White Oak Manor - Tryon - Tryon Nursing Home
General Information
UPDATEFederal Provider Number
345127
Provider Name
WHITE OAK MANOR - TRYON
Provider Address
70 OAK STREET
TRYON, NC 28782
TRYON, NC 28782
Provider Phone Number
(828) 859-9161
Provider SSA County
740
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITE OAK MANOR TRYON INC
Date First Approved to Provide Medicare and Medicaid services
1974-12-19
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
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
3.24750
Reported LPN Staffing Hours per Resident per Day
1.13667
Reported RN Staffing Hours per Resident per Day
0.78583
Reported Licensed Staffing Hours per Resident per Day
1.92250
Reported Total Nurse Staffing Hours per Resident per Day
5.17000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02417
Expected CNA Staffing Hours per Resident per Day
2.63843
Expected LPN Staffing Hours per Resident per Day
0.68891
Expected RN Staffing Hours per Resident per Day
1.10843
Expected Total Nurse Staffing Hours per Resident per Day
4.43577
Adjusted CNA Staffing Hours per Resident per Day
3.02012
Adjusted LPN Staffing Hours per Resident per Day
1.36947
Adjusted RN Staffing Hours per Resident per Day
0.52973
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69812
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2013-11-15
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
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
2012-09-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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