{"schema_version":"1.0.0","facility":{"id":"cms-425290","ccn":"425290","name":"White Oak Estates","source_name":"White Oak Estates","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"SC","address":{"line1":"400 Webber Road","city":"Spartanburg","state":"SC","zip":"29302","county_name":"Spartanburg County","county_fips":"45083","county_method":"name_match","ssa_county_code":"410","urban":true},"location":{"lat":34.972,"lon":-81.871,"method":"cms_published_coordinates"},"phone":"8645797004","certification":{"authority":"CMS","ccn":"425290","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1989-09-27","certified_beds":88,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/425290"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":88,"avg_residents_per_day":79.1},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"NHC ESTATES LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":3},"health_inspection":{"value":3},"quality_measures":{"value":3},"long_stay_qm":{"value":2},"short_stay_qm":{"value":3},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.12427,"lpn_hprd":1.05585,"rn_hprd":0.42467,"licensed_hprd":1.48053,"total_nurse_hprd":3.6048,"weekend_total_nurse_hprd":3.24732,"weekend_rn_hprd":0.22543,"pt_hprd":0.06343,"nursing_turnover_pct":54.2,"rn_turnover_pct":71.4,"administrators_left":0,"case_mix_index":1.31101,"case_mix_index_ratio":0.92963,"case_mix_total_nurse_hprd":3.62635,"adjusted_total_nurse_hprd":3.84724,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-03-05","cycle1_deficiencies":2,"cycle1_score":20,"cycle2_date":"2025-01-09","cycle23_deficiencies":3,"cycle23_score":32,"total_weighted_score":23},"cms_penalty_counts":{"fines":1,"fine_total":8827,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-364","cms_chain_id":"364","name":"NATIONAL HEALTHCARE CORPORATION"},"operator_id":"op-nhc-estates-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/425290","provenance":[{"source_id":"cms_provider_info","source_record_id":"425290","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=425290&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"425290","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=425290&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2026-03-05","latest_standard_health":"2026-03-05","earliest_date":"2021-09-23","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":21,"health_count":12,"fire_count":9,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":1,"serious_count":1,"complaint_count":1,"by_severity":{"potential":20,"immediate_jeopardy":1},"by_scope_severity":{"F":3,"D":15,"E":2,"J":1},"by_concept":{"infection_prevention":1,"clinical_care":4,"environment_life_safety":9,"medication":3,"resident_rights":2,"emergency_preparedness":1,"food_nutrition":1},"type_ids":["cms-f0880","cms-f0689","cms-k0324","cms-k0353","cms-k0781","cms-k0918","cms-f0761","cms-f0602","cms-k0712","cms-e0004","cms-k0923","cms-f0812","cms-f0580","cms-f0677","cms-f0758","cms-f0759","cms-f0909","cms-k0226","cms-k0222"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":8827,"payment_denials":0,"latest_date":"2024-04-26"},"ownership_summary":{"disclosures":30,"organizations":8,"individuals":17,"not_available":false}},"row":{"id":"cms-425290","ccn":"425290","name":"White Oak Estates","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"SC","city":"Spartanburg","zip":"29302","county_fips":"45083","county_name":"Spartanburg County","address":"400 Webber Road","beds":88,"residents":79.1,"ownership":"for_profit","operator_id":"op-nhc-estates-llc","operator_name":"Nhc Estates LLC","chain_id":"cms-chain-364","chain_name":"National Healthcare Corporation","lat":34.972,"lon":-81.871,"overall":3,"health_rating":3,"staffing_rating":2,"qm_rating":3,"nurse_hprd":3.6,"turnover":54.2,"inspections":7,"last_inspection":"2026-03-05","deficiencies":21,"serious":1,"ij":1,"open":0,"penalties":1,"fines_total":8827,"deficiency_type_ids":["cms-f0880","cms-f0689","cms-k0324","cms-k0353","cms-k0781","cms-k0918","cms-f0761","cms-f0602","cms-k0712","cms-e0004","cms-k0923","cms-f0812","cms-f0580","cms-f0677","cms-f0758","cms-f0759","cms-f0909","cms-k0226","cms-k0222"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-nhc-estates-llc","name":"Nhc Estates LLC","legal_name":"NHC ESTATES LLC","facility_count":1,"states":["SC"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-364","name":"National Healthcare