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.
| Cycle | Inspection date | This facility | Ohio avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-02 | 27 | 10.2 | 9.5 | +16.8 worse |
| 2 | 2022-09-21 | 13 | 10.7 | 9.8 | +2.3 worse |
| 3 | 2019-11-26 | 32 | 9.9 | 9.3 | +22.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident assessment and care planning | 2 |
| Resident rights | 4 |
| Nutrition and dietary | 5 |
| Pharmacy service | 5 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.62 | 55.4% |
| RN staffing (reported) | 0.62 | 50.0% |
| 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
- 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
- DF0880Provide and implement an infection prevention and control program.2025-12-10 · Health · corrected 2025-12-31
Potential for more than minimal harm
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2025-05-01 · Health · corrected 2025-05-06
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-12-02 · Health · corrected 2024-12-24
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2024-12-02 · Health · corrected 2024-12-24
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2024-12-02 · Health · corrected 2024-12-24
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- FF0814Dispose of garbage and refuse properly.2024-12-02 · Health · corrected 2024-12-24
Potential for more than minimal harm
- 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
- EF0880Provide and implement an infection prevention and control program.2024-12-02 · Health · corrected 2024-12-24
Potential for more than minimal harm
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-10-24 · Health · corrected 2024-12-24
Potential for more than minimal harm
- 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
- 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
- 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-12-28 · Health · corrected 2024-01-13
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-08-16 · Health · corrected 2023-09-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- HF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-09-21 · Health · corrected 2022-10-18
Actual harm
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2022-09-21 · Health · corrected 2022-10-18
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2019-11-26 · Health · corrected 2019-12-19
Potential for more than minimal harm
- 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
- 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
- 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
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-11-26 · Health · corrected 2019-12-19
Actual harm
- 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
- 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
- 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
- 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
- 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
- DF0791Provide or obtain dental services for each resident.2019-11-26 · Health · corrected 2019-12-19
Potential for more than minimal harm
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HOLLAND, JOHN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 1976-02-17 |
| HOLLAND-GRESCOCK, TERESA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2002-05-01 |
| HARRIS, JANET | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-06 |
| LIEBER, PAUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-18 |
| HARRIS, JANET | Individual | CORPORATE DIRECTOR | — | 2008-01-01 |
| HARRIS, JANET | Individual | CORPORATE OFFICER | — | 2008-01-01 |
| HOLLAND, JOHN | Individual | CORPORATE OFFICER | — | 2002-05-01 |
| HOLLAND-GRESCOCK, TERESA | Individual | CORPORATE OFFICER | — | 2002-05-01 |
| LIEBER, PAUL | Individual | W-2 MANAGING EMPLOYEE | — | 2024-07-01 |
Other facilities in DOVER
| Name | Overall | Beds |
|---|---|---|
| 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.