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Country Club Ret Center I I I

925 E 26th St, Ashtabula, OH 44004
4409920022
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Overall CMS Rating

4.0/5

vs State Average: 3.2 stars

4.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.4/5

4.0/5

Quality Measures

vs State Average: 4.4/5

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

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Ratings Deep Dive

Score
4.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Nov 6, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E
May 9, 2024 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
May 9, 2024 Provide safe and appropriate respiratory care for a resident when needed. D
May 9, 2024 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. D
May 9, 2024 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D
Score
2.0
State Average
2.4
National Average
2.9
0.5 RN Hours / Resident / Day
3.2 Total Nurse Hours / Resident / Day
36.4% RN Turnover Rate
Score
4.0
State Average
4.4
National Average
3.6
4.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
71.5 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
5% OR GREATER DIRECT OWNERSHIP INTEREST HOLLAND GROUP II, LTD
5% OR GREATER DIRECT OWNERSHIP INTEREST HOLLAND, JOHN
5% OR GREATER DIRECT OWNERSHIP INTEREST HOLLAND-GRESCOCK, TERESA
OPERATIONAL/MANAGERIAL CONTROL AL-SHAHED, ABDALLAH
OPERATIONAL/MANAGERIAL CONTROL HARRIS, JANET
OPERATIONAL/MANAGERIAL CONTROL KOLTSOV, ARKADIY
CORPORATE OFFICER HARRIS, JANET
Recent Penalties

No penalty records found.

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