Nursing homeActive
Complete Care At Oak Ridge LLC
1000 Association Drive, Charleston, WV 25311304347437274 certified beds · 71 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
37
● 2● 34● 1
Penalties · 3 yrs
$16,039
1 fine
Last survey
2025-06-05
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · West Virginia OHFLAC · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-06-05 | Standard | 190 | CMS-2567 (Care Compare) | — |
| 2024-07-25 | Standard | 1211 | CMS-2567 (Care Compare) | — |
| 2023-02-15 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · West Virginia OHFLAC publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 515174-20250605-F557
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 515174-20250605-F585
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 515174-20250605-F644
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 515174-20250605-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 515174-20250605-F689
F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 515174-20250605-F807
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 515174-20250605-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 515174-20250605-F842
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-21Record 515174-20250605-F921
F803Ensure 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.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2025-06-21Record 515174-20250605-F803
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-04Record 515174-20240725-F692
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F552
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F580
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F609
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F623
F625Notify 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F625
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F684
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F726
F745Provide medically-related social services to help each resident achieve the highest possible quality of life.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F745
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F756
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F812
F838Conduct 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F838
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F880
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-04Record 515174-20240725-F947
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2024-09-04Record 515174-20240725-F732
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 515174-20230215-F623
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 515174-20230215-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 515174-20230215-F880
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 515174-20230215-F947
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-07-25 | Civil money penalty | $16,039 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.67
Facility
West Virginia
National
West Virginia 0.73 · National 0.69
Total nurse hours per resident day3.65
Facility
West Virginia
National
West Virginia 3.66 · National 3.86
Weekend total nurse hours3.21
Facility
West Virginia
National
West Virginia 3.17 · National 3.42
Total nursing staff turnover51%
Facility
West Virginia
National
West Virginia 44% · National 46%
Registered nurse turnover59%
Facility
West Virginia
National
West Virginia 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | West Virginia | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.6% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.7% | 4.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.4% | 13.4% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 9.7% | 14.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.6% | 6.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.1% | 27.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| PC Wv Opcos LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| PC Wta Opco Holdco LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Sms 2021 Trust Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Bowden, Roy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cox, Vickie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mansfield, Melissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Silverberg, Nisanel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Triana, Joseph Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aurora Guardian Holdco II Co-Borrower, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aurora Guardian Holdco II Mezz Borrower, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aurora Guardian Holdco II, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aurora Guardian II Realty, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aurora Guardian Partners II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bowden, Roy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| J & R Family Investments, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| L Friedman 2018 Family Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| L Friedman Family Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Landau Family Investment Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| M Friedman 2018 Family Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Oak Ridge Realty, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| PC Wta Acquisition LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| PC Wta Multi-State LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Peace Capital Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Phillips, Joanna Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| R&J Family Investments LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sms 2021 Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Triana, Joseph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Welltower Inc Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Welltower Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Complete Care — 85 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or West Virginia.
No county cost figures on file for Kanawha.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Thomas Hospitals Skilled Nursing Unit Charleston | 1.2 mi | 2025-07-31 | 040 |
| Arthur B Hodges Center, The Charleston | 2.0 mi | 2025-06-04 | 050 |
| Charleston Healthcare Center Charleston | 2.3 mi | 2026-04-02 | 0561 |
| Meadowbrook Acres Charleston | 2.9 mi | 2025-11-06 | 0170 |
| Dunbar Center Dunbar | 5.8 mi | 2026-07-02 | 0734 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |