Unclaimed

Country Club Center I in Dover, OH

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 penaltiesin 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
5Deficiencies found in last inspections
3Penalties in last 3 years
3Fines issued
CitationDateDescriptionSeverity
F880Dec 10, 2025Provide and implement an infection prevention and control program.D
F585Dec 10, 2025Honor 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
F804Jun 30, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F
Jun 30, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
F584May 1, 2025Honor 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
0.6RN Hours / Resident / Day
3.6Total Nurse Hours / Resident / Day
50.0%RN Turnover Rate
Score
5.0
State Average
4.4
National Average
3.6
5.0Long-Stay QM Rating
5.0Short-Stay QM Rating
56.0Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTHOLLAND, JOHN
5% OR GREATER DIRECT OWNERSHIP INTERESTHOLLAND-GRESCOCK, TERESA
OPERATIONAL/MANAGERIAL CONTROLHARRIS, JANET
OPERATIONAL/MANAGERIAL CONTROLLIEBER, PAUL
CORPORATE DIRECTORHARRIS, JANET
CORPORATE OFFICERHARRIS, JANET
CORPORATE OFFICERHOLLAND, JOHN
CORPORATE OFFICERHOLLAND-GRESCOCK, TERESA
W-2 MANAGING EMPLOYEELIEBER, PAUL
Recent Penalties
DateTypeFine
Dec 28, 2023Fine$26,462
Aug 7, 2023Fine$1,764
Jul 17, 2023Fine$3,145

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