Charlotte, NC

Sardis Oaks

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

5151 Sardis Road, Charlotte, NC

(704) 365-4202

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

124

Certified beds

Average residents

91

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Atrium Health

Operator or chain grouping

Approved since

1990-11-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.90

Registered nurse staffing

LPN hours / resident day

0.77

Licensed practical nurse staffing

Aide hours / resident day

1.80

Nurse aide staffing

Weekend hours

2.80

Weekend nurse staffing

RN turnover

25%

Annual RN turnover

Total nurse turnover

34%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 4.3
1.8
2.5 pts worse
1.9
2.4 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.8
0.3 pts better
1.8
0.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.3%
91.5%
4.8 pts better
93.4%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.1%
5.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.7%
3.6%
0.9 pts better
3.3%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.4%
4.8%
4.4 pts better
11.4%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.3%
7.2%
2.9 pts better
5.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.2%
21.6%
11.4 pts better
19.6%
9.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.5%
15.0%
5.5 pts better
16.7%
7.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 24.4%
21.5%
2.9 pts worse
16.3%
8.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 13.9%
16.8%
2.9 pts better
14.9%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
0.9%
0.3 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 5.4%
2.6%
2.8 pts worse
1.7%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 28.5%
21.2%
7.3 pts worse
19.8%
8.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 8.2%
6.0%
2.2 pts worse
5.1%
3.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.6%
79.9%
3.7 pts better
81.7%
1.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.0%
13.2%
2.2 pts better
12.0%
1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93.3%
78.1%
15.2 pts better
79.7%
13.6 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.2%
22.9%
4.7 pts better
23.9%
5.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-18 · Fire 2024-09-27

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-09-27 · Fire 2023-04-14

7 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-04-14 · Fire 2021-07-09

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-09-27

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-11-26

D · Potential for more than minimal harm 2024-09-27

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-26

D · Potential for more than minimal harm 2024-09-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-26

D · Potential for more than minimal harm 2024-09-27

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-11-26

D · Potential for more than minimal harm 2023-04-14

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-06-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-01-15

D · Potential for more than minimal harm 2025-12-18

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-01-22

D · Potential for more than minimal harm 2025-12-18

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2026-01-15

D · Potential for more than minimal harm 2025-12-18

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2026-01-15

E · Potential for more than minimal harm 2024-09-27

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-10-25

E · Potential for more than minimal harm 2024-09-27

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-27

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-27

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-27

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-25

F · Potential for more than minimal harm 2023-04-14

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-12

F · Potential for more than minimal harm 2023-04-14

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-14

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-14

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-14

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-14

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-05-12

Penalties and ownership

What sits behind the stars

Ownership

Advocate Health Inc

Operational/Managerial Control · Organization

0% 6 facilities 2022-12-02
Atrium Health Inc

Operational/Managerial Control · Organization

0% 7 facilities 2020-10-09
Ball, Rodney

Corporate Officer · Individual

0% 5 facilities 2023-02-01
Broad River Rehabilitation

Operational/Managerial Control · Organization

0% 5 facilities 2023-06-01
Clode, Colin

Operational/Managerial Control · Individual

0% 1 facilities 2020-02-01
Haynes, Kenneth

Corporate Officer · Individual

0% 5 facilities 2019-12-20
Patel, Dupal

Operational/Managerial Control · Individual

0% 1 facilities 2024-05-06
Pro Diversity Partners, LLC

Operational/Managerial Control · Organization

0% 4 facilities 2021-08-01
The Charlotte-Mecklenburg Hospital Authority

Operational/Managerial Control · Organization

0% 6 facilities 2020-02-01

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Staffing
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#3

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Overall
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Health
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Staffing
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Fines
$40,250

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