Corporation","cms_chain_id":"364","facility_count":72,"states":["AL","GA","KY","MO","NC","SC","TN","VA"],"cms_reported":{"facility_count":72,"avg_overall_rating":4.1,"avg_health_inspection_rating":3.5,"avg_staffing_rating":3.5,"avg_qm_rating":4.5}},"ownership":[{"owner_id":"org-blackrock-inc","owner_type":"organization","owner_name":"Blackrock Inc","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_id":"org-dimensional-fund-advisors-lp","owner_type":"organization","owner_name":"Dimensional Fund Advisors LP","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_id":"org-morgan-stanley","owner_type":"organization","owner_name":"Morgan Stanley","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_id":"org-national-health-corp","owner_type":"organization","owner_name":"National Health Corporation","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_id":"org-the-vanguard-group","owner_type":"organization","owner_name":"The Vanguard Group","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_id":"org-healthpro-heritage-llc","owner_type":"organization","owner_name":"Healthpro Heritage LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2017-04-24"},{"owner_type":"individual","owner_name":"Emma Bowers","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"BOWERS, EMMA"},{"owner_type":"individual","owner_name":"Vicki Dodson","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"DODSON, VICKI"},{"owner_type":"individual","owner_name":"Gregory Forsey","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"FORSEY, GREGORY"},{"owner_type":"individual","owner_name":"Brian Kidd","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"KIDD, BRIAN"},{"owner_type":"individual","owner_name":"Ikea Lipscomb","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"LIPSCOMB, IKEA"},{"owner_type":"individual","owner_name":"Kurtis Melin","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2026-08-01","owner_name_raw":"MELIN, KURTIS"},{"owner_type":"individual","owner_name":"Kisha Phipps","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"PHIPPS, KISHA"},{"owner_type":"individual","owner_name":"Robert Ussery","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"USSERY, ROBERT"},{"owner_type":"individual","owner_name":"Robert Ussery","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"USSERY, ROBERT"},{"owner_id":"org-360-medical-staffing-llc","owner_type":"organization","owner_name":"360 Medical Staffing LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-02"},{"owner_id":"org-blackrock-inc","owner_type":"organization","owner_name":"Blackrock Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_id":"org-change-healthcare-technologies-llc","owner_type":"organization","owner_name":"Change Healthcare Technologies LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_id":"org-dimensional-fund-advisors-lp","owner_type":"organization","owner_name":"Dimensional Fund Advisors LP","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_id":"org-morgan-stanley","owner_type":"organization","owner_name":"Morgan Stanley","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_id":"org-national-health-corp","owner_type":"organization","owner_name":"National Health Corporation","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_id":"org-the-vanguard-group","owner_type":"organization","owner_name":"The Vanguard Group","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_type":"individual","owner_name":"Emma Bowers","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"BOWERS, EMMA"},{"owner_type":"individual","owner_name":"Vicki Dodson","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"DODSON, VICKI"},{"owner_type":"individual","owner_name":"Gregory Forsey","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"FORSEY, GREGORY"},{"owner_type":"individual","owner_name":"Brian Kidd","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"KIDD, BRIAN"},{"owner_type":"individual","owner_name":"Mary Ludlow","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"LUDLOW, MARY"},{"owner_type":"individual","owner_name":"Kurtis Melin","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2026-06-08","owner_name_raw":"MELIN, KURTIS"},{"owner_type":"individual","owner_name":"Kisha Phipps","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"PHIPPS, KISHA"},{"owner_type":"individual","owner_name":"Robert