COUNTRY CLUB CENTER V, INC
478 S SANDUSKY ST, DELAWARE, OH 43015 · CCN 366026
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 46.5
- Phone
- 7403698741
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 | 2025-01-16 | 7 | 10.2 | 9.5 | -3.2 better |
| 2 | 2022-05-12 | 3 | 10.7 | 9.8 | -7.7 better |
| 3 | 2019-08-15 | 5 | 9.9 | 9.3 | -4.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident rights | 3 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.32 | 40.7% |
| RN staffing (reported) | 1.06 | 10.0% |
| Total nurse staffing (adjusted) | 3.04 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- COUNTRY CLUB REHABILITATION CAMPUS
- Facilities in chain
- 7
- Chain avg overall
- 3.10 / 5
Inspection citations (15)
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-08-28 · Health · corrected 2025-09-30
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.2025-08-28 · Health · corrected 2025-09-30
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-08-28 · Health · corrected 2025-09-30
Potential for more than minimal harm
- DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2025-08-28 · Health · corrected 2025-09-30
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-08-28 · Health · corrected 2025-09-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-28 · Health · corrected 2025-09-30
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-28 · Health · corrected 2025-01-31
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.2025-01-16 · Health · corrected 2025-01-29
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-05-17 · Health · corrected 2023-05-26
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.2022-05-12 · Health · corrected 2022-05-27
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-05-12 · Health · corrected 2022-05-27
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-08-15 · Health · corrected 2019-10-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-08-15 · Health · corrected 2019-10-03
Potential for more than minimal harm
- CF0814Dispose of garbage and refuse properly.2019-08-15 · Health · corrected 2019-09-06
Potential for minimal harm
- DF0880Provide and implement an infection prevention and control program.2019-08-15 · Health · corrected 2019-10-03
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HOLLAND GROUP II, LTD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 70% | 2013-10-01 |
| HARRIS, JANET | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | 2013-10-01 |
| GRESOCK, JOSHUA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2013-08-01 |
| HOLLAND, BENJAMIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2013-08-01 |
| HOLLAND, NICHOLAS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2013-08-01 |
| HOLLAND, NOAH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2013-08-01 |
| HOLLAND-GRESOCK, ADAM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2013-08-01 |
| HOLLAND-GRESOCK, PATRICIA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2013-08-01 |
| MUIRDEN-HOLLAND, JOHN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2013-08-01 |
| HARRIS, JANET | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-07 |
| OLSON, LYLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| ORTMAN, DIANNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-01-01 |
| HARRIS, JANET | Individual | CORPORATE DIRECTOR | — | 2013-12-31 |
| HARRIS, JANET | Individual | CORPORATE OFFICER | — | 2013-12-31 |
Other facilities in DELAWARE
| Name | Overall | Beds |
|---|---|---|
| CHERITH CARE CENTER AT WILLOW BROOK | ★★★★★ | 34 |
| OHIO LIVING SARAH MOORE | ★★★★★ | 47 |
| ARBORS AT DELAWARE | ★★☆☆☆ | 99 |
| DELAWARE COURT HEALTH CARE CENTER | ★★☆☆☆ | 75 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.