White Oak Manor - Charleston - Charleston Nursing Home
General Information
UPDATEFederal Provider Number
425128
Provider Name
WHITE OAK MANOR - CHARLESTON
Provider Address
9285 MEDICAL PLAZA DR
CHARLESTON, SC 29418
CHARLESTON, SC 29418
Provider Phone Number
(843) 797-8282
Provider SSA County
90
Provider County Name
Charleston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
176
Number of Residents in Certified Beds
166
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITE OAK MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1979-05-21
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.86054
Reported LPN Staffing Hours per Resident per Day
0.70151
Reported RN Staffing Hours per Resident per Day
0.96386
Reported Licensed Staffing Hours per Resident per Day
1.66536
Reported Total Nurse Staffing Hours per Resident per Day
4.52591
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06898
Expected CNA Staffing Hours per Resident per Day
2.65569
Expected LPN Staffing Hours per Resident per Day
0.61071
Expected RN Staffing Hours per Resident per Day
0.91379
Expected Total Nurse Staffing Hours per Resident per Day
4.18019
Adjusted CNA Staffing Hours per Resident per Day
2.64297
Adjusted LPN Staffing Hours per Resident per Day
0.95340
Adjusted RN Staffing Hours per Resident per Day
0.78814
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36427
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
4
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
2013-04-10
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
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
4.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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