Average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at White Oak Manor - York during CMS and state inspections, most recent first.
Failure to supervise a resident with severe dementia, impaired safety awareness, and a high fall risk led to an unwitnessed fall in a dayroom away from the nurses’ station. An RA placed the resident there after a shower and left the resident unattended while caring for another resident; the resident was later found on the floor with the arm twisted backward and was sent to the ED with a closed distal humerus fracture.
Failure to Supervise a High-Fall-Risk Resident
Penalty
Summary
The facility failed to provide supervision consistent with the assessed needs of a resident who was at high risk for falls. The resident was admitted for short-term rehabilitation after a left intertrochanteric femur fracture from a prior fall and had diagnoses including dementia, prior CVA, repeated falls, hypertensive heart disease, CHF, CAD, debility, and insomnia. The resident was nonverbal at baseline, communicated by nodding yes or no, and had a Morse Fall Scale score of 65, placing the resident in the high fall risk category. Therapy evaluations documented severe dementia, impaired safety awareness, poor sitting and standing balance, bilateral lower extremity weakness, and dependence for bed mobility, transfers, and ambulation. The resident’s care plan included fall-related interventions such as environmental safety monitoring, call light access, and participation in the Fall Management Program. Despite these documented risks and needs, the resident was left unattended in the dayroom by a restorative aide after being showered and dressed. The aide stated she placed the resident in the dayroom because she had been told the resident ate better when out of bed, then left the resident there with other residents but no staff while she cared for another resident. The dayroom was located away from the nurses’ station and was not within the direct line of sight of staff. While unattended, the resident had an unwitnessed fall and was found sitting on the floor against the wheelchair with the right arm twisted backward at the elbow. The resident indicated the arm hurt, EMS was called, and the resident was transferred to the ED, where a closed fracture of the right distal humerus was diagnosed. Facility documentation also noted the resident had a history of attempting to stand unassisted, and the post-fall investigation did not identify a definitive mechanism for the fall or explain why closer supervision had not been in place before the incident.
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What surveyors actually found near you
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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 York
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willow Brooke Court At Park Pointe Village | 8.6 mi | ★★★★★ | 0 | 0 |
| Pruitthealth- Rock Hill | 11.1 mi | ★★★★★ | 12 | 0 |
| White Oak Manor - Rock Hill | 11.1 mi | ★★★★★ | 0 | 0 |
| Rock Hill Post Acute Care Center | 11.9 mi | ★★★★★ | 0 | 0 |
| Magnolia Manor - Rock Hill | 12 mi | ★★★★★ | 1 | 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 October 2026) and official state health department websites.