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Country Club Center I

Details

Type of Ownership For profit - Individual
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 72
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 01/13/2012

Date of last standard health inspection: 01/13/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 3
Average number of Health Deficiencies in OH: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in OH: 0 - 12
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/09/2012 01/03/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/09/2012 01/03/2001 and a family member of situations (injury/decline/ the resident's doctor
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/03/2012 01/05/2001 Many complete and organized clinical records on each re

Inspection, 02/02/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/02/2010 02/05/2001 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2010 02/05/2001 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/02/2010 00/07/2003 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 02/02/2010 02/05/2001 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/02/2010 00/07/2003 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 02/02/2010 02/05/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/02/2010 02/05/2001 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 02/02/2010 02/05/2001 1 Some

Inspection, 02/04/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/04/2009 01/01/2011 3 Few
Dispose of garbage and refuse properly. 02/04/2009 01/01/2011 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/04/2009 01/01/2011 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/04/2009 01/01/2011 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 02/04/2009 01/01/2011 2 Many
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 02/04/2009 01/01/2011 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/04/2009 01/01/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/04/2009 01/01/2011 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/04/2009 01/01/2011 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/04/2009 01/01/2011 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/04/2009 01/01/2011 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/04/2009 01/01/2011 2 Few
Ensure residents maintain acceptable nutritional status. 02/04/2009 01/01/2011 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/04/2009 01/01/2011 2 Few
Use a registered nurse at least 8 hours a day, 7 days a week. 02/04/2009 01/01/2011 1 Many
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/04/2009 01/01/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/04/2009 01/01/2011 2 Few

Inspection, 01/02/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/02/2009 01/07/2010 Few controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 01/02/2009 01/07/2010 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2009 01/07/2010 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/02/2009 01/07/2010 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/02/2009 01/07/2010 and a family member of situations (injury/decline/ the resident's doctor
Keep residents' personal and medical records private and confidential. 01/02/2009 01/07/2010 2 Few

Inspection, 02/07/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2006 00/05/2008 2 Few

Inspection, 00/03/2003

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide or obtain dental services for each resident. 00/03/2003 00/07/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/03/2003 00/07/2003 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/03/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/03/2001 01/07/2002 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/03/2001 01/07/2002 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/03/2001 01/07/2002 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/03/2001 01/07/2002 3 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 01/03/2001 01/07/2002 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/03/2001 01/07/2002 2 Some
Provide routine and 24-hour emergency dental care for each resident. 01/03/2001 01/07/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/03/2001 01/07/2002 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/03/2001 01/07/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/03/2001 01/07/2002 1 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/03/2001 01/07/2002 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in OH Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 80 45
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 49 minutes 1 hour 47 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 56 minutes 40 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 10 minutes 1 hour 6 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 33 minutes 2 hours 29 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 01/18/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 01/18/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in OH: 5
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in OH: 0 - 7

Inspection, 02/02/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/02/2010 02/05/2001 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/02/2010 02/05/2001 2 Many
 

860 Iron Avenue
Dover, OH 44622

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