White Oak Manor - Spartanburg

In the surveyor’s words

From the most serious findings on record at White Oak Manor - Spartanburg, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF695Mar 26, 2026

  Based on observations, interviews, record review, and facility policy review, the facility failed to administer oxygen (O2) as ordered by the physician for 1 of 4 residents (Resident (R)7) reviewed for respiratory care out of a total sample of 17 residents. This failure had the potential to cause respiratory issues including shortness of breath for residents.Findings include:Review of the facility's policy titled, Oxygen Concentrator, dated 05/11/18, indicated, Objective 1. To provide oxygen to resident in need of supplement. 2. To provide continuous oxygen. 3. To promote ease and efficient oxygen delivery . Procedure . 5. Record oxygen therapy on TAR [treatment administration record] or in EMR. […]

• No harm, potential for more than minimal, isolatedF759Mar 26, 2026

  Based on observation, interview, record review, and review of facility policy, the facility failed to ensure a medication error rate below five percent during observation of medication administration. The facility had two medication errors out of 27 opportunities, which resulted in a medication error rate of 7.41%.Findings include:Review of the facility's policy titled, Pharmaceutical Services Policies and Procedures Manual, dated 09/21/22, indicated, . 6 For solid medications: . b. Medications not otherwise indicated may be crushed. If Do Not Crush is added to a medication order and the resident needs to have medication crushed, please consult the pharmacy. […]

• No harm, potential for more than minimal, isolatedF880Mar 26, 2026

  Based on observation, interview, and record review, the facility failed to ensure that oxygen concentrators were maintained in a clean condition and free of debris for 1 of 6 concentrators in use (Resident (R)31) out of a sample of 17 residents. This failure posed a risk of cross-contamination, contaminated oxygen flow, and healthcare-associated infections. Findings include:The facility reported there was no policy on the cleaning and maintenance of oxygen concentrators and no documentation where an outside company came in and serviced the concentrators.Review of R39's Face Sheet located under the Profile tab in the electronic medical record (EMR) revealed R31 was admitted to the facility on [DATE], with diagnoses including but not limited to, respiratory failure and congestive heart… […]

• No harm, potential for more than minimal, isolatedF582Mar 14, 2025

  Based on record review, interview, and facility policy review, the facility failed to provide a Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) when residents completed Medicare A therapy services for 2 of 2 residents (Residents (R)22 and R32) reviewed for beneficiary notices out of a sample of 33 residents. This failure to provide the SNF ABN prevented the residents from knowing how many days were remaining under Medicare A. Findings include: Review of the facility's undated policy titled, Skilled Nursing Facility Advance Beneficiary Notice indicated, . […]

• No harm, potential for more than minimal, isolatedF880Mar 14, 2025

  Based on observations, interviews, and review of facility policy, the facility failed to follow appropriate infection control practices for hand hygiene and glove wearing for 1 out of 1 resident (Resident (R)211), observed during wound care and 1 out of 5 residents (R37), observed during medication administration out of a total sample of 33 residents. These failures increased the risk of the spread of infections. Findings include: Review of undated facility policy provided by the facility titled Hand Hygiene indicated, Hand hygiene continues to be the primary means of preventing the transmission of infection. The following is a list of some situations that require hand hygiene: . After removing gloves or aprons . Putting on and Taking off Personal Protective Equipment (PPE) . […]