01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-28 | 3 | 2024-05-23 | 5 |
| Cycle 2 | 2024-05-23 | 12 | 2023-02-28 | 5 |
| Cycle 3 | 2023-02-28 | 3 | 2021-07-02 | 1 |
CMS CCN 3451712026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
White Oak Manor-Shelby
401 N Morgan Street · Shelby, NC 28150 · Cleveland County
Certified beds160CMS provider file
Recent citation rows29current CMS citation release
Penalty rows6current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
29 rows in the current release
5 rows carry G–L scope/severity codes; 2 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-12 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · complaint2025-08-28 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-09-172025-08-28 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-09-172025-07-23 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-08-28 · complaint2025-07-23 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-08-28 · complaint2024-10-21 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-11-15 · complaint2024-10-21 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-11-15 · complaint2024-10-21 · HEALTHF0882Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-11-15 · complaint2024-05-23 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-23 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-23 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-23 · HEALTHF0679Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-23 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-06-21 · complaint2024-05-23 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-23 · HEALTHF0809Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-23 · FIREK0161Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2024-09-052024-05-23 · FIREK0345Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-09-052024-05-23 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-09-052024-05-23 · FIREK0914Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2024-09-052024-05-23 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-09-052023-02-28 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2023-03-242023-02-28 · HEALTHF0610Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2023-03-242023-02-28 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-03-242023-02-28 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2023-05-1903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-03-12 | Fine | $10,868 | 0 |
| 2025-07-23 | Fine | $3,931 | 0 |
| 2025-07-23 | Fine | $3,931 | 0 |
| 2025-07-23 | Fine | $11,700 | 0 |
| 2025-07-23 | Payment Denial | $0 | 34 |
| 2024-05-23 | Fine | $12,542 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MORGAN STANLEY INSTITUTIONAL ADVISORS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/08/2024
- ABERNATHY, JAMESIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2024
- ADAMS, ROBERTIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2024
- ADAMS, WILLIAMIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2024
- FLATT, BENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2024
- FLATT, STEPHENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2024
- HASSAN, EMILIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2024
- KIDD, BRIANIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2024
- LAROCHE, RICHARDIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/13/1998
- MCCREARY, JOSHIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2024
- TRAIL, SANDRAIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2024
- ADAMS, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/13/1998
- FLATT, STEPHENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/21/2005
- PIERCEY, LISAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/06/2025
- FLATT, BENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/02/2017
- KIDD, BRIANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/31/2023
- MCCREARY, JOSHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/15/2019
- CLARK, KEVINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.43per resident day
RN hours0.43per resident day
Weekend nurse hours3.02per resident day
Staff turnover62.8%CMS reported field
06 / LOCAL RECORDS
Open the Shelby ledger →