nursing home in Charleston, WV

Complete Care at Oak Ridge LLC

1000 Association Drive, Charleston, WV 25311 · (304) 347-4372

★★★★★3
Average
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

MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53 / 53 / 5Average
Health inspection rating ⓘ (higher is better)3 / 52.9 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)2 / 52.6 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.6 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 54 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)3 / 52.9 / 53.3 / 5Average

Staffing

This facility3.65 hrsWest Virginia average3.67 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. West Virginia and U.S. averages
MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.65 hrs3.67 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.67 hrs0.73 hrs0.69 hrsAverage
Nurse aide hours per resident per day (higher is better)2.07 hrs2.04 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.21 hrs3.17 hrs3.42 hrsWorse
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)011Better

Inspections

This facility10West Virginia average12U.S. average9
Health citations in the most recent inspection: this facility vs. West Virginia and U.S. averages
MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)10129Worse
Citations from complaint investigations (latest cycle) (lower is better)033Better
Weighted health inspection score ⓘ (lower is better)77114.180.6Average

Penalties

This facility1West Virginia average1U.S. average1
Fines in the past 3 years: this facility vs. West Virginia and U.S. averages
MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$16,039$29,505$30,972Better
All federal penalties in the past 3 years (lower is better)111Average

Size

MeasureThis facilityWest Virginia avg.U.S. avg.vs. U.S.
Certified beds7487107
Average residents per day717886
Occupancy96.2%90.7%80.9%

Long-stay residents

This facility4.7%West Virginia average4.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. West Virginia and U.S. averages
MeasureThis facilityWest 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

This facility1.3%West Virginia average1%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. West Virginia and U.S. averages
MeasureThis facilityWest 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.

DateCitationSeverityStatus
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.

DatePenaltyAmount / length
July 25, 2024Fine$16,039

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
PC WV OPCOS LLC
Organization
5% or greater direct ownership interest100%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 interestNOT APPLICABLE07/30/2021
AURORA GUARDIAN HOLDCO II CO-BORROWER, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
AURORA GUARDIAN HOLDCO II, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
AURORA GUARDIAN HOLDCO II MEZZ BORROWER, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
AURORA GUARDIAN II REALTY, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
AURORA GUARDIAN PARTNERS II LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
BOWDEN, ROY
Individual
adp of the snfNOT APPLICABLE06/01/2021
J & R FAMILY INVESTMENTS, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
LANDAU FAMILY INVESTMENT TRUST
Organization
adp of the snfNOT APPLICABLE07/30/2021
L FRIEDMAN 2018 FAMILY TRUST
Organization
adp of the snfNOT APPLICABLE07/30/2021
L FRIEDMAN FAMILY HOLDINGS LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
M FRIEDMAN 2018 FAMILY TRUST
Organization
adp of the snfNOT APPLICABLE07/30/2021
OAK RIDGE REALTY, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
PC WTA ACQUISITION LLC
Organization
adp of the snfNOT APPLICABLE06/01/2021
PC WTA MULTI-STATE LLC
Organization
adp of the snfNOT APPLICABLE06/01/2021
PEACE CAPITAL HOLDINGS LLC
Organization
adp of the snfNOT APPLICABLE06/01/2021
PHILLIPS, JOANNA
Individual
adp of the snfNOT APPLICABLE12/08/2023
R&J FAMILY INVESTMENTS LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
SMS 2021 TRUST
Organization
adp of the snfNOT APPLICABLE06/01/2021
TRIANA, JOSEPH
Individual
adp of the snfNOT APPLICABLE06/01/2021
WELLTOWER INC
Organization
adp of the snfNOT APPLICABLE07/30/2021
STEIN, SHALOM
Individual
corporate officerNOT APPLICABLE06/01/2021
STEIN, SHALOM
Individual
indirect ownership interestNOT APPLICABLE06/01/2021
STEIN, SHALOM
Individual
managing control - governing bodyNOT APPLICABLE06/01/2021
BOWDEN, ROY
Individual
operational/managerial controlNOT APPLICABLE06/01/2021
COX, VICKIE
Individual
operational/managerial controlNOT APPLICABLE06/01/2021
MANSFIELD, MELISSA
Individual
operational/managerial controlNOT APPLICABLE06/01/2021
SILVERBERG, NISANEL
Individual
operational/managerial controlNOT APPLICABLE06/01/2021
TRIANA, JOSEPH
Individual
operational/managerial controlNOT APPLICABLE06/01/2021
STEIN, SHALOM
Individual
trustee of the snfNOT APPLICABLE06/01/2021

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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.