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Country Club Center V, Inc

478 S Sandusky St, Delaware, OH 43015
7403698741
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Overall CMS Rating

5.0/5

vs State Average: 3.2 stars

4.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 2.4/5

5.0/5

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
Aug 28, 2025 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D
Aug 28, 2025 Ensure each resident’s drug regimen must be free from unnecessary drugs. D
Aug 28, 2025 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. D
Aug 28, 2025 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D
Aug 28, 2025 Reasonably accommodate the needs and preferences of each resident. D
Score
3.0
State Average
2.4
National Average
2.9
1.1 RN Hours / Resident / Day
4.3 Total Nurse Hours / Resident / Day
10.0% 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
46.5 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 HARRIS, JANET
5% OR GREATER INDIRECT OWNERSHIP INTEREST GRESOCK, JOSHUA
5% OR GREATER INDIRECT OWNERSHIP INTEREST HOLLAND, BENJAMIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST HOLLAND, NICHOLAS
5% OR GREATER INDIRECT OWNERSHIP INTEREST HOLLAND, NOAH
5% OR GREATER INDIRECT OWNERSHIP INTEREST HOLLAND-GRESOCK, ADAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST HOLLAND-GRESOCK, PATRICIA
5% OR GREATER INDIRECT OWNERSHIP INTEREST MUIRDEN-HOLLAND, JOHN
OPERATIONAL/MANAGERIAL CONTROL HARRIS, JANET
Recent Penalties

No penalty records found.

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