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White Oak Manor - Tryon

70 Oak Street, Tryon, NC 28782 · Polk County · (828) 859-9161

70 certified beds, about 61 residents a day · For profit - Corporation · Medicare and Medicaid since 1974

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345127 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 24, 2025, inspectors cited 8 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

Of 11 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $16,153 in the last three years; the largest was $16,153, and the latest is dated February 4, 2026.

Nurses and nurse aides worked 4.11 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

62.4% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
1B
1C
February 4, 2026Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 28, 2026
    Inspectors wroteBased on observations, record review, manufacturer recommendations, North Carolina Governor's Executive Order, and staff, Family Member, Medical Director, Civilian, Emergency Medical Services (EMS), and Assistant Fire Chief interviews, the facility failed to supervise a cognitively impaired resident, who had a diagnosis of dementia and wore an elopement alarm device due to exit-seeking behavior, from exiting the facility without staff knowledge for 1 of 3 residents reviewed for supervision to prevent accidents (Resident #1). On Saturday 01/24/26, Resident #1 exited the facility with her walker, wearing thin, capri pants and a loose-fitting shirt with no jacket in 36-degree Fahrenheit weather. [...]
July 24, 2025Standard inspection, Complaint inspection · 8 citations
  1. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 21, 2025
    Inspectors wroteBased on observations, record review, staff and resident interviews, the facility failed to assess a resident's ability to self-administer medications for 1 of 1 resident reviewed for self-administration (Resident #40).
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 21, 2025
    Inspectors wroteBased on observations and staff interviews the facility failed to protect residents' healthcare information by leaving confidential medication information unattended, visible, and accessible to others on the computer screen for 1 of 4 medication carts observed (Medication cart for hall 300). A continuous observation of 300 hall medication cart occurred on 7/21/25 from 1:50pm to 1:52pm. The medication cart was in the hallway unattended, and it was observed to have the computer screen showing resident information such as medications, date of birth , room number, and diagnosis. The medication cart was observed for 2 minutes and during that time 2 staff members and 2 residents walked past the medication cart. Medication Aide (MA) #2 was interviewed at 1:53pm. [...]
  3. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 21, 2025
    Inspectors wroteBased on observations, record review, staff, and law enforcement officer interviews, the facility failed to protect the resident's right to be free of misappropriation of medication for 1 of 3 residents reviewed for misappropriation (Resident #53).
  4. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 21, 2025
    Inspectors wroteBased on record review, staff, and Law Enforcement Officer interviews, the facility failed to implement their abuse policy and procedures by failing to thoroughly investigate an allegation of misappropriation of resident medication and report to the State Survey Agency and Adult Protective Services for 1 of 3 residents reviewed for misappropriation (Resident #53).
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 21, 2025
    Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to administer oxygen via nasal canula as prescribed for 1 of 1 resident reviewed for respiratory care (Resident #66).
  6. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 21, 2025
    Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to secure medications on an unattended medication cart that was unlocked and a drawer partially opened for 1 of 4 medication carts (hall 300). A continuous observation occurred on 7/21/25 from 11:58am to 12:00pm of the medication cart on hall 300. The medication cart was in the hallway unattended, unlocked, and with a drawer partially opened that contained resident medications. The observation occurred for 2 minutes with the staff member returning to the cart at 12:00pm. During the 2-minute observation 2 staff members were observed to walk past the medication cart. No residents were near or passed by the cart during the observation. Medication Aide (MA) #2 was interviewed on 7/21/25 at 1:53pm. [...]
  7. C
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · no revisit needed August 21, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to provide Registered Nurse (RN) coverage for at least 8 consecutive hours for 1 of 82 days reviewed for staffing (7/20/25).
  8. B
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · no revisit needed August 21, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to ensure daily posted nurse staffing sheets were filled out completely and everyday for 6 of 61 days reviewed for daily posted nurse staffing (5/5/25, 5/6/25, 5/8/25, 5/23/25, 6/16/25, and 6/23/25).
July 10, 2024Standard inspection, Complaint inspection · 1 citation
  1. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 2, 2024
    Inspectors wroteBased on record review and staff interviews the facility failed to submit a request for a re-evaluation for Preadmission Screening and Resident Review (PASRR) determination for a resident who was diagnosed with a new mental health disorder and received a change in treatment (Resident #6) for 1 of 1 resident reviewed for PASRR.
March 17, 2023Standard inspection · 1 citation
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 14, 2023
    Inspectors wroteBased on record review, observations and staff interviews, the facility failed to treat residents in a dignified manner by standing over them while assisting with eating and/or referring to residents as feeders. This practice affected 5 of 5 residents reviewed for dignity (Residents #206, #21, #31, #16, and #42). The reasonable person concept was applied to this deficiency as individuals have the expectation of being treated with dignity while dining.

Fire safety inspections

4 fire safety citations on file: 1 on July 10, 2024, 2 on March 17, 2023, 1 on March 17, 2022.

Every fire safety citation4 citations
  1. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 10, 2024 · Corrected (the home has a date of correction)
  2. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 17, 2023 · Corrected (the home has a date of correction)
  3. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · March 17, 2023 · Corrected (the home has a date of correction)
  4. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 17, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 4, 2026Fine $16,153

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNorth CarolinaUnited States
All nursing staff (RN, LPN and aides)4.113.853.86
Registered nurses0.520.620.69
All nursing staff on weekends3.943.423.42
Nurse aides2.62
Licensed practical nurses0.96
Nursing staff turnover (share who left in a year)62.4%49.0%45.8%
Registered nurse turnover36.4%45.6%42.9%
Administrators who left1

CMS expects 3.48 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.18 on weekdays and 3.94 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.89 in April to June 2025 to 4.11 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.110.524.183.94 1.1%0 of 9061
Oct to Dec 20254.260.694.413.86 0.0%0 of 9265
Jul to Sep 20254.530.644.734.02 29.5%1 of 9266
Apr to Jun 20253.890.604.103.38 21.4%0 of 9163
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
North Carolina, Jan to Mar 20263.650.533.823.258.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNorth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
24.315.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
4.02.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
10.63.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.51.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.018.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.55.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.214.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.022.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.012.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.81.8

Owners and operators

Legal business name: Legal Business Name Not Available.

NameRoleTypeShareSince
Ownership data not available

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on July 24, 2025: "Allow residents to self-administer drugs if determined clinically appropriate."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on February 4, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 24, 2025: "Protect each resident from the wrongful use of the resident's belongings or money."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on July 24, 2025: "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."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

North Carolina contacts for a concern about a nursing home

These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.

Common questions

What is White Oak Manor - Tryon's Medicare star rating?
CMS rates White Oak Manor - Tryon 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did White Oak Manor - Tryon get at its last inspection?
8 health deficiencies at the standard inspection on July 24, 2025. The North Carolina average is 4.7.
Has White Oak Manor - Tryon been fined?
Yes. CMS lists 1 fine totaling $16,153 in the last three years.
Does White Oak Manor - Tryon accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns White Oak Manor - Tryon?
CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.

Sources

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