.5 / 100 · 6 violations

#8 · Facilities conveniently located, clean and in good repair −1

Observed soiled toilet chairs in rooms S20. Shower chair soiled, torn shower curtains, several shower rooms. Scale build up around sink fixture in pantry.**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).**Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).

#19 · Ice protected, dispensed, equipment clean in good repair −1

Observed pink mold on guard in ice machine, west nourishment.**Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b).

#28 · Adequate storage, area clean, items properly stored −0.5

Observed clean linen stored below hand sink in PT. Observed water pitchers stored below hand sink, west clean workroom.**Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1

Observed frayed mattresses in rooms E6, W8, ans S20 . Gum on bottom side of night stand, E6.**All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).

#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1

Observed clean linens not protected in linen rooms storing other items. Stains and splatters on a couple hallway linen carts. **Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b).

#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1

Observed water pitchers lids broken.**Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).**General Comment: Clean up trash on ground around dumpster and keep doors closed.

View this inspection on the county portal ›

Jan 9, 2014 no score published · 0 violations

Inspector comments: *In addition to the full, routine inspection, an inspection was done in reference to the illness service request ID 45131.-All chemicals being used today are the same as last inspection.-In addition to said chemicals, approved Chlorox Bleach wipes are now being used on knobs, beds, tables, chains on the lights (per several housekeepers), inside the resident rooms.-All residents are confined to their rooms.-All common areas such as the Parlors, Shower rooms, Rehab, Activity room, and Dining room are all shut down and blocked off.-Per Susan, the common areas will not be reopened until there is a full 48 hours of No symptoms at all from anyone.-Per Susan & Lauren, more illnesses have been reported since onset earlier this week.-Upon speaking with multiple nurses and housekeepers, all stated that they wash hands before contact with a resident as well as after.-Per Juanita, she goes over sanitary measures with her housekeeping staff daily.-Handwashing and cleaning were discussed today.

No violations were recorded for this inspection.

View this inspection on the county portal ›

Jan 9, 2014 93 / 100 · 5 violations

Inspector comments: 3. -Observed wall damage in room E15.-Observed dining room being repaired due to a pipe that burst a few days ago. The base boards have been removed, fans are blowing to dry the walls, and a cleaning/repair company is presently working onsite.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.15. Observed no back flow preventer on the shower wands in room E15 and S30. Provide back flow preventer on all shower wands throughout,Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).19. Observed pink build up in the ice machine in the S Nourishment room.Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b).28. Observed bag of clothes stored on the closet floor in room W17, and a bag of pads on the closet floor in room E25.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). •43. Observed a inaccurate thermometer in the refrigerator in the S Hall Nourishment room (red line not showing properly).All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).Juanita, Raymond, and Lauren present throughout the inspection.

#5 · Ambient air temperature 65 to 85 F, equipment clean −1

Observed the AC/Heat unit filters collecting dust in rooms on each hall.Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

#8 · Facilities conveniently located, clean and in good repair −2

-Repeat Non-Compliance: Observed rusting toilet chairs in S30, E15, E6, and W8.-Repeat Non-Compliance: Observed soiled toilet seats in rooms S30 and S9.-Observed no toilet seat on nor chair over the toilet in room W20.Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). -Observed shower stretcher in Men's Shower room on W Hall in disrepair & shower head collar separating from the wall on E Hall Shower room.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).-Observed a slow draining handsink in staff restroom on E hall. Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1

-Observed torn mattress in room S30.-Observed cabinets drawers collecting food debris in S Hall Nourishment room-Observed the refrigerator gasket torn in the S Hall Nourishment room.All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).

#33 · Linen changed when soiled. Soiled linen handled properly −2

Repeat Non-Compliance: Observed soiled and/or holes in the bedding in rooms S30, S18, E25 and E6.**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. See rule .1319 (b).

#36 · Approved utensils and equipment, cleaned and sanitized −1

-Observed pink build up in the ice machine on the S Hall.-Observed the oven drawer in the Activity room collecting old food debris.-Observed the interior of the refrigerators in the S Hall Nourishment room and the Pantry on the W Hall collecting residue and in need of cleaning.**All utensils and food contact surfaces of equipment used in the preparation, service, display, or storage of potentially hazardous foods shall be cleaned and sanitized prior to each use. See rule .1320 (c).

View this inspection on the county portal ›

Aug 1, 2013 90.5 / 100 · 7 violations

Inspector comments: 2. Observed strong urine smell in E11 restroom.Observed black build up around base of toilet in E11.**Keep all flooring clean. See rule .1309 (a).3. Observed ceiling in the South hall parlor peeling.**Keep all walls and ceilings clean and in good repair. See rule .1310.10. Observed unclean urinal in E11.**All bedpans/urinals/emesis basins shall be cleaned after each use. See rule .1312 (c). 15. Observed no back flow preventer on the shampoo bowls in the salon.**Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. Seer rule .1313 (d).42. Observed unlocked unattended ice (igloo) cooler on West hall. Observed pink build up in ice machine on West hall.**All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. See rule .1323 (a).Ms. Juanita & Mr. Raymond present during the inspection.

#8 · Facilities conveniently located, clean and in good repair −2

Repeat Non-Compliance: Observed rusting toilet chairs in W7 and S1.Repeat Non-compliance: observed stained (BM &/or Urine) on toilet seats in South hall Women's shower room and E26.**Keep all toilet equipment clean and in good repair. See rule .1312 (b).Observed residue on stretcher in East hall women's shower room.**Keep all bathing equipment clean and in good repair. See rule .1312 (a) and (f).

#9 · Toilet rooms free of storage, hand wash signs posted −0.5

Repeat Non-Compliance: Observed wheelchairs and geri chairs stored in West & East hall women's shower room.**Do not use toilet rooms for general storage. See rule .1312 (b).

#14 · Disinfectant accessible, properly used −1

Repeat Non-Compliance: Observed no cleaners in shower rooms to properly clean and disinfect the jacuzzi tubs. **The manufacturer's instructions shall be followed for cleaning equipment with pumps. See rule .1312 (f).

#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1

-Repeat Non-Compliance: Observed pill crushers collecting residue on multiple med carts.-Observed med carts throughout with residue in the drawers.**Medication carts shall be cleaned when visibly soiled. See rule .1318 (c).

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2

-Repeat Non-Compliance: Observed damaged mattresses in rooms on each hall.-Observed stained dividing curtains throughout facility.-Observed closet door off track in room W7.**All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. See rule .1319 (a).

#33 · Linen changed when soiled. Soiled linen handled properly −1

Observed soiled linen and pillow cases throughout facility.**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. See rule .1319 (b).

#36 · Approved utensils and equipment, cleaned and sanitized −2

Repeat Non-Compliance: Observed pink build up in water pitchers on multiple med carts.**All utensils and food contact surfaces of equipment used in the preparation, service, display, or storage of potentially hazardous foods shall be cleaned and sanitized prior to each use. See rule .1320 (c).

View this inspection on the county portal ›

Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “WHITE OAK MANOR - CHARLOTTE” or State ID 2060400026). Inspection type (routine vs. follow-up) is not published in the county's data.