COUNTRY CLUB RETIREMENT CTR IV
State inspectors recorded 3 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2026-03-17 — 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.
2026-03-17 — ACTUAL HARM (tag F0684, severity G)
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.
2025-08-27 — ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2019-12-18 — IMMEDIATE JEOPARDY (tag F0689, severity J)
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.
Staffing, from payroll records
Nursing hours / resident / day
3.25
state median 3.20
Weekend staffing gap
−2%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.61
registered nurses only
Contract (agency) staff
1%
share of all nursing hours
Nursing staff turnover
70%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
CMS records no penalties for this facility.
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:
- COUNTRY CLUB CENTER I (DOVER, OH) —
- MILCREST NURSING CENTER (MARYSVILLE, OH) —
- COUNTRY CLUB RET CENTER I I I (ASHTABULA, OH) —
- COUNTRY CLUB RETIREMENT CENTER (MOUNT VERNON, OH) —
- LAURIE ANN NURSING HOME (NEWTON FALLS, OH) —
- COUNTRY CLUB CENTER V, INC (DELAWARE, OH) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-17 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-03-17 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-17 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-17 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-17 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-03-17 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-17 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2026-03-17 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2026-03-17 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2026-03-17 | F0919 | Environmental Deficiencies | F | not recorded |
| 2026-01-26 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-11-25 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-11-25 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-11-25 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-11-25 | F0755 | Pharmacy Service Deficiencies | F | not recorded |
| 2025-11-25 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-11-25 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-08-27 | F0692 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-03-12 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-12 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-30 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-30 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-30 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-30 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-30 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-30 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-30 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-30 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-30 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-30 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-30 | F0790 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-30 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2022-11-09 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-11-09 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-11-09 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-11-09 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-11-09 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2019-12-18 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2019-12-18 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-12-18 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-12-18 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-12-18 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2019-12-18 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-12-18 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2019-12-18 | F0881 | Infection Control Deficiencies | F | not recorded |