Waxhaw, NC

White Oak of Waxhaw

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

Compare this facility

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

Facility snapshot

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

Hours and turnover

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

Value-based purchasing

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

How the VBP score is built

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

Medicare quality reporting measures

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

Resident outcomes and process scores

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

Recent inspection cycles

Cycle 1 Health 2025-09-24 · Fire 2024-08-02

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)

Cycle 2 Health 2024-08-02 · Fire 2023-03-30

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Cycle 3 Health 2023-03-30 · Fire 2022-02-03

0 health 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 citations

D · Potential for more than minimal harm 2024-08-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-09-30

D · Potential for more than minimal harm 2023-03-30

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 2023-05-08

D · Potential for more than minimal harm 2023-03-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-05-08

D · Potential for more than minimal harm 2023-03-30

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-05-08

Inspection history

Recent health citations

Penalties and ownership

What sits behind the stars

Ownership

Nearby options

Other facilities in reach

#1

Pavilion Health Center at Brightmore

Charlotte, NC

2-star overall rating with 2-star inspections with $112,580 in total fines with 7 recent health deficiencies

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$112,580
#2

Lake Park Nursing and Rehabilitation Center

Indian Trail, NC

3-star overall rating with 2-star inspections with $44,005 in total fines with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
5 / 5
Fines
$44,005
#3

Monroe Rehabilitation Center

Monroe, NC

2-star overall rating with 2-star inspections with abuse icon flag with $76,381 in total fines with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$76,381

Jump out

Supporting pages