Contact Information

COUNTRY CLUB CENTER I
COUNTRY CLUB CENTER HOMES, INC
860 IRON AVENUE
DOVER, OH 44622
(330) 343-5568
For profit - Individual
Medicare certification date2: May 01, 1979
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  64 residents

  72 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 5
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 64 residents Ohio Average National Average
Hours by Registered Nurse (RN) per resident per day 38 minutes 38 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 45 minutes 58 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 1 hour, 33 minutes 2 hours, 8 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 6 minutes 5 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • HOLLAND, JOHN
  • HOLLAND-GRESCOCK, TERESA

MANAGING EMPLOYEE

  • HARRIS, JANET

OFFICER

  • HARRIS, JANET

Nursing Home Report

In 2016, COUNTRY CLUB CENTER I charged a total of $1,881,288 for 76 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 78.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 30% Alzheimer's 67%
Asthma 46% Cancer 13%
Congestive Heart Failure 59% Kidney Disease 75%
COPD 46% Depression 62%
Diabetes 51% Hyperlipidemia n/a
Hypertension n/a Ischemic Heart Disease 64%
Osteoporosis 14% RA / OA 50%
Schizophrenia 11% Stroke 22%
Demographics
Medicare Beneficiaries 76 Average Age 78
Male 27 Female 49
White 75
Black 0
Asian 0
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Oct 12, 2017; fire safety inspection: Oct 12, 2017

Health Deficiencies as of 10/12/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 10/12/2017
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 1
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also