| Complete Care at Oak Ridge LLC | |
| 1000 Association Drive, Charleston, West Virginia 25311 | |
| (304) 347-4372 | |
| Name | Complete Care at Oak Ridge LLC |
|---|---|
| Location | 1000 Association Drive, Charleston, West Virginia |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 74 |
| Occupancy Rate | 96.22% |
| Medicare ID (CCN) | 515174 |
| Legal Business Name | Complete Care at Oak Ridge LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Complete Care (85 nursing homes) |
| Chain Average Overall Rating | 3.1 out of 5 |
| NPI Number | 1265012066 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Complete Care at Oak Ridge LLC |
| Address | 1000 Association Dr, Charleston, WV 25311 |
| Phone Number | 304-347-4372 |
| NPI Number | 1306887344 |
| Match | Possible same name, address or phone number |
| Organization Name | HR of Charleston, Inc. |
| Doing Business As | Oak Ridge Center |
| Address | 1000 Association Dr, North Gate Business Park, Charleston, WV 25311 |
| Phone Number | 304-347-4372 |
| NPI Number | 1528242708 |
| Match | Possible same name, address or phone number |
| Organization Name | 1000 Association Drive Operations LLC |
| Doing Business As | Oak Ridge Center |
| Address | 1000 Association Dr, Charleston, WV 25311 |
| Phone Number | 304-347-4372 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.65 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.67 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.9 | 0.86 |
| Nurse aide hours per resident per day | 2.07 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.21 | 3.42 |
| RN hours per resident per day on the weekend | 0.25 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 51.4% | 45.8% |
| Registered nurse turnover | 58.8% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $16,039 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 5, 2025 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 21, 2025 |
| Jun 5, 2025 | 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. F0585, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 21, 2025 |
| Jun 5, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jun 21, 2025 |
| Jun 5, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 21, 2025 |
| Jun 5, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 21, 2025 |
| Jun 5, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 21, 2025 |
| Jun 5, 2025 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. F0807, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jun 21, 2025 |
| Jun 5, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 21, 2025 |
| Jun 5, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Jun 21, 2025 |
| Jun 5, 2025 | 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. F0803, Nutrition and Dietary, Standard inspection | Minimal harm potential, widespread | Corrected by Jun 21, 2025 |
| Jul 25, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | 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. F0838, Administration, Standard inspection | Potential for harm, widespread | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | 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. F0625, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | 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. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Jul 25, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.71 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.63 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.44 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 13.68 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.74 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.3 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.33 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.07 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.08 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.81 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.59 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.78 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.36 | 15.38 |
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