White Oak Manor - Burlington - Burlington Nursing Home
General Information
UPDATEFederal Provider Number
345301
Provider Name
WHITE OAK MANOR - BURLINGTON
Provider Address
323 BALDWIN ROAD
BURLINGTON, NC 27217
BURLINGTON, NC 27217
Provider Phone Number
(336) 229-5571
Provider SSA County
0
Provider County Name
Alamance
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
137
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITE OAK MANOR BURLINGTON INC
Date First Approved to Provide Medicare and Medicaid services
1989-04-27
Continuing Care Retirement Community
N
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.58686
Reported LPN Staffing Hours per Resident per Day
1.04343
Reported RN Staffing Hours per Resident per Day
0.69197
Reported Licensed Staffing Hours per Resident per Day
1.73540
Reported Total Nurse Staffing Hours per Resident per Day
4.32226
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04161
Expected CNA Staffing Hours per Resident per Day
2.63511
Expected LPN Staffing Hours per Resident per Day
0.64511
Expected RN Staffing Hours per Resident per Day
1.00212
Expected Total Nurse Staffing Hours per Resident per Day
4.28234
Adjusted CNA Staffing Hours per Resident per Day
2.40877
Adjusted LPN Staffing Hours per Resident per Day
1.34248
Adjusted RN Staffing Hours per Resident per Day
0.51595
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06848
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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