South Carolina Nursing Homes >> Rock Hill Nursing Homes >> White Oak Manor - Rock Hill

White Oak Manor - Rock Hill - Rock Hill Nursing Home

General Information

UPDATE
Federal Provider Number
425088
Provider Name
WHITE OAK MANOR - ROCK HILL
Provider Address
1915 EBENEZER RD
ROCK HILL, SC 29732
Provider Phone Number
(803) 366-8155
Provider SSA County
450
Provider County Name
York
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
141
Number of Residents in Certified Beds
136
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
1972-06-15
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.74816
Reported LPN Staffing Hours per Resident per Day
1.10662
Reported RN Staffing Hours per Resident per Day
0.50515
Reported Licensed Staffing Hours per Resident per Day
1.61176
Reported Total Nurse Staffing Hours per Resident per Day
4.35993
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07978
Expected CNA Staffing Hours per Resident per Day
2.62747
Expected LPN Staffing Hours per Resident per Day
0.64134
Expected RN Staffing Hours per Resident per Day
1.00427
Expected Total Nurse Staffing Hours per Resident per Day
4.27308
Adjusted CNA Staffing Hours per Resident per Day
2.56641
Adjusted LPN Staffing Hours per Resident per Day
1.43215
Adjusted RN Staffing Hours per Resident per Day
0.37584
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11283
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2012-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
0
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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