Ussery","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"USSERY, ROBERT"}],"inspections":[{"id":"cms-425290-20260305-health","ccn":"425290","date":"2026-03-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-30","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-30","std":1}]},{"id":"cms-425290-20250109-fire","ccn":"425290","date":"2025-01-09","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-17","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-17","std":1,"tv":"New"},{"t":"cms-k0781","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"},{"t":"cms-k0918","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"}]},{"id":"cms-425290-20250109-health","ccn":"425290","date":"2025-01-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-18","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-07","std":1}]},{"id":"cms-425290-20240426-health","ccn":"425290","date":"2024-04-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0602","ss":"J","sl":4,"cs":"past_noncompliance","cd":"2024-01-22","cmp":1}]},{"id":"cms-425290-20230315-fire","ccn":"425290","date":"2023-03-15","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0004","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-24","std":1,"tv":"New"},{"t":"cms-k0712","ss":"E","sl":2,"cs":"corrected","cd":"2023-04-07","std":1,"tv":"New"},{"t":"cms-k0923","ss":"D","sl":2,"cs":"corrected","cd":"2023-04-14","std":1,"tv":"New"}]},{"id":"cms-425290-20230315-health","ccn":"425290","date":"2023-03-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2023-04-14","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2023-04-14","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2023-04-14","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2023-04-14","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2023-04-14","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-04-13","std":1},{"t":"cms-f0909","ss":"D","sl":2,"cs":"corrected","cd":"2023-04-14","std":1}]},{"id":"cms-425290-20210923-fire","ccn":"425290","date":"2021-09-23","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"D","sl":2,"cs":"corrected","cd":"2021-10-14","std":1,"tv":"New"},{"t":"cms-k0226","ss":"F","sl":2,"cs":"corrected","cd":"2021-10-08","std":1,"tv":"New"}]}],"deficiency_types":{"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0781":{"code":"K-0781","title":"Have restrictions on the use of portable space heaters.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0602":{"code":"F-0602","title":"Protect each resident from the wrongful use of the resident's belongings or money.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0909":{"code":"F-0909","title":"Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0226":{"code":"K-0226","title":"Have horizontal exits used in accordance with safety requirements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"}},"penalties":[{"id":"cms-425290-pen-f32983","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-04-26","amount":8827,"fine_id":"32983","evidence_class":"VERIFIED","source_record_id":"425290|Fine|32983"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=425290&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=425290&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=425290&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=425290&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=425290&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=425290&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"SC","overall_rating":3.1,"health_inspection_rating":2.9,"qm_rating":3.6,"staffing_rating":3.1,"avg_residents_per_day":92.2,"cycle1_health_deficiencies":3.6,"cycle1_fire_deficiencies":0.5,"nurse_aide_hprd":2.22,"lpn_hprd":1.03,"rn_hprd":0.62141,"licensed_hprd":1.65,"total_nurse_hprd":3.87063,"weekend_total_nurse_hprd":3.35178,"weekend_rn_hprd":0.4,"pt_hprd":0.08,"nursing_turnover_pct":46,"rn_turnover_pct":41.5,"administrators_left":0.4,"case_mix_index":1.31809,"fines":1.1,"fine_amount":14747,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"SC","name":"South Carolina"},"county":{"fips":"45083","name":"Spartanburg County"},"zip":"29302","city":"Spartanburg"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-425017","ccn":"425017","name":"White Oak Manor - Lancaster","address":"253 Craig Manor Road","city":"Lancaster","state":"SC","zip":"29720","beds":132,"overall":5,"inspections":6,"last_inspection":"2026-05-29","deficiencies":7,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-425024","ccn":"425024","name":"White Oak Manor - Spartanburg","address":"295 East Pearl Street","city":"Spartanburg","state":"SC","zip":"29303","beds":60,"overall":4,"inspections":6,"last_inspection":"2026-03-26","deficiencies":15,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-425052","ccn":"425052","name":"Nhc