Contact Information

COUNTRY CLUB RET CENTER I I I
COUNTRY CLUB RETIREMENT CENTER LLC
925 E 26TH ST
ASHTABULA, OH 44004
(440) 992-0022
For profit - Corporation
Medicare certification date2: December 13, 1984
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

  55 residents

  65 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 1
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 55 residents Ohio Average National Average
Hours by Registered Nurse (RN) per resident per day 26 minutes 38 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 53 minutes 58 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 11 minutes 2 hours, 8 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 5 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 GROUP II, LTD
  • HOLLAND, JOHN
  • HOLLAND-GRESCOCK, TERESA

OFFICER

  • HARRIS, JANET

OPERATIONAL/MANAGERIAL CONTROL

  • HARRIS, JANET

Nursing Home Report

In 2016, COUNTRY CLUB RET CENTER I I I charged a total of $2,134,701 for 76 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 81.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 41% Alzheimer's 47%
Asthma 49% Cancer 20%
Congestive Heart Failure 67% Kidney Disease 66%
COPD 41% Depression 58%
Diabetes 51% Hyperlipidemia 70%
Hypertension n/a Ischemic Heart Disease n/a
Osteoporosis 13% RA / OA 62%
Schizophrenia 28% Stroke 9%
Demographics
Medicare Beneficiaries 76 Average Age 81
Male 28 Female 48
White 70
Black n/a
Asian 0
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Nov 08, 2017; fire safety inspection: Nov 08, 2017

Health Deficiencies as of 11/08/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 11/08/2017
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 1

Other Nursing Homes near by

CARINGTON PARK

2217 WEST AVE
ASHTABULA, OH 44004

SAYBROOK LANDING

2300 CENTER ROAD
ASHTABULA, OH 44004
→ 6.5 mi

AUSTINBURG NSG AND REHAB CTR

2026 STATE ROUTE 45
AUSTINBURG, OH 44010
→ 7.4 mi

ASHTABULA COUNTY NURSING HOME

5740 DIBBLE ROAD
KINGSVILLE, OH 44048
→ 8.7 mi

JEFFERSON HEALTHCARE CENTER

222 E BEECH ST
JEFFERSON, OH 44047
→ 10.2 mi

GENEVA SHORES NURSING AND REHAB

60 WEST ST
GENEVA, OH 44041
→ 10.2 mi

RAE ANN GENEVA

839 W MAIN STREET
GENEVA, OH 44041
→ 10.2 mi

GENEVA VILLAGE RETIREMENT COMMUNITY, LTD

1140 SOUTH BROADWAY
GENEVA, OH 44041
→ 10.2 mi

PINE GROVE HEALTHCARE CENTER

840 SHERMAN STREET
GENEVA, OH 44041

See also