COUNTRY CLUB CENTER I

860 IRON AVENUE, DOVER, OH 44622 · CCN 365417 · 72 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2026-04-17 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2026-04-17 — IMMEDIATE JEOPARDY (tag F0684, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2026-04-17 — ACTUAL HARM (tag F0697, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe, appropriate pain management for a resident who requires such services.

2026-02-02 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-12-28 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2022-09-21 — ACTUAL HARM (tag F0686, severity H)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

3.37

state median 3.20

Weekend staffing gap

−6%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.27

registered nurses only

Contract (agency) staff

1%

share of all nursing hours

Days with zero RN hours reported

10

with residents present

Nursing staff turnover

84%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $31,371 in fines.

Date	Type	Amount
2023-12-28	Fine	$26,462
2023-08-07	Fine	$1,764
2023-07-17	Fine	$3,145

Ownership

Ownership type: For profit - Limited Liability company. Part of the COUNTRY CLUB REHABILITATION CAMPUS chain.

Other facilities under the same ownership, with their CMS overall ratings:

MILCREST NURSING CENTER (MARYSVILLE, OH) — CMS overall3 of 5
COUNTRY CLUB RET CENTER I I I (ASHTABULA, OH) — CMS overall4 of 5
COUNTRY CLUB RETIREMENT CTR IV (BELLAIRE, OH) — CMS overall1 of 5
COUNTRY CLUB RETIREMENT CENTER (MOUNT VERNON, OH) — CMS overall2 of 5
LAURIE ANN NURSING HOME (NEWTON FALLS, OH) — CMS overall3 of 5
COUNTRY CLUB CENTER V, INC (DELAWARE, OH) — CMS overall5 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 5 · Potential for more than minimal harm: 83 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-04-17	F0550	Resident Rights Deficiencies	D	not recorded
2026-04-17	F0552	Resident Rights Deficiencies	D	not recorded
2026-04-17	F0559	Resident Rights Deficiencies	D	not recorded
2026-04-17	F0565	Resident Rights Deficiencies	F	not recorded
2026-04-17	F0577	Resident Rights Deficiencies	C	not recorded
2026-04-17	F0578	Resident Rights Deficiencies	D	not recorded
2026-04-17	F0582	Resident Rights Deficiencies	D	not recorded
2026-04-17	F0583	Resident Rights Deficiencies	E	not recorded
2026-04-17	F0584	Resident Rights Deficiencies	E	not recorded
2026-04-17	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2026-04-17	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-04-17	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-04-17	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-04-17	F0628	Resident Rights Deficiencies	D	not recorded
2026-04-17	F0636	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-17	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-17	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-17	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-17	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-17	F0676	Quality of Life and Care Deficiencies	D	not recorded
2026-04-17	F0677	Quality of Life and Care Deficiencies	E	not recorded
2026-04-17	F0679	Quality of Life and Care Deficiencies	D	not recorded
2026-04-17	F0684	Quality of Life and Care Deficiencies	J	not recorded
2026-04-17	F0686	Quality of Life and Care Deficiencies	D	not recorded
2026-04-17	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-04-17	F0695	Quality of Life and Care Deficiencies	D	not recorded
2026-04-17	F0697	Quality of Life and Care Deficiencies	G	not recorded
2026-04-17	F0725	Nursing and Physician Services Deficiencies	F	not recorded
2026-04-17	F0757	Pharmacy Service Deficiencies	E	not recorded
2026-04-17	F0760	Pharmacy Service Deficiencies	D	not recorded
2026-04-17	F0804	Nutrition and Dietary Deficiencies	F	not recorded
2026-04-17	F0805	Nutrition and Dietary Deficiencies	E	not recorded
2026-04-17	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2026-04-17	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-17	F0880	Infection Control Deficiencies	D	not recorded
2026-04-17	F0883	Infection Control Deficiencies	E	not recorded
2026-04-17	F0887	Infection Control Deficiencies	E	not recorded
2026-02-02	F0583	Resident Rights Deficiencies	D	not recorded
2026-02-02	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2026-02-02	F0686	Quality of Life and Care Deficiencies	G	not recorded
2025-12-10	F0585	Resident Rights Deficiencies	E	not recorded
2025-12-10	F0880	Infection Control Deficiencies	D	not recorded
2025-06-30	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-06-30	F0804	Nutrition and Dietary Deficiencies	F	not recorded
2025-05-01	F0584	Resident Rights Deficiencies	D	not recorded
2025-05-01	F0880	Infection Control Deficiencies	D	not recorded
2024-12-02	F0558	Resident Rights Deficiencies	D	not recorded
2024-12-02	F0578	Resident Rights Deficiencies	D	not recorded
2024-12-02	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-12-02	F0661	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-12-02	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-12-02	F0692	Quality of Life and Care Deficiencies	D	not recorded
2024-12-02	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-12-02	F0698	Quality of Life and Care Deficiencies	D	not recorded
2024-12-02	F0756	Pharmacy Service Deficiencies	D	not recorded
2024-12-02	F0757	Pharmacy Service Deficiencies	D	not recorded
2024-12-02	F0758	Pharmacy Service Deficiencies	D	not recorded
2024-12-02	F0759	Pharmacy Service Deficiencies	D	not recorded
2024-12-02	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-12-02	F0804	Nutrition and Dietary Deficiencies	F	not recorded
2024-12-02	F0805	Nutrition and Dietary Deficiencies	E	not recorded
2024-12-02	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-12-02	F0814	Nutrition and Dietary Deficiencies	F	not recorded
2024-12-02	F0848	Administration Deficiencies	D	not recorded
2024-12-02	F0880	Infection Control Deficiencies	E	not recorded
2024-12-02	F0883	Infection Control Deficiencies	D	not recorded
2024-12-02	F0921	Environmental Deficiencies	E	not recorded
2024-10-24	F0851	Administration Deficiencies	F	not recorded
2024-10-24	F0880	Infection Control Deficiencies	E	not recorded
2024-09-11	F0550	Resident Rights Deficiencies	D	not recorded
2024-08-09	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-06-05	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-12-28	F0558	Resident Rights Deficiencies	D	not recorded
2023-12-28	F0580	Resident Rights Deficiencies	D	not recorded
2023-12-28	F0689	Quality of Life and Care Deficiencies	G	not recorded
2023-12-28	F0761	Pharmacy Service Deficiencies	D	not recorded
2023-12-28	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-12-28	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-08-16	F0568	Resident Rights Deficiencies	D	not recorded
2023-08-16	F0585	Resident Rights Deficiencies	D	not recorded
2023-08-16	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-08-16	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2022-09-21	F0636	Resident Assessment and Care Planning Deficiencies	E	not recorded
2022-09-21	F0677	Quality of Life and Care Deficiencies	E	not recorded
2022-09-21	F0686	Quality of Life and Care Deficiencies	H	not recorded
2022-09-21	F0689	Quality of Life and Care Deficiencies	D	not recorded
2022-09-21	F0690	Quality of Life and Care Deficiencies	D	not recorded
2022-09-21	F0692	Quality of Life and Care Deficiencies	D	not recorded
2022-09-21	F0695	Quality of Life and Care Deficiencies	D	not recorded
2022-09-21	F0810	Nutrition and Dietary Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “COUNTRY CLUB CENTER I, DOVER” at medicare.gov/care-compare.