Complete Care At Oak Ridge LLC
Charleston, Kanawha County, West Virginia · CCN 515174 · For-profit (Corporation) · part of Complete Care (85 facilities, chain average 3.1 stars)
CMS rates Complete Care At Oak Ridge LLC 3 of 5 overall as of August 2026. 74 certified beds, 71 residents a day on average. 37 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $16,039.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 3.64558 hours per resident per day |
|---|---|
| Registered nurses | 0.66647 hours per resident per day |
| Weekend total | 3.20591 hours per resident per day |
| Nursing staff turnover | 51.4% (registered nurses 58.8%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-06-05 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-21 |
| 2025-06-05 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-21 |
| 2025-06-05 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-21 |
| 2025-06-05 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-21 |
| 2025-06-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-21 |
| 2025-06-05 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-21 |
| 2025-06-05 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-21 |
| 2025-06-05 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-21 |
| 2025-06-05 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-21 |
| 2025-06-05 | 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 actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-06-21 |
| 2024-07-25 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-04 |
| 2024-07-25 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-09-04 |
| 2023-02-15 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-03-15 |
| 2023-02-15 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-15 |
| 2023-02-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-15 |
| 2023-02-15 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-15 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-25 | Fine | $16,039 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| PC Wv Opcos LLC Organization | 5% or greater direct ownership interest | 100% | 2021-06-01 |
| PC Wta Opco Holdco LLC Organization | 5% or greater indirect ownership interest | — | 2021-05-01 |
| Sms 2021 Trust Organization | 5% or greater indirect ownership interest | — | 2021-06-01 |
| Welltower Inc. Organization | 5% or greater security interest | — | 2021-07-30 |
| Aurora Guardian Holdco II Co-Borrower, LLC Organization | adp of the snf | — | 2021-07-30 |
| Aurora Guardian Holdco II Mezz Borrower, LLC Organization | adp of the snf | — | 2021-07-30 |
| Aurora Guardian Holdco II, LLC Organization | adp of the snf | — | 2021-07-30 |
| Aurora Guardian II Realty, LLC Organization | adp of the snf | — | 2021-07-30 |
| Aurora Guardian Partners II LLC Organization | adp of the snf | — | 2021-07-30 |
| J & R Family Investments, LLC Organization | adp of the snf | — | 2021-07-30 |
| L Friedman 2018 Family Trust Organization | adp of the snf | — | 2021-07-30 |
| L Friedman Family Holdings LLC Organization | adp of the snf | — | 2021-07-30 |
| Landau Family Investment Trust Organization | adp of the snf | — | 2021-07-30 |
| M Friedman 2018 Family Trust Organization | adp of the snf | — | 2021-07-30 |
| Oak Ridge Realty, LLC Organization | adp of the snf | — | 2021-07-30 |
| PC Wta Acquisition LLC Organization | adp of the snf | — | 2021-06-01 |
| PC Wta Multi-State LLC Organization | adp of the snf | — | 2021-06-01 |
| Peace Capital Holdings LLC Organization | adp of the snf | — | 2021-06-01 |
| R&J Family Investments LLC Organization | adp of the snf | — | 2021-07-30 |
| Sms 2021 Trust Organization | adp of the snf | — | 2021-06-01 |
| Welltower Inc. Organization | adp of the snf | — | 2021-07-30 |
| Bowden, Roy Individual | adp of the snf | — | 2021-06-01 |
| Phillips, Joanna Individual | adp of the snf | — | 2023-12-08 |
| Triana, Joseph Individual | adp of the snf | — | 2021-06-01 |
| Stein, Shalom Individual | corporate officer | — | 2021-06-01 |
| Stein, Shalom Individual | indirect ownership interest | — | 2021-06-01 |
| Stein, Shalom Individual | managing control - governing body | — | 2021-06-01 |
| Bowden, Roy Individual | operational/managerial control | — | 2021-06-01 |
| Cox, Vickie Individual | operational/managerial control | — | 2021-06-01 |
| Mansfield, Melissa Individual | operational/managerial control | — | 2021-06-01 |
| Silverberg, Nisanel Individual | operational/managerial control | — | 2021-06-01 |
| Triana, Joseph Individual | operational/managerial control | — | 2021-06-01 |
| Stein, Shalom Individual | trustee of the snf | — | 2021-06-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Complete Care At Oak Ridge LLC.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Kanawha County.