South Carolina Nursing Homes >> York Nursing Homes >> White Oak Manor - York

White Oak Manor - York - York Nursing Home

General Information

UPDATE
Federal Provider Number
425089
Provider Name
WHITE OAK MANOR - YORK
Provider Address
111 SOUTH CONGRESS STREET
YORK, SC 29745
Provider Phone Number
(803) 684-0035
Provider SSA County
450
Provider County Name
York
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
100
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
1972-06-23
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
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.80850
Reported LPN Staffing Hours per Resident per Day
1.06000
Reported RN Staffing Hours per Resident per Day
0.49000
Reported Licensed Staffing Hours per Resident per Day
1.55000
Reported Total Nurse Staffing Hours per Resident per Day
3.35850
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.61327
Expected LPN Staffing Hours per Resident per Day
0.62270
Expected RN Staffing Hours per Resident per Day
0.94084
Expected Total Nurse Staffing Hours per Resident per Day
4.17681
Adjusted CNA Staffing Hours per Resident per Day
1.69807
Adjusted LPN Staffing Hours per Resident per Day
1.41288
Adjusted RN Staffing Hours per Resident per Day
0.38915
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24117
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-03-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
32
Cycle 2 Standard Health Survey Date
2013-11-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
18.66700
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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