COUNTRY CLUB CENTER I

Special Focus Facility candidate · CMS abuse icon · Continuing care retirement community · Tuscarawas · OH · For profit - Limited Liability company · COUNTRY CLUB REHABILITATION CAMPUS chain · 72 certified beds · CCN 365417 · COUNTRY CLUB CENTER HOMES, INC


COUNTRY CLUB CENTER I operates 72 certified beds in DOVER, Ohio. Its Medicare and Medicaid certification dates to 1979-05-01. It averages 55.9 residents a day.

What harm was found in the violations cited at COUNTRY CLUB CENTER I?

CMS lists 90 health-inspection deficiencies for COUNTRY CLUB CENTER I since 2022-09-21, 82 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-17.

Survey dateTagDeficiencySeverity
2026-04-17F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2026-04-17F0600, F0697Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide safe, appropriate pain management for a resident who requires such services.G
2026-04-17F0565, F0725, F0804, F0812Honor the resident's right to organize and participate in resident/family groups in the facility. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-04-17F0583, F0584, F0677, F0757, F0805, F0883, F0887Keep residents' personal and medical records private and confidential. / Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E
2026-04-17F0550, F0552, F0559, F0578, F0582, F0605, F0609, F0610, F0628, F0636, F0641, F0644, F0655, F0657, F0676, F0679, F0686, F0689, F0695, F0760, F0842, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Honor 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide activities to meet all resident's needs. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2026-04-17F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C
2026-02-02F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2026-02-02F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E
2026-02-02F0583Keep residents' personal and medical records private and confidential.D
2025-12-10F0585Honor 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.E
2025-12-10F0880Provide and implement an infection prevention and control program.D
2025-06-30F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F
2025-06-30F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-05-01F0584, F0880Honor 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. / Provide and implement an infection prevention and control program.D
2024-12-02F0804, F0812, F0814Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly.F
2024-12-02F0805, F0880, F0921Ensure 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2024-12-02F0558, F0578, F0657, F0661, F0689, F0692, F0695, F0698, F0756, F0757, F0758, F0759, F0761, F0848, F0883Reasonably accommodate the needs and preferences of each resident. / Honor 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide a neutral and fair arbitration process and agree to arbitrator and venue. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2024-10-24F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F
2024-10-24F0880Provide and implement an infection prevention and control program.E
2024-09-11F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-08-09F0602Protect each resident from the wrongful use of the resident's belongings or money.D
2024-06-05F0695Provide safe and appropriate respiratory care for a resident when needed.D
2023-12-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-12-28F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-12-28F0558, F0580, F0761, F0842Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-08-16F0568, F0585, F0609, F0610Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2022-09-21F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.H
2022-09-21F0636, F0677Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Provide care and assistance to perform activities of daily living for any resident who is unable.E
2022-09-21F0689, F0690, F0692, F0695, F0810Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide special eating equipment and utensils for residents who need them and appropriate assistance.D

Why was COUNTRY CLUB CENTER I fined 4 times?

DateTypeAmount
2026-04-17Fine$113,955
2026-04-17Fine$26,685
2026-04-17Fine$26,685
2023-12-28Fine$26,462

Has COUNTRY CLUB CENTER I had payment denied by Medicare?

Payment denial startLength in days
2026-05-1426

How is COUNTRY CLUB CENTER I staffed?

MeasureThis facilityOH average
Total nurse staffing hours per resident per day3.781263.68589
Total nursing staff turnover (%)83.848.7
Average number of residents per day55.973.7

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

COUNTRY CLUB CENTER I is registered with CMS as For profit - Limited Liability company, operates under the legal business name COUNTRY CLUB CENTER HOMES, INC and belongs to the COUNTRY CLUB REHABILITATION CAMPUS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTHOLLAND, JOHNsince 02/17/1976
DIRECT OWNERSHIP INTERESTHOLLAND-GRESCOCK, TERESAsince 05/01/2002
W-2 MANAGING EMPLOYEELIEBER, PAULsince 07/01/2024
CORPORATE DIRECTORHARRIS, JANETsince 01/01/2008
CORPORATE OFFICERHARRIS, JANET, HOLLAND, JOHN, HOLLAND-GRESCOCK, TERESAsince 01/01/2008
OPERATIONAL/MANAGERIAL CONTROLHARRIS, JANET, LIEBER, PAULsince 11/06/2024
ADP OF THE SNFHARRIS, JANET, HOLLAND, JOHN, HOLLAND-GRESCOCK, TERESA, LIEBER, PAULsince 12/10/2024

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