White Oak Estates - Spartanburg Nursing Home

General Information

UPDATE
Federal Provider Number
425290
Provider Name
WHITE OAK ESTATES
Provider Address
400 WEBBER ROAD
SPARTANBURG, SC 29302
Provider Phone Number
(864) 579-7004
Provider SSA County
410
Provider County Name
Spartanburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-09-27
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.93375
Reported LPN Staffing Hours per Resident per Day
1.31875
Reported RN Staffing Hours per Resident per Day
0.72813
Reported Licensed Staffing Hours per Resident per Day
2.04688
Reported Total Nurse Staffing Hours per Resident per Day
4.98063
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08063
Expected CNA Staffing Hours per Resident per Day
2.51743
Expected LPN Staffing Hours per Resident per Day
0.61940
Expected RN Staffing Hours per Resident per Day
1.00771
Expected Total Nurse Staffing Hours per Resident per Day
4.14455
Adjusted CNA Staffing Hours per Resident per Day
2.85948
Adjusted LPN Staffing Hours per Resident per Day
1.76713
Adjusted RN Staffing Hours per Resident per Day
0.53989
Adjusted Total Nurse Staffing Hours per Resident per Day
4.84406
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-10-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-08-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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