White Oak Manor - Burlington
323 Baldwin Road · Burlington, NC · 27217 · 3362295571
160 certified beds For profit - Corporation Chain: White Oak Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $109,668 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$109,668 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.45 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 4 · $148,522 |
Inspection citations (23 in the current record)
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Potential for harm · D November 18, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 18, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected December 1, 2025 · Quality of Life and Care
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No harm found · C November 18, 2025
Post nurse staffing information every day.
Corrected December 1, 2025 · Nursing and Physician Services
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Immediate jeopardy · K March 31, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 25, 2025 · Resident Rights
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Immediate jeopardy · J March 31, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K March 31, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K March 31, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 25, 2025 · Quality of Life and Care
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Immediate jeopardy · K March 31, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 25, 2025 · Nursing and Physician Services
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Potential for harm · D March 31, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G August 1, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 1, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected August 26, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 26, 2024 · Pharmacy Service
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Potential for harm · E August 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 26, 2024 · Nutrition and Dietary
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Potential for harm · E August 1, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 1, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 1, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 26, 2024 · Quality of Life and Care
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Potential for harm · D June 7, 2024 · found via complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected August 1, 2024 · Nursing and Physician Services
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Potential for harm · D June 23, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 23, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 21, 2023 · Quality of Life and Care
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Potential for harm · F June 23, 2023 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected July 21, 2023 · Nursing and Physician Services
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Potential for harm · D June 23, 2023 · found via complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected July 21, 2023 · Administration
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No harm found · B June 23, 2023
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected July 21, 2023 · Administration
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No harm found · B June 23, 2023 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 21, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 31, 2025 | Fine | $109,668 |
| March 31, 2025 | Payment Denial | 2 days |
| June 7, 2024 | Fine | $27,804 |
| June 23, 2023 | Fine | $5,330 |
| June 23, 2023 | Fine | $5,720 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345301 · certified since April 27, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.