COMPLETE CARE AT OAK RIDGE LLC

CCN 515174 · COMPLETE CARE AT OAK RIDGE LLC · For profit - Corporation · COMPLETE CARE chain · 74 certified beds · Kanawha · WV


COMPLETE CARE AT OAK RIDGE LLC is a 74-bed nursing home in CHARLESTON, West Virginia. CMS has certified it for Medicare and Medicaid since 2000-10-01. It averages 71.2 residents a day.

What harm was found in the violations cited at COMPLETE CARE AT OAK RIDGE LLC?

CMS lists 37 health-inspection deficiencies for COMPLETE CARE AT OAK RIDGE LLC since 2023-02-15, 33 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-06-05.

Survey dateTagDeficiencySeverity
2025-06-05F0557, F0585, F0812Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-06-05F0644, F0684, F0689, F0807, F0842, F0921Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2025-06-05F0803Ensure 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.C
2024-07-25F0692Provide enough food/fluids to maintain a resident's health.G
2024-07-25F0838Conduct 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.F
2024-07-25F0550, F0600, F0607, F0609, F0625, F0684, F0726, F0761, F0812, F0842, F0880, F0947Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2024-07-25F0552, F0580, F0623, F0644, F0656, F0657, F0745, F0756Ensure that residents are fully informed and understand their health status, care and treatments. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D
2024-07-25F0732Post nurse staffing information every day.C
2023-02-15F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-02-15F0623, F0880, F0947Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D

Why was COMPLETE CARE AT OAK RIDGE LLC fined?

DateTypeAmount
2024-07-25Fine$16,039

How is COMPLETE CARE AT OAK RIDGE LLC staffed relative to the WV average?

MeasureThis facilityWV average
Total nurse staffing hours per resident per day3.645583.66055
Total nursing staff turnover (%)51.444.1
Average number of residents per day71.278.4

Who owns COMPLETE CARE AT OAK RIDGE LLC, and what chain is it in?

COMPLETE CARE AT OAK RIDGE LLC is registered with CMS as For profit - Corporation, operates under the legal business name COMPLETE CARE AT OAK RIDGE LLC and belongs to the COMPLETE CARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPC WV OPCOS LLCsince 06/01/2021
5% OR GREATER INDIRECT OWNERSHIP INTERESTPC WTA OPCO HOLDCO LLC, SMS 2021 TRUSTsince 05/01/2021
INDIRECT OWNERSHIP INTERESTSTEIN, SHALOMsince 06/01/2021
5% OR GREATER SECURITY INTERESTWELLTOWER INCsince 07/30/2021
MANAGING CONTROL - GOVERNING BODYSTEIN, SHALOMsince 06/01/2021
CORPORATE OFFICERSTEIN, SHALOMsince 06/01/2021
OPERATIONAL/MANAGERIAL CONTROLBOWDEN, ROY, COX, VICKIE, MANSFIELD, MELISSA, SILVERBERG, NISANEL, TRIANA, JOSEPHsince 06/01/2021
TRUSTEE OF THE SNFSTEIN, SHALOMsince 06/01/2021
ADP OF THE SNFAURORA GUARDIAN HOLDCO II CO-BORROWER, LLC, AURORA GUARDIAN HOLDCO II MEZZ BORROWER, LLC, AURORA GUARDIAN HOLDCO II, LLC, AURORA GUARDIAN II REALTY, LLC, AURORA GUARDIAN PARTNERS II LLC, J & R FAMILY INVESTMENTS, LLC, L FRIEDMAN 2018 FAMILY TRUST, L FRIEDMAN FAMILY HOLDINGS LLC, LANDAU FAMILY INVESTMENT TRUST, M FRIEDMAN 2018 FAMILY TRUST, OAK RIDGE REALTY, LLC, PC WTA ACQUISITION LLC, PC WTA MULTI-STATE LLC, PEACE CAPITAL HOLDINGS LLC, R&J FAMILY INVESTMENTS LLC, SMS 2021 TRUST, WELLTOWER INC, BOWDEN, ROY, PHILLIPS, JOANNA, TRIANA, JOSEPHsince 06/01/2021

Were you or a family member harmed at COMPLETE CARE AT OAK RIDGE LLC?