White Oak Manor – Kings Mountain
White Oak Manor – Kings Mountain Information
| Facility Name | White Oak Manor - Kings Mountain |
| Location | 716 Sipes Street, Kings Mountain, NC 28086 |
| County (SSA Code) | Cleveland (220) |
| Phone Number | 704-739-8132 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 154 |
| Average Number of Residents | 127.8 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | WHITE OAK MANOR KINGS MOUNTAIN INC. |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1976-02-27 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.96552 |
| Reported LPN Staffing Hours per Resident per Day | 0.83797 |
| Reported RN Staffing - Hours per Resident per Day | 0.50232 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.34029 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.30581 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.07963 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.19209 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.75361 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.34533 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.29103 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.20251 |
| Total Weighted Health Survey Score for three cycles | 8.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-07 |
| Rating cycle 1 - Total Health Inspection Score | 16 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-10-12 |
| Rating cycle 2 - Health Deficiency Score | 16 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-11-16 |
| Rating cycle 3 - Health Deficiency Score | 20 |
| Rating cycle 3 - Total Health Inspection Score | 20 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |