Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at White Oak At North Grove Inc during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, a history of falls, and documented need for a gait belt and walker during transfers was ambulated from the bathroom by a CNA without a gait belt in place. The CNA reported holding the resident’s pants while walking, during which the resident’s feet became twisted and she fell in her room. Facility documentation showed the resident had been assessed as requiring a gait belt, but gait belt use was not included in physician orders or the care plan and was instead communicated via door name tags. The resident sustained a left hip fracture requiring surgical repair and was later readmitted for rehab and strengthening.
The facility failed to follow its food storage and labeling policy, leading to deficiencies in two kitchens. Surveyors found opened and undated food items, such as minced garlic and caramel sauce, and expired items like hot dog buns and cranberry juice. The Certified Dietary Manager stated that expiration dates should be checked upon delivery, but this procedure was not followed.
The facility failed to implement an effective infection prevention and control program. During dining services, a homemaker used bare hands to serve baked potatoes, violating hand hygiene policies. In laundry services, a laundry attendant contaminated a clean linen cart with soiled PPE and improperly removed her gown, leading to self-contamination. The Dietary Manager and Laundry Director acknowledged these actions were incorrect, and the Corporate Nurse Consultant noted existing infection control issues.
The facility failed to involve two cognitively intact residents in their care plan meetings, as required by policy. Despite being invited, the residents did not participate, and there were no signatures on the RAI Process Review Sheets to indicate their involvement. The Social Services Director and Director of Nursing confirmed the protocol for inviting residents, but the meetings were canceled if residents did not attend, with no follow-up unless requested.
A resident admitted for a Medicare Part A stay opted to remain in the facility after services ended. The facility issued the incorrect financial liability notice, CMS-R-131 for Part B services, instead of the required CMS Form-10055 for Part A services. The Business Office Assistant confirmed the error.
The facility failed to provide two residents or their representatives with the Bed Hold Policy in a timely manner during hospitalization. The policy lacked the bed hold amount, and there was no documentation confirming receipt by the residents or their representatives. The facility's process involved sending the policy with the resident to the hospital and later mailing it to the representative, which did not ensure timely notification.
The facility failed to adhere to its policy of labeling dressings with the date and initials for two residents. One resident had a foam dressing on her foot without proper labeling, despite being cognitively intact and having specific physician orders. Another resident's tube feed dressing was also unlabeled, contrary to the facility's policy. An LPN admitted to not labeling the dressing, and the DON confirmed that labeling was expected.
A resident's medications were left unattended at the bedside, contrary to safe storage protocols. The resident, who was cognitively intact, had medications prescribed for daily application. An LPN admitted to leaving the creams on the bed, intending to return but got busy. The DON confirmed that medications should not be left at the bedside.
Failure to Use Required Gait Belt During Ambulation Resulting in Hip Fracture
Penalty
Summary
The facility failed to ensure a resident was free from accident hazards and received adequate supervision during ambulation, resulting in a fall and left hip fracture. The facility’s Fall Management Program policy included staff education and interventions to prevent unsafe transfers and ambulation. The resident had severe cognitive impairment, as evidenced by a BIMS score of 3/15, and used a walker and wheelchair. A Safe Resident Handling Data Collection form documented that a gait belt and walker were required for transfers with staff and that the resident continued to require use of a gait belt. The resident’s care plan included assistance with transfers and ambulation and provision of adaptive equipment, but there was no physician order for a gait belt, and gait belt use was not listed on the care plan. Instead, the Administrator stated that transfer methods, including gait belt use, were communicated via name tags on residents’ doors and that the resident had a history of tripping over her own feet and falling. On the day of the incident, the resident was being assisted by a CNA from the bathroom when the resident’s feet became twisted and she fell to the floor. The CNA reported she was holding the resident’s pants while walking her from the bathroom and acknowledged that the fall was her fault. Documentation indicated the resident fell in her room while being transferred/ambulated from the bathroom with the CNA present, wearing shoes at the time. The Administrator confirmed that the resident had been assessed for gait belt use and that the resident did not have a gait belt on when she fell. The Administrator stated that, in situations where a resident is already in motion without proper equipment, staff should hold the resident and call for help rather than continue ambulation. The resident sustained a subcapital femoral neck fracture of the left hip, required surgical repair at a hospital, and was later readmitted to the facility for rehabilitation and strengthening, with documentation noting she had been confined to a wheelchair prior to the fall and was unlikely to progress beyond her previous level of activity.
