Unclaimed

Country Club Center I

860 Iron Avenue, Dover, OH 44622
3303435568
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Overall CMS Rating

2.0/5

vs State Average: 3.2 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.4/5

5.0/5

Quality Measures

vs State Average: 4.4/5

3 penalties in last 3 years
Penalties
vs State Average: 0.8 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
3 Penalties in last 3 years
3 Fines issued
Citation Date Description Severity
Dec 10, 2025 Provide and implement an infection prevention and control program. D
Dec 10, 2025 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. E
Jun 30, 2025 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Jun 30, 2025 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F
May 1, 2025 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. D
Score
2.0
State Average
2.4
National Average
2.9
0.6 RN Hours / Resident / Day
3.6 Total Nurse Hours / Resident / Day
50.0% RN Turnover Rate
Score
5.0
State Average
4.4
National Average
3.6
5.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
56.0 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST HOLLAND, JOHN
5% OR GREATER DIRECT OWNERSHIP INTEREST HOLLAND-GRESCOCK, TERESA
OPERATIONAL/MANAGERIAL CONTROL HARRIS, JANET
OPERATIONAL/MANAGERIAL CONTROL LIEBER, PAUL
CORPORATE DIRECTOR HARRIS, JANET
CORPORATE OFFICER HARRIS, JANET
CORPORATE OFFICER HOLLAND, JOHN
CORPORATE OFFICER HOLLAND-GRESCOCK, TERESA
W-2 MANAGING EMPLOYEE LIEBER, PAUL
Recent Penalties
Date Type Fine
Dec 28, 2023 Fine $26,462
Aug 7, 2023 Fine $1,764
Jul 17, 2023 Fine $3,145

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