Healthcare - Anderson","address":"1501 East Greenville Street","city":"Anderson","state":"SC","zip":"29621","beds":290,"overall":5,"inspections":6,"last_inspection":"2025-11-21","deficiencies":6,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-425054","ccn":"425054","name":"Nhc Healthcare - Laurens","address":"379 Pinehaven Street Extension","city":"Laurens","state":"SC","zip":"29360","beds":176,"overall":4,"inspections":7,"last_inspection":"2026-06-24","deficiencies":7,"serious":1,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-425063","ccn":"425063","name":"Nhc Healthcare - Greenwood","address":"437 East Cambridge Street","city":"Greenwood","state":"SC","zip":"29646","beds":152,"overall":3,"inspections":8,"last_inspection":"2026-06-17","deficiencies":16,"serious":1,"ij":1,"open":0,"fines_total":14433,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-425071","ccn":"425071","name":"Nhc Healthcare - Clinton","address":"304 Jacobs Highway","city":"Clinton","state":"SC","zip":"29325","beds":131,"overall":5,"inspections":6,"last_inspection":"2026-05-14","deficiencies":6,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-425089","ccn":"425089","name":"White Oak Manor - York","address":"111 South Congress Street","city":"York","state":"SC","zip":"29745","beds":109,"overall":3,"inspections":6,"last_inspection":"2026-07-02","deficiencies":7,"serious":1,"ij":0,"open":0,"fines_total":13870,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-425109","ccn":"425109","name":"Nhc Healthcare - Sumter","address":"1018 N Guignard","city":"Sumter","state":"SC","zip":"29150","beds":138,"overall":5,"inspections":7,"last_inspection":"2026-04-22","deficiencies":4,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":71,"same_site_review":[],"nearby":[{"id":"cms-425390","ccn":"425390","name":"Summit Hills Skilled Nursing Facility","address":"110 Summit Hills Drive","city":"Spartanburg","state":"SC","zip":"29307","beds":27,"overall":4,"inspections":6,"last_inspection":"2026-01-30","deficiencies":6,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":2.5},{"id":"cms-425384","ccn":"425384","name":"Spartanburg Hospital for Restorative Care SNF","address":"389 Serpentine Drive","city":"Spartanburg","state":"SC","zip":"29303","beds":25,"overall":5,"inspections":7,"last_inspection":"2025-11-19","deficiencies":1,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":5.9},{"id":"cms-425091","ccn":"425091","name":"Magnolia Manor - Spartanburg","address":"375 Serpentine Drive","city":"Spartanburg","state":"SC","zip":"29303","beds":95,"overall":3,"inspections":10,"last_inspection":"2026-08-25","deficiencies":28,"serious":1,"ij":1,"open":0,"fines_total":12054,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.9},{"id":"cms-425024","ccn":"425024","name":"White Oak Manor - Spartanburg","address":"295 East Pearl Street","city":"Spartanburg","state":"SC","zip":"29303","beds":60,"overall":4,"inspections":6,"last_inspection":"2026-03-26","deficiencies":15,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.2},{"id":"cms-425408","ccn":"425408","name":"White Oak at North Grove Inc","address":"290 N Grove Medical Park Drive","city":"Spartanburg","state":"SC","zip":"29303","beds":132,"overall":2,"inspections":8,"last_inspection":"2026-08-20","deficiencies":16,"serious":2,"ij":1,"open":0,"fines_total":25164,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.5},{"id":"cms-425027","ccn":"425027","name":"Mountainview Nursing Home","address":"340 Cedar Springs Road","city":"Spartanburg","state":"SC","zip":"29302","beds":132,"overall":1,"inspections":8,"last_inspection":"2026-06-12","deficiencies":34,"serious":1,"ij":1,"open":0,"fines_total":15324,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7},{"id":"cms-425175","ccn":"425175","name":"Physical Rehabilitation and Wellness Center of Spa","address":"8020 White Avenue","city":"Spartanburg","state":"SC","zip":"29303","beds":120,"overall":1,"inspections":9,"last_inspection":"2026-05-27","deficiencies":31,"serious":2,"ij":2,"open":0,"fines_total":37379,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":8.6},{"id":"cms-425096","ccn":"425096","name":"Valley Falls Terrace","address":"400 Locust Grove Road","city":"Spartanburg","state":"SC","zip":"29303","beds":88,"overall":4,"inspections":6,"last_inspection":"2026-05-07","deficiencies":15,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":10.9}]}}