Elder Care Record

West Virginia › Kanawha County › Charleston

Complete Care At Oak Ridge LLC

1000 Association Drive, Charleston, WV 25311

CCN 515174 · For-profit, corporation · 74 certified beds · chain Complete Care

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Complete Care At Oak Ridge LLC is a For-profit, corporation nursing home in Charleston, West Virginia, certified for 74 beds and caring for about 71 residents a day.

CMS gives it 3 of 5 stars overall, equal to the West Virginia median; the health inspection rating is 3, staffing 2 and quality measures 3.

Inspectors recorded 37 health deficiencies across the three most recent survey cycles (10, 23, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 50.0 per 100 beds, about the same as the state median of 47.3.

CMS lists 1 penalty in the period covered: fines totalling $16K.

Reported nurse staffing is 3.6 hours per resident per day (0.7 RN), close to the West Virginia median of 3.5; nursing staff turnover is 51.4%.

37health deficiencies, 3 survey cycles1 at actual harm or worse
$16Kfines listed by CMS1 penalty in period
3.6nurse hours per resident per daystate median 3.5
96%occupancy (residents ÷ beds)71 residents a day

Compared with county, state and nation

MeasureThis facilityKanawha Co. medianWest Virginia medianUS average
Overall star rating3333.0
Health citations, 3 cycles37563828.7
Citations per 100 beds50.077.547.326.8
Total nurse hours per resident day3.63.53.53.9
RN hours per resident day0.70.70.70.7
Nursing staff turnover51.4%51.4%43.2%45.8%
Fines listed$16,039$12,831$8,021—

County and state figures are medians across facilities (11 in the county, 123 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)10
Cycle 223
Cycle 34

Dark bar: this facility. Grey bar: West Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Jun 2025, 25 Jul 2024.

Severity mix: G ×1 D ×17 E ×16 F ×1 C ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
5 Jun 2025F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EStandard survey21 Jun 2025
5 Jun 2025F0585Honor 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.EStandard survey21 Jun 2025
5 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey21 Jun 2025
5 Jun 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey21 Jun 2025
5 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey21 Jun 2025
5 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey21 Jun 2025
5 Jun 2025F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard survey21 Jun 2025
5 Jun 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey21 Jun 2025
5 Jun 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey21 Jun 2025
5 Jun 2025F0803Ensure 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.CStandard survey21 Jun 2025
25 Jul 2024F0692Provide enough food/fluids to maintain a resident's health.GStandard survey4 Sep 2024
25 Jul 2024F0838Conduct 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.FStandard survey4 Sep 2024
25 Jul 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey4 Sep 2024
25 Jul 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard survey4 Sep 2024
25 Jul 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey4 Sep 2024
25 Jul 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard survey4 Sep 2024
25 Jul 2024F0625Notify 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.EStandard survey4 Sep 2024
25 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey4 Sep 2024
25 Jul 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey4 Sep 2024
25 Jul 2024F0761Ensure 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.EStandard survey4 Sep 2024
25 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey4 Sep 2024
25 Jul 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey4 Sep 2024
25 Jul 2024F0880Provide and implement an infection prevention and control program.EStandard survey4 Sep 2024
25 Jul 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey4 Sep 2024
25 Jul 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey4 Sep 2024
25 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey4 Sep 2024
25 Jul 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey4 Sep 2024
25 Jul 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey4 Sep 2024
25 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey4 Sep 2024
25 Jul 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey4 Sep 2024
25 Jul 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey4 Sep 2024
25 Jul 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey4 Sep 2024
25 Jul 2024F0732Post nurse staffing information every day.CStandard survey4 Sep 2024
15 Feb 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey15 Mar 2023
15 Feb 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey15 Mar 2023
15 Feb 2023F0880Provide and implement an infection prevention and control program.DStandard survey15 Mar 2023
15 Feb 2023F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey15 Mar 2023

Penalties

DateTypeAmountDetail
25 Jul 2024Fine$16,039

Staffing

Total nursing3.65 h
Nurse aides2.07 h
LPN0.9 h
RN0.67 h
Weekend total3.21 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the West Virginia average. Turnover: nursing staff 51.4%, RNs 58.8%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWest Virginia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.7%14.2%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.4%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.7%4.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.1%15.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.6%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.4%10.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Chain: Complete Care (85 facilities).

OrganisationRole in the CMS recordInterestSince
Pc Wv Opcos LLC5% or greater direct ownership interest100%06/01/2021
Pc Wta Opco Holdco LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2021
Welltower Inc5% or greater security interestNOT APPLICABLE07/30/2021
Oak Ridge Realty, LLCAdp of the snfNOT APPLICABLE07/30/2021
Pc Wta Acquisition LLCAdp of the snfNOT APPLICABLE06/01/2021
Pc Wta Multi-State LLCAdp of the snfNOT APPLICABLE06/01/2021
Peace Capital Holdings LLCAdp of the snfNOT APPLICABLE06/01/2021
Welltower IncAdp of the snfNOT APPLICABLE07/30/2021

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Kanawha County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Thomas Hospitals Skilled Nursing UnitCharleston295551448.3—31 Jul 2025
Arthur B Hodges Center, TheCharleston204551680.0—4 Jun 2025
Charleston Healthcare CenterCharleston1503237147.3$13K2 Apr 2026
Meadowbrook AcresCharleston603335693.3—6 Nov 2025
Riverside Valley of JourneySaint Albans903324044.4—18 Dec 2025
Dunbar CenterDunbar1202119377.5$59K2 Jul 2026
Glasgow Hills of JourneyGlasgow1122119483.9$72K12 May 2026
Valley CenterSouth Charleston1302224736.2—8 Apr 2026

All 11 facilities in Kanawha County

Questions and answers

How many deficiencies has Complete Care At Oak Ridge LLC been cited for?

37 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The West Virginia median is 38 per facility.

Has Complete Care At Oak Ridge LLC been fined?

Yes. CMS lists fines totalling $16K in the period covered.

How does staffing at Complete Care At Oak Ridge LLC compare?

Reported total nurse staffing is 3.6 hours per resident per day against a West Virginia median of 3.5 and a national average of 3.9.

Who operates Complete Care At Oak Ridge LLC?

It is part of the Complete Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Pc Wv Opcos LLC and Pc Wta Opco Holdco LLC. Individual owners and managers are not listed on this site.

When was Complete Care At Oak Ridge LLC last inspected?

The most recent survey or investigation in the CMS record is dated 5 Jun 2025; the most recent standard health survey was 5 Jun 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.