COUNTRY CLUB RET CENTER I I I

Continuing care retirement community · CCN 365642 · COUNTRY CLUB RETIREMENT CENTER LLC · Ashtabula · OH · For profit - Corporation · COUNTRY CLUB REHABILITATION CAMPUS chain · 73 certified beds


Certified for Medicare and Medicaid since 1984-12-13, COUNTRY CLUB RET CENTER I I I is a 73-bed nursing home in ASHTABULA, Ohio, averaging 70.7 residents a day.

Has COUNTRY CLUB RET CENTER I I I been cited for violations?

CMS lists 16 health-inspection deficiencies for COUNTRY CLUB RET CENTER I I I since 2023-04-03, 13 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-02-13.

Survey dateTagDeficiencySeverity
2026-02-13F0812, F0882Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2026-02-13F0880, F0881Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.E
2026-02-13F0842, F0883Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2025-11-06F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2024-05-09F0880Provide and implement an infection prevention and control program.E
2024-05-09F0607, F0684, F0695, F0758, F0842Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Implement 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-04-03F0580, F0689Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-04-03F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.C

How is COUNTRY CLUB RET CENTER I I I staffed relative to the OH average?

MeasureThis facilityOH average
Total nurse staffing hours per resident per day3.206283.68589
Total nursing staff turnover (%)30.448.7
Average number of residents per day70.773.7

Who owns COUNTRY CLUB RET CENTER I I I, and what chain is it in?

COUNTRY CLUB RET CENTER I I I is registered with CMS as For profit - Corporation, operates under the legal business name COUNTRY CLUB RETIREMENT CENTER LLC and belongs to the COUNTRY CLUB REHABILITATION CAMPUS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTHOLLAND GROUP II, LTD, HOLLAND, JOHNsince 01/23/2012
CORPORATE OFFICERHARRIS, JANETsince 01/01/2008
OPERATIONAL/MANAGERIAL CONTROLAL-SHAHED, ABDALLAH, HARRIS, JANET, KOLTSOV, ARKADIYsince 01/01/2008
ADP OF THE SNFHOLLAND GROUP II, LTD, AL-SHAHED, ABDALLAH, HARRIS, JANET, HOLLAND, JOHN, HOLLAND-GRESCOCK, TERESA, KOLTSOV, ARKADIYsince 01/01/2008

Were you or a family member harmed at COUNTRY CLUB RET CENTER I I I?