White Oak Manor-Shelby

In the surveyor’s words

From the most serious findings on record at White Oak Manor-Shelby, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Feb 28, 2023

  Based on observations, record review, Medical Director and staff interviews, the facility failed to protect a resident's right to be free from neglect when staff pushed a resident with diabetes in her wheelchair without shoes, and when the resident asked the staff person to stop because her foot was hurting, the staff kept pushing the wheelchair and the resident sustained an open area to her great left toe and an abrasion to her left heel due to her foot being caught under the wheelchair footrest and being dragged during the transport. The left great toe had to be treated for one month before it healed. […]

• Immediate jeopardy, isolatedF610Feb 28, 2023

  Based on record review, resident and staff interviews the facility failed to follow their neglect policy in the areas of reporting immediately to administration, conducting a thorough investigation and protecting residents. Transport driver #1 pushed Resident #6 from her room to the front lobby of the facility with her foot caught underneath the footrest of the wheelchair. Resident #6 stated to Transport driver #1 to stop however he kept pushing despite the resident being in pain resulting in an injury to the resident's foot. The incident was not immediately reported to Administration staff. The lack of reporting, investigating and protecting put all residents at risk for serious harm. This occurred for one of one resident reviewed for abuse (Resident #6). […]

• Actual harm, patternF550Jul 2, 2021

  Based on record reviews, observations, staff interviews, and resident interviews the facility failed to treat residents in a dignified manor when staff did not provide incontinence care and the resident heard staff talking about her being difficult to change (Resident #16), when staff rolled their eyes when a resident asked to be put to bed (Resident #79), when staff told a resident they were going on break before providing incontinence care (Resident #55) and when staff yelled at a resident for trying to get assistance with care and trying to get assistance with incontinence care for her roommate (Resident #73). The residents expressed feelings of being upset, uncomfortable, unclean, and felt the nursing home did not care about them. […]

• Actual harm, patternF725Jul 2, 2021

  Based on observations, record reviews, resident and staff interviews, the facility failed to provide sufficient nursing staff, resulting in missed showers for dependent residents, partial baths or bed baths being provided instead of preferred showers, nail care not being provided for dependent residents, residents not being assisted up out of bed as requested and incontinence care not being provided for 13 of 17 residents reviewed for dignity and respect, choices and activities of daily living (Residents #16, #79, #55, #73, #47, #53, #71, #35, #78, #70, #39, #40 and #294). The findings included: This tag is cross referred to: 1. […]

• Actual harm, isolatedF689Mar 12, 2026

  Based on observations, record review, and resident, staff, and Nurse Practitioner interviews, the facility failed to provide care in a safe manner when staff were assisting a resident (Resident #1) with right side weakness and vascular dementia with incontinence care. The resident fell off the side of the bed onto the floor. The resident complained of mild pain to her right knee and right arm and was provided her as needed pain medication and an order was received for in-house x-rays of the right side. Resident #1's right wrist began to show some mild swelling, and she continued to complain of pain, scheduled pain medication was administered, and she was transferred to the hospital for treatment. […]