Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at White Oak Manor - Columbia during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple diagnoses experienced repeated falls due to the facility's failure to identify and address all contributing factors, update the care plan with effective interventions, and ensure safe transfer practices. Despite multiple incidents, the facility did not consistently implement or revise interventions such as non-skid socks, non-slip wheelchair materials, or enhanced supervision, and staff performed an unsafe manual lift after a fall, resulting in injury.
The facility failed to label and date open food items and discard expired ones, as observed in the kitchen. Several items, including gravy mix, bread, cheese, and eggs, were found open and undated in various storage areas. Interviews with dietary staff revealed inconsistencies in following the facility's food storage policy, which requires labeling and monitoring of food items. This deficiency poses a risk of food contamination.
The facility failed to remove expired medications and properly label insulin pens on medication carts, as observed during a survey. Expired medications, including insulin pens without open dates, were found on the carts, and a nasal spray was missing its cap. Interviews revealed that staff misunderstood procedures for medication management, contributing to these deficiencies.
A resident with intellectual disabilities and multiple mental health diagnoses was not screened for PASARR Level II in a timely manner, as required by facility policy. Despite recommendations for further evaluation based on intellectual disabilities indicators, the facility did not complete the necessary screening, potentially missing the opportunity to provide the resident with needed outside services.
A resident with multiple diagnoses, including vascular dementia and diabetes, was observed receiving oxygen at an incorrect flow rate of 5L/Min instead of the prescribed 2L/Min. Staff interviews revealed a lack of awareness and verification of the correct oxygen flow rate, with outdated printouts contributing to the oversight.
Failure to Provide Adequate Supervision and Fall Prevention for High-Risk Resident
Penalty
Summary
The facility failed to provide adequate supervision and implement effective fall prevention interventions for a resident with a significant history of falls and multiple risk factors, including severe cognitive impairment, Parkinson's disease, Alzheimer's disease, schizophrenia, and repeated falls. Despite the resident experiencing several falls over a period of months, the facility did not consistently identify or address all contributing factors for each incident. For example, after falls where the resident was found without non-skid socks or attempting to self-transfer, the care plan was not updated to address these specific issues, and interventions such as non-slip material for the wheelchair or enhanced supervision were not considered or implemented. The facility's fall investigations were incomplete, with the Assistant Director of Nursing (ADON) acknowledging that details from interviews and investigations were not documented. In several instances, the interventions added to the care plan were not directly related to the identified causes of the falls. For example, after a fall related to the resident attempting to retrieve dentures, the only intervention was a dental evaluation, which the Medical Director stated would not prevent falls. Similarly, after a fall where the resident slid out of a wheelchair while changing clothes and was found wearing plain socks instead of non-skid socks, the only intervention was to assist with changing clothes, with no action taken regarding the lack of non-skid socks or the use of non-slip material in the wheelchair. Additionally, the facility failed to ensure safe transfer practices following a fall. After one incident, staff manually lifted the resident from the floor to the bed by lifting under the arms, despite the resident being unable to bear weight, which is contrary to safe transfer protocols and increased the risk of injury. The facility did not identify or address this improper transfer method during their investigation. The lack of comprehensive fall investigations, failure to update care plans with appropriate and individualized interventions, and inadequate supervision contributed to repeated falls and, in one case, resulted in a significant injury (right humeral neck fracture) for the resident.