Deficiency in Food Storage and Labeling
Penalty
Summary
The facility failed to adhere to its policy on food storage and labeling, resulting in deficiencies in two of the six kitchens reviewed. During an initial tour, surveyors observed several food items that were opened and undated, including a jar of minced garlic, a 12-pack of hamburger buns, and a bottle of caramel sauce. Additionally, expired items were found, such as six bags of hot dog buns and 13 cups of cranberry juice cocktail. In the emergency food supply, cans of sausage gravy were also noted to be expired. An interview with the Certified Dietary Manager revealed that the facility's procedure is to check expiration dates upon delivery and return items close to expiration, which was not followed in these instances.
Infection Control Deficiencies in Dining and Laundry Services
Penalty
Summary
The facility failed to implement an effective infection prevention and control program, as evidenced by two specific incidents. During dining services, a homemaker was observed using bare hands to grab and serve baked potatoes to residents, which is against the facility's policy and procedure. The Dietary Manager confirmed that this was not the correct practice and acknowledged the need for correction. This action directly contravenes the facility's policy on infection prevention, which emphasizes proper hand hygiene as a critical measure to reduce infection risk. In a separate incident during laundry services, a laundry attendant was seen contaminating a clean linen cart while wearing soiled personal protective equipment (PPE). The attendant also improperly removed her PPE, dragging the soiled side across her back and contaminating herself. The Laundry Director confirmed that the attendant's actions were incorrect and attributed them to nervousness, indicating a need for further education. The Corporate Nurse Consultant acknowledged existing issues with infection control within the facility, suggesting room for improvement.
Failure to Involve Residents in Care Plan Meetings
Penalty
Summary
The facility failed to allow two residents, R4 and R69, to participate in their care plan meetings and be fully informed about their care and treatment. The facility's policy requires that residents or their representatives participate in the development of their care plans, and that they sign the Resident Assessment Instrument (RAI) Process Review Sheet to indicate their participation. However, for both residents, there were no signatures from them or their representatives on the RAI Process Review Sheets, indicating a lack of participation in the care plan meetings. Resident R4, who was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 13 out of 15, stated that she does not participate in care plan meetings. The facility's Social Services Director (SSD) mentioned that residents are invited to attend care plan meetings through card invitations and verbal invitations, and that if a resident or family member is not present, the meeting does not occur. The Administrator confirmed that the RAI sheets are individualized and should indicate if a resident attended or declined the care plan meeting. Resident R69, also cognitively intact with a BIMS score of 14 out of 15, expressed dissatisfaction with not being informed about care plan meetings. The SSD explained that if a resident declines to attend a care plan meeting, it is noted, and the meeting is canceled without follow-up unless requested by the resident. The Director of Nursing (DON) stated that the social worker is responsible for arranging care plan meetings and ensuring resident invitations, but there were no known care plan issues. The MDS nurse, who completes the care plan review form, was unavailable for comment.
Incorrect Financial Liability Notice Issued
Penalty
Summary
The facility failed to provide the correct form for notice of financial liability to a resident who was admitted for a Medicare Part A stay for therapy services. After the Medicare Part A services ended, the resident chose to remain in the facility. However, instead of issuing the required CMS Form-10055, which is the Skilled Nursing Facility Advance Beneficiary Notice (SNF-ABN) for Medicare Part A services, the facility issued CMS-R-131, which is intended for Part B services. The facility's procedure for issuing the SNF-ABN states that providers must give a notice of financial liability when a Medicare beneficiary is receiving a service that the provider believes is not medically necessary or is custodial care. This notice allows the beneficiary to make an informed decision about receiving the service with the understanding that Medicare will likely not cover the cost, making them fully financially liable. The Business Office Assistant confirmed during an interview that the incorrect form was provided to the resident.
