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Country Club Retirement Ctr Iv

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About Country Club Retirement Ctr Iv

General Information

Legal Business NameCountry Club Retirement Center Iv, Inc
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 23, 1987 (29 years)
Capacity62
Residents46
Percent Occupied74%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Country Club Retirement Ctr Iv

Country Club Retirement Ctr Iv
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Ohio Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 21, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

August 20, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

May 8, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

May 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Country Club Retirement Ctr Iv require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 55min
2hr 25min
ReportedExpected
CNA
1hr 5min
40min
ReportedExpected
LPN
40min
1hr 15min
ReportedExpected
RN
3hr 40min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.5%
93.9%
93.9%
95.5%
Q1 2015Q2 2015Q3 2015OH
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
95.3%
Q1 2015Q2 2015Q3 2015OH
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
41.1%
Q1 2015Q2 2015Q3 2015OH
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
20.0%
21.6%
30.0%
20.6%
Q1 2015Q2 2015Q3 2015OH
Received an Antipsychotic Medication
24.4%
11.4%
28.9%
15.1%
Q1 2015Q2 2015Q3 2015OH
Need for Help with ADLs has Increased
3.6%
-
-
8.2%
Q1 2015Q2 2015Q3 2015OH
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
5.0%
10.8%
10.5%
7.8%
Q1 2015Q2 2015Q3 2015OH
Lose Too Much Weight
6.2%
-
-
5.7%
Q1 2015Q2 2015Q3 2015OH
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
2.6%
2.6%
2.8%
12.3%
Q1 2015Q2 2015Q3 2015OH
Have Depressive Symptoms
2.4%
0.0%
0.0%
5.0%
Q1 2015Q2 2015Q3 2015OH
With a Urinary Tract Infection
7.3%
7.7%
7.5%
3.4%
Q1 2015Q2 2015Q3 2015OH
Experiencing One or More Falls with Major Injury
4.2%
5.6%
6.5%
3.0%
Q1 2015Q2 2015Q3 2015OH
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.9%
Q1 2015Q2 2015Q3 2015OH
Were Physically Restrained

Quality Measures for Short Stay Residents

97.1%
97.9%
98.5%
86.0%
Q1 2015Q2 2015Q3 2015OH
Assessed and Appropriately Given the Pneumococcal Vaccine
100.0%
88.2%
88.2%
84.2%
Q1 2015Q2 2015Q3 2015OH
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
3.8%
11.8%
29.8%
20.1%
Q1 2015Q2 2015Q3 2015OH
Self Report Moderate to Severe Pain
0.0%
0.0%
2.1%
2.3%
Q1 2015Q2 2015Q3 2015OH
Newly Received an Antipsychotic Medication
2.8%
2.4%
1.8%
1.1%
Q1 2015Q2 2015Q3 2015OH
With Pressure Ulcers That Are New or Worsened