COUNTRY CLUB CENTER V, INC
Certified for Medicare and Medicaid since 1995-09-18, COUNTRY CLUB CENTER V, INC is a 50-bed nursing home in DELAWARE, Ohio, averaging 46.8 residents a day.
Has COUNTRY CLUB CENTER V, INC been cited for violations?
CMS lists 14 health-inspection deficiencies for COUNTRY CLUB CENTER V, INC since 2022-05-12, 12 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2026-04-21.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-21 | F0761 | Ensure 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. | E |
| 2026-04-21 | F0609, F0692, F0740 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide enough food/fluids to maintain a resident's health. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2025-08-28 | F0558, F0561, F0757, F0800, F0805, F0880 | Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Provide and implement an infection prevention and control program. | D |
| 2025-02-28 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-01-16 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2022-05-12 | F0550, F0759 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure medication error rates are not 5 percent or greater. | D |
How is COUNTRY CLUB CENTER V, INC staffed relative to the OH average?
| Measure | This facility | OH average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.64095 | 3.68589 |
| Total nursing staff turnover (%) | 39.0 | 48.7 |
| Average number of residents per day | 46.8 | 73.7 |
Who owns COUNTRY CLUB CENTER V, INC, and what chain is it in?
COUNTRY CLUB CENTER V, INC is registered with CMS as For profit - Corporation, operates under the legal business name COUNTRY CLUB RETIREMENT CENTER V LLC and belongs to the COUNTRY CLUB REHABILITATION CAMPUS chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | HOLLAND GROUP II, LTD, HARRIS, JANET | since 10/01/2013 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | GRESOCK, JOSHUA, HOLLAND, BENJAMIN, HOLLAND, NICHOLAS, HOLLAND, NOAH, HOLLAND-GRESOCK, ADAM, HOLLAND-GRESOCK, PATRICIA, MUIRDEN-HOLLAND, JOHN | since 08/01/2013 |
| CORPORATE DIRECTOR | HARRIS, JANET | since 12/31/2013 |
| CORPORATE OFFICER | HARRIS, JANET | since 12/31/2013 |
| OPERATIONAL/MANAGERIAL CONTROL | HARRIS, JANET, OLSON, LYLE, ORTMAN, DIANNA | since 01/01/2018 |
| ADP OF THE SNF | HOLLAND GROUP II, LTD, GRESOCK, JOSHUA, HARRIS, JANET, HOLLAND, BENJAMIN, HOLLAND, JOHN, HOLLAND, NICHOLAS, HOLLAND, NOAH, HOLLAND-GRESCOCK, TERESA, HOLLAND-GRESOCK, ADAM, HOLLAND-GRESOCK, PATRICIA, MUIRDEN-HOLLAND, JOHN, OLSON, LYLE, ORTMAN, DIANNA | since 01/01/2018 |
Were you or a family member harmed at COUNTRY CLUB CENTER V, INC?