Provider Name: WHITE OAK MANOR - COLUMBIA
Address: 3001 BEECHAVEN ROAD, COLUMBIA, SC 29204
Phone: (803) 782-4363
County: Richland (390)
Ownership Type: For profit - Corporation
Certified Beds: 120
Average Residents Per Day: 110. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: WHITE OAK MANOR INC
First Approved Date: February 1, 1970
Affiliated Entity: WHITE OAK MANAGEMENT (564)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 4 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.92488, LPN Staff Hours Per Day: 1.0484, RN Staff Hours Per Day: 0.3183, Licensed Staff Hours Per Day: 1.3668
Total Nurse Staff Hours Per Day, per resident: 3.29169
Weekend Nurse Staff Hours: 2.80992, Weekend RN Staff Hours: 0.1324
PT Staff Hours Per Day, per resident: 0.0421
Nurse Staff Turnover: 44.8, Nurse Turnover Note:
RN Turnover: 50.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9430, Case Mix LPN Hours Per Day: 0.6788, Case Mix RN Hours Per Day: 0.3054
Adjusted Nurse Aide Hours Per Day, per resident: 2.01820, Adjusted LPN Hours Per Day: 1.1398, Adjusted RN Hours Per Day: 0.3927
Total Adjusted Nurse Hours Per Day, per resident: 3.54440
Adjusted Weekend Nurse Hours Per Day, per resident: 3.02564
Health Survey Dates and Scores: Cycle 1: 2022-07-26 (Score: 16), Cycle 2: 2021-04-21 (Score: 28), Cycle 3: 2019-08-29 (Score: 0)
Total Weighted Health Score: 17.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 13000.00, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 3001 BEECHAVEN ROAD,COLUMBIA,SC,29204 (34.0304, -80.997)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-23
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-23
Type: Health, Deficiency: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-21
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-21
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-21
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-21
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: