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WHITE OAK AT NORTH GROVE INC

Overall Rating

Address

290 N Grove Medical Park Drive

Spartanburg, SC 29303

Contact

8643451700

Certification Date

2017-05-04

Details

CMS Certification Number

425408

Ownership Type

For profit - Corporation

Number of Certified Beds

132

Average Number of Residents per Day

124.6

Provider Type

Medicare and Medicaid

Legal Business Name

WHITE OAK MANOR INC

Affiliated Entity Name

WHITE OAK MANAGEMENT

Affiliated Entity ID

564

Ratings

Health Inspection Rating

4

Quality Measure Rating

5

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.57511

Reported LPN Staffing Hours per Resident per Day

1.08686

Reported RN Staffing Hours per Resident per Day

0.46625

Reported Total Nurse Staffing Hours per Resident per Day

4.12822

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.95506

Registered Nurse Hours per Resident per Day on the Weekend

0.24835

Reported Physical Therapist Staffing Hours per Resident Per Day

0.06614

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

4

Inspections

Total Weighted Health Survey Score

10.000

Number of Facility Reported Incidents

3

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2022-05-04

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

3

Number of Complaint Health Deficiencies

2

Health Deficiency Score

12

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

12

Rating Cycle 2

Standard Health Survey Date

2020-09-03

Total Number of Health Deficiencies

1

Number of Standard Health Deficiencies

0

Number of Complaint Health Deficiencies

1

Health Deficiency Score

4

Number of Health Revisits

0

Health Revisit Score

0

Total Health Score

4

Rating Cycle 3

Standard Health Survey Date

2019-01-31

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

3

Number of Complaint Health Deficiencies

0

Health Deficiency Score

16

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

16

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0