0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Waxhaw, NC
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
700 Howie Mine Road, Waxhaw, NC
(704) 243-7640
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
90
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
White Oak Management
Operator or chain grouping
Approved since
2010-04-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.39
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.54
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.02
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.75
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
4.10
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
2,153
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.42
Composite VBP score used to determine payment impact.
Payment multiplier
1.0058
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.58
Baseline 16.57% · Performance 17.92% · Measure score 7.58 · Achievement 7.58 · Improvement 0
Healthcare-associated infections
3.47
Baseline 4.28% · Performance 6.80% · Measure score 3.47 · Achievement 3.47 · Improvement 0
Total nurse turnover
5.84
Performance 39.82% · Measure score 5.84 · Achievement 5.84 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.69
Baseline 3.80 hours · Performance 4.13 hours · Measure score 3.69 · Achievement 3.69 · Improvement 1.15
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.85% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 324 · Observed rate 8.95% · Lower 95% interval 7.98% |
| Discharge to community | 57.21% |
50.57%
6.6 pts better
|
Better than the National Rate · Eligible stays 304 · Observed rate 56.91% · Lower 95% interval 53.15% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 149 · Denominator 149 |
| Falls with major injury | 0.67% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 149 |
| Discharge self-care score | 62.07% |
53.69%
8.4 pts better
|
Numerator 72 · Denominator 116 |
| Discharge mobility score | 47.41% |
50.94%
3.5 pts worse
|
Numerator 55 · Denominator 116 |
| Pressure ulcers or injuries, new or worsened | 1.34% |
2.29%
0.9 pts better
|
Numerator 2 · Denominator 149 · Adjusted rate 1.49% |
| Healthcare-associated infections requiring hospitalization | 6.8% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 174 · Observed rate 5.17% · Lower 95% interval 4.68% |
| Staff COVID-19 vaccination coverage | 1.36% |
8.2%
6.8 pts worse
|
Numerator 3 · Denominator 220 |
| Staff flu vaccination coverage | 24.78% |
42%
17.2 pts worse
|
Numerator 56 · Denominator 226 |
| Discharge function score | 62.07% |
56.45%
5.6 pts better
|
Numerator 72 · Denominator 116 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 34 · Denominator 34 |
| Transfer of health information to patient | 98.82% |
96.28%
2.5 pts better
|
Numerator 84 · Denominator 85 |
| Resident COVID-19 vaccinations up to date | 28.05% |
25.2%
2.9 pts better
|
Numerator 23 · Denominator 82 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.8
0.1 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.8
1.1 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.5%
8.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.8% |
94.1%
0.7 pts better
|
95.5%
0.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
3.6%
1.3 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.5% · Q3 4.5% · Q4 4.2% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.8%
4.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.3% |
7.2%
3.9 pts better
|
5.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.2% · Q3 1.8% · Q4 3.4% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.6% |
21.6%
8 pts better
|
19.6%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 15.6% · Q3 12.3% · Q4 10.3% · 4Q avg 13.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.5% |
15.0%
4.5 pts better
|
16.7%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 10.2% · Q3 10.9% · Q4 14.5% · 4Q avg 10.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.8% |
21.5%
3.3 pts worse
|
16.3%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 35.8% · Q4 22.7% · 4Q avg 24.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.5% |
16.8%
0.3 pts better
|
14.9%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 15.9% · Q3 15.8% · Q4 22.4% · 4Q avg 16.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.7% |
2.6%
3.1 pts worse
|
1.7%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 5.6% · Q3 6.0% · Q4 2.8% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.1% |
21.2%
5.1 pts better
|
19.8%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 17.1% · Q3 11.2% · Q4 18.7% · 4Q avg 16.1% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
6.0%
2.1 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 1.2% · Q3 4.5% · Q4 2.8% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
79.9%
19.8 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.5% · Q3 99.5% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
13.2%
0.1 pts better
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 10.8% · Expected 9.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.7% · Q4 2.2% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.1% |
78.1%
12 pts better
|
79.7%
10.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.6% |
22.9%
7.7 pts worse
|
23.9%
6.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.6% · Observed 22.2% · Expected 17.3% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Services (2 deficiencies)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-30
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 2023-05-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-05-08
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-08
Inspection history
Penalties and ownership
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