Deficiency in Food Storage and Labeling Practices
Penalty
Summary
The facility failed to adhere to its policy on food storage and labeling, leading to a deficiency in the kitchen. During observations, it was noted that several food items were open and undated, including chicken flavor gravy mix, bread, poultry seasoning, cheese, sour cream, eggs, Italian sausage, mint extract, parsley flakes, chocolate chips, onions, diced tomatoes, fruit cocktail, peach fillers, cake mix, honey, and maraschino cherries. These items were found in various storage areas such as under the preparatory counter, the walk-in freezer, and dry storage. The facility's policy requires all opened items to be labeled with a use-by date and securely stored, which was not followed. Interviews with the Certified Dietary Manager (CDM), Dietary Aide, Dietary Technician, and Dietician revealed inconsistencies in the implementation of the facility's food storage policy. The CDM and Dietary Technician stated that food items should be labeled with an open date and checked for expiration every Monday. However, the observations indicated that this practice was not consistently applied, as several items were found without labels or expiration dates. The Dietary Aide mentioned that items close to expiration should be circled and discarded, but this was not evident in the findings. The lack of proper labeling and monitoring of food items poses a risk of food poisoning and contamination, as per the facility's policy and professional standards.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to adhere to its medication storage policy, resulting in several deficiencies related to the handling and storage of drugs and biologicals. During observations, it was found that expired medications were not removed from the medication and treatment carts. Specifically, expired insulin pens and other medications without open dates were found on the carts, contrary to the manufacturer's instructions to discard them after 28 days. Additionally, a nasal spray was missing its cap, and there were open packages of skin closure strips that should not be reused. These findings indicate a lack of compliance with the facility's policy, which requires outdated or deteriorated medications to be immediately removed and disposed of properly. Interviews with the nursing staff revealed a lack of understanding and adherence to the facility's procedures for medication management. One LPN believed that writing the expiration date on insulin pens was sufficient, while another LPN admitted that expired medications had been on the cart for two weeks. The Assistant Director of Nursing acknowledged that both the nursing staff and pharmacy are responsible for ensuring medication carts are free from expired medications. However, the process for checking and documenting the receipt of medications appeared to be inadequate, as staff were not left with any documentation upon receiving new supplies. This lack of proper oversight and documentation contributed to the presence of expired and improperly labeled medications on the carts.
Failure to Conduct Timely PASARR Level II Screening
Penalty
Summary
The facility failed to ensure timely screening for a PASARR Level II for a resident with intellectual disabilities, leading to a deficiency. The facility's policy mandates that Level II screens are performed prior to admission for individuals with mental illness, intellectual disabilities, developmental disabilities, or related conditions. Additionally, subsequent assessments are required if there is a significant change in the resident's mental or physical condition. Despite these requirements, the resident, who was admitted with diagnoses including anxiety, depression, and intellectual disabilities, was not screened for PASARR Level II, even after developing additional diagnoses such as schizophrenia, major depressive disorder, and psychotic disorder with hallucinations. The resident's PASARR Level I screening, conducted prior to admission, recommended further evaluation based on intellectual disabilities indicators. However, no PASARR Level II screening was completed. A social service note from admission indicated the resident was admitted with altered mental status, anxiety, and depression, and would be a long-term resident. Despite the presence of significant mental health diagnoses, the facility did not conduct a timely PASARR Level II screening, which could have facilitated access to necessary outside services not provided by the facility.
Failure to Administer Oxygen Therapy at Prescribed Setting
Penalty
Summary
The facility failed to administer oxygen therapy at the physician's prescribed setting for a resident, identified as R78, who was reviewed for respiratory care and services. The facility's policy on oxygen therapy did not include verifying physician orders related to the flow rate of oxygen. R78 was admitted with multiple diagnoses, including hemiplegia, epilepsy, vascular dementia, and diabetes. The resident's care plan indicated a risk for respiratory distress and required oxygen to be administered as ordered by the provider. However, observations on two separate occasions revealed that R78 was receiving oxygen at a flow rate of 5 liters per minute, contrary to the physician's order of 2 liters per minute. Interviews with staff, including an LPN and the Director of Nursing, revealed a lack of awareness and verification of the correct oxygen flow rate. The LPN acknowledged the discrepancy but was unsure how the flow rate was set at 5 liters per minute. The Director of Nursing mentioned that a pharmacy tech verifies orders, and the wound nurse checks oxygen levels every morning. The wound nurse admitted to using outdated oxygen printouts and was unaware of how the incorrect flow rate occurred, despite checking the levels earlier that morning.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Columbia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Forest Acres Post Acute | 1.3 mi | — | 0 | 0 |
| Pruitthealth- Columbia | 1.4 mi | — | 0 | 0 |
| C M Tucker Jr Nursing Care Center Fewell And Stone | 1.8 mi | — | 1 | 1 |
| C M Tucker Jr Nursing Care Center Roddey Pavilio | 1.8 mi | — | 0 | 0 |
| Midlands Health & Rehabilitation Center | 2 mi | — | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.