Starfile

Starfile / Ohio

COUNTRY CLUB CENTER I

860 IRON AVENUE, DOVER, OH 44622 · CCN 365417

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
72
Avg residents/day
56.0
Phone
3303435568

Inspection history vs Ohio & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityOhio avgNational avgvs state
12024-12-022710.29.5+16.8 worse
22022-09-211310.79.8+2.3 worse
32019-11-26329.99.3+22.1 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care5
Resident assessment and care planning2
Resident rights4
Nutrition and dietary5
Pharmacy service5
Environmental1
Administration1
Infection control4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.6255.4%
RN staffing (reported)0.6250.0%
Total nurse staffing (adjusted)3.69

Fines & penalties

Total fines
$31,371
Number of fines
3
Number of penalties
3
Payment denials
0

Chain

Chain
COUNTRY CLUB REHABILITATION CAMPUS
Facilities in chain
7
Chain avg overall
3.10 / 5

Inspection citations (72)3 actual harm

  1. EF0585Honor 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.2025-12-10 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  2. DF0880Provide and implement an infection prevention and control program.2025-12-10 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-30 · Health · corrected 2025-07-22

    Potential for more than minimal harm

  4. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-06-30 · Health · corrected 2025-07-22

    Potential for more than minimal harm

  5. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-05-01 · Health · corrected 2025-05-06

    Potential for more than minimal harm

  6. DF0880Provide and implement an infection prevention and control program.2025-05-01 · Health · corrected 2025-05-06

    Potential for more than minimal harm

  7. DF0558Reasonably accommodate the needs and preferences of each resident.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  8. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  9. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  10. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  12. DF0692Provide enough food/fluids to maintain a resident's health.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  13. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  14. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  15. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  16. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  17. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  18. DF0759Ensure medication error rates are not 5 percent or greater.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  19. DF0761Ensure 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.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  20. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  21. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  22. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  23. FF0814Dispose of garbage and refuse properly.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  24. DF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  25. EF0880Provide and implement an infection prevention and control program.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  26. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  27. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-12-02 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  28. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-10-24 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  29. EF0880Provide and implement an infection prevention and control program.2024-10-24 · Health · corrected 2024-12-24

    Potential for more than minimal harm

  30. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-11 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  31. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-08-09 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  32. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-05 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  33. DF0558Reasonably accommodate the needs and preferences of each resident.2023-12-28 · Health · corrected 2024-01-13

    Potential for more than minimal harm

  34. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-28 · Health · corrected 2024-01-13

    Potential for more than minimal harm

  35. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-28 · Health · corrected 2024-01-13

    Actual harm

  36. DF0761Ensure 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.2023-12-28 · Health · corrected 2024-01-13

    Potential for more than minimal harm

  37. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-28 · Health · corrected 2024-01-13

    Potential for more than minimal harm

  38. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-28 · Health · corrected 2024-01-13

    Potential for more than minimal harm

  39. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-08-16 · Health · corrected 2023-09-01

    Potential for more than minimal harm

  40. DF0585Honor 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.2023-08-16 · Health · corrected 2023-09-01

    Potential for more than minimal harm

  41. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-16 · Health · corrected 2023-09-01

    Potential for more than minimal harm

  42. DF0610Respond appropriately to all alleged violations.2023-08-16 · Health · corrected 2023-09-01

    Potential for more than minimal harm

  43. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-28 · Health · corrected 2023-07-10

    Potential for more than minimal harm

  44. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-05-17 · Health · corrected 2023-06-08

    Potential for more than minimal harm

  45. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-17 · Health · corrected 2023-06-08

    Potential for more than minimal harm

  46. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-05-17 · Health · corrected 2023-06-08

    Potential for more than minimal harm

  47. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-05-17 · Health · corrected 2023-06-08

    Potential for more than minimal harm

  48. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-17 · Health · corrected 2023-06-08

    Potential for more than minimal harm

  49. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-09-21 · Health · corrected 2022-10-18

    Potential for more than minimal harm

  50. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-21 · Health · corrected 2022-10-18

    Potential for more than minimal harm

  51. HF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-09-21 · Health · corrected 2022-10-18

    Actual harm

  52. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-21 · Health · corrected 2022-10-18

    Potential for more than minimal harm

  53. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-09-21 · Health · corrected 2022-10-18

    Potential for more than minimal harm

  54. DF0692Provide enough food/fluids to maintain a resident's health.2022-09-21 · Health · corrected 2022-10-18

    Potential for more than minimal harm

  55. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-21 · Health · corrected 2022-10-18

    Potential for more than minimal harm

  56. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2022-09-21 · Health · corrected 2022-10-18

    Potential for more than minimal harm

  57. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  58. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  59. DF0641Ensure each resident receives an accurate assessment.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  60. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  61. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  62. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  63. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-11-26 · Health · corrected 2019-12-19

    Actual harm

  64. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  65. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  66. DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  67. DF0761Ensure 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.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  68. DF0772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  69. DF0791Provide or obtain dental services for each resident.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  70. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  71. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

  72. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2019-11-26 · Health · corrected 2019-12-19

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HOLLAND, JOHNIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%1976-02-17
HOLLAND-GRESCOCK, TERESAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%2002-05-01
HARRIS, JANETIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-06
LIEBER, PAULIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-18
HARRIS, JANETIndividualCORPORATE DIRECTOR2008-01-01
HARRIS, JANETIndividualCORPORATE OFFICER2008-01-01
HOLLAND, JOHNIndividualCORPORATE OFFICER2002-05-01
HOLLAND-GRESCOCK, TERESAIndividualCORPORATE OFFICER2002-05-01
LIEBER, PAULIndividualW-2 MANAGING EMPLOYEE2024-07-01

Other facilities in DOVER

NameOverallBeds
PARK VILLAGE HEALTH CARE CENTER INC★★★★☆90
HENNIS CARE CENTRE OF DOVER★★★☆☆147
NEW DAWN REHABILITATION AND HEALTHCARE CENTER★★☆☆☆98

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.