COUNTRY CLUB RET CENTER I I I ASHTABULA OH Ohio Ashtabula County Nursing Home

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General Information
Beds:65 Residents:55 Available:10 Occupancy:85%
Accepts: Both	Councils: RESIDENT
Type of Ownership: For profit - Partnership
Within-Hospital: NO	Multi-Home: NO

COUNTRY CLUB RET CENTER I I I
925 E 26TH ST
ASHTABULA, OH 44004
County: Ashtabula
440-992-0022 Provider365642
Last Inspection On File: 09/08/2011

Inspection Deficiencies Deficiency Ratings* By Region Lower Numbers Are Better
8 Facility	15 County	15 OH	19 USA

Inspection Deficiencies Deficiency Ratings* By Inspection Date Lower Numbers Are Better
8 09/11	0 11/10	16 09/09

Resident Condition Residents With Specified Conditions Lower Numbers Are Better
13% Facility	13% County	12% OH	12% USA

Nursing Home Staffing Total Staffing Hours per Day per Resident Higher Numbers Are Better
4.0 Facility	3.9 County	3.9 OH	3.9 USA

* The numbers above represent the total DEFICIENCY RATINGS as described below NOT the number of deficiencies reported. Be sure to examine the full descriptions provided under the Detailed Report.

Deficiency Rating = Scope + Level of Harm. Total Deficiencies are the Sum of Deficiency Ratings for all deficiencies reported and reflect how Serious, Widespread, and Frequent the infractions were.

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