Country Club Ret Center I I I

925 E 26th St
Ashtabula, OH 44004
Ashtabula County
Phone: 440-992-0022
Provider Number: 365642
Last Inspection: 03/20/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
65
Number of Residents
Number of
Residents
53
Number of Beds Available
Beds Available
12
Percent Occupancy
Percent Occupancy
82%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Partnership
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • OH
  • USA
  • 0
  • 7
  • 13
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2011
  • 0
  • 19
  • 8
Lower Numbers are Better

Details by Inspection Date

 

1/7/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/22/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 2/22/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 2/22/2013
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 2/22/2013
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 2/22/2013
 

9/8/2011 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 10/21/2011
Failed To: Dispose of garbage and refuse properly. Widespread : Potential 4 10/21/2011


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

12/18/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 1/7/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OH State Avg
Number of Residents 53 74.71 79.64
Registered Nurses 0.53 0.84 0.83
Licensed Practical / Vocational Nurses 0.94 0.96 0.88
Certified Nursing Assistants 2.61 2.28 2.30
Total Staff Hours 4.08 4.08 4.01

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% OH State Avg%
High Risk Long Stay Residents With Pressure Ulcers 4 5 5
Long Stay Residents Experiencing One or More Falls with Major Injury 8 3 3
Long Stay Residents Who Have Depressive Symptoms 4 22 13
Long Stay Residents Who Lose Too Much Weight 4 5 7
Long Stay Residents Who Received an Antipsychotic Medication 13 21 21
Long Stay Residents Who Self Report Moderate to Severe Pain 10 6 7
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 5 4
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 1 7 7
Long Stay Residents Who Were Physically Restrained 0 0 1
Long Stay Residents Whose Need for Help with ADLs has Increased 21 14 15
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 2 2 3
Long Stay Residents With a Urinary Tract Infection 3 7 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 40 25 40
Short Stay Residents Who Newly Received an Antipsychotic Medication 0 2 2
Short Stay Residents Who Self Report Moderate to Severe Pain 33 24 20
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 1 12 13
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 1 15 14
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 1 0