WHITE OAK REHABILITATION & HEALTH CARE CENTER
NPI 1932132115
Skilled Nursing Facility in Mount Vernon, IL

Active since July 09, 2006
1/5
Overall Rating
1700 WHITE ST, MOUNT VERNON, IL 62864(618) 242-4075(618) 242-4092 Get Directions Write a Review

NPPES record last updated: May 23, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About White Oak Rehabilitation & Health Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE OAK REHABILITATION & HEALTH CARE CENTER (NPI 1932132115) is a healthcare organization registered as a skilled nursing facility in Mount Vernon, Illinois and active in the NPI registry since July 2006. The organization lists Mark B. Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1932132115
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePETERSEN MANAGEMENT COMPANY, LLC
Location Address1700 WHITE STMount Vernon, IL 62864-4349
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622
Fax(618) 242-4092
Organization SubpartYesParent: Petersen Health Care Ii, Inc
Authorized OfficialMark B. PetersenPresident · (309) 691-8113
Enumeration DateJuly 9, 2006
Last NPPES UpdateMay 23, 2013
NPI 1932132115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1700 WHITE ST, Mount Vernon, IL 62864

Other Names 1

Doing Business AsWhite Oak Rehabilitation & Health Care Center

Other Identifiers 3

Medicare OSCAR/certification145517
Medicaid743055934014IL
Medicare PIN145517

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for White Oak Rehabilitation & Hcc (CMS certification number 145517), from CMS Care Compare.

White Oak Rehabilitation & Hcc

Nursing home · Mount Vernon, IL
1/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number145517
Certified Beds65 beds28 residents per day on average
Medicare & Medicaid Participant SinceFebruary 21, 1985
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
131
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.86 · LPN 1.02 · RN 0.57
4.46 hrs per resident per day
Weekend Nurse Staffing
3.61 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
45.7%
Registered Nurse Turnover
66.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
11
Infection-Control Citations
0
Fines
2 totaling $42,038.25
Medicare Payment Denials
1
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1700 WHITE ST
MOUNT VERNON, IL 62864
Speech-Language Pathologist
1700 WHITE ST
MOUNT VERNON, IL 62864
Skilled Nursing Facility
1700 WHITE ST
MOUNT VERNON, IL 62864
Occupational Therapy Assistant
1700 WHITE ST
MOUNT VERNON, IL 62864
Occupational Therapy Assistant
1700 WHITE ST
MOUNT VERNON, IL 62864
Occupational Therapy Assistant
1700 WHITE ST
MOUNT VERNON, IL 62864
Speech-Language Pathologist
1700 WHITE ST
MOUNT VERNON, IL 62864
Skilled Nursing Facility
1700 WHITE ST
MOUNT VERNON, IL 62864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petersen Management Company, LLC's NPI number?

The NPI number for Petersen Management Company, LLC is 1932132115. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Petersen Management Company, LLC located?

Petersen Management Company, LLC is located at 1700 White St, Mount Vernon, IL 62864. The listed phone number is (618) 242-4075.

What is Petersen Management Company, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Petersen Management Company, LLC a Medicare-certified nursing home?

Yes. White Oak Rehabilitation & Hcc is a Medicare-certified nursing home with 65 certified beds.

What quality rating does Petersen Management Company, LLC have?

CMS rates White Oak Rehabilitation & Hcc 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Petersen Management Company, LLC was last updated on May 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.