Provider Name: WHITE OAK MANOR - NEWBERRY
Address: 2555 KINARD STREET, NEWBERRY, SC 29108
Phone: (803) 276-6060
County: Newberry (350)
Ownership Type: For profit - Corporation
Certified Beds: 146
Average Residents Per Day: 100. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: WHITE OAK MANOR INC
First Approved Date: June 25, 1971
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: 3 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 2 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.40371, LPN Staff Hours Per Day: 1.0920, RN Staff Hours Per Day: 0.5660, Licensed Staff Hours Per Day: 1.6581
Total Nurse Staff Hours Per Day, per resident: 4.06188
Weekend Nurse Staff Hours: 3.52712, Weekend RN Staff Hours: 0.2643
PT Staff Hours Per Day, per resident: 0.0253
Nurse Staff Turnover: 45.0, Nurse Turnover Note:
RN Turnover: 12.5, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1096, Case Mix LPN Hours Per Day: 0.6718, Case Mix RN Hours Per Day: 0.2931
Adjusted Nurse Aide Hours Per Day, per resident: 2.32121, Adjusted LPN Hours Per Day: 1.1995, Adjusted RN Hours Per Day: 0.7275
Total Adjusted Nurse Hours Per Day, per resident: 4.16401
Adjusted Weekend Nurse Hours Per Day, per resident: 3.61580
Health Survey Dates and Scores: Cycle 1: 2023-07-12 (Score: 16), Cycle 2: 2021-06-10 (Score: 12), Cycle 3: 2019-12-12 (Score: 8)
Total Weighted Health Score: 13.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 2555 KINARD STREET,NEWBERRY,SC,29108 (34.2883, -81.606)
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: 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 2023-08-21
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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 2021-06-28
Type: Health, Deficiency: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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 2021-06-28
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 2021-06-28
Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 2020-01-22
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 2020-01-22
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: