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Country Club Center V, Inc

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About Country Club Center V, Inc

General Information

Legal Business NameCountry Club Retirement Center V LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 18, 1995 (21 years)
Capacity50
Residents37
Percent Occupied74%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Country Club Center V, Inc

Country Club Center V, Inc
was reviewed by Medicare to have a rating of 4 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

December 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
CManyPotential for Minimal HarmHealth InspectionProvide proof that residents' personal money that is deposited with the nursing home is secure.

December 16, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
FManyPotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.
FManyPotential for HarmFire Safety InspectionApproved construction type or materials.

May 27, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

September 5, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$24,050 fine

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 Center V, Inc 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.

3hr 55min
2hr 25min
ReportedExpected
CNA
1hr 40min
40min
ReportedExpected
LPN
1hr
1hr 20min
ReportedExpected
RN
6hr 35min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
94.1%
94.1%
95.5%
Q1 2015Q2 2015Q3 2015OH
Assessed and Appropriately Given the Seasonal Influenza Vaccine
50.0%
81.8%
78.8%
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%
15.6%
15.6%
20.6%
Q1 2015Q2 2015Q3 2015OH
Received an Antipsychotic Medication
-
-
-
15.1%
Q1 2015Q2 2015Q3 2015OH
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
8.2%
Q1 2015Q2 2015Q3 2015OH
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
0.0%
0.0%
12.1%
7.8%
Q1 2015Q2 2015Q3 2015OH
Lose Too Much Weight
-
-
-
5.7%
Q1 2015Q2 2015Q3 2015OH
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
3.0%
0.0%
12.3%
Q1 2015Q2 2015Q3 2015OH
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
3.3%
6.1%
6.1%
5.0%
Q1 2015Q2 2015Q3 2015OH
With a Urinary Tract Infection
0.0%
0.0%
3.0%
3.4%
Q1 2015Q2 2015Q3 2015OH
Experiencing One or More Falls with Major Injury
3.8%
0.0%
3.9%
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

83.3%
51.9%
20.7%
86.0%
Q1 2015Q2 2015Q3 2015OH
Assessed and Appropriately Given the Pneumococcal Vaccine
83.3%
83.3%
83.3%
84.2%
Q1 2015Q2 2015Q3 2015OH
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
23.8%
20.0%
31.8%
20.1%
Q1 2015Q2 2015Q3 2015OH
Self Report Moderate to Severe Pain
-
-
0.0%
2.3%
Q1 2015Q2 2015Q3 2015OH
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015OH
With Pressure Ulcers That Are New or Worsened