nursing home in Charleston, WV
Complete Care at Oak Ridge LLC
1000 Association Drive, Charleston, WV 25311 · (304) 347-4372
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Complete Care at Oak Ridge LLC at a glance
Complete Care at Oak Ridge LLC is a 74-bed for-profit nursing home in Charleston, West Virginia (Kanawha County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the West Virginia average of 3.
Residents receive about 3.6 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 3.7 hours.
Its most recent standard health inspection (June 5, 2025) found 10 health citations. The West Virginia average is 11.7.
Federal regulators fined it 1 time in the past three years, totaling $16,039.
Nursing staff turnover is 51.4% per year (state average 44.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 74
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Complete Care
- Medicare-certified since
- October 1, 2000
- Resident/family council
- Resident
- County
- Kanawha County
- CMS Certification Number
- 515174
Ratings
| Measure | This facility | West Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.6 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 2.9 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | West Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.65 hrs | 3.67 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.67 hrs | 0.73 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.07 hrs | 2.04 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.21 hrs | 3.17 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51.4% | 44.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 58.8% | 42.4% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | West Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 12 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 77 | 114.1 | 80.6 | Average |
Penalties
| Measure | This facility | West Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $16,039 | $29,505 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | West Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 74 | 87 | 107 | |
| Average residents per day | 71 | 78 | 86 | |
| Occupancy | 96.2% | 90.7% | 80.9% |
Long-stay residents
| Measure | This facility | West Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.7% | 4.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.6% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 14.4% | 13.4% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9.7% | 14.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 18.1% | 15.9% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.6% | 6.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 13.7% | 7.6% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20.1% | 27% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 21.8% | 22.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 97.6% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | West Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.3% | 1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 82.8% | 79.4% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 81.3% | 79.1% | 82% | Average |
Inspection citations
State inspectors cited this home for 37 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 5, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 1, 2025 |
| June 5, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | C No harm, widespread | Corrected July 1, 2025 |
| June 5, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | C No harm, widespread | Corrected July 1, 2025 |
| June 5, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected July 1, 2025 |
| June 5, 2025 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected June 21, 2025 |
| June 5, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 21, 2025 |
| June 5, 2025 Standard | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | E Potential harm, pattern | Corrected June 21, 2025 |
| June 5, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected June 21, 2025 |
| June 5, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 21, 2025 |
| June 5, 2025 Standard | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Tag F0807 | D Potential harm, isolated | Corrected June 21, 2025 |
| June 5, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 21, 2025 |
| June 5, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected June 21, 2025 |
| June 5, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 21, 2025 |
| June 5, 2025 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | C No harm, widespread | Corrected June 21, 2025 |
| July 25, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected August 7, 2024 |
| July 25, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 7, 2024 |
| July 25, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 7, 2024 |
| July 25, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 7, 2024 |
| July 25, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 7, 2024 |
| July 25, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected September 4, 2024 |
| July 25, 2024 Standard | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected September 4, 2024 |
| July 25, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 25, 2024 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 25, 2024 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 25, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 25, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 25, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 25, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 25, 2024 Standard | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 25, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 25, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected September 4, 2024 |
| February 15, 2023 Fire safety | 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. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected March 7, 2023 |
| February 15, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 7, 2023 |
| February 15, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected March 7, 2023 |
| February 15, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 15, 2023 |
| February 15, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected March 15, 2023 |
| February 15, 2023 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected March 15, 2023 |
| February 15, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $16,039 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 25, 2024 | Fine | $16,039 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PC WV OPCOS LLC Organization | 5% or greater direct ownership interest | 100% | 06/01/2021 |
| PC WTA OPCO HOLDCO LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2021 |
| SMS 2021 TRUST Organization | 5% or greater indirect ownership interest | — | 06/01/2021 |
| WELLTOWER INC Organization | 5% or greater security interest | NOT APPLICABLE | 07/30/2021 |
| AURORA GUARDIAN HOLDCO II CO-BORROWER, LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| AURORA GUARDIAN HOLDCO II, LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| AURORA GUARDIAN HOLDCO II MEZZ BORROWER, LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| AURORA GUARDIAN II REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| AURORA GUARDIAN PARTNERS II LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| BOWDEN, ROY Individual | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| J & R FAMILY INVESTMENTS, LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| LANDAU FAMILY INVESTMENT TRUST Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| L FRIEDMAN 2018 FAMILY TRUST Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| L FRIEDMAN FAMILY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| M FRIEDMAN 2018 FAMILY TRUST Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| OAK RIDGE REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| PC WTA ACQUISITION LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| PC WTA MULTI-STATE LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| PEACE CAPITAL HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| PHILLIPS, JOANNA Individual | adp of the snf | NOT APPLICABLE | 12/08/2023 |
| R&J FAMILY INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| SMS 2021 TRUST Organization | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| TRIANA, JOSEPH Individual | adp of the snf | NOT APPLICABLE | 06/01/2021 |
| WELLTOWER INC Organization | adp of the snf | NOT APPLICABLE | 07/30/2021 |
| STEIN, SHALOM Individual | corporate officer | NOT APPLICABLE | 06/01/2021 |
| STEIN, SHALOM Individual | indirect ownership interest | NOT APPLICABLE | 06/01/2021 |
| STEIN, SHALOM Individual | managing control - governing body | NOT APPLICABLE | 06/01/2021 |
| BOWDEN, ROY Individual | operational/managerial control | NOT APPLICABLE | 06/01/2021 |
| COX, VICKIE Individual | operational/managerial control | NOT APPLICABLE | 06/01/2021 |
| MANSFIELD, MELISSA Individual | operational/managerial control | NOT APPLICABLE | 06/01/2021 |
| SILVERBERG, NISANEL Individual | operational/managerial control | NOT APPLICABLE | 06/01/2021 |
| TRIANA, JOSEPH Individual | operational/managerial control | NOT APPLICABLE | 06/01/2021 |
| STEIN, SHALOM Individual | trustee of the snf | NOT APPLICABLE | 06/01/2021 |
Other nursing homes near Complete Care at Oak Ridge LLC
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- CMS high performer
★★★★★5Much above average- ★★★★★4Above average
Charleston Healthcare Center
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★★★★★3AverageMeadowbrook Acres
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★★★★★3AverageDunbar Center
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★★★★★2Below averageValley Center
1000 Lincoln Drive, South Charleston, WV 25309 · 7.5 mi
For-profit · 130 beds · Part of Genesis Healthcare
★★★★★2Below average
Frequently asked questions
What is Complete Care at Oak Ridge LLC's rating?
Complete Care at Oak Ridge LLC has 3 out of 5 stars on the CMS overall star rating. The average for West Virginia nursing homes is 3 stars.
How many inspection citations did Complete Care at Oak Ridge LLC receive?
Its most recent standard health inspection found 10 citations, compared with a West Virginia average of 11.7. Every citation is listed on this page with its severity.
Does Complete Care at Oak Ridge LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Complete Care at Oak Ridge LLC?
It is for profit - corporation and part of Complete Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Complete Care at Oak Ridge LLC and how do I contact it?
Complete Care at Oak Ridge LLC is at 1000 Association Drive, Charleston, WV 25311. Phone: (304) 347-4372.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.