Failure to Provide Timely Bed Hold Policy Notification
Penalty
Summary
The facility failed to ensure that two residents, identified as Resident #62 and Resident #46, or their personal representatives, received the Bed Hold Policy in a timely manner during their hospitalization. The Bed Hold Policy is supposed to specify the duration of the bed hold and the bed hold amount, but it was found that the policy did not include the bed hold amount. Resident #46 was admitted to the facility with diagnoses including mild cognitive impairment, anxiety disorder, depression, hypotension, and mood disturbance, and had a hospital stay starting on May 7, 2024. There was no documentation to confirm that Resident #46 or her responsible party received a copy of the bed hold policy in a timely manner. Similarly, Resident #62, who was admitted with diagnoses including delirium, mild cognitive impairment, legal blindness, and a cerebrovascular accident, had a hospital stay beginning on April 28, 2024. The medical record for Resident #62 also lacked documentation to ensure that she or her responsible party received a copy of the bed hold policy. During an interview, the facility Administrator stated that a copy of the bed hold policy is sent in a packet to the hospital with the resident at the time of discharge and is later mailed to the personal representative. However, this process did not ensure timely receipt of the policy by the residents or their representatives.
Failure to Label Dressings as per Policy
Penalty
Summary
The facility failed to provide necessary care and services consistent with professional standards of practice for two residents, specifically in the area of dressing changes. Resident 10 was observed on multiple occasions with a foam dressing on her left lateral foot that lacked appropriate labeling, such as the date and initials, as required by the facility's policy. This was noted during observations on three separate days. Resident 10's medical records indicated she was cognitively intact, with a BIMS score of 15 out of 15, and had specific physician orders for dressing changes every three days and as needed. Similarly, Resident 26 was observed with a tube feed dressing that was not labeled with the date and initials, as per the facility's policy. Observations were made on three different days, and the resident's physician orders required the dressing to be changed shiftly and as needed to prevent skin breakdown. During an interview, an LPN admitted to not labeling the dressing, despite acknowledging that it was expected and part of the facility's policy. The Director of Nursing confirmed that it was his expectation for nurses to label and date dressings.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure the safe storage of medications, as observed in the case of a resident whose medications were left unattended at the bedside. The resident, who was cognitively intact with a BIMS score of 14 out of 15, had been admitted with multiple diagnoses including muscle weakness, ataxic gait, atrial fibrillation, and other conditions. During an observation, two medication cups containing a white cream were found on the resident's bed, along with a pair of non-latex gloves. These medications were identified as Triamcinolone 0.1% cream and Clotrimazole 1% topical cream, prescribed for daily application. The incident was acknowledged by an LPN who admitted to leaving the creams on the resident's bed, intending to return but becoming busy with other tasks. The Director of Nursing confirmed that the expectation for nursing staff is not to leave medications at the bedside. This oversight in medication management highlights a lapse in adherence to protocols for the safe storage and administration of medications within the facility.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Spartanburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| White Oak Manor - Spartanburg | 1.2 mi | ★★★★★ | 4 | 0 |
| Magnolia Manor - Spartanburg | 1.4 mi | ★★★★★ | 0 | 0 |
| Spartanburg Hospital For Restorative Care Snf | 1.4 mi | ★★★★★ | 1 | 0 |
| Physical Rehabilitation And Wellness Center Of Spa | 2.9 mi | ★★★★★ | 7 | 2 |
| Summit Hills Skilled Nursing Facility | 3